HomeMy WebLinkAbout2011-01032 - advance plan review CITY OF ORONO PERMIT NO.: 2011-01032
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/14/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 725 FERNDALE RD N
PIN : 36-118-23-12-0002
LECAL DESC : UNPLATTED 36 1 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REV[EW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REV[EW
VALUATION : $ 150,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 1�0000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING
PERMIT#THIS PRE-PAYMFNT IS TIED TO:2011-01033
APPLICANT ADVANCED PLAN REVIEW 881.89
MEADOWCREEK BUILDING CORP TOTAL 881.89
6955 BAKER AVE NW
BUFFALO,MN 55313- PAID WITH CC# 1687
(612)616-2252
Minnesota State License#: 20573604
OWNER
SOWADA, MICHEAL& MARGARET
725 FERNDALE RD N
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
fhe work for which this pennit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and thc
State[3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which rcquires 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 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
revoke at r ime for due cause.
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Applicant Per itee Signature Date ss �e By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.