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CITY OF ORONO * z 0 1 5 - 0 0 1 0 4 * <br /> Y - 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 681 SANDSTONE CIR <br /> PIN : 33-118-23-11-0042 <br /> LEGAL DESC : STONEBAY <br /> : LOT 039 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW City of urona <br /> PROPERTY TYPE : RESIDENTIAL �roO�KeM�eY�5356WaY g5?_-249-�600 <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Receipt No: 3.012673 Jan 23, 2015 <br /> VALUATION : $ 219,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: Stor�ebay Bui lders <br /> VALUATION OF PERMIT:$ 219,000.00 Previous Balance: ����' <br /> Permits <br /> �015-OOlU4 681 Sandstone 1,20�.54 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE Ci rcle <br /> 101-34410 <br /> Plan Check/Site Exam Fees <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00105 ----- --- <br /> Total: 1,208.54 <br /> Gheck <br /> Check No: 1110 1,208.54 <br /> Payor: <br /> Stonebay Builders <br /> Tctal Applied: 1,2U8.54 <br /> _ _ _ ,r, <br /> APPLICANT ADVANCED PLAN REVIEW 1,208.54 <br /> STONEBAY BUILDERS LLC TOTAL 1,208.54 <br /> Payment(s) <br /> 14870 BROCKTON LANE CHECK -�1T6�'� 1,208.54 <br /> DAYTON,MN 55327- � �r� <br /> (612)363-4304 <br /> Minnesota State License#: BUIL-BC681308 <br /> OW1vER <br /> Stonebay Builders LLC <br /> 14870 BROCTON LANE <br /> DAYTON,MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hereia This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />