HomeMy WebLinkAbout2012-00873 - addn/remodel/repair CITY OF ORONO * 2 0 1 2 - 0 0 8 7 3 *
2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012
ORONO, MN 55356- �
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2172 SHADYWOOD RD
PIN : 17-117-23-42-0010
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 000 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 1,350.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 1350.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REFIGURING GARAGE DOOR
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00872
APPLICANT ADVANCED PLAN REVIEW 35.26
TRUE NORTH HOMES INC TOTAL 35.26
410 LAKEVIEW AVENUE
TONKA BAY,MN 55331-
(612)281-2540
Minnesota State License#:20636839
OW1vER
DORE, STEVEN
6530 CABRIDGE ST
MINNEAPOLIS,MN 55426-
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 aze
requested in conformance with the State Building Code.This petmit 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.