HomeMy WebLinkAbout2015-00960 - adv plan review � ' CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 07/29/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1224 BRIAR ST
PIN : 10-117-23-31-0074
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIv TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 225,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $225,000.00
TYPE OF PERMIT TH[S PAYMENT IS FOR: NEW HOUSE
PERMIT#TIfIS PRE-PAYMENT IS TIED TO:2015-00961
APPLICANT ADVANCED PLAN REVIEW 1,233.11
TOTAL 1,233.11
HILLIER,JAMES Payment(s)
1224 BRIAR ST CHECK 6864 1,233.11
WAYZATA, MN 55391-
OWNER
HILLIER,JAMES
1224 BRIAR ST
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 sepazate
permits. All provisions of laws and ordinances governing 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 be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
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JULI L. ANDERSON ¢ � 29100023 6 8 6 4
LIC.A-536-454-564-187
PH.95�9741069 p /
7313 PENNY HILL ROAD DATE �7 `��
s EDEN PRAIRIE,MN 55346
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8g EDEN PRAIRIE,MN 55344-5333
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City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.013886 Jul 29, 2015
Juli Anderson
Previous Balance: .00
Permits
2015-00960 1224 Briar 1,233.11
Street
101-34d10
Plan Check/Site Exam fees
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Total: 1,233.11
Check
Check No: 6864 1,233.11
Payor:
Juli Anderson
Total Applied: 1,233.11
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Change Tendered: .00
07/29/2015 11:25AM
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