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Sewer Availability Charge(SAC)
2016 DEMOLITION DETAIL REPORT
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) February Year 2016
Attention: This form is for reporting all SAC-related demolitions to be placed on record as potential SAC credits.
All demolitions must be reported within 30 days of the end of the calendar year in which the demolition permit is
issued.
Attach MCES SAC-C or Determination Letter for all commercial, institutional/governmental facilities in order to
show how the number of credits were calculated.
Attach a Determination Letter for all industrial facilities permitted by MCES.
Reduce the SAC Units of credit for apartments by 20%and publicly-assisted housing by 40% in order to
adjust for previously reduced charges.
The number of potential SAC units must be rounded to the nearest whole number.
Demolition `type #of
Demolition For MCES
Permit P> � Adder Parcel ID Number of SAC Use
issue flag U *, Ulrfi , Only
2/12/2016 2016-00032 15105 63rd St. N. 34.030.20.32.0106 i S 1
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*Type of Use:
S=Single Family Dwelling M=Multi-family Dwelling A=Apartment P=Publicly-Assisted Housing
C=Commercial(attach MCES SAC-C) IG=Institutional/Governmental(attach MCES SAC-C) I=Industrial(attach Determination Letter)
CITY OF OAK PARK HEIGHTS . PERMIT NO.: 2016-00032
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 02/12/2016
(651)351-1661 FAX: (651)439-0574
ADDRESS : 15105 63RD ST N
PIN : 34.030.20.32.0106 •
LEGAL DESC : MC KENTY'S ADD
: LOT 3 BLOCK 15
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DEMOLITIONS
NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE,INCLUDING WATER AND SEWER DISCONNNECT. WORK
SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND
THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)
SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)
WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE
APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.FEES HAVE
BEEN WAVIED FOR THIS WORK BY THE CITY.
APPLICANT
BELL'S TRUCKING INC. TOTAL
Payment(s)
P.O.BOX 775
STILLWATER,MN 55082-
(651)439-6375
OWNER
WAYNE&LYNNE HELLERMAN
15105 63RD ST
OAK PARK HEIGHTS,MN 55082 TOTAL PAID
DUE
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.