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�. <br /> . � CITY OF ORONO * 2 0 1 3 — 0 1 0 5 2 * <br /> • 2750 KELLEY PARKWAY �ATE �ssuEn: 12/19/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2690 CAROLINE AVE <br /> PIN : 20-117-23-24-0033 <br /> LEGAL DESC : WESSELS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : ]O1-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 616,890.00 <br /> NOTE: SEPARA"I'E PI:RMITS R�QUIRGD: PLUMBING, MI;CHANICAL,PIREPLACE, WA"I�ER CONNECI'ION, SEWGR CONNFC"�ION, <br /> LAWN IRRIGA"1'ION. <br /> ELEC"I'R[CAL(STATE) <br /> NOTE: PRIOR TO THE STAR"C OF FRAMING AN AS-BUIL'C FOUNDA'I�ION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY <br /> OR A STOP WORK ORDER WILI.I3E ISSUED. INIT[AL: , <br /> NOTE: AN APPROVED AS BU[LT SURVEY IS REQUIRED P IOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL:�� <br /> NOTE: QG AWARF„ IN THL EVENT WI�ATHER OR OTI-IF,R CONDIT[ONS PREVENT THE COMPLETION O}'AN AS-BUILT SURVEY AT <br /> APPLICANT PERMIT FEE SCHEDULE 4,041.75 <br /> STATE SURCHARGE(VALUATION) 308.45 <br /> KYLE HUNT& PARTNERS INC. TOTAL 4,350.20 <br /> 18324 MINNETONKA BLVD Payment(s) <br /> DEEPHAVEN, MN 55391- CHECK 12087 4,35020 <br /> (952)476-5999 <br /> Minnesota State License#: BC- 1967 <br /> OWNER <br /> LIBERMAN,ZN&TAL <br /> 1145 SETTLERS ROAD <br /> MEDINA, MN 55340- <br /> AGREEMENT AND SWORN STATEMENT <br /> I he work for which this permit is issued shall be performed according to <br /> the approved plans and speeitications,applicable City approvals,and the <br /> State[�uilding Code. This pennit 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 goveming this rypc 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 construclion is <br /> suspended for a period of 180 days at any time afier work has commenced. <br /> The applicant is responsible for assuring all rcquired inspections are <br /> requested in confarmance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> K'i�.E j�-:r NT �- ��'�v��S;���.�_ <br /> ��-��� �Z i� �20�'�, i i <br /> Applicant Permitee Signature 'Date Issued B ignature ��Date <br />