HomeMy WebLinkAbout2012-00979 - pool CITY OF ORONO * 2 0 1 2 — 0 fd 9 7 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3350 FOX ST
PIN : OS-117-23-44-0008
LEGAL DESC : FULLERTON ESTATES
: LOT 004 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 90,000.00
NOTE: PLEASE F1LL IN THE FOLLOWING:
VALUA'I'ION OF PERMIT:$ 90000.00
TYPE OF PERMIT THIS PAYMENT[S FOR: BU[LDING PERMI'I'-POOL
Pf',RMIT#7�HIS PRE-PAYMGNT IS T1GD"I'O:2012-00980
APPLICANT
STEINER& KOPPELMAN ADVANCED PLAN REV[EW 638.14
18340 MINNETONKA BLVD TOTAL 638.14
DEEPHAVEN, MN 55391- PAID WITH CC# 1072
(612)473-5435
Minnesota State License#: 3721
OWNER
BIGOS,NANCY
3350 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work tiu which this permit is issued shall bc performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This pennit is for only the work described and does
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 specitied 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 applican � ponsible for assuring all required inspections are
requeste � confor an ith the State Building Code.This permit may be
revok at any ti r du cause.
/ �� / �� / i
�ca� er rtee gnature Date Issued C3y S' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .