HomeMy WebLinkAbout2015-01293 - front porch CITY OF ORONO II I I I II I I II IIII I I I II II I I II II I I IIII 1
* 2015 - 01293 *
2750 KELLEY PARKWAY DATE ISSUED: 10/06/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 575 OXFORD RD
PIN : 05-117-23-41-0029
LEGAL DESC : KLITZKE ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY
VALUATION : $ 24,500.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$24,500.00
TYPE OF PERMIT THIS PAYMENT IS FOR: FRONT PORCH
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01294
APPLICANT ADVANCED PLAN REVIEW 281.91
TOTAL 281.91
ARBOR HAUS Payment(s)
P O BOX 338 CREDIT CARD0 �. 281.91
EXCELSIOR,MN 55331- h4=,4+
Minnesota State License#: BUIL-BC678563
OWNER
WAMBOLD, SEAN&MELISSA
575 OXFORD 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.
kaiV?"t_J Y-e /G I (o S I S
Applicant Permitee Signature Date Issued DO Signature Date