HomeMy WebLinkAbout2015-01227 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 1 2 2 7 *
2750 KELLEY PARKWAY DATE ISSUED: 09/22/2015
„ ORONO, MN 55356-
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1380 BRIAR ST
PIN : 10-117-23-31-0053
LEGAL DESC : MARKVILLE
: LOT 000 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 306,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 306,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 5-0 1 228
APPLICANT ADVANCED PLAN REVIEW 1,564.80
TOTAL 1,564.80
ZITZLOFF,JEFFREY& BRENDA Payment(s)
1380 BRIAR ST CHECK 9390 1,564.80
WAYZATA,MN 55391-
Minnesota State License#: BUIL-BC20626592
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Urono MN 5�3�t� v�,�'-;'4�I 4i�ii�i
Rec�ipt No: 3.014287 Sep z�, 2Ui:.�
OWNER
ZITZLOFF,JEFFREY&BRENDA Jeff Zitzloff
1380 BRIAR ST
WAYZATA,MN 55391- Previous Balance: .pp
Per�mi ts
�015-0122? 138U Briar 1,564.�3U
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AGREEMENT AND SWORN STATEMENT 101--34410
The work for which this permit is issued shall be perfottned according to Plan Cheek/Si te Exam Fee5
the approved plans and specifications,applicable Ciry approvals,and the _______________
State Building Code. This permit is for only the work described and does TOta 1:
not grant permission for additional or related work which requires separate 1.564.t�0
permits. All provisions of laws and ordinances goveming this type of work Cheek � ^
shall be compied with whe[her or not specified herein.This permit will
expire and become null and void if construction authorized is not i;heCk N0: 9390 1,564.80
commenced within 180 days of the date of issuance,or if construction is Payor:
suspended for a period of 180 days at any time afrer work has commenced. Jef f Z 1 tz 1 o f fi
The applicant is cesponsible for assuring all required inspections are T��tai Appl led:
requested in conformance with the State Building Code.This permit may be 1,564.8U
revoked at any time for due cause.
i,t�anre i�nde�ed� ,�;;;
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Applicant Permitee Signature Date Issued By Signature Date