HomeMy WebLinkAbout2014-00552 - adv plan review CITY OF ORONO * 2 0 1 4 - 0 0 5 5 2 *
2750 KELLEY PARKWAY DATE ISSUED: 06/03/2014
ORONO,MN 55356-
952 249-4600 FAX: 952)249-4616
ADDRESS : 1645 SHADYWOOD RD
PIN : 17-117-23-22-0013
LEGAL DESC : LJNPLATTED 17 1 l7 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY . -
VALUATION : $ 325,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 325,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADV PLAN REVIEW FOR NEW STRUCTURE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00553
APPLICANT ADVANCED PLAN REVIEW 1,564.39
TOTAL 1,564.39
ATLAS HOMES INC Payment(s)
14450 117TH AVE N CHECK 009142 1,564.39
DAYTON,MN 55369-
(763)691-9044
Minnesota State License#: BUIL-BC20269686
OWNER
LANDSOURCE
550 25TH AVE N
ST CLOUD,MN 56301-
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. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 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 are
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