HomeMy WebLinkAbout2010-00697 - adv plan review . • � CITY OF ORONO PERMIT NO.: 2010-00697
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 08/1 U2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2515 COUNTRYSIDE DR
PIN : 04-117-23-11-0007
LEGAL DESC : COUNTRYSIDE MANOR
: LOT 003 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 20,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 20000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING
PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00
APPLICANT ADVANCED PLAN REVIEW 220.51
BUILDERS BY DESIGN TOTAL 220.51
21185 VIKING BLVD.
WYOMING,MN 55092- PAID WITH CC# 1097
Minnesota State License#: 20026555
OWNER
KAHLER, CHRIS& DELPHINE
2515 COUNTRYSIDE DR
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 gran[permission for additional or related work which cequires 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 180 days at any time after work has commenced.
The applicant is re�onsible for assuring all r�quired inspections are
requested in con ormance wit}f'the State$nyYding.Code.This permit may be
revoked at any ime for du�rcause.
_ / ,,
.� /��/ l� / /
App�cant Permitee Signafure Date Issued By S� ature Date
� SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO