HomeMy WebLinkAbout01 January Metropolitan Council I Environmental Services MCES SAC-A Form
390 Robert Street North Last Updated. 11/27/18
St. Paul. Minnesota 51
651.602.1378 1651.602.02.1030030 fax
Sewer Availability Charge(SAC) I /i I X0 Lai efl"
2019 ACTIVITY SUMMARY REPORT Eo it."--TaylCustomer Community City of Oak Park Heights
Reporting Period (month or quarter) January Year 2019
Attach Building/Sewer Offsetting Credit Net SAC(Allowable Net Credits
Form SECTION 1 - Full SAC Rate Permit Units Units Entered on Line Below)
MCES
m Single Family Dwelling 2 2
QMulti-Family(includes duplex,townhome,condo,assisted living)
N
Apartment(with individual laundry connections or no central laundry)
0
o `c Residential/Commercial Combination(residential and commercial mixed building)
L)= ! Commercial
°
`"v 3 Institutional/Governmental
0
° 15 Industrial Third Year Review Payment to MCES
Sub-Total SAC Units Section 1: 2.00
Attach
Form 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 Incividual laundry connections.
v
Y •� (If discount applied in letter,enter SAC due in Section 1 on Apartment line.) x 80%(to receive 20%discount): =
C Cr
• tY Publicly-Assisted Housing(without garbage disposals or dishwashers)
x 75% 25%
o (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.) (to receive discount): =
CIo a
a
U W Publicly-Assisted Housing (without individual laundry connections,garbage disposals
HU or dishwashers) x 60%(to receive 40%discount): =
m - (If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
°:
< J Apartment/Condo Conversion(converting a discounted apartment to a condominium
or non-discounted apartment) o
x 20%: =
(If discount applied in letter,enter SAC due in Section 1 on Multi-Family line.)
Sub-Total SAC Units Section 2:
Net SAC Units from Section 1 +Section 2: 2.00
MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form):
Net SAC Unit Credit Balance from Previous Reporting Period: -
Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: -
Check if report qualifies for 1%prompt payment discount. Sub Total SAC Units: 2•00
Current SAC Rate Must Be Entered: x $2,485.00
The payment and report must be received by MCES in Sub-Total SAC Amount Due: $4,970.00
our offices no later than 30 days after the end of 1%Discount for Prompt Payment: - $49.70
the reporting period.Postmark date is not acceptable. Sub-Total SAC Amount Due: $4,920.30
Adjustments to current months issued permits(attach explanation): +
TOTAL AMOUNT DUE: $4,920.30
FOR MCES USE ONLY ('If Total Amount Due is a negative number,this is the net credit balance to carry forward on your next
Activity Report.)
Invoice No.
Activity Report prepared by:
Customer No. Julie Hultman 02/01/2019
(Name) (Date)
Check No.
Building Official 651.351.1661
Date (Title) (Phone)
jhultman@cityofoakparkheights.com
Amount Paid$ (E-mail Address)
tr til�ei �r._ MCES SAC-B(Basic)Form
Last Updated 11'2718
Sewer Availahihty Charge(SAC,
2019 RESIDENTIAL DETAIL REPORT-WITH NO CREDITS
Customer Community City of Oak Park Heights
Reporting Period(month or quarter) January Year 2019
All residential activity reported on MCES SAC-B Form must be shown on SAC-A under the corresponding columns.
