HomeMy WebLinkAboutOT 2017-00263 Driveway Replacement CITY OF OAK PARK HEIGHTS 1111111 I 11111111 II
14168 OAK PARK BLVD N. #2007
OAK PARK HEIGHTS, MN 55082-2007 * 2 0 1 7 - 0 0 2 6 3 *
(651) 351-1661 FAX: (651) 439-0574 ISSUED: 08/09/2017
Permit #: 2017-00263
ADDRESS : 14240 UPPER 54TH ST N
PIN : 04.029.20.32.0073
LEGAL DESC : SWAGER BROS 9TH ADD
: LOT 2 BLOCK 7
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR REMOVAL AND REPLACEMENT OF ASPHALT DRIVEWAY WITH NEW BASE AND ASPHALT. CURB
STOP COVER IS BEING INSTALLED(PROVIDED BY BROCHMAN BLACKTOPPING). NO CHANGE TO EXISTING FOOTPRINT. JOB
VALUE:$3472
APPLICANT OTHER PERMIT FEE 25.00
TOTAL 25.00
BROCHMAN BLAKCTOPPING CO. Payment(s)
12770 MCKUSICK RD. CHECK 17609 25.00
STILLWATER, MN 55082-
(651)439-5379
Minnesota State License#:2044390
OWNER
KAREN LEE TOBIAS
14240 UPPER 54TH ST N
OAK PARK HEIGHTS, MN 55082-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to:(1)the conditions of this permit;(2)the
approval plans and specifications;(3)the applicable city
approvals,Ordinances,and Codes;and,(4)the State Building
Code.This permit is for only the work described,and does
not grant permission for additional or related work which
requires separate permits. This permit will expire and become
null and void if work is not started within 180 days,or if work
is suspended or abandoned for a period of 180 days any time
after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,
11,10:11! g. 0C114447. Licensed and Insured
elt
East s BLACKTOPPING CO.
www.brochmanpaving.com
till
12770 Mckusick Rd.N.,Stillwater,MN 55082 MN:651-439-5379 WI:715-294-1622
Asphalt Estimate Form Serving the
t--- St.Croix Valley
Customer Name• ��� & ' o l'1'�S Phone:err/g7.9- !/G' Date. `S /z 7 since 1972
Location of work: 7y21-A tit/eV- ,-5-1/°14).PT e'/I4-4-.L/42L
Billing Address: `/-�
Job sketch: Email: K-L/e'/'/,2,f' ' Cr C,nd 1-7 yr 4.,1",--_.
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Request 1
Job description: A,-Yr-e.-,-,2.... C;te ri:itye',c✓ - �5�.ir_Je , ,j /r w.4.4
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Materials used are inu ompliance with the state highway sp cifications and thi n me or exceeds local
building codes.
3272, 4' Lina 4,
Approximate square footage: 3-75- Total Cost: / Unit Price$ sq.R.
contract:The owner hereby agrees to:Pay the contractor for the above described w. . in the following manner.
Down payment$ 1/2- Balance upon completion of paving$ 2__
The contractor agrees to:furnish the labor,materials,equipment,and skills necessary to complete the project.
Both the owner. , contractor agree that any additional work is extra based on square foot price or labor and
materials.
Owners or /t
Purcl h,fe `j yVContractor �/, 1t�,•.Ji _(7(4L
To o i • matt.'go Yu, .7_7you'.wn pato Brocitman alacktopping Co.12770 Mckusick ad.N.,Stillwater,MN 55082
To order electronic:sign contract and seas to broclun paving'e�Ptnsn.eom or mikcbluektop@gmail.com and contact us with electronic payment method.
Approximate completion(due to weather or unstable soil conditions,completion date may he delayed)
date: ,j.y
&c:reverse side for Warranty and Terms and Conditions
Thanks from BROCIIMMAN BLACKTOPPINC CO.