HomeMy WebLinkAbout2013-00004 - adv plan review CITY OF ORQNO * Z 0 1 3 - 0 0 0 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: OU04/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 2/11/2013
ADDRESS : 4156 HIGHWOOD RD
PIN : 07-117-23-44-0019
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 023 BLOCI��000 .
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL , .
CONSTRUCTIOI�i TYPE : ADVANCED PLAN REVIEW .
VALUATION : $ 425,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ $425,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2013-00005
APPLICANT ADVANCED PLAN REVIEW 1,934.89
DENALI CUSTOM HOMES TOTAL 1,934.89
18352 MINNETONKA BLVD.
DEEPHAVEN,MN 55391-
(952)476-2679
Minnesota State License#:20175394
OWNER
MUSGJERD, SCOTT&MELISSA
4156 HIGHWOOD RD
MOLJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
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 sepazate
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 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.