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CITY OF ORONO 1 1 11 1 111 1 11 1113111111111111111 <br /> * 2017 - 01606 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/19/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1525 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0002 <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> VALUATION : $ 627,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,WELL(STATE), <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 4,296.67 <br /> PLAN REVIEW 576.12 <br /> LDK BUILDERS INC STATE SURCHARGE(VALUATION) 313.50 <br /> 8242 125TH AVE <br /> MILACA,MN 56353- TOTAL 5,186.29 <br /> (612)685-9066 Payment(s) <br /> Minnesota State License#: BUIL-1327 CHECK 58753 5,186.29 <br /> OWNER <br /> TAMOSUINAS,LINDA <br /> 430 PHEASANT RIDGE ROAD <br /> WAYZATA,MN 55391- <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 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 Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ' ./ ---/ S <br /> D LA <br /> AIic Permitee Signature Date Issued By inature Date <br />