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CITY OF ORONO PERMIT IYO.: 2011-00417 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [SSUED: 06/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1255 DICKENSON ST <br /> PIN : 02-117-23-31-0027 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK O15 <br /> PERMIT TYPE : DEMOLIT[ON <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> NOTE: <br /> l. FOUNDA'I'IONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE AF3ANDONED. <br /> 3. INSPGCTIONS DONE BEFORE BACKFILLING. <br /> NOTE: A 24-48 HOUR NOTICE IS RI:QUIRED POR ALL INSPECTIONS. CALL(952)249-4600. <br /> ESCROW PERMIT 20 1 1-004 1 8 PD 6/3/1 1$2000.00 <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. <br /> CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLF.D BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION - PRINC[PAL STRUCTURE 75.00 <br /> BOLLIG& SONS, INC. STATE SURCHARGE DEMO 5.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS, MN MISC FEE 0.00 <br /> (612)938-4433 TOTAL 80.00 <br /> OWNER <br /> DETTLOFF, MARION <br /> 1255 DICKENSON ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORI�STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this[ype of work <br /> shall be compied wi[h whethcr or not specified herein.This pennit will <br /> expire and become null and void if construction authorized is no[ <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 ass ng all required inspections are <br /> requested in conformancc wi ,tat iding Code.This permit may be <br /> revoked at any tim � d se <br /> "_�: � / <br /> � � / / / / <br /> A� plicant Permitee Signature ate Issued By i nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />