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_ • CITY OF ORONO * z 0 1 4 - 0 1 4 4 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU26/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3926 CHERRY AVE <br /> pI� : 08-117-23-33-0019 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,050,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,SEWER CONNECTION,LAWN IRRIGATION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUN TION SURVEY MUST BE SUBMITTED AND APPROVED BY T��F.. <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: �� <br /> NOTE: PRIOR TO ISSUANCG OF A CF�T[FICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBM[TTED AND <br /> APPROVED BY STAPF. 1NITIAL: _�_ <br /> NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURV�Y A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQU[RES A$10,000 ESCROW. INITIAL: �� <br /> NOTE: PRI(1B�T0 RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. <br /> INITIAL: �, (� <br /> NOTE: PRIOR TO THE COMMENCEMENT OF ANY EXTERIOR/LANDSCAPING IMPROVEMF,NTS,(PATIO,GRADING, SIDEWALKS, <br /> RETAINING WALLS,ETC.),A ZONING PERM[T IS REQUI <br /> APPLICANT PERMIT FEE SCHEDULE 6,464.59 <br /> PLAN REVIEW 200.09 <br /> STONEWOOD, LLC STATE SURCHARGE(VALUATION) 520.00 <br /> 153 E LAKE STREET <br /> WAYZATA,MN 55391- TOTAL 7,184.68 <br /> (612)462-4000 Payment(s) <br /> Minnesota State License#: BUIL-BC594315 CHECK 13288 7,184.68 <br /> OWNER <br /> WASHUTA,KENNETH <br /> 3926 CHERRY AVE <br /> MOLTND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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.This permit will <br /> expire and become null and void if consuuction 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �, <br /> �- <br /> �j'��L- ,"./� �'"� -�- / /��1� <br /> Applicant Permitee Signature r'"" Date Is ed By Signature Date <br />