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CITY OF ORONO * 2 0 1 5 — 0 fd 8 1 9 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2015 <br /> ORONO,NIN 55356- � � <br /> 952 249-4600 FAX: 952 249-4616 � <br /> ADDRESS : 1271 ARBOR ST �' <br /> PIN : 10-117-23-31-0033 <br /> LEGAL DESC : CRYSTAL BAY MINNETONKA <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,098.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> (INTERIOR DRAIN TII,E,MOISTURE BARRIER,&SUMP PUMP&INSTALL) � <br /> NOTE: CALL FOR TRENCH INSPECTION BEFORE COVERING.INITIAL: ����'� � <br /> APPLICANT PERMIT FEE SCHEDULE 139.40 <br /> PLAN REVIEW 90.61 <br /> COMPLETE BASEMENT SYSTEMS STATE SURCHARGE(VALUATION) 2.55 <br /> 54004 LOREN DRIVE <br /> MANKATO,MN 56001- MAIL-IN FEE 2.00 <br /> (50�387-0500 TOTAL 234.56 <br /> Minnesota State License#:BUIL-143377 Payment(s) <br /> CREDIT CARD 5821 234.56 <br /> OWNER <br /> RICHARDSON,STEVEN&SARAH <br /> 1271 ARBOR ST <br /> WAYZATA,MN 55391- <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. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 /> 1'he 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. �l.,j <br /> � ? � q� �� , <br /> L���� C� � � �i � i �- <br /> � <br /> Applicant Permitee Signature � � Date Issued By Signatur Date <br />