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CITY OF ORONO * Z 0 1 5 - 0 1 3 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: ll/12/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 185 FERNDALE RD W <br /> P[N : 02-117-23-43-0025 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0397 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 311,700.00 <br /> NOTF: SEPARATE PERMITS REQUIRED: PLUMB[NG, MECHANICAL,FIREPLACE, WELL,(STATE),ELECTRICAL(STATE) <br /> ADDITION <br /> AN OVERPAYMENT OF$843.22 WAS PAID WITH THE ADVANCED PALN REVIEW PAYMENT. THIS AMOUNT NEEDS TO BE APPLIED <br /> TO THE BUILDING PERMIT FEE WHEN WE ISSUE THE PE MIT. <br /> NOTE: EROS[ON CONTROL SHALL BE INSTALLED AINTAINED THROUGHOUT THE ENTIRE PROJECT AND MUST REMA[N <br /> CJNTIL VF,GETA"I'ION IS ESTABLISHED. INIT[AL: <br /> APPLICANT PERMIT FEE SCHEDULE 2,445.19 <br /> PLAN REV[EW 1,589.37 <br /> KYLE HUNT& PARTNERS INC. STATE SURCHARGE(VALUATION) 155.85 <br /> 18324 MINNETONKA BLVD <br /> DEEPHAVEN, MN 55391- TOTAL 4,190A1 <br /> (952)476-5999 Payment(s) <br /> Minnesota State License#: BUIL-BC- 1967 CHECK 20223 843.22 <br /> CHECK 20223 1,589.37 <br /> CHECK 20321 1,757.82 <br /> OWNER <br /> WYMAN,JAMES& KATHLYN <br /> 1185 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed according to <br /> the approved plans and specitications,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 separa[e <br /> permi[s. All provisions of laws and ordinances goveming 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 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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in co ormance with the State Building Code.This permit may be <br /> rev ked at a y �me f due cause. � <br /> ����a� �� � � / i /�i� <br /> i P mi e Signature Date Issued ignature Date <br />