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11CITY OF ORONO �� ���� �� 111 <br /> * 2 0 1 5 - 0 1 1 7 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2605 WEST LAFAYETTE RD <br /> PIN : 21-117-23-21-0007 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: VALUATION OF PERMIT:$ 10,000.00 <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 201.36 <br /> MARQUISE CUSTOM HOMES&REMODELING STATE SURCHARGE(VALUATION) 5.00 <br /> 12272 239TH AVE NW TOTAL 206.36 <br /> ELK RIVER,MN 55330- <br /> Payment(s) <br /> (612)490-4421 CREDIT CARD 7678 206.36 <br /> Minnesota State License#: BUIL-636045 <br /> OWNER <br /> PRIEM,MICHAEL&DAWN <br /> 2605 WEST LAFAYETTE RD <br /> EXCELSIOR,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 /> 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 cause. <br /> f/4// .„, eet-76 czt ,/(p ,is <br /> Applicant Permitee Signature Date Iss ed ignature Date <br />