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� . CITY OF ORONO * 2 0 1 3 - 0 Pl 3 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4455 NORTH SHORE DR <br /> PIN : 07-117-23-31-0002 <br /> LEGAL DESC : BERGQUISTS ADDN TO SAGA HILL <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: VALUATION OF PGRMI"I': $8000.00 <br /> ROOFING PERM['I'S ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROV[DE 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 DONF.. <br /> ONCE WORK IS COMPLETED THG SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> LEGACY RESTORATION LLC STATE SURCHARGE(VALUATION) 4.00 <br /> 14000 25TH AVE N#110 <br /> PLYMOUTH,MN 55447- TOTAL 166.25 <br /> OWNER <br /> KLOHN, GREGG D <br /> 4455 NORTH SHORE DR <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work lor which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permi[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 speeified 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 time afrer 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 /> �'4' � �j /�� / �� �` /�� / <br /> �plicant ermitee S' re Date Is u y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. <br />