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CITY OF ORONO PERMIT NO.: 2008-00372 <br /> • 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- �ATE ISSUEv: 1U18/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PR[NCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES (ATT& DET <br /> NOTE: <br /> l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BG ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMO OF HOME&SHED <br /> APPLICANT DEMOL[TION- PRINCIPAL STRUCTURE 50.00 <br /> DENALI CUSTOM HOMES, INC. STATE SURCHARGE DEMO 0.50 <br /> 18283 MINNETONKA BLVD. <br /> DEEPHAVEN, MN 55391- DEMOL[TION-ACCESSORY STRUCTURE 30.00 <br /> (952)476-2679 TOTAL 80.50 <br /> Minnesota State License#: 20175394 <br /> OWNER <br /> SMITH,ANDREW&MARY <br /> 515 FERNDALE RD N <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 [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for addilional 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 /> suspcnded for a period of l80 vs at any time after work has commenced. <br /> T p icant is sponsibl fo assuring all required inspections are <br /> r quested in con� m�anc i the State E3uilding Code.This permit may be <br /> re ke at any ime fo du cause. , - /��.� <br /> /�l� � lQ `' � � ���-..C � C'12�t�'c�� � �� _ /:�'- C_���' <br /> App(icant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />