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4 (.., k.- iI(N ci icv,,-)E P <br /> O`V City of Orono <br /> Flaw USE ONLY <br /> P.O.Box 66 Date Received: ,„ I-IMP t tp Permits ZO t e- DC Z 3$ <br /> 0 2750 Kelley Parkway (7 <br /> Crystal Bay,MN 55323 Amount; S SACC . :#LeS p <br /> (952)249-4600 i�rt r i0/25/13 <br /> tiF G i torneowner(s)Signed: ❑. <br /> !,1 Resolutions(if any)Signed:❑; Ci. <br /> Required <br /> kfS HO"' Zoning Disclosure Signed: •- es ❑None Required <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Depa ,' -nt) <br /> JGSte (ftl�ItiiFt 1E1S }% \ f t <br /> / \\ <br /> Type: ® Residential ❑ Commercial v/ s\ <br /> Site Address: <br /> 1380 Orono Lane, Orono MN (1 <br /> Luke& Elena Beitnick C <br /> Owner: Mailinp Jr NV <br /> 1380 Orono Lane <br /> City: Orono Zri55391 <br /> 612-202-0541 <br /> Phone: Em • : Ibeltnick@gmail.com <br /> Contractor/App.: Stonewood, LLC Sven Gustafson <br /> Contact Person: <br /> Address: 153 Lake St. East BC 594315 <br /> State License#: <br /> City: Wayzata Zip: 553 ,' <br /> • Expiration Date: 3-1-18 <br /> Phone: 612-462-4000 / sven@stonewood.com <br /> Email: <br /> , <br /> .'; , .... i` - PE SAL. t4 i l , IONS: lot lARML£Sr3 AGREEMENT. <br /> General Instructions: <br /> 1. You may be required to o• in other permits, i.e.: well abandonment, sewer,etc. <br /> 2. Work must not begin unl-'s the permit card is available on the job site. <br /> 3. A 24-48 hour notice is r•uired for all inspections. Call (952)249-4600. <br /> 4. Sewer must be discon, ued at the City service by qualified contractor before demo permit is issued. <br /> Demolition by means of: ■i anual Disassembly ® Heavy Equipment ❑Other <br /> Permit(s) Issued: ❑Sewer Disconnection 0 Well Abandonment# <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are <br /> to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with <br /> Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will <br /> not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating <br /> permit(s)are not required. <br /> Form Last Updated: July 2015 I — 10(0 <br /> 150784 <br />