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CITY OF ORONO PERMIT 1v0.: 2010-00914 <br /> ~ 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: 09/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1510 GREEN TREES RD <br /> PIN : I1-117-23-23-0015 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEF[NED <br /> VALUATION : $ 3,298.38 <br /> NOTE: PAR"I'IAL TEAR OI'�REROOF-CEDAR SHAKES AND REPLACE CI IIMNEY CAP <br /> APPLICANT PERM[T FEE SCHEDULE 103.25 <br /> TW[N CITY ROOFING CONST SPECIALISTS <br /> 72 IVY AVE W STATE SURCHARGE(VALUATION) 5.00 <br /> ST. PAUL, MN 55117- TOTAL 108.25 <br /> (651)636-9640 PAID WITH CC# 6860 <br /> Minnesota State License#: 2002943 <br /> OWNER <br /> DANKO, GEORGE&NANCY <br /> 1510 GREEN TREES 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 specitications,applicable City approvals,and the <br /> Sta[e Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> perniits. 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 construclion is <br /> suspended for a period of 180 days at any time aftcr work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wilh thc State Building Code.This permit may be <br /> revoked at any[ime f r due cause. - <br /> � � � �� � � � ���C� 4� �� � � � <br /> ' � �i - � � /G <br /> Applicant P �mitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />