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Home My WebLink About05 May Metropelaart,Coo5c a : Envahnmental fttervthes 41e2!). 0 Nobeft 6tr6et North 'at Paul Mtonesota 55101 1805 ft51 602 1378 '651 602 1030 fax MCES SAC-A Form Last Updated 01/2712016 Sewer Availability Charge(SAC) 2016 ACTIVITY SUMMARY REPORT Customer Community City of Oak Park Heights Reporting Period (month or quarter) May Year 2016 tallriaritiM100siq.'-`.'7iiM77:7T3t.W.1,:::•;,d:!!,4;',::::i.RaZlidil.'403:::TiW.Zq.TZ:Mr:'''''''''''''''''""'''''''''. "':"'"'''''.'"'E'i:Er''. ''''7741'''''' '.'":7'n''''''''''.7.':.'"'"''''''" ',-• .,' '.. ': - • Ni!,.-0%ke':,,,,a417TA!..,-...:?:!.',',-:',,,:,-,.. 1.::v:,',,,t:::.,;,'-',. :.:::,,,:aftik.lz:Ei.-:!,.: s,,,:0:0!;!!::!:4:::,n,:•,!.:11;,:.::,F,P,:::,N1:.t.,:.: 1.7. --:'...:-.:::w,..:F:;::,.16, Call7V.:nir.V:I'S,t,t,"i4i;t,,i,:,.,.i„:,,„::::42t.! .:..,:!,,.,Vigir,VM,.,,L-,,:,!:En6.4.7.„.•44.,,,,,,TZ,,,,,,,,,,,,,,,,,,:all Single Family Dwelling °? (-) Multi-Family(includes duplex,townhome,condo,assisted living) et Apartment(with individual laundry connections or no central laundry) s Residential/Commercial Combination (residential and commercial mixed building) 9 .2 E Commercial < «.' — • . Institutional/Governmental 8 3 Industrial(those industries permitted with MCES only) Sub-Total SAC Units Section 1: .....,,,„ C Apartment(without individual laundry connections) 0 X 80%(to receive 20%discount): = (0 > Co E t. .... a. Publicly-Assisted Housing(without garbage disposals or dishwashers) .2! 4 4) w x 75%(to receive 25%discount): = 0 w 8 0, 9 ; Publicly-Assisted Housing(without individual laundry connections,garbage disposals U C or dishwashers) < ta x 60%(to receive 40%discount): = CO al 5 Ccci ti) Apartment/Condo Conversion(converting a discounted apartment to a condominium rrtC or non-discounted apartment) U) x 20%: = Sub-Total SAC Units Section 2: Net SAC Units from Section 1 +Section 2: MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form): Net SAC Unit Credit Balance from Previous Reporting Period: - Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: - Sub-Total SAC Units: Enter Current SAC Rate: x Sub-Total SAC Amount Due: ?-c.'s42:fotNiNkse:...'zioatiel::::-..eot,P1#cV:P.:',1;;1,Fey ,?,,i.,4,:1,74FMiteio, 1% Discount for Prompt Payment: - Sub-Total SAC Amount Due: :13,3114ntaitillnoqig: RiVfliaigiVaia84011:Y1410 Adjustments(attach explanation): + TOTAL AMOUNT DUE: NO ftaTIVI FOR NOES USE ONLY (*If Total Amount Due is a negative number,this is the net credit balance to carry forward on your nextY Activity Report) Invoice No. Activity Report prepared by: Customer No. Julie A Hultman 06/10/2016 (Name) (Date) Check No. Building Offiical 651.439.4439 x1105 Date (Title) (Phone) jhultman@cityofoakparkheights.com Amount Paid$ (E-mail Address) t1etrc,pclitan Cos-nc/ I Environmental Services MCES SACC Form 00 Etttbert Street North Last Updated: 1/27/2016 i./ St Paul, Minnesota 55101-1805 651 602.18;8 1 651 602 1030 fax Sewer Availability Charge (SAC) 2016 COMMERCIAL DETAIL REPORT Customer Community City of Oak Park Heights Reporting Period (month or quarter) May Year 2016 ' .; Proposed Occupant Type of Business ''' Holiday Station -Site Redevelopment Gas, Carwash, Convenience Store Site Address Parcel ID Number Unassigned -Currently 14773 60th St. N. , Permit or License Number Issue Date Gross Square Feet of Tenant Space ,, CALCULATION OF SAC CHARGES: s': Use Calculation SAC Units i.e. Retail 4,800 sq. ft. @ 3000 sq. ft. = 1.60 This will be a redeveloped use of the same business operation - Holiday Station. .m_. Plans should be submitted for review and SAC calculated based on related credits to this property, the Valvoline Rapid Oil Property and Holiday, 1 , with any new Parcea ed ID 04-029 20as a resul1 11 0001 of redevelopment. y:k M ;r If this is a new building, the total charge is rounded to nearest whole number. TOTAL CHARGE: (In Units) t,;.4,.: Previous Occupant Type of Business a: Greenbrier Office Building Office Builiding Site Address(if Different) Original Parcel ID Number ,:r 14791 60th St. N. 04-029-20-11-0004 Credit From: ❑ SAC Paid ❑ Non-Conforming Grandparent Demand ❑ Non-Conforming Continuous Demand Non-Conforming Permit Number* SAC Paid Permit Number Demo Permit Number** 2016-00114 - Non-Conforming Permit Issue Date SAC Paid Permit Issue Date Demo Permit Issue Date 05/20/16 CALCULATION OF SAC CREDITS: `- Use Calculation SAC Units I .._ , �,. 