HomeMy WebLinkAboutBP 2019-00140 New Single Family & As Built Escrow Agreement CITY OF OAK PARK HEIGHTS 1111111111 11111111111111
14168 OAK PARK BLVD N.
OAK PARK HEIGHTS,MN 55082- * 2 0 1 9 - 0 0 1 4 0 *
(651) 351-1661 FAX: (651) 439-0574 ISSUED: 05/31/2019
Permit #: 2019-00140
ADDRESS : 5655 PELLER AVE N
PIN : 03.029.20.24.0044
LEGAL DESC : BEACH'S ADD
: LOT 6 BLOCK 5
PERMIT TYPE : BUILDING
PROPERTY TYPE : SINGLE FAMILY-NEW CONSTRUCTION
CONSTRUCTION TYPE : NEW CONSTRUCTION
VALUATION : $ 355,000.00
NOTE: PERMIT ISSUED FOR CONSTRUCTION OF NEW SINGLE FAMILY HOME. CONSTRUCT PER APPROVED PLAN. WORK
SHALL COMPLY WITH ALL MIN STATE CODE(S)REQUIREMENTS AND CITY ZONING ORDINANCES. AS BUILT CERTIFICATE OF
SURVEY TO BE PROVIDED PRIOR TO CERTIFICATE OF OCCUPANCY. SEPARATE PERMITS REQUIRED FOR PLBG,MECH,
FIREPLACES,LAWN IRRIGATION. ELECTRICAL PERMIT REQUIRED FROM STATE OF MN.3/4"IPERL WATER METER&REMOTE
& I SAC UNIT INCLUDED WITH PERMIT.AS BUILT CERTIFICATE OF SURVEY REQUIRED PRIOR TO FINAL &CERTIFICATE OF
OCCUPANCY.
SAC UNITS 1 WATER METER FEE 0
APPLICANT BUILDING PERMIT BASE FEE 2,421.75
THOMAS& LISA THIETS PLAN REVIEW 1,574.14
306 ELM ST STATE SURCHARGE-BUILDING 177.50
STILLWATER, MN 55082- WATER FUND 140.00
(651)788-5112 UTILITY INSPECTION FEE 35.00
WATER METER 317.50
METRO SAC 2,485.00
TOTAL 7,150.89
OWNER Payment(s)
THOMAS&LISA THIETS CHECK 3748 7,150.89
306 ELM ST
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.
t
City of Oak Park Heights
www.cityofoakparkheights.com
AS BUILT CERTIFICATE OF SURVEY/TURFF ESTABLISHEMENT
AND PUBLIC INFRASTRUCTURE SURETY
Building Inspection-Planning&Code Enforcement
The undersigned,hereby submits a surety deposit to the City of Oak Park Heights in the amount of
$3,000 to ensure that the rough-grade of the individual lot,after construction,is consistent with the
approved subdivision grading plan for that lot, that turf is established, and that any public
infrastructure that is damaged has been repaired to City of Oak Park Heights standards.
Upon receipt of the As Built Certificate of Survey,it will be reviewed for compliance. The site will be
inspected to verify turf establishment and that any damaged infrastructure has been satisfactorily
repaired.
Said surety deposit shall be returned to the undersigned,upon successful compliance verification of
the submitted as built certificate of survey,turf establishment and infrastructure condition.
Lot/Permit Identification:/�
Permit Number: JO) ie)0/�t9 n
Lot#: Block#: Addition:� he f)'S /¢-)P i�c.)LJ 0Pa
Owner/Contractor(Please Print)
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Address 56 S� Pa 1t fe- {0
Email Address --H-A; �j'"i M,,,f/•CL)-,-1 Phone#: S/--2M-5-8).,
Ap lic t Printed Name
Date
Applicant Signen
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14168 Oak Park Blvd.N. Phone:651.439.4439
Oak Park Heights,MN 55082 Fax:651.439.0574