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CITY OF ORONO PERMIT NO.: 2009-00862 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE isSUEn: 02/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 2,800,000.00 <br /> NOTE: SEPERA"CE PERMITS REQUIRED: PLUMBING, MECHANICAL, SEPTIC,FIREPLACE, LAWN IRRIGATION <br /> WELL(STATE), ELECfRICAL(STATE) <br /> ADVANCED PLAN REVIEW PERMIT#2009-00861-NAID WITH CHGCK 8138-$8,�51.89 <br /> SRPTIC SITES TO BF,FENCGD OI'P PRIOR TO ANY FXCAVATION Ot'HOUSL;MOVING. <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 13,156.75 <br /> DENALI CUSTOM HOMES, INC. STATE SURCHARGE(VALUATION) 1,140.00 <br /> 18283 MINNETONKA BLVD. <br /> DEEPHAVEN, MN 55391- TOTAL 14,296J5 <br /> (952)476-2679 <br /> Minnesota State License#: 20175394 <br /> OWNER <br /> GRIFF[N, ROBERT& KIMBERLY <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIV STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State I3uilding Code. This permit is for only the work described and does <br /> not grant permission tor additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances govcrning this rype of work <br /> shall be compied with whether or not specitied herein.This pennit will <br /> expire and become null and void it�construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenccd. <br /> The applicant is responsible Yor assuring all required inspcctions are <br /> requested in conforryance with the S�[e[3uilding Code.This permit may be <br /> revoked a time for ue cause --"'—�• <br /> � l <br /> � '" `y'L/ �/�� � .� / / <br /> � � <br /> Applicant PP�mitee Signature Date Issued By. � nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO <br />