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� CITY OF ORONO *� 5 — 0 0 5 7 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3375 GRAHAM H[LL RD <br /> PIN : OS-117-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDIT[ON <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROF'ERTY TYPE : RESIDENTIAL <br /> C(3NSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIViTY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 1,800,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE,GRADING,FIRE SUPPRESSION, <br /> LANDSCAPMG, WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUNDA"�ION SURVEY MUST BE SUBMITTED AND APPROVED BY THE <br /> CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: �7 i�._� <br /> NOTE: PRIOR TO ISSUANCE OF A CERTIFICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND <br /> APPROVED BY STAFF. INITIAL: `'��' _� <br /> NOTE: lN THE EVENT OF WINTER CONDIT[ONS OR OTHER UNFAVORABLE WEATHER COND[TIONS(WHICH PREVENT THE <br /> COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVEY) TEMPORARY CERT[F[CATE OF OCCUPANCY <br /> (TCO)MAY BE NECESSARY. A TCO REQUIRES A$1Q000 ESCROW. [NIT[AL: `� <br /> APPLICANT PERMIT FEE SCHEDULE 9,614.59 <br /> STATE SURCHARGE(VALUATION) 820.00 <br /> WOODDALE BUILDERS INC. TOTAL 10,434.59 <br /> 6117 BLUE CR DR Payment(s) <br /> MINNETONKA�MN 55343- CHECK 83018 10,434.59 <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OW1vER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DR,STE 101 <br /> MINNETONKA,MN 55343- <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 /> permi[s. 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 applicant is responsible for�ssuring 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. � j�`7 <br /> � �� �,�- c�l�1 r� �. <br /> � C�;' ') �� �j cr / �� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />