Laserfiche WebLink
CITY OF ORONO * 2 B 1 2 — 0 1 2 4 4 * <br /> , � - � ' 2750 KELLEY PARKWAY DATE ISSUED: 12/20/2012 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3805 NORTH SHORE DR <br /> PIN : 17-117-23-21-0029 <br /> LEGAL DESC : SHERRI LAKEVIEW ESTATES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATIOl�1 : $ 325,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWiNG: City af Orono <br /> 275�? K�11eY Pat^kway g�-249-45{� <br /> Qrano 1�1 55356 <br /> VALUATION OF PERMIT:$ 325,000.00 Receipt No: 3.048139 �� �+ ��` <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: 2012-01245 <br /> Don Rachel <br /> PERMIT#7'HIS PRE-PAYMENT IS TIED"I'0:NEW HOUSE ��t} <br /> Rrevious Balance: <br /> Persits i,�,4,3y <br /> �p1�-01244 3805 North <br /> Share l�r <br /> 101-34410 <br /> Plan Check/5ite Exam F��s--------------- <br /> Tatal: 1'�.�� <br /> �—=___ <br /> Check 1,564.39 <br /> Check Pb: 62�1 <br /> Payor: <br /> Qon Rachel i}�4.39 <br /> T�tal Rpplied: �_________�_ <br /> r4_..__ T--�- -; <br /> APPLICANT ADVANCED PLAN REVIEW 1,564.39 <br /> DEAN JOHNSON HOMES, INC. TOTAL 1,564.39 <br /> 4700 CTY ROAD 19 <br /> MEDINA, MN 55357- <br /> (763j 479-4820 <br /> Minnesota State License#: 20639439 <br /> OWNER <br /> RACHEL, DON <br /> 3805 NORTH SHORE DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> T�he work for which this permit is issucd 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 /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afler work has commenced. <br /> T'he applicant is responsible for assuring all required inspections arc <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. 7 � <br /> .� /'� . <br /> �-� � ��i �= i«�� � ._. � ��-�-,,�� � ��� ��- i.�- <br /> _ �. . , ,-, <br /> � Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />