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HomeMy WebLinkAbout2015-00104 - adv plan review CITY OF ORONO * z 0 1 5 - 0 0 1 0 4 * Y - 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 681 SANDSTONE CIR PIN : 33-118-23-11-0042 LEGAL DESC : STONEBAY : LOT 039 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW City of urona PROPERTY TYPE : RESIDENTIAL �roO�KeM�eY�5356WaY g5?_-249-�600 CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Receipt No: 3.012673 Jan 23, 2015 VALUATION : $ 219,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: Stor�ebay Bui lders VALUATION OF PERMIT:$ 219,000.00 Previous Balance: ����' Permits �015-OOlU4 681 Sandstone 1,20�.54 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE Ci rcle 101-34410 Plan Check/Site Exam Fees PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00105 ----- --- Total: 1,208.54 Gheck Check No: 1110 1,208.54 Payor: Stonebay Builders Tctal Applied: 1,2U8.54 _ _ _ ,r, APPLICANT ADVANCED PLAN REVIEW 1,208.54 STONEBAY BUILDERS LLC TOTAL 1,208.54 Payment(s) 14870 BROCKTON LANE CHECK -�1T6�'� 1,208.54 DAYTON,MN 55327- � �r� (612)363-4304 Minnesota State License#: BUIL-BC681308 OW1vER Stonebay Builders LLC 14870 BROCTON LANE DAYTON,MN 55327- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspended for a period of 180 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. / / Applicant Permitee Signature Date Issued By Signature Date