Laserfiche WebLink
` ���.17� �� r <br /> �o,� . � lf>yy,�j � <br /> . , �g1� � <br /> CITY OF ORONO APPLICATION FOR DEMOLITIOIv 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. well abandonment, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24 how notice is required for a11 inspections. Ca11 (952)249-4600. <br /> JOB SITE ADDRESS: �S 7 G �o n a �-�s�. ���-��1/U.� <br /> Occupancy Type: �_Residential Commercial <br /> OWNER'S NAME: �'t c �e. � �C.� �0., �t'�-f Phone: C ��Z.� �� � `- � (p o7 � <br /> Mailing Address: 50.,�� City: �1r�� � <br /> Cu�-4-�yv� �.�-�v-u�c,-�k�-�., I�-�-°c�.. <br /> CONTRACTOR'S NAME: l_..�Rv�� tr/�oG w-e_, Bus.No.: lD (Z� Z - � c� <br /> Mailing Address: �. Ci . ��1C l� 7a City: S�" �c�i <br /> � <br /> Demolirion if planned by means of: manual disassembly <br /> �heavy equipment <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit,the undersigmed owner hereby agrees as follows: <br /> 1. The structure(s) sha11 be kept enclosed and/or secured until such rime as demolition is <br /> complete. <br /> 2. Demolition debris will be kept off adj oining property and/or the public rights-of-way unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations sha11 be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in accordance with a11 <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance w�ith State Health Department regulations. <br /> 6. Sewer and water must be disconnected at the services at the street by qualified contractors. <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />