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CITY OF ORONO PERMIT NO.: 2011-00638 <br /> �* 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE�SSUED: 06/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 7/13/201 1 <br /> ADDRESS : 141 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0026 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 021 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 78,650.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 78,650.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: HEARTH&DINING ADDITION ONLY <br /> P�RMIT#THIS PRE-PAYMENT IS TIED TO: #2011-00476 ���� <br /> THIS WAS THE DIFFERENCE FOR THIS PORTION OP THE JOB OF WHAT WAS ORGINIALLY PAID ON PERMIT#201 1-00475 AS A <br /> YLAN REVIEW. AT"I'HAT TIME IT WAS TURNED IN AS ONE JOB. SINCE THEN THE JOB HAS BEEN SPLIT INTO TWO SECTIONS. <br /> I IF;ARTH&ADDITION PERMIT&GARAGE ONLY PERMI"I'. <br /> APPLICANT ADVANCED PLAN REVIEW 584.51 <br /> BAUER BUILDING CO. TOTAL 584.51 <br /> 4628 S LAKE SARAH DR. <br /> MAPLE PLAIN, MN 55359 PAID WITH CC# 0831 <br /> (612)382-2880 <br /> Minnesota State License#: BG 203262 <br /> OWNER <br /> REMARK, ROGER&MEGAN <br /> l41 CHEVY CHASE DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I he work for which this permit is issued shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permfssion for 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 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 are <br /> requested in conformance with the State Building Code.This permit 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 />