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CITY OF ORO O PERMIT NO.: 2010-00849 <br /> � 2750 KELLEY P� WAY <br /> � ORONO, MN 553 6- DATE ISSUED: 09/20/2010 <br /> 952 249-4600 FAX: 95 249-4616 <br /> ADDRESS : 4440 BAYSIDE RD <br /> P1N : 31-118-23-34-0012 <br /> LEGAL DESC : PAINTERS CREEK ' <br /> : LOT Ol0 BLOCK OOl <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BU[LDING-LJNDEFINED ' <br /> VALUATION : $ 35,000.00 <br /> APPLICANT PERMIT F E SCHEDULE 520.50 <br /> SIMON CONSTRUCTION STAT�SU CHARGE(VALUATION) 17.50 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE, MN 55337- MISC�'EE 0.00 <br /> �6�2�s61-�o0o TOTaL s3g.00 <br /> Minnesota State License#: 20593656 PAID ITH CC# 5206 <br /> OWNER <br /> MONTECALVO, DAVID&NICOLE <br /> 4440 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the wark described and docs <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 hercin.This permit will <br /> expire and become null and void if construction aulhorized 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 assurina all required inspections are ' <br /> requested in conformance with the State Buildina Code.This permit may be I <br /> revoked at any time for due canse. <br /> . <br /> �yVt,�,,L(. C�l� l l l l <br /> Applicant Permitee Signature Date Issued y S ature Da <br /> SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED ABO . <br />