HomeMy WebLinkAbout2014-00718 - adv plan review � ' CITY OF ORONO * z 0 1 4 - P1 0 7 1 8 *
2750 KELLEY PARKWAY DATE ISSUED: 07/10/2014
ORONO, MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1700 SHORELINE DR
PIN ; 10-117-23-14-0014
LEGAL DESC : LJNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 58,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$58,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ELEVATOR ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00719
APPLICANT ADVANCED PLAN REVIEW 482.14
HNH HOMES TOTAL 482.14
Payment(s)
13911 RIDGEDALE DRIVE#406D CREDIT CARD 0348 482.14
MINNETONKA,MN 55345-
(952)288-3746
Minnesota State License#: BUIL-654037
OWNER
ETAL, IRWIN JACOBS
1700 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 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 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 Issued By Signature Date
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/ Certificate of Survey for
Irwin Jacobs
c/o J�nsen Construction -
in Government Lots 1 and 2, Section 10-117-2.3
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� ', �"��' ��, ' COFFIfJ & GRONBERG, INC.
�, \ro � � i Engineers, Lanct�Surveyors, Planners
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Scale: 1 i�ch = 200 feet
Date : September 11 , 1986
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