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CITY OF ORONO * Z 0 1 2 - 0 0 6 3 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2012 <br /> �_ ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1595 MAPLE PL <br /> PIN : 08-117-23-33-0035 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 013 BLOCK 006 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : SINGLE FAM[LY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUAT[ON : $ 328,689.86 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE,WATER CONNECTION, SEWER CONNECTION, <br /> LAWN IRRIGATION,ELECTRICAL(STATE) <br /> NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIF[CATE OF OCCUPANCY [SSUANCE. INITIAL: <br /> NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT <br /> THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED <br /> UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. <br /> INITIAL: <br /> ADV PLAN REVIEW COLLECTED 2012-00635$1,006.69 BASED ON VALUATION OF$181,900,VALUAT[ON CHANGED AND <br /> DIFFERENCE WILL HAVE TO BE PAID <br /> APPLICANT PERMIT FEE SCHEDULE 2,430J5 <br /> DEAN JOHNSON HOMES, INC. PLAN REVIEW 573.30 <br /> 4700 CTY ROAD 19 <br /> MEDINA, MN 55357- STATE SURCHARGE(VALUATION) 164.35 <br /> (763)479-4820 S.A.C. 2,365.00 <br /> Minnesota State License#: 20639439 TOTAL 5,533.40 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD,MN 56303- <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Codc. 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 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 /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ��� <br /> ����...�LQ___----_ l /(. ��G r ` �� _C ! — j L` � � <br /> 7 z j�..:�� l. �`�-'Yl C� �`? l l <br /> Applicant Permitee Signature Date [ssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />