HomeMy WebLinkAbout2014-01069 - adv plan review �`' CITY OF ORONO * z 0 1 4 - 0 1 0 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/22/2014
t ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1810 SHADYWOOD RD
P[N : 17-117-23-21-0027
LEGAL DESC : SHADY-WOOD
: LOT 022 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 175,000.00
NOTE: PLGASE FILL IN TH[?FOLLOWING:
VALUA"I ION OF PERMI"I':$ 175,000.00
1'YPE?OF PFRMIT Tf IIS PAYMENT IS F02 AllDI'I�ION
Pf?RMIT#'i'HIS PRE:PAYMENT IS TIED T0:2014-01068
APPLICANT ADVANCED PLAN REVIEW 979.39
LITE CONSTRUCTION TOTAL 979.39
(320)275-3677 Payment(s)
CHECK 004887 979.39
Minnesota State License#: BUIL-1450
OWNER
RICHARDSON, JENNY
1810 SHADYWOOD RD
WAYZATA, MN 55391-
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
no[grant pemiission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied with�i�hether or no[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
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City of Oronc
2750 Kelley Parkway 952_24y-46U0
Orono MN 55356
Receipt No: 3.011835
Sep 22. 2014
lite construction inc
Previous Balance:
.00
Permits 979 39
P2014-0169
101-34410
Plan Check/Site Exam Fees
979.39
Total:
Check 979 S9
Check No: 4887
Payor:
lite constructiun inc g79.39
Total Applied:
---------------
.00
Change lendered: ___ _` _______
09/22/2014 11:33AM