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07/O1/2004 14:12 FAX 9524710639 STONEWOOD � /Zi� f�001/002 <br /> � <br /> ,. �9076�2 �-�a-- � <br /> , � R5L � ZYy - �{G)G <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,MN 55323 <br /> SPECIAL CONDITIONS &HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e.weil abandonment, 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 (952) 249-4600. <br /> JOBSITEADDRESS: 2695 Kelly Avenue <br /> Occupancy Type: ✓ Residential Commercial <br /> OWNER'SNAME: Charlie & Rosanne Simpson Phone: (952) 471-0379 <br /> MailingAddress: 2695 Kelly Avenue City: Orono <br /> CONTRACTOR'SNAME: Stonewood Design Build, LLC Bus.No.: (952) 471-0584 <br /> MailingAddress: 4420 Shoreline Drive City:Spring Park <br /> Demolition if planned by means of: manual disassembly <br /> ✓ heavy equipment <br /> Permits Issued: <br /> # Well Abandonrnent <br /> In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows: <br /> 1. 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 offadjoining properiy and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. �ounda.tions 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 Depariment regulations. <br /> 6. Inspection required when all debris has been removed,before backfilling. <br />