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CITY OF ORONO PERMIT NO.: 2010-00896 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 09/24/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1985 FAGERNESS POINT RD <br /> PIN : 18-117-23-14-0004 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 375,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 375,000.00 <br /> TYPE OF PERMIT THIS PAYMENT[S FOR: NEW HOMG <br /> PERM['I'#"fIiIS PRI;PAYMF,NT IS TIED T'O:2010-00897 <br /> APPLICANT ADVANCED PLAN REVIEW 1,759.39 <br /> MICHAEL GALLUS CONSTRUCTION [NC. TOTAL 1,759.39 <br /> 6306 EHLER AVE. <br /> DELANO, MN 55328 <br /> (612)709-9796 <br /> Minnesota State License#: 20061956 <br /> OWNER <br /> BRIGGS, MATTHEW& ALISSA <br /> 1985 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not granl permission 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 permi[will <br /> expire and become null and void if construction authoriced 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 aRer work has commenced. <br /> The applicant is responsiblc for assuri all required inspections are <br /> requesled in c nf'ormance w� h th St e Building Code.This permit may be <br /> revoked at time for d ca <br /> 7� lz� l Z�/c� <br /> / / <br /> Ap "icant Permitee Signature Date Issued By,' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED AB . <br />