Laserfiche WebLink
11111111 <br /> T City of Orono .. ciT US,E ONLY 4r bb I 0 1 <br /> D VP.O Box 66 ti Date ReceiscdS 3 �NI emit <br /> = "]' f <br /> itorl., <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 0-i Amount: S SAC Credit: <br /> (952)249-4600 <br /> yHomeowner(s)Signed: ❑Yes <br /> L Resolutions(if any)Signed:0 Yes 0 None Required <br /> KfSHa�/ Zoning Disclosure Signed: 0 Yes 0 None Required <br /> earovJ recd Z.lL-e <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> Job Site/Owner Information:' <br /> Type: [Residential ❑ Commercial / <br /> Site Address: ao 0 rdAL rrc�....-A ,L,‘--',...- ?sad ' V <br /> Owner: /V/ 1.1 It4-9i^{S Mailing Address: <br /> City: Oro11.t. Zip: <br /> Phone: -7cD3-- 7C3-- / 7S-0 Email: C c)t V c -N l 14 ha , Ccw. <br /> Contractor/Applicant Information: I <br /> Contractor/App.: /1-- /. (� ,�r,�, <br /> ° 1--�,✓ <br /> Contact Person: t�v--(1 <br /> Address: a-t•ko I v e r&tv. t\-, )-t) State License#: —.. <br /> City: 'XSAv\V-i Zip: 57YOI-( 0 Expiration Date: _- <br /> Phone: Ur 1— 696C- 33? Email: -\C c r A)--„✓ <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer. etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is <br /> issued. <br /> Demolition by means of: ❑ Manual Disassembly 2<reavy Equipment ❑ Other <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑ 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 <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control, <br /> 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The <br /> City will not issue a dernoiition permit without a copy of the permit(s) from the MCWD or <br /> documentation stating permit(s) are not required. <br />