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� , CITY OF ORONO * z 0 1 4 - 0 1 1 0 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1141 ELMWOOD AVE <br /> PIN : 07-117-23-14-0027 <br /> LGGAL DESC : SKARP& LINDQUISTS FERNHILL LA <br /> : I,OT 007 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUAT[ON : $ 345,000.00 <br /> NO"I�E: SEPAIZATE PERMIT�S REQUIRED: PLUMBING, MECHANICAL,SEPTIC, FI E LACF,,GRADI G,SEWER CONNF,CTION,LAWN <br /> IRRIGA�1'ION, �VEL1,(S'i'ATF,),ELEC"IR[CAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAM[NG AN AS-BUILT FOUNDATION SURVE UST BG SUBM TED AND A' (� VED BY"I�tiE <br /> CITY OR A STOP WORK ORDER WILL BF ISSUI:D: IN[T[AL: <br /> ,\ <br /> NOTE: PRIOR TO ISSUANCE OP A CER'I�IFICATE OA OCCUPAN AN AS- UILT Sl R ;Y IS ��QUIRE O BE SUE3Ml'1�"I'ED AND <br /> APPROVED I3Y STAFF. INITIAL: <br /> NOTF,: [N THE EVEN"I'OP WINTF,R CONDI"I'IONS OR THER UNF VORABLE EA'I' ER OND IONS(WHICH PREVENT THG <br /> COMPI.ETION OF THE EXTGRIOR IMPROVEMI;NTS ND/OR AN S-F3UILT SUR F,Y) TE P RARY C�RTIFICATG OF OCCUPANCY <br /> ('CCO)MAY �3E NEC�SSARY. A TCO REQU[RES A$1 ,000 LSCRO . INITIAL: <br /> � � <br /> � <br /> APPLICANT PER T F HEDU � 2 526.Z�_._ � <br /> �� <br /> PLAN REVI ���S �642.39�� � <br /> DEAN JOHNSON HOMES, INC. STATE S CHAR E(VALUATION) �—�172.50 <br /> 4700 CTY ROAD 19 <br /> MED[NA, MN 55357- S.A.C. 2,485.00 <br /> (763)479-4820 �� �� TOTAL 6,826.64 <br /> Minnesota State License#: BUIL-20639439 Paym t(s) <br /> CHE K 6105 6,826.64 <br /> OWNER <br /> ALNESS, RYAN & STACY <br /> 1141 ELMWOOD AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this pennit is issued shall be pert�ormcd according ro <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Building 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 ordinanecs goveming this type of work <br /> shall be compied with whether or not specified herein.'fhis permit will <br /> expire and become null and void il�construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 AO days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in cont�ormance with the State Building Code.�This permit may bc <br /> rcvoked at any time for due cause. �� <br /> _���� �- / �' --/ i' � -� �=`m�-�'t �� � � � f <br /> ���� <br /> 'Appli ant Pe itee Signature Date Issued By Signature Dale <br /> v'� <br /> �� I <br />