HomeMy WebLinkAbout2009-00691 - adv plan review fee + � F
CITY OF ORONO PERMIT NO.: 2009-00691
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 10/09/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 567 PARK LA
PIN : 06-117-23-41-0045
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT O11 BLOCK 006
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 12000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00690
APPLICANT ADVANCED PLAN REVIEW 143.81
PRESTHOLDT,PERRY TOTAL 143.81
567 PARK LA
LONG LAKE,MN 55356-
OWNER
PRESTHOLDT,PERRY
567 PARK LA
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 sepazate
permits. All provisions of laws and ordinances goveming 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 confortnance with the State Building Code.This pertnit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.