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CITY OF ORONO PERMIT NO.: 2011-00505 <br /> • 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/14/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0011 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ASSISTED LIVING <br /> ACTIVITY : 323-HOPSITAL&INSTITUTIONAL <br /> VALUATION : $ 4,190,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE,FIRE/SPRINKLER,WATER CONNECTION,SEWER <br /> CONNECTION,LAWN IRRIGATION,ELECTRICAL(STATE) <br /> ADV PLAN REVIEW PAID-PERMIT#2011-00495 $14,765.89 <br /> FOOTING&FOUNDATION PERMIT WAS ISSUED BASED ON$1,000,000 VALUE WHICH WAS DEDUCTED FROM THE ORIGINAL <br /> VALUE. <br /> CONSISTENT WITH PUD#7 DEVELOPMENT AGREEMENT 6/27/2011. <br /> APPLICANT PERMIT FEE SCHEDULE 18,716.75 <br /> KRAUS ANDERSON CONSTRUCTION CO STATE SURCHARGE(VALUATION) 1,419.00 <br /> 525 S.EIGHTH STREET <br /> MINNEAPOLIS,MN 55404- PLAN REVIEW 1,271.89 <br /> (612)332-7281 TOTAL 21,407.64 <br /> OWNER <br /> KA Reality <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 24 ;1e7e/ 7/ /4 / <br /> Applicant Permitee Si aturc Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />