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Home My WebLink Aboutre: escrow/permit fees Christine Mattson From: Adams, Donald W-WAYZATA MN <donald_adams@ml.com> Sent: Wednesday, February 24, 2016 11:22 AM To: Christine Mattson Subject: RE: 200 Truffula Trail Christine, I was the general contractor on this project so I paid permit fees multiple times. If there any way on your end you can match up the permit fees I paid,to the escrow you just paid out? I will look through my records to see if I can find all the checks I wrote for past permits. Thanks Don From: Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent:Wednesday, February 24, 2016 11:03 AM To:Adams, Donald W-WAYZATA MN Subject: RE: 200 Truffula Trail Don, Those are all separate building permits. You would have paid building permit fees associated with each of them, but we typically only collect one escrow for a property for all projects that require an escrow. Christine— From:Adams, Donald W-WAYZATA MN [mailto:donald adams@ml.com] Sent:Wednesday, February 24, 2016 11:00 AM To: Christine Mattson <CMattson@ci.orono.mn.us> Subject: RE: 200 Truffula Trail Christine, Yes,we had multiple jobs with multiple escrows. I have attached email you sent me back in December showing all the permits we pulled. If you could check if anything is still outstanding that would be great. Thanks, Don From:Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent:Wednesday, February 24, 2016 10:08 AM To:Adams, Donald W-WAYZATA MN Subject: RE: 200 Truffula Trail Don, I don't believe so. Do you think you paid more than one escrow to the City? Christine— From:Adams, Donald W-WAYZATA MN [mailto:donald adams@ml.com] Sent:Wednesday, February 24, 2016 10:04 AM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject: RE: 200 Truffula Trail Christine, Thank you for the note.We did track it down. Is there any other escrow amount outstanding? Don From:Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent:Wednesday, February 24, 2016 8:37 AM To:Adams, Donald W-WAYZATA MN Subject: RE: 200 Truffula Trail Hi Don, An escrow refund check was mailed following the January 11,2016 council meeting. I've talked to our Finance Department and the check has not cleared the bank. Please complete the attached form and return and we will issue a replacement check. Christine— From:Adams, Donald W-WAYZATA MN [mailto:donald adams@ml.com] Sent:Tuesday, February 23, 2016 3:37 PM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject: RE: 200 Truffula Trail Christine, Can you please give me an update on the approval and receipt of our escrow funds? We have not received our money and have heard back from anyone if it was not approved. Thanks, Don From:Christine Mattson [mailto:CMattson@ci.orono.mn.usl Sent:Wednesday, December 23, 2015 9:03 AM To:Adams, Donald W-WAYZATA MN Subject: RE: 200 Truffula Trail Don, All expenditures, including escrow refunds, require Council approval. The next Council meeting is Monday,January 11th. If we receive and approve the as-built survey before January 6th it will be on the January 11th Council meeting agenda. Checks are mailed out the next day. Have a wonderful Holiday. 2 Christine From:Adams, Donald W-WAYZATA MN [mailto:donald adams@ml.com] Sent:Wednesday, December 23, 2015 8:54 AM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject: RE: 200 Truffula Trail Christine, Thanks for the update. I will stop by a copy of the as built survey this morning. When would you expect my checks to be sent? Don From:Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent:Wednesday, December 23, 2015 8:51 AM To:Adams, Donald W-WAYZATA MN Subject: RE: 200 Truffula Trail Don, I've confirmed all inspections are complete. My notes from October 8th indicate we were waiting for an updated as-built survey showing the accessory structure(shed) location. Please submit a full-size copy of the as-built survey for our review. Please don't hesitate to contact me with questions. Christine— From:Adams, Donald W-WAYZATA MN [mailto:donald adams@ml.coml Sent: Monday, December 21, 2015 9:28 AM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject: RE: 200 Truffula Trail Christine, Can you please confirm that all of my permits have been completed for my house projects. If they are,can you please let me know when checks are sent out. Thanks, Don This message, and any attachments, is for the intended recipient(s)only, may contain information that is privileged, confidential and/or proprietary and subject to important terms and conditions available at http://www.bankofamerica.com/emaildisclaimer. If you are not the intended recipient,please delete this message. 