HomeMy WebLinkAbout2014-00688 - adv/plan review CITY OF ORONO * Z QJ 1 4 - 0 0 6 8 8 *
2750 KELLEY PARKWAY DATE ISSUED: 07/02/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1135 PINE VIEW DR
PIN : 28-118-23-42-0008
LEGAL DESC : PINE VIEW
: LOT 2 BLOCK ]
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 800,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ $800,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS T[ED TO:2014-00689
APPLICANT ADVANCED PLAN REVIEW 3,221.89
MARK D. WILLIAMS CUSTOM HOMES, INC. TOTAL 3,221.89
Payment(s)
P.O. BOX 268 CHECK 5001 3,221.89
EXCELSIOR,MN 55331-
(612)251-9750
Minnesota State License#: BUIL-BC494403
OWNER
Stephenson Holdings
1850 FOX RIDGE RD
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 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 189-days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer wor- as commenced.
The applicant is responsible for as uring all re spections are
requested in conformance � e Stat g Code.This permit may be
revoked at any ti ue use.
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Applicant Permitee Signature Date Issued By i ature Date