Laserfiche WebLink
_o City of Orono � �rry:�se o�►_}. ------, 6 <br /> ,-,� � P.O.BCx 65 Date Recei���------/ 5 Yerm�t z �d� '��/� <br /> Q ' 2750 Kelley Parkway i <br /> Cryst8168y.MN 55323 .Amoin;t: 3 SAC Credit', <br /> ' I (957.)249-4600 __ - ---- <br /> ) ` Homeokmer{s}�ign�d: ❑1'e� <br /> ,. ,.��/� „ ; R;solutiuns(if anp)Sigtted:❑Yes ❑(vone Rcquired <br /> '�.t�t��i�� � � , Zoiinc Disciusure Si ed: ❑Y"�s 0 None Re uired <br /> �� ��z��� <br /> ��� e�CITY�OF ORONO - DEMOLiT10N PERMIT �� ��V� <br /> ( p pproved by,ne Building O`fi�ial and/or Zoning Departmenij <br /> ( Job Site/ Owner Information: <br /> Type: [� Residential ❑ Commercial <br /> Site Address: `'�G�'L� t C d VI��Q I t. �+�'� ��' <br /> Owner: ��(�V� i� #J'���� ; Mailing Address: 1�I C,� 1 �'i"r'l�t� la` �'� �� <br /> City: 1-U�,A!�GLt�GL Zip: `3 � �Ij ( <br /> Phone: Email: <br /> f Contractor!Applicant Information:^ �� <br /> ContractorlApp.:�. � . :�,��}*�;'�5;t.!_�� r 1'� ���i L. Contaci Person: � � lti-� `,�-�t �^�'C�_ �� �� <br /> Address: � (��5(.;� �Q.b�v�C�`�� �'c j�`;� State License#: <br /> City: �- ����V c�v_ Zip: ��'�`�1 Expiration Date: <br /> Phone: l�- `; ��`f�-'�I_� ::�( Email: � �� �� �� _< .�.� vt.c� ��! �e;1,� <br /> � � <br /> SPE�CIAL CONDITtONS 8� HOLD HARMLESS AGREEMENT � <br /> General Instructions: <br /> 1. You may be required to obtain other perrnits, 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 24-4$ hour notice is required for all inspec#ions. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City se►vice 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 /> ..�j 1. Submit a survey, aerial phota ar sketch showing all structures on the prope�ty. 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, Construcfion Site Runoff Control. <br /> -.__a � 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 />