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_ CITY OF ORONO * z 0 1 5 - 0 0 0 6 9 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU29/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3926 CHERRY AVE <br /> PIN : OS-117-23-33-0019 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-S[NGLE FAMILY HOUSES(ATT&DET <br /> NOTE: <br /> l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIPIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK <br /> TO MAKE SURE TH[S PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PEMIT. <br /> DEMOLITION OF PRINCIPAL STRUCTURE ONLY. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> SCHERBER COMPANIES STATE SURCHARGE DEMO 5.00 <br /> 11415 VALLEY DRIVE MISC FEE 0.00 <br /> ROGERS, MN 55374- TOTAL 80.00 <br /> Payment(s) <br /> CHECK 16296 80.00 <br /> OWNER <br /> WASHUTA,KENNETH <br /> 3926 CHERRY AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction au[horized is not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a[any time for due cause. <br /> � � j � <br /> I- ' l ��1 i/S <br /> Ap licant Permitee Sig ture Date Issu By Signature Date <br /> I <br />