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OT 2010-00047 Driveway
4 TY OF OAK PARK HEIGHTL PERMIT NO.: 2010-00047 14168 OAK PARK BLVD. N. #2007 OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 04/29/2010 (651) 351-1661 FAX: (651) 439-0574 ADDRESS : 14935 57TH ST N PIN : 04-029-20-14-0159 LEGAL DESC : VALLEY VIEW ESTATES 2ND ADD : LOT 24 BLOCK 1 PERMIT TYPE : OTHER PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW CONSTRUCTION TYPE : DRIVEWAY NOTE: PERMIT ISSUED FOR REMOVAL OF EXISTING DRIVEWAY AND REPLACEMENT OF SAME. NOTE: IF THERE IS A CURB STOP IN THE DRIVEWAY,A CURB STOP COVER IS REQUIRED TO BE PURCHASED FROM CITY HALL PRIOR TO NEW ASPHALT PLACEMENT. TO OBTAIN SUCH A COVER,CALL 651-439-4439. JOB VALUE:$3,430 APPLICANT OTHER PERMIT FEE 25.00 TOTAL 25.00 ACT-ASPHALT SPECIALTIES,INC. PAID WITH CHECK# 18045 547 W.CO.RD.E SHOREVIEW,MN 55126-0000 (651)484-1696 Minnesota State License#: 5132 OWNER CLYDE W&MARGARET J THIETS 14935 57TH 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. A.C .T.- ASPHP2T SPECIALTIE COMPANY WORKSHEET NO YES NAME ..� 1,1+5 tY � 1 1 Ir s TREE STNS 6 ❑ ADDRESS TREE ROOTS ® ❑ W 144c�,- / ?5- S'7 r� S"F M SPRNKUNG SYSTEM ❑ HousMY ZIP E PFICNE WIRES D ,� I. �4,4_ 1.c., (i--- S 5< � ELECTRIC WIRES D 0 1 ME PHONE WORK PHONE WATER SI-UT OFF 0 Li '3Sl-/Y.413 DRANAGE PROBLEMS I3, ❑ APPO/INTMENT LEAD SOURCE DATE SOLD GRADE CHANGE I� 0 t hEAY1NG 2 ❑ , /TIME Q OVERHEAD LINES ID 0 '1, — LEADS TREE LIMBS 13 ❑ ROOF OVER-LANG Ga D /� yl I APPOINTMENT ESTIMATOR CHAN SAW 0 D PROPERTY LINE DISTANCE CIRCLE _ MwP CO-00 SOCK REPAIR � D CROSS STREET TIME CALL GOPHER Yr 7 J7`cr 4 rx EXCAVATE . . . NO YES - . . . . . . . . . . . . . . BASE REPLACEASIS 0 El 10 i Z . . • FLARES 0 1iil Ea '! TYPE OF REMOVAL JACK611 GRASS GRAVEL HIAMMERe Z 2. ExTRA G ,� ' • • CONCRETE OTHER TRUCKS OUT AiJ - .(, SAW CUT ` • (L� `)' SCHEDULER: PG SIP ©' EXTRA TRK . . ^ .,)G LOADS IN G`Je� . Y6 �. . • . . 1 A, . . n( REPLACE ❑ OKTOUSEBOBCAT ,J.I WITH OR TRUCK IN YARD. un At F-� CUSTOMERS ISRESPONSIBLE 'S r ' FOR ANY YARD DAMAGE AND ii(3 1 2 © 4 , -.- RESTORATION. SIDEWALK L it. 2 CUST.SIG. I • REGARDING THIS INSTALLATION, EXP OR TERMS OF THIS PROPOSAL, IS EVERYTHING YOU WANTED NC IN WRITING? IF NOT,PLEASE PUT IN WRITING AND ATTACH. SEALCOAT CUSTOMER TO PAY ANY CON REQUIRED PERMIT FEES. SEALS } $250ADDITIONAL FOR MAJOR BLOCK REPAIR. COMMITTED TO EXCELLENCE CUST.SIG. sr„t„..• k:..<< -...._ , (3.,(-A- s, ,J• 4 Ofi-t-' / dam& /03 PG 2 OF 2