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CITY OF ORONO * 2 0 1 7 - 0 1 P1 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 565 SANDH[LL DR <br /> PIN : 33-118-23-24-0012 <br /> LEGAL DESC : ORONO PRESERVE <br /> : LOT 5 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 : $ 469,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 3,434.62 <br /> DAVID WEEKLEY HOMES PLAN REVIEW 896.80 <br /> 12800 WHITEWATER DRIVE#20 STATE SURCHARGE(VALUATION) 234.50 <br /> MINNETONKA,MN 55343- S.A.C. 2,485.00 <br /> Minnesota State License#: BUIL-BC697545 TOTAL 7,050.92 <br /> Payment(s) <br /> CHECK 2741854 7,050.92 <br /> OWNER <br /> OPS Orono LLC <br /> 15250 WAYZATA BLVD#]O1 <br /> WAYZATA, MN 55391- <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. AII 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 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[ime for due cause. <br /> ��/y/r7 D , ,l <br /> Appli t itee Signature Date Is e Signature Date <br />