HomeMy WebLinkAbout2013-00316 - adv plan review CITY OF ORONO * z 0 1 3 - 0 0 3 1 6 *
2750 KELLEY PARKWAY DATE ISSUED: 05/09/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 4395 NORTH SHORE DR
PIN � : 07-117-23-43-0018
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 018
PERMTT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 645,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 645,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 3-003 1 7
�_
APPLICANT ADVANCED PLAN REVIEW 2,718.14
LECY BROS HOMES TOTAL 2,718.14
15012 HWY 7
MINNETONKA,MN 55345
(952)9449499
Minnesota State License#:20325555
OWNER
WARDEN,MR.&MRS.KENT
4395 NORTH SHORE DR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
'Che 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. 1'his 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 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 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 conformance with the State Building Code.This permit may be
revoked at any time for due ause.
` �� / � / /
A plic t Permitee Signatu e Date Issued By Si ture D
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.