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� CITY OF ORONO * 2 0 1 3 - 0 1 2� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1937 FAGERNESS POINT RD <br /> PIN : 17-117-23-23-0012 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/ REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 3,750.00 <br /> N07'F,: SEPARATE PERMITS REQU[RED: FIREPLACE,ELECTRICAL(STA"I'F,) <br /> EXTERIOR CONSTRUCTION OF"DOGHOUSr°TO ACCOMMODATE FIREPLACE [N NEW LOCAT[ON,INTERIOR F[RENLACE <br /> FRAMING <br /> APYLICANT PERMIT FEE SCHEDULE 103.25 <br /> PLAN REV[EW 67.1 1 <br /> CARTER CUSTOM CONSTRUCTION & FP STATE SURCHARGE (VALUATION) 1.88 <br /> 6128 GOODVIEW TR CR N <br /> HUGO, MN 55038- MAIL-IN FEE 2.00 <br /> (651)653-0190 TOTAL 174.24 <br /> Minnesota State License�#: BUIL-BC632066 Payment(s) <br /> CREDIT CARD 4952 174.24 <br /> OWNER <br /> BOLDENOW, ELLIE <br /> 1937 FAGERNESS 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 specifications,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 nll provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> req�iested in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> livt_�t-c�.C� / /�,L3 i Z l / $//3 <br /> Applicant Permitee Signatur� Date Issue� By Signature Date <br />