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'� � � CITY OF ORONO * Z 0 1 7 — 0 P1 9 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/22/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2695 SHADYWOOD RD <br /> PIN : 21-117-23-24-0056 <br /> LEGAL DESC : CHAPMAN ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> VALUATION : $ 7,000.00 <br /> NOT'E: VALUATION OF PERMIT:$_7,000.00 • <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQLJIRE 24-48 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 154.85 <br /> STATE SURCHARGE(VALUATION) 3.50 <br /> SELA ROOFING&REMODELING,INC. TOTAL 158.35 <br /> 4100 EXCESIOR BLVD Payment(s) <br /> ST.LOUIS PARK,MN 55416- <br /> (952)915-7227 CHECK 038792 158.35 <br /> Minnesota State License#:BUIL-BC 1050 <br /> OWNER <br /> PAULSON, STEPHEN&BOTHAINA <br /> 2695 SHADYWOOD RD <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 the <br /> State Building Code. This permit is for only the work described and does <br /> not gant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This perrnit will <br /> expire and become null and void if consWction suthorized is not <br /> commenced within 180 days of the date of issuance,or if constructio(i is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for asswing all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ► - - i� 0 r � �,� , � 1 <br /> pplican Permitee Signature Date Issue y Signature �� Date <br />