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Home My WebLink About06 June Metropolitan Council I Environmental Services MCES SAC-A Form 390 Robert Street North Last Updated. 12/21/2017 St. Paul. Minnesota 55101-1805 651.602.1378 1651.602.1030 fax Sewer Availability Charge(SAC) >. 2018 ACTIVITY SUMMARY REPORT a Customer Community City of Oak Park Heights Reporting Period (month or quarter) June Year 2018 Attach FonnSECTION 1 - Full SAC Rate Building/Sewer Offsetting Credit Net SAC(Allowable Net credits MCES , Permit Units Units Entered on Line Below) m Single Family Dwelling • Multi-Family(includes duplex,townhome,condo,assisted living) Apartment(with individual laundry connections or no central laundry) 0 c Residential/Commercial Combination(residential and commercial mixed building) s U E Commercial Q E v Institutional/Governmental v ° Industrial Third Year Review Payment to MCES Sub-Total SAC Units Section 1: Form tach SECTION 2-Discounted SAC Rate(Must receive prior written Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits MCES approval from MCES) Permit Units Units Entered on Line Below) Apartment(without individual laundry connections) C o • (If discount applied in letter,enter SAC due in Section 1 on Apartment line.) X 80%(to receive 20%discount): _c c' Publicly-Assisted Housing(without garbage disposals or dishwashers) o (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) x 75% (to receive 25%discount): = a U w Publicly-Assisted Housing (without individual laundry connections,garbage disposals Q U or dishwashers) x 60%(to receive 40%discount): = cc L (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) • B H Apartment/Condo Conversion(converting a discounted apartment to a condominium 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: " �C MCES SAC Deferral Net SAC Units from Section 1 +Section 2: Original Payment(s)(attach MCES SAC-E Form): � U_ Net SAC Unit Credit Balance from Previous Reporting Period: 1�'" Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: r lI�I (a - 11, „G. C- 3IEC - �C Sub-Total SAC Units / flit/�C¢ Current SAC Rate Must Be Entered: x .j'Check if report qualifies for 1%prompt payment discount. Sub-Total SAC Amount Due: The payment and report must be received by MCES in 1% Discount for Prompt Payment: - our offices no later than 30 days after the end of Sub-Total SAC Amount Due: the reporting period.Postmark date is not acceptable. Adjustments (attach explanation): + TOTAL AMOUNT DUE:— NO 0 C7 ! V 'T ' — FOR MCES USE ONLY ('If Total Amount Due is a negative number,this is the net credit balance to carry forward on your next Activity Report.) Invoice No. Activity Report prepared by: Customer No. Julie Hutlman 07/02/2018 Check No. (Name) (Date) Building Official 651.351.1661 Date (Title) (Phone) Amount Paid$ jhultman@cityofoakparkheights.com (E-mail Address) i Metropolitan Council I Environmental Services MCES SAC-D Form 390 Robert Street North „„iti St. Paul. Minnesota 55101-1805 Last Updated. 12/21/2017 651.602.1378 651.602 1030 fax Sewer Availability Charge (SAC) 2018 DEMOLITION DETAIL REPORT Customer Community City of Oak Park Heights Reporting Period (month or quarter) June Year 2018 Attention: This form is for reporting all SAC-related demolitions to be placed on record as potential SAC credits. > All demolitions must be reported to MCES in order for the potential credit be allocated to the new use. > 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. Demolition Demolition Type #of Permit Address Parcel ID Number of SAC For MCES Issue Date Permit(dumber Use* Units Use Only 6/4/2018, 2018-00133 13848 Upper 58th St. N. 05.029.20.11.0082 S 1 6/4/2018 2018-00134 13856 Upper 58th St. N. 05.029.20.11.0083 S 1 4-Jun 2018-00135 13860 Upper 58th St. N. 05.029.20.11.0084 S 1 4-Jun 2018-00136 13872 Upper 58th St. N. 05.029.20.11.0085 S 1 4-Jun 2018-00137 13843 Lower 59th St. N. 05.029.20.11.0094 _ S 1 4-Jun 2018-00138 13851 Lower 59th St. N. 05.029.20.11.0095 S 1 4-Jun 2018-00139 13857 Lower 59th St. N. 05.029.20.11.0096 S 1 , �`-= _ _.Li .i. � . c�g_-I /8) 4(.1{- . k 0 1_. -00.03A cv_ALF,151..±est __Maud 4:1,0 a) . 