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CITY OF ORONO PERMIT NO.: 2011-00777 <br /> 2750 KELLEY PARKWAY <br /> , <br /> 't ' ORONO, MN 55356- DATE ISSUED: 08/18/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1205 DICKENSON ST <br /> PIN : 02-117-23-31-0040 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 105,000.00 <br /> NOTE: SFNERATE PERM[TS REQUIRED: PLUMBING,MECHANICAL, ELECTR[CAL(STATE) <br /> AS BUILT SURVEY REQUIRED PR[OR TO RELEASE OF ESCROW._��(INITAI,) <br /> ,� <br /> ADV.PLAN REVIEW PD 201 1-00776$706.39 8/2/1 1 <br /> APPLICANT PERMIT FEE SCHEDULE 1,086.75 <br /> VAN HEEL CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 52.50 <br /> 237�ORKLA DR. <br /> GOLDEN VALLEY, MN 55427 TOTAL 1,139.25 <br /> �) <br /> Minnesota State License#: 1592 <br /> OWNER <br /> WOTIPKA, LINDA A&LEE A <br /> 9908 NW 20TH ST <br /> PEMBROKE PINES, FL 33024- <br /> AGREEMENT AND SWORIv STATEMEIYT <br /> 'I'he work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 1'his pennit 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 l80 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all reyuired inspections are <br /> requested in conformance with the State Building Code.This permit may be , ,, <br /> revoked a any time for d�e ause. dGL-�� <br /> • ,, . -� <br /> � ' � -� � � �� i � ��_ �(_ � C'�i�C� �,�, -�� _/� <br /> Appli�ant P rmitee Sig ure Date Issucd By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />