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v t � , CITY OF ORONO � Z 0 1 3 - 0 0 6 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1421 NORTH ARM DR PIN : 07-117-23-44-0073 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 339,957.16 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) NOTE: AS FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL:�� NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL: p �- NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. INITIAL:�_ NOTE: PRIOR TO THE START OF FRAMING AN AS-BUI F UNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY OR A STOP WORK ORDER WILL BE ISSUED. INITIAL:� �, APPLICANT pERMIT FEE SCHEDULE 2,496.75 DJY CONSTRUCTION LLC PLAN REVIEW 468.00 PO BOX 46154 STATE SURCHARGE(VALUATION) 169.98 PLYMOUTH, MN 55446- Minnesota State License#: 666062 TOTAL 3,134.73 PAID WITH CC# 8026 OWNER \` DJY CONSTRUCTION 3452 PILGRIM LN N PLYMOUTH,MN 55441- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 governing 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at ue cause. / / �/ /�/ Applicant Permitee Signature Date Iss e y �gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.