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CITY OF ORONO * 2 0 1 5 — 0 1 1 9 3 * <br /> * �5 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1400 BALDUR PARK RD <br /> PIN : 08-117-23-31-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 600,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 4,154.59 <br /> STATE SURCHARGE(VALUATIOl� 300.00 <br /> E.S.HOMES TOTAL 4,454.59 <br /> 13170 UTICA AVE Payment(s) <br /> SAVAGE,MN 55378- 4,454.59 <br /> (612)239-4317 <br /> Minnesota State License#:BUIL-20638592 <br /> OWNER <br /> ELLIOT'T,STEVE <br /> 1400 BALDUR PARK RD <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 1 SO 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 /> �I/ <br /> ��L��/%� to J►.�/�s- 0 � /� ��CS�/� <br /> Applicant Permitee Signature Date Issue y Signattue Date <br />