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�• � CITY OF ORONO PERMIT NO.: 2010-00412 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 06/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 CHERRY AVE <br /> PIN : 08-117-23-33-0026 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : SINGLE FAM[LY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 265,500.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,GLECTRICAL(STATE) <br /> ADVANCE PLAN REVIEW PAID 6/1/10$979.39 2010-00411 <br /> ESCROW PERMIT-2010-00446 <br /> ESTIMATED CONSTRUCTION VALUE INCREASED. PLAN REVIEW FEE REVISED. ADDITIONAL$354.90 DUE ON THIS PERMIT. <br /> SAC$2100.00 <br /> SEWER CONNECTION FEE FOR HOOKUP TO 1965-LS-lA NAVARRE SEWER$6700.00 <br /> APPLICANT PERMIT FEE SCHEDULE 2,052.75 <br /> SCHULTZ, KEVIN PLAN REVIEW 354.90 <br /> 5620 GIRARD AVE N <br /> ' MINNEAPOL[S, MN 55430- STATE SURCHARGE(VALUATION) 132.75 <br /> S.A.C. 2,100.00 <br /> TOTAL 4,640.40 <br /> OWNER <br /> SCHULTZ, KEVIN <br /> 5620 GIRARD AVE N <br /> M[NNEAPOLIS, MN 55430- <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 additionai or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing[his 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring ail required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at a y t for du Y' <br /> e� <br /> � - ��? �2�r110 l� / � /C� <br /> plicant P itee Signature Date Is e By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />