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w+ <br /> CITY OF ORONO * 2 0 1 6 - 0 0 4 6 2 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/02/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2695 KELLY AVE <br /> PIN : 20-117-23-14-0008 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROQFING-�EDAR <br /> �c�T-lv;Ty fi I� !-3� c) <br /> VALUATICSN : $ 25,000.00 <br /> NOTE: VALUATION OF PERMIT:$25,000.00 <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 433.67 <br /> STATE SURCHARGE(VALUATION) 12.50 <br /> REVISION LLC TOTAL 446.17 <br /> 153 E LAKE STREET <br /> WAYZATA,MN 55391- Payment(s) <br /> (952)540-7150 CREDIT CARD 9724 446.17 <br /> Minnesota State License#: BUIL-BC639027 <br /> OWNER <br /> KIEPER,POLLY <br /> 2695 KELLY AVE <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 wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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. r <br /> 5 Z I '` .� <br /> I � D � � .�, � , <br /> Applicant Pe itee ' e Date Issued Signature Date <br />