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� « . CITY OF ORONO PERMIT NO.: 2oos-oo142 <br /> �t <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/09/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 520 NORTH ARM DR <br /> PIN : 06-117-23-31-0005 <br /> LEGAL DESC : VICTORIA ESTATES <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,055,366.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE, <br /> LAWN IRRIGATION,OTHER , WELL(STATE),ELECTRICAL(STAT'E) <br /> WETLAND COVENANT&BUFFER DOCUMENT ISSUE TO BE RESOLVED BEFORE CO <br /> APPLICANT pERMIT FEE SCHEDULE 6,180.75 <br /> GEROLD BROTHERS CONSTRUCTION INC. pLAN REVIEW 4,017.49 <br /> PO BOX 128 <br /> NEW PRAGUE,MN 56071- STATE SURCHARGE(VALUATION) 522.15 <br /> (952)75&2842 TOTAL 10,720.39 <br /> Minnesota State License#: 1115 <br /> OWNER <br /> PELLIZZER,TIMOTHY <br /> 520 NORTH ARM DR <br /> MOLJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 th State Buildin Code.This permit may be <br /> revo d at any time for due c <br /> �vi iG 6i i �` <br /> p icant Pe itee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES BED ABOVE. <br />