HomeMy WebLinkAbout2011-01001 - escrow fee • CITY OF ORONO PERMIT NO.: 2011-01001
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/06/2011
(952)249-4600 FAX: (952)249-4616
REPRINTED ON 9/6/2011
ADDRESS : 840 OLD CRYSTAL BAY RD S
PIN : 09-117-23-12-0002
LEGAL DESC : UNPLATTED 09 117 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: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2011-01003
APPLICANT ESCROW FEE-BUILDING 2,500.00
CHARLES CUDD LLC TOTAL 2,500.00
15050 23RD AVENUE N
PLYMOUTH,MN 55447-
Minnesota State License#:20635245
OWNER
WILLIAMS,JAMES&HEIDI
840 OLD CRYSTAL BAY RD S
WAYZATA,MN 55391-
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.
4
Applicant Permitee Signature Date I�-i(By Signature Z Dat //
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.