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HomeMy WebLinkAbout2009-00695 - adv plan review CITY OF ORONO PERMIT NO.: 2009-00695 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/12/2009 952 249-4600 FAX: 952 249-4616 REPRINTED ON 1 1/5/2009 ADDRESS : 95 HACKBERRY HILL PIN : 33-118-23-44-0013 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 007 BLOCK 002 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $ 47,345 TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/RGMD PERMIT PERMIT#THIS PRE-PAYMENT IS TIF,D TO: 2009-00696 APPLICANT ADVANCED PLAN REVIEW 429.16 M& M HOME CONTRACTORS TOTAL 429.16 205 WINKLER TRAIL COLOGNE, MN 55322- PAID WITH CC# 1695 (612)554-2556 Minnesota State License#: 20560376 OWNER SULANDER, DUANE 95 HACKBERRY HILL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work tbr which this permit is issued shall be performed according to the approved plans and specifications,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 requires separa[e 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 authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenccd. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.