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CITY OF ORONO PERMIT NO.: 2011-00661 <br /> `, 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 07/15/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 855 FOREST ARMS LA <br /> P1N . : 07-117-23-12-0013 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTNITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICG FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR <br /> TO 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 TIMF,1'HE ROOF IS f3E1NG DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> W. F. SMITH CONSTRUCT[ON STATE SURCHARGE(VALUATION) 6.00 <br /> 6585 SO SALINDERS LAKE DRIVE TOTAL 227.25 <br /> M[NNETRISTA, MN 55364- <br /> (612)867-3117 PAID WITH CC# 1933 <br /> Minnesota State License#: 5309 <br /> OWNER <br /> GOLZ, ALAN& BARBARA <br /> 855 FOREST ARMS LA <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORIV 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 permi[may be <br /> revoked at any ti for due cause. <br /> � . / � `�/ // ���-�� (,"�Y�'(Eti�� �� �/S j <br /> Ap icant Permitee Sig�ature � ���� Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />