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CITY OF ORONO * 2 0 1 5 - 0 0 5 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/06/2015 <br /> - ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BAYSIDE TR <br /> PIN : 06-117-23-22-0027 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 250,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 250,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00542 <br /> APPLICANT ADVANCED PLAN REVIEW 1,335.48 <br /> TOTAL 1,335.48 <br /> GONYEA HOMES Payment(s) <br /> 6102 OLSON MEMORIAL HIGHWAY CHECK 15614 1,335.48 <br /> GOLDEN VALLEY, MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#: BUIL-2459 <br /> City of Urano <br /> 2750 Kelley Parkway <br /> OWNER Or-ono MN 55356 95�-249-460U <br /> Gonyea Homes keceipt No: 3.013332 May 6, 2015 <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY, MN 55427- Gonyea Hnmes <br /> Previous Balance: .00 <br /> Permits <br /> 2015-00543 200 Bayside Rd 1,335.48 <br /> AGREEMENT AND SWORN STATEMENT 101-34410 <br /> Plan Check/Site Exam Fees <br /> ------------- <br /> The work for which this permit is issued shall be performed according to Tot81: 1,335.48 <br /> the approved plans and specifications,applicable City approvals,and the =____________— <br /> State Building Code. This permit is for only the work described and does Check <br /> not grant permission for additional or related work which requires separate Check No: 15614 1,335.48 <br /> permits. All provisions of laws and ordinances goveming this type of work Payor: <br /> shall be compied with whether or not specified herein.This permit will Gonyea Homes <br /> expire and become null and void if construction authorized is not Tota 1 Appl i ed: 1,_i35_48 <br /> commenced within 180 days of the date of issuance,or if construction is Change Tendered: .OG <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 05/06/2015 09:33AM <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at an ime fQr due cause. — ` <br /> ,-- <br /> �( � � � � <br /> ��� ��- � � � � �� ��,.._�� L��'� c � ���i � � ��"" � <br /> Applican itee Signature Date `�" Issued By Signature Date <br />