HomeMy WebLinkAbout2017-00527 - adv plan review CITY OF ORONO * 2 0 1 7 - 0 0 5 2 7 *
2750 KELLEY PARKWAY DATE ISSUED: 05/18/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4380 SIXTH AVE N
PIN : 31-118-23-12-0018
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 115,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 115,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00515
APPLICANT ADVANCED PLAN REVIEW 782.87
UNITED BUILDING CONTRACTORS TOTAL 782.87
11162 ABERDEEN ST NE Payment(s)
CREDIT CARD 1624 782.87
#B
BLAINE,MN 55449-
(763)45&0892
Minnesota State License#:BUIL-BC631205
OWNER
MICHAEL DEMENGE&KURTIS WOLBECK
14226 NEBULA ST NE
CIRCLE PINES,MN 55014-
AGREEMENT AIVD 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 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 180 days of the date of issuance,or if construction is
suspended for a period of 1 SO days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforn►ance 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