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• . CITY OF ORONO * 2 0 1 6 - 0 1 3 2 3 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 1U04/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1729 FAGERNESS POINT RD <br /> p�� : 17-117-23-22-0035 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTN[TY : 434-RESIDENTIAL <br /> VALUATION : $ 520,469.00 <br /> NO'CE: SI,PARATE PERMITS R�QUIRED: PLUMBING,MEC([ANICAL,FIREPLACE,WATER,SEWER,EI,ECTRICAL(S"CATF) <br /> APPLICANT PERMIT FEE SCHEDULE 3,740.17 <br /> PLAN REVIEW 518.02 <br /> DENALI CUSTOM HOMES, INC. STATE SURCHARGE(VALUATION) 260.23 <br /> 18352 MINNETONKA BLVD <br /> SUITE B TOTAL 4,518A2 <br /> DEEPHAVEN,MN 55391- 1'ayment(s) <br /> (952)476-2679 CHECK ]2509 4,518.42 <br /> Minnesota State License#: BUIL-20175394 <br /> OWNER <br /> BIEKER, DAVID <br /> 1729 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGRI;EMENT 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[3uilding Code. This perniit is for only the work described and does <br /> not grant permission for additional or related work�vhicli requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not speciGed herein.This pennit will <br /> expire and become mdl and�oid 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 responsibie tor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> �/� _�� -�� � ii � � � <br /> Applicant Permitee Signature Date Issucd B ignature Date <br />