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, CITY OF ORONO * z 0 1 7 - 0 0 4 8 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> VALUATION : $ 1,530,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WELL(STATE),ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 8,480.92 <br /> STATE SURCHARGE(VALUATION) 712.00 <br /> STONEWOOD, LLC TOTAL 9,192.92 <br /> 153 E LAKE STREET <br /> WAYZATA, MN 55391- Payment(s) <br /> (612)462-4000 CHECK 14880 9,192.92 <br /> Minnesota State License#: BUIL-BC594315 <br /> OWNER <br /> WOHLWEND, DAVID <br /> 4526 BLUEBELL TRAIL S <br /> MEDINA,MN 55340- <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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work s commenced. <br /> The applicant is responsible for assuring all require ' spections are <br /> requested in conformance with the State Buil Code.This permit may be <br /> revoked at any time for due cause. A,.o <br /> �� <br /> ,�. SU ;7 / / 7 // 7 <br /> Applica P r tee i ature Date Is Signature Date <br /> i <br />