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CITY OF ORONO �0 1 6 - 0 1 0 z 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2016 <br /> w " ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2480 CASCO POINT RD <br /> PIN : 20-117-23-21-0037 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RES[DENTIAL <br /> VALUATION : $ 1,000,000.00 <br /> NOTE: SEPARATE PERMITS REQURIED: PLUMBING,MECHANICAL,FIREPLACE,WA"CER CONNECT[ON,SEWER CONECTION, <br /> WELL(STATE,ELECTRICAL(STATE) <br /> ADD[TION <br /> APPLICANT PERMIT FEE SCHEDULE 6,254.92 <br /> STATE SURCHARGE(VALUATION) 500.00 <br /> JN BUILT, LLC TOTAL 6,754.92 <br /> 801 TWELVE OAKS CENTER Payment(s) <br /> WAYZATA, MN 55391- CHECK 1456 6,754.92 <br /> (612)280-8205 <br /> Minnesota State License#: BUIL-BC638412 <br /> OWNER <br /> RUDOLPH, STEPHEN& SUSAN <br /> 2480 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and thc <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 Iaws and ordinances governing this type of work <br /> shal►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 assuring all required inspections are ' <br /> requested in c ormance with e State Building Code.This permit may be <br /> revoked at y t e for due u e. �� <br /> � � <br /> /�1 <br /> ;'� �° �2 g-��- 2��'� '�� y'.ti: ����.� �� , ,z ,r� <br /> Applicant Permitee Signature Date Issued By Si nature Date <br />