Laserfiche WebLink
����3 <br /> � . <br /> r� <br /> CITY OF ORONO APPI�ICATZON FOR DffiKOLITION PEI2MIT <br /> P.O. Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> ************t************�::*********�****:****tt******�**�*�#****:*#***** <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well <br /> - = abandonmment, etc. <br /> 2. Work must not begin unless the permit card is available on the job <br /> site. <br /> 3. A 24 hour notice is required f or all inspections. Call 473-7357. <br /> �*******f*********:****t***:t��*** **:***:�*�**:t****:***:*#*:�**t�**�**t** <br /> JOB SITB ADDRESS: � o-�� ; '�e�''�. r.' <br /> Occupancy Type: +�Residential Commercia <br /> OWNffi2'S NAME: )�;n�:.s�d,.- �- �U�^��� b�`�..h--,��,.� Phone: <br /> Mai ling Addres��-���-- �L�:��tti S ,.,` �,;'�,,,� City: drd:,�, <br /> CONTRACTOR'S NAME: `.��,' Bus. No. : �J�/�/-,�35� <br /> Mailing Address: 1- ' '" City:^j"<<<,, " <br /> *****:*****:*�**** :***** * *** *:************t********�*******:**::**�:** <br /> Demolition if planned by means of: manual disassembly ✓F�eavy equipment <br /> _burning (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure(s) shall be kept enclosed and/or secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights-of-way unless specific prior approval is obtained in <br /> writing for temporary use thereof. <br /> '�.� Foundations shall be completely removed from the ground. <br /> �� All demolition debris shall be completely disposed of off site in <br /> accordance with all app licable PCA requirements. <br /> 5 . Water wells must be abandoned in accordance with State Health <br /> Department regulations. <br /> 6. Inspection required when all debris has been removed , before <br /> backfilling. <br /> 7. Within 5 working days of superstructure removal , a fin�l inspection <br /> shall be requested. The site shall be left clean and clear of all <br /> debris, with any excavation filled with earth level with the adjacent <br /> _ ground elevation (except when such excavation is to be used as part of <br /> a new building and such new building is actually under construction). <br />