HomeMy WebLinkAbout2012-01218 - adv plan review CITY OF ORONO * 2 0 1 2 - 0 1 2 1 8 *
2750 KELLEY PARKWAY DATE ISSUED: 12/04/2012
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 3675 JACOBS MILL RD
PIN : 32-118-23-24-0012
LEGAL DESC : JACOBS MILL
: LOT 002 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 5,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 5,000
TYPE OF PERMIT THIS PAYMENT IS FOR: WARMING HOUSE/SHED
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01217
APPLICANT ADVANCED PLAN REVIEW 76.70
AMENT,JEFFREY&KARI TOTAL 76.70
3675 JACOBS MILL RD
LONG LAKE,MN 55356 PAID WITH CC# 9237
OWNER
AMENT,JEFFREY&KARI
3675 JACOBS MILL RD
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This pertnit 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 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 State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRII3ED ABOVE.