Laserfiche WebLink
� CITY OF ORONO * z 0 1 z - 0 0 5 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2795 SHADYWOOD RD <br /> PIIV : 21-117-23-31-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO.0500 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI V ITY : 434-RESIDENTIAL <br /> VALUATION : $ 32,136.81 <br /> NOTE: INTERIOR WORK ONLY-WATER DAMAGE-OK'D BY:LYLE OMAN <br /> APPLICANT pERMIT FEE SCHEDULE 499.00 <br /> SUPERIOR CONSTRUCTION SERVICE STATE SURCHARGE(VALUATION) 16.07 <br /> 9702 85TH AVENUE N. <br /> MAPLE GROVE,MN 55369- TOTAL 515.07 <br /> (763)424-9434 <br /> Minnesota State License#: 7231 <br /> OWNER <br /> NAGFACK, SHIRLEY <br /> 2795 SHADYWOOD RD <br /> EXCELSIOR, MN 55331- <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 Yor only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of wark <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nu(i 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 cause. <br /> ' t� � ' ? ���---- — /� ^ j� /L—'� ll��, <br /> �� ��� <br /> Appli ermitee Signature Date I u d By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />