HomeMy WebLinkAbout2013-01084 - adv plan review CITY OF ORONO * Z 0 1 3 - 0 1 0 B 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2248 SHADYWOOD RD
PIN : 17-117-23-43-0126
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 007 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTNITY . -
VALUATION : $ 75,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$75,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: GARAGE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01085
APPLICANT ADVANCED PLAN REVIEW 565.01
PAUL SORENSON CONSTRUCTION
525 COUNTY ROAD 92 TOTAL 565.01
MAPLE PLAIN,MN 55359-
(612)868-5138
OWNER
LAGERSTROM,ED
2248 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 aze
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.