HomeMy WebLinkAbout2009-00867 - adv plan review CITY OF ORONO PERMIT NO.: 20o9-oos6�
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 12/OU2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1265 SHORELINE DR
PIN : 02-117-23-34-0010
LEGAL DESC : REG.LAND SURVEY NO. 1123
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL �
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 100,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT FOR SUNROOM
PERMIT#THIS PRE-PAYMENT IS TIED TO: #2009-0086�9
APPLICANT ADVANCED PLAN REVIEW 686.89
LAKE COUNTRY BUILDERS,LTD TOTAL 686.89
339 2ND STREET
EXCELSIOR,MN 55331
(952)4747121
Minnesota State License#:20349679
OWNER
MCCABE,ROGER
1265 SHORELINE DR
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 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 null and void if construction au[horized 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.