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! CITY OF ORONO <br /> * Z012 - PJ 1 137 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U08/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4645 BAYSIDE RD <br /> PIN : 06-117-23-22-0009 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 15,000.00 <br /> NOTE: VALUATION OF PERMIT:$15,0000 <br /> ROOFING PERMITS ISSUED WITHOUT GNOUGH NOTICE FOR TEAIt OFF INSPECTIONS. (WE REQU[RE 24-48 NO"I'ICE,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 BGING DONE. <br /> ONCL WORK IS COMPLETGD THG SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> INCL[NE EXTERIORS 1NC STATE SURCHARGE(VALUATION) 7.50 <br /> 26175 BIRCH BLUFF RD <br /> SHOREWOOD, MN 55331 MISC FEE 0.00 <br /> (612)471-9065 TOTAL 273.00 <br /> Minnesota State License#: 20168831 <br /> OWNER <br /> SIMS, ERIC& ELIZABETH <br /> 4645 BAYSIDE RD <br /> MAPLE PLA[N, MN 55359- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 pennission for additional or related work wl�ich requires separatc <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 I 80 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the te Building Code.This permit may be <br /> revoked at any 'me for due ca7e <br /> _f' ' /t � � � 1 � � ltin� ��l o l �� <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />