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� T <br /> > ' � ' � CITYOFORONO * 20 14 - 00304 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/23/2014 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> A�DRESS : 1535 ['AIRVIEW COTTAGE LA <br /> PIN : 07-117-23-43-0007 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURG <br /> PROPFRTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 715,405.00 <br /> NOTt?: SEPARATE PL'RMI"I'S REQUIRED: PLUMBING, MECHANICAL,PIREPLACG, SEWER CONNECTION,LAWN IRRIGATION, <br /> WEI.L(STATF:),AND <br /> ELEC"I'RICAL(STA"I'E) <br /> NOT�?: PRIOR TO"I'HE START OF}RAMING AN AS-BUILT FOUNDATION SURVI;Y MUST BE SUBMITTED AND APPROVED BY THE <br /> CI�I�Y OR A S"I�OP WORK ORDER W(LL BF, ISSUED: INITIAL: N�� <br /> NO"CG: PRIOR TO ISSUANCG OP A CGR ll'ICATI:OP OCCUPANCY AN AS-BUII�T SURVGY IS REQUIRED TO F3T SUBMITTED AND <br /> APYROVED I3Y S"I nPP. INI"I'IAL: � _ <br /> NO�I�I-:: IN"1'HE F,VI:NT OP WINTF,R CONDITIONS OR O"I'I IGR UNFAVORABLE WF_,ATEI[:R CONDI'CIONS(WHICH PREVENT"I'HE <br /> COMPLETION OF"I'HE F,X"I�ERIOR IMPROVEMENTS AND/OR AN AS-I3Utt�1�SURVEY A"I�EMPORARY CGRTIPICATF,OF OCCUPANCY <br /> (TCO)MAY I�E NIiCF;SSf1RY. A"1'CO RF,QUIRES A�10,000 ESCROW. INI"I'IAL: I�� <br /> NO"CE: PRIOR 7�O INSTAI,LAT[ONOF PI-',RVIOUS,j;AVt?R SYS"I'F,M(WALKWAY [DEN'1�11�IED t�S "O"), PLANS MUS1�I3G SUBMI"CTED& <br /> APPROVE:D I3Y C[TY ENGINEER. INI�I�InL: �� Y <br /> NOTE: PRIOR"I'O RF,LEASt?OF I�,SCROW",AN AS-C3U11.�1�SURVI;Y AND HARDCOVTR CALCUI,ATIONS MUS�I�I3E Sli[3MIT"[�1�:D&AP <br /> APPLICANT PERMIT FEE SCHEDUI,E 4,536.75 <br /> STATE SURCHARGE(VALUATION) 357.70 <br /> M & M HOME CONTRACTORS TOTAL 4,894.45 <br /> PO BOX 90 <br /> COLOGNE, MN 55322- Payment(s) <br /> (612) 797-3720 CHECK 6800 4,894.45 <br /> Minnesota State License#: BUIL-BC560376 <br /> OWNER <br /> HOUCK, DANIEL&JANE <br /> 1705 ELDORADO CIR <br /> SiJPERIOR, CO 80027- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he«�ork for which this permit is issued shall br pertbrmed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Building Code 'I�his permit is for only the work described and does <br /> not grant permission for additional or related work�vhich requires separate <br /> pemiits. nll provisions of laws and ordinances governing[his type of work <br /> shall be compied with whether or not specified herein.'l�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced�vithin 180 days of the date of issuance,or i}�construction is <br /> suspendcd for a period of 180 days at any time atter work has commenced. <br /> I�he applicant is responsible for assuring all rcquired inspections are <br /> rcquested in cont�ormance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � � / /� <br /> Applican Permitee Signa ure Date [ss Qy Signature Date <br />