HomeMy WebLinkAbout2017-00363 - advance plan review fee r � . f
CITY OF ORONO * 2 0 1 7 - PJ 0 3 6 3 *
2750 KELLEY PARKWAY DATE ISSUED: 04/14/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 799 BRIDGEWATER DR
PIN : 33-118-23-12-0022
LEGAL DESC : STONEBAY FOURTH ADDITION
: LOT O11 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 350,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 350,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW TOWNHOUSE
PERM[T#THIS PRE-PAYMENT IS TIED TO:2017-00362
APPLICANT ADVANCED PLAN REVIEW 1,745.20
WOODDALE BUILDERS INC. TOTAL 1,745.20
6117 BLUE CR DR Payment(s)
MINNETONKA,MN 55343- CHECK 86907 1,745.20
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER
Stonebrook Development LLC
17149 LINCOLN ST NE
#600
HAM LAKE,MN 55304
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 hereia This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time aRer 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
• . . � MiDWESTi�NE$/�NK
72-123/799 $��07
` 6117 Blue CircFe Drive, Suite 101
WOODDALE nn��c«�,MN ssaas
B ° ' ` o E " $ (952)345-0543-(952)345-0544
Pay: **************One thousand seven hundred forty-five dollars and 20 cents
onre c�cK r�o. nnAou�vr
April 13, 2017 86907 $******1, 745. 20
PAY
TOT"E City of Orono �
ORDER P� $OX F)F)
°F Crystal Bay, MN 55323-0066
����o