HomeMy WebLinkAboutOT 2015-00072 Driveway Replacement CITY OF OAK PARK HEIGHTS PERMIT NO.: 2015-00072
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 05/26/2015
(651)351-1661 FAX: (651) 439-0574
ADDRESS : 13899 55TH ST N
PIN : 05.029.20.14.0083
LEGAL DESC : RIVER HILLS
: LOT 10 BLOCK 2
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR REMOVAL OF EXISTING DRIVEWAY AND REPLACEMENT WITH ASPHALT TO EXISTING FOOTPRINT.
CURB STOP NOT SHOWN IN DRIVE ON PLAN. NOTE THAT CURB STOP COVERS ARE REQUIRED BY THE CITY FOR SHUT OFF'S
LOCATED IN DRIVE AREA. PLEASE CONTACT CITY HALL IF ONE IS NEEDED.JOB VALUE:$3,540
APPLICANT OTHER PERMIT FEE 25.00
BROCHMAN BLAKCTOPPING CO. TOTAL 25.00
Payment(s)
12770 MCKUSICK RD. CHECK 16485 25.00
STILLWATER, MN 55082-
(651)439-5379
OWNER
GARY E JR CHRISTENSON
13899 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.
0,1 oLOCH
Y Licensed and Insured
,
AIM BLACK'1'OPPIIITG CO.
www.brochmanpavjngcom
12770 Mckusick Rd.,Stillwater,MN 55082 MN:651-439-5379 WI:715-294-1622
Asphalt Psthmue Rolm Servitly the
St.Customer Name' �j1-e. 41 g411-0-,16e) phone, 4/3 y IS �l9 Valley
Location ofwo& ' ? 3-3'"Jr1✓, D i'N con/
Billing Address:
Job sketch: G vBD O
FmeiI Y . CPO,GA4 ;, ►_
R.OD'O.33b`,"r 42/3,a el a
t 6
a6 i
•
t1 ,
2 4 t
cLvOGO
/ tnNeeded
trU ty locate
o
Sprinkler system
Orate
o Uen Waiver On
Request Skill
Job description: Rene ve eLO 1QJOJIicPat',y.,Q�,<J� �t:�at� Sir,ac
W 1.u, L„�;r.tt4�►�t.. —�,e+ � ( ,it_. /ay'r'L L,,1),d
&SG — iquve. wiL' 2,J2. 3 P;i1,J1,60 ConyrJra-rwct,,,S of I�spb.t.
note: IttnteAen rep.L-cln4pr/1. l ;N5 emoevPlite,,-w,ih Genre, -°
Materials used are in compliance with the state highway specifications and thickness meets or exceeds local
building codes.
Approximate square footage: 1) 180 TbtaI Cost: `�l(+{0,c�
Unit Pried sq.ft.
contract The owner hereby agrees to:Pay the contractor for the above derailed work in the following manner.
Down pay 2 crib
$ 1ZBalance upon comply of $ I lL
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
Purchaser Contractor
"illitdedtre...4....
'lb order by mail:sign your contract,mail with your down payment to Bradman Blacktopping Co.12770 Mckmick lid,Sli le tc,bit 55082
To coda electronic:sign contract sad scat to brochmamaktgerosacom ormikeblae
l.ran and ownlect es with*atonic mast rpelltod.
Approximate completion(dim to weather or unstable soli conditions,completion date may be delayed)
date:
See:reverse side for%minty and Tarns and Conditions
Thanks from BROCHAL4N BLACKIDPPING CO.