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f � CITY UF ORONO <br /> 2754 KELL�Y PARKWAY * 2 0 1 4 - 0 1 4 8 2 * <br /> DATE ISSUED: 011Z6/2015 <br /> ORONO, MN SS35b- <br /> 9S2 249-4fi40 FAX: 952 249-4616 <br /> ADDRESS : 675 SANDSTONE CIR <br /> PIIV : 33-I18-23-11-0040 <br /> LEGAL DESC : STONEBAY <br /> : LOT 037 BLOCK Ofll <br /> PERMIT TYPE : NF.W STRUCTURE <br /> PRO.FERTY TYPE : RESiDENTtAL <br /> CONSTRUC'CION TXPE : TOWNHOME <br /> ACTIVITY : !02•StNGLE FAMILY HOUSES,A'i"TACHED <br /> VALUATION : $ 219,000.00 <br /> NQTE: SF,FARATE PERMITS REQUIRF.D:PLUMBING,MFCHANICAL,rlREPLACE,WA'TF.,R CQNNEC"CION,SEVI�R CONNECTtC}N, <br /> ELECTRICAL(S'1'A"TE} <br /> NOT�: PRIOR TO TFIE S1'ART OF FRAM[NG AN AS-BUIL'I'F'UUN TI N SURVEY MfJS'1'BF.SUBMITfED AND APPFtnV�D B1'TF{E <br /> CITY OR A 5TOP WORK ORDER WILL BF ISSUEI�: lNi'CIAL: <br /> NUTE: PRTOR TO ISS[IANCE OF A C TIFICATE OF OC�UPAN, AN AS-BUILT StJRVEY iS REQUIREDTO BG SII[3M:['[T�D AND <br /> AI'PRO'VFU�Y STAFF. INITtAL: <br /> Nn7"E: IN THE EVGNT OF WINT`ER .)NDITIt�NS OR OTt°I�.[t CINFAV4RABLE WEATH�It CONDT't'IONS(WHIC'H PREVENT THE <br /> COMPLETION UF THE EX'CERIdR[MPROVEMENTS ANI7/OR AN AS-BUILT St.IRVi;Y A TEMPORARY CER"I'IFlCAT6 OF OCCUPANCY <br /> ('�'CO)MAY BE NBGESSARY. �TCQ REQUIRES A�10,000 E;SCROW. INIT[AL: <br /> APPLtCANT PERM[T FEE SCHEDULE 1,859.29 <br /> PLAN REVIEW 57.55 <br /> STONEBAY BUILDERS LLC STATE SURCHARGE(VALUATION) 109.50 <br /> s 14870 BROCKTON LANE <br /> ' i?AYTON,IvtN 55327- S.A.C. 2,4$5.00 <br /> (612}363-4304 TOTAL 4,511.34 <br /> Minnesota State License#: BUIL-BC681�48 Payment{s) <br /> CHECK 1111 4,S 11.34 <br /> OWNER <br /> Stonebay Buitders LLC <br /> 14870 BROCKTON LANE <br /> DAl'TON,MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work far which this permit is issued shali be perf'ormed accurding tc� <br /> the approved plans and specificatians,app(icable City approvais,and the <br /> State f3uilding Code. This permit is for only ihe work descrit�ed and docs <br /> not grant permission for additionai or related work which rcquires separate <br /> permits. Ali provisions of iaws and ordinances goveming this typc of work <br /> shaJl be compied with whether or npc specifeed herein.'t'his permit will <br /> expire and become nuil and void if construction authoriaed is not <br /> commenced within t 80 days of the date of issuance,or if constructfon is <br /> �uspended for s period of!80 days at any time after work hus commenced. <br /> T'he applicant is responsibie for assuring all required inspections are <br /> requested in conf ance ' the S ate fiuitding Code.'I'his permit may be <br /> revok an e for c ause <br /> t��� C <br /> I � � � �.21a� /a�.9 <br /> A licant rmitee Si ature Dat� � <br /> pp Issue }Signature Date <br />