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CITY OF ORONO PERMIT NO.: 2011-01271 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 10/19/2011 <br /> .�_ <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> , . <br /> REPRINTED ON 1/20/2012 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,050,000.00 <br /> NOTE: PLGASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,050,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT NEW HOME 1n��� S � <br /> _ , , ` ) V - <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-01272 V V�'������ <br /> � <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 4,001.89 <br /> LECY BROS CONSTRUCTION <br /> 15012 HWY 7 TOTAL 4,001.89 <br /> MINNETONKA, MN 55345 <br /> (952)746-3783 <br /> Minnesota State License#:20325555 <br /> OWNER <br /> KIMMES,TODD <br /> 2660 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I'he��ork for which this permi[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 f'or 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 whe[her or no[specified herein.This permit will <br /> expire and become null and void if construc[ion 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 permi[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 />