HomeMy WebLinkAbout2014-01200 - adv plan review CITY OF ORONO * z 0 1 4 - 0 1 z 0�
2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1420 SHORELINE DR
PIN : 11-117-23-22-0015
LEGAL DESC : DRAGONFLY HILL
: LOT 002 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 128,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$128000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-01201
APPLICANT ADVANCED PLAN REVIEW 796.09
JANETKA CONSTRUCTION CONSULTANTS TOTAL 796.09
Payment(s)
3505 COUNTY ROAD 19 CHECK 6325 796.09
MEDINA, MN 55340-
(612)418-6708
Minnesota State License#: BUIL-BC639945
OWNER
FELDSHON,DAVID&ARCHELLE
1420 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 gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this rype 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.
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Applicant Permitee Signature Date Issu By Signature Date