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/ <br /> ' CITY OF ORONO * Z p� 1 5 - P1 0 0 4 2 * <br /> `- 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 PINE VIEW DR <br /> PIN : 28-118-23-42-0010 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 518,624.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPT[C R ,GRADING,FIRE, <br /> WATER CONNECTION, SEWER CONNECTION,LAWN IRRIGATION,OTHER , WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FO T VEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: <br /> NOTE: PRIOR TO ISSUANCE OF A C TI OF OCCUP CY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: <br /> NOTE: IN THE EVENT OF WINTE CONDITIONS OR OTHER UNFAVORABLE WE R CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIO IMPROVEMENTS AND/OR AN AS-BUILT SU A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 3,72934 <br /> PLAN REVIEW 115.43 <br /> GORDON JAMES CONSTRUCTION STATE SURCHARGE(VALUATION) 259.31 <br /> 5159 MAIN STREET E TOTAL 4,104.08 <br /> P.O. BOX 306 <br /> MAPLE PLAIN, MN 55359- Payment(s) <br /> (763)479-3117 CHECK 12003 4,104.08 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> WIGGINS, JASON&AMANDA <br /> 410 N 2ND ST <br /> LJNIT 449 <br /> MINNEAPOLIS, MN 55401- <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 gran[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 l80 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 /> revoke any time r due use <br /> �_�_-�.�as` � � � �U` <br /> Ap lica Permitee Signatu Date Issue y Signature Date <br />