Permit Issue Type of
Permit Number Date Property Address Parcel ID Number Use #of SAC Units
2019-00004 01/09/19 5632 Oak Cove N 04 029 20 23 0096 S 1
2019-00005 01/09/19 5652 Oak Cove N 04 029 20 23 0095 S 1
W
W
z
'Type of Use S=Single Family M=Multi-Family A=Apartment P=Publicly-Assisted Housing CC=Apartment/Condo Conversion
CITY OF OAK PARK HEIGHTS HI II 0 11 11
14168 OAK PARK BLVD N. #2007
OAK PARK HEIGHTS, MN 55082-2007 * 2 0 1 9 - 0 0 0 0 4 *
(651) 351-1661 FAX: (651) 439-0574 ISSUED: 01/09/2019
Permit #: 2019-00004
ADDRESS : 5632 OAK COVE N
PIN : 04.029.20.23.0096
LEGAL DESC : PALMER STATION
: LOT 6 BLOCK 1
PERMIT TYPE : BUILDING
PROPERTY TYPE : SINGLE FAMILY - NEW CONSTRUCTION
CONSTRUCTION TYPE : NEW CONSTRUCTION
VALUATION : $ 275,548.00
NOTE: CONSTRUCT SINGLE FAMILY DWELLING PER APPROVED PLAN. WORK SHALL COMPLY WITH MN CODE. LOCAL
ORDINANCES. & DEVELOPMENT APPROVALS. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, MECHANICAL & FIRE
PROTECTION WORK. ELECTRICAL PERMITS REQUIRED FROM MN DEPT OF LABOR & INDUSTRY ELECTRICAL DIVISION. PERMIT
INCLUDES I SAC & A 3/4 WATER METER. EXCAVATED MATERIAL SHALL STAY ON LOT IT IS EXCAVATED FROM OR REMOVED
FROM THE CITY - NO "SPILLOVER" OR OTHER SITE STORAGE AT DEVELOPMENT.
SAC UNITS 1 WATER METER FEE 400
APPLICANT BUILDING PERMIT BASE FEE 1,979.35
PLAN REVIEW 1,286.58
CREATIVE HOMES INC STATE SURCHARGE-BUILDING 137.77
707 COMMERCE DR
STE 410 METRO SAC 2,485.00
WOODBURY, MN 55125-0000 WATER FUND 210.00
(651) 289-6802 UTILITY INSPECTION FEE 35.00
WATER METER 340.12
TOTAL 6,473.82
OWNER Payment(s)
CREATIVE HOMES CHECK 22044 6,473.82
707 COMMERCE DR #410
WOODBURY, MN 55125-0000
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 1111 II II 1E11
14168 OAK PARK BLVD N. #2007
OAK PARK HEIGHTS, MN 55082-2007 * z o 1 9 - 0 0 0 0 5 *
(651) 351-1661 FAX: (651) 439-0574 ISSUED: 01/09/2019
Permit #: 2019-00005
ADDRESS : 5652 OAK COVE N
PIN : 04.029.20.23.0095
LEGAL DESC : PALMER STATION
: LOT 5 BLOCK 1
PERMIT TYPE : BUILDING
PROPERTY TYPE : SINGLE FAMILY-NEW CONSTRUCTION
CONSTRUCTION TYPE : NEW CONSTRUCTION
VALUATION : $ 261,680.10
NOTE: CONSTRUCT SINGLE FAMILY DWELLING PER APPROVED PLAN. WORK SHALL COMPLY WITH MN CODE, LOCAL
ORDINANCES.&DEVELOPMENT APPROVALS.SEPARATE PERMITS ARE REQUIRED FOR PLUMBING,MECHANICAL&FIRE
PROTECTION WORK. ELECTRICAL PERMITS REQUIRED FROM MN DEPT OF LABOR&INDUSTRY ELECTRICAL DIVISION.PERMIT
INCLUDES 1 SAC&A 3/4 WATER METER.EXCAVATED MATERIAL SHALL STAY ON LOT IT IS EXCAVATED FROM OR REMOVED
FROM THE CITY-NO"SPILLOVER"OR OTHER SITE STORAGE AT DEVELOPMENT.
SAC UNITS 1 WATER METER FEE 400
APPLICANT BUILDING PERMIT BASE FEE 1,900.95
PLAN REVIEW 1,235.62
CREATIVE HOMES INC STATE SURCHARGE-BUILDING 130.84
707 COMMERCE DR
STE 410 METRO SAC 2,485.00
WOODBURY, MN 55125-0000 WATER FUND 210.00
(651)289-6802 UTILITY INSPECTION FEE 35.00
WATER METER 340.12
TOTAL 6,337.53
OWNER Payment(s)
CREATIVE HOMES CHECK 22045 6,337.53
707 COMMERCE DR#410
WOODBURY,MN 55125-0000
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall beperformed
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.