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` CITY OF ORONO <br /> * 2016 — fd0727 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/1U2016 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 400,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL AND ELECTRICAL(STATE) <br /> ADDING ENTRANCE DOORS,WINDOWS TO BUILDING EXTERIOR. <br /> NOTE: SEWER ACCESS CHARGE DETERMINATION REQUIRED WITH FIRST BUILDOUT AND OCCUPANCY FROM MET COUNCIL. <br /> [NITIAL: ,� <br /> APPLICANT PERMIT FEE SCHEDULE 2,999.92 <br /> STATE SURCHARGE(VALUATION) 200.00 <br /> Ugorets 8098 LLC TOTAL 3,199.92 <br /> 410 11TH AVE S Payment(s) <br /> HOPKINS,MN 55343- CHECK 1469 3,199.92 <br /> (952)769-7249 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- <br /> AGREEMENT A1vD SWORN STATEME1vT <br /> The work for which[his 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 /> ,_ . � <br /> � A � .,. <br /> ` , r � � �� �jr� �-��' � !�L.` �';� �` _. 1i l l / l 1\,h <br /> App icant Permitee Signature Da e Issued By Signature Date <br />