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CITY OF ORONO * 2 0 1 5 - P1 1 1 9 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 <br /> r • -� ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1400 BALDUR PARK RD <br /> PIN : 08-117-23-31-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O15 BLOCK 001 <br /> PERMTT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 600,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$600,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#T'HIS PR�PAYMENT IS TIED TO:20 1 5-0 1 1 93 <br /> APPLICANT ADVANCED PLAN REVIEW 2,700.48 <br /> E.S.HOMES TOTAL 2,700.48 <br /> 13170 UTICA AVE PSyment(s) <br /> SAVAGE,MN 55378- 2,700.48 <br /> (612)239-43 L7 Ci ty of Orono <br /> 2750 Kelley Parkway <br /> Minnesota State License#:BUIL-20638592 Orono MN 55356 952-249-4600 <br /> Receipt No: 3.014234 Sep 17, 2015 <br /> OWNER <br /> ELLIOTT, STEVE ES Homes LLC <br /> 1400 BALDUR PARK RD <br /> WAYZATA,MN 55391- Previous Balance: .00 <br /> Permits <br /> 2015-01192 1400 Baldur 2,700.48 <br /> Park Rd <br /> AGREEMENT AND SWORN STATEMENT 1U1-34410 <br /> The work for which this permit is issued shall be performed according to P1 an Check/Si te Exam Fees <br /> the approved plans and specifications,applicable City approvals,and the _______________ <br /> State Building Code. This permit is for only the work described and dces Tot81: 2,700.48 <br /> not grant permission for addirional or related work which requires separate <br /> --------------- <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 CheCk <br /> expire and become null and void if construction authorized is not <br /> <br /> <br /> <br /> requested in conformance with the State Building Code.This permit may be <br /> --------------- <br /> revoked at any time for due cause. Change Tendered' .UO <br /> --------------- <br /> --------------- <br /> 09/17/2015 10:11AM / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />