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. CITY OF ORONO * z 0 1 2 - 0 0 1 7 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4155 FOREST LAKE DR <br /> PIN : 07-117-23-11-0007 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 008 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[OI�I TYPE : ROOF(NG -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 14,000.00 <br /> NOTE: VAf,UATION OF PERMIT: $14000.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TGAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLE'I�E SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERT[SING 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 250.75 <br /> LINDUS CONSTRUCTION INC STATE SURCHARGE(VALUATION) 7.00 <br /> 879 HWY 63 <br /> BALDWIN, WI 54002- MAIL-IN FEE 2.00 <br /> (715)684-4647 TOTAL 259J5 <br /> Minnesota State License#: BC007644 <br /> OWNER <br /> HUDSON, SAMUEL <br /> 4155 FOREST LAKE 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 [he <br /> State i3uilding 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 permi[will <br /> expire and become null and void if construction authorized is no[ <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 /> revok d at any time for due cau . <br /> � � l � l /Z � � i ��i /� <br /> Applicant Permitee Signa ure Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />