HomeMy WebLinkAbout2014-00198 - adv plan review CITY OF ORONO 1 I,
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2750 KELLEY PARKWAY DATE ISSUED: 03/12/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 20 ORONO ORCHARD RD N
PIN : 35-118-23-33-0009
LEGAL DESC : ORONO OAKS
LOT 013 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 500,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 500,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00199
APPLICANT ADVANCED PLAN REVIEW 2,246.89
TOTAL 2,246.89
NIH HOMES Payment(s)
6840 213TH AVENUE CREDIT CARD 4970 2,246.89
ELK RIVER, MN 55330-
(763)753-1750
Minnesota State License#: BUIL-BC419931
OWNER
Old Orchard Farm,LLC
30 ORONO ORCHARD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issu d shall be performed according to
the approved plans and specifications, pplicable City approvals,and the
State Building Code. This permit is f only the work described and does
not grant permission for additional or elated work which requires separate
permits. All provisions of laws and or. inances governing this type of work
shall be compied with whether or not ecified herein.This permit will
expire and become null and void if co struction authorized is not
commenced within 180 days of the da of issuance,or if construction is
suspended for a period of 180 days at y time after work has commenced.
The applicant is responsible for assuri g all required inspections are
requested in conformance with the Sta e Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
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