1 I r *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) CITY OF OAK PARK HEIGHTS 14168 OAK PARK BLVA N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * z o 1 8 — 0 0 1 3 3 * (651) 351-1661 FAX: (651) 439-0574 ISSUED: 06/04/2018 Permit #: 2018-00133 ADDRESS : 13848 UPPER 58TH ST N PIN : 05.029.20.11.0082 LEGAL DESC : OAKGREEN VILLAGE : LOT 1 BLOCK 7 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 BELLS TRUCKING DBA BILL WOLFE EXC. WATER FUND 70.00 P.O. BOX 775 TOTAL 95.00 STILLWATER, MN 55082- Payment(s) (651)439-6375 CHECK 7227 95.00 Minnesota State License#: 3933230 OWNER OAKGREEN VILLA LLC P.O. BOX 2118 STILLWATER, 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. CITY OF OAK PARK HEIGHTS III I III II I II II III III II II 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * 2 0 1 8 - 0 0 1 3 4 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 06/04/2018 Permit #: 2018-00134 ADDRESS : 13856 UPPER 58TH ST N PIN : 05.029.20.11.0083 LEGAL DESC : OAKGREEN VILLAGE : LOT 2 BLOCK 7 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 WATER FUND 70.00 BELLS TRUCKING DBA BILL WOLFE EXC. TOTAL 95.00 P.O. BOX 775 Payment(s) STILLWATER,MN 55082- (651)439-6375 CHECK 7227 95.00 Minnesota State License#: 3933230 OWNER OAKGREEN VILLA LLC P.O. BOX 2118 STILLWATER, 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. CITY OF OAK PARK HEIGHTS 01111111111111111111111 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * z o 1 8 - 0 0 1 3 5 * (651) 351-1661 FAX: (651)439-0574 ISSUED: 06/04/2018 Permit #: 2018-00135 ADDRESS : 13860 UPPER 58TH ST N PIN : 05.029.20.11.0084 LEGAL DESC : OAKGREEN VILLAGE : LOT 3 BLOCK 7 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 WATER FUND 70.00 BELLS TRUCKING DBA BILL WOLFE EXC. TOTAL 95.00 P.O. BOX 775 Payment(s) STILLWATER, MN 55082- (651)439-6375 CHECK 7227 95.00 Minnesota State License#:3933230 OWNER OAKGREEN VILLA LLC P.O.BOX 2118 STILLWATER, 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. CITY OF OAK PARK HEIGHTS I III II I II II III III II II 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * 2 0 1 8 - 0 0 1 3 6 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 06/04/2018 Permit #: 2018-00136 ADDRESS : 13872 UPPER 58TH ST N PIN : 05.029.20.11.0085 LEGAL DESC : OAKGREEN VILLAGE : LOT 4 BLOCK 7 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 WATER FUND 70.00 BELLS TRUCKING DBA BILL WOLFE EXC. TOTAL 95.00 P.O. BOX 775 Payment(s) STILLWATER, MN 55082- (651)439-6375 CHECK 7227 95.00 Minnesota State License#: 3933230 OWNER OAKGREEN VILLA LLC P.O.BOX 2118 STILLWATER,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. CITY OF OAK PARK HEIGHTS 011011111 011 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * 2 0 1 s - 0 0 1 3 7 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 06/04/2018 Permit #: 2018-00137 ADDRESS : 13843 LOWER 59TH ST N PIN : 05.029.20.11.0094 LEGAL DESC : OAK PARK SENIOR LIVING : LOT 1 BLOCK 10 PARCEL 94 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 BELLS TRUCKING DBA BILL WOLFE EXC. WATER FUND 70.00 P.O. BOX 775 TOTAL 95.00 STILLWATER, MN 55082- Payment(s) (651)439-6375 CHECK 7227 95.00 Minnesota State License#: 3933230 OWNER OAKGREEN VILLA LLC P.O.BOX 2118 STILLWATER, 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. CITY OF OAK PARK HEIGHTS 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * z 0 1 s - 0 0 1 3 8 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 06/04/2018 Permit #: 2018-00138 ADDRESS : 13851 LOWER 59TH ST N PIN : 05.029.20.11.0095 LEGAL DESC : OAK PARK SENIOR LIVING : LOT 2 BLOCK 10 PARCEL 95 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 WATER FUND 70.00 BELLS TRUCKING DBA BILL WOLFE EXC. TOTAL 95.00 P.O. BOX 775 STILLWATER,MN 55082- Payment(s) (651)439-6375 CHECK 7227 95.00 Minnesota State License#: 3933230 OWNER OAKGREEN VILLA LLC P.O. BOX 2118 STILLWATER, 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. CITY OF OAK PARK HEIGHTS 111111111101111101110 14168 OAK PARK BLVD N. #2007 OAK PARK HEIGHTS,MN 55082-2007 * 2 0 1 8 - 0 0 1 3 9 * (651)351-1661 FAX: (651) 439-0574 ISSUED: 06/04/2018 Permit #: 2018-00139 ADDRESS : 13857 LOWER 59TH ST N PIN : 05.029.20.11.0096 LEGAL DESC : OAK PARK SENIOR LIVING : LOT 3 BLOCK 10 PARCEL 96 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DEMOLITIONS NOTE: PERMIT ISSUED FOR DEMOLITION OF EXISTING RESIDENCE WATER AND SEWER DISCONNECT IN PREPARATION FOR RELOCATION OF STRUCTURE TO CITY OF STILLWATER AS PART OF OPSL 5 NEW CONSTRUCTION.. WORK SHALL BE PERFORMED IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF LOCAL,COUNTY,STATE JURISDICTIONS AND THEIR AGENCIES AS THEY PERTAIN TO THE PROJECT. NOTE:(1)24 HOURS NOTICE REQUIRED PRIOR TO UTILITY WORK(2)SEWERS ARE TO BE TERMINATED AT THE PROPERTY LINES AND CAPPED.CONCRETE IS CLAY TILE OR PVC PLUG IS PVC(3)WATER IS TO SHUT OFF AT VALVE BOX AND COPPER CUT OFF NEAR VALVE&CRIMPED CLOSED(4)TREE REMOVALS TO BE APPROVED BY CITY ARBORIST PRIOR TO THEIR REMOVAL(5)ANY WELLS NEED TO BE CLOSED OR ABANDONED.PAID FOR BY OWNER TL NOLDE/ANCHO BAY PRO INC. APPLICANT OTHER PERMIT FEE 25.00 WATER FUND 70.00 BELLS TRUCKING DBA BILL WOLFE EXC. P.O. BOX 775 TOTAL 95.00 STILLWATER, MN 55082- Payment(s) (651)439-6375 CHECK 7227 95.00 Minnesota State License#: 3933230 OWNER OAKGREEN VILLA LLC P.O. BOX 2118 STILLWATER,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.