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CITY OF ORONO * Z 0 1 5 — 0 0 0 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 763 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0091 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 4 BLOCK 1 <br /> PERM�T TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> VALUATION : $ 350,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMB[NG, MECHAN[CAL,SEPTIC,FIREPLACE,WATER CONNECTION,SEWER <br /> CONNECTION,LAWN IRRIGATION, 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: <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: <br /> NOTE: [N 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: <br /> APPLICANT PERMIT FEE SCHEDULE 2,684.59 <br /> STATE SURCHARGE(VALUATION) 175.00 <br /> WOODDALE BUILDERS INC. S.A.C. 2,485.00 <br /> 6117 BLUE CR DR <br /> MINNETONKA, MN 55343- TOTAL 5,344.59 <br /> (952)345-0543 Payment(s) <br /> Minnesota State License#: BUIL-BC002926 CHECK 82704 5,344.59 <br /> OWNER <br /> Stonebrook Development LLC <br /> 6117 BLUE CIRCLE DRIVE <br /> MINNETONKA, MN 55343- <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 sepazate <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 wi[hin 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. '� <br /> ��, <br /> (��_-�C �Yf l�°�'I �c�, /. <br /> C� , -,; <br /> Appl cant Permitee Signature Date Issued By Signature Date <br />