Laserfiche WebLink
- -�- ,q 6 s'o s� <br /> . � <br /> . <br /> � �b - �� o �- <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. well abandoiuninent, 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 ADDRESS: o���S �G�`� ��d�� �—�k� _ <br /> Occupancy Type: �_Resideiltial Cormnercial <br /> OWNER'S NAME: ��L �.�.,�d 1 k��S�w..e�,�s k LL G Phone: Co 1 a-- `�`�� a?� 7 <br /> Mailing Address: �L S� �'��o..'� �u���r l c�v t City: �c�e�. ro...���e �`� <br /> �3Y� <br /> CONTRACTOR'S NAME: S�'� �e�. �...�K vr..o-� 3����s � Bus.No.: �'iS a - 4 y 3-8aa � <br /> MailingAddress: �'l�o � l�- � -� �. � �-c City: �c�eti. �o...���.c <br /> SS�Y� <br /> Deinolition if planned by means of: manual disassembly <br /> _�heavy equipnient <br /> Permits Issued: <br /> # Well Abandonment <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 deinolition is <br /> complete. <br /> 2. Demolition debris will be kept off adjoining property and/or 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 /> ; appiicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department regulations. <br /> 6. Iilspection required when all debris has been removed,before backfilling. <br />