HomeMy WebLinkAboutOT 2015-00129 Driveway Replacement CITY OF OAK PARK HEIGHTS PERMIT NO.: 2015-00129
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 07/21/2015
(651)351-1661 FAX: (651) 439-0574
ADDRESS : 14220 55TH ST N
PIN : 04.029.20.23.0059
LEGAL DESC : SWAGER BROS 9TH ADD
: LOT 4 BLOCK 8
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR REMOVAL OF EXISTING ASPHALT DRIVE AND REPLACEMENT,INCLUDING NEW PARKING PAD TO
SHED,AS SHOWN ON PLAN. CURB STOP COVER NEED HAS BEEN IDENTIFIED AND CHARGED WITH THIS PERMIT. JOB VALUE:
$4,625
DRIVEWAY CURB STOP COVER 100
APPLICANT OTHER PERMIT FEE 25.00
DRIVEWAY CURB STOP COVER 100.00
BROCHMAN BLAKCTOPPING CO.
12770 MCKUSICK RD. TOTAL 125.00
STILLWATER,MN 55082- Payment(s)
(651)439-5379 CHECK 16583 125.00
OWNER
WHALEN,DONALD&BRENDA
14220 55TH ST N
OAK PARK HEIGHTS,MN 55082-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit;(2)the
approval plans and specifications;(3)the applicable city
approvals,Ordinances,and Codes;and,(4)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.This permit will expire and become
null and void if work is not started within 180 days,or if work
is suspended or abandoned for a period of 180 days any time
after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
L 471 $g°CHAtempe Licensed and Insured
L _M BLACKTOPPING CO. Irkt
www.brochmanpaving.com
12770 Mckusick Rd.,Stillwater,MN 55082 MN:651-439-5379 WI:715-294-1622
Serving the
Asphalt Estimate Farm "g
0 )/ St.Croix Valley
Customer Name t.J CO 1"%1►.a-�t-►� Phone 2nYS 1dY9 :s://s- !r since 1972
Location of work: H22° S (2 1.v`L ii/4043 p.m/
Billing Address: a �/ /n�
Job sketch:- s ,(1 Email: 6M'9Le- 1030 t 6.Mwr-iE;,C>pn
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Job description: O evil— c a Asph.,..a.-, Se0 .s-n p ..0 LL -AzA4.e .,.t.N.7
.iaA/ 2'443 ma, ea.rY i-t.+l--ASPAA-e-A-PI/e'-•',"1»‘Jti LornAr-44ele-
Lim esi 50-Se_ y2,•-.b e Oveodm..c m t)c
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Materials used are in compliance with the state highway specifications and thickness meets pQrr.�exc local
building codes. dm,`o 9`zsae ri,v41-01ntl-CT
Approximate square footage: 2,4"C Total Cost: Unit Prices sq.R. t2 r yr
'--\- ktt as-.00
irPegre contract:The owner hereby agrees to:Pay the contractor for the above described work in the following manner. r tore h V tpp, o
Down payment$ 112- Balance upon completion of paving$ 1 IZ 1 1�
n 1 ; l .s--a 0
The contractor agrees to:furnish the labor,materials,equipment,and skills necessary to complete the project.
Both the owner and contractor agree that any additional work is extra based on square foot price or labor and
materials.
Owners or
f �v��
'Purchaser Contractor `.i..t`�. .r
To order by mu7:sign your contact,nail with your down payment to Brockman Bleckmppiog Co.12770 Mckusick Rd.,Stillwater,MN 55082
To order electronic:sign contract and scan to brochmenpavingkikrun.com or miteblackrop@gmaii.mm and contact in witb electronic payment method.
Approximate completion(due to weather or unstable soil conditions,completion date may be delayed)
date: esO ,j..
See:reverse side for Warranty and Terms and Conditions
Thanks from BROCHMAN BLACKTOPPING CO.