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� r CITY OF ORONO PERMIT NO.: 2010-00410 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1815 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0033 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 001 BLOCK 001 <br /> PERMiT TYPE : ADDITION/REMODEL/REPA[R <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : ADDN/REMODEL/REPA[R <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 30,000.00 <br /> NOTE: SEPERATB PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> PLAN REVIEW FEE COLLECTED 6/1/]0 $30339 2010-00409 �`� <br /> .r � <br /> ANY FURTHER EXPANSION ON THE PROPERTY WILL LIKELY REQl1IRF,AN UPDA'1'ED SURVEY�- � �'� (INITIAL) <br /> BUMP OUT OF STRUC"1'URE ON EXISTING DECK. <br /> APPLICANT PERMIT FEE SCHEDULE 466J5 <br /> KMS ASSOCIATES LLC STATE SURCHARGE(VALUATION) 15.00 <br /> 2216 COUNTY ROAD D TOTAL 481.75 <br /> ROSEVILLE, MN 55112- <br /> (6]2)242-7898 <br /> Minnesota State License#: 20634045 <br /> OWNER <br /> MCKEE, MR. & MRS. MELVIN <br /> 1815 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 goveming this type of work <br /> shall be compied with whether or not specitied 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[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � ..,G� �;"� <br /> l� '� ' � � ���1 <br /> <� _ _� �.� �/ l!,/ /� <br /> �Applicant Permitee Signature Date Issue Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />