Laserfiche WebLink
CITY OF ORONO ( � 11 1 111 <br /> * 20 1 6 - 0 1 274 * <br /> ` R 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0010 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,755.00 <br /> NOTE: REPLACE(1)WINDOW <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> STATE SURCHARGE(VALUATION) 1.88 • <br /> PELLA NORTHLAND MAIL-IN FEE 2.00 <br /> 15300 25TH AVE N.-SUITE# 100 <br /> PLYMOUTH,MN 55447- TOTAL 112.26 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#:BUIL-BC645090 CHECK 76118 112.26 <br /> OWNER <br /> WIKEN,LAWRENCE&BARBARA <br /> 490 OLD LONG LAKE 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 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 for due cause. <br /> t leo ..1,i71 / / —7‘-/ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />