HomeMy WebLinkAbout2009-00728 - adv plan review - CITY OF ORONO PERMIT NO.: 2009-00728
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ORONO, MN 55356- DATE �ssuEn: 10/20/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1785 CONCORDIA ST
PIN : 17-117-23-22-0016
LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$1,100,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW S'IRUCTURE
PERMIT#THIS PRE-PAYMENT IS TIED TO: bZ�q• D b��p
APPLICANT ADVANCED PLAN REVIEW 4,131.89
STONEWOOD, LLC TOTAL 4,131.89
7407 WAYZATA BLVD
MINNEAPOLIS, MN 55426-
(952)697-5590
Minnesota State License#:20594315 ,
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OWNER a a��-:; ? ;•:;;�.�:-�-:
DULIN, KEVIN &BARBARA
1785 CONCORDIA ST
WAYZATA, MN 55391-
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AGREEMENT AND SWORN STATEMENT `-�+'�'��`����. zxa�? �'�
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and [he
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 governing this type of work ,
shall be compied with whether or not specified herein.This permit will 1;:�,�,..
expire and become null and void if construction authorized is not ;tr.,.
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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.