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R . . . CITY OF ORONO PERMIT NO.: 2010-00833 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1ssuEn: 09/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2165 NORTH SHORE DR <br /> PIN : 15-117-23-22-0001 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG-ASPHALT <br /> ACT[VITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 12,575.00 <br /> NO'I'E: TEAR OFF RGROOF-ASPHALT SHINGLES <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 6.29 <br /> 5565 QUAM AVE NE <br /> ST MICHAEL,MN 55376- TOTAL 242.29 <br /> (763)550-0444 <br /> Minnesota State License#: 20172153 <br /> OWNER <br /> The Foley Companies <br /> R[NGER, WALTER <br /> 4275 NOREX DR <br /> CHASKA, MN 55318- <br /> AGREEMENT A1vD 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 pecmit 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 goveming this type of work <br /> shall be compied wi[h whether or not specitied 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 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 ' e � ue aus <br /> � �/ �� / /O %/�� /�� <br /> licant Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />