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� � . CITY OF ORONO * 2 0 1 4 - PJ 1 4 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2498 SANDSTONE LA <br /> PIN : 33-118-23-11-0022 <br /> LEGAL DESC : STONEBAY <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE . �WN HL�� <br /> ACTIV[TY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> VALUATION : $ 350,000.00 <br /> NOTE: SEPARATE PERMITS REQU[RED:PLUMBING, MECHANICAL,SGPTIC,FIREPLACE,WATER CONNECTION,SEWER <br /> CONNECTION, LAWN IRRIGATION,ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUN TjON SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> C[TY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: �� <br /> NOTE: PRIOR TO ISSUANCE OF A C�,j2TIFICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: �C.✓ <br /> NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SUR Y)A TEMPORARY CERTIFICATB OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO RF.:QU[RES A$10,000 ESCROW. INITIAL: ""C_---� <br /> APPLICANT PERMIT FEE SCHEDULE 2,684.59 <br /> PLAN REVIEW 83.09 <br /> WOODDALE BUILDERS INC. STATE SURCHARGE(VALUATION) 175.00 <br /> 6ll7 BLUE CR DR <br /> MINNETONKA,MN 55343- S.A.C. 2,485.00 <br /> (952)345-0543 TOTAL 5,427.68 <br /> Minnesota State License#: BUIL-BC002926 Payment(s) <br /> CHECK 82328 5,427.68 <br /> OW1vER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> MINNETONKA, MN 55343- <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 /> Sta[e 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 /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> ` _ <br /> r . ^ <br /> ' ���� Z z ,� o� /al /�S <br /> Applic�nt Permitee Signatu �ate Issu d y Signature Date <br />