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CITY OFORONO 111111I1II1II1 II II IN TINE <br /> IE <br /> • 2750 KELLEY PARKWAY * 20 1 6 — 0 0 5 <br /> l DATE ISSUED: 05/26/22 011 <br /> 6 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 500 ORCHARD PARK RD <br /> PIN : 32-118-23-23-0003 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 011 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,000.00 <br /> NOTE: VALUATION OF PERMIT:$1,000.00 PARTIAL REROOF OF CERTAIN ROOF AREAS DAMAGED BY HAIL. <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 INSPECTION 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 43.30 <br /> STATE SURCHARGE(VALUATION) 0.50 <br /> ADAMS,THOMAS A TOTAL 43.80 <br /> 500 ORCHARD PARK RD Payment(s) <br /> LONG LAKE,MN 55356- CREDIT CARD 9953 43.80 <br /> OWNER <br /> ADAMS,THOMAS A <br /> 500 ORCHARD PARK 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. 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 4\/%4SYNA4.7a • iLI — S / <br /> Applicant Permitee Signature Date �'id r Issued ignature Date <br />