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, <br /> CITY OF ORONO PERMIT NO.: 2011-00009 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU12/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 601 MINNETONKA HGLD LA <br /> PIN : 06-117-23-41-0091 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 009 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 79,031.17 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> REPAIR FIRE DAMAGE <br /> APPLICANT PERMIT FEE SCHEDULE 906.75 <br /> GIERTSEN COMPANY PLAN REVIEW 58939 <br /> 8385 l OTH AVE N <br /> GOLDEN VALLEY, MN 55427- STATE SURCHARGE(VALUATION) 39.52 <br /> (763)546-1300 TOTAL 1,535.66 <br /> Minnesota State License#: 1796 <br /> OWNER <br /> VANCAMP,NATHAN&WENDY <br /> 601 MINNETONKA HGLD LA <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 consuuction 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 conform with the State Building Code.This permit may be <br /> revoked at any ti for dUe cause. <br /> �` l /Zl /f � l /aZ� / <br /> pplican ee Signature Date I s d By igna ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />