HomeMy WebLinkAbout2014-01274 - adv plan review CITY OF ORONO * 2 0 1 4 - PJ 1 2 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/3U2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1165 FERNDALE RU W
PIN : 02-117-23-43-0026
LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE
: LOT 000 BLOCK 000
PERMIT TYPF. : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY .
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VALUATION : $ 175,000.00
NOTr: PLEASE FILL IN THE FOLL.OWING:
VALUATION OF PLRMIT:$ 17�,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: RF.MODI?],
PLRMI"I'#THIS PRE-PAYMEN'T IS 7'IED TO:: 2014-01275
ANPLICANT ADVANCED PLAN REVIEW 979.39
STREETER&ASSOCIATES TOTAL 979.39
Payment(s)
18312 MINNETONKA BLVD CREDIT CARD 2061 979.39
WAYZATA, MN 55391
(612)449-9448
Minnesota State License#: BUIL-1380
OWNER
BROOK, ROBERT
1 165 FERNDALE RD W
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicablc City approvals,and thc
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
expire and become null and void if construction authorized is not
commenced within 180 day�s oY the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
I�he applicant is responsible for assuring all required inspections are
requested in conlormance with the State Building Code."This pennit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date