HomeMy WebLinkAbout2015-00569 - adv plan review CITY OF ORONO * Z m 1 5 - 0 0 5 6 9 *
� 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2015
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3375 GRAHAM HILL RD
PIN : OS-117-23-11-0018
LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 1,800,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 1,800,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#TE{IS PRE-PAYMENT IS TIED TO:2015-00570
APPLICANT ADVANCED PLAN REVIEW 6,249.48
TOTAL 6,249.48
WOODDALE BUILDERS INC. Payment(s)
6117 BLUE CR DR CHECK 82838 6,249.48
MINNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
�ity ut ��run��
OWNER �750 Ke: ; Parkway
Orono MN 55356 952-�49-46uu
WOODDALE BUILDERS, F Receipt No: 3.013369 May 11. 2015
6117 BLUE CIRCLE DR, STE 101
MINNETONKA, MN 55343-
Wooddale BuildPrs
Previous Balance: .UU
Permits
AGREEMENT AND SWORN STATEMENT 'U15-00569 3375 uraham 6,249.48
Hill Rd
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 P 1 an Cf1eCk/S 1 te EXam rees _
State Building Code. This permit is for only the work described and does Total: 6,2d9.42
not gran[permission for additional or related work which requires separate =_-__--_____--_
permits. All provisions of Iaws and ordinances goveming this type of work CheCk
shall be compied with whether or not specified herein.7'his permit will CfieCk N0: 82838 6,24'I.4�S
expire and become null and void if construction authorized is not Payor:
commenced within l80 days of the date of issuance,or if construction is Waoddal e Bu i 1 der s
T,,ral e�,�,l;n�• � ;an as�
suspended for a period of 180 days at any time after work has commenced. �
The applican[is responsible for assuring all required inspec[ions are
requested in conformance with the Sta[e Building Code.This permit may be
revoked at any time for due cause.
(�--- � � // � �-�
ApplicantPermitee Signature Date Issu By Signature Date