Laserfiche WebLink
CITY OF ORONO * 2 0 1 6 - 0 0 0 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OUi4/2016 <br /> �� ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3640 JACOBS MILL RD <br /> PIN : 32-118-23-24-0010 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 110,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 110,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT FINISH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00041 <br /> APPLICANT ADVANCED PLAN REVIEW 762.40 <br /> WOODDALE BUILDERS INC. TOTAL 762.40 <br /> 61 17 BLUE CR DR Payment(s) <br /> CHECK 84454 762.40 <br /> MINNETONKA,MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OWNER <br /> HOFFMAN,KEITH&MARY <br /> 3640 JACOBS MILL RD <br /> LONG LAKE, MN 55356- <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 rype 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 are <br /> requested in conformance with the State Building Code.This permit may be � . <br /> revoked at any time for due cause. ' _'� ;� <br /> ,--, — -' <br /> ( ��\- C_���`/v���^ � .��I w��? � � �,^-'�'_ \� � ��_ �._ �. 1 --�\.� � / ! /,/ / (�� <br /> \./ -'C /�-�. <br /> Applicant�ermitee Signature Date Issued By Signature Date ' <br />