Laserfiche WebLink
� <br /> CITY OF ORONO * 2 0 1 2 - 0 1 z 1 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3675 JACOBS MILL RD <br /> P[N : 32-118-23-24-0012 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SHED> 120 SQ FT <br /> ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:ELECTR[CAL(STATG) <br /> WARMING HOUSE <br /> * ESCROW WILL f3E REFUNDED AFTER ALL DISTURBED AREAS ARE ESTABLISHED WITH VEGETA"I'ION AND FINAL INSPECTION <br /> HAS BEEN PERFOF�h9�.___r__�_(INITIAL) <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> AMENT,JEFFREY& KARI STATE SURCHARGE(VALUATION) 2.50 <br /> 3675 JACOBS MILL RD <br /> LONG LAKE, MN 55356 TOTAL 120.50 <br /> OWNER <br /> AMENT,JEFFREY & KAR[ <br /> 3675 JACOBS MILL RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall be performed according to <br /> the approved plans and speciYications,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 /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compicd 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 aCter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.�I�his permit may bc <br /> revoked at any time for due cause. <br /> _ _ ____�j � Z/ t Z/ �Z C{� ��- / �2 / JZ- <br /> Applicant Permitee Signature Date <br /> Iss e 3y S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />