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CITY OF ORONO 111111111111111111111 1111111111111111111111111311 <br /> * 20 1 2 - 0044 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/22/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2359 OLIVE AVE <br /> PIN : 17-117-23-44-0076 <br /> LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 158,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 158,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00442 <br /> THE APPLICANT GUESSED AT THE VALUATION AND JUST PREPAID AN ADVANCED PLAN REVIEW FEE OF$1,000 THE PLAN <br /> REVIEW ON$158,000 THE ACTUAL PERMIT CAME UP TO BE$913.09. WE WILL JUST APPLY THE$1,000 NOW AND ADJUST IT ON <br /> THE BUILDING PERMIT WHEN THAT IS PROCESSED#2012-00442 <br /> City of Orono <br /> 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> Receipt No: 3.006909 May 22, 2012 <br /> Dean Johnson Homes, Inc. <br /> Previous Balance: .00 <br /> Permits <br /> 2012-00441 2359 Olive Ave 1,000.00 <br /> 101-34410 <br /> Plan Check/Site Exam Fees <br /> APPLICANT <br /> Total: 1,000.00 <br /> =============== 1,000.00 <br /> DEAN JOHNSON HOMES,INC. Check ; 2353 10.00 1,000.00 <br /> 4700 CTY ROAD 19 Payor: <br /> MEDINA,MN 55357- Dean Johnson Hales, Inc. <br /> (763)479-4820 Check <br /> Check No: 2353 1 000.00 <br /> Minnesota State License#:20639439 Payor: ' <br /> Dean Johnson Homes, Inc. <br /> OWNER Total Paid: 1,010.00 <br /> Bamboo Properties LLC Total Applied: 1,000.00 <br /> 1 171 NORTHLAND DR Change Tendered: 10.00 <br /> #100 --- <br /> MENDOTA HEIGHTS,MN 55120- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <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 <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 herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 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 ue cause. / <br /> Applicant Permitee Signa re Date <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />