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� � CITY OF ORONO * 2 0 1 Z — 0 0 2 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUEU: 04/09/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3450 BIRCH LA <br /> PIN : 08-117-23-43-0023 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG -ASPHALT <br /> ACTIVITY : O/S BU[LDING -UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: VALUAT[ON OF NERMI"I': $8000.00 <br /> ROOFING PERMPCS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE RF,QUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL 1NSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIMG THG ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 4.00 <br /> 2478 H[LLWOOD DR E <br /> ST. PAUL, MN 551 19- TOTAL 166.25 <br /> (651)224-3442 <br /> Minnesota State License#: 20249486 <br /> OWNER <br /> ENGLER, MR. & MRS. <br /> 3450 BIRCH LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc N°ork for�a�hich dus 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 ap�icant is responsible for assuring all required inspections are <br /> request d in conformance with the State Building Code.This permit may be <br /> revoke at any time for due cause. <br /> / / / � / �� <br /> Ap i ant Permitee Signature Date [ss E3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />