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CITY OF ORONO PERMIT NO.: 2010-00913 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2440 OLD BEACH RD <br /> PIN : 21-117-23-22-0003 <br /> LEGAL DESC SHORE HILLS <br /> LOT 002 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL 0.1 <br /> CONSTRUCTION TYPE WINDOWS D Oq ✓ <br /> VALUATION $ 7,863.00 <br /> NOTE: REPLACE BOW WINDOW&ONE SASH <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 5.00 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MISC FEE 0.00 <br /> (952)277-1600 MAIL-IN FEE 2.00 <br /> Minnesota State License#:20239369 TOTAL 169.25 <br /> PAID WITH CC# 3989 <br /> OWNER <br /> BARBETTA,MR.&MRS. <br /> 2440 OLD BEACH RD <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 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 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 Building Code.This permit may be <br /> revo d at any time for due c use. <br /> C?/ g <br /> R /v g <br /> Applicant Permitee Sig ature Date � �� <br /> Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />