Laserfiche WebLink
CITY OF ORONO * Z 0 1 6 - 0 0 0 2 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01107l2016 <br /> E • ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 60 SMITH AVE <br /> PIN : 02-117-23-21-0003 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 041 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCT[ON TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 550,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$550,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:ADDITION/REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00022 <br /> APPLICANT ADVANCED PLAN REVIEW 2,530.07 <br /> TOTAL 2,530.07 <br /> REPLACEMENT HOUSING SERVICES Payment(s) <br /> 5200 WILSON RD#150 CHECK 3575 2,530.07 <br /> EDINA, MN 55424- <br /> (952)836-2665 <br /> Minnesota State License#: BUIL-BC643121 <br /> OWNER <br /> MILLER,ROBERT <br /> 60 SMITH AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> cequested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��� ���� <br /> / ;� c <br /> �'� ' ----____ J/ ( 't(�% � ' l �--� � / �—? /� �' <br /> Applicant Permitee Sig ature Date Issued By Sigriature Date <br />