Laserfiche WebLink
�,¢(j��� City of Orono �Fa �t v usE ov►,v h <br /> � P.O.l3ox 66 ' .. <br /> 0 Q'� Date Received: z `� Pem�it# � {,/� � <br /> � �,, � 2750 Kelley I'ark�aay �/7 <br /> �'��'R1�� Crystal Bay,MN 55323 <br /> �' Amount $ Q(/� SAC Credit <br /> ���+ �'���r,;Y.�o/ (952)249-4600 <br /> "t4assH�! <br /> �i-- Homeowner(s)Signed: ❑Yes <br /> Resolutions(if�ny)Signed:❑Yes ❑None ftequired <br /> Zonin Disclosure Si ned: ❑Ycs ❑None Re uired <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All nermiis musl be approved by the l3uilding Official and/or"Loning Deparlment) <br /> Job Site/Owner Information: <br /> Type: (�Residential ❑ Commercial <br /> Site Address: �� 1� �__l�/�-Jl�� Y ���� I�IJ <br /> Owner: ������Q �� � P � Maili�ig Address: ��D�1�'J ��0 ��-� K���''�� <br /> c�ty: vVi,��2.�-- z,p: ��53°� � <br /> Home Phoue: V�l�f� Alternate Phone: Y� � f�-� <br /> Contractor/Applicant Information: <br /> Conh•actor/App.: � \�Cl�� ��"lV(./�1•1�� '1���� Contact Persou: �_��l,�lY1�l-Q�t�IYJ�/ <br /> Address: ,7��`�� ��U-� -� �V-1�'� State License #: � <br /> C � <br /> City: � �� �N� Zip: � J �S� Expiration Date: �" <br /> Phone: �� ��� �-���j � �7��[.� Alternate Phone: � ���C� <br /> 11.12 '3�`�'2�� � I <br /> SPECIAL CONDITIONS & HOLD IiAR1VILESS AGREEMENT <br /> Ceneral Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandoiunent, sewer; etc. <br /> 2. Work must not begin unless the permit card is available ou 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 qualitied contractor before demo pecmit is issued. <br /> Demolitiou by means of: ❑ Manual Disassembly � Heavy Equipment ❑ Other <br /> Pennit(s) Issued: � Sewer Discounection ❑ Well Abandonment# � i�l �r UC�f`�� <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 structuces on the property. Note whiel� <br /> structures are to be deinolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measui•es in <br /> aecardance with Cl�apter 79, Construction Site Rur�off Control. <br /> 3. Submit a $2,000 escrow and an escrow agreement sigiled by the property owner. <br /> 4. Keep all structure(s),enclosed and/or secured until such tiine as demolition is complete. <br />