HomeMy WebLinkAbout2013-00341 - adv plan review CITY OF ORONO * 2 0 1 3 - 0 0 3 4 1 *
2750 KELLEY PARKWAY DATE ISSUED: OS/13/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1795 SHADYWOOD RD
PIN : 17-117-23-21-0008
LEGAL DESC : REG.LAND SURVEY NO.0702
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 12,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 12,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00341
APPLICANT ADVANCED PLAN REVIEW 143.81
BETZ BUILDERS INC. TOTAL 143.81
300 CRESTVIEW AVE.
LONG LAKE,MN 55356
(612)221-2963
Minnesota State License#: BC3515
OWNER
DIERCKS,MICHAELA
1795 SHADYWOOD RD
P.O.BOX 81(NAVARRE
WAYZATA,MN
AGREEME1vT 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 separate
permits. All provisions of laws and ordinances goveming this rype 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' co ormance with the State Building Code.This permit may be
revoked t any ime for due cause.
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Applicant Permitee Signature Date Issued By S' ature Date
SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB