HomeMy WebLinkAboutOT 2016-00233 Driveway Replacement CITY OF OAK PARK HEIGHTS PERMIT NO.: 2016-00233
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 09/22/2016
(651) 351-1661 FAX: (651) 439-0574
ADDRESS : 14300 57TH ST N
PIN : 04.029.20.24.0022 •
LEGAL DESC : RLS#053
: LOT 0 BLOCK 0
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR REMOVAL OF ASPHALT DRIVEWAY AND REPLACEMENT WITH NEW 5-6 INCH LIMESTONE BASE AND
3"COMPACT ASPHALT DRIVE,ROLLED SMOOTH. PERMIT INCLUDES REPAIR WORK TO FOOTING AT GARAGE FLOOR WITH
CEMENT. JOB VALUE:$4150
APPLICANT OTHER PERMIT FEE 25.00
TOTAL 25.00
BROCHMAN BLAKCTOPPING CO. Payment(s)
12770 MCKUSICK RD. CHECK 17188 25.00
STILLWATER, MN 55082-
(651)439-5379
OWNER
ALLAN R&JANET E STEVENS
14300 57TH ST N
OAK PARK HEIGHTS, MN 55082-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (I)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.
12770 Mokusick Rd.N.,Stillwater,MN 55082 MN_651-439-5379 WI:7I5-294-1622 JEW
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Billing Address:
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Materials used are in compliance with the state highway specifications and thickness meets or exceeds local
building codes.
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Approximate squarefootage: Total Cost / Unit Prices sq.fl.
contract The owner hereby agrees to:Pay the contractor for the above des • work in the following manner.
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The contractor agrees to:famish the labor,materials,equipment,and skills ecessaty to complete the project
Both the owner and contractor agree that any additional work is extra .: -.on square foot price or labor and
materials.
Owners or +t„J� G�
Purchaser Contractor /1,1f!
To older by uolk sip your erattlad.mol eft'madam payment In&ochmm Co.12770 M
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pays 53062
or m6cebiadclrrpf�masom and coated os adlheketrmac paymear method.
Approximate completion(due toweather or unstable soil conditions,completion dam may he delayed)
date:
See:reverse side for Warmnty and Tams and Conditions
• Thanks front BROCIIMAN!BLACKTOPPING CO.