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�- CITY OF ORONO PERMIT NO.: 2011-00558 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/30/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4205 FOREST LAKE DR <br /> PIN : 07-117-23-12-0027 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 7,800.00 <br /> NOTE: <br /> TEAR OFF SHINGLES AND INSTALL NEW LAMINA"I'ED SHINGLES <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 162.25 <br /> HUEPENBECKER CONSTRUCTION <br /> 205 W 3 1/2 ST STATE SURCHARGE(VALUATION) 3.90 <br /> WACONIA, MN 55387 TOTAL 166.]5 <br /> (612)232-9450 <br /> Minnesota State License#:2740 <br /> OWNER <br /> LEMIRE,JEROME <br /> 4205 FOREST LAKE DR <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. 'I'his permit is for only the work described and does <br /> not grant pennission 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 permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced H�ithin l80 days of the date of issuance,or if constmction 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 t any time for due cause. , <br /> � � �1����i� '� l �:; l � `FI �d l � � <br /> pplica t ermi e Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />