HomeMy WebLinkAbout2017-01657 - advance plan review I l'
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2750 KELLEY PARKWAY DATE ISSUED: 12/26/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 125 BAYSIDE TR
PIN : 06-117-23-22-0029
LEGAL DESC : BAYVIEW FARMS 2ND ADDN
: LOT 4 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED
VALUATION : $ 589,211.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 589211.00
TYPE OF PERMIT THIS PAYMENT IS FOR: SINGLE FAMILY/NEW CONST
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01688/
APPLICANT ADVANCED PLAN REVIEW 2,666.57
M&M HOME CONTRACTORS TOTAL 2,666.57
Payment(s)
413 PAUL AVE S
CHECK 2632 2,666.57
COLOGNE,MN 5532/ `/y,22-
Minnesota State License#: BUIL-BC560376
OWNER
WACHMAN JR.,ERVIN
2135 SALEM CT
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 grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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.
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'App ica t rmitee ;: it- Date Issued By Signature Date