HomeMy WebLinkAbout2014-00146 - adv plan review CITY OF ORONO * 2 0 1 4 - 0 0 1 4 6 *
2750 KELLEY PARKWAY DATE ISSUED: 02/19/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 1065 FERNDALE RD W
PIN : 02-117-23-43-0021
LEGAL DESC : REG. LAND SURVEY NO. 1372
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 200,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ $200,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00146
APPLICANT ADVANCED PLAN REVIEW 1,076.89
TOTAL 1,076.89
REVISION LLC Payment(s)
10985 OAK SHORE TRAIL CREDIT CARD 6301 1,076.89
DELANO,MN 55328-
(952)540-7150
Minnesota State License#: BUIL-BC639027
OWNER
TRUSTEE,JANE NELSON
1065 FERNDALE RD W
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.
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App ic�Perw6it'�e�S�ur Date Issued By Si ture Date