HomeMy WebLinkAbout2012-01176 - adv plan review CITY OF ORONO * z 0 1 2 - 0 1 1 7 6 *
2750 KELLEY PARKWAY �AT� �SSUE�: 11/16/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
COIYSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 750,000.00
NOTE: PLf�,ASE FILL IN THE FOLLOWING:
VALUATION OF PERMI'I�: $ 750,000.00
I'YNE OF PERMI"f THIS PAYMENT[S FOR: NEW S[NGLE FAMILY HOME
PEI2M[T#THIS PRE-PAYMENT IS T[ED TO:2012-01 177
APPLICANT ADVANCED PLAN REVIEW 3,05939
SWANSON HOMES TOTAL 3,059.39
1360 HAMEL ROAD
MEDINA, MN 55340-
(763)478-0320
Minnesota State License#: 627982
OWNER
OLSON, MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
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
Stat�13uilding Code. This permit is for only the work described and docs
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 speciticd herein.This permit will
expire and become null and void if construction authorized is not
commenecd 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.
fhe applicant is responsible for assuring all rcquired inspections are
requested in conforniance with the State Building Code.This perniit may be
revoked at any t�me for due cause.
/ / � // / / / 02�
Applicant Permitce Signature Date Issu I3y Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.