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� ` CITY OF ORONO <br /> * 2 0 1 S - 0 1 0 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2465 SHADYWOOD RD <br /> PIN : 20-117-23-11-0031 <br /> LEGAL DESC : ORONO HILLS <br /> : LOT 001 BLOCK 001 <br /> PERMTC TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-RUBBER <br /> ACTNITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 2,400.00 <br /> NOTE: VALUATION OF PERMIT:$2400 -REMOVE RUBBER MEMBRANE AND DAMAGED DECKING,REMOVE/REPLACE DAMAGED <br /> 2 X 10'S AND REPLACE DECKING RUBBER MEMBRANE(6 SQUARES) <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-ADVERTISMG 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 92.93 <br /> STATE SURCHARGE(VALUATION) 1.20 <br /> SELA ROOFING&REMODELING, INC. TOTAL 94.13 <br /> 4100 EXCESIOR BLVD Payment(s) <br /> ST. LOUIS PARK, MN 55416- CHECK 36194 94.13 <br /> (952)915-7227 <br /> Minnesota State License#: BUIL-BC1050 <br /> OWNER <br /> DELANEY,DANA <br /> 2465 SHADYWOOD RD <br /> EXCELS[OR, MN 55331- <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 does <br /> not grant permission for additional or related work which requires separate <br /> pe�mits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hereia This permit wi11 <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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be ` <br /> revoked at any time for due cause. <br /> . _. <br /> .. <br /> /'. - <br /> �3 • I'� • 1S ��� - ` �l �G -�"_� �� � <br /> ic nt�ermitee nature Date Issued ignature Date <br />