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# CITY OF ORONO PERMIT NO.: 2010-00719 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1560 TANGLEWOOD RD <br /> PIN : 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-CEDAR <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION : $ 31,500.00 <br /> NOTE: <br /> TEAR OFF REROOF WITH CEDAR SHINGLES <br /> APPLICANT PERMIT FEE SCHEDULE 488.25 <br /> ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 15.75 <br /> 17344 PUMA ST.NW TOTAL 504.00 <br /> RAMSEY,MN 55303 <br /> (612)221-3318 <br /> Minnesota State License#: 20388311 <br /> OWNER <br /> BOLGAR, DANIEL&REBECCA <br /> 1560 TANGLEWOOD RD <br /> LONG LAKE,MN 55356 <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 peri d of 180 days at any time after work has commenced. <br /> The applicant is re onsible for as ring all required inspections are <br /> requested i on e w t State Building Code.This permit may be <br /> revoked ny a for due ca e. <br /> �//-,) /(i--> GL.GI/ �i /7 <br /> A licant rmitee Signature Date lssqu7Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />