HomeMy WebLinkAbout2017-00636 - new structure CITY OF ORONO * 2 0 1 7 - 0 0 6 3 6 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1325 REST POINT LA
PIN : 07-117-23-32-0053
LEGAL DESC : TONKAVIEW GARD�NS
: LOT 074 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 300,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 300,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR:' 2017-00637
PERMIT#THIS PRE-PAYMENT IS TIED TO':NEW HOUSE
APPLICANT ADVANCED PLAN REVIEW 1,540.45
T C HOMES TOTAL 1,540.45
13501 BALSAM LAKE LANE N Payment(s)
DAYTON,MN 55327- CHECK 27515 1,540.45
(612)221-2704
Minnesota State License#:BUIL-BC3442S9
OWNER
BLOMS,GERALD&NANCY
4195 FOREST LAKE DR
MOLJND,MN 55364
AGREEMENT AIYD SWORIV 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 authdrized is not
commenced within l80 days of the date of issuance,qr if construction is
suspended for a period of 1 SO days at any time after Nyork has commenced.
The applicant is responsible for assuring all required i�spections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date