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CITY OF ORONO PERMIT NO.: 2010-00101 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 02/24/2010 <br /> • 9 ) 249-4600 FAX: (952) 249-4616 <br /> Aa�Ess 40 WEARLA N <br /> PIN : 33-118-23-34-0010 <br /> LEGAL DESC : ROLLING MEADOWS 2ND ADDN <br /> City of Orono <br /> : LOT 001 BLOCK 003 2750 Kelley Parkway <br /> PERMIT TYPE : ADVANCED PLAN REVIEW Orono MN 55356 952-249-4600 <br /> PROPERTY TYPE : RESIDENTIAL Receipt No: 3.002173 Feb 24, 2010 <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> Masterpiece Homes <br /> VALUATION : $ 20,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: Permits <br /> 2010-00101 - 40 Wear Lan 220.51 <br /> VALUATION OF PERMIT:$ 20,000 e <br /> 101-34410 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT Plan Check/Site Exam yes <br /> Total: 220.51 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00100 <br /> Check <br /> Check No: 037622 220.51 <br /> Payor: <br /> Masterpiece Homes <br /> Total Applied: 220.51 <br /> Change Tendered: .00 <br /> 02/24/10 02:53PM <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 220.51 <br /> MASTERPIECE HOMES TOTAL 220.51 <br /> 127 EAST COUNTY RD C <br /> LITTLE CANADA, MN 55117- <br /> (651)484-3244 <br /> Minnesota State License#: 1435 <br /> OWNER <br /> HOFFMAN,HUGH J { <br /> 40 WEAR LA N <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 /> / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />