HomeMy WebLinkAbout2014-01173 - adv plan review CITY OF ORONO * z 0 1 4 - 0 1 1 7 3 *
2750 KELLEY PARKWAY DATE ISSUED: 10/09/2014
ORONO, MN 55356-
(952)249-4600 FAX: 952) 249-4616
ADDRESS : 2032 SHADYWOOD RD
PIN : 17-117-23-31-0012
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 005 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 72,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$72,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: KITCHEN REMODEL
PAYMENT IS T1ED TO:PERMIT 2014-01174
APPLICANT ADVANCED PLAN REVIEW 550.39
TOTAL 550.39
GEROLD BROTHERS CONSTRUCTION INC. payment(s)
PO BOX 128 CREDIT CARD 0356 550.39
NEW PRAGUE,MN 56071-
(952)758-2842
Minnesota State License#: BUIL-BC001115
OWNER
STRONG,TISTEVE
2032 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 Ciry 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 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