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CITY OF ORO O PERMIT NO.: 2011-00658 <br /> 2750 KELLEY PAR AY <br /> ORONO, MN 553 6- DATE ISSUED: 07/14/2011 <br /> 952 249-4600 FAX: 95 249-4616 <br /> ADDRESS : 4135 BAYSIDE RD <br /> PIN : 06-117-23-14-0025 i <br /> LEGAL DESC : BAYSIDE RIDGE <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILD[NG-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: ROOFING PERMITS ISSUED WI'I'I iOUT ENOUGH NOTICE FOR TEAR FF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR <br /> TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES R A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING T E TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT F E SCHEDULE 162.25 <br /> AC CONSTRUCTION & RESTORATION SERV STATE SU CHARGE(VALUATION) 4.00 <br /> 5 HIGHWAY 55 W <br /> BUFFALO, MN 55313- TOTAL 166.25 <br /> (763)682-0770 <br /> Minnesota State License#: 20634132 <br /> OWNER <br /> HAYSEEN,CHARLES& HELEN <br /> 4135 BAYSIDE RD <br /> MAPLE PLA[N, MN 55359- ' <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned 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 specitied 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 atter work has commenced. <br /> The applicant is responsible for assuring aII required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. G,��� <br /> ,�-[��%�� � l l`� l (l �� � L� C���G� i l <br /> Applic nt Permrtee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />