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CITY OF ORONO * z 0 1 5 - PJ 0 0 1 4 * <br /> � � ' 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 517 FERNDALE RD N <br /> PIN : 36-118-23-14-0007 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,300,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLLIMBING, MECHANICAL,SEPTIC,FIREPLACE,LAWN IRRIGATION,LANDSCAPING, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FO ATION SURVEY MUST BE SUBMITTED AND APPROVED BY TI-� <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: <br /> NOTE: PRIOR TO ISSUANCE OF A CERTIFICATE OF OCCUP CY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMIITED AND <br /> APPROVED BY STAFF. INITIAL: � <br /> NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTf�R UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT TI� <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SUR Y)A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: <br /> NOTE: PRIOR TO TI�COIvIl�IENCEMENT OF ANY EXTERIOR/L CAPING I ROVEMENTS,I.C.PATIOS,GRADING,SIDEWLAK, <br /> RETAINING WALLS,A ZOI�IING PERMIT IS REQUIRED. INITIAL: <br /> APPLICANT P T FEE SCHEDULE 7,514.59 <br /> PLAN REVIEW 232.59 <br /> DENALI CUSTOM HOMES,INC. STATE SURCHARGE(VALUATION) 620.00 <br /> 18283 MINNETONKA BLVD. TOTAL 8,367.18 <br /> DEEPHAVEN,MN 55391- <br /> (952)476-2679 Payment(s) <br /> Minnesota State License#:BUIL-20175394 CHECK 11485 8,367.18 <br /> OWNER <br /> BURNET,RALPH&PEGGY <br /> 392 FERNDALE RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicabte City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not gant 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.'I'his permit will <br /> expire and become null and void if wnstruction suthorized 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 d cause. <br /> � �S ��D�� <br /> A can ermitee ignature Date Issue Signature Date <br /> � _ <br />