Laserfiche WebLink
• <br /> • <br /> CITY OF 1111 1 ! 1 '�II 11 <br /> * 20 1 7 - 0 1 1 48 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/21/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD dRtiNO PIN : 36-118-23-34-0010COPY <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 100,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: 11/VALUATION OF PERMIT:$100000.00 e 1cP c / C <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTER! t • ,(mPieco Q <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01 W ' t 571r�/C��Bial <br /> Lf 17/Zy- 7 16/Z- C c9 gfiCCI C,O <br /> Ca al 62_ 6 4 e---e4 -742 Ag' -e‘ev' <br /> 1/10 � <br /> v(�� <br /> APPLICANT e(S t1'n� <br /> DESTINY HOMES <br /> 4201 SUNSET DRIVE CREDIT CARD 8087 721.45 <br /> SPRING PARK,MN 55384- <br /> (612)554-5476 <br /> Minnesota State License#:BUIL-BC5300986 <br /> OWNER <br /> LITSEY,CAL&CHRISTINE <br /> 490 OLD LONG LAKE RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />