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CITY OF ORONO PERMIT NO.: 2011-00331 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/11/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2985 WATERTOWN RD <br /> PIN 04-117-23-21-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.230 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL Cit of Orono <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW 'y Kelley Parkway <br /> Orono NN 55356 92-249-4600 <br /> VALUATION S 110,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: Receipt No: 3,00452^9 may 11, 2011 <br /> Lori uherardi <br /> VALUATION OF PERMIT:S 110,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT FOR REMODEL I Pereits 5 <br /> 2%5Nater•town Pd - Plan 72"89 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00328 1011-,,40 -34 <br /> Y410 <br /> Plan Check/Site Exam Fees <br /> Total: - r 72;.89 <br /> Check <br /> Check No: 5151 7e. <br /> Payor <br /> Lori 6herardi <br /> j Total Applied: 7e5 <br /> i Change Tendered: .tw <br /> 05f i 11 ON46PMi <br /> i: <br /> APPLICANT ADVANCED PLAN REVIEW 725.89 <br /> BRENNAN PROPERTIES LLC TOTAL 725.89 <br /> 8452 153RD PLACE <br /> SAVAGE,MN 55378- <br /> (612)616-4447 <br /> Minnesota State License#:20381410 <br /> OWNER <br /> GHERARDI,LORI <br /> 1010 WILLOW VIEW LANE <br /> LONG LAKE, MN 55356- <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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />