Laserfiche WebLink
' � CITY OF ORONO � <br /> ' � 2750 KELLEY PARKWAY 'K Z 0 1 5 - PJ 0 1 1 7 * <br /> DATE ISSUED: OU23/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4565 BAYSIDE RD <br /> PIN : 06-117-23-21-0010 <br /> LEGAL DESC : BAYSIDE BERRY FARM <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOT'E: ESCROW FOR NEW HOME PERMIT#2015-00115-PAID BY:DENALI CUSTOM HOMES CK#11273-$2,500.00 <br /> v����� `��. <br /> �� k � <br /> ����� c��� <br /> �� � ;, c� <br /> � <br /> �� <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> DENALI CUSTOM HOMES,INC. Payment(s) <br /> 18283 MINNETONKA BLVD. CHECK 11273 2,500.00 <br /> DEEPHAVEN,MN 55391- <br /> (952)476-2679 <br /> Minnesota State License#: BUIL-20175394 <br /> OWNER <br /> DOUBECK, TIM&MARY <br /> 4565 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <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 sepazate <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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> r� <br /> _ ' �--�---_ � ��--�-� �'y1�tc�t� � /��/ l S <br /> Applicant Permitee S gna re � Date Issued By Signature Date <br />