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CITY OF ORONO * 2 0 1 3 — P1 0 P1 2 9 * <br /> . , <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1545 MAPLE PL <br /> PIN : 08-117-23-33-0029 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 007 BLOCK 006 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 192,781.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION, SGWER CONNECTION, <br /> LAWN IRRIGATION,WELL(STATE),AND ELECTRIC AND(STATE) <br /> DEDUCTED$1�.60 OFF THE BUILDING PERMIT FEE,DUE TO OVERPAYMENT WHEN COLLGCTING THE ADVANCED PLAN REVIEW <br /> FEE. <br /> OTHER INSPECTION-HARDCOVER <br /> APPLICANT PERMIT FEE SCHEDULE 1,599.15 <br /> DEAN JOHNSON HOMES, INC. STATE SURCHARGE(VALUATION) 96.39 <br /> 4700 CTY ROAD 19 TOTAL 1,695.54 <br /> MEDINA, MN 55357- <br /> (763)479-4820 <br /> Minnesota State License#: 20639439 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD, MN 56303- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> I�he work for which this permit is issued shall be performed according ro <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and docs <br /> not grant pennission 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer 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 /> �`.:�,:.._,,����� � �---=>�-.-� ._.� � �% ,�.>:3 � � <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />