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CITY OF ORONO PERMIT NO.: 2011-01430 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11114/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 WOODHILL RD <br /> PIN : 02-117-23-12-0001 <br /> LEGAL DESC : UNPLATTED 02 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ROOFING-RUBBER <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 25,000.00 <br /> NOTE: STRIP ROOFTOP SUNDECK,NEW RUBBER ROOF.REPLACE SUNDECK <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> CARVER CONSTRUCTION INC STATE SURCHARGE(VALUATION) 12.50 <br /> 9586 GANDER LANE TOTAL 425.50 <br /> MINNETRISTA,MN 55375- <br /> (763)458-0954 PAID WITH CC# 3273 <br /> Minnesota State License#:20377469 <br /> OWNER <br /> CLUB, WOODHILL COUNTRY <br /> 200 WOODHILL 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 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 /> requestreques4 in co ormance with the State Building Code.This permit may be <br /> re . y if e for due cause. <br /> J , ,0A_ // 1 � / <br /> Ap. leant Permitee Signature Date Issued` Signature Date e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />