Laserfiche WebLink
3 - - _ `' / �� <br /> CITY OF ORONO APPLICATION FOR DffiKOLITION Pffi21KIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> ***********t********��*****:**�****�***:******�**:***********#*****��***** <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. burning, well <br /> -- = abandonmment, etc. <br /> 2 . Work must not begin unless the permit card is available on the job <br /> site. <br /> 3 . A 24 hour notice is required for all inspections. Call 473-7357. <br /> ******�t*:********:**:t*******::tt�**�* # ******** **ttf**��**:******** <br /> JOB SITE ADDRESS: � ,��`'��,5 ��'��'/7 �� ��''''�� /%� ,j � :,�+��� <br /> Occupancy Type: Residential Commercia <br /> r / , / < <br /> OWNER'S NAME: � i�7 t� _' =: r'c.� �� Phone: ��(� -��f�� <br /> Mailing Address: '� - � ,; -� - ' City: /� " s�� - j',g� <br /> f /� � ��•��i�����c�`�',��� <br /> CONTRACTOR'S N�: ✓'� `'''� � '-��J��SLJ�'�y��%`��5 - Bus. N6. : <br /> Mailing Address: City: <br /> *********#****:*:**:*:*****:��r*****�**********�*::***t:�t�:**************�* <br /> Demolition if planned by means of: manual disassembly �-heavy equipment <br /> c.-burning (by fire department) <br /> Permits Issued: , � <br /> #�_ Burning Fire Department ����/C/r�y'' <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in <br /> accordance with al 1 applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed , before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a final inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> _ ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br />