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CITY OF ORONO PERMIT NO.: 2011-00928 <br /> „� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 08/24/2011 <br /> • 952 249-4600 FAX: 952 249-4616 � <br /> ADDRESS : 4385 CHIPPEWA LA <br /> PIN : 31-118-23-42-0017 <br /> LEGAL DESC : LJNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIV[TY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,500.00 <br /> NOT�: VALUATION OF PERMIT:$8,500.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING S7'ARTED) MUST PROVIDE COMPLETE S�T 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 177.00 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.25 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE, MN 55369- TOTAL 181.25 <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> FR[TZLER,J. MARC <br /> 4385 CH[PPEWA LA <br /> MAPLE PLAIN, MN 55359- <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. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed work which requires separate <br /> pemiits. 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[ime 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 at any time for due cause. ,� <br /> '�7 <br /> r� , ; d�v� <br /> /1= _ ���.- _�'l �5�- l // �L��_.R �i��z l �^� � �� _I <br /> Appl�cant rmitee Signa�ure Date [ssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />