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` � � CITY OF ORONO PERMIT NO.: 2011-00310 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1840 SHADYWOOD RD <br /> PIN : 17-117-23-24-0016 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 025 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE,MN 55369- TOTAL 166.25 <br /> (763)427-9696 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> ERICKSON, SCOTT&INGWD <br /> 1840 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 /> 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 consVuction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revok t any ti e for due cause. <br /> 5 � � � �� , , � <br /> Applicant Permitee Signature Date Is y Signature Da e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />