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CITY OF ORONO * Z 0 1 3 - 0 0 5 4 8 * 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2013 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 REPRINTED ON 7/23/2013 ADDRESS : 475 OXFORD RD PIN : OS-117-23-41-0010 LEGAL DESC : STIELOWS ADDN : LOT 002 BLOCK 001 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 980,000.00 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE,SEWER CONNECTION,LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) ,Q p� . AL:o�V- NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL:S�� NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF��N AS-BUILT SURVEY AT THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. INITIAL• NOTE: PRI R TO THE START OF FRAMING AN AS-BUILT FOUNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY OR A STOP WORK ORDER WILL BE ISSUED. INITIAL: NOTE: DELINEATED WETLA D EDGE X 3S SETBACK ST BE SHOWN ON THE FOUNDATION AND AS-BUILT SURVEYS. 1NITIAL: WHEN NEW HOME PE T IS ISSUED,RECLAIM DEMO CREDIT ISSUED 06/1 U2013 APPLICANT pERMIT FEE SCHEDULE 5,856.75 THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 490.00 2073 WAYZATA BLVD. W.#50 WAYZATA, MN 55391 TOTAL 6,346.75 (952)475-6777 Minnesota State License#: BC128144 OWNER CKO VACATION PROPERTIES 575 OXFORD ROAD MEDINA, MN 55340- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confortnance with the State Building Code.This permit may be revoked at any time for d cause. , ? � z 3 � �3 �%�L�� 7� 3� e Applicant P itee Signature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.