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CITYOFORONO * Z0 15 - 00529 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 <br /> ORONO, MN 55356- <br /> , (952) 249-4600 FAX: (952) 249-4616 <br /> r <br /> ADDRESS : 3115 NORTH SHORE DR <br /> PIN : 09-117-23-32-0013 <br /> LEGAL DESC : REG. LAND SURVEY NO.0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 70,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$70,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: KITCHEN REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00530 <br /> APPLICANT ADVANCED PLAN REVIEW 567.74 <br /> TOTAL 567.74 <br /> SCHRADER&COMPANIES Payment(s) <br /> 9723 VALLOM VIEW DR CHECK 8851 567.74 <br /> EDEN PRAIRIE,MN 55344- <br /> (952)465-3582 <br /> Minnesota State License#: BUIL-BC592473 <br /> Ci�y oi ii,ono <br /> ;'?50 Kelley Parkway <br /> OWNER �n ono MN 55356 95�-249-460ci <br /> CONNELLY,THOMAS keceiFt No: 3.013312 May 4, 2015 <br /> 3115 NORTH SHORE DR <br /> WAYZATA, MN 55391- �chrader� & Compar�ies <br /> Frevious Balance: •�� <br /> Pe�mi ts <br /> �015-00529 �E�7.74 <br /> 101-34410 <br /> AGREEME1vT AND SWORN STATEMENT Plan Check/Site Exam Fees <br /> The work for which this permit is issued shall be performed according to (�;td 1: 567.74 <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 ('fi��,k <br /> not grant permission for additional or related work which requices separate Check No: 8851 567.74 <br /> permits. All provisions of laws and ordinances governing this type of work Payor: <br /> shall be compied with whether or not specified herein.This permit will I :�chrader & Compan ies <br /> expire and become nu11 and void if construc[ion authorized is not u ta 1 App 11 ed: 56?•�4 <br /> commenced within 180 days of the date of issuance,or if construction is <br /> Cfianye Ter�der�d: ��� <br /> suspended for a period of l80 days at any time after work has commenced. — <br /> --____-------- <br /> The applicant is responsible for assuring all required inspections are 05 f U4/2015 10:35AM <br /> requested in conformance with the State Buildin ode.This permit may be <br /> revoked at any time for due c se. <br /> /^ �� <br /> � �-� � 1/ /,J ��[ , ;- ',� � ��-yy1 C � 67 �/ � �S - <br /> ,___, <br /> Applicant Permitee Signature Da e Issued By Signature Date <br />