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CITY OF ORONO PERMIT NO.: 2011-01572 <br /> r � 2750 KELLEY PARKWAY <br /> " ORONO, MN 55356- DATE ISSUED: 12/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3095 CASCO POINT RD <br /> PIN : 20-117-23-34-0005 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1311 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 15,700.00 <br /> NOTG: (1)BRYANT{IEATING SYSTEM-MODEL 355CAJ-NA"I'URAL GAS-3"FLUE- 120,000 INPUT, 11,000 OUTPUT,2000 CFM <br /> (1)TRIANGItE HTG SYSTEM-MODEL HD 1 I 0-NATURAL GAS-3"FLUE- 110,000 INPUT,95,000 OUTPUT <br /> (1)BKYATN COOLING SYSTEM-MODEL 126BNA60-5 TONS <br /> (l)KITCHEN EXHAUST-600 CFM <br /> (5)BATH EXHAUST-80 CFM <br /> GASLINE FOR(2)FIREPLACES,(1)BOILER,(1)DRYER AND(1)COOKTOP <br /> APPLICANT MECHANICAL 196.25 <br /> HEATING&COOLING TWO INC. STATE SURCHARGE MECH (VALUATION) 7.85 <br /> 18550 COUNTY ROAD 81 TOTAL 204.10 <br /> MAPLE GROVE, MN 55369- <br /> (763)428-3677 <br /> OWNER <br /> WHIPPLE,PHILLIP <br /> 3095 CASCO PT RD <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 specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. AII provisions of laws and ordinances governing this type of work <br /> shall be compied wilh 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 consVuction is <br /> suspended for a period of 180 days a[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[ime for due cause. <br /> �Z�f /�_ _ <br /> c l z, e��, /� ',.,�� c c `�r ��, �" � �'� �� �� <br /> Applicant mitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />