HomeMy WebLinkAbout2017-01478 - advance plan reivew fee CITY OF ORONO * 2 0 1 7 - 0 1 4 7 8 *
2750 KELLEY PARKWAY DATE ISSUED: lUi3/2017
ORONO,MN 55356-
(952 249-4600 FAX: (952 249-4616
ADDRESS : 2070 SHORELINE DR
PIN : 15-117-23-21-0005
LEGAL DESC : HARTWOOD
: LOT 006 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 20,000.00
NOTE: PLEASE FILL IN TI-IE FOLLOWMG:
VALUATION OF PERMIT:$20,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: RETAINING WALL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01479
APPLICANT ADVANCED PLAN REVIEW 231.54
TOTAL 231.54
F&B CONSTRUCTION Payment(s)
1743 1 TTH AVE S CHECK 59670 231.54
SHAKOPEE,MN 55379-
(952)445-6604
Minnesota State License#:BUIL-BCs�327
OWNER
HIRSCHMANN,MARK&KEELY
2070 SHORELINE DRIVE
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 Ciry approvals,and the
State Building Code. This pertnit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws and ordinances goveming this type of work
sha(I be compied with whether or not specified herein.'I'his permit will
expire and become null and void if construction aud�orized 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.
/ /
Applicant Permitee Signature Date Issued By Signature Date