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CITY OF ORONO PERMIT NO.: 2011-00269 <br /> � � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEu: 05/02/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 120 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0037 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ ] 1,000.00 <br /> NOTE: 7'EAR OFF I2�R00}'-6° ICG 13ARRIF,R-30 YL;AR'rIMBERLINL' <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> PLYMOUTH ROOFING & [NSULATION STATE SURCHARGE(VALUATION) 5.50 <br /> 17525 CTY ROAD 24 <br /> PLYMOUTH, MN 55447 TOTAL 212.00 <br /> (763)473-3397 <br /> Minnesota State License#: 5358 <br /> OWNER <br /> CASWELL, MR. & MRS. <br /> 120 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for���hich this permit is issued shall be performed accordinb to <br /> tl�c approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "f'Ihis permit is for only Uie work described and does <br /> not�rant pemiission for additional or mlated work���hich requires separ�te <br /> permits. All provisions of laws and ordinances governin�this type of work <br /> shall be compicd with�vhether or not specitied herein.'Chis permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time aiter work has commenced. <br /> "I'he applicant is responsible tor assuring all required inspections arc <br /> requested in c nformanee with thc State B�iilding Code.This pcnnit may be <br /> revo��d a iy t� or c�Ee c �s <br /> r � <br /> , ' %'.. _ ;'' ,S' / � /�� - <br /> G�- �i o2 i / <br /> Applican P rmitee Signature -� Date Iss E3y Signature Date <br /> SEPARATE PERMITS REQUIRED POR WORK OTHER THAN DESCRIBED ABOVE. <br />