Laserfiche WebLink
� � �,V <br /> � � �-�.J � �a` � �j� � - �� ���� <br /> ,�-�.���� - ��2 ;���� <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkwayj <br /> Crystal Bay, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS A4REEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call (612) 249-4600. <br /> JOB siTE an�uEss: 'i� .��� I�r�h������� �t��'. ���l;' ��i✓�� �l l�� <br /> Occupancy Type: _�_Residential Commercial <br /> OWNER'S NAME: ;�f���✓.�il�G� �t��l��s��:�i� ��Ca'V/'�C �i Phone: �'%�,�`�/�,�.'���(.✓� <br /> MailingAddress: �/,�� /f�ih vv.°.��� �'�,� CitY� C� �l?,sV� _ <br /> CONTRACTOR'S NAME: E-���,,,/��c-V c� r"/'c-'e' S(=�'iJ;c P Bus.No.: 7�3 - �17`1 `1 i �`7 <br /> MailingAddress: ��, 7�(�'_S�� �-/ �t,��' ) � City:�,�c��,�, - �%rv�� ��'� � <br /> Demolition if planned by means of: manual disassembly <br /> _�heavy equipment <br /> Permits Issued: <br /> # Well Abandonment N'�� <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> l. The structure(s) shall be kept enclosed and/or secured until such time as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adj oining property andlor the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />