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` ' CITY OF ORONO * z 0 1 5 - 0 PJ 1 0 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 681 SANDSTONE CIR <br /> PIN : 33-118-23-11-0042 <br /> LEGAL DESC : STONEBAY <br /> : LOT 039 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : I�ESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> VALUATION : $ 219,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,F[REPLACE,WATER CONNECT[ON, SEWER CONNECTION, <br /> LAWN IRRIGATION, ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUND TI N SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: '� <br /> NOTE: PRIOR TO ISSUANCE OF A C��CATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQU[RED TO BE SUBMITTED AND <br /> APPROVED BY STAFE INITIAL: <br /> � <br /> NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVEY� TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: �J� <br /> APPLICANT PERMIT FEE SCHEDULE 1,859.29 <br /> STATE SURCHARGE(VALUATION) 109.50 <br /> STONEBAY BUILDERS LLC <br /> 14870 BROCKTON LANE S.A.C. 2,485.00 <br /> DAYTON, MN 55327- TOTAL 4,453.79 <br /> (612)363-4304 Payment(s) <br /> Minnesota State License#: BUIL-BC681308 CHECK I 155 4,453.79 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCTON LANE <br /> DAYTON,MN 55327- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all cequired inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tirr�-for due caus�. <br /> �--� i /- 7 <br /> ._- / <br /> _ , <br /> � /i� i <br /> �` � ��` T � / � /� '' �-- ��� / 1`� ( � <br /> ApplicantPer itee Sig�atur � � � Da Issued y Signature Date <br /> ;' �� �� � � <br />