HomeMy WebLinkAbout2013-01193 - escrow fee ` � CITY OF ORONO * z 0 1 3 - 0 1 1 9 3 *
27�0 KELLEY PARKWAY DATE ISSUED: 1U08/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2775 COLTNTRYSIDE DR W
PIN : 04-117-23-12-0016
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: BLDG.PERMIT 2013-01134
APPLICANT ESCROW FEE-BUILDING ?,500.00
MURLEY,TODD& MARY TOTAL �,500.00
�7�5 COUNTRYSIDE DR W
LONG LAKE, MN 55356
OWNER
MURLEY. TODD&MARY
2755 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shail 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�rant permission for additional or related work which requires sepazate
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
commenced within 180 davs of the date of issuance,or if construction is
suspended f'or a period of 180 days at any time after work has commenced.
The applicant is responsible for assurin�all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at anr timc for due cause.
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Applicant Pern�itec Signawrc llate Issued B��Sisrnature I�atc
SEPARATE PEP.MITS REpUIRED FO� WORI;. OTHEF. THAN DESCRIBED ABOV�.
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s�—Permit _ � � !� �
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Pern,it#: ,2o�s-o�zsa ,: _ --
Pertnit Atldress: �2775 Countryside Dr W � -�
(A�ddition) `
�` Pertnit Issue
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General j Fees I�pections(5��Notes�Apolicant Detail�CO Detail j
Saq Inspection Type Inspedor Date Status H Fee Rec
�� 1 Footing METJ 12,`12,'2013 P Y D
�2 Framing METD 2.it412014 P Y 0
3 Jnsulation WIE7J 2,'18,`201d P Y 0
► �� 4 Final METJ Y1112120t4 Y 0
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