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� � CITY OF ORONO * Z p� 1 5 - 0 0 8 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1719 FAGERNESS POINT RD <br /> pIN : 17-117-23-21-0005 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 8,739.00 <br /> NOTE: REPLACE(6)WINDOWS INTO EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 185.87 <br /> STATE SURCHARGE(VALUATION) 437 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 TOTAL 192.24 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 192.24 <br /> OWNER <br /> DARL[NG, LAUREEN <br /> 1719 FAGERNESS PT 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 /> permits. All provisions of laws and ordinances governing[his type of work <br /> shall be compied wi[h whether or not specificd 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 I 80 days a[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 for due cause. <br /> � �p ��rj �a.v , /S <br /> Applicant Permitee Signature Date Issu y Signature Date <br />