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CITY OF ORONO * 2 0 1 z - 0 1 0 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/2 2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 315�5 JAMESTOWN RD <br /> PIN : 28-�18-23-33-0012 <br /> LEGAL DESC : CA�VIELOT <br /> : LO�f 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RE�IDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 32,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 32,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> YERMIT#THIS PRE-PAYMENT IS TI�,D TO:2012-01077 <br /> APPLICAN ADVANCED PLAN REVIEW 31 .36 <br /> THOMAS BREN HOMES j TOTAL 31 .36 <br /> 2073 WAYZATA BLVD. W.#50 <br /> WAYZATA,MN 55391 <br /> (952)475-6777 <br /> Minnesota State License#:BC 128144 <br /> OWNER <br /> DECUBELLIS,KENNETH&JENN FER <br /> 3155 JAMESTOWN RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWO STATEMENT <br /> The work for which this permit is issued shall,be performed according to <br /> the approved plans and specifications,applicalble City approvals,and the <br /> State Building Code. This permit is for only ihe work described and does <br /> not grant permission for additional or related�'ork which requires separate <br /> permits. All provisions of laws and ordinancds 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 constructiQn authorized is not <br /> commenced within 180 days of the date of iss�uance,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 rqquired inspections are <br /> requested in conformance with the State Buil�ing Code.This permit may be <br /> revoked at any time for due cause. ' <br /> / / / / <br /> Applicant Permitee Signature � Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />