HomeMy WebLinkAbout2015-01045 - adv plan review CITY OF ORONO � I 1 I ISI' 1 I ! l 'I
* 20 1 5 - 0 1 045 *
2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2350 OLIVER HILL
PIN : 34-118-23-33-0071
LEGAL DESC : OLIVER HILL
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 525,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$525,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01046
APPLICANT ADVANCED PLAN REVIEW 2,444.55
TOTAL 2,444.55
GORDON JAMES CONSTRUCTION Payment(s)
5159 MAIN STREET E CHECK 12400 2,444.55
P.O.BOX 306
MAPLE PLAIN,MN 55359-
(763)479-3117
Minnesota State License#:BUIL-20531961
OWNER
MARTIN,WILLIAM&PATRICIA Receipt No: 3.014037 Aug 19, 2015
2380 WATERTOWN RD
LONG LAKE,MN 55356-
Gordon James
Previous Balance: .00
AGREEMENT AND SWORN STATEMENT Permits
2015-01045 2350 Oliver 2,444.55
The work for which this permit is issued shall be performed according to Hill
the approved plans and specifications,applicable City approvals,and the 101-34410
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate Plan Check/Site Exam Fees
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will Total: 2,444.55
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is Check 2,444.55
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are Payor.
requested in conformance with the State Building Code.This permit may be J -
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
ORIGINAL DOCUMENT PRINTED ON CHEMICAL REACTIVE PAPER WITH HEAT SENSITIVE INK HAND ICON AND MICROPRINTED BORDER
GORDON JAMES CONSTRUCTION CENTRAL BANK 12400
5 P o.BOX 306 6640 SHADY OAK ROAD
c7 5159 MAIN STREET EDEN PRAIRIE,MN 55344
MAPLE PLAIN,MN 55359 75511-919 DATE 8/18/2015
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PAY TO THE
ORDER OF City of Orono $ **2,444.55
t
glTwo Thousand Four Hundred Forty-Four and 55/100********************************************************************" DOLLARS
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1 I City of Orono
11 2750 Kelly Parkway
Orono, MN 55356 A A?......._DA\
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inee
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GORDON JAMES CONSTRUCTION 12400
City of Orono 8/18/2015
1000 General Conditions:01000 Permits Plan review fee 2,444.55
Central Bank Checkin Prenevost home 2,444.55