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� <br /> � � CITY OF ORONO ���� <br /> * 2 0 1 3 - 0 1 2 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU22/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADllRESS : 1161 ELMWOOD AVE <br /> P[N : 07-117-23-14-0029 <br /> LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 380,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL, F[RGPLACL'.SEWI?R CONNI:CTION,I,AWN IRRIGA"CION, <br /> WELL(STATE),ELECTRICAI.(STATE) <br /> NOTF,: PRIOR TO THE START OF FRAMING AN AS-BUIL FO�INDATION SURVEY MUST BG SUBMITTED AND APPROVED BY CI"I�Y <br /> OR A STOP WORK ORDER WILL BE ISSUED. [NITIAL: .;�1 . <br /> NOTE: AN APPROVF,D AS BUILT SURVEY IS REQUIRED PRIOR TO CERTIPICATL OF OCCUPANCY ISSUANCE. IN[TIAI�/� y� ' <br /> N07E: BE AWARE, IN"I'HL GVENT WGATHER OR O"I'HER CONDITIONS PREVrNT T�HE COMPLI:TION OF AN AS-BU(LT SURVEY AT <br /> THE TIMG THG CERT[FICnTE OP OCCUPANCY IS RF,QUESTED,A TGMPORARY CERTIPICATE OF OCCUPANCY MAY BE ISSUED <br /> UPON REC� PT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-I3UlL"C SURVEY AND ALI.SITE IMPROVEMENTS. <br /> INITIAL:��'�--t . <br /> APPLICANT PERMIT FEE SCHEDULE 2,736.75 <br /> STATE SURCHARGE(VALUATION) 190.00 <br /> COLFAX COMPANIES, INC. S.A.C. 2,485.00 <br /> 206 MINNETONKA AVE S <br /> WAYZATA, MN 55391- TOTAL 5,411.75 <br /> (952)746-4380 Payment(s) <br /> Minnesota State License#: BUIL-BC636394 CHECK 1295 5,411.75 <br /> OWNER <br /> SUNDBERG, RICHARD <br /> 5125 WEST STREET <br /> GREENWOOD, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> "Che work for ti�hich this permit is issued shall be perfonned 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 ot�laws and ordinances goveming this type ofwork <br /> shall be compied wi[h whether or not specitied herein.'fhis 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 conYormance with the State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> � �z_c � , , , . <br /> pplican Pcrmitee Si natu � Date Issucd I3y Signaturc Date � <br />