HomeMy WebLinkAbout2011-00982 - adv plan review CITY OF ORONO PERMIT NO.: 201�-oo9s2
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/OU2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1100 MILLSTON RD
PIN : 10-117-23-14-0015
LEGAL DESC : MILLSTON
: LOT 000 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 250,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$250000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: POOL CABANA
PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-000983
APPLICANT ADVANCED PLAN REVIEW 1,271.89
TOM POTTER CONSTRUCTION INC. TOTAL 1,271.89
6531 DEVONSHIRE DR.
CHANHASSEN,MN 55317 PAID WITH CC# 2887
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Minnesota State License#:20130144
OWNER
BURWELL,MR.&MRS.RODNEY P .
7901 XERXES AVE S
BLOOMINGTON,MN 55431-
AGREEMENT AND SWORN STATEMENT
7'he work for which this permit is issued shall be performed according[o
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
shail 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 DESCRIBED ABOVE.