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11111 IN 11111111111111111111111111 ffn <br /> CITY OF ORONO * 2014 - 00610 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 07/15/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3955 WATERTOWN RD <br /> PIN : 32-118-23-32-0004 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 320,750.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE, LAWN IRRIGATION, WELL(STATE), <br /> ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: 0 <br /> NOTE: PRIOR TO ISSUANCE OF A CERTIFICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: *r <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 SURVEY)A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: _/(9 e— <br /> NOTE: EXISTING SINGLEFAMILY DWELLING SHALL BE REMOVED PRIOR TO FINAL C.O.OF NEW HOME. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 2,382.75 <br /> PILLAR HOMES STATE SURCHARGE(VALUATION) 160.38 <br /> 1700 NIAGARA LANE N TOTAL 2,543.13 <br /> PLYMOUTH,MN 55447 Payment(s) <br /> (763)475-1700 CHECK 36293 2,543.13 <br /> OWNER <br /> BUTTERFIELD, LOREN V <br /> 3955 WATERTOWN 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 ode.This permit may be <br /> revoked at any time for due ause. <br /> 4 Z <br /> / <br /> App icant Permit'66"Signature Date7 4sstu�eryy&Signature Date <br />