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t � CITY OF ORONO * z 0 1 5 - 0 0 0 � � * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 790 BROWN RD N <br /> PIN : 34-118-23-11-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTNITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATIOI�1 : $ 483,665.04 <br /> NOTE: SEPARATE PERMITS REQiJ[RED:PLUMBING, MF,CI�IANICAL, F[REPLACE,GRADING, SEWER CONNFCTION, LAWN <br /> IRRIGATION,LANDSCAPING, <br /> WELL(STATE),ELECTRICAL(S"I'ATE) <br /> NO'CE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOU��$�T�SURVEY MUST BE SUE3MITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE[SSUED: INITIAL: ,7 �� <br /> NOTE: PRIOR"I'O ISSUANCE OF A OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: <br /> NOTF,: IN THE EVENT OF W[NTER COND[Z'[ONS OR OTHER UNFAVORABLE WEAT ER CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN nS-BUIL"C SU ) ORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$1Q000 ESCROW. INITIAL: <br /> NOTE: A MCWD APPROVED WETLAND DELINEATION AND AN EXECUTED MCWD WETLAND BUFPER DECLARATION ARE <br /> APPLICANT PERMIT FEE SCHEDULE 3,528.79 <br /> PLAN REVIEW 466.83 <br /> GONYEA HOMES STATE SURCHARGE(VALUATION) 241.83 <br /> 6102 OLSON MEMORIAL HIGHWAY <br /> GOLDEN VALLEY, MN 55427- S.A.C. 2,485.00 <br /> (612)741-9069 TOTAL 6,722.45 <br /> Minnesota State License#: BUIL-2459 Payment(s) <br /> CHECK 15287 4,237.45 <br /> CHECK 15289 2,485.00 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMOR[AL HWY <br /> GOLDEN VALLEY, MN 55427- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which[his 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. AIl 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 180 days at any time afrer work has commenced. <br /> The applican[is responsible for assuring all required inspections aze �n //� <br /> requested in conformance with the State Building Code.This y bc �� � <br /> revoked at any time for due cau <br /> a-- <br /> � �/ � / l <br /> A ca ermitee Signature Date Issued By Signa ure Date <br />