HomeMy WebLinkAbout2016-00588 - advance plan review fee r �,
CITY OF ORONO * 2 0 1 6 - 0 0 5 8�
2'750 KELLEY PARKWAY DATE ISSUED: 05/25/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1070 HUNTER DR
PIN : 25-118-23-42-0008
LEGAL DESC : MOONEY LAKE PRESERVE
: LOT 3 BLOCK 2
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 1,047,004.20
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$1,047,004.20
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00589
APPLICANT ADVANCED PLAN REVIEW 4,196.74
TOTAL 4,196.74
DIVINE CUSTOM HOMES Payment(s)
397 EAGLE BLUFF COURT CREDIT CARD 0739 4,196.74
HUDSON,WI 54016-
(715)760-2298
Minnesota State License#:cont-BC442980
OWNER
GRONHOLZ, SCOTT&AMY
2008 SUGARWOOD DRIVE
ORONO,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued sha11 be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only t}►e work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 1 SO 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.
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Applicant Permitee Signature Date Issue B Sig►ature Date
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City of Orono
2750 Kelley Parkway
LI1Y OF ORONO Orono MN 55356
��su r:E��ev i�hiav 952-249-4600
iikONU, lilv 5b:356
`'`" `vy 46u° Receipt No: 3.015661
May 25, 2016
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k„f ��: '``s''S�1 Divine Custom Homes �
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A�� x: .........=..�brsy �xP: N3Lb Previous Balance: �
---- ---- Permits .00 '
Pavmecit Amo��it:� sai46.7� 2016-00588 1070 Hunter '
------------------ ------------------- 4.196.74
Drive
lime: lU:bi�;h u�t�: u5�z�,zuis 101-34410 :
Confirmatiun ��: ysa���isr Plan Check/Site Exam Fees
rotal:
---------------
• Ihe Parwent Awo�nt dcrs noitncludr 4.�96.]4
the Convrn;entt Fee detailed brlaa Credit Card �
1 avree to 1'ar tot3l amuunt Check No: �739
accordiub to card lnsurr ayrremrnt Payor: 4��96.74
x___________________._________ Divine Custom Homes
Total Applied:
i,;,�..��.� c�,��: 4.196.74
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��,�,,,k.-•r�.,e Change Tendered:
.00
_______________
05/25/2016 10:19AM