HomeMy WebLinkAbout2014-01258 - adv plan review MHUMMEKHMEM
CMLLIE
O ORONO * 2014 - 01258 *
2750 PARKWAY DATE ISSUED: 10/28/2014
ORONO, 55356-
(952) 249-4600 F (952)249-4616
ADDRESS 315 OLD CRYSTAL BAY RD N
PIN : 33-118-23-31-0004
LEGAL DESC UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 8,500.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$8500.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DECK REPLACEMENT
PERMIT#THIS PRE-PAYMENT IS TIED TO:201401259
APPLICANT A VANCED PLAN REVIEW 115.05
DRS HOME REPAIR&REMODL Pa ment(s) TOTAL 115.05
6299 BIRCH LANE C ECK 23259 115.05
MOUND,MN 55364
(612)865-5398
OWNER
ENGLEMAN MR.&MRS.ALAN
315 OLD CRYSTAL BAY RD N
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 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.
Applicant Permitee Signature Date Iss ed By Signature Date