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CITY OF ORONO * 2 0 1 3 - 0 0 7 3 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2013 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3048 NORTH SHORE DR <br /> PIN : 09-117-23-32-0004 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,200,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWMG: <br /> VALUATION OF PERMIT:$ 1,200,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00738 <br /> APPLICANT ADVANCED PLAN REVIEW 4,391.89 <br /> STONEWOOD,LLC TOTAL 4,391.89 <br /> 7407 WAYZATA BLVD <br /> MINNEAPOLIS,MN 5542Cr <br /> (952)697-5590 <br /> Minnesota State License#: BC594315 <br /> OWNER <br /> KALLAS,KATHRYN D <br /> 11653 CEDAR PASS <br /> HOPKINS,MN 55343- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Perrr►itee Signature Date Issued By Si�►ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />