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-� � w <br /> CITY OF ORONO PERMIT NO.: 20ll-00674 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 5535G- DATE ISSUED: 07/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 455 SUSSEX LA <br /> PIN : 04-117-23-32-0011 <br /> LEGAL DESC : FOX BEND <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 23,648.76 <br /> NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR <br /> TO 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 TI IE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 398.25 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 11.82 <br /> 12366 RIVER RIDGE ROAD TOTAL 410.07 <br /> BURNSVILLE, MN 55337- <br /> (612)861-7000 PAID WITH CC# 1521 <br /> Minnesota State License#: 20593656 <br /> OWNER <br /> CRAWFORD, BRUCE&CAROL <br /> 455 SUSSEX LA <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 gran[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 hecein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 fer assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> cevoked at any time fo e cause. <br /> ., <br /> " / / �7/ �7/ /� <br /> ' � �ca rmitee ignature Date Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />