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� ' ^ CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 2 — 0 0 4 4 9 * <br /> DATE ISSUED: 05/23/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4198 NORTH SHORE DR <br /> PIN : 07-117-23-43-0002 <br /> LEGAL.l3ESC : UNPLAT'TED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RE5IDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY ; O/S BUILDING-UNDEFINED <br /> VALUATION : $ 29,000.00 <br /> NOTE: VALUATION OF PERMIT:$29000.00 <br /> THIS PERMIT INCLUDES ASPHALT ROOF,(2)WINDO REPLACEMENTS AND(1)DOOR <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON TI�PROPERTY DURING TI�TIME TI-�ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED TI�SIGNS MUST BE REMOVED. <br /> APPLICANT pERMIT FEE SCHEDLJLE 456.00 <br /> JACOB LINDER BUILDERS STATE SURCHARGE(VALUATIOl� 14.50 <br /> 15442 IOTH STREET SW <br /> COKATO,MN 55321- TOTAL 470.50 <br /> (320)286-3003 <br /> Minnesota Sta.te License#:448205 <br /> OWNER <br /> PLACEK,MATT <br /> 4198 NORTH SHORE DR <br /> MOUND,MN 55364 <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 sepazate <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 180 days at any rime after work has commenced <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the tate Building Code.This permit may be <br /> revoked at an ' for due c <br /> ` .�io73i / i i /� <br /> ppli t Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />