HomeMy WebLinkAbout2011-00572 - adv plan review CITY OF ORONO PERMIT NO.: 20��-oos�2
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEn: 07/OU2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1685 FOX ST
PIN : 03-117-23-44-0004
LEGAL DESC : HANSER ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 40,000.00
NOTE: PLLASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 40,000
TYP�OF PERMIT THIS PAYMENT IS FOR: 13UILDING PERMIT FOR DECK
PERMIT#THIS PRE-PAYMENI'IS TIED TO:201 1-00573
APPLICANT ADVANCED PLAN REVIEW 373.26
AULIK&ASSOCIATES TOTAL 373.26
6401 WAYZATA BLVD
ST LOUIS PARK, MN 55416- PAID WITH CC# 2948
(952)591-1500
OWNER
W. Duncan MacMillan Trust
1685 FOX ST
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 City approvals,and the
State Building Code. This permit is for only the work described and does
not grant pennission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 l80 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.
l l �C.._� 7/ D ( l
Applicant Permitee Signature Date Issue Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.