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CITY OF ORONO * 2 0 1 6 — PJ PJ 8 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2016 <br /> ORONO, MN 55356- <br /> • (952) 249-4600 FAX: (952) 249-4616 <br /> ADL?RESS : 3470 NORTH SHORE DR <br /> PIN : 08-117-23-43-0012 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 001 BLOCK 003 <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 /> l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&D[SPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. 1NSPECTIONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE D[SCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT[S ISSUED. CHECK <br /> TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICAI�TT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 1.00 <br /> BOLLIG& SONS, INC. DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> 11401 COLTNTY ROAD 3 <br /> HOPKINS,MN TOTAL 126.00 <br /> (952)938-4433 Payment(s) <br /> CREDIT CARD 6881 126.00 <br /> OWNER <br /> OLSEN, BENJAMIN&KELLY <br /> 3470 NORTH SHORE DR <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 perniission 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 /> requested in conformance with Ihe State Building Code.This permit may be <br /> revoked a y time for due cause. <br /> : <br /> } ` <br /> ., <br /> �� ` 1 l��, � s � I c� � / � <br /> Appl'ca Permitee ignatu e Date Issued By Signature Date <br />