HomeMy WebLinkAbout2018-00217 - adv plan review CITY OF ORONOI ( 11 I II I II
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2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 2 1 7
DATE ISSUED: 02/27/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3200 NORTH SHORE DR
PIN : 08-117-23-41-0001
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW -
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 175,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 175,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION AND DETACHED GARAGE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00216
APPLICANT ADVANCED PLAN REVIEW 1,028.57
TOTAL 1,028.57
FALKUM, SCOTT
Payment(s)
3200 NORTH SHORE DR CHECK
WAYZATA,MN 55391- CHECK 1048 1,028.57
OWNER
FALKUM,SCOTT
3200 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 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 cause.
Applicant Permitee Signature Date Issued By Signature Date