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CITY OF ORONO f * 2011 - 01503 * 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 3645 TOGO RD PIN 17-117-23-31-0034 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 006 BLOCK 010 PERMIT TYPE NEW STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SINGLE FAMILY ACTIVITY 645-SINGLE FAMILY HOUSES(ATT&DET VALUATION $ 339,862.92 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,WATER CONNECTION,SEWER CONNECTION,LAWN IRRIGATION, ELECTRICAL(STATE) NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL: NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. INITIAL: NOTE: COMPLIANCE WITH WETLAND BUFFER IMPROVEMENT REQUIRED PRIOR TO RELEASE OF WETLAND BUFFER ESCOW. NOTE: PURCHASE AND PLACEMENT AT LEAST TWO WETLAND BUFFER MARKER THE UPLAND BOUNDRY OF THE WETLAND BUFFER EDGE PRIOR TO RELEASE OF WETLAND BUFFER ESCROW. (INITIAL) ZHUK,ELENA APPLICANT PERMIT FEE SCHEDULE 2,496.75 3645 TOGO RD PLAN REVIEW 546.00 WAYZATA,MN 55391- STATE SURCHARGE(VALUATION) 169.93 TOTAL 3,212.68 OWNER ZHUK,ELENA 3645 TOGO RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuri!g all required inspections are requested in conformance with State Building Code.This permit may be revoked y t� a for due c 5 ! / Ap i ant rmitee gnat, e Date Iss-ua By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.