HomeMy WebLinkAbout2014-00258 - escrow fee � .`' CITY OF ORONO * 2 0 1 4 — 0 0 2 5 B *
2750 KELLEY PARKWAY DATE ISSUED: 03/3U2014
ORONO, MN 55356-
952) 249-4600 FAX: 952) 249-4616
ADDRESS : 2524 SANDSTONE LA
PIN : 33-118-23-11-0019
LEGAL DESC : STONEBAY
: LOT 016 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: ESCROW TIED TO BUILDING PERMIT#201400256-PD ON CK#80464
APPLICANT ESCROW FEE-BUILDING 2,500.00
TOTAL 2,500.00
WOODDALE BLD, INC. Payment(s)
6109 BLUE CR DR CHECK 80464 2,500.00
MINNETONKA,MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER City of Oror�o
2750 Kelley Parkway
Stonebrook Homes Orona hRV 55356 95�-c49-4fi00
1016 COVETRY PL Receipt Nd: 3.41G520 Mar 31, P014
EDINA,MN 55424-
4h�oddale Builders
Planning and Zoning�
AGREEMENT AND SWORN STATEMENT Escr� deposit - 2524 B� 5,00�.�0
2526 5ar�dstor�e La
The work for which this permit is issued shall be performed according to lUi-�c2�3
the approved plans and specifications,applicable Ciry approvals,and the i�eferred Rev-Develaper Depasit
State Building Code. This permit is for only the work described and does --�----
5 t)40.OQ
not grant permission for additional or related work which requires sepazate Total: _ �_ Y___
permits. All provisions of laws and ordinances goveming this type of work - �� �
shall be compied with whether or not specified herein.This permit will ���
expire and become null and void if construction authorized is not CheCk NA: 904b4 5�OOQ.00
Pa ar:
commenced within 180 days of the date of issuance,or if construction is y
suspended for a period of 180 days at any[ime after work has commenced. I�IQ011dd12 bUi 1d8Y`5 � �.O�
The applicant is responsible for assuring alf required inspections are Total Appl ied: _r__?_�____
requested in conformance with the State Building Code.This permit may be Change Tendered' •�
revoked at any time for due cause. � ------------
,� ;3� , /
Applicant Permitee Signature Date Issued By S' nature Date
� y
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
Mailing Address: F � !� `�� ..,. '
�L�.l� . PO Box 66
Pe�mit number . ,"G���r�.�..;,
�' Crystal Bay, MN 55323-0066 :-Dafe received: —3 ��
; .. , <:.:
x,<..;.:.
StreefAddress:' s;Received b: ���
`�, `. . .,�� . 2750 Kelley Parkw ?p�4��v� : ; $�'1 ��
�-. : , -. ;�.. "Vz�::PI `fee: � �
l, :. �.�.. ;�;� Orono,MN 55356 f�>�..;>,;;
"��ssf[o� `�Total Fee: �
Main: 952-249-4600 = Fax: 952-249-4616 www.ci.orono.mn.us �;:;;.."
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Tfiis'application:fo�m'must.be�completed:in�:full:and:ali requir'e"d�irifo.rmation:must'be'subrriitted:
Incomplete applicationsiwill be returned: (Please print) '
GENE� INFORMATION: ����
Job Site ddress: W
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o
If yes,a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wili be
required un/ess applicant demonstrates su�cient on-sife parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICAN R TION: • a C
�Jame:
State License# Expiration D te:
Phone: cell � • office � �
Mailing Address: Cit : ' P:
Contact Person: • �e pplicant is: ontrac o / Homeowner (Circle One)
Email and/or Fax: � �
PROPERTY OWNER INFORM�TI N:
Name:
Phone(day): � � • �
Address: Cit : �1N ZIP: � 3
Email and/or Fax '
ARCHITECT/ENGINEER INFORMATION:
Name: �._� :�: � ip�� D w 1 W�k �TO d�•.
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
ew Construction ❑ Single Family with esidence �/
❑Addition attached garage ❑Garage/Accessory Bidg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation etached garage ❑ Office/Commercial ❑Private Sewer
❑ Other: (specify) �ultiple Family/Condo ❑Warehouse
❑ Public ❑ Storage Public Water
*"`Any e�rth movement may also raquire ❑ Commercial ❑ Other(specify) private Well
MCWD review&permits. ❑ Industrial , �
Minnehaha Creek Watershed District(MCWD) ❑Othef: (speCify)
18202 Minnetonka Bivd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.mi neha a eek or
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Estimated Construction Valuation (excluding land)
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, 3 I