Laserfiche WebLink
O City of Orono FOR CITY USE ONLY <br /> � � P.O. Box 66 Date Received�- `j-/3 Permit# l3-.(qi0"�f 7 <br /> � 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Amount: $ SAC Credit: <br /> (952)249-4600 <br /> � � Homeowner(s)Signed: ❑Yes <br /> yc� �,� Resolutions(if any)Signed:�Yes ❑None Required <br /> `-9kFSH��� � Zoning Disclosure Signed: ❑Yes ❑None Re uired <br /> �/ <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 /> � <br /> Type: ,�esidential ❑ Commercial <br /> Site Address: �a2�� �A-�-O � � <br /> Owner: � ��u.C�-e Mailing Address: <br /> City: Zip: <br /> Phone: Email: <br /> Contractor/Applicant Information: <br /> Contractor/App.: �. 5 M. ���. Contact Person: 1N1,I� ��'� <br /> Address: �1q, I6 � /�( State License#: o1'Z Yf' <br /> .� <br /> City: �.� Zip: Expiration Date: <br /> Phone: 5 l — �'iC��l3 SS Email: <br /> �4��L- q� - 34p ��,e��� <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 <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly'�eavy Equipment ❑ Other <br /> Permit(s) Issued: �ewer 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 <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a demolition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br />