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CITY OF ORONO * 2013 - 00024 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/11/2013 <br /> ORONO,MN 55356- <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 <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,121.00 <br /> NOTE: REPLACE(1)WINDOW AND(3)SASH <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 5.06 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 213.56 <br /> Minnesota State License#:BC239369 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 /> revoked at any time for due cause. <br /> ( J l /3AZU1 / Il l / <br /> Applicant Permitee Signature Date Issuq#By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />