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CITY OF ORONO PERMIT NO.: 2011-01219 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 10/10/2011 <br /> �` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 96 HACKBERRY HILL <br /> PIN : 33-118-23-44-0023 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 5,200.00 <br /> NOTE: VALUATION OF PERMIT:$5,200.00 <br /> ROOFING PERMI"1'S ISSUED WITFIOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRG 24-48 NOTICE,PR[OR TO <br /> WORK BEING STARTED) MUST YROVIDE 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 f3E1NG DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST l3E REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> ABLE RESTORATION GROUP STATE SURCHARGE(VALUATION) 2.60 <br /> 17316 KENYON AVE <br /> LAKEVILLE, MN 55044- TOTAL 135.35 <br /> (952)378-8000 <br /> Minnesota State License#: 20637232 <br /> OWNER <br /> SIFORD, RUBY <br /> 96 HACKBERRY HILL <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 /> shail be compied with whether or not specitied 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 /> "I'he app�icant is responsible Yor assuring all required inspections are <br /> reyuested in confonnance with the State Building Code.This penni[may be <br /> revoked at any time for due cause. ��) <br /> � ��/ <br /> / / � '� � ,L,� L ��l�' __�C —;l <br /> Applicant Permitee Signature Date � ����� � � � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />