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HomeMy WebLinkAboutDevelopment Application 1CP ' Ic 25 . .. . .. 4 .... . City of Oak Park Heights 14168 Oak Park Blvd N. •Oak Park Heights, MN 55082 • Phone(651)439-4439 • Fax(651)439-0574 Development Application Type of Request(s): ❑ Zoning District Amendment 0 Home Occupation Ki Conditional Use Permit^ 1243° 0 Site Plan/Design Guidelines Review ❑ Variance: Single Family Resi en is ❑ PUD Amendment ❑ Variance: Other Residential/Commercial ❑ PUD Concept Plan Approval /Industrial ❑ PUD General Plan Approval ❑ Subdivision: Major 0 Street Vacation ❑ Subdivision: Minor 0 City Financial Assistance ❑ Comprehensive Plan Amendment Base Fee: $150 Escrow Amount: ki t Street Location(Address)of Property: 5702 Penrose Ave N, OPH , 55082 Legal Description of Property: beach's addition lot 9 block 2 This Property Is ❑ Abstract ❑ Torrens(Certificate#) Property Identification Number(PIN, PID): 03-029-20-24-0017 OWNER INFORMATION Name: Trung Nguyen Address: Street: 5702 Penrose Ave N City: Oak Park Heights State: MN Zip: 55082 Email: ourfamilypharmacy@gmail.com Telephone: Home: 701 205 5474 Business: Fax: Other: APPLICANT INFORMATION C. 31 a 340.OS s •v Name: Same as owner Address: Street: City: State: Zip: Email: Telephone: Home: Business: Fax: Other: Owner/Applicant Initials City of Oak Park Heights 14168 Oak Park Blvd N. •Oak Park Heights, MN 55082 • Phone(651)439-4439 • Fax(651)439-0574 Development Application Page 2 Description of Request(s): CUP: Transient Lodging Permit If a request for planning/zoning action on the subject site or any part thereof has been previously approved, please describe below: GENERAL CONDITIONS Application Review: The undersigned acknowledges that before this request can be considered and/or approved, all required information and fees, including any deposits shall be paid to the City. An incomplete application will be returned to the applicant. The application approval process commences and an application is considered complete when all required information and fees have been submitted appropriately to the City. Professional Fee Responsibility: It is the understanding of the undersigned that all City incurred professional fees and expenses associated with the processing of this request(s)will be promptly paid upon receipt. If payment is not received from the applicant,the property owner acknowledges and agrees to be responsible for the unpaid fee balance either by direct payment or a special assessment against the property. Applicants will be billed on a monthly basis for Planning, Engineering, Legal and Community Development fees as they are accrued. It is understood that interest will be charged on the account at the maximum rate allowed by the Fair Credit Act if it becomes thirty (30) days past due. Failure to pay administrative and processing fees in a timely manner may result in denial of the application. All fees must be paid at the time of the application and shall be paid prior to the issuance of a building permit. The undersigned applicant further acknowledges and consents that all unpaid fees owing the City of Oak Park Heights shall be treated as unpaid utility fees and may be certified for collection as with delinquent utility billings and may be assesses against the subject real property if unpaid by October 315L of each year. Property Address