HomeMy WebLinkAbout2017-01560 - advance plan review fee for 2017-01561 CITY OF ORONO * 2 0 1 7 — 0 1 5 6 0 *
2750 KELLEY PARKWAY DATE ISSUED: l U27/2017
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 : $ 28,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$28,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DECK REPLACEMENT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01561
APPLICANT ADVANCED PLAN REVIEW 303.90
TOTAL 303.90
F&B CONSTRUCTION Payment(s)
1743 1 TTH AVE S CHECK 59673 303.90
SHAKOPEE,MN 55379-
(952)445-6604
Minnesota State License#:BUIL-BC4327
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 City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. AII provisions of laws and ordinances governing this rype of work
shall be compied with whether or noY specified herein.This permit will
expire and become null and void if construction suthorized 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