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� � CITY OF ORONO PERMIT NO.: 2011-00384 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 06/03/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1473 BAY R[DGE RD <br /> PIN : 10-117-23-34-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 24,500.00 <br /> NOTE: NEW TRUSSES,ROOFING& [NSULATION OVER 6S X 26'- 1960 STRUCTURE. <br /> THIS WAS APPROVED AT'YLANNING&COUNCIL. <br /> APPLICANT pERMIT FEE SCHEDULE 413.00 <br /> MEYER& SONS CONSTRUCTION <br /> 8360 AFTON RD STATE SURCHARGE(VALUATION) 12.25 <br /> WOODBURY, MN 55125 TOTAL 425.25 <br /> (651)271-4739 <br /> Minnesota State License#: 20006613 <br /> OWNER <br /> MCCUNE, THOMAS <br /> 1473 BAY RIDGE 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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> — shall be compied with whe[her 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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.'I'his permit may be <br /> revoked ny time for due caus . <br /> �' <br /> �G'l '� l � �� 7Z �� <br /> plicant Permitee Signature Date Is� d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />