HomeMy WebLinkAbout2011-00211 - adv plan review CITY OF ORONO PERMIT NO.: 2011-00211
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 04/13/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1860 SHADYWOOD RD
PIN : 17-117-23-24-0018
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 8,500.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 8500.00
TYPE OF PERMIT THIS PAYMENT IS FOR: RETAINING WALL
PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 1-002 1 2
;
APPLICANT ADVANCED PLAN REVIEW 110.26
KENDALL LARSON TOTAL 110.26
15001 APPALOSSA TRAIL
PRIOR LAKE,MN 55372-
(952)220-8011
OWNER
OMLIE, WILLIAM&RHONDA
1860 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
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.