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CITY OF ORONO PERMIT NO.: 2oiaoo93o <br /> f _ 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuEn: 10/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 235 HOLLANDER RD <br /> PIN : 25-118-23-43-0026 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 42,500.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT pERMIT FEE SCHEDULE 606.50 <br /> LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 21.25 <br /> 9001 E.BLOOMINGTON FREEWAY ST TOTAL 627.75 <br /> BLOOMINGTON,MN 55420- <br /> (952)888-5550 PAID WITH CC# 6395 <br /> Minnesota State License#:20443066 <br /> OWNER <br /> KELSEY,DAVID&CHERYL <br /> 235 HOLLANDER 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 sepazate <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 assurin equired inspections aze <br /> requ �n conformance �th the te ilding Code.This permit may be <br /> revoke at y time for e cau . <br /> � � /D � � D <br /> plican itee Si re Date Issue Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />