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CITY OF ORONO * 2 0 1 7 - 0 0 0 8 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/14/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4765 AUGUSTA ST <br /> PIN : 06-117-23-33-0009 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 7 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 : $ 800,000.00 <br /> NOTE: SEPARATE PERM[TS REQUIRED:PLUMBING,MECHANICAL,SEPTIC, F[REPLACE, ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INIT[AL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,204.92 <br /> STATE SURCHARGE(VALUATION) 400.00 <br /> Swanson Homes <br /> 1360 HAMEL RD TOTAL 5,604.92 <br /> MEDINA, MN 55340- Payment(s) <br /> (763)478-0320 5,604.92 <br /> OWNER <br /> Swanson Homes <br /> 1360 HAMEL RD <br /> MEDINA, MN 55340- <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 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 I 80 days at any time afrer 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 /> .y / , <br /> � / <br /> � ' ` / <br /> �� = 2��i� r. -�-ri �.- ,� <br /> App icant Permitee Signature Date� Issued B ignature Date <br />