HomeMy WebLinkAbout2018-00030 - adv plan review CITY OF ORONO * 2 0 1 8 - 0 0 0 3 0 *
2750 KELLEY PARKWAY DATE ISSUED: Ol/10/2018
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2780 SHADYWOOD RD
PIN : 21-117-23-24-0041
LEGAL DESC : REG.LAND SURVEY NO. 1196
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 20,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 20000
TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00029
APPLICANT ADVANCED PLAN REVIEW 231.54
PLEKKENPOL BUILDERS TOTAL 231.54
Payment(s)
401 W 78TH ST CREDIT CARD 6152 231.54
BLOOMINGTON,MN 55420-
(952)888-2225
Minnesota State License#:BUIL-BCD01797
OWNER
CARTER,RICHARD&JEANNE
2780 SHADYWOOD RD
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 separate
permits. All provisions of Iaws 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 suthorized is not
commenced within 180 days of the date of issuance,or if consVuction 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 ime f ca
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Appl' t Perm ee Sign Date Issued By Signature Date