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, � CITY OF ORONO * Z 0 1 5 - 0 0 6 0 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2735 DEER RUN TR E <br /> PIIY : 04-117-23-13-0013 <br /> LEGAL DESC : N/A <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 737,356.00 <br /> NOTE: SEPARATE PERMITS REQUiRED:PLUMB[NG, MECHANICAL,SEPT[C,FIREPLACE,FIRE,LAWN IRRIGATION, WELL(STATE). <br /> ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAM[NG AN AS-BUILT FO�,ATION SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: ),S <br /> NOTE: PRIOR"I'O ISSUANCE OF A CERTIFIC,ATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFE INITIAL: ��� <br /> NOTE: IN THE EVENT OF WMTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE <br /> COI�IYLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BU[LT SURyF{Y)_A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. IN[TIAL: �-� <br /> APPLICANT PERMIT FEE SCHEDULE 4,879.09 <br /> NIH HOMES PLAN REVIEW 812.18 <br /> 6840 213TH AVENUE STATE SURCHARGE(VALUATION) 368.68 <br /> ELK RIVER, MN 55330- TOTAL 6,059.95 <br /> (763)753-1750 Payment(s) <br /> Minnesota State License#: BUIL-BC419931 CHECK 25286 6,059.95 <br /> OWNER <br /> NIH HOMES <br /> 6840 213TH AVE <br /> ELK RIVER,MN 55330- <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 /> no[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 permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 appiicant is responsible for assuring all required inspections are <br /> reques[ed onformance with the State Building Code.This permit may be <br /> revoked a an�time for due ca se. <br /> ��-' � n-1�-�-1 - <br /> �.. � , � <br /> Applicant Permitee Signature Date [ss Signature te <br />