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CITY OF ORONO I IlIl����I�II1111�111111� <br /> 2750 KELLEY PARKWAY * 2 1 S 1 1 9 <br /> DATE <br /> TE IssuEv: 10/15/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1115 WILLOW DR S <br /> PIN : 10-117-23-24-0017 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> I'ROI'ERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,900.00 <br /> NOTE: VALUATION OF PERMIT:$6900.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 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 /> lihoQ,00 <br /> sPaCr , cYO )v, <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> SELA ROOFING& REMODELING,INC. STATE SURCHARGE(VALUATION) 3.45 <br /> 4100 EXCESIOR BLVD MISC FEE 0.00 <br /> ST. LOUIS PARK,MN 55416 TOTAL 150.95 <br /> (952)915-7227 Payment(s) <br /> Minnesota State License#: BUIL-BC1050 CHECK 35235 150.95 <br /> OWNER <br /> GABRIELSON,TODD&SUE <br /> 1115 WILLOW DRS <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 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 all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> OM" �— Ctt /O/ i /- <br /> Applicant Permitee Signature Date Issued ty Sign ature Date <br />