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� City of Orono FOR CITY liSE ONLY, <br /> � //�0�� P.O.Box 66 Date Received: �`��(/�it# �7���-�"' C �y� <br /> J � 2750 Kelley Parkway � <br /> ( Crystal Bay,MN 55323 � � Amount. $ SA�Credic:__ <br /> (952)249-4600 � �.: /r /�%�, _���` �� S��' �`� 8� � <br /> � a.� � Homeowner(s)Signed: ❑�'es---___ <br /> y � <br /> f �/ y1 i� Resolutions(if any)Signed:�Yes ❑None Reyuire�� <br /> , " / p. <br /> ��fS H���� (V I,onin Disdosure Si ned. ❑Yes �None Re uired � � a� <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: � Residential ❑ Commercial <br /> Site Address: 1224 6RlAR ST, WAYZATA, MN <br /> JAMES HILLIER SAME <br /> Owner: Mailing Address: <br /> Cit WAYZATA ZiP: 55391 <br /> Y� <br /> Phone: 612-916-6574 Ef1181I: JIM HILLIER@HONEYWELL.COM <br /> Contractorl Applicant Informafion: <br /> Contractor/App.: EVERLAST ENTERPRISES IN�ontact Person: JAMES CLEARY <br /> Address: 4109 NO SHORE DRIVE State License #: BC591566 <br /> City: MOUND Zip: 55364 Expiration Date: <br /> Phone: 612-868-0748 Email: JIM EVERLASTENTERPRISES.COM <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: weli 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# NA <br /> �z��F('Ct i( E�:"��1, <�r ��'�`(it i�i�.} <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. INCLUDED IN GENERAL PERMIT <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�equired. <br /> Form Last Updated: July 2015 � I 5 � 3�/� <br /> 1�0784 <br />