HomeMy WebLinkAbout2017-00562 - advance plan review fee CITY OF ORONO * 2 0 1 7 - 0 0 5 6 2 *
2750 KELLEY PARKWAY DATE ISSUED: 05/25/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 600 PINEHURST CT
PIN : 06-117-23-34-0007
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 19 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 400,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$400,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00563
APPLICAI�IT ADVANCED PLAN REVIEW 1,949.95
GONYEA HOMES TOTAL 1,949.95
1000 BOONE AVE N#400 Payment(s)
CHECK 16748 1,949.95
GOLDEN VALLEY,MN 55427-
(612)741-9069
Minnesota State License#:BUIL-2459
OWNER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUTH,MN 55446-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed aCcording to
the approved plans and specifiEations,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. AII provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This pertnit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date