HomeMy WebLinkAbout2015-01443 - plan review fee CITY OF ORONO * 2 0 1 5 - 0 1 4 4 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 1 U20/2015
; ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1025 SPRING HILL RD
PIN : 26-118-23-43-0005
LEGAL DESC : UNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 490,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 490,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PR�PAYMENT IS TIED TO:2015-01444
APPLICANT ADVANCED PLAN REVIEW 2,318.28
TOTAL 2,318.28
KUHL DESIGN&BUILD,LLC Payment(s)
1515 STH STREET SOUTH CHECK 21055 2,318.28
HOPKINS,MN 55343-
(952)935-9469
Minnesota State License#: BUIL-BC390161
OWNER
BOWLSBY,JOHN&CYNDY
1025 SPRING HILL ROAD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State 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 goveming this type of work
shall be compied with whether or not specified herein.This permit 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
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
�
;
City of 0 ��
Z150 Kei`��y Pa�kway 952_249-460U
Orono MN 5535�
Receipt No: 3.U14707 Nov 20. 2015
Kuhl Desigri Build
Previous Balance:
.00
Permits 2,318.28
2015-01443 1025 Spring
Hill Rd
101-34410
Flan Check/Site Exam Fees
7ota1: 2,318.28
Che;k 2.318.28
Ctieck No: 21055
Payor:
Kuhl Design Build 2,318.28
Total Applied:
--------------
.00
Chanye T2ndered: _ _________ ___
11/20/2015 03:38FM