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� � CITY OF ORONO * 2 0 1 4 - 0 0 7 1 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1700 SHORELINE DR <br /> PIN : 10-117-23-14-0014 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 58,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:,ELECTRICAL(STATE) <br /> ELEVATOR ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 741.75 <br /> STATE SURCHARGE(VALUATION) 29.00 <br /> HNH HOMES TOTAL 770.75 <br /> 13911 RIDGEDALE DRIVE#406D Payment(s) <br /> MINNETONKA,MN 55345- CREDIT CARD 0348 770.75 <br /> (952)288-3746 <br /> Minnesota State License#: BUIL-654037 <br /> OWNER <br /> ETAL, IRWIN JACOBS <br /> 1700 SHORELINE DR <br /> WAYZATA,MN 55391- <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 Ciry 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 separate <br /> permits. All provisions of Iaws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit wiil <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 all required inspections are <br /> requested in conformance with the State Buil Code.This permit may be <br /> revoked at any tim ue cause. <br /> � �y , o � �, � <br /> e ee Si ature Date Iss By Signature Date <br />