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' . CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 2 1 3 * <br /> DATE ISSUED: 06/24/2016 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3188 NORTH SHORE DR <br /> PIN : 09-117-23-32-0011 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 500,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLiTMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,WELL(STATE), <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> SAC GRANDFATHERED IN PER ROGER,H/U PROJECT#1785 04/10/1968 AND HOME PRIOR 1952. <br /> APPLICANT PERMIT FEE SCHEDULE 3,449.06 <br /> STATE SURCHARGE(VALUATION) 250.00 <br /> KEVIN TRAMM CONSTRUCTION <br /> 4771 126TH ST CT N TOTAL 3,699.06 <br /> WHITE BEAR LAKE,MN 55110- Payment(s) <br /> (612)226-8501 CHECK 4483 3,699.06 <br /> Minnesota State License#:BUIL-BC004343 <br /> OWNER <br /> RUCINSKI,MICHEAL&HOLLY <br /> 3188 NORTH SHORE DR <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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <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 an time after work has commenced. <br /> The applicant is responsible for assurin Il required inspections are <br /> requested in conform with the S uilding Code.This permit may be w � <br /> revoked at any ' e e cause. <br /> �yl � p��� � , , � <br /> A icant Pe Si ature ate Issued By Signature Date <br />