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OT 2015-00037 Driveway Replacement
CITY OF OAK PARK HEIGHTS PERMIT NO.: 2015-00037 14168 OAK PARK BLVD. N. #2007 OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 04/22/2015 (651)351-1661 FAX: (651) 439-0574 ADDRESS : 5495 OAKGREEN PL N PIN : 04.029.20.32.0087 LEGAL DESC : VALLEY POINT 2ND ADD : LOT 5 BLOCK 2 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DRIVEWAY NOTE: PERMIT ISSUED FOR REMOVAL OF EXISTING ASPHALT DRIVEWAY AND PLACEMENT OF NEW ASPHALT DRIVEWAY. NE` FOOTPRINT WIDITH WILL EXTEND TO THE OUTSIDE OF THE GARAGE FOR THE FULL LENGTH OF THE DRIVE. LIMESTONE BEING ADDED TO BASE PRIOR TO ASPHALT PLACEMENT AND REPAIR TO CONCRETE FOOTING AT GARAGE.CONTRCACTOR WILL SUPPLY CURB STOP COVER FOR WATER SHUT OFF LOCTED IN DRIVE AREA. JOB VALUE:$3475.00 APPLICANT OTHER PERMIT FEE 25.00 TOTAL 25.00 BROCHMAN BLAKCTOPPING CO. Payment(s) 12770 MCKUSICK RD. CHECK 16444 25.00 STILLWATER,MN 55082- (651)439-5379 OWNER MICHAEL J& SHANNON SULLIVAN 5495 OAKGREEN PL N OAK PARK HEIGHTS,MN 55082- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to:(1)the conditions of this permit;(2)the approval plans and specifications;(3)the applicable city approvals,Ordinances,and Codes;and,(4)the State Building Code. This permit is for only the work described,and does not grant permission for additional or related work which requires separate permits.This permit will expire and become null and void if work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Minnesota State Building Code. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _1:4; 04.O CH Licensed and Insured _ BLACKTOPPING CO. www.brochmanpaving.com 12770 Mckusick Rd.,Stillwater,MN 55082 MN:651-439-5379 WI:715-294-1622 Serving the Asphalt Estimate Form St Croix Valley Ir,g,rH S I,..n ran 61$". ✓ Z--rS'OL-24 3 3 y � since 1972 Customer Name- in U-t �-n Phone- p `1 Date: Location of worts: -5-9 S 5 O. G-,W�w.Pl. _,1/. (2 - Psv L Ac8,4-r Billing Address: Job sketch: Email: 1x'15 8©5,..42-7 y t Comersj1l-,A8� hrootinb w.r ll c,e rn• J— Ste`' ICA" -� O },lwrt bitwt - - — Can.6C 5-fop effi\c(r ki I } t i a(//nrth Needed V cr i itity Locate a Sprinkler System On-Site o Lien Waiver On Request Job description: Pe rev t:. ee.n,A.t,r Oar- Ut 0,crn,t seg ,S ph4es-- L'XL,t✓..I�i_.a..,0 AADO .2 day'states a - Lrmeilate_4-i3$fz 6.440e. ,c.4D eat,' ik &Se-. PA wa+k 2t1z tL 3 F,ArSLe CO ilk lt:440 J1;-4=1iCS d+ Ags,okad-' - G12,4 jvrr7012t+e. i m t o.-Zvy1/yfit Materials used are in compliance with the state highway specifications and thickness meets or exceeds local building codes. Approximate square footage: /220 Total Cost: 3`17 S,c' Unit Price$ sq.ft. contract:The owner hereby agrees to:Pay the contractor for the above described work in the following manner. Down payment S i�2 Ml' arl- Balance upon completion of paving$ i(Z 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 �?�U,M 7� Contractor Tb order by mail:sign your contract,mail with your down payment to Brockman Bladrropping Co.12770 Mckmick Rd.,Stillwater;MN 55082 To order electronic:sign carman and man to lxochmanpavinamsacom or nulceblacktop@tgrnaiLcom and contact us with electronic payment method. Approximate completion(due to weather or unstable soil conditions,completion date may be delayed) date: See:reverse side for Warranty and Terms and Conditions Thanks from BROCHMAN BLACKTOPPING CO.