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CITY OF ORONO PERMIT NO.: 2009-00661 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUEn: 10/OU2009 <br /> • • 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1981 FAGERNESS POINT RD <br /> PIN : 18-117-23-14-0005 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> ACTIVITY : �C�NGLE FAMILY HOUSES, DETACHED <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 ABANDONGD. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> APPLICANT <br /> DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> MICHAEL GALLUS CONSTRUCTION INC. STATE SURCHARGE DEMO 0.50 <br /> 6306 EHLER AVE. <br /> DELANO, MN 55328 MISC FEE 0.00 <br /> (612)709-9796 TOTAL 75.50 <br /> Minnesota State License#: 20061956 <br /> OWNER <br /> WHITTINGTON-GGROENKE,MICHEAL&JULIE <br /> 1981 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <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 the <br /> State Building Code. This permit is for only the work described and does <br /> not gran[permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall bc compied with whether or not specified herein.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 after work has commenced. <br /> The applican[is responsible for as ring all r uired inspec[ions are <br /> requested in conf mance with th State u�ding Code.This permit may be <br /> revoke at any t e for due cau . <br /> / ' <br /> -� a--- /v� / / U � / / <br /> Ap icant ermitee Signature Date Issued By Si �ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />