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, CITY OF ORONO * z 0 1 6 — 0 1 3 3 6 * <br /> ' � 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2695 PHEASANT RD <br /> PIN : 21-117-23-23-0012 <br /> LEGAL DESC : PHEASANT LAWN <br /> ; LOT 008 BLOCK 000 <br /> PERMIT TYPE ; ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 95,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE <br /> NOTE: PR(OR TO RELEASE OF ESCROW MONEY AN AS-BUIL'I'SURVEY AND HARDCOVER CALCULATIONS ;v1UST BF,SUBMITTED <br /> AND P VED. ALL DISTURBED AREA MUST BE ES"I'ABLISHED WITH VEGE"CATION AND PASSED A PINAL INSPECTION, INITIAL <br /> APPLICANT PERMIT FEE SCHEDULE 1,070.52 <br /> STATE SURCHARGE(VALUATION) 47.50 <br /> Danberry Building Corp. TOTAL i,us.o2 <br /> Payment(s) <br /> 5413 Manitou Rd cxEcx saos i,i is.o2 <br /> Tonka Bay, MN 55331 <br /> 952-474-5990 <br /> OWNER <br /> MARTIN& STEPHANIE SARANTOPOULOUS, ROBERT <br /> 2695 PHEASANT RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�hich 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 die work described and docs <br /> not grant pcnnission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not specified herein.This permit will <br /> expire and become mdl 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 the State Building Code.This permit may be ,�� <br /> revoked at any time for due c�se. � <br /> � � � /' � <br /> ' /'�-c�c_��� (1 �'� / C� <br /> j/ l r Ca � `�/ � '�x�`"�� i _ r /l� <br /> App ' nt ; - it Signature at Issued By Signature Date <br /> � <br />