8 office-office building, with shared restrooms and hallways. Constructed prior to SAC program. File notes indicate that the structure was connected to city water& sewer on 11-20-1971 110 1 4 , ._ If this is a demolished building, the total credit is rounded to nearest whole number. TOTAL CREDIT: *Attach documentation of non-conforming credit. **SAC-D Report Required i' (in units) . .i 1 NET CREDITS ONLY OCCUR IF SAC PAID OR NON-CONFORMING GRANDPARENT. NET SAC UNITS: 1,0 fi ONLY SAC PAID CREDIT CAN BE TAKEN COMMUNITY-WIDE. (x.5 rounds up to whole number in units) Determination Completed By Name (If completed by MCES,attach Determination) Date of Determination CITY OF OAK PARK HEIGHTS PERMIT NO.: 2016-00114 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 05/20/2016 (651)351-1661 FAX: (651) 439-0574 ADDRESS : 14791 60TH STN PIN : 04.029.20.11.0004 (cp6") LEGAL DESC : N/A : LOT 0 BLOCK 0 PERMIT TYPE : OTHER PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : DEMOLITIONS i I NOTE: PERMIT ISSUED FOR DEMOLITON OF FORMER GREENBRIER OFFICE BUILDING.CONTRACTOR SHALL TERMINATE WATER&SEWER AS DIRECTED BY OPH CITY PUBLIC WORKS AND SCHEDULE INSPECTIONS FOR TERMINATION WITH ANDY .KEGLEY(c-!) 651-439-4439. GRADE IS TO BE RESTORED. 4 i APPLICANT OTHER PERMIT FEE 75.00 OTHER PERMIT SURCHARGE, FLAT 1.00 ACHEL CONTRACTING INC. UTILITY INSPECTION FEE 70.00 4125 NAPIER CT NE ' T. MICHAEL,MN 55376 TOTAL 146.00 (763)424-1500 Payment(s) CHECK 3100 146.00 OWNER ;IOLIDAY STATIONSTORES INC 4567 AMERICAN BLVD W 3LOOMINGTON, MN 55437- 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 riot 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. Metropolitan Council 1 Enviionmental Services MCES SAC-C Form 390 Robert Street North Last Updated: 1/2712016 St Paul Minnesota 55101-1805 651 60I 1378 i (51 602 10710 fax Sewer Availability Charge (SAC) 2016 COMMERCIAL DETAIL REPORT Customer Community City of Oak Park Heights Reporting Period (month or quarter) May Year 2016 egyff Proposed Occupant Type of Business Holiday Station -Site Redevelopment Gas, Carwash, Convenience Store , - - Site Address Parcel ID Number --- Unassigned -Currently 14773 60th St. N. i Permit or License Number Issue Date Gross Square Feet of Tenant Space 04ti '..:In CALCULATION OF SAC CHARGES: i7 Use Calculation SAC Units i.e. Retail 4,800 sq. ft. @ 3000 sq. ft. = 1.60 if This will be a redeveloped use of the same business operation - Holiday Station. . ! .... Plans should be submitted for review and SAC calculated based on related credits to this property, the Valvoline Rapid Oil Property and Holiday, with any new added as a result of redevelopment. Parcel ID 04-029-20-11-0001 , WA% _ If this is a new building, the total charge is rounded to nearest whole number. TOTAL CHARGE: ' — (In Units) Previous Occupant Type of Business ...-,.- Valvoline Rapid Oil Change Oil Change Service Site Address(If Different) Original Parcel ID Number l'ivi!Pj 5965 Osgood Ave. N. 04-029-20-11-0050 Credit From: El SAC Paid E] Non-Conforming Grandparent Demand Ill Non-Conforming Continuous Demand Non-Conforming Permit Number* SAC Paid Permit Number Demo Permit Number** 3067 2016-00113 Non-Conforming Permit Issue Date SAC Paid Permit Issue Date Demo Permit Issue Date P:* 09/07/89 05/20/16 '--E-. CALCULATION OF SAC CREDITS: Use Calculation SAC Units Oil Change Service-2 bays 1.00 ** Permit Copy Attached 1 ! „..