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CITY OF ORONO PERMIT NO.: 2010-00049 <br /> � -� 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUEv: 02/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2835 CASCO POINT RD <br /> PIN : 20-117-23-31-0057 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 114 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 150,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBINC,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR RENOVATION.KITCHEN/BATH/NEW WINDOWS <br /> NOTE: OWNER TO SIGN CONTRACTOR LICENSING ACKNOWLEDGEMENT FORM. <br /> ON 2/8/2010 A CONTRACTOR CAME IN TO HAVF.;THE P�RMIT CHANG�D INTO HIS NAME,OWNER DECIDED SHE WAS 1N OVER <br /> HER HEAD. LYLE VERBALLY OK'D, SAID TO DO NOTHING MORE THAN TO CHANGE NAME OF WHO IS DOING THE WORK,AS <br /> LONG AS THEY ARE A LICNED CONTRACTOR IT'S OK. <br /> APPLICANT PERMIT FEE SCHEDULE 1,356.75 <br /> SUSTAINABLE BUILDERS,INC. � �z`�' pLAN REVIEW 881.89 <br /> 6235 NATHAN LANE y����'" ;''` <br /> MAPLE GROVE, MN 55311- � T" �C'-���`� STATE SURCHARGE(VALUATION) 75.00 <br /> (612)414-7511 , TOTAL 2,313.64 <br /> Minnesota State License#: 20626729 PAID WITH CC# XXXX <br /> OWNER <br /> IVERSEN, ROSEMARY C <br /> 2835 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT � <br /> The work for which this pennit is issued shall be performed according to ��-��� <br /> the approved plans and spccifications,applicable City approvals,and the �, ' <br /> State Building Code. This permit is for only the work described and does t����� <br /> not grant permission for additional or rclated work which requires scparate ''t <br /> permits. All provisions of laws and ordinances governing this type of work �ii ���� <br /> shall be compied with whether or not specitied herein.This permit will �' <br /> /' <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 atter work has commenced. <br /> 'Che 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 /> � � <br /> Applicant Permitee Signature�' � Date � ���-����� �' � � ������ � � <br /> � Issued By Sig ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />