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CITY OF ORONO PERMIT NO.: 2oii-o�o4s <br /> 2750 KELLEY PARKWAY <br /> � � ORONO, MN 55356- �ATE �SSUEn: 09/13/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3720 JACOBS MILL RD <br /> PIN : 32-118-23-24-0008 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 11,000.00 <br /> NOTE: VALUATION OF PERMIT:$11,000.00 <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 INSPECI'ION 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 206.50 <br /> ATKINSON CONSTRUCTION& SIDING LLC STATE SURCHARGE(VALUATION) 5.50 <br /> 4530 CO. RD 50 TOTAL 212.00 <br /> DELANO, MN 55328- <br /> (612)735-6292 <br /> Minnesota State License#: 20638420 <br /> OWNER <br /> CARLSON, GREGORY <br /> 3720 JACOBS MILL RD <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. AI)provisions of laws and ordinances goveming 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 afrer wark 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 q� <br /> revok at any time for due cause. , �/.�'� <br /> _ �` — � 3 - / <br /> ,� � �� —� i i �- �� � �-y�t ��� � �� <br /> pplicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />