HomeMy WebLinkAbout2015-00718 - new house CITY OF ORONO * 2 0 1 5 - 0 0 7 1 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2560 KELLY AVE
PIN : 20-117-23-11-000�
LEGAL DESC : REG.LAND SURVEY NO.0088
: LOT 000 BLOCK 000
PERMTT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 315,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$315,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED T0:2015-00719
APPLICANT ADVANCED PLAN REVIEW 1,601.66
TOTAL 1,601.66
ADVANCED HOME EXTERIORS INC Payment(s)
1161 WAYZATA BLVD E#167 CREDIT CARD 5906 1,601.66
WAYZATA,MN 55391-
Minnesota State License#:BUIL-BC61860
OWNER
Intn'1 Ministerial Fellowship
2560 KELLY AVE
EXCELSIOR,MN 55331-
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 pertnit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this rype of work
shall be compied with whether or not specified herein.This pennit will
expire and become null and void if construction suthorized 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.
1'he 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.
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Applicant Permitee Signature Date Issued By Signature Date