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r. CITY OF ORONO 11111111111111 11111111111111111111 <br /> 2750 KELLEY PARKWAY * 2 0 14 - 00959 <br /> DATE ISSUED: 10/21/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 2535 OLD BEACH RD <br /> PIN : 21-117-23-22-0019 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 35,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY SHOWING APPROVED DELINEATED WETLAND EDGE AND <br /> HARDCOVER CALCULATIONS MUST BE SUBMITTED AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 520.50 <br /> SAWHORSE INC. STATE SURCHARGE(VALUATION) 17.50 <br /> 4740 42ND AVE N. Payment(s) TOTAL 538.00 <br /> ROBBINSDALE,MN 55422 CHECK 110389 538.00 <br /> (763)533-0352 <br /> Minnesota State License#:BUIL-2382 <br /> OWNER <br /> CODUTE,TOM&ALICIA <br /> 2535 OLD BEACH RD <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 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 180 days at any time after work has commenced. <br /> The applicant is responsible for 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 /> c I <br /> cJ ` 2! 4- 4� <br /> Applicant Permit a Signature D to Issucd By Signature Date <br /> J <br />