HomeMy WebLinkAbout2011-00105 - adv plan review � ' CITY OF ORONO PERMIT NO.: 2011-00105
, , � 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �ssuE�: 02/15/2011
952 249-4600 FAX: 952 249-4616
AUDRESS : 3300 FOX ST
PIN : OS-117-23-44-0003
LEGAL DESC : REG. LAND SURVEY NO. 1358
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 300,000.00
NOTL: PLEt1SE FILL IN"I'HE FOLLOWING:
VALUATION OF PERMI"l`. $ 300000.00
TYPE OF PERMIT THIS PAYMENT IS FOR:ADDITION
PF,RMIT#T►IIS PRE-PAYMEN"r IS TIGD T0:201 I-00106
APPLICANT ADVANCED PLAN REVIEW 1,466.89
CHOICE WOOD COMPANY TOTAL 1,466.89
3300 GORHAM
ST. LOUIS PARK, MN 55426 PAID W[TH CC# 4199
(612)924-0043
Minnesota State License#: 1532
OWNER
TRUBECK, WILLIAM &JUDITH
3300 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
"I�he�vork�br�vhich this pennit is issucd shall be perlormed according to
thc approvcd plans and spccitications,applicablc City approvals,and the
Statc L3uilding Codc. "I�his permit is for onl��the work dcscribcd and docs
not gran�permission for additional or related work which requires separalc
pcnnits. nll provisions of la���s and ordinanccs govcming this type of work
shall be compied with whether or not specified herein.This permit will
cxpirc and bccome null and void if construction autl�orized is not
commenced within 180 days of the date of issuance,or if construclion is
suspended for a period of 180 days at any time after work has commenced.
The ap licant is responsible for assuring all required inspcctions are
rec�e�ted i ecmfon�Sance�vith the State Building Code."I�his permit may be
revok�l at ny time frVir`due cause.
'1 `'
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AppliCant en i ee i�nature Dale Issued By i nalure Date
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� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB .