HomeMy WebLinkAbout2009-00861 - adv plan review CITY OF ORONO PERMIT IYO.: 2009-00861
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE [SSUEu: 12/OU2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 515 FERNDALE RD N
PIN : 36-118-23-14-0006
LEGAL DESC : UNPLATTED 36 118 23
: LOT 000 BLOCK 000 ���'�
PERMIT TYPE : ADVANCED PLAN REVIEW ���� .�' ''''`''�
PROPERTY TYPE : RES[DENTIAL '-`:''•' P�:'' �G`•"'`n'!c d'P:' �'!, -'-
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
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VALUATION OF PERMIT:$ 2,800,000.00 ;�:;t 1
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TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT --- ------- --
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PERMIT#THIS PRE-PAYMENT IS TIED TO:#2009-00862 ""'--"'""�'
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APPLICANT ADVANCED PLAN REVIEW 8,551.89
DENALI CUSTOM HOMES, INC. TOTAL 8,551.89
18283 M[NNETONKA BLVD.
DEEPHAVEN, MN 55391-
(952)476-2679
Minnesota State License#: 20175394
OWNER
GRIFFIN, ROBERT& KIMBERLY
125 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.