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CITY OF ORONO PERMIT NO.: 2011-00580 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUEu: 07/1U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2850 SOMERSET LA <br /> PIN : 04-117-23-21-0013 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 18,000.00 <br /> NOTE: ADVANCED PLAN REVIEW PAID 7/5/11 ON PERMIT#2011-00579IN THE AMOUNT OF$201.34 <br /> ADDING A GABLE TO AN F'.XISTING ROOF AND A NEW FRONT DOOR NOT ALTERING THE EXISTING OPENING. <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> ROBEY CONSTRUCTION LLC <br /> 3806 WESTON AVE STATE SURCHARGE(VALUATION) 9.00 <br /> WOODBURY, MN 55125- TOTAL 318.75 <br /> (612)275-4441 <br /> Minnesota State License#: 20635859 <br /> OWNER <br /> TRANGSRUD&TERRY RASMUSSEN,JON <br /> 2850 SOMERSET LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for oniy the work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of wark <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 al equired inspections are <br /> requested in conforma � e te ilding Code.This permit may be � <br /> revoked at aq�[ime for due c e. ���� <br /> `'� 7/ � I / / ( �--� � � � <br /> / �..���,-1,y�.,t�� (( -( <br /> Applicant ermitee Signature Date Issued By Signature Date <br /> SEPARA E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />