Laserfiche WebLink
. - . � CITY OF ORONO * z 0 1 2 - 0 0 9 7 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1795 SHADYWOOD RD <br /> PIN : 17-117-23-21-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO.0702 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,600.00 <br /> NOTE: RESIDING-SOFFIT-FASCIA-TRIM <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> BETZ BUILDERS INC. STATE SURCHARGE(VALUATION) 4.80 <br /> 300 CRESTVIEW AVE. TOTAL 196.55 <br /> LONG LAKE,MN 55356 <br /> (612)221-2963 <br /> Minnesota State License#:BC3515 <br /> OWNER <br /> DIERCKS,MICHAELA <br /> 1795 SHADYWOOD RD <br /> P.O.BOX 81(NAVARRE <br /> WAYZATA,MN <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> 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 applica responsible for assuring all required inspections are <br /> requeste ' c formance with the State Building Code.This permit may be <br /> revok at an time for due c�use. <br /> � " -, � � �f / �/ �D'--� <br /> Applicant Permitee Signature Date Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />