Laserfiche WebLink
� <br /> . �r M <br /> CITY OF ORONO PERMIT NO.: 2011-01016 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 09/12/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3745 SHORELINE DR <br /> PIN : 20-117-23-21-0025 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : ROOFING-RUBBER <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 26,500.00 <br /> NOTE: ADHERED RUBBER ROOF <br /> APPLICANT pERMIT FEE SCHEDULE 434.50 <br /> NIEMAN ROOFING CO INC STATE SURCHARGE(VALUATION) 13.25 <br /> POBOX64 <br /> NEW PRAGUE,MN 56071- MAIL-IN FEE 2.00 <br /> (952)758-4791 TOTAL 449.75 <br /> PAID WITH CC# 6573 <br /> OWNER <br /> CHURCH,GOOD SHEPHERD LUTHERAN <br /> 3745 SHORELINE DR <br /> WAYZATA,MN 55391- <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time fo�e. <br /> ��' �l /—� // LC�I/�- �/oZi'/ <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />