HomeMy WebLinkAbout2014-00017 - interior remodel CITY OF ORONO * 2 0 1 4 - 0 0 0 1 7 *
2750 KELLEY PARKWAY DATE ISSUED: OU07/2014
ORONO, MN 55356-
(952 249-4600 FAX: 952) 249-4616
ADDRESS : 2610 MAPLERIDGE LA
PIN : 21-117-23-21-0009
LEGAL DESC : REG. LAND SURVEY NO. 1468
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 24,740.00
NOTE: PLEASE FILL(N THE FOLLOWING:
VALUATION OF PERMIT:$ 24,740.00
TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL
THIS PRE-PAYMENT IS TIED T0:201400018
APPLICANT ADVANCED PLAN REVIEW 268.45
DOUG DZURIK CONSTRUCTION TOTAL 268.45
Payment(s)
1700 NIAGARA LN N CREDIT CARD 7104 268.45
PLYMOUTH,MN 55447
(612)221-2431
Minnesota State License#: BUIL-BC062372
OWNER
FESLER&JANE ZELETES, DANIEL
2610 MAPLERIDGE LA
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 governing this type of work
shal(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 Signature Date