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4 CITY OF ORONO * z a 1 3 - PJ PJ 4 3 1 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 3590 NORTHERN AVE PIN 17-117-23-43-0138 LEGAL DESC WILEYS PARK LAKE MTKA LOT 008 BLOCK 002 PERMIT TYPE NEW STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SINGLE FAMILY ACTIVITY 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 254,000.00 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE,WATER CONNECTION,SEWER CONNECTION, LAWN IRRIGATION, ELECTRICAL(STATE) n NOTE: AS FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL- NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. ITIALV, NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT THE TIME THE CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED UPON RECF#PT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. INITI NOTE: PRIOR TO THE START OF FRAMING AN AS-BUIIff 4QUNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY OR A STOP WORK ORDER WILL BE ISSUED. INITIAL: APPLICANT PERMIT FEE SCHEDULE 1,980.75 MAENNER,BRADLEY&AMANDA STATE SURCHARGE(VALUATION) 127.00 2130 TAMARACK TOTAL 2,107.75 LONG LAKE,MN 55356- OWNER MAENNER,BRADLEY&AMANDA 2130 TAMARACK LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The plicant is onsible for assuring all required inspections are requ ted in c ance with the State Building Code.This permit may be revo ed at i e r due cause. 'S (p ,�71 Appl ant Permitee Signature Date Issue By Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.