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w <br /> .� CITY OF ORONO * z 0 1 7 — 0 1 2 PJ 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4205 NORTH SHORE DR <br /> PIN : 07-117-23-43-0004 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 26,373.56 <br /> NOTE: VALUATION OF PERMIT:$26373.56 <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 FMAL 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 456.25 <br /> STATE SURCHARGE(VALUATION) 13.19 <br /> LEGACY RESTORATION LLC TOTAL 469.44 <br /> 14000 25TH AVE N#110 Payment(s) <br /> PLYMOUTH, MN 55447- CHECK 2970 469.44 <br /> Minnesota State License#: BUIL-BC647213 <br /> OWNER <br /> KOEHLER,TIMOTHY&DANIELLE <br /> 4205 NORTH SHORE DR <br /> MOLJND, MN 55364- <br /> AGREEMENT AIVD 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 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 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 180 days at any time afrer 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 /> � s� �'" r� f�� � ��a ��l <br /> �� � jl;� ;�� � ��'�Zh'/'i7� �c� <br /> A�plicant ermitee Sig,nature ate Issued By Si ture Date <br />