HomeMy WebLinkAbout2017-01542 - adv plan review CITY OF ORONO * Z 0 1 7 — 0 1 5 4 2 *
2750 KELLEY PARKWAY DATE ISSUED: 1U2U2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1720 SHADYWOOD RD
PIN : 17-117-23-21-0019
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 920,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$920,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-001543
APPLICANT ADVANCED PLAN REVIEW 3,792.70
TOTAL 3,792.70
L.CRAMER CO. Payment(s)
5500 LINCOLN DRIVE#180 CHECK 029498 3,792.70
EDINA,MN 55436-
(952)935-8482
Minnesota State License#:BUIL-0002064
OWNER
HANSBERGER,TRAVIS
651 LEXIE CT
EAGAN,MN 55123-
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 pertnission 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 consiruction 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 confortnance 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
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