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CITY OF ORONO PERMIT NO.: 2010-00824 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/13/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1000 OLD LONG LAKE RD <br /> PIN : 35-118-23-13-0003 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 35,000.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT PERMIT FEE SCHEDULE 520.50 <br /> INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 17.50 <br /> 26175 BIRCH BLUFF RD <br /> SHOREWOOD,MN 55331 TOTAL 538.00 <br /> (612)471-9065 <br /> Minnesota State License#:20168831 <br /> OWNER <br /> DICKMAN,TIMOTHY&CELESTE <br /> 1000 OLD LONG LAKE RD <br /> WAYZATA,MN 55391 <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 goveming 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; suring all required inspections are <br /> requested in c. form. . with Stat, :uilding Code.This permit may be <br /> revoked at any ime fo . e ca <br /> ti3 , <br /> ( ° t 9, /a, /0 <br /> Applic4 'e tee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />