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.. CITY OF ORONO PERMIT NO.: 2010-00717 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 08/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 242,000.00 <br /> NO"I'E: PLEASE FILL IN"1'HE FOLLOWING: <br /> VALUATION OF PERMIT:$ 242,000.00 <br /> TYPE OF PERMI�I'THIS PAYMGNT IS FOR: BUILDING PERMIT <br /> PERM['I'#THIS PRGPAYMENT IS TIED TO:2010-00718 <br /> NO'I'L':PLAN REVIGW CHARGF,S}IOULD HAVF,BI:EN$1240.69 ADD T}[E DIFFERENCE OF$7.80 FOR PI.AN REVIEW WHEN <br /> BUILDING PERMI"I'IS ISSUED�1S'I'HE CHECK WAS ONLY FOR$1232.89. <br /> APPLICANT ADVANCED PLAN REV[EW 1,232.89 <br /> DENALI CUSTOM HOMES, INC. TOTAL 1,232.89 <br /> 18283 MINNETONKA BLVD. <br /> DEEPHAVEN, MN 55391- <br /> (952)476-2679 <br /> Minnesota State License#: 20175394 <br /> OWNER <br /> GR[FFIN, ROBERT <br /> l25 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this pernlit 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 the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compicd with whether or not specified herein.This permit will <br /> expirc and become null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at anq time aCter 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 Cor due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />