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CITY OF ORONO PERMIT NO.: 2010-00195 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/20/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 625 FERNDALE RD N <br /> PIN : 36-118-23-11-0021 <br /> LEGAL DESC : UNPLATTED 36 118 23 <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 : $ 50,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> ADV.PLAN REVIEW$443.14 PD 4/6/10 PERMIT NO.2010-00194 <br /> INTERIOR REMODEL,ROOF AND WINDOW REPLACEMENTS <br /> APPLICANT PERMIT FEE SCHEDULE 681.75 <br /> LECY BROS CONSTRUCTION STATE SURCHARGE(VALUATION) 25.00 <br /> 15012 HWY 7 <br /> MINNETONKA,MN 55345 TOTAL 706.75 <br /> (952)746-3783 <br /> Minnesota State License#: 20325555 <br /> OWNER <br /> GLAD,CARSON&KAROLIEN <br /> 625 FERNDALE RD N <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 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 /> requ- -d in conformance with the Stat- :uilding Code.This permit may be <br /> r- oked:t any time for due;yam e. // <br /> 4 <br /> %cs��„ � yi ao /lo /L�/ C� L �1�� / /O <br /> pplicant Frermitee ignature Date Iss?.t=i By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />