HomeMy WebLinkAbout2011-00325 - roofing w ' CITY OF ORONO PERMIT NO.: 2011-00325
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: OS/11/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 783 BOULDER DR
P[N : 33-118-23-11-0009
LEGAL DESC : STONEBAY
: LOT 006 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 8,000.00
NOTE: TEAR OFF RL'ROOF
APPLICANT
PERMIT FEE SCHEDULE 16225
MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00
6541 SYCAMORE CT N
MAPLE GROVE, MN 55369- TOTAL 166.25
(763)427-9696
Minnesota State License#: 20637010
OWNER
TRUSTEE, MARGHERITA GALE HARRIS
783 BOULDER DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the��ork described and does
not grant permission for addifional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specif ied herein.This permit will
expire and become null and void if construction authorized is no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked t any ume for due cause.
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App icant Permitee Signature Date Issue y Signat�ire Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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, Building Permit Application fo� Internal Work
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CONTRACTOR/ � � II�'QRYATION: s� \
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PROJECT INFORMATION:
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APPLICAN7 ACKNOWI.EDt3EYENT:
i Agree�m provid�NI aMorm�tion rpuind or roqur�L�d b�►fhs 8ullding DepeM�snt; T
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ufred law. If to ihs�orrr�tl�on Ifw ma not bs Issued.
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