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, �, CITY OF ORONO PERMIT NO.: 2010-00273
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssUEn: 04/27/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3200 NORTH SHORE DR
PIIY : 08-117-23-41-0001
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALDATION : $ 7,800.00
NOTE: REMOVE AND REPLACE WINDOWS WITHIN EXISTING OPENINGS,REPLACE FRONT DOOR,AND SMALL AMOUNT OF
BRICKWORK ON FRONT OF GARAGE.
APPLICANT PERMIT FEE SCHEDULE 162.25
F[RST STREET CONSTRUCTION INC. STATE SURCHARGE(VALUAT[ON) 3.90
417 E 1 ST ST. TOTAL 166.15
WACONIA,MN 55387
(952)442-4602 PAID WITH CC# 8558
Minnesota State License#: BC-4141
OWNER
HALPER,BARBARA
3200 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which 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 permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Buiiding Code.This permit may be
revo� at any time f r due cause
a l 2? l �7
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pplic ermitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
y � ' City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: p�a (�^ (� �
/�,0,�. PO Box 66
Crystal Bay, MN 55323-0066 Date received: l�
�/ O �`a'�" O Received by: ,
a �'` .�.� a, Street Address:
��'F, ' � '� �ti 2750 Kelley Parkway Plan review fee:
�kESH�g'� Orono, MN 55356
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