HomeMy WebLinkAbout2012-00425 - escrow fee CITY OF ORONO I* 12 OII� it 12 I-IO1; 0' 41 Iz 11
1 I*
2750 KELLEY PARKWAY DATE ISSUED: 05/17/2012
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
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-OTHER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-OTHER
NOTE: ESCROW TIED TO BUILDING PERMIT 2011-01003 FOR TEMPORARY CERTIFICATE OF OCCUPANCY
APPLICANT ESCROW FEE-OTHER 10,000.00
WILLIAMS,JAMES&HEIDI TOTAL 10,000.00
840 OLD CRYSTAL BAY RD S
WAYZATA,MN 55391-
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
revo • any time for due cause.
Ap• ieant Permitee Signature Date Issu=o B'Signature Date
SEPARATE PERMITS REQUIRED FOR WORK,4 THER THAN DESCRIBED ABOVE.