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CITY OF ORONO * 2 PJ 1 6 - 0 0 9 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2016 <br /> , ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4760 BAYSIDE RD <br /> PIN : 31-118-23-33-0012 <br /> LEGAL DESC : BAYSIDE HILLS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 10,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,EI,ECTRICAL(STATE) <br /> INTERIOR REMODEL[NG DUE TO WATER DAMAGE. <br /> APPLICANT PERMIT FEE SCHEDULE 201.32 <br /> PLAN REVIEW 130.86 <br /> NEXTERA CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 1211 WINDRUSH RD <br /> BUFFALO, MN 55313- TOTAL 337.18 <br /> (763)286-1380 Payment(s) <br /> Minnesota State License#: BUIL-BC 668680 CHECK 6810 337.18 <br /> OWNER <br /> BAUMGARTNER, DAVID&JESSICA <br /> 4760 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <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 the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. AI�provisions of laws and ordinances governing this rype 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 afrer work has commenced. <br /> The applicant is responsible assuring all equired inspections are <br /> requested in conformance rt the Stat ding Code.This permit may be <br /> revoked at any time for d �use. <br /> / t � <br /> / <br /> _ �S � 7� �' � � ,c�� ���5ti � l �� l � <br /> Appl nt Permitee Signature te , Issued By Signature Date <br />