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CITY OF ORONO PERMIT NO.: 2011-00947 <br /> Y <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/01/2011 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 840 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-12-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. INSPECTIONS DONE BEFORE BACKFILLING. <br /> DEMOLITION OF PRINCIPAL STRUCTURE AND DETACHED GARAGE <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> CHARLES CUDD LLC • STATE SURCHARGE DEMO 5.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH,MN 55447- DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> 0 TOTAL 130.00 <br /> Minnesota State License#:20635245 <br /> OWNER <br /> WILLIAMS,JAMES&HEIDI <br /> 840 OLD CRYSTAL BAY RD S <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 permission 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 the State Building Code.This permit may be <br /> rev ed t any time ford,/' .4-•. <br /> OP <br /> GOi e /-" cC i'/ / /20/( 9 Uig // <br /> Ap icant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />