HomeMy WebLinkAbout2017-00923 - advance plan review fee for 2017-00922 CITY OF ORONO * Z 0 1 7 - 0 0 9 2 3 *
2750 KELLEY PARKWAY DATE ISSUED: 08/08/2017
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 : $ 22,993.00 �
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 22,993.00
TYPE OF PERMIT THIS PAYMENT IS FOR: IN-GROUND POOL
PERMIT#T'HIS PRE-PAYMENT IS TIED TO:2017-00922
APPLICANT ADVANCED PLAN REVIEW 261.75
TOTAL 261.75
PETERSON POOLS&SPAS INC. Payment(s)
13110 EXCELSIOR BLVD CREDIT CARD 3526 261.75
MINNETONKA,MN 55343-
(952)933-3010
OWNER
BEENDERS&PETERMONTGOMERIE,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 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 compied with whether or not specified herein.l'his 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 wnformance 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