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CITY OF ORONO PERMIT NO.: 2009-00801 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/10/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2500 WOODHAVEN DR <br /> PIN : 33-118-23-41-0006 <br /> LEGAL DESC : LEVERINGS WOODHAVEN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 21,700.00 <br /> NOTE: THIS PERMIT IS FOR A TEAR OFF REROOF AND RESIDING <br /> APPLICANT PERMIT FEE SCHEDULE 368.75 <br /> SCHMIDT ROOFING INC. STATE SURCHARGE(VALUATION) 10.85 <br /> 13401 COUNTY RD 5 <br /> BURNSVILLE,MN 55337- MISC FEE 0.00 <br /> (952)888-4889 TOTAL 379.60 <br /> Minnesota State License#:20177859 <br /> OWNER <br /> HYDE,TODD&LIESL <br /> 2500 WOODHAVEN DR <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 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 St to Building Code.This permit may be <br /> revoked at• tim- forgo u cause./ V n � <br /> �Y I / I\ / t 11 / O-/l) <br /> T ' <br /> , ermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />