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CITY OF ORONO PERMIT NO.: 2011-01097 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356— DATE ISSUED: 09/21/2011 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 85 WEAR LA N <br /> PIN : 33-118-23-34-0005 <br /> LEGAL DESC : ROLLING MEADOWS 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 22,766.97 <br /> NOTE: VALUATION OF PERMIT:$22,766.97 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 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 THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 383.50 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 11.38 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 <br /> (612)861-7000 TOTAL 396.88 <br /> Minnesota State License#:20593656 PAID WITH CC# 1521 <br /> OWNER <br /> SIEVERT,MICHEAL&GAYLE <br /> 85 WEAR LA N <br /> LONG LAKE,MN 55356 <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 180 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 <br /> due c(use. <br /> v'�6 <br /> Applicant Permitee Signature Date Issued By S mature / Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED At E. <br />