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CITY OF ORONO * z 0 1 5 - 0 0 4 1 3 * <br /> . � ' '` , 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2015 <br /> ORONO, MN 55356- <br /> �_� (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1340 FOX ST <br /> PIN : 02-117-23-31-0019 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 014 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 850,000.00 <br /> NOTE: SEPARATE PERM[TS REQUIRED:PLUMBING,MECHANICAL,F[REPLACE, SEWER CONNECTION,LAWN IRRIGATION, <br /> LANDSCAP[NG,WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUN ATION SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: �'S('� <br /> NOTE: PRIOR TO ISSUANCE OF A C R�IF[CATE OF OCCUPANCY AN AS-BUILT SURVEY[S REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: �J � <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULATION MUST BE SUBMITTED <br /> AND APPROVED.INITIAL:��-.- <br /> NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WH[Cf{PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVE )A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 5,467.09 <br /> STATE SURCHARGE(VALUATION) 425.00 <br /> CHAMBERLAIN FINE CUSTOM HOMES TOTAL 5,892A9 <br /> 11578 CHAMBERLAIN CT <br /> EDEN PRAIRIE, MN 55344- Payment(s) <br /> Minnesota State License#: BUIL-BC661410 CHECK 943 5,892.09 <br /> OWNER <br /> Chamberlain Capital LLC <br /> 11578 CAHMBERLAIN COURT <br /> EDEN PRAIRIE, MN 55344- <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. 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 cons[ruction is <br /> suspended for a period of l SO days at any[ime 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 time for due cause. <br /> ,, ,:���� >, <br /> /' � ��,����� ��`��� � �� � , <br /> :.� «�,����y�^-- <br /> Applicant Permitee Signature Date Issued By Signature Date <br />