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� CITY OF ORONO * z p� 1 2 - 0 0 9 6 4 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 1U2U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 80 CREEK R1DGE PASS PC Exhibit I ' <br /> PIN : 03-117-23-12-0018 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : ]O1-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 543,629.52 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL, FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> LAWN IRRIGATION,AND ELECTRICAL(STATE) <br /> ADDITIONAL$396.50 PLAN REVIEW FEE ADDED A THE VALUATION WAS CHANGED PER LYLE OMAN. � <br /> NOTE: AS BUILT SURVEY REQUIRED PRIOR TO TIFICATE OF OCCUPANCY ISSUANCE. INITIAL: • <br /> * STORAGE AREA REQUIRED UNDER GARAGE. • (INIT[AL) <br /> * A6 ELEVATION-NO TOP WINDOW ALLOWED- ASS MUST BE VED. - •(INITIAL) <br /> * CONSTRUCTION TRAILER MUST BE REMOVED BY TIM EOF C.O. , (IN[TIA <br /> NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS REVENT THE COMPLETION OF AN AS-BUILT SURVEY AT <br /> THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED <br /> UPON REC T OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. <br /> INITIAL: <br /> APPLICANT pERMIT FEE SCHEDULE 3, <br /> 676.75 <br /> HOMETIME VIDEO PUBLISHING, INC. PLAN REVIEW 396.50 <br /> 4355 PEAVEY ROAD <br /> CHASKA, MN 55318- STATE SURCHARGE(VALUATION) 271.82 <br /> (952)856-4611 S.A.C. 2,365.00 <br /> Minnesota State License#: 20456399 TOTAL 6,710.07 <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he 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 construction authorized is no[ <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 applicant is responsible for assuring all required inspections are <br /> reques in confonnance with the State Building Code.This pennit may be <br /> rev ��p �n time for due cause. <br /> � „ ���----�----"'__ � ' /� � / f / 02. / / ?— <br /> `� � � l <br /> Appli 'nt ermitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />