HomeMy WebLinkAbout2013-01089 - escrow fee . CITY OF ORONO I 1 I i!I III1 I III 11 1 1'I 11 1F1 III
2750 KELLEY PARKWAY * 2 1 3 :0 1 10/1 8 9
DATE ISSUED: 17/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4045 WATERTOWN RD
PIN : 31-118-23-41-0003
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: TIED TO BUILDING PERMIT 2013-01043
APPLICANT ESCROW FEE-BUILDING 2,500.00
KELLENBERGER,DANA&GREGORY TOTAL 2,500.00
4045 WATERTOWN RD
MAPLE PLAIN,MN 55359
City of Orono I
2750 Kelley Parkway 1
Orono MI 55356 952-249-4600
OWNER
Receipt No: 3.009896 Oct 17, 2013
KELLENBERGER,DANA&GREGORY Greg Kellenberger
4045 WATERTOWN RD 9
MAPLE PLAIN,MN 55359 Planning and Zoning
2013-01089 4045 2,500.00
Watertown Rde
101-22205
AGREEMENT AND SWORN STATEMENT Deferred Rev—Developer Deposit
The work for which this permit is issued shall be performed according to Total: --_____
the approved plans and specifications,applicable City approvals,and the 2,500.00
State Building Code. This permit is for only the work described and does Check not grant permission for additional or related work which requires separate Check No: 8907
permits. All provisions of laws and ordinances governing this type of work Payor: 2,`��•00
shall be compied with whether or not specified herein.This permit will Greg Kellenberger
expire and become null and void if construction authorized is not Total Applied: 2,500.00
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. Change Tendered: .00
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building C de.This permit may be 10/17/2013 10:2944
revoked at any time for due cause.
(.� S /io /T�X 13 ,ee l l
Appli ant Pernitee Signature ate Issued B Signature 1* /I,te
SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED AB n E.