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._, CITY OF ORONO * 2 B 1 5 - 0 1 2 9 0 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/06/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 325 HOLLANDER RD <br /> pIN : 25-118-23-43-0024 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1281 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,600.00 <br /> NOTE: VALUATION OF PERMIT:$9,600.00 <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 20136 <br /> STATE SURCHARGE(VALUATION) 4.80 <br /> SELA ROOFING&REMODELING,INC. TOTAL 206.16 <br /> 4100 EXCESIOR BLVD Payment(s) <br /> ST.LOUIS PARK,MN 55416- CHECK 36399 206.16 <br /> (952)915-7227 <br /> Minnesota State License#: BUIL-BC1050 <br /> OWNER <br /> GOLINVAUX,MR.&MRS.JERRY <br /> 325 HOLLANDER RD <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 conswction 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 cause. , �� <br /> � P <br /> � i � �c�c_� �--�--fs� ; � ,(� l <br /> Ap tcant Permitee ignature Date Issued By Signature Date <br />