Laserfiche WebLink
► . <br /> " • , P,r•�al�r ��' �'�'� �;.rn. a�. ��'`R?� <br /> �1-- �^��� <br /> �''�_ City of Orono F ciT usF o�[.v <br /> /����� � P.O.Box 66 Date Recei�ed: �Pa�mit��3�"� ��� <br /> 0 \` 2750 Kelley Parkway �/"_ <br /> ��� Crystal Bay,MN 55323 Amount $ SAC Credir. <br /> I (952)249-4600 <br /> a <br /> i <br /> \ ,� ;� � Homrowuer(s)Signed: ❑Ycs <br /> r <br /> �\�l. ,�/\ � / Resolutions(il any)Signed:❑Ycs ❑None Reyuired <br /> �� ��f�S�NU��� Zoning Disdosure Signed: ❑Yes ❑Nonc 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: �i <br /> Type: �esidential ❑ Commercial <br /> Site Address: � �S�Sy (��-��/ ClU`�, C)� ��C� <br /> Owner: �-�� Mailing Address: <br /> City: Zip: <br /> Phone: ��13- q 7� ���5� Email: fi�����'� � �{L"'�r� o c..Gti^'� <br /> Contractor/ Applicant Information: <br /> Contractor/App.: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Email: <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 ail 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 ❑ 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 <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 />