HomeMy WebLinkAbout2015-01000 - adv plan review - " � ' CITY OF ORONO * z 0 1 5 - 0 1 0 0 0 *
2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 559 PARK LA
PIN : 06-117-23-41-0044
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 000 BLOCK 006
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 350,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$350000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE PERMIT
PERMIT#THIS PR�PAYMENT IS TIED TO:2015-01001
APPLICANT ADVANCED PLAN REVIEW 1,744.98
TOTAL 1,744.98
O'DONNEL,TIMOTHY&JOAN Payment(s)
559 PARK LA CHECK 1628 1,744.98
LONG LAKE,MN 55356-
OWNER
O'DONNEL,TIMOTHY&JOAN
559 PARK LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perFormed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
:' . .
TIMOTHY M ODONNELL o�oe 70'�'0���� 16 Z$
JOAN M ODONNELL
1208 WINTERBERRY AVE
GERMANTOWN HILLS,IL 61548 D/+'1'E � R �
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P.O.Box 1715.P od IL 616 171�5
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City of Orono !
2750 Kelley Parkway
Orono MN 55356 952-249-4600 �i
i
Receipt No: 3.013943 Aug 5, 2015
Joan ODonnell '
Previous Balance: .00
Permits
2015-01000 559 Park Lane 1,744.98
101-34410
Plan Check/5ite Exam Fees
Total: 1,744.98
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