HomeMy WebLinkAbout2015-00885 - Advance Plan Review fee � CITY OF ORONO
'" * 2015 - 008B5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/16/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1432 SHORELINE DR
pIN : 11-117-23-22-0014
LEGAL DESC : LJNPLATTED 11 117 23
: LOT 000 BLOCK 000
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
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL
PERMIT#THIS PR�PAYMENT IS TIED TO:2015-00884
APPLICANT ADVANCED PLAN REVIEW 925.98
TOTAL 925.98
S.J.FISHER CONSTRUCTION Payment(s)
70 FLORENCE DRIVE CHECK 1496 925.98
TONKA BAY,MN 55331-
(952)474-6976
Minnesota State License#:BUIL-BC626515
OWNER
BORN,LAUREN&JOYCE
1432 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 hereia 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 are
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
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Receipt No: 3.013803 Jul 16, 2015 � _�� t.-.. _ � _
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