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CITY OF ORONO * z 0 1 4 — 0 1 3 1 3 * <br /> ` 2750 KELLEY PARKWAY �ATE �ssuE�: 11/07/201� <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2615 COUNTRYSIDE DR <br /> PIN : 04-117-23-12-0004 <br /> LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING - CEDAR <br /> ACTIVITY : O%S BUILD►NG - UNDEFINF_-,D <br /> VALUATION : $ 13,000.00 <br /> NOTE: VALUA'I�ION OF PERMIT: $ 13,000.00 <br /> ROOPING PERMITS ISSUED WITHOUT ENOUGFi NOIICE I�OR l�I�:,�R OI�I,INSPI:C"�IONS. (WG REQUIRF:2�3-48NOTICE. PRIOR"I�O <br /> WORK BEING STARTED) MUST PROVIDF.COMPLETE SET OF PIC���I�RI:S OR A FINnL INSPF,CTION MAY NO��BI-: ISSI'ED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BG ON"I�HE PROPER"I�Y [�URING�fFll�: IIMG I�HE ROOF IS BF,ING DONI;. <br /> ONCI; WORK IS COMPLETED THE SIGNS MIJST BF. RI:MOVF,f). <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> STATE SURCHARGE (VALUATION) 6.50 <br /> SELA ROOFING& REMODELING, INC. TOTAL 242.50 <br /> 4100 EXCESIOR BLVD Payment(s) <br /> ST. LOUIS PARK, MN 55416- <br /> (952)915-7227 CHECK 35;00 242.50 <br /> Minnesota State License#: BUIL-BCI050 <br /> OWNER <br /> T(CHY, PAUL& MARY <br /> 2615 COUNTRYSIDE DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The N�ork for�chich this permit is issued shall be performed according to <br /> the approved plans and specitications.applicable Cit_y approvals,and the <br /> State Buildinc Code. This permit is for only the work described and does <br /> not grant permission for additional or related work��hich requires separatc <br /> permits. All provisions uf laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.l�his permit�+�ill <br /> expire and become null and void if construction aud�orized is i�ot <br /> commenced ti'ithin 1 RO da��s of Ihe date of issuance.or if�construction is <br /> suspended for a period of� 180 da��s at am�time alter work has a�mmenced_ <br /> The applicant is responsible for assuring all required inspections are <br /> reques�t d in conformance with the State Building Code.�I�his permit ma� he <br /> revo�¢d��t anv time for due cause. ///„� <br /> ' � '�_--- C c�� (.�/ �/ _7 / <br /> � 2� ....-�� ,C � c�Yl'1 � � <br /> cant Aermitee Signature a e Issued 13��Signatu e Date <br />