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CITY OF ORONO PERMIT NO.: 2011-00383 <br /> ' 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE �ss[1ED: 05/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1473 BAY RIDGE RD <br /> � PIN : 10-117-23-34-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 24,500.00 <br /> NO"1'E: PLEASE PILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 24,500 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ROOF TRUSSES <br /> PERMIT#THIS PRE-PAYMENT IS TI�D TO:201 1-00384 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> MEYER& SONS CONSTRUCTION TOTAL 268.45 <br /> 8360 AFTON RD <br /> WOODBURY, MN SS125 <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 /> d�e approved plans and specifications,applicable City approvals,and tlie <br /> State Building Codc. 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 beeome null and void if construction authorized is not <br /> commenccd 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.This permit may be �� <br /> revokeJ at any time for due cause. /� <br /> l l ��'� C��'y/���� �� �_v���� <br /> � Applicant Permitee Signature Date Issued By Signature Date <br /> ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> i <br /> � <br />