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CITY OF ORONO * 2 PJ 1 2 - 0 PJ 1 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3505 CHR[ST[NE DR <br /> PIN : OS-117-23-12-0020 <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 41,000.00 <br /> NOTE: VALUATION OF PERMIT: $41,000.00 <br /> ORIGINAL PERM[T FOR THIS JOB WAS 2011-00599 WITH A VALUATION OF$17,399.60 AND A PERMIT FEE P1,US SURCHARGE OF <br /> $318.45. THE ORIGINAL PERMIT WAS I=OR AN ASPHALT ROOF. Tf IfS PERM[T WAS VOIUED ON�2/16/12. <br /> THIS NGW PERMIT WILL RGFLECT THE CI IANGES IN THE PERMIT. THE ROOF WAS ACTUALLY DONE IN CEDAR AND THE <br /> VALUA"CION HAS BEGN VALUED AT$41,000.00 AND HAS A PERMI"1�FEE PLUS SURCHARGG OF$605.50. THE DIFFERENCE WILL BG <br /> CHARGED BETWEEN THE NEW VALUATION AND THE AMOUN"T ORIGIANLLY PAID. THAT DIFFEIZENCE IS$275.25 FOR THE <br /> NERMIT FEE AND$1 1.80 IN S"I'ATE SURCHARGE. "I H1;TOTAL DIFFERENCF TO BE CHARGED IS$287.05. <br /> APPWCANT PERMIT FEE SCHEDULE 275.25 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 11.80 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE, MN 55337- MISC FEE 0.00 <br /> (612) 861-7000 TOTAL 287.05 <br /> Minnesota State License#: 20593656 PAID WITH CC# 3038 <br /> OWNER <br /> ETAL, SUSAN MANIKOWSKI <br /> 3505 CHR[STINE DR <br /> MAPLE PLAIN, MN 55359 <br /> AGREEMENT AND SWORN STATEMENT �j /; <br /> The work for which this permit is issued shall be performed according to �"1�� <br /> the approved plans and specitications,applicable City approvals,and the {� <br /> State Building Codc. This permit is for only the work dcscribed and does � V� <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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of thc 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 confonnance witl�the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued[3y Sig ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />