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CITY OF ORONO * Z 0 1 2 - 0 0 4 9 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2012 <br /> - ORONO, MN 55356- <br /> � � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2117 SHADYWOOD RD <br /> PIN : 17-117-23-31-0044 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT O11 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LTNDEFINED <br /> VALUATION : $ 4,700.00 <br /> NOTE: VALUATION OF PERMIT:$4700.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> GRUSSING ROOFING <br /> 4305 SHADY OAK RD STATE SURCHARGE(VALUATION) 2.35 <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> Minnesota State License#:BC633692 TOTAL 122.35 <br /> PAID WITH CC# 6799 <br /> OWNER <br /> DODSON,RALPH&REBECCA <br /> 2117 SHADYWOOD 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 dces <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 consVuction 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 State Building Code.This petmit may be <br /> revoked at any time for due cause. <br /> �..�G�'c.0 � � / / <br /> Appiicant Permitee Signature Date Issued By S' ature D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />