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' CITY OF ORONO PERMIT NO.: 2010-00812 <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL- IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 15,000.00 <br /> NOTE: IN GROUND YOOL <br /> COLLECTED PLAN REVIEW FGE 9/8/10 YERMIT 2010-00811 $172.58 <br /> ESCROW FOR HOME CONSTRUCTION WILL BE APPLIED TO THIS PERMIT AS WGLL. --� <br /> HARDCOVER MUST CONFORM TO CODE. AS BUILT SURVEY FOR fiARDCOVER REQUIRED. �INITIAL <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> CUSTOM POOLS STATE SURCHARGE(VALUATION) 7.50 <br /> 8960 EXCELSIOR BLVD <br /> HOPKINS, MN 55343 TOTAL 273.00 <br /> (612)933-2255 <br /> Minnesota State License#: 5023 <br /> OWNER <br /> GR[FFIN, ROBERT <br /> 125 CHEVY CHASE DR <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 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 /> commenccd 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 /> ested in conformance with the State I3uilding Code.This permit may be <br /> revoke t any time fer�u�tause. � <br /> , � y_ <br /> �� ' <br /> ,-----��� ,� s � � --� �� �� ��� � ���-�..-�_� �.�c��� :��', �-�-c� -r� <br /> A�pplicant Permitee�,ig'hatu ^' Date <br /> Issued 13y Signaturc Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />