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, CITY OF ORONO * 2 0 1 5 - 0 1 1 1 1 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1485 BAY RIDGE RD <br /> PIN : 10-117-23-34-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 4,000.00 <br /> NOTE: REPLACE(1)WINDOW AND RESIDE <br /> APPLICANT PERMIT FEE SCHEDULE 108.42 <br /> STATE SURCHARGE(VALUAT[ON) 2.00 <br /> HOLM,JOHN TOTAL 110.42 <br /> 1485 BAY RIDGE RD Payment(s) <br /> WAYZATA, MN 55391- CREDIT CARD 7998 110.42 <br /> OWNER <br /> HOLM, JOHN <br /> 1485 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT 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 /> Sta[e Building Code. This permit is for only the work described and does <br /> not gran[permission for additional or related work which requires separate <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 cons[ruction authorized is not <br /> commenced wi n l80 days of the date of issuance,or if construction is <br /> suspended for p riod of 18 days a ny time afrer work has commenced. <br /> The applicant s r sponsi le r ass i g all required inspections are <br /> requested in c nf rmanc wi the a Building Code.This permit may be <br /> revoked at an ti e for e c use. <br /> i <br /> ?lV l l / � <br /> Appli ant Per 'ee i e Date Issued Signature Date <br />