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HomeMy WebLinkAbout2015-01381 (adv. plan review) CITY OF ORONO * z 0 1 5 - 0 1 3 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3287 CASCO CIR PIN : 20-117-23-43-0044 LEGAL DESC : WINSHIPS SUBD SPRING PARK : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 284,858.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$284,858.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 5-0 1 3 82 J APPLICANT ADVANCED PLAN REVIEW 1,478.81 TOTAL 1,478.81 SONDERGAARD FORCIER BUILDERS LLC Payment(s) P O BOX 208 CHECK 8603 1,478.81 VICTORIA,MN 55386- (612)849-4187 i:ity o� u��;i���� Minnesota State License#: BUIL-BC627292 �j�u k�:;lt�y ����kway ur on!, MN 5',���li 4F;�-2dq-d6f)il OWNER ket:eipt N�: 3.014545 Uct 27, 2U15 STRUCK,JAN&SARAH 3862 NORTHERN AVE �or,de;�gaarri t�orcit-:r Bui ld�i� SPRING PARK,MN 55384- Previous Balance: .Oi; Pe�mi ts 2015-01381 3�'B7 Casco 1,4 l�.�1 AGREEMENT AND SWORN STATEMENT Circle The work for which this permit is issued shall be performed according to 101-34410 the approved plans and specifications,applicable City approvals,and the P18n Check/�1 te ExBm FE�es State Building Code. This permit is for only the work described and does ---------- --- not grant permission for additional or related work which requires separate Total: 1,a��.rS 1 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 Check commenced within 180 days of the date of issuance,or if construction is Check No: 860.3 1.41F3.8 I suspended for a period of 180 days at any time after work has commenced. Payor: The applicant is responsible for assuring all required inspections aze Soft�er g88Yd FoY'Glel' BU11deY.5 requested in conformance with the State Building Code.This permit may be Tc)ta1 App 1 i Gd: 1,478.�1 revoked at any time for due cause. Ghanye Tendered: .��� ___:�_.a== ___=:: � Applicant Permitee Signature Date Issuec 1Oj27J?_015 03:�5PM