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CITY OF ORONO I*11� � I I 1 I I I1* <br /> 665 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/23/2018 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 765 BOULDER DR <br /> PIN : 33-118-23-11-0134 <br /> LEGAL DESC : STONEBAY <br /> : LOT 1&2 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> VALUATION : $ 600,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,WATER CONNECTION,SEWER <br /> CONNECTION,ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 4,154.92 <br /> STATE SURCHARGE(VALUATION) 300.00 <br /> WOODDALE BUILDERS INC. S.A.C. 2,485.00 <br /> 6117 BLUE CR DR <br /> MINNETONKA,MN 55343- TOTAL 6,939.92 <br /> (952)345-0543 Payment(s) <br /> Minnesota State License#: BUIL-BC002926 CHECK 89213 6,939.92 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> HAM LAKE,MN 55304- <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 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 required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked any time for due cause. <br /> /,,23/ <br /> pplicant Permitee Signature Date Iss By Signature Date <br />