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� <br /> CITY OF ORONO * 2 0 1 3 - 0 1 0 2 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1645 BOHNS POINT RD <br /> PIN : 17-117-23-11-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,200,000.00 <br /> NOTE: ADDIT[ONAL PERMITS REQUIRED: PLUMBING, ML'CHANICAL,FIRGPLACE, St',WER CONNECTION,LAWN IRRIGATION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> *PRIOR TO RELEASE OP ESCROW AND ISSUANCE OP'A CERTIFICATE OF OCCUPANCY SUBMITTAL OF PLANS SIGNED[3Y A <br /> RFGISTERED PROFESSIONAL ENG[NEER FOR ANY RF.TAINING WAI,LS 4 FGET OR HIGHER OR NOT MEETING THIi REQUIRF,D <br /> SEPARAT[ON [S REQUIRED. _';���INITIALS) <br /> *PRIOR TO RELGASE OF ESCROW AND ISSUANCE OF A CGRTIFICA"1'E OF OCCUPANCY AN AS-BUILT SURVEY MUST Bh; <br /> SUBM[TTED AND APPROVED. �(INITIALS) <br /> � <br /> APPLICANT PERMIT FEE SCHEDULE 6,756.75 <br /> STONEWOOD, LLC STATE SURCHARGE(VALUATION) 580.00 <br /> 7407 WAYZATA BLVD <br /> MINNEAPOL[S, MN 55426- TOTAL 7,336.75 <br /> (952)697-5590 <br /> Minnesota State License#: BC594315 <br /> OWNER <br /> CHURCH,JOHN& KLERISSA <br /> 1645 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he work for which this permi[is issued shal)be performed according to <br /> [he approved p(ans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> perniits. 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 aYter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforniance with the State Building Code.'I�his permit may be <br /> revoked at any t� cause. <br /> l� / �-5 / �� / �� / .J/ / <br /> t Permit S' ture Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />