HomeMy WebLinkAbout2016-00483 - advance plan review fee CITY OF ORONO * 2 0 1 6 - fD 0 4 8 3�
2750 KELLEY PARKWAY DATE ISSUED: 05/05/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2545 NORTH SHORE DR
PIN : 09-117-23-41-0003
LEGAL DESC : UNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 15,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$15,000
TYPE OF PERMIT THIS PAYMENT IS FOR: DECK EXPANSION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00484
APPLICANT ADVANCED PLAN REVIEW 181.20
TOTAL 181.20
MIKE NORTH CONSTRUCTION Payment(s)
S00 NORTH BROWN RD CHECK 2472 181.20
LONG LAKE,MN 55356-
(612)246-0027
Minnesota State License#:BUIL-20636890
OWNER
BERGQUIST,CARL&ABBY
2545 NORTH SHORE DR
WAYZATA,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 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 goveming this type of work
shall be compied with whether or not specified herein.This permit wi11
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 confortnance 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