HomeMy WebLinkAbout2016-00135 - interior remodel s •
CITY OF ORONO * 20 1 6 - 00 13 5
2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 755 TONKAWA RD
PIN 05-117-23-33-0003
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 001 BLOCK 000
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : S 200,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$200,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00136
APPLICANT ADVANCED PLAN REVIEW 1,130.95
TOTAL 1,130.95
WELCH FORSMAN ASSOCIATION Payment(s)
6026 PILLSBURY AVE S CREDIT CARD 6322 1,130.95
MINNEAPOLIS,MN 55402-
(612)827-4455
Minnesota State License#:BUIL-BC005890
OWNER
SARAH BUSTON,JULIE BROWN
755 TONKAWA RD
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 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.
Applicant Permitee Signature Date Issued By Signature Date
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-2.49--4600
Receipt No: 3.015053 Feb 10, 2016
1 , rhu; Peter Welch
Ilrllil11f1 �. ••�,t.
r,,xrau rii
Previous Balance: .00
Permits
2016-001:35 755 Tonkawa 1,130.95
t.¢- Rd
101-34410
$11'u j; Plan Check/Site Exam Fees
-----------------
Total: 1,130.95
.,r
L'Ait
Credit Card
Check No: 6322 1,130.95
Payor:
Welch
Peter
tht Luu�eotr-Ir,c Fce det�iieJ bcluw 1.130.95
i G1 t Total Applied:
� . ! n4 is ,m d L�.Icr wrcrmc rt
Change Tendered: .00
WF1CN- fJER
02/10/2016 10:06AM
P& C4i�u, 01.5cvj �
-7S--S- 72�N"t-Jk- g
`7�D rloCO !-S
No-r s �