Laserfiche WebLink
� CITY OF ORONO * z 0 1 2 - 0 0 B z 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1910 SHORELINE DR <br /> PIN : 10-117-23-42-0017 <br /> LEGAL DESC : REG.LAND SURVEY NO.0096 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,250,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,250,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00828 <br /> APPLICANT ADVANCED PLAN REVIEW 4,521.89 <br /> SMUCKLER CUSTOM BUILDERS,INC. TOTAL 4,521.89 <br /> 7509 WASHINGTON AVE.S. <br /> EDINA,MN 55439- PAID WITH CC# 1632 <br /> (952)828-1908 <br /> Minnesota State License#:20384253 <br /> OWNER <br /> &H MOUSAVINASAB,MAJID FEHRESTI <br /> i910 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> th:approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speeified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />