HomeMy WebLinkAboutOT 2016-00145 Driveway Replacement CITY OF OAK PARK HEIGHTS PERMIT NO.: 2016-00145
14168 OAK PARK BLVD N. #2007
OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 06/27/2016
(651) 351-1661 FAX: (651) 439-0574
ADDRESS : 14881 56TH ST N
PIN : 04.029.20.14.0062
LEGAL DESC : BREKKE HEIGHTS#2
: LOT 9 BLOCK 5
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: REMOVE AND REPLACE ASPHALT DRIVEWAY AS PER APPROVED PLAN. IF A CURB STOP IS LOCTED WITHIN THE DRIVE
AREA,CONTACT CITY HALL TO PURCHASE A CURB STOP COVER PRIOR TO ASPHALT PLACEMENT. JOB VALUE: $3,278.
APPLICANT OTHER PERMIT FEE 25.00
TOTAL 25.00
BROCHMAN BLAKCTOPPING CO. Payment(s)
12770 MCKUSICK RD. CHECK 17047 25.00
STILLWATER, MN 55082-
(651)439-5379
OWNER
PATRICIA A& EDIN RE WALDORF
14881 56TH ST N
OAK PARK HEIGHTS, MN 55082-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1)the conditions of this permit;(2)the
approval plans and specifications;(3)the applicable city
approvals, Ordinances,and Codes;and,(4)the State Building
Code.This permit is for only the work described,and does
not grant permission for additional or related work which
requires separate permits.This permit will expire and become
null and void if work is not started within 180 days,or if work
is suspended or abandoned for a period of 180 days any time
after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
isixoCH1144. Licensed and Insured
I I (Ql�-yeOs
�51_ai BLACKTOPPING CO.
www brochmanpaving.com 111;it
12770 Mckusick Rd.N.,Stillwater,MN 55082 MN:651-439-5379 WI:715-294-1622
Serving the
Asphalt Estimate Form
,/ / 1/St.Croix Valley
�itA—'W. oes7+/'30..vt; y 2311 ri since 1972
Customer Name o✓ Phone• Date:
Location of work: /ff wi .T'f'"J'rN ac.L/�.v.k f4 r+7+✓
Billing Address:
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Job sketch: Email: �a jl$,i t:GomL,s.S07,01
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permit Needed
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a Sprinkler System
On-Site
o Lien Waiver On
Request �j /�
Job description: IPA'7svc. CII ,4 oh a,p -eena°&v--A."4.1gla• £/
Re3,ose Sln��+es ry L;,a,es �� e Ana Zunyo t7+Cre_
Pave W1st31 3ma,A4plt.ra-cnr,J.,.d-- --Roti_ , nicest t 1'o 2iJz
Materials Latfi lab'in cbinpliance withihe state highway specifications and thickness meets or exceeds local
building codes.
p .3,211.19°
Approximate square footage: O$8 Total Cost: Unit Price$ sq.ft.
contract The owner hereby agrees to:Pay the contractor for the above described work in the following manner.
Down payment$ Balance upon completion ofpavingS
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
To order by cat sign your contract.mail with your down payment to Brochmon Blaaktopping Co.12770 Mckusick Rd.N.,Stillwater.MN 550M
To order electronic:sign contract and scan to bmchmanpavinamsrt.com or mtceblacimp(gmaiLcom 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 Warty and Terms and Conditions
Thanks from BROCHMAN BLACKTORPING CO,