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CITY OF ORONO * Z 0 1 2 - 0 0 4 8 9 * <br /> y 2750 KELLEY PARKWAY DATE ISSUED: 07/3U2012 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PFiP.MIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S[NGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 1,000,100.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGA"I ION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITI '�w � <br /> NOTE: BE AWARE,IN THE GVENT WEATHER OK OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY A"I <br /> THE TIME THE CERT[FICATF,OF OCCUPANCY IS REQUESTED,A TEMPORARY CER"I'It�ICATE OF OCCUPANCY MAY BE ISSUED <br /> UPON RF, F A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUIL"I'SURVGY AND ALL SITE IMPROVEMENTS. <br /> INITIAL � ' <br /> *ADM ,TRATIVE AVERAGE LAKESHORE SETI3ACK APPROAL PER 78-1279 <br /> RECLAIM DGMO CREDIT FOR SAC RF.PORTED ON 06/20/12 PERMIT#2012-00490 <br /> APPLICANT PERMIT FEE SCHEDULE 5,960J5 <br /> NARR CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 500.04 <br /> P.O. BOX 5007 TOTAL 6,460.79 <br /> HOPKINS, MN 55343 <br /> (952)938-8781 <br /> Minnesota State License#: 3785 <br /> OWNER <br /> MCGLYNN,THOMAS&TON[ <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfomied 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. All 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 appli is responsible for assuring all required inspections are <br /> requc� d in onformance with the State Building Code.This permit may be <br /> rev �ed at y ti f�r due c �� <br /> , �� "") /!�� �.� � <br /> � � �3 / � � <br /> A n erm�tee, ignat e Datc � �t ti�� � ��y �'`���l / �� t—�� � `� <br /> [ssued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />