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t� <br /> CITY OF ORONO * 2 fd 1 6 — P1 1 0 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/3U2016 <br /> - ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1035 HER[TAGE LA <br /> PIN : 10-117-23-13-0009 <br /> LEGAL DESC : FOXHILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 55,000.00 <br /> NOTE: PLEASE FILL[N THE FOLLOWING: <br /> VALUATION OF PERMIT:$55,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#"I'HIS PRE-PAYMENT IS TIED TO:2016-01066 <br /> 09/20/16 NOTE:THE ORIGINAL PERMIT WAS SUBMITTED AS ONE PERMIT FOR SIDWG AND A SMALL STOOP ADDITION TO FRONT <br /> OF HOME WITH ONE VALUAT[ON O['$55.000. WHGN THIS WENT THROUGII THE REVIEW PROCESS,ROGER DECIDED TO BREAK <br /> OUT THE COSTS SINCE THE BULK OF TH[S PERMIT WAS FOR THE SIDING AND WE DO NOT CHARGE PLAN REVIEW FOR THAT. <br /> TH[S ADVANCED PLAN REV[EW PERM[T#2016-01067 FOR$490.96 WILL BE APPLIED TO THE ENTIRE PRICE OF THE SIDING PERMIT <br /> AS A PRE-PAYMENT OF SORTS,SINCE THE STOOP PERMIT IS NO"I'A HIGH ENOUGH PERMIT COSTS TO DEDUCT ANYTHING. <br /> THESG WILL BE ISSUED AS TWO SEPERATE PERMITS. <br /> APPLICAIVT ADVANCED PLAN REVIEW 490.96 <br /> TOTAL 490.96 <br /> SHIMOTA PROJECT MANAGEMENT Payment(s) <br /> 5727 FRONTENAC CIRCLE CREDIT CARD 5254 490.96 <br /> LONSDALE, MN 55046- <br /> (651)387-3297 <br /> Minnesota State License#: BUIL-BC637001 <br /> OWNER <br /> FRITZ,JEFF&ELLEN <br /> 1035 HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Ihis permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is ror 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 I RO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date IssUed[3y Signature Date <br />