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, CITY OF ORONO � Z 0 1 5 - 0 1 3 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 100 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0016 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIV[TY : 101-S[NGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 1,000,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELFCTRICAL(STATE) <br /> NOTE: PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> NOTE:THE PLAN REVIEW PAYMENT HAD AN OVERPAYMENT OF$273.00 WH[CH WILL BE APPLIED TO THIS PERM[T. <br /> APPLICANT PERMIT FEE SCHEDULE 6,254.59 <br /> STATE SURCHARGE(VALUATION) 500.00 <br /> GORDON JAMES CONSTRUCTION <br /> 5159 MAIN STREET E S.A.C. 2,485.00 <br /> P.O. BOX 306 TOTAL 9,239.59 <br /> MAPLE PLAIN, MN 55359- Payment(s) <br /> (763)479-3117 CHECK 12522 12522 273.00 <br /> Minnesota State License#: BUIL-20531961 CHECK 12554 8,966.59 <br /> OWNER <br /> PETERS, BARRY&KRIS <br /> 19210 HACKAMORE ROAD <br /> CORCORAN, MN 55340- <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. permi[will <br /> expire and become null and void if construction a orized is not <br /> commenced within l80 days of the date of is nce,or if construction is <br /> suspended for a period of 180 days at a e atter�vork has commenced. <br /> The applicant is responsibie for ass all required inspections are <br /> requested in conform nce w t te Buildi Code.This permit may be <br /> revoked at a y time fo du , <br /> /� 6 /J� �� �--� (, �-r� I I � Co � !S <br /> Applicant Permitee gnature ate [ssued By gnature Date <br />