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HomeMy WebLinkAbout2011-00475-void CITY OF ORONO PERMIT NO.: 201 0475 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 141 CHEVY CHASE DR PIN : 36-118-23-41-0026 LEGAL DESC : HILL O'WAY MANOR : LOT 021 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW �� VALUATION : $ 172,980.00 �� NOTE: PLEASE FILL IN THE FOLLOWING: � VALUATION OF PERMIT: $ 172,980.00 � �� TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION � � � � PERMIT#THIS PRE-PAYMENT IS TIED'I'O:201-00476 ` `�� � �1 ��� � ,� �� �� �� � ,,� `o� .�;� o ��\ �' ��� �� �� .�,, APPLICANT ADVANCED PLAN REVIEW 971.59 BAUER BUILDING CO. TOTAL 971.59 4628 S LAKE SARAH DR. MAPLE PLAIN, MN 55359 PAID WITH CC# 0831 (612)382-2880 Minnesota State License#: BG 203262 OWNER REMARK, ROGER& MEGAN 141 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd with whether or no[specified herein.7'his permit will expire and become nul(and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is respons le for assuring all required inspec[ions are requested i nform ce ith the State Building Code.This permit may be revoked at an time r e cause. ��� � l'�/ � / App cant Permitee Signature Date Issu By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.