HomeMy WebLinkAbout2016-00288 - adv plan review CITY OF ORONO * z 0 1 6 - 0 0 z 8 8 *
2750 KELLEY PARKWAY DATE ISSUED: 03/30/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4220 CHIPPEWA LA
PIN : 31-118-23-42-0012
LEGAL DESC : CHIPPEWA 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REV[EW
VALUATION : $ 576,827.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 576,827.00
TYPE OF PERM[T THIS PAYMENT[S FOR: NEW HOUSE
PERM[T#THIS PRE-PAYMENT IS TIED TO:2016-00289
APPLICANT ADVANCED PLAN REVIEW 2,622.21
TOTAL 2,622.21
DBG,LLC Payment(s)
SCHRODER, SUSAN CREDIT CARD 9577 2,622.21
4725 WEST LANE
MINNETRISTA, MN 55364-
OWNER
DBG, LLC
SCHRODER,SUSAN
4725 WEST LANE
MINNETRISTA,MN 55364-
AGREEMENT AND SWORN STATEME1vT
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 ofâșaws 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 l80 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 [ssued By Signature Date