HomeMy WebLinkAbout11 November Metropolitan Council I Environmental Services MCES SAC-A Robert Street North Last Updated 12/09/2016
Form
Li.L......_ .
St_Paul, Minnesota 55101-1805
651
651.602.1378 1651.602.1030 fax Form
Sewer Availability Charge(SAC)
2017 ACTIVITY SUMMARY REPORT
Customer Community City of Oak Park Heights
Reporting Period (month or quarter) November Year 2017
Attach 4
Foran SECTION 1 - Full SAC Rate Building/Sewer offsetting Credit Net SAC(Allowable Net Credits
ES Permit Units Units Entered on Line Below)
m Single Family Dwelling
QMulti-Family(includes duplex,townhome.condo,assisted living)
H
Apartment(with individual laundry connections or no central laundry)
0
E, `c Residential/Commercial Combination (residential and commercial mixed building)
L) E
O— Commercial
Q a
`"r 3 Institutional/Governmental
0 iv
° Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1:
For
,Attach SECTION 2- Discounted SAC Rate(Must receive prior written Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
'Ku approval from MCES) Permit Units Units Entered on Line Below)
Apartment(without individual laundry connections)
o• d
•3 (If discount applied in letter,enter SAC due in Section 1 on Apartment line.) X 80% (to receive 20%discount): =
co
c a
cr
t r4 Publicly-Assisted Housing(without garbage disposals or dishwashers)
d ro
C0 (if discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) x 75%(to receive 25%discount): =
Q
o
cl
v a
U w Publicly-Assisted Housing (without individual laundry connections,garbage disposals
N U or dishwashers) x 60% (to receive 40%discount): =
m ;:. (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
L ;;
aJ Apartment/Condo Conversion(converting a discounted apartment to a condominium
in or non-discounted apartment)
x 20%: =
(If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
Sub-Total SAC Units Section 2:
1214111 rcno-ad . Net SAC Units from Section 1 + Section 2:
4 ... MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
Net SAC Unit Credit Balance from Previous Reporting Period: -
�1f10+? Allowable Net Credits (Only from SAC Paid)to be taken Community-Wide: -
Sub-Total SAC Units :
Current SAC Rate Must Be Entered: x
Sub-Total SAC Amount Due:
'i_Check if report qualifies for 1%prompt payment discount 1% Discount for Prompt Payment: -
MCES must receive payment within 30 days of the end of Sub-Total SAC Amount Due:
the reporting period.Postmark date is not acceptable. Adjustments(attach explanation):
TOTAL AMOUNT DU • f10 A0,-r- i(V r- 1/
FOR MCES USE ONLY (*If Total Amount Due is a negative number,this is the net cretalance to carry forward on your next
Activity Report.) .V
Invoice No.
Activity Report prepared by:
Customer No. Julie Hultman 12/04/2017
Check No. (Name) (Date)
Buuilding Official 651.439.4439 x 1105
Date (Title) (Phone)
jhultman@cityofoakparkheights.com
Amount Paid$ (E-mail Address)