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e <br /> MIRRUNBRIM <br /> CITY OF ORONO * 2012 - 00957 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4510 NORTH SHORE DR <br /> PIN : 07-117-23-31-0029 <br /> LEGAL DESC : WILDHURST TRAIL <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 12,500.00 <br /> NOTE: VALUATION OF PERMIT:$12500.00 <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 236.00 <br /> TRINITY EXTERIORS,INC. STATE SURCHARGE(VALUATION) 6.25 <br /> 4204 PARK GLEN RD <br /> ST LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 <br /> (763)473-8200 TOTAL 244.25 <br /> Minnesota State License#:20629997 PAID WITH CC# 0488 <br /> OWNER <br /> SAWICKI,PETE&KATHY <br /> 4510 NORTH SHORE DR <br /> MOUND,MN 55364- <br /> AGREEMENT <br /> 5364AGREEMENT 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 does <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 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 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 caul . <br /> a c.Le�� 91 2Cei /2_ f l Flo l 12— <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />