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JI!!iIII1111II11CITYOFORONO — 00137 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/21/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 364 WESTLAKE ST <br /> PIN : 05-117-23-23-0043 <br /> LEGAL DESC : HILLSIDE PARK <br /> : LOT 000 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 : $ 1,510,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE,WELL(STATE) <br /> LAWN IRRIGATION,ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FO1.4NDA"IION SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: .17 <br /> NOTE: PRIOR TO ISSUANCE OF A CERTIFICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: )L <br /> NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVEY)A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: 1--D`4-' <br /> APPLICANT PERMIT FEE SCHEDULE 7,996.75 <br /> STATE SURCHARGE(VALUATION) 704.00 <br /> LDK BUILDERS INC <br /> 8242 125TH AVE TOTAL 8,700.75 <br /> MILACA,MN 56353- Payment(s) <br /> (612)685-9066 CHECK 54070 8,700.75 <br /> Minnesota State License#: BUIL-1327 <br /> OWNER <br /> ldentisys, Inc. <br /> SHIELDS TRUSTEES,JANELLE K&MICHAEL R <br /> 7630 COMMERCE WAY <br /> EDEN PRAIRIE, MN 55344- <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 goveming 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 any time for ue cause. <br /> 11/D- <br /> licj Permitee Signature D e Iss it d By Signature Date <br />