Laserfiche WebLink
CITY OF ORONO * z 0 1 6 — 0 PJ 1 6 4 * <br /> s 2750 KELLEY PARKWAY DATE ISSUED: 03/03/2016 <br /> � ORONO, MN 55356— <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 960 FERNDALE RD W <br /> PIN : 02-117-23-44-0017 <br /> LEGAL DESC : COUNTRY CLUB ESTATES <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 25,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:MECHANICAL,ELECTRICAL(STATE) <br /> FINISH DETACHED GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 433.67 <br /> PLAN REVIEW 281.89 <br /> BLACK BEAR BUILDERS STATE SURCHARGE(VALUATION) 12.50 <br /> 13333 179TH CIRCLE N W <br /> ELK RIVER, MN 55330- TOTAL 728.06 <br /> (952)249-0972 Payment(s) <br /> Minnesota State License#: BUIL-BC639692 CHECK 12278 728.06 <br /> OWNER <br /> BROOKS,JOHN&JOAN <br /> 960 FERNDALE RD W <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 /> Sta[e 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 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 assurin all required inspections are <br /> requeste in conformance with the t e Building Code.This permit may be <br /> revoke at any t for du ca e � <br /> `� 3�3 I/ `-f�� � � � 3 � l <br /> Applicant Permitee Signature Date Issued By nature Date <br /> \ <br /> � <br />