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CITY OF ORONO * Z 0 1 4 - 0 1 4 6 7 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OU05/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1350 REST POINT LA <br /> PIN : 07-117-23-32-0039 <br /> LEGAL DESC : SUBD REST POINT PARK LAKE MTKA <br /> : LOT 021 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIV[TY : 434-RESIDENTIAL <br /> VALUATION : $ 8,755.00 <br /> NOTE: CRAWL SPACE ENCAPSULATION <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> PLAN REVIEW 115.05 <br /> COMPLETE BASEMENT SYSTEMS STATE SURCHARGE(VALUATION) 4.38 <br /> 54004 LOREN DRIVE <br /> MANKATO, MN 56001- MAIL-[N FEE 2.00 <br /> (507)387-0500 TOTAL 298.43 <br /> Minnesota State License#: BUIL-143377 Payment(s) <br /> CHECK 021555 298.43 <br /> OWNER <br /> HOXIE,MIKE <br /> 1350 REST POINT LA <br /> MOLTND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 goveming 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[ime for due cause. � <br /> � ° /�� � �- �. <br /> G'�2'1C��1 k_� ,/J <br /> Applicant Permitee Signature � Date Issued By Signat e Date <br />