HomeMy WebLinkAbout2014 - 01312 - adv plan review CITY OF ORONO jI I I III .III 11 111 III 1 11 111
2750 KELLEY PARKWAY x 1 4 — 0 1 3 1 2
DATE ISSUED: 11/07/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2160 WAYZATA BLVD W
PIN : 34-118-23-21-0002
LEGAL DESC : UNPLATTED 34 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 20,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 20,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: SIDING ON COMMERCIAL PROPERTY/REFACE
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2014-01311
APPLICANT ADVANCED PLAN REVIEW 220.51
TOTAL 220.51
Orono Station West Payment(s)
ERICKSON,BRAD CHECK 5041 220.51
2486 BOBOLINK RD
LONG LAKE, MN 55356-
(612)490-2371
OWNER
Orono Station West
ERICKSON, BRAD
2486 BOBOLINK RD
LONG LAKE, MN 55356-
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 are
requested in conformance with the State Building Code.This permit may he
revoked at any time for due cause.
769
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Applic Permitee Signature L ate
pp gIssued By Signature Date