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� , CITY OF ORONO * 2 0 1 4 - 0 0 4 6 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3825 NORTH SHORE DR <br /> PIN : 17-117-23-22-0046 <br /> LEGAL DESC : SHERRI LAKEVIEW ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 350,000.00 <br /> NOTF,: SEPARA"I�E NI',RMI"I'S REQUIRED: PLL'MBING, MECHANICnL,PIRFPLnCE;, Wn"I'ER CONNFCTION, SEWER CONNECTION, <br /> LAWN [RRIUA"CION, WELL(S'I'ATE),ELECTRICAL,(STA"I'E) <br /> N01'E: PRIOR TO"T'HE START OF FRAMING AN AS-BUILT FOU�yDA,T�ON SURVEY MUST E3E SU[3M1"I'"I�F,D AND APPROVED BY'1'HE <br /> CITY OR A STOP WORK ORDFR WIL,L BF, [SSUED: [NITIAL:— <br /> NOTE: PRIOR TO ISSUANCE O}'A CER"I�IF[CATE OF OCCUPANC�S-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: <br /> NOTE: IN THE EVENT OF WINTER��[ONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF TH�EXTERIOR IMPROVEMEN'I'S AND/OR AN AS-BUILT SURVE�A TEMPORARY CER"I'IFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRF.S A$10,000 ESCROW. INITIAL: � � <br /> NOTE: CONTACT THE MCWD TO OBTAIN PROPER PERMITS FROM THEM. IN[TIAL: <br /> NOTE: PRIOR TO RELEASE OF GSCROW AN AS-E3UILT SURVEY MUST BE SUBMIT'I'ET7�- AYPROVED, INITIAL:�� <br /> APPLICANT PERMIT FEE SCHEDULE 2,556.75 <br /> STATE SURCHARGE(VALUATION) 175.00 <br /> ATLAS HOMES INC S.A.C. 2,485.00 <br /> 14450 1 17TH AVE N <br /> DAYTON, MN 55369- TOTAL 5,216.75 <br /> (763)691-9044 Payment(s) <br /> Minnesota State License#: BUIL-BC20269686 CHECK ]025 5,216.75 <br /> OWNER <br /> LANDSOUCE <br /> 3845 NORTH SHORE DR <br /> MOUND, MN 55364- <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 the work described and does <br /> not�rant permission for additional or related work which requires separate <br /> permits. All provisions of]aws and ordinances governing[his 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 conlncmance with the State Building Code.This permit may be <br /> rcvoked at any time for due cause. <br /> _._.._. <br /> , _ '._ �- � �,c.. / / <br /> A plicant Permitce Sign ure Date Issued f3y i nature /' CJ \ Date <br /> % <br />