HomeMy WebLinkAbout2012-00786 - deck replacement CITY OF ORONO * 2 0 1 z - a 0 7 B 6 *
2750 KELLEY PARKWAY DATE ISSUED: 08/13/2012
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2755 KELLY AVE
PIIv : 21-117-23-23-0026
LEGAL DESC : REG.LAND SURVEY NO.0891
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 5,000.00
NOTE: PLEASE FILL 1N THE FOLLOWING:
VALUATION OF PERMIT:$5,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR:BUILDING PERMIT FOR DECK REPLACEMENT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00787
APPLICANT ADVANCED PLAN REVIEW 76.70
LOCAL LAKES CONSTRUCTION TOTAL 76.70
445 NIAGARA LANE N
PLYMOUTH,MN 55447- PAID WITH CC# 3044
(612)418-4478
Minnesota State License#: BC473986
OWNER
KAVERMAN-GESELL,DREW GESELL&K
2755 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 permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
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 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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.