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- CITY OF ORONO <br /> * 2012 - 00589 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 125 TURNHAM RD <br /> PIN 31-118-23-43-0018 <br /> LEGAL DESC UNPLATTED 31 118 23 <br /> LOT MB BLOCK MB <br /> PERMIT TYPE NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 463,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE,GRADING,LAWN IRRIGATION,WELL <br /> (STATE),ELECTRICAL(STATE) <br /> NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL: }l v <br /> NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT <br /> THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED <br /> UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. <br /> INITIAL:_ V. <br /> -SEE ATTACHED CONDITIONS OF APPROVAL G <br /> -SEE ATTACHED CITY ENGINEER COMMENTS <br /> -REVISED SURVEY(COMBINED SURVEY&GRADING PLAN)TO BE SUBMITTED PRIOR TO FRAMING✓�I/ <br /> APPLICANT PERMIT FEE SCHEDULE 3,234.75 <br /> MASTERPIECE HOMES STATE SURCHARGE(VALUATION) 231.50 <br /> 127 EAST COUNTY RDC TOTAL 3,466.25 <br /> LITTLE CANADA,MN 55117- <br /> (651)484-3244 <br /> Minnesota State License#: 1435 <br /> OWNER <br /> ROCHEL,ANTHONY&SURYA <br /> 125 TURNHAM RD <br /> MAPLE PLAIN,MN 55359- <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 at any time or due cause. <br /> J'_ 7 <br /> Applicant Permit&Signature Date Issuedy S' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. <br />