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. � CITY OF ORONO <br /> * Z 0 1 3 - 0 1 2 9 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1065 LINDEN LA <br /> PIN : 07-117-23-14-0066 <br /> LEGAL DESC : LINDEN BEACH <br /> : LOT 000 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 : $ 1,000,000.00 <br /> NOTE: SEPARATG PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN <br /> IRRIGATION,WELL(STATE),ELECTRICAL(STA"I'E) <br /> N01'E: PRIOR TO THF,START OF FRAMING AN AS-BUILT FOUNDA"I'ION SURVEY MUST BE SUBM["rTED AND APPROVED BY CITY <br /> OR A STOP WORK ORDER WILL BE ISSUED. ]NITIAL: �)y <br /> NOTE: AN APPROVED AS BUILT SURVEY IS REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL:��?' <br /> NOTE: BE AWARE, IN THE EVEN"I'WEATHER OR OTIiER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT <br /> THE TIME THE CERTIFICATE OF OCCUPANCY IS RGQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED <br /> UPON RECEIPT OF A$10,000 ESCROW TO ENSURG COMPLETION OF THE AS-BUILT SURVEY AND AI,L SI"CE IMPROVEMENTS. <br /> INITIAL: `��'� <br /> APPLICANT PERMIT FEE SCHEDULE 5,956.75 <br /> STATE SURCHARGE(VALUATION) 500.00 <br /> SWANSON HOMES <br /> 1360 HAMEL ROAD TOTAL 6,456.75 <br /> MEDINA, MN 55340- Payment(s) <br /> (763)478-0320 CHECK 32647 6,456.75 <br /> Minnesota State License#: BUIL-627982 <br /> OWNER <br /> KUZNIK,TONY&CARRIE <br /> 10690 ZIEGLERS DRIVE <br /> BROOKLYN PARK, MN 55443- <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 Ihe 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 wi[h 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 are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time tbr due cause. <br /> � �-� <br /> Li��_ 4i�"�y'�/!/�–ti— ��-Ci��� � l � l� <br /> Applicant Permitee Signature Date Issued y Signature Date <br />