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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.