3 'This message, and any attachments, is for the intended recipient(s) only, may contain information that is privileged, confidential and/or proprietary and subject to important terms and conditions available at http://www.bankofamerica.com/emaildisclaimer. If you are not the intended recipient,please delete this message. This message, and any attachments, is for the intended recipient(s) only, may contain information that is privileged, confidential and/or proprietary and subject to important terms and conditions available at http://www.bankofamerica.com/emaildisclaimer. If you are not the intended recipient,please delete this message. This message, and any attachments, is for the intended recipient(s) only,may contain information that is privileged, confidential and/or proprietary and subject to important terms and conditions available at http://www.bankofamerica.com/emaildisclaimer. If you are not the intended recipient,please delete this message. This message, and any attachments, is for the intended recipient(s) only, may contain information that is privileged, confidential and/or proprietary and subject to important terms and conditions available at http://www.bankofamerica.com/emaildisclaimer. If you are not the intended recipient,please delete this message. This message, and any attachments, is for the intended recipient(s) only,may contain information that is privileged, confidential and/or proprietary and subject to important terms and conditions available at http://www.bankofamerica.com/emaildisclaimer. If you are not the intended recipient,please delete this message. 4 Permit# Appl Date Applicant_ Status Street# Street Unit Pert Type Property Type Construction Type 20t4-01291 i 11/412014 Adams,Donald&Sheila I 200 Truffula Tr Accessory Structure Residential _ Shed>120 SO FT 2014-Dt290 i t11412014 Adams,Donald&Sheila 1 200 Truffula Tr i Advanced man Review i Residential Advanced Plan Review 2014-0t16 '10/8/2014 Melgaard Services _ I 2DD Truffula Tr Mechanical Residential Gas Line Only 2014-01102 9126/2014 Adams,W.&Mrs. -- � 200 Truffula Tr ! Addition I Remodel f Repair Residential Adm I Remodel/Repair 2014-01101 9!2612014 Adams,Mr.&Mrs. I 200 Truffula Tr I Advanced Plan Review Residential Advanced Plan Review 2014-00967 8/27/2014 Adams,Mr.&Mrs_ (1 2D0 Truffula Tr Zoning Pen t� v Residential Land Alteration(0-500 cu yds) 2014-00862 8111/2014 Adams,Mr.&Mks_ I 200 Truffula Tr Accessory Structure _ Residential Pool-In Ground 2014-00861 811112014 Adams,Mr_&Mrs_ I 200 Truffula Tr Escrow Fee-Tied to Building Permit Residential Escrow Fee-Tied to Building Permit 20t4-00860 811t12D14 Adams,Mr.&Asks_ I 200 Truffula Tr ; Advanced Plan Review Residential Advanced Plan Review ---......._...._......................_.._.__ -- — ......._...._...._.__..._.._... ----..._.......__._.........-........._.....----....e.........._......,._............................_._.._.....---._............... ................_....._.........._.__...----__._......_..__.........__........................._......_...........__.._........................ 11111111111111111111111 CITY OF ORONO * 2 0 1 S - 0 0 4 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE PLUMBING(<$500)(DON'T USE) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER NOTE: REPLACE WATER HEATER APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 STATE SURCHARGE PLBG(<$500) 5.00 APPLIANCE CONNECTIONS,INC. MAIL-IN FEE 2.00 12850 CHESTNUT BLVD SHAKOPEE,MN 55379- TOTAL 22.00 (952)445-4803 Payment(s) Minnesota State License#:mech-MB004165 CHECK 6436 22.00 OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Pertnitee Signature Date Issued By Signature Date iiiiiiiiiiiiiiiiiiiiiiimiiiiiiiiiiiiiiiiiiiillilI CITY OF ORONO * 2 0 1 4 — 0 1 2 9 1 2750 KELLEY PARKWAY DATE ISSUED: 03/31/2015 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ACCESSORY STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SHED> 120 SQ FT ACTIVITY 328-OTHER NONRESIDENTIAL BUILDINGS VALUATION $ 5,000.00 NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) STORAGE SHED APPLICANT PERMIT FEE SCHEDULE 118.00 STATE SURCHARGE(VALUATION) 2.50 ADAMS,DONALD&SHEILA TOTAL 120.50 200 TRUFFULA TR Payment(s) LONG LAKE,MN 55356- CREDIT CARD 5744 120.50 OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date NUEREFFMIR CITY OF ORONO * 2 0 1 4 — 0 1 2 9 0 2750 KELLEY PARKWAY DATE ISSUED: 11104/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADVANCED PLAN REVIEW VALUATION $ 5,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$5000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: 2014-1291 PERMIT#THIS