HomeMy WebLinkAbout2017-00663 - advance plan review fee for 2017-00664 CITY OF ORONO * 2 0 1 7 - 0 0 6 6 3 *
2750 KELLEY PARKWAY DATE ISSUED: 06/19/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1669 NORTH FARM RD
PIN : 27-118-23-44-0008
LEGAL DESC : THE FARM AT LONG LAKE
: LOT 007 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 15,000.00
NOTE: PLEASE FILL IN THE FOLLOWMG:
VALUATION OF PERMIT:$ 15,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00664
APPLICANT ADVANCED PLAN REVIEW 181.20
TOTAL 181.20
KEENAN&SVEIVEN,INC. Payment(s)
15119 MINNETONKA BLVD. CREDIT CARD 0048 181.20
MINNETONKA,MN 55345
(952)475-1229
Minnesota State License#: BUIL-7252
OWNER
BEENDERS&PETER MONTGOMERIE,ANTOINETTE
1669 NORTH FARM RD
LONG LAKE,MN 55356-
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 dces
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 I80 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 Percnitee Signature Date Issued By Signature Date