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CITY OF ORONO PERMIT NO.: 2009-00751 <br /> ^ 'R 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [ssuEn: 10/26/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2699 KELLY AVE <br /> PIN : 21-117-23-23-0041 <br /> LEGAL DESC : WALTERS PORT <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -� <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> NOTE: THIS IS NOT ASPHALT SHINGLES <br /> THIS IS A COMMERCIAL ROOF ON A RESIDENTIAL YROPERTY. <br /> DOING A COMPLETE TEAR OFF DOWN TO THE INSULATION. <br /> APPLICANT pERMIT FEE SCHEDULE 339.25 <br /> W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00 <br /> 6585 SO. SAUNDERS LAKE DR. TOTAL 349.25 <br /> MINNETRISTA,MN 55364- <br /> (952)472-6539 <br /> Minnesota State License#: 5309 <br /> OWNER <br /> UPHOFF, DARYL& LUCY <br /> 2699 KELLY AVE <br /> EXCELSIOR, MN 55331 <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 [he <br /> State Building Code. This permi[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 alI required inspections are <br /> requested in conformance w h the State B Iding Code.This permit may be <br /> rev ed at any tim for due ause. <br /> � ltS / �? �� � ��I � �CJ/ ��j (/ <br /> A �cant Permi ee Signature Date I d By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WOR THER THAN DESCRIBED ABOVE. <br />