HomeMy WebLinkAbout2017-01224 - adv plan review CITY OF ORONO
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2750 KELLEY PARKWAY * 2 1 7 - 0 1 2
DATE ISSUED: 09/29/22 011
7
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 490 OLD LONG LAKE RD
PIN : 36-118-23-34-0010
LEGAL DESC : SUMMIT STATION
: LOT 003 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 30,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$30,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: FIREPLACE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01225
APPLICANT ADVANCED PLAN REVIEW 318.58
SOUTHVIEW DESIGN TOTAL 318.58
Payment(s)
2383 PILOT KNOB RD
CREDIT CARD 6657 318.58
MENDOTA HEIGHTS,MN 55120-
(651)203-3000
OWNER
LITSEY,CAL&CHRISTINE
490 OLD LONG LAKE RD
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
quested in conformance with the State Building Code.This permit may be
yoked at any time for due cause.
licant Permitee Signature Date Issued By Signature Date