HomeMy WebLinkAbout2016-00072 - remodel � '� CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 0 7 2 *
DATE ISSUED: OU20/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 3590 NORTH SHORE DR ,
PIN : 08-117-23-34-0062 ����� k_I i�•y F .'���'a�
LEGAL DESC : N/A Orono MN 55356 952-249-4600
: LOT 000 BLOCK 002 Receipt Na: 3.014954 Jan 20. 2016
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW The Broadway 6roup
ACTIVITY : 434-RESIDENTIAL Previous Balance: .00
VALUATION : $ 200,000.00 Permits
NOTE: PLEASE FILL IN THE FOLLOWING: 2016-00072 3590 N Shore 1,130.95
Dr
VALUATION OF PERMIT:$ 200,000.00 101-34410
Plan Check/Site Exam Fees
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL ---------------
Total: 1,130.95
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00073 �____________--
Check
Check No: 1853 1,13U.95
Payor:
Tha Broadway Group
Tntal ApUlied: 1,130.S5
;,.����;,� �.�� .� ,��� ���,
APPLICANT ADVANCED PLAN REVIEW 1,130.95
ABBOTT,WILLI TOTAL 1,130.95
3590 NORTH SHORE DR Payment(s)
CHECK 1853 1,130.95
WAYZATA,MN 55391-
OWNER
ABBOTT,WILLI
3590 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 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 suthorized 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 atler work has commenced.
7'he 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