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CITY OF ORONO PERMIT NO.: 2011-00041 <br /> ` 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- �ATE tssuEn: 02/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 725,000.00 <br /> NO"CG: SEPARA'I'b' PGRMI"CS REQUIRGD: PLUMBING.MF,CI IANICAL. SEPTIC, 1�1[ZGPLACE. LAWN IRRIGA'CION, WBLL(S"I'A"I'L), <br /> AND <br /> GLL;CTRICAL(STA'1'E) <br /> ADVANCED PLAN RGVIGW Yn[D BY STONEWOOD-CHECK#108�2[N THE AMOUN'f OI'$2,987.14 ON#201 1-00040 <br /> FU�I�URI: POOL MUS"I�[31;n"I�I,f AST 10 FEI:"I'FROM ALL STRUC�I�UIZGS/DFCK��_�_(IN11'AL) <br /> APPLICANT PERMIT FEE SCHEDULE 4,581.75 <br /> STONEWOOD, LLC <br /> 7407 WAYZATA BLVD STATE SURCHARGE(VALUATION) 362.50 <br /> MINNEAPOLIS, MN 55426- TOTAL 4,94425 <br /> (952)697-5590 <br /> Minnesota State License#: 20594315 <br /> OWNER <br /> RUDOW, DAVID <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work lor which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State Building Code. "I�his permit is for only tlic�rork described and docs <br /> � not grant permission for additional or related��°ork�vhich requires separatc <br /> permits. All provisions ol la���s and ordinances governing this type of work <br /> shall be compied���ith�chether or not speciticd hcrein.This permit will <br /> expire and become null and void iCconstruction authorized is not <br /> commenced��°ithin 180 days ofthe date of issuance,or if construction is <br /> suspended for a period of 180 days at a�;y timc atter�vork has commenced. <br /> 'fhe applicant is res}�onsibic�or assnrutgall required inspections are <br /> I� requested in ponrorma��ce�c�ith the�State Quildin�Codc.This permit may bc <br /> � rcvokcd at�n,�'tjia�e for duc causc. <br /> 1 �a�__� <br /> � <br /> _ 7 ��---�-- � / � / �c7(�/ / / <br /> i.,,AppliCa�t PBrx�iitee Signaturc Date Issued By S g ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />