Laserfiche WebLink
w O� City of Orono FO C7Y USE ONLY <br /> �L P.O. Box 66 Date Received: / /�!� Permit <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323r <br /> (952)249-4600 ''mO�t' $—= — SAC Credit: <br /> y Homeowner(s)Signed: ❑Yes 7��F� <br /> �l G~ Resolutions(if any)Signed:❑Yes ElNone Required <br /> 9'YES H O�� Zoning Disclosure Signed: ❑Yes ❑None Required <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner;Information: <br /> Type: Reisidential ❑ Commercial <br /> t, <br /> Site Address: &S W'("J JME-R-7 <br /> Owner: f Mailing Address: <br /> City: 62 '`mac Zip: <br /> Phone: Email: <br /> Contractor/'Applicant Information: <br /> Contractor/App.: S�i2L`-T��'— ��SOc Contact Person: <br /> Address �' �3iZ '�TKu .yq State License #: I" 0 <br /> City: r� �('lAT° Zip: S�`�( Expiration Date: <br /> Phone: I Z1�1- �� I Email & �'Z- <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. <br /> Demolition by means of: ❑ Manual Disassembly ❑ Heavy Equipment ❑ Other <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑Well Abandonment# <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s) are not required. <br /> Form Last Updated., July 2015 <br /> 150784 <br />