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, � CITY OF ORONO PERMIT NO.: 2011-01253 <br /> 2750 KELLEY PARKWAY <br /> . <br /> ORONO, MN 55356- DATE ISSUED: 10/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRF,SS : 300 BROWN RD S <br /> PIN : 03-117-23-13-0002 <br /> LEGAL DESC : UNPLATTED 03 117 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/ALI.DEMO DEBRIS"I'O BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> NOTF: A 24-48 HOUR N07'ICE[S REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> DEMO: PRINCIPAL STRUCTURE,POOL AND BARN <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. <br /> CHrCK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> KOTHRADE SEWER& WATER DEMOLITION-ACCESSORY STRUCTURE 100.00 <br /> 12059 WHITETAIL AVENUE <br /> HANOVER, MN 55341 STATE SURCHARGE DEMO 5.00 <br /> (� TOTAL 180.00 <br /> Minnesota State License#: 0192 PAID WITH CC# 7104 <br /> OWNER <br /> CHALFEN, RICHARD <br /> 300 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separate <br /> penni[s. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> ex nd become null and void if construction authorized is not <br /> co�men ed within 180 days of the date of issuance,or if construction is <br /> suspende for a eriod of 180 days at any time after work has commenced. <br /> `C e applic nt i r spo sib e for assuring ay{.,required inspections are <br /> re Uested i�c f md ce i the�State ui�ding Code.This permit may be <br /> revXYked at any[i e fo d a se , <br /> �'' � ��� �-1-� � � �� / 2 / � <br /> App 'cant Penm ee ature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />