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' • •• CITY OF ORONO I 4 I� I 1 I 11 '�i 1� '1 11 * 20 1 3 - 00 1 00 * 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 665 ORCHARD PARK RD PIN : 31-118-23-11-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 450,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE, LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) ADV.PLAN REVIEW OF$2,051.89 PD CHECK#2718,BY SYSTEMS BUILT,INC. NOTE: A FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL: NOTE: CI ` • ROVAL OF AN AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF CUPANCY ISSUANCE. INITIAL: /�� *WETLAND t FFER MUST MEET CITY CODE STANDARDS PRIOR TO ISSUANCE OF A C.O.-ADDITIONAL PLANTINGS AND/OR INVASIVE SPECIES REMOVAL MAY BE REQUIRED(SEE CITY ENGINEER COMMENTS). 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 RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. APPLICANT PERMIT FEE SCHEDULE 3,156.75 SYSTEMS BUILT,INC. STATE SURCHARGE(VALUATION) 225.00 5159 MAIN STREET TOTAL 3,381.75 MAPLE PLAIN,MN 55359- (763)479-5555 Minnesota State License#: BC636167 OWNER REYNOLDS, WILLIAM&MOLLIE 3630 LIVINGSTON AVE WAYZATA,MN 55391- , 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 applicant is responsible for assuring all required inspections are re. ested in co ormance with the State Building Code.This permit may be risked at` e or due cause. ,A _ / Z / 26 / l3 / / •pp i an •ermite Signature Date Issued y Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.