HomeMy WebLinkAbout2016-00853 (plan review) CITYOFORONO * Z016 - PJPJ853 *
2750 KELLEY PARKWAY DATE ISSUED: 07/20/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1240 ARBOR ST
PIN : 10-117-23-31-0099
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 180,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 180,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00854
APPLICANT ADVANCED PLAN REVIEW 1,049.05
TOTAL 1,049.05
DRUK,TIM Payment(s)
4308 115TH STREET SE 1,049.05
DELANO, MN 55328-
OWNER
DRUK,TIM
4308 115TH STREET SE
DELANO,MN 55328-
ACREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City 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 specified 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 l80 days at any time afrer 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.
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Applicant Permitee Signature Date Issued By Signature Date