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, � CITY OF ORONO * z 0 1 3 - 0 0 4 z 6 * ' 2750 KELLEY PARKWAY DATE ISSUED: .07/17/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3625 JACOBS MILL RD PIN : 32-118-23-24-0013 LEGAL DESC : JACOBS MILL : LOT 003 BLOCK 002 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTNITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 950,000.00 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE, LA GATION, WELL(STATE), AND ELECTRICAL(STATE) NOTE: AS FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL: NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. NITI NOTE: B ,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT THE T E TH ERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED UPON ECEI A$]0,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. INITIAL NOTE: PRIOR TO THE START OF FRAMING AN AS- IL DATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY OR A STOP WORK ORDER WILL BE ISSUED. INITI APPLICANT pERMIT FEE SCHEDULE 5,706J5 MINNETONKA CUSTOM HOMES INC. STATE SURCHARGE(VALUATION) 475.00 3575 TUXEDO BLVD MOUND, MN 55364 TOTAL 6,181.75 (612)386-4494 Minnesota State License#: BC20386620 OWNER SCHMID,KURT&CAROL 2950 ISLAND VIEW DRIVE MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I80 days at any time after work has commenced. The applicant i ible for assuring all required inspections are requested' conforman with the State Building Code.This permit may be revoke y time for ue cause. / � � / / / Ap i ant P ' ee ignature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO .