HomeMy WebLinkAbout2014-00644 - addition CITY OF ORONO * Z 0 1 4 - 0 0 6 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/23/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3515 SIXTH AVE N
PIN : 29-118-23-43-0002
LEGAL DESC : UNPLATTED 29 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTNITY : 434-RESIDENTIAL
VALUATION : $ 35,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 35,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED T02014-00645
APPLICANT ADVANCED PLAN REVIEW 338.33
• TOTAL 338.33
MITTELSTAEDT INC Payment(s)
11730 BRADDOCK AVE SE CHECK 12070 33833
P O BOX 454
WATERTOWN, MN 55388-
(612)716-9595
Minnesota State License#: BUIL-20012394
OWNER
PETERSON,DALE&DIANE
3515 SIXTH AVE N
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 onty the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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]80 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
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