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, , CITY OF ORONO * z 0 1 7 - 0 1 z 3 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 739 STONEBAY DR <br /> PIN : 33-118-23-11-0071 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 397,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND IMTIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 2,981.02 <br /> WOODDALE BUILDERS INC. PLAN REVIEW 356.26 <br /> 6117 BLUE CR DR STATE SURCHARGE(VALUATION) 198.50 <br /> MINNETONKA,MN 55343- S.A.C. 2,485.00 <br /> (952)345-0543 TOTAL 6,020.78 <br /> Minnesota State License#: BUIL-BC002926 Payment(s) <br /> CHECK 88310 6,020.78 <br /> OWNER <br /> O.T. Development,LLC <br /> LLC,O.T. DEVELOPMENT, <br /> 2670 KELLEY PKWY <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City 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 goveming 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 1 SO 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 required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �'�A �/. � , � <br /> % ? � ,-� '"a:' � �(��� �Z L�� �<' � � . /J ��� l / � l� j� <br /> � plic�t���ermite�Signature Date;'� Issued By S' ture Date <br /> o ' <br />