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CITY OF ORONO * Z 0 1 5 - 0 1 4 1 0 * <br /> , ' 2750 KELLEY PARKWAY DATE ISSUED: 12/23/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2941 CASCO POINT RD <br /> PIN : 20-117-23-31-0047 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 092 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUAT[ON : $ 215,000.00 <br /> NOTE: 2ND FLOOR ADDITION&[NTERIOR REMODEL <br /> SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> SEE BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 1,834.42 <br /> STATE SURCHARGE(VALUATION) 107.50 <br /> R D BULTMAN CONSTRUCTION CO TOTAL 1,941.92 <br /> 10205 HEATHER LANE Payment(s) <br /> CORCORAN, MN 55374- CHECK 1013 1,941.92 <br /> (763)475-3223 <br /> Minnesota State License#: BUIL-4012 <br /> OWNER <br /> ABBOTT&MICHELE WILLIAMS-ABBOTT,JOHN <br /> 2941 CASCO POINT 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 specifications,applicable City approvals,and the <br /> State Building Code. This permit is for onty 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.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 aze <br /> requested in conformance with th State Build'ng Code.This permit may be j� <br /> revoked time f r due ca e. _ � <br /> _ i z/Z3/15 �c '-� I ��.,�-�� /� ��3 . <br /> p ' erm' e S gnatur Date Issued By Sig ture Date <br />