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CITY OF ORONO PERMIT NO.: 20��-0�2�� <br /> '� 2750 KELLEY PARKWAY <br /> c ORONO, MN 55356- DATE ISSUED: 10/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 1/20/2012 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATIOIY : $ 1,050,000.00 <br /> NOTE: PLEASG FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,050,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:20]1-01272 <br /> VALUATION OF NEW PERMIT:$975,�00-CHANGES MADE TO ORIGINAL PERMIT. <br /> "1'YPE OF PERMIT THIS PAYMENT[S FOR: BUILDING PERMIT FOR NEW HOME <br /> "I�H[S PRE-PAYMENT IS TIED TO NEW PGRMIT#2012-00010 <br /> ADV PLAN REVIF,W PAID ON 10/19/I I ON VALUE OF$1,050,000-PERMIT-2011-01271 WAS$4,001.89. <br /> TI IE ADVANCED PLAN REVIEW FOR NEW PERMIT VALUATION OF$3,793.89 WAS APPLIED TO THIS PERMIT AND THE <br /> UIFFERGNCE OF$208.00 WILL BE DEDUCTED FROM NEW BUILDING PERMIT 2012-00010 <br /> APPLICANT ADVANCED PLAN REVIEW 4,001.89 <br /> LECY BROS CONSTRUCTION <br /> 1�012 HWY 7 TOTAL 4,001.89 <br /> MINNETONKA, MN 55345 <br /> (952)746-3783 <br /> Minnesota State License#: 20325555 <br /> OWNER <br /> KIMMES,TODD <br /> 2660 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> l hc work for which this permit is issued shall be performed according to <br /> the�pproved plans and specitications,applicable City approvals,and the <br /> State Buildin�Code. This permit is f'or 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 goveming 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 tor assuring all required inspections are <br /> reques[ed in conformance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />