HomeMy WebLinkAbout2017-00536 - adv plan review ` � CITY OF ORONO * Z 0 1 7 - 0 0 5 3 6 *
2750 KELLEY PARKWAY DATE ISSUED: OS/22/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1095 FERNDALE RD W
PIN : 02-117-23-43-0023
LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE
: LOT 009 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 3,500,000.00
APPLICANT ADVANCED PLAN REVIEW 10,890.70
WELCH FORSMAN ASSOCIATION TOTAL 10,890.70
6026 PILLSBURY AVE S Payment(s)
MINNEAPOLIS,MN 55402- CHECK 34958 10,890.70
(612)827-4455
Minnesota State License#: BUIL-BC005890
OWNER
TOLES, WILLIAM
2510 CRESENT RIDGE ROAD
MINNETONKA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 governing this type of work
shall be compied with whether or not speci6ed herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 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.
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Applicant Permitee Signature Date Issued By Signature Date
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Orono MN 55356 952-249-4600 ( .
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Receipt No: 3.018288 May 22, 2017 N �
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2017-00536 1095 Ferndale 10,890.70 r �
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101-34410
Plan Check/Site Exam Fees - �
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Check No: 34958 10,890.70 �_�� - �
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Total Applied: 10,890.70 ' =��,o __ _
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