Laserfiche WebLink
4. Submit a$2,50Q escrow and an escrow agreement signed by the property owner(copy attached}. <br /> 5. Keep all structure{s)enclosed andlor secured until such�me as demolition is complete. <br /> 6. Keep all demolition debris off adjoini�g property and/or the public rights-of way unless speciftc prior <br /> approval is obtained in writing for temparary use thereof. <br /> 7. Completely remove foundation(s)�rom the ground. <br /> 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. <br /> 9. Abandon water wells in accorclance with State Health Department regulations. <br /> 10. Call far an inspection when all debris has been removed, before backfifling. <br /> 11. W+thin 5 working days of superstructure removal, a final inspection shall be requested. The site shall be <br /> left clean and clea� af all debris, with any excavaGon filled with ea�th leve! with the adjacent ground <br /> eleva6on (except when such excavation is to be used as part of a new building and such new building is <br /> actually und�r canstruction). <br /> 12. Abandon septic systems per Minnesota Rules Chapte�7480. Ail septic tanks must be pumped, crushed <br /> and filied with native soils. An inspection is requi�ed after the tanks are pumped and before the tanks are <br /> crushed and filEed. <br /> 13. The unde�signed owner shall and hereby does indemnify and hoEd harmless the City of Orono, its agents, <br /> employess and assigns from and against all claims, damages, losses ar expenses, including attorney <br /> fees, against the City, its agents, employees and assigns arising out of or resul�ng fram the demolifion <br /> described herein as performed by the property owner, his employees, agents, subcantractors or assigns. <br /> PERMIT TYPE AND FEE CALCULATION <br /> � $75.00— Principal Structure $ 1 5 <br /> [� $50.00—Accessory Structure x�^(how many} 1 o v <br /> �E. Subtota! of above permit requested $_ � �,� �D <br /> 2. State Surcharge 1 AO <br /> 3. T�TAL PERMIT FEE (add lines 9-2 above) $ �� 7 6� �� <br /> The undersigned herby applies to the City af�rono for issuance of a Demolition Pennit, agrees to do <br /> all the work in a strict accordance with the ardinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and correct. <br /> Agplicant's Signature: �/ y I/u� Date: o t '� <br /> Ow�er's Signature: l Date: 9 ""` <br /> �S� ,�'r��t� ,�*r C. �. G <br /> Approved By: Date: <br /> (Building Official) <br /> *Zoning Disclosure Requi�eci? ❑ YES � <br /> 'This must be filled out by Zoning Depa ent—For either a r, a Zoning Official must sign all applicati s. <br /> *Approved By: Date: � 3� �S� <br /> (Zoning O c' } <br /> Form Lsst Updated.• July 2015 <br /> 150784 <br />