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CITY OF ORONO * z 0 1 6 - 0 0 2 0 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2016 <br /> ' + ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 155 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0014 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 60,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 794.72 <br /> RONCOR CONSTRUCTION PLAN REVIEW 516.57 <br /> 10740 LYNDALE AVE S- 11 E STATE SURCHARGE(VALUATION) 30.00 <br /> BLOOMINGTON, MN 55420- TOTAL 1,341.29 <br /> (952)888-5578 Payment(s) <br /> Minnesota State License#: BUIL-2337 CHECK 18899 1,341.29 <br /> OWNER <br /> SMITH,DOUGLAS <br /> 155 GOLDEN VIEW DR <br /> LONG LAKE,MN 55356 <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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested i�conform�nce wit Ihe Siate uilding Code.This permit may be _ j�' <br /> revoked atany time, or due anse.. J�`� <br /> / <br /> ' c� �/ Z�� ���C�- ���.-�c S C, �"� / ��'/ � <br /> A cant PermitE Signature te Issued By Signature Date <br />