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CITY OF ORONO II1:11111 II II 01111111 I II <br /> 2750 KELLEY PARKWAY * e0 1 7 - 0 1 2 2 5 <br /> DATE ISSUED: 10/23/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0010 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 30,000.00 <br /> NOTE: OUTDOOR FIREPLACE <br /> TE: A FINAL INSPECITON IS REQUIRED AND ALL DISTURBED AREAS MUST BE RE-ESTABLISHED WITH VEGETATION.INITIAL: <br /> NOTE: WORK IN COMMON/HOA AREA REQUIRED SEPARATE PERMIT. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> SOUTHVIEW DESIGN STATE SURCHARGE(VALUATION) 15.00 <br /> 2383 PILOT KNOB RD TOTAL 505.12 <br /> MENDOTA HEIGHTS,MN 55120- RED <br /> Gnt(s) <br /> (651)203-3000 CREDIT CARD 6657 505.12 <br /> OWNER <br /> LITSEY,CAL&CHRISTINE <br /> 490 OLD LONG LAKE 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 /> i <br /> �,. 0),,/ _ /a . 23- /-7 el 1t, I 3, /7 <br /> A.aant Permitee Signature Date Issued By Si4)() <br /> re Date <br />