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CITY OF ORONO I* 20 I ! i 'e 11 0' 3 i i I*' <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2018 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 710 BIG ISLAND <br /> PIN : 22-117-23-24-0009 <br /> LEGAL DESC : RECREATION POINT LAKE MTKA <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 : $ 34,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> NOTE: PRIOR TO RELASE OF ESCROW MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 535.28 <br /> GATES GENERAL CONTRACTORS STATE SURCHARGE(VALUATION) 17.00 <br /> 3500 VICKSBURG LANE N TOTAL 552.28 <br /> SUITE 400-351 Payment(s) <br /> PLYMOUTH,MN 55447- CHECK 2907 552.28 <br /> (612)723-6345 <br /> Minnesota State License#: BUIL-BC006793 <br /> OWNER <br /> NEUGENT,CHRISTOPHER&LESLIE <br /> 2110 PORTICO GREEN <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 /> 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 o 's• . ce,or if construction is <br /> suspended for a period of 180 days at an time after ,rk has commenced. <br /> The applicant is responsible for assurin_all require , pections are <br /> requested in conformance with the S : e Buil•''g• e.This permit may be <br /> revoked at any time for•. ca •e. <br /> • / 9 //T <br /> Applicant Permitee Signature Date Issu=: Signature Date <br /> i,. <br />