*L---- , . gre7,,, If this is a demolished building, the total credit is rounded to nearest whole number. TOTAL CREDIT: I , 0 documentation of non-conforming credit. **SAC-D Report Required (in units) 404 NET CREDITS ONLY OCCUR IF SAC PAID OR NON-CONFORMING GRANDPARENT. NET SAC UNITS: I 1 0 ONLY SAC PAID CREDIT CAN BE TAKEN COMMUNITY-WIDE. (x.5 rounds up to whole number in units) Determination Completed By Name(If completed by MCES,attach Determination) I Date of Determination I CITY OF OAK PARK HEIGHTS PERMIT NO.: 2016-00113 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 05/20/2016 (651) 351-1661 FAX: (651) 439-0574 ADDRESS : 5965 OSGOOD AVE N PIN : 04.029.20.11.0050 k '" LEGAL DESC : OAK PARK HEIGHTS AUTO PAZA : LOT 1 BLOCK I • PERMIT TYPE : OTHER PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : DEMOLITIONS VOTE: PERMIT ISSUED FOR DEMOLITON OF FORMER VALVOLINE INSTANT OIL CHANGE.CONTRACTOR SHALL TERMINATE WATER&SEWER AS DIRECTED BY OPH CITY PUBLIC WORKS AND SCHEDULE INSPECTIONS FOR TERMINATION WITH ANDY cEGLEY(ct 651-439-4439. ANY OIL OR OTHER HAZARDOUS MATERIALS SHALL BE DISPOSED OF AS PRESCRIBED BY THE AHJ \ 'ASI IINGTON COUNTY, MPCA)GRADE IS TO BE RESTORED. APPLICANT OTHER PERMIT FEE 75.00 OTHER PERMIT SURCHARGE FLAT 1.00 RACHEL CONTRACTING INC. UTILITY INSPECTION FEE 70.00 +125 NAPIER CT NE ST. MICHAEL, MN 55376 TOTAL 146.00 (763)424-1500 Payment(s) CHECK 3100 146.00 OWNER IOLIDAY STATIONSTORES INC ATTN: TAX DEPARTMENT 4568 AMERICAN BLVD W RLOOMINGTON, MN 55437- 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. i , oXLYY yam_ FEE SCHEDULE C OAK P; / • HT Permit No.SL'�2 -- �447•� BP.,,6Plan No. S BLDG. OAK PA ..04107c,-,P, �:2 (For Dept.use only) STATE SURCHARGE 954•d 0' ,�. Co/� V C•5� ,0• „ • PLAN CHECK ,1//7%.3–‹CITV UTILITY EX✓TERNAL PLBG. APPLICATION FOR PERMIT • �� ,��'METRO S.A.C.0/ �j 10.00 S:45 6 � UTILITY CONNECTION 7'"/- 44171 Date 19_ 3 ,0zZ:.73 / TOTAL AMOUNT DUE STRUCTURE USED AS REFRG NANG MA RBUILDPLUMB. MEAT INSTALL n ALTER REPAIR REROOF RESIDEMOVE WRECK SIGpI SQUARESBYX Egs )7I�� C an >,a-ttchaSe, Owner a 1 n-e--"� U a L-).: 1 . -1-1,‘. 'S"-a.,.. 'z6-1 ( �Yta7". TU ✓eJ Architect Address General Contractor Qa-± La1‹.- --5"t Address 4 7 ), I Q.,-,_d. 4✓tee + Contractor Reg. No. Sys+�,.,,5 ss',(-- a.,,I. V' �' Vi.Y5 Z �, SI NO CONSTRUCTION TO START PRI TO 7:00 A.M. Z^ _ 'Zg.7 o NUMBER 1 STREET SIDE BETWEEN/WHAT CROSS STREETS .5j.ca.� k)o. S o6 '-%_, LOT BLOCK ADDITION OR TRACT WIDTH DEPTH SIDE LOT CLEARANCE [ FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE 4t 10 6 d O O J p YES .„4„....e.. ....... ..–e--/-4-,.1— DETAILS OR REMARKS: BASEMENT ��,,w,.J _ p NO a y A X S• T /1.f0-0- x.eta. -7 �- �-ez 3..-e z 6oL( ��. � _ The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing do all work in strict cordance with all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit c be i OWNER/CONTRACTOR SIGNED l OK'D BY Tyr UI,At L( <,r'oninl(l rtai Service's Lin.:......._ MCES SAC-D Form . . _ ,4E 1 1 0 j Last Updated: 112712016 0 fax Sewer Availability Charge(SAC) 2016 DEMOLITION DETAIL REPORT Customer Community City of Oak Park Heights Reporting Period (month or quarter) May 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 I 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. <.0 i t > s i r �§ ? , .1, ,,[ .ft (� gig®4 �� ', , �t For MCES y r._4 to eye! , gl r e� vt, kids s W 1 5 �,, , ,n; W a 4� ... ' p. Use Only ---...`.Y!1.; !L� U3. J. /,,: _ , >. 'R '.. �9` .. .mss.-., , y"' `�. _A #;k �@1€IA_IN i 5/20/2016 i 2016-00114 14791 60th St. N. 04-029-20-11-0004 i C 1 5/20/2016 i 2016-00113 5965 Osgood Ave. N. 04-029-20-11-0050 I C 1 I I I S S I 737- .,L.. .................. ._,,,,_,_ ._-._.,......,..,.....,.....Wi _ __-..w......,...,........_.,_.... .....,......... $ l ( i 1 1 11 i i *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)