HomeMy WebLinkAbout2010-01155 advance plan review CITY OF ORONO PERMIT NO.: 2010-01155
� 2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUED: 1U24/2010
952 249-4600 FAX: 952 249-4616
REPRIN"fED ON 11/30/2010
ADDRESS : 1 190 LYMAN AVE
PIN : 35-I18-23-43-0034
LEGAL DESC : REG. LAND SURVEY NO. 1067
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 320,000.00
NOTG: PLEASE FILL IN THE FOLLOWING:
VALUATION OP PERM17': $ 320,000.00
TYPE Ol;PERMI"1'THIS PAYMENT IS FOR: ADDITION
PERMI"I'# I'I IIS PRE-PAYMGNT IS TIED TO: [3LDG PGRMIT-2010-01 1�6
APPLICANT ADVANCED PLAN REVIEW 1,544.89
CHOICE WOOD COMPANY TOTAL 1,544.89
3300 GORHAM
ST. LOUIS PARK, MN 55426 PAID WITH CC# 4199
(612)924-0043
Minnesota State License#: 1532
OWNER
PALMER, BRIAN &JULIA
1 190 LYMAN AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall bc performed according to
the approved plans and specitications,applicable City approvals,and the
State[3uilding Code. This permit 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 eompied with���heU�er or not specified herein.This pennit 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 Cor a period of 180 days at any time after work has commenecd.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State[3uilding Code.This permit may be
revoked at any time for due cause.
/ / �)
� Applicant Permitee Signature Date ���'�'����� C������� � �� ������
Issued By ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF ORONO PERMIT NO.: 2010-01155
` 2750 KELLEY PARKWAY
` ORONO, MN 55356- DATE IssUEv: l U24/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1190 LYMAN AVE
PIN : 35-118-23-43-0022 /�,�-v �-��� �%��
LEGAL DESC : REG. LAND SURVEY NO. 1067
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 320,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 320,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:BLDG PERMIT-2010-01156
APPLICANT ADVANCED PLAN REVIEW 1,544.89
CHOICE WOOD COMPANY TOTAL 1,544.89
3300 GORHAM
ST. LOUIS PARK,MN 55426 PAID WITH CC# 4199
(612)924-0043
Minnesota State License#: 1532
OWNER
PALMER,BRIAN&JULIA
1190 LYMAN AVE
WAYZATA, MN 55391
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 permit 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.
, , � // , a� o
Applicant Permitee Signature Date Issue Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.