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Home My WebLink About2014-00257 - escrow fee � . . CITY OF ORONO * 2 0 1 4 — 0 0 2 5 7 * � - r 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2014 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2526 SANDSTONE LA PIN : 33-118-23-11-0018 LEGAL DESC : STONEBAY : LOT O15 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#2014-00254-PD 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 Stonebrook Homes 1016 COVEWTRY PL EDINA, MN 55424- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate 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 consuuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � Ge �3�i� Applicant Permitee Signature Date Issued By Sig ure Date �,�s . , - ^ � CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDtTIONS Mailing Address: Pe�mit num6er � b{j Z�". �-�� PO Box 66 �� 0 Crystal Bay, MN 55323-0066 Date received: - StreetAddress:' "Received by: i y� • �� 2750 Kelley Parkway `� ,�-Z� S!-OOZ� �.- Gti Plan;review fees �, Orono, MN 55356 t��ES Ef O�' �°Total Fee: � Main: 952-249-4600 � Fax: 952-249-4616 www.ci.orono mn us � Tfiisappiication":form must.be completed<in�fulfand all required�iriformation;must"be submitted: incomplete applications will be returned (Please print) i GENER� INFORMATION: Job Site ddress: � Wiil this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No !f yes,a specia/event permit is required with Police Department and Cify Council approva/60 days prior to the event Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events wlll not be al/owed. CONTRACTOR/APPLICAN R TION: Name: L1�� State License# Expiration D te: Phone: cell • • office • � Mailing Address: Cit : ' P: I Contact Person: • �s pplicant is: ontrac o / Homeowner (Circle One) Email and/or Fax: � i PROPERTY OWNER INFORM�TI N: Name: Phone(day): ` � Address: Ci : iVJ ZIP: +� 3 Email and/or Fax � ARCHITECT/ENGINEER INFORMATION: Name: SfA NM 'E ipl S CD w f V1h G=0 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 Bldg. �ublic Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation �etached garage ❑ Office/Commercial ❑Private Sewer ❑Other. (specify) Multiple Family/Condo ❑Warehouse ; ❑ Public ❑Storage Public Water � **Any earih movement may aiso require ❑Commercial ❑ Other(specify) � MCWD review&permits. ❑ Industrial . ❑Private Well j Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) i 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 I Fax: 952-471-0682 I .minnehahacreek or I Estimated Construction Valuation (excluding land) � ��J�/ ��v — I I� i I � � . ii I � J . , . WOODDALE BUILDERS, INC. 80460 3-25-14 20140325-2524 2524 Sandstone Lane 10 . 00 10 . 00 `�%� ,.. .i�r� �. `�- , �� . � MCWD 3-26-14 80460 10 . 00 10 . 00 ='� CENTRALBANK 6640 SHADYOAK ROAD 80460 6109 Blue Circle Dr. Suite 2000 EDEN PRAIRIE,MN 55344 WOODDALE Minnetonka,MN 55343 ��511��9 BUILDERS,�NC. (952)345-0543-(952)345-0544 Pay: *************************************************Ten dollars and no cents DATE CHECK NO. AMOUNT PAY March 26, 2014 80460 $*********10 . 00 TO THE ORDER MCWD � oF 15320 Minnetonka Blvd Minnetonka, MN 55345 W AFTER 120 DAYS _. ....,._...___..._.. ._ _. _. ___._..... . . � � � Z� � �