HomeMy WebLinkAbout2015-00114 - adv plan review • CITY OF ORONO * z 0 1 5 - 0 0 1 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: OU23/2015
ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 683 SANDSTONE CIR
PIN : 33-118-23-11-0043
LEGAL DESC : STONEBAY
: LOT 040 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 219,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 219,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:201 5-001 1 5
APPLICANT ADVANCED PLAN REVIEW 1,208.54
TOTAL 1,208.54
STONEBAY BUILDERS LLC Payment(s)
14870 BROCKTON LANE CHECK 1kC6� 1,208.54
DAYTON, MN 55327- i � / �
(612)363-4304
Minnesota State License#: BUIL-BC681308
OWNER
City of Or��no
Stonebay Builders LLC 2750 Kel ley Parkway
14870 BROCKTON LANE Orono MN 55356 952-249-46U0
DAYTON, MN 55327- Receipt No: 3.012674 Jan 23, 2015
Stonebay auilders
AGREEMENT AND SWORN STATEMENT r revious Balance: •��
The work for which this permi[is issued shall be performed according to Pe rm i ts
2015-OG114 683 Sandstone 1,208.54
the approved plans and specifications,applicable City approvals,and the C 1 rC le
State Building Code. This permit is for only the work described and does 101-34410
not grant permission for additional or related work which requires separate P 1 ar� Cher.klS i te Exain Fees
permits. All provisions of laws and ordinances governing this type of work '" -" -
---�-
shall be compied with whether or not specified herein.This permit will Total: 1,20$.54
expire and become null and void if construction authorized is not �
commenced within 180 days of the date of issuance,or if construction is CheCk
Cf�eck No: 1110 1,208.54
suspended for a period of 180 days at any time afrer work has commenced. Payor:
The applicant is responsible for assuring all required inspections are Stoneba Bui lders
requested in conformance with the 5tate Building Code.This permit may be � � , •-,-�;-a. 1 ��is'? �d
revoked at any time for due cause.
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Applicant Permitee Signature Date [ssued By Signature Date