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CITY OF ORONO PERMIT NO.: 2011-00671 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/18/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1160 WILLOW DR N <br /> PIN 27-118-23-32-0004 <br /> LEGAL DESC UNPLATTED 27 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 9,000.00 <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 THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> TEAR OFF REROOF-HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> EXECUTIVE EXTERIORS&REMODELING STATE SURCHARGE(VALUATION) 4.50 <br /> 4205 LANCASTER LANE TOTAL 181.50 <br /> PLYMOUTH,MN 55447- <br /> (763)432-4677 <br /> Minnesota State License#:20592356 <br /> OWNER <br /> HILLSTROM,CLIFFORD <br /> 1160 WILLOW DR N <br /> LONG LAKE,MN 55356 <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 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 /> revoked aatpany time for due cause. <br /> /� / <br /> 11A I 1 /`601 l l l 1 /Y-/1 <br /> Applicant Permiteignature Date Issue6by Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />