HomeMy WebLinkAbout2010-00472 - escrow fee CITY OF ORONO PERMIT NO.: 2010-00472
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/14/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1095 FERNDALE RD W
PIN : 02-117-23-43-0023
LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE
: LOT 009 BLOCK 000
PERMIT TYPE : ESCROW FEE-OTHER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-OTHER
NOTE: TI IIS ESCROW PAYMENT OF$2500.00 WAS PAID FOR ON 5/20/2009 FOR'I,ONING APPLICA"I'ION 09-3411
ENTERED INTO PERMIT WORKS-6/14/2010
APPLICANT ESCROW FEE-OTHER 2,500.00
FOX, B& K
1095 FERNDALE RD W TOTAL 2,500.00
WAYZATA, MN 55391-
OWNER
FOX, B& K
1095 FERNDALE RD W
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIVT
The work for which this permit is issued shall be performcd 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 consVuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring ali required inspections are
requested in conformance with the State Building Code.This permit may bc
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.