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CITY OF ORONO * 2 0 1 2 — fd 0 6 1 3 * <br /> ..� - ,. 2750 KELLEY PARKWAY DATE ISSUED: 06/28/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : l]Ol FERNDALE RD W <br /> PIN : 02-117-23-43-0020 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0902 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : M1NOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: VALUATION OF PERMI"1': $12000.00 <br /> ROOFING PERMITS ISSUED WI"I'l 10UT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STAR"I'ED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERT[SING S►GNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THG SIGNS MUST BE REMOVED. <br /> APPL[CANT PERMIT FEE SCHEDULE 221.25 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 227.25 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: BC631574 <br /> OWNER <br /> LEBEDOFF,JOHNATHAN & SARAH <br /> 1101 FERNDALE RD W <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonncd according to <br /> the approved plans and specifications,applicable City approvals,and [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant pemiission 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 specitied 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 daqs at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with[he State Building Code.This permit may be <br /> revol�at an ' r due c se. <br /> ��---- �/ �'�� / (2�- <br /> / � <br /> ermitee Signature Date � Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />