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- � k CITY OF ORONO PERMIT NO.: 2011-00967 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/3 U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3060 SIXTH AVE N <br /> PIN : 28-118-23-32-0014 <br /> LEGAL DESC : LESLIE ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 16,540.00 <br /> NOTE: VALUATION OF PERMIT:$16540.00 <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 295.00 <br /> DCC INC STATE SURCHARGE(VALUATION) 8.27 <br /> 1620 215TH LANE NW TOTAL 303.27 <br /> OAK GROVE,MN 55011- <br /> (612)282-9010 <br /> Minnesota State License#:20638528 <br /> OWNER <br /> KOSEK,CHRISTOPHER&HEATHER <br /> 3060 SIXTH AVE N <br /> LONG LAKE,MN 5535Cr <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 sepazate <br /> permits. All provisions of laws and ordinances governing 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo ed at any time or d cause. <br /> �, � l 3/ l20/ � �i �a l <br /> A plicant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />