HomeMy WebLinkAbout2018-00119 - adv plan review CITY OF ORONO * 2 0 1 8 - 0 0 1 1 9 *
� 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2018
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 650 PINEHURST CT
PIN : 06-117-23-34-0006
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 18 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 650,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 650,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 8-00 1 1 8
APPLICANT ADVANCED PLAN REVIEW 2,871.32
TOTAL 2,871.32
NORTON HOMES Payment(s)
18215 45TH AVE N,STE D CREDIT CARD 6532 2,871.32
PLYMOUTH,MN 55446-
(763)559-2991
Minnesota State License#:BUIL-BC639221
OWNER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUT'H,MN 55446-
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. 1'his permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances goveming this type of work
shall be compied with whether or not specified hetein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature �', Date Issued By Signature Date