HomeMy WebLinkAbout2017-00427 - advance plan review fee CITY OF ORONO * 2 0 1 7 - 0 P1 4 z 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/28/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3490 BIRCH LA
PIN : 08-117-23-43-0002
LEGAL DESC : BALDUR PARK
: LOT 002 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 180,000.00
NOTE: PLEASE F[LL M THE FOLLOWING:
VALUATION OF PERMIT:$180,000.00
TYPE OF PERM[T THIS PAYMENT IS FOR: ADDITION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00428
APPLICA1vT ADVANCED PLAN REVIEW 1,049.05
TOTAL 1,049.05
TREHUS BUILDERS Payment(s)
3017 4TH AVE S CHECK 38219 1,049.05
MINNEAPOLIS,MN 55408-
(612)729-2992
Minnesota State License#: BUIL-BC001474
OWNER
MISCHKE,MR.&MRS.
3490 BIRCH LA
WAYZATA, MN 55391-
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 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 aze
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 Signawre Date