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• CITY OF ORONO * 2 0 1 4 — 0 0 6 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2014 <br /> " ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1920 COUNTRY CLUB RD � <br /> PIN : 27-118-23-42-0017 r �'�� � �� � <br /> LEGAL DESC : L,ONG LAKE COUNTRY CLUB ADDN ��( <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOfY TYPF, : ROOFING - RUBBER <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ I,500.00 <br /> NO"I�E: VALUA"I�ION OP PF.RMIT:$1500.00 <br /> ROOFING Pt:RMI�I'S ISSUF,D WITHOUT ENOUGH NO"I'10E FOR"1'{�:AR OPP INSPEC"CIONS. (WE RF,QUIRF,2d-48 NO"i'ICE, PR[OR TO <br /> WORK [3EING STARTED) MUST PKOVIDE COMPLETG SET OI' PICTURGS OR A PtNAI,INSPECTION MAY NOT BI� [SSUED. <br /> SIUNS-ADVF,R"I�ISINU SIGNS MAY ONI.Y E31;ON"CIIE PROPGR'I'Y DUR[NG T}[G TIMG"CHF? ROOF IS I3EING DONi;. <br /> ONCE WORK IS COMPLETFD TFIP,SIGNS MUST BI?R}�;MOVF.D. <br /> APPLICANT PERMIT FEE SCHEDULF 57.50 <br /> STATE SURCHARGE (VALUATION) 0.75 <br /> KUHL'S CONTRACTING MISC FEE 0.00 <br /> 1515 S STH STREET <br /> HOPKINS, MN 55343- TOTAL 58.25 <br /> (952)935-9469 Payment(s) <br /> Minnesota State License#: BUIL-BC195769 CREDIT CARD 2216 58.25 <br /> OWNER <br /> CARLSTEN, KEITH & DEBORAH <br /> 1920 COUNTRY CLUB RD <br /> LONG LAKG, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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. "I'his permit is tbr only the work described and docs <br /> no[grant permission for additional or related worl:�chich requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced�vithin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after w�ork has conunenced. <br /> �he applicant is responsible 1�or assuring all required inspections are <br /> requested in conformanec���ith thc State Quilding Code.This permit may bc <br /> revoked at any time r due cause. <br /> Y� ,� r l.l��j��l�-1 � � <br /> Applic� t Permitee Signature Date Issued [3y S� ature -Datc <br />