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CITY OF ORONO PERMIT NO.: 2011-00365 <br /> +� - t 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1743 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0037 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: TEAR OPF REROO�-ASPHALT <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> ALLSTAR CONSTRUCTION <br /> 5145 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 6.00 <br /> SUITE 103 TOTAL 227.25 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 20631575 <br /> OWNER <br /> TAUBENBERGER, MR. &MRS. <br /> 1743 FAGERNESS PT RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork(br�vhich this permit is issued shall be performed accordina to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State[3uilding Codc. This permit is for only the work described and does <br /> not grant permission for additional or related ti�ork which requires sc�arate <br /> permits. All provisions of laws and ordinances�overning this type of�cork <br /> shall bc compied�vith whether or not specitied hcrein.This permit�vill <br /> eapire and become null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has conunenced. <br /> l�he applicant is responsible for assuring all required inspections are <br /> requested in confor it the State Building Code.This pennit may be <br /> revoked ime for e ause. <br /> -�% :��� �,7 �,/� , <br /> 'cant Permitee Signat Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />