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Home My WebLink AboutBP 2006-00010 New Single Family (Escrow & ROW) CITY OF OAK PARK HEIGII'.. PERMIT NO.: 2006-00010 14168 OAK PARK BLVD.N.#2007 OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 03/06/2006 (651) 351-1661 FAX: (651) 439-0574 ADDRESS : 15403 58TH ST N PIN : 03-029-20-21-0045 LEGAL DESC : OAK PARK : LOT 7-8 BLOCK 6 PERMIT TYPE : BUILDING PROPERTY TYPE : SINGLE FAMILY-NEW CONSTRUCTION CONSTRUCTION TYPE : NEW CONSTRUCTION VALUATION : $ 160,000.00 NOTE: CONSTRUCT PER APPROVED PLAN. MUST COMPLY WITH ALL MINNESOTA STATE BUILDING CODE REQUIREMENTS AND CITY ZONING ORDINANCES. PERMIT ISSUED FOR NEW SINGLE FAMILY CONSTRUCTION&INCLUDES CHARGE FOR 3/4 WATER METER WITH REMOTE. SEPARATE R-O-W PERMIT AND ESCROW IS REQUIRED AS PART OF THIS NEW CONSTRUCTION. PLEASE SEE UTILITY LOCATION INSTALLATION REQUIREMENTS WITH R-O-W PERMIT. COMPLIANCE ESCROW FOR AS BUILT SURVEY HAS ALSO BEEN CHARGED WITH THIS PERMIT. INVESTIGATION FEE 5 SAC UNITS 1 WATER METER FEE 278 APPLICANT BUILDING PERMIT BASE FEE 1,329.75 PLAN REVIEW 864.34 PALMER HOMES NORTH INC STATE SURCHARGE-BUILDING 80.00 15340 WACO COURT METRO SAC 1,550.00 RAMSEY,MN 55303- (763)464-2511 WATER FUND 35.00 SEWER FUND 35.00 WATER METER 277.68 INVESTIGATION FEE 5.00 OWNER TOTAL 4,176.77 PALMER HOMES NORTH INC PAID WITH CHECK# 3716 15340 WACO COURT RAMSEY,MN 55303- 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. cPPeR ATP PPRMITS RPCTTTRF,T)FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF OAK PARK HEIGHTS BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY AND • ORDINANCE COMPLIANCE ESCROW Lot: 7& 8 Block: 6 Plat: OAK PARK Owner: Address: 15403 N. 58TH St Oak Park Heights, MN 55082 Pending compliance with Ordinance 402.07 Subd. H of the Code of Ordinances of the City of Oak Park Heights, the undersigned does hereby escrow $1,000.00 with the City of Oak Park Heights as security for compliance with the following items that are pending completion on the lot above identified. Satisfactory completion and inspection of the above items are to be made within thirty(30)days of the issuance of the Certificate of Occupancy. With this, the Building Official will release escrow back to the Developer/Owner. Should the Developer/Owner fail to complete the above items, the City of Oak Park Heights is authorized to complete such items at the Developers/Owners expense and charge the same against the escrow, refunding thereafter any unused portion. The escrow deposit shall not bear interest. Dated: 3 (o , 2006 '�U' /l . ,''''�,, i Developer/Owner Phone: 9(03- 14( q 5"/ ACCEPTANCE BY THE CITY On behalf of the City of Oak Park Heights, the escrow is accepted, subject to the provisions of the City Ordinance as provided. Dated: • 2006. AIM Certi ilding Official L1 Dated: 3- to - , 2006. Dep,,w Cleminance Director City of Oak Park Heights RIGHT-OF-WAY PERMIT FORM CITY PERMIT NO.: 2006- 0 1 PERMIT FEE: minimum $150.00 COMPANY PERMIT NO.: A 06 to — 00)() DATE: _ (o- () (47 APPLICANT INFORMATION: DEVELOPMENT/ADDITION/LOCATION DESCRIPTION OR SITE ADDRESS: 15(103 684" S ).( , oPH OWNER(Applicant): Palmer lord f) J\!C.17-N l_ UTILITY COMPANY: —V a k P(.(1�. VA f 1 1-- `3- C_\iT l�' CONTACT PERSON: —1-75 -r C)ZZe I\O 1).) UUZi:'OY '"Y I�4l1 TELEPHONE NO: Cn,S1 — 143 9- 3 9 �, '/ n ADDRESS: I i . • . I l 168 11- Par )L 1,1v a • .\N N . SOK 2001 CITY: J 0 PI'S STATE: 1-4-p,.. 1-1 n ZIP CODE: 5'5-2144 5568 1 CONTRACTOR INFORMATION: D i CONTRACTOR PERFORMING WORK: 1 fl m er HO M S �� ..UC i al CONTACTOR NUMBER: Be - 2 627 G'2 0 13/31 J 04HONE: r/(a,�--)1101/ -9 5'// CONTACT NAME:--3-21.S(fl P m e.✓ CONTRACTOR PERFORMING WORK MUST ATTACH CURRENT CERTIFCATE OF INSUARCE NAMING THE CITY AS AN ADDITIONALLY INSURED AND IN AN AMOUNT NOT LESS THAN$1.000.000.WITHOUT SUCH PROOF OF INSURANCE NO PERMIT WILL BE ISSUED. TYPE OF WORK: El NEW PRIVATE UTILITY ❑COMMERCIAL DRIVEWAY APRON(WIDTH?) feet D RESIDENTIAL DRIVEWAY APRON(WIDTH?) feet CONNECTION TO CITY SYSTEM(REQUIRES PREPAYMENT OF ACCESS FEES): ❑WATERMAIN ❑STORM SEWER ❑SANITARY SEWER ❑OTHER WHAT THE WORK WILL INVOLVE(REQUIRES SECURITY TO PROTECT INFRASTRUCTURE/COMPLETE RESTORATION. Complex plans may incur additional costs for mitigation plan review and inspections. Must include erosion control,protective measures,and restoration plans—all new utilities must be fully located for future GSOC requirements based on the attached requirements for water,sewer and other utilities): ❑STREET OPEN CUT(requires approved plan with access,traffic control,and inspected full width restoration-security required) ❑PATHWAY CUT (requires approved plan with full width restoration and security for restoration) ❑EXCAVATION IN BOULEVARD or CITY OWNED PROPERTY(requires approved plan and security for restoration) XR.O.W.ACCESS(requires approved plan on use,control,mitigation and restoration. Must have full marking of new utilities) EXPLANATION OF WORK/ADDITIONAL COMMENTS: QUO__ ��r- S e Weis e— I n -6) 1 n LA) S31 -611.1 l C(1n ckuC-hcm .. 7r'chens+&(led • PROPOSED START DATE: 3 ^ d(Cl PROPOSED END DATE: — (n- 0 10 Applicant agrees to abide by and follow all applicable ordinances, laws,rules, and regulations of any other regulatory bodies, including but not limited to city, county, state or federal regulatory agencies. Applicant acknowledges that placement of its utilities in any Right-of-way is subject to the rights of the City Of Oak Park Heights. Damage, loss or destruction of applicant's facilities will not be restored,compensated or reimbursed by the City and in the event the City needs to remove or damage them in accessing its utility services in the area for any reason. Private utility locates are required by the owner and/or applicant for the utility and in perpetuity. The Applicant shall provide, at its sole expense, full"as-built"drawings for all infrastructure installed in the City Right-of-way. All"as-built"drawings shall be completed by a licensed Minnesota Engineer or Surveyor. "As-builts" shall be provided in paper and digital form acceptable to the City of Oak Park Heights including GPS coordinates in the Washington County Coordinate system. The City additionally reserves the right to remove and/or deactivate any and all installed infrastructure placed in its Right-of-way should these"as-builts"not be provided or should these prove inaccurate. The Applicant accepts in perpetuity the responsibility to perform at its expense all necessary locates (Gopher State One Calls)that may arise or be requested in the future by the City or other parties. The Applicant does release and hold harmless the City from any and all responsibility for utility/service locates. APPLICANT SIGNATURE—by your signature you accept and agree to all conditions as stated aboveAL/ . A /744 TITLE: 414 rev1' r DATE: TO BE COMPLETED BY CITY PERMIT XPI ERATION DATE: REQUIRED SECURITY: ) 80 WOO TYPE OF FINANCIAL SECURITY: 14CASH/CHECK El ANNUAL APPROVAL SIGN URE: TITLE: DATE: !�W /R4-4-7 44, HAS PROOF OF 1NSURACE BEEN SUPPLIED? YES / NO. — PQ S"„j2