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. . CITY OF ORONO PERMIT NO.: 2011-00900 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE lss�En: 08/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3485 CHR[STINE DR <br /> PIN : OS-117-23-12-0021 <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTNITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 18,024.89 <br /> NOTE: VALUAT[ON OF PERMIT:$18024.89 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NO'I'ICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BE[NG 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 1S COMPLETGD 7'HE SIGNS MUST BG REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 324.50 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 9.01 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSV[LLE, MN 55337- MAIL-IN FEE 2.00 <br /> (612)861-7000 TOTAL 335.51 <br /> Minnesota State License#: 20593656 PAID WITH CC# 152] <br /> OWNER <br /> BACKSTROM, ERIC& EMILY <br /> 3485 CHR[STINE DR <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 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 I 80 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 at any time for due cause. <br /> �`�1Q'-GLeil� 8'l o�_l l/ /,�a--i l� <br /> Applicant Permitee�ignature Date [ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />