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: � <br />„ �r� CITY OF ORONO * 2 0 1 3 - 0 0 P1 0 5 * <br />' 2750 KELLEY PARKWAY nATE ISSUEn: 02/1 U2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 425,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> LAWN IRRIGATION, ELECTRICAL(STATE) <br /> PLAN REVIEW COLLECTED$1934.89 2013-00004 <br /> ADD$19.50 PLAN REVIEW FEE WHEN ISSUING-AMT SHOULD HAVE BEEN$1954.89. <br /> SAC CREDIT FROM DEMO <br /> NOTE: GUTTERS MUST BE INSTALLED ON THE WEST SIDE OF THE HOUS INITIAL) <br /> NOTE: SEE CITY ENGINEER COMMENTS: APPLICANTS ENGINEER MUST SPECT PIPE AND RETAINING W <br /> OVER PIPE AND SUBMIT INSPECTION REPORTS PRIOR TO ISSUANCE OF THE CERTIFICATE OF OCCUPANCYA��INITIAL) <br /> NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT <br /> APPLICANT pERMIT FEE SCHEDULE 3,006.75 <br /> DENALI CUSTOM HOMES PLAN REVIEW 19.50 <br /> 18352 MINNETONKA BLVD. STATE SURCHARGE VALUATION 212.50 <br /> DEEPHAVEN,MN 55391- � � <br /> (952)476-2679 TOTAL 3,238.75 <br /> Minnesota State License#:20175394 <br /> OWNER <br /> MUSGJERD,SCOTT&MELISSA <br /> 4156 HIGHWOOD RD <br /> MOiJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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. 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 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 aze <br /> requested in conformance with the State Building Code.This perrnit may be <br /> revoked at any time for d c e. <br /> Ga Z 11 � t 3 <br /> �i �/ i / <br /> ppl' t Permite Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />