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CITY OF ORONO * 2 0 1 7 - 0 0 2 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2465 NORTH SHORE DR <br /> PIN : 09-117-23-44-0012 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,500,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,LAWN IRRIGATION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 8,354.92 <br /> CROWN CONSTRUCTION STATE SURCHARGE(VALUATION) 700.00 <br /> 5249 GOLDEN VALLEY RD TOTAL 9,054.92 <br /> GOLDEN VALLEY,MN 55427- Payment(s) <br /> (612)845-4886 CHECK 14560 9,054.92 <br /> Minnesota State License#:BUIL-BC450383 � <br /> OWNER <br /> LINDAHL,B JOHN <br /> 2485 NORTH SHORE DWVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 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 /> requested in conformance with_tll�State Building Code.This permit may be <br /> revoked at any ti �due oause� � � _ <br /> � ��---�� � � l 7'C / / � <br /> Applicant Permitee Signature Date Issued y i ature Date <br />