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CITY OF ORONO PERMIT NO.: 2011-01495 <br /> . 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- DATE ISSUED: 1U30/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3895 BAYSIDE RD <br /> PIN : OS-117-23-23-0009 <br /> LEGAL DESC : HILLSIDE PARK <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 11,000.00 <br /> NOTE: VALUATION OF PERMIT:$11,000.00 <br /> ROOFING PERMITS ISSUED WI1'HOU7'ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STAR'I'ED) MUST PROV[DE COMPLETE SET OF YICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERT[SING 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 206.50 <br /> AC CONSTRUCTION& RESTORATION SERV STATE SURCHARGE(VALUATION) 5.50 <br /> 12510 FLETCHER LANE SUITE L TOTAL 212.00 <br /> ROGERS, MN 55374- <br /> (763)682-0770 <br /> Minnesota State License#: 20634132 <br /> OWNER <br /> STRANDBERG,CAROLYN&JEFFREY <br /> 3895 BAYSIDE RD <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 approvcd 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 ofwork <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 construc[ion 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 contormance with the State Building Code.This permit may be <br /> revoked at y time for due cause. ���� <br /> - �� � � ��1�..r � c�t� ��-� , �;" 3 Z� ._� <br /> Applican ' r rtee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />