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CITY OF ORONO PERMIT NO.: 2011-00333 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/12/2011 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1150 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-13-0004 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1467 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 34,700.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT PERMIT FEE SCHEDULE 520.50 <br /> MICHAEL HAYES HOMES,INC. STATE SURCHARGE(VALUATION) 17.35 <br /> 2421 LORIEN ST TOTAL 537.85 <br /> HOPKINS,MN 55305- <br /> (952)975-9394 PAID WITH CC# 2668 <br /> Minnesota State License#:2163 <br /> OWNER <br /> BERGER,LARRY& SANDRA <br /> 1150 OLD CRYSTAL BAY RD S <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 fo . e cause. <br /> (ti C)1/1/CCI-It. 5/ / 1/ <br /> Applicant Permitee Sig . ur- Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />