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PERMIT <br /> C ITY O F C�RO N O Permit Number: <br /> 2 7 5 0 K e l l e y`P a r k w a y - P O B o x 6 6 P o�3 3 6 <br /> Crystai Bay, Minnesota 55323 P2C'1711t Typ2: Addition/RemodeURepair <br /> (952) 249-4600 Date Issued: 4i12i2oo4 <br /> SITE ADDRESS: 2635 Countryside Dr w <br /> L.ong Lake,MN 55356 <br /> P I D: 04-117-23-13-0007 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Buildin Census Code 434 <br /> Permit Class: g <br /> Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: riumoing iviecnanicai r,ieciricai�statej <br /> NOTICES/REMARKS: <br /> ,., - ,� -,,:.:-- -- �---�- -r� �--�-- - <br /> FEE SUMMARY: Pernut Fee: $ 593.25 Valuation: $ 45,000.00 <br /> Plan Review Fee: $ 385.68 <br /> State Surcharge Fee: $ 23.00 <br /> TOTAL FEE: $ 1,001.93 <br /> APPLICANT: Owrier/Self OWNER: Da�id&Teresa Gross <br /> NIN 2635 Countryside Dr W <br /> Long Lake, MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> _..�---- - <br /> > �` J <br /> ^ � (��1 L-t2� �� <br /> APN CANTPERMl7'EESIGNATURE SUEDBYSIGNATliRE <br /> Copies: 1-File(SiQnitures Required). 1-Applicant, i-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 <br />