HomeMy WebLinkAbout2015-01235 - adv plan review CITY OF ORONO * 2 0 1 5 — 0 1 2 3 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/23/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 795 LAKEVIEW PKWY
PIN : T000108
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 3 BLOCK 2
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 450,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$450,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PR�PAYMENT IS TIED TO: 2015-01236
APPLICANT ADVANCED PLAN REVIEW 2,154.48
TOTAL 2,154.48
GONYEA HOMES Payment(s)
6102 OLSON MEMORIAL HIGHWAY CHECK 16576 2,154.48
GOLDEN VALLEY,MN 55427-
(612)741-9069
Minnesota State License#:BUIL-2459
OWNER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUTH,MN 55446-
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 dces
not grant permission for additional or related work which requires separate
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 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.
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Applicant Permitee Signature Date Issued By Signature Date
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