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CITY OF ORONO PERMIT NO.: 2010-00407 <br /> 2750 KELLEY PARKWAY <br /> • <br /> ORONO, MN 55356- DATE ISSUED: 06/02/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 170 WEAR LA N <br /> PIN : 33-118-23-34-0015 <br /> LEGAL DESC : ROLLING MEADOWS 3RD ADDN <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMOLITION OF ORIGINAL FARM HOUSE WHEN ADDRESS WAS 115 OLD CRYSTAL BAY ROAD <br /> APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> SCHOENING EXCAVATION INC. STATE SURCHARGE DEMO 0.50 <br /> 4875 BRADFORD ROAD TOTAL 50.50 <br /> MAPLE PLAIN,MN 55359 <br /> 0 <br /> OWNER <br /> BERKEY, SCOTT G <br /> 170 WEAR LA N <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 /> rev, ked at any time for due cause. <br /> J / / / / <br /> A plicant Permite�ature Date Issued B S' <br /> By ature ..3 )ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO t. <br />