HomeMy WebLinkAbout2016-00620 - escrow fee CITY OF ORONO * Z 0 1 6 — 0 0 6 2 0 *
2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016
ORONO, MN 55356-
�-• (952) 249-4600 FAX: (952) 249-4616
ADD�tESS : 3375 GRAHAM HILL RD
PIN : OS-117-23-11-0018
LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION
: LOT 1 BLOCK 1
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: ESCROW FOR TEMP CO ON BUILDING PERMIT#2015-00570-PAID BY:WOODSALE BUILDERS-CK#85085-$7,500.00
NO ESCROW AGREEMENT ALONG WITH THIS CHECK.
APPLICANT ESCROW FEE-BUILDING 7,500.00
TOTAL 7,500.00
WOODDALE BU[LDERS INC. Payment(s)
6117 BLUE CR DR CHECK 85085 7,500.00
MINNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER
Wooddale Builders
6117 BLUE CIRCLE DR, STE 101
MINNETONKA, MN 55343-
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.
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Applicant Permitee Signature Date Issued By Signature Date
~ � V MIDWESTONE BANK 85085
72-123/739
6117 Blue Circle Drive, Suite 101
WOODDALE Minnetonka,MN 55343 �
e " � � ° E a S (g52)345-0543-(952)345-0544 S
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Pay: *************************Seven thousand five hundred dollars and no cents ;
DATE r-J' � CHECK NO. AMOUNT
May 31, 2016 85085 $******7, 5fl0 . 00
PAY �
TO THE �
City of Orono
ORDER 'PQ $OX 6 6
oF Crystal Bay, MN 55323-0066
__ _.____. _ ;
_ _
, _ _ City of Orono
_--.__. ___ _
�W r�;�;-ttUlLui. 2�50 Kel ley Parkway
- --__ -_ --- ----- ., Orono MN 55356 952-249-4600
WOODDALE BUI !nt(s)
6117 BLUE CR DF ` - - Receipt No: 3.015700 Jun 1, 2016
K 8508`
MINNETONKA,MN 55343-
(952)345-0543 Wooddale Builders
Minnesota State License#:BUIL-BC002926
Planning and Zoning
2016-00620 3375 Graham 7,500.00
OWNER Hi 11 Rd
101-22205
Wooddale Builders Deferred Rev-Developer Deposit
6117 BLUE CIRCLE DR, STE 101
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MINNETONKA,MN 55343- Total: 7,500.00
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Check
AGREEMENT AND SWORN STATEMENT Check No: 85085 7,500.00
Payor:
' The work for which this permit is issued shall be performed according to Wooddale Bui lders
' the approved plans and specifications,applicable City approvals,and the Total Appl ied: 7,500.00
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
---------------
permiu. All provisions of laws and ordinances governing this type of work Change Tendered: .00
shall be compied with whether or not specified herein.This permit will _______________
expire and become null and void if construction authorized is not 06/Ol/2016 08:48AM
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