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2015-00353 - addn/remodel/repair
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4215 North Shore Drive - 07-117-23-43-0006
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2015-00353 - addn/remodel/repair
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Last modified
8/22/2023 5:39:04 PM
Creation date
1/17/2018 10:28:09 AM
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x Address Old
House Number
4215
Street Name
North Shore
Street Type
Drive
Address
4215 North Shore Dr
Document Type
Permits/Inspections
PIN
0711723430006
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" � � CITY OF ORONO * 2 0 1 5 - 0 0 3 5 3 * <br /> 2750 KELLEY PARKWA►Y DATE ISSUED: 04/03/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4215 NORTH SHORE DR <br /> PIN : 07-117-23-43-0006 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTMTY : 434-RESIDENTIAL <br /> VALUATION : $ 80,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> (KITCHEN REMODEL) <br /> APPLICANT PERMIT FEE SCHEDULE 952.24 <br /> STATE SURCHARGE(VALUATION) 40.00 <br /> MALESKA CUSTOM BUILDERS TOTAL 992.24 <br /> 10282 HAWTHORNE RD NW Payment(s) <br /> RICE,MN 56367- CREDIT CARD 4031 992.24 <br /> (320)251-7898 <br /> Minnesota State License#:BUIL-BC109531 <br /> OWNER <br /> WALDOCH,DOUGLAS&DIANE <br /> 4215 NORTH SHORE DR <br /> MOLTND,MN 55364 <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. 1'his 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 goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 /> 1'he appiicant 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 /> � /� J/� <br /> Applicant e itee Signature Date ssue y Signature Date <br />
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