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CITY OF ORONO <br /> * 20 1 3 - 0 1 1 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2300 WILLOW HILL DR <br /> PIN : 03-117-23-32-0026 <br /> LEGAL DESC : WILLOW HILL <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 : $ 980,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, MECHANICAL,SEPTIC,FIREPLACE, ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT F UNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY <br /> OR A STOP WORK ORDER WILL BE ISSUED. INITIAL: I <br /> NOTE: FOR ANY RETAINING WALLS 4 FEET OR HIGHER OR NOT MEETING THE REQUIRED SEPARATION SUBMITTAL OF WALL <br /> PLANS SIGNED BY A REGISTERED PROFESSIONAL ENGINEER WILL BE REQUIRED PRIOR TO THE RELEASE OF THE ESCROW. <br /> V (INITIALS) <br /> NOTE: AN APPROVED AS BUILT SURVEY IS REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL:PT <br /> APPLICANT PERMIT FEE SCHEDULE 5,856.75 <br /> HENDEL HOMES STATE SURCHARGE(VALUATION) 490.00 <br /> 15250 WAYZATA BLVD. S.A.C. 0.00 <br /> SUITE 108 TOTAL 6,346.75 <br /> WAYZATA, MN 55391- Payment(s) <br /> (612)998-2167 CHECK 2688 6,346.75 <br /> Minnesota State License#: BC192308 <br /> OWNER <br /> Sowada Willow Property LLC <br /> 725 FERNDALE RD N <br /> WAYZATA, MN 55391- <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 for due cause. <br /> 1� I r� /2- l3 <br /> Applicant Permitee ignature Date Issue By Signature Date <br />