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CITY OF ORONO PERMIT NO.: 2011-01473 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 1U23/2011 <br /> `" (952) 249-4600 FAX: (952) 249-4616 <br /> AD ��ESS : 805 FOREST ARMS LA <br /> PIN : 07-117-23-12-0009 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : DEMO- PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NO"1'E: ONLY TEARING DOWN A PORTION OF THE HOME! <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 /> SEWER MUST BG DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRAC7'OR BEFORE DEMO PERMIT IS ISSUED. <br /> CHECK TO MAKE SURE Tf3IS PERMIT}IAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> GURALNIK, ALBERT& VALERIE STATE SURCHARGE DEMO 5.00 <br /> 805 FOREST ARMS LA <br /> MOUND, MN 55364 TOTAL 80.00 <br /> OWNER <br /> GURALNIK,ALBERT&VALERIE <br /> 805 FOREST ARMS LA <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he work for�ihich 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 /> no[grant permission for additionai or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shali 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 l80 days of[he 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 �JY✓ <br /> �sted in conformance wi h the State Building Code.This permit may be <br /> 'any time for d cause. <br /> �/ �z_z �zo l� �� �,�c.� , e�� � / <br /> �Signature Date � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />