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CITY OF ORONO *® 3 - 0 ROM <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4731 NORTH SHORE DR <br /> PIN : 07-117-23-32-0067 <br /> LEGAL DESC BERGQUIST&WICKLUNDS PARK <br /> LOT MB BLOCK 5 <br /> PERMIT TYPE NEW STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE SINGLE FAMILY <br /> ACTIVITY 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION $ 425,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGATION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> BLUFF VEGA N INSPECTED PER RESO#6306 AND COMPLIANCE WITH THE RESOLUTION CONDITIONS <br /> REQUIRED. ITIAL) /I <br /> N9F: A FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIALKFO—CCUPANCY <br /> CIT ROVAL OF AN AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE ISSUANCE. INITIAL: <br /> NOTE: BE AWARE,IN THE EVENT 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 OF OCCUPANCY MAY BE ISSUED <br /> UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. <br /> APPLICANT PERMIT FEE SCHEDULE 3,006.75 <br /> COLSON CUSTOM HOMES STATE SURCHARGE(VALUATION) 212.50 <br /> 216 WATER STREET <br /> EXCELSIOR,MN 55331- S.A.C. 2,435.00 <br /> () TOTAL 5,654.25 <br /> Minnesota State License#:20276966 PAID WITH CC# 7934 <br /> OWNER <br /> BWB Holdings LLC <br /> 3800 AMERICAN BLVD W#100 <br /> BLOOMINGTON,MN 55431- <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 addition or related work which requires separate <br /> permits. All provisions of 1 rfi9aordinances governing this type of work <br /> shall be compied whe er not specified herein.This permit will <br /> expire and be u d v d if construction authorized is not <br /> comment wi da of the date of issuance,or if construction is <br /> suspen d f a r' d o 180 days at any time after work has commenced. <br /> The pli t i r po sible for assuring all required inspectio aze <br /> re e i co ant with the State Building Code.This ermit may be <br /> re u <br /> 2,0 i <br /> p Permitee ure Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />