Laserfiche WebLink
CITY OF ORONO PERMIT NO.: 2009-00636 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEu: 09/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NO"I�E: THIS F,SCROW PAYMENT IS TIED TO BUILDING PERMIT#2009-00635 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> CUSICK, MR. & MRS. THOMAS ESCROW FEE- EROSION CONTROL 0.00 <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391 ESCROW FEE-GRADING 0.00 <br /> Minnesota State License#: 4290 TOTAL 2,500.00 <br /> OWNER <br /> CUSICK, MR. & MRS. THOMAS <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expirc and become null and void if construetion 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 Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />