HomeMy WebLinkAbout2010-00892 - windows _ �` CITY OF ORONO PERMIT NO.: 2010-00892
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/24/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2715 COUNTRYSIDE DR W
PIN : 04-ll 7-23-12-0019
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 004 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENT[AL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING -LINDEFINED
VALUATION : $ 7,514.00
NOTE: REPLACG(6)WINDOWS AND(2)SASH
APPLICANT PERMIT FEE SCHEDULE � 162.25
SCHERER WINDOW& DOOR CONSULTANTS STATE SURCHARGE(VALUATION) 5.00
]0751 EXCELSIOR BLVD.
HOPKINS, MN 55343 MAIL-[N FEE 2.00
(952)277-1635 TOTAL 169.25
Minnesota State License#:.20239369 PAID WITH CC# 3989
OWNER
WILSON, MARK& KIRSTIN
2715 COUNTRYSIDE DR W
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for�rhich this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This pem�it will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if constraction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
reyuested in conformance with the State[3uilding Code.This permit may be
revoke at any time for due c use.
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Applicant Permitee Signature Date [ss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Sep, 23, 2010 12; 11 PM �, No, 6002 P, 1 �
. City af Orono
Buildi�9 P��it Application for Inferhal
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