HomeMy WebLinkAbout2018-00170 - adv plan review CITY OF ORONO * 2 0 1 8 - 0 0 1 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 02/23/2018
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
VALUATION : $ 150,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 150,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00171
APPLICANT ADVANCED PLAN REVIEW 926.20
TOTAL 926.20
PAiJL SORENSON CONSTRUCTION Payment(s)
525 COUNTY ROAD 92 CHECK 10979 926.20
MAPLE PLAIN,MN 55359-
(612)86&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 dces
not grant permission for additional or related work which requires sepazate
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 nuli and void if construction authorized is not
commenced within I80 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.
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Applicant Permitee Signature Date Issued By Signature Date