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_ CITY OF ORONO 1111111111011 I I 0 II III I III II IIII <br /> • * 2012 - 00865 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 SHADYWOOD RD <br /> PIN : 21-117-23-24-0065 <br /> LEGAL DESC : REG. LAND SURVEY NO.0420 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,625.00 <br /> NOTE: VALUATION OF PERMIT:$11625.00-CEDAR REROOF SOUTH WING OF HOUSE ONLY. <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 /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 5.81 <br /> 9001 E. BLOOMINGTON FREEWAY ST <br /> BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00 <br /> (952)888-5550 TOTAL 229.06 <br /> Minnesota State License#:20443066 PAID WITH CC# 9692 <br /> OWNER <br /> PAGONIS,ELAINE <br /> 2740 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 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 cau e. / <br /> 9/ 17/ / (1441'Uf4 9 <br /> Applican�tee ure Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />