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. � <br /> PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P1o576 <br /> Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: 12/1/2006 <br /> SITE ADDRESS: 2765 Kelley Pkwy [Tnit# <br /> Long Lake,MN 55356 <br /> P��� 33-118-23-12-0002 <br /> DESCRIPTION: • <br /> Construction Type VN <br /> Proposed Use: Commercial-Business � ' �i� <br /> Census Code 32� .� <br /> Permit Class: Building <br /> Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolution#: <br /> Scparatc permits required: Plumbing Mechanical Electrical(state) <br /> NOTICES/REMARKS: <br /> Interior Build Out for MN Maxillofacial&Oral Drs. <br /> FEE SUMMARY: Permit Fee: $ 1,273.75 Valuation: $ 150,000.00 <br /> Plan Review Fee: $ 827.94 <br /> State Surcharge Fee: $ 75.00 <br /> TOTAL FEE: $ 2,176.69 <br /> APPLICANT: Scott Builders,Inc. OWNER: Skin Care Doctars <br /> 12 E.Division St 2765 Kelley Pkwy <br /> Buffalo,MN 55313 Long Lake,MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> // <br /> r� - �. <br /> ' \ ' ;/ -, <br /> � __ - l:- � ,' .,�. ,/�'j <br /> , _ �, < � _) <br /> AP ICANT P�R ITEE SIGNAI'URE •SSUED[3Y S[GNATURE <br /> C�� <br /> Copies: I-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, I-Septic) Page l <br />