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' ' CITY OF ORONO * Z 0 1 3 - 0 0 7 3� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2013 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3048 NORTH SHORE DR <br /> PIIY : 09-117-23-32-0004 <br /> LEGAL DESC : CRYSTAL BAY PARK <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 : $ 1,200,000.00 <br /> NOTF,: SF.,PARATE PERMITS REQUIRED: PLUMBING, MECHANICAI,,FIREPLACE, SEWER CONNECTION,LAWN IRRIGATION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BU��ATiQN SURVEY MUST BE SUBMITTED AND APPROVED BY CITY <br /> OR A STOP WORK ORDER WILL BE ISSUED. INITIAL: <br /> NOTE: AN APPROVED AS BUILT SURVEY IS REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL` <br /> NOTE: BE AWARE,IN THE EV�NT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT <br /> THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OP OCCUPANCY MAY BE ISSUED <br /> UPON R��$10,000 ESCROW TO ENSURE COMPLETION OF TtiE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. <br /> INITIAI,:�_�� <br /> APPLICANT pERMIT FEE SCHEDULE 6,756.75 <br /> STONEWOOD, LLC STATE SURCHARGE(VALUATION) 580.00 <br /> 7407 WAYZATA BLVD <br /> MINNEAPOLIS, MN 55426- TOTAL 7,336.75 <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[his 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 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 Buildin, Code.This permit may be <br /> revoke��t-arty-ftrne-€e ause. <br /> � l � / � / / <br /> Applicant Permitee Signature Date Issued y S� ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB UE. <br />