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� , , <br /> ' CITY OF ORONO , PERMIT NO.: 2009-00177 <br /> ' 2750 KELLEY PARKWAY � <br /> ORONO, MN 55356- DATE �ssuEn: OS/2U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3186 NORTH SHORE DR <br /> PIN : 09-117-23-32-0010 <br /> LEC:AL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATIO[Y : $ 400,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGAT[ON, <br /> ELECTRICAL(STATE) <br /> SEPARATE PERMIT REQUIRED FOR ANY WORK ON ACCESSORY STRUCTURE <br /> SEPARATE PERMIT REQUIRED FOR LAKESIDE DECK-DECK MUST COMPLY WITH AVERAGE LAKESHORE SETBACK <br /> PLAN REVIEW PERMIT#2009-00176 PAID 04/24/09 <br /> SAC PAID#3785-9/13/1973-RECLAIM FROM DEMO CREDIT <br /> -srn� �NN -�;3=;i� <br /> :����31:� lY��. :)r��.��ij�'.i p:'•S'� f 1 i� ...ite� <br /> APPLICANT � ��`J1+� � 2,856.75 <br /> NEDDERMEYER GLEN '�� <br /> > F:-'3��IU ' 200.00 <br /> 709 MINNETONKA HIGHLAND LA �.;lai►�q r�et�e <br /> LONG LAKE, MN 55356- '���ri±s 2,500.00 <br /> ;::�-•p:.177 ,�.�.� 5,556.75 <br /> �t, <br /> ,..s:0�1{k? <br /> 'E� tr yc,vts-�t�,�+ <br /> OWNER ,ti 31; <br /> NEDDERMEYER,GLEN �=-------- <br /> .s� <br /> 709 MINNETONKA HIGHLAND LA .,.-N �;�, ���5 <br /> LONG LAKE,MN 55356- . <br /> �,�#�der�wv�: <br /> =��.�:1.iee: � <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. 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 assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � �"" L�� ��� <br /> � � l�-�-E= ��l �� l � �' ,;�-�t�-��� Uy�'I �t� <br /> � � <br /> Applicant Permit ' ature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />