HomeMy WebLinkAbout2012-00977 - adv plan review CITY OF ORONO * z 0 1 2 — 0 0 9 7 7 *
2750 KELLEY PARKWAY �ATE �SSUE�: 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 : $ 10,000.00
NOTE: PLF,ASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 10000.00
1'YPE OF PERMI"I"I'EllS VAYMENT IS FOR: BU[LDING PLRMI"T-POOL FIOUSI�. I'OUNDATION ONLY
PETZMI'I'#"1'I11S PRE-PAYMENT IS TIED"1�0:2012-00978
APPLICANT ADVANCED PLAN REVIEW 124.64
STEINER& KOPPELMAN
18340 MINNETONKA BLVD TOTAL 124.64
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 for which this perniit is issued shall be perfom�ed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
not grant perniission for additional or related work which requires separatc
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction audiorized 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
requeste on ance wiUi the State F3uilding Code."I�his permit may be
revo at any ti f cause.
� , a�, 1 � � � �
plicant Permitee �gnatu Date Issued By mature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB E.