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CITY OF ORONO 41 I Id I,, .I I' 11 , <br /> - - * 2013 - 00101 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2013 <br /> • <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 665 ORCHARD PARK RD <br /> PIN : 31-118-23-11-0005 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEPTIC AREA <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> SYSTEMS BUILT,INC. DEMOLITION-ACCESSORY STRUCTURE 100.00 <br /> 5159 MAIN STREET STATE SURCHARGE DEMO 5.00 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-5555 TOTAL 180.00 <br /> Minnesota State License#: BC636167 <br /> OWNER <br /> REYNOLDS, WILLIAM&MOLLIE <br /> 3630 LIVINGSTON AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> req sted in conformance with the State Building Code.This permit may be <br /> re ed at y ' fobs'Y"`/ cause. <br /> 2 / l /3 # e, �� 1 v <br /> A rc t rmitee Signature Date Issued By Sill ture %ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A Oa. <br />