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, CITY OF ORONO PERMIT NO.: 2009-00803 <br /> � 2750 KELLEY PARKWAY <br /> , � ORONO, MN 5535fi- DATE ISSUED: 12/15/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2400 FOX ST <br /> PIN : 04-117-23-41-0011 <br /> LEGAL DESC : MAJEST[C SPRUCE ADDIT[ON <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 3,250,000.00 <br /> NOTE: ADVANCED PLAN REVIEW OF$9,851.89 PD-PERMIT: 2009-00802/SINCE OVERPAYMENT ON ORIGINAL PI.AN REVIGW <br /> BECAUSE SUBMITTED AT VALUATION OF$3,300,000.00.N�W PERMI"['AT$3,250,000.00-PI,RMI"I'FEE WAS ADJUSTED TO REFLEC'1' <br /> DIFFERENCE OF$130.00 WHICH WILL BE MAILED IN A CH�CK TO Cf IARLES CUDD. <br /> SEPARATE PERM[TS ARE REQUIRED FOR: PLUMBING,MECHANICAL,FIREPLACE, LAWN IRRIGATION <br /> WELL AND ELECTRICAL(STATE PERMI"CS) <br /> NOTE: SEPTIC AREA TO BE FENCED OFF PRIOR TO CONSTRUCTION-MULTIPLE SHOWER HEADS(HIGHFLOW)MAY RESULT IN <br /> CHANGES TO SEPTIC SYSTEM. NO CO UNTIL WETLAND E3UFFER IS INSPEC"I'ED AND 1'INAL MCWD LROSION CONTROL <br /> INSPECTION PASSED. <br /> APPLICANT PERMIT FEE SCHEDULE 14,826.75 <br /> CHARLES CUDD LLC STATE SURCHARGE(VALUATION) 1,250.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- TOTAL 16,076.75 <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> LWDBLOOM,JULIE <br /> 2690 RAINEY RD <br /> WAYZATA, MN 55391- <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 E3uilding 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 penni[will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the da[e of issuance,or if construction is <br /> suspendcd for a period of 180 days at any time after work has commenced. <br /> "I'he applicant is responsible for assuring all required inspections are <br /> reques[ed in conforniance with the State Building Code.This pennit may be <br /> revoked at any ti4ne for due cause. �' <br /> ;,... /� i�`; i�y �� � � � l� � �.�ii /S i �% <br /> p ican�mitee SignatuYe Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />