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. <br /> CITY OF ORONO * Z 0 1 6 — 0 0 4 6 3 * <br /> 2750 KELLEY FARKWAY DATE ISSUED: OS/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 870 HUNT FARM RD <br /> PIN : 30-ll 8-23-44-0004 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTNITY : O/S BUILDING-LJNDEFINED <br /> VALUAT101�1 : $ 3,500.00 <br /> NOTE: REPLACE 1 EXISTING PATIO DOOR WITH NEW AND REPLACE 1 EXISTING W[NDOW WITH NEW PA7'IO DOOR,USING <br /> EXISTING HEADER <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> STATE SURCHARGE(VALUATION) 1.75 <br /> WIPO HOMES MAIL-IN FEE 2.00 <br /> 15623 NORMANDY LANE <br /> MINNETONKA, MN 55345- TOTAL 112.13 <br /> (612)396-6728 Payment(s) <br /> Minnesota State License#: BUIL- CREDIT CARD 7830 I 12.13 <br /> OWNER <br /> FOGELBERG, PAUL A&MELISSA <br /> 870 HUNT FARM RD <br /> LONG LAKE, MN 55356- <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 for 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 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 construction authorized is not <br /> commenced within 180 days of the date of issuance,or if conshuction 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. l�(,� <br /> �_ <br /> 1������, I o�-t � �� r�.��ti � , i � , l � <br /> Applicant Permitee Signature Date Issued By Signat •e Date <br />