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CITY OF ORONO PERMIT NO.: 2010-01056 <br /> 2750 KELLEY PARKWAY <br /> ~' ORONO, MN 55356- DATE ISsuED: 1 UO2/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1650 SHADYWOOD RD <br /> PIN : 17-117-23-21-0014 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 4,270.00 <br /> NOTE: REPLACE(1)ENTRY DOOR WITHIN EXISTING OPENING. <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> ' RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00 <br /> 1920 COLJNTY RD C.WEST TOTAL 123.00 <br /> ROSEVILLE,MN 55113 <br /> (612)502-4777 <br /> Minnesota State License#:20130983 <br /> OWNER <br /> KREISLER,JERROLD&BARBARA <br /> 1650 SHADYWOOD 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 /> r permits. All provisions of laws and ordinances goveming 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 foi due�'ause. , n <br /> // <br />