HomeMy WebLinkAbout2010-00717 - adv plan review .. CITY OF ORONO PERMIT NO.: 2010-00717
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssUEn: 08/17/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 515 FERNDALE RD N
PIN : 36-118-23-14-0006
LEGAL DESC : UNPLATTED 36 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 242,000.00
NO"I'E: PLEASE FILL IN"1'HE FOLLOWING:
VALUATION OF PERMIT:$ 242,000.00
TYPE OF PERMI�I'THIS PAYMGNT IS FOR: BUILDING PERMIT
PERM['I'#THIS PRGPAYMENT IS TIED TO:2010-00718
NO'I'L':PLAN REVIGW CHARGF,S}IOULD HAVF,BI:EN$1240.69 ADD T}[E DIFFERENCE OF$7.80 FOR PI.AN REVIEW WHEN
BUILDING PERMI"I'IS ISSUED�1S'I'HE CHECK WAS ONLY FOR$1232.89.
APPLICANT ADVANCED PLAN REV[EW 1,232.89
DENALI CUSTOM HOMES, INC. TOTAL 1,232.89
18283 MINNETONKA BLVD.
DEEPHAVEN, MN 55391-
(952)476-2679
Minnesota State License#: 20175394
OWNER
GR[FFIN, ROBERT
l25 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for�vhich this pernlit 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 compicd with whether or not specified herein.This permit will
expirc and become null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of I 80 days at anq time aCter 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 Cor due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
»
�
='�; „��: �:,c.��G'i �`r![�'�.Yl��;! .
�Y JYiU ��v �JJ..?iJEi �7Ji.'�43--°PF!}�j
Receipt N�: 's.C�t�s1�8 (��lg 17, �Uli�
4enali t:ust��nr Hames
r'ermits .
cU:G-��v717 5i5 Fer•n�ale i,�;5�.89
Rd N
1��1-344 i'v
Plan Che�k�5iie �xara �ees
Tc�tal: 1,�3�.��
Check _.,
Check N�7: It}3ir: 1,c.;�.89
payor:
Cenali C�sturn Nom�s
?�;tal Applied: I,�s�.89
C�7ar�ge Ter�dere�; ^ .`}f'
�)�,';7;i0 G3:�9Pp