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i <br /> ` ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 1 2 1 * <br /> ' ; DATE ISSUED: 04/08/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS I : �683 NORTH SHORE DR <br /> PIN . 8-117-23-34-0053 <br /> LEGAL DESC . RYSTAL BEACH <br /> . OT 005 BLOCK 000 <br /> PERMIT TYPE II . DITION/REMODEL/REPAIR <br /> PROPERTY TYPE ' : RESIDENTIAL <br /> CONSTRUCTION T PE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION I : � 210,000.00 <br /> NOTE: SEPARATE PER�MITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> I <br /> PLEASE INITIAL BUIL ER ACKNQWLEDGEMENT FORM(ATTACHED) <br /> 2ND STORY ADDITION BONUS�OOM ABOVE GARAGE <br /> PLICAI�IT PERMIT FEE SCHEDULE 1,802.92 <br /> HOMES BY LEGACY STATE SURCHARGE(VALUATION) 105.00 <br /> 34 WATER STREET TOTAL 1,907.92 <br /> SUITE A Payment(s) <br /> EXCELSIOR,MN 553 1- ', CHECK 5515 1,907.92 <br /> (612)270-6214 <br /> Minnesota State Licens #:BUIL-�C667652 <br /> OWNER <br /> RESSLER,JON <br /> 3683 NORTH SHORE R <br /> WAYZATA,MN 55391 <br /> AGREEMENT D SWO STATEMENT <br /> The work for which this pe t is issued sh I be performed according to <br /> the approved plans and speci ations,appli able City approvals,and the <br /> State Building Code. This pe it is for onl the work described and dces <br /> not grant permission for addit nal or relat work which requires separate <br /> permits. All provisions of la ' and ordinan es goveming this type of work <br /> shall be compied with whethe or not speci ed herein.This permit will <br /> expire and become null and v id if construc ion authorized is not <br /> commenced within 180 days the date of' suance,or if construction is <br /> suspended for a period of 18 ays at any ti e after work has commenced. <br /> 1'he applicant is responsible f r assuring all equired inspections are <br /> requested in conforman State Bu lding Code.1'his permit may be <br /> revoked at ' e � <br /> � �� <br /> � � � ��� �� y, � , �� <br /> Appli t Pe ' Signa e -� e Issued By Signature Date <br /> �I <br />