HomeMy WebLinkAbout2014-00602 - adv plan review � , �_ CITY OF ORONO * 2 PJ 1 4 — 0 0 6 0 2 *
2750 KELLEY PARKWAY DATE ISSUED: 06/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3655 NORTH SHORE DR
PIN : 08-117-23-34-0050
LEGAL DESC : CRYSTAL BEACH Ci ty of uronc;
. LOT 000 BLOCK 000 �750 Kel iey Park;��iy
PERM[T TYPE . ADVANCED PLAN REVIEW ��r ono MN 55366 ��52-2A9-�16u�i
PROPERTY TYPE . RESIDENTIAL Receipt No: :�.011135 Jun 16, �'ul-;
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 230,000.00 A1 Nagen
NOTG: PLEASE FILL IN"I HE FOLLOWINU:
Previnus Balance: .0��
VALUATION OF PERM[T: $ 230,000.00 Fer�oits
1'YPG OF PERMIT THIS PAYMENT IS FOR: NEW HOME Plan Review i,19?.�3c'•
101-34410
PERMIT#THIS PRE-PAYMENT IS TIED T0:2014-000602 �'l�n l',hecki5it�. Exam Fees
Total: 1,19;7.59
cn�rk
Check No: 5011 l.ly3 8��
Payor :
�+1
, ,
APPLICANT ADVANCED PLAN REVIEW 1,193.89
TOTAL 1,193.89
GOLDEN HOME BUILDERS INC. Payment(s)
525 TAMARACK AVB CHECK SOl l 1,193.89
LONG LAKE, MN 55356-
(952)476-0237
Minnesota State License#: BUIL-003716
OWNER
HAGEN,AL& DONNA
3655 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 speeifications,applicable City approvals,and the
State Building Code. This permit is fur only the work described and does
not grant permission for additional or related work which requires separate
permi[s. All provisions of laws and ordinances govcrning 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 180 days of thc date of issuance,or if construction is
suspended for a period of 180 days at any time atter work has commenced.
l�he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may bc
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By S' ature Date