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CITY OF ORONO PERMIT NO.: 2008-00457 <br /> � ` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: 12/24/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2623 CASCO POINT RD <br /> PIN : 20-117-23-24-0032 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 141 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES (ATT& DET <br /> NO'fE: 'IHIS HOME IS BEING BURNT BY THE FIRE DEPARTMENT. A PRE-INSPECTION MUST BE DONE PRIOR TO BURN,GIVE US <br /> 48-FIOUR NOTICE. ALSO AS PART OF THIS PRE-INSPECTION,LYLE SAID SEWER DISCONNECTION DID NOT HAVE TO BE DONE, <br /> 13U1''I'FIAT IT COULD BE CEMENTED IN. <br /> NOTE: <br /> l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSGD OF OFF SITE, PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 50.00 <br /> KUBALAK, THOMAS& PATRICIA STATE SURCHARGE DEMO 0.50 <br /> 2623 CASCO POINT RD <br /> WAYZATA, MN 55391- DEMOLITION -ACCESSORY STRUCTURE 30.00 <br /> TOTAL 80.50 <br /> OWNER <br /> KUBALAK, THOMAS& PATRICIA <br /> 2623 CASCO POINT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd 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 hercin.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 aRer work has commenced. <br /> Thc applicant is responsible for assuring all required inspections are n,^ <br /> requcsted in conformance with the State Building Code.This permit may be ���� <br /> revoked at a�zy time r due cause. � �� �� <br /> .�_.. � � G`yV i�.e yl <br /> ��,�' ....�-.—_..._..._.__ /z � � �� � - " r-" �/oz--��/--�� <br /> App cant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTNER THAN DESCRIBED ABOVE. <br />