HomeMy WebLinkAbout2015-00095 - escrow fee CITY OF ORONO * 2 B 1 5 - 0 0 PJ 9 5 *
� 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015
` � �� ORONO, MN 55356-
V (952 249-4600 FAX: 952 249-4616
ADDRESS : 763 BRIDGEWATER DR
PIN : 33-118-23-12-0091
LEGAL DESC : STONEBAY SEVENTH ADDITION
: LOT 4 BLOCK 1
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BUILD[NG PERMIT#2015-00094
APPLICANT ESCROW FEE-BUILDING 2,500.00
ESCROW FEE- EROSION CONTROL 0.00
WOODDALE BUILDERS INC. ESCROW FEE-GRADING 0.00
6117 BLUE CR DR
MINNETONKA,MN 55343- TOTAL 2,500.00
(952)345-0543 Payment(s)
Minnesota State License#: BUIL-BC002926 CHECK � 2,500.00
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OWNER
Stonebrook Development LLC II VIwJ'�-
6117 BLUE CIRCLE DRNE �����
MINNETONKA, MN 55343-
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AGREEMENT AND SWORN STATEMENT 1�('(�'��/ �A�"
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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 permi[is fot only the work described and does ��I'�
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 whe[her 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
reques[ed in conformance with the Sta[e Building Code.This permit may be
revoked at any time f e cause.
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Applicant Permitee Signature Date Issue y Signature Date