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� � CITY OF ORONO PERMIT NO.: 2011-00991 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 09/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1635 BOHNS POINT RD <br /> PIN : 17-117-23-11-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0565 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIV ITY : 434-RESIDENT[AL <br /> VALUATION : $ 250,000.00 <br /> NOTE: INTERIOR REMODEL&REMOVE ROOF&PUT ON NEW ROOF(CHANGE PITCH) <br /> SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,LAWN IRRIGATION,ELECTRICAL(STATE) <br /> AVANCED PLAN REVIEW PAID 9/1/11 CK#15628-$1,271.89 <br /> * "I'HE RE-ROOF INCLUDING THE SLIGHT INCREASE IN HEIGHT/PITCH ARE WITHIN(BELOW)THE LEVEL APPROVED BY <br /> VAR[ANCE WITH RESOLUTION#5860. <br /> APPLICANT PERMIT FEE SCHEDULE 1,956.75 <br /> TIMBERLAND BUILDERS STATE SURCHARGE(VALUATION) 125.00 <br /> 17641 CASCADE DR TOTAL 2,081.75 <br /> EDEN PRAIRIE,MN 55347 <br /> (612)909-0663 <br /> Minnesota State License#:20135484 <br /> OWNER <br /> KOZLAK, STNICK&JODEE <br /> 1635 BOHNS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT � <br /> The work tor which this permit is issued shall be performed according to <br /> the approved plans and specifica[ions,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> no[grant permission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 after work has commenced. <br /> The applicant is responsible for assuring�,a�l required inspections are <br /> requested in conformance with the State ildin ode.This pe mit ma be <br /> revoked at e for dqe cause/�/ f <br /> i � / <br /> �i� ; - :: l /��/� /l � <br /> Appljcant Permitee Signa D e � � / / <br /> Iss d By Signature Date <br /> SEPAR��`E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />