HomeMy WebLinkAbout2014-00823 - adv plan review CITY OF ORONO * 2 0 1 4 - 0 0 8 2 3 *
2750 KELLEY PARKWAY DATE ISSUED: 08/O1/2014 e
ORONO, MN 55356—
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2630 COUNTRYSIDE DR W
PIN : 04-117-23-12-0015
LEGAL DESC : OLD CRYS7'AL BAY ROAD ADDN
: LOT 007 BLOCK 002
NFRMIT TYPE : ADVANCED VLAN REV[EW
PROPEKTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 98,000.00
NO"I�1�;: PLEnSE FIL1,[N THE FOLLOWING:
VALUATION OP PLRMI"C $ 98000.00
TYPE OF PERMI'C"CHIS PAYMENT IS FOR: BUILDING PF;RMIT
PEKMIT#T}IIS VRE-PAYMGNT[S TII�D T0:2014-00824
APPLICANT ADVANCED PLAN REVIEW 677.14
TOTAL 677.14
PHEASAN'T RUN CONSTRUCTION Payment(s)
1 109 141ST LANE NE CREDIT CARD 4403 677.14
HAM LAKE, MN 55304
(763) 862-2106
Minnesota State License#: BUIL-20193061
OWNER
URNESS, TODD& KATHERINE
2630 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
die approvcd plans and specifications,applicable City approvals,and the
State f3uilding Code. This permit is for only the work described and does
not grant permission for additional or rclated work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compicd with whether or not specified herein.This permit will
cxpire and become null and void if construction authorized is not
commenced within 180 davs of the date of issuance.or if construction is
suspended for a period of 180 days at any time aRer work has commcnccd.
t�he applicant is responsible for assurine all required inspeclions are
requested in conformance with thc State Eiuildina Cbde.This permit may bc
revoked at anv time for due cause.
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Applicaitt� ermitee Signature Date Issued 13��Si � re ��Date