HomeMy WebLinkAbout2009-00413 - adv plan review 1 '��
CITY OF ORONO PERMIT NO.: 2009-00413
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: 07/16/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 785 FERNDALE RD N
PIN : 36-118-23-ll-0012
LEGAL DESC : REG. LAND SURVEY NO. 1031
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOT�: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 20,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADV. PL,AN REVIEW FOR POOL BUILDING
PERMIT#THIS PRE-PAYMENT IS T[ED TO:2009-00414
APPLICANT ADVANCED PLAN REVIEW 220.51
JR, MICHELLE&THOMAS CULLUM TOTA1, 220.51
785 FERNDALE RD N
WAYZATA, MN 55391
OWNER
JR, MICHELLE&THOMAS CULLUM
785 FERNDALE RD N ` ''�`` '
, }�N� J JJ.,-:..` ,
WAYZATA, MN 55391
r} :�h�: ..
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifica[ions,applicable City approvals,and the
State Building Code. 7�his permit is for only the work described and does ��1'''�
no[ rant ermission for additional or related work which re uires se arate �3' �_'
g p 9 P ��--� �*;
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permits. All provisions of laws and ordinances governing this type of work ��,�hi��
shall be compied with whether or not specified herein.This permit will � '
expire and become null and void if construction authorized is noi y +
commenced within 180 days of the date of issuance,or if construction is _c_,__._.
suspended for a period of(80 days at any[ime after work has commenced. ,
The applicant is responsible for assuring all required inspections are n1; j�7; '�t� :;
requested in conformance with the State Building Code.This permit may be �r;
revoked at any time for due cause. '
/ /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.