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CITY OF ORONO * 2 0 1 5 - 0 0 5 1 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05�Ov2015 <br /> ' ORONO,MN 55356- <br /> ` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 100 KINTYRE LA <br /> PIN : 32-118-23-43-0020 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 3 BLOCK 2 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 500,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$500,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:20 1 5-005 1 3 <br /> APPLICANT ADVANCED PLAN REVIEW 2,359.23 <br /> TOTAL 2,359.23 <br /> GONYEA HOMES Payment(s) <br /> 6102 OLSON MEMORIAL HIGHWAY CHECK 15596 2,359.23 <br /> GOLDEN VALLEY,MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#:BUIL-2459 <br /> OWNER City of Orono <br /> 2750 Kelley Parkway g52-249-4600 <br /> MACKINNON,JAME$ Orono MN 55356 <br /> 2430 MEETING ST. Receipt No: 3.013304 May 1, 2015 <br /> WAYZATA,MN 55391- <br /> Gonyea Homes <br /> Previous Balance: .00 <br /> AGREEMENT AND SWORN STATEMENT 2015100512 100 Kintyre La 2,359.23 <br /> The work for which this permit is issued shall be performed according to 101-34410 <br /> Plan Check/Site Exam Fees <br /> the approved plans and specifications,applicable City approvals,and the 2,359.?_3 <br /> State Building Code. This permit is for only the work described and dces Total: _______________ <br /> not gant permission for additional or related work which requires sepazate "--� <br /> permits. All provisions of laws and ordinances goveming this type of work CheCk 2,359.23 <br /> shall be compied with whether or not specified herein.This permit will Check No: 15596 <br /> expire and become null and void if construction authorized is not Payor: <br /> commenced within 180 days of the date of issuance,or if construction is Gonyea Homes 2,359.23 <br /> suspended for a period of 180 days at any time after work has commenced. Tota 1 App 11 ed: ____ <br /> The applicant is responsible for asswing 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 /> � tj l / 1 C ���'' S�� � � � <br /> App ' ant Permitee Signature Date Issued By Si ature Date <br />