PRE-PAYMENT IS TIED TO:STORAGE SHED APPLICANT ADVANCED PLAN REVIEW 76.70 TOTAL 76.70 ADAMS,DONALD&SHEILA Payment(s) 200 TRUFFULA TR CREDIT CARD 5744 76.70 LONG LAKE,MN 55356- OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Pennitee Signature Date Issued By Signature Date CITY OF ORONO * 2014 - 01164 * 2750 KELLEY PARKWAY DATE ISSUED: 10/08/2014 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: GASLINE FOR POOL HEATER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 MELGAARD SERVICES TOTAL 50.25 6726 ESTES AVE.NW Payment(s) MAPLE LAKE,MN 55358- CHECK 2125 50.25 (763)286-9896 Minnesota State License#:mech-MB643 5 3 8 OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date CITY OF ORONO * 2 0 1 4 — 0 1 1 0 2 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2014 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 4,000.00 NOTE: DECK STAIRS AND HOT TUB NOTE: PRIOR TO RELEASE OF ESCROW FUNDS ALL PROJECTS MUST BE COMPLETED,SHOWN,AND APPROVED ON AN AS-BUILT SURVEY. INITIAL: APPLICANT PERMIT FEE SCHEDULE 103.25 STATE SURCHARGE(VALUATION) 2.00 ADAMS,MR.&MRS. TOTAL 105.25 200 TRUFFULA TR Payment(s) LONG LAKE,MN 55356- CHECK 6972 105.25 OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date CITY OF ORONO * x 0 1 4 _ 0 1 1 0 1 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2014 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 4,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 4000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: STAIRS PERMIT#THIS PRE-PAYMENT IS TIED TO: 2014-01102 APPLICANT ADVANCED PLAN REVIEW 67.11 TOTAL 67.11 ADAMS,MR.&MRS. Payment(s) 200 TRUFFULA TR CHECK 6951 67.11 LONG LAKE,MN 55356- OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date CITY OF ORONO * Z 0 1 4 — 0 0 9 6 7 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ZONING PERMIT PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) NOTE: ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00 ESCROW PERMIT#:2014-00861 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS NOTE: PRIOR TO RELEASE OF ESCROW FUNDS,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED INCLUDING ITEMS SHOWN ON PROPOSED SURVEY INCLUDING GOLF GREEN AND FIRE PIT. ALL DISTURBED AREAS MUST BE REVEGETATED. INITIAL: NOTE: BUILDING PLANS AND BUILDING PERMIT APPLICATION REQUIRED FOR CONSTRUCTION OF DETACHED ACCESSORY STRUCURE,DECK AND STAIRS. INITIAL: APPLICANT MINOR LAND ALTERATION 50.00 TOTAL 50.00 ADAMS,MR.&MRS. Payment(s) 200 TRUFFULA TR CREDIT CARD 4730 50.00 LONG LAKE,MN 55356- OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date 111111111111111111111111111111111111111111111 Fm CITY OF ORONO * 2 0 1 4 - 0 0 s 6 z 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ACCESSORY STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE POOL-IN GROUND ACTIVITY 329-STRUCTURES OTHER THAN BUILDINGS VALUATION $ 28,500.00 NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE) NOTE: PRIMARY AND ALTERNATE SEPTIC SITES SHOULD BE PROTECTED DURING CONSTRUCTION PROJECTS. INITIAL: NOTE: PRIOR TO RELEASE OF ESCROW MONEY,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. ALL DISTURBED AREAS MUST BE REVEGETATED. INITIAL: NOTE: BUILDING PLANS AND BUILDING PERMIT APPLICATOIN REQUIRED FOR CONSTRUCTIN OF DETACHED ACCESSORY STRUCTURE,DECK AND STAIRS: INITIAL: APPLICANT PERMIT FEE SCHEDULE 456.00 STATE SURCHARGE(VALUATION) 14.25 ADAMS,MR.&MRS. TOTAL 470.25 200 TRUFFULA TR Payment(s) LONG LAKE,MN 55356- CREDIT CARD 4730 470.25 OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date CITY OF ORONO * Z 0 1 4 - 0 0 8 6 1 2750 KELLEY PARKWAY DATE ISSUED: 08/1 V2014 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: TIED TO BUILDING PERMIT 2014-00862 APPLICANT ESCROW FEE-BUILDING 2,500.00 TOTAL 2,500.00 ADAMS,MR.&MRS. Payment(s) 200 TRUFFULA TR CHECK 6894 2,500.00 LONG LAKE,MN 55356- OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date CITY OF ORONO * 2 0 1 4 — 0 PJ 8 6 PJ 2750 KELLEY PARKWAY DATE ISSUED: 08/1 V2014 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND LOT 005 BLOCK 001 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADVANCED PLAN REVIEW VALUATION $ 28,500.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ $28,500.00 TYPE OF PERMIT THIS PAYMENT IS FOR: POOL PERMIT PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00862 APPLICANT ADVANCED PLAN REVIEW 296.40 TOTAL 296.40 ADAMS,MR.&MRS. Payment(s) 200 TRUFFULA TR CHECK 6894 296.40 LONG LAKE,MN 55356- OWNER ADAMS,DONALD&SHEILA 200 TRUFFULA TR LONG LAKE,MN 55356- 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 governing 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date