HomeMy WebLinkAbout2009-00607 - adv plan review CITY OF ORONO PERMIT NO.: 2009-00607
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEv: 09/2U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2620 FOX ST
PIN : 04-117-23-42-0010
LEGAL DESC : REG. LAND SURVEY NO. 1249
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REV[EW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ ]000.00
TYPE OF PERMIT THIS PAYMENT IS FOR:BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00551
APPLICANT ADVANCED PLAN REVIEW 26.81
JAFFRAY, MR. & MRS. TOTAL 26.81
2620 FOX ST
WAYZATA, MN 55391 PAID WITH CC# 0000
OWNER
JAFFRAY, MR.& MRS.
2620 FOX ST
WAYZATA, MN 55391
AGREEMEIVT AND SWORN STATEMENT
'I�he work for which this permit is issued shall be performed according to
the approved plans and specitications,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 reyuires 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 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 S[ate Building Code.This permit may be
revoked at any time for d e cause.
',� � � � � � �I � 1 /
Applicant Per itee Signature Date Issued By Si ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB