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� CITY OF ORONO PERMIT NO.: 2011-01152 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE IssuEn: 09/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4175 FOREST LAKE DR <br /> PIN : 07-117-23-11-0006 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 007 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 7,000.00 <br /> NOTE: VALUA"I'ION OF PERMI"I': $7000.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFP INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK L3EING S1'ARTED) MUST PROVIDE COMPLGTE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVER"CISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME'I'HE ROOF[S BEING DONE. <br /> ONCL-'WORK IS COMPLGTED THE SIGNS MUST BG REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> MIDWEST SIDING ROOFING& WINDOWS STATE SURCHARGE(VALUATION) 3.50 <br /> 6451 SYCAMORE CT N TOTAL 151.00 <br /> MAPLE GROVE, MN 55369- <br /> Minnesota State License#: 20010277 <br /> OWNER <br /> THEISEN, T& S <br /> 4175 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 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 /> permi[s. 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 construc[ion 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 wi[h the State Quilding Code.This pennit may be <br /> revoked at �me for due ause. <br /> c ,.�/ <br /> � � lt�"'t � // l <br /> App-Yc�nt Pe i ee Sig re Date Issued By S' ature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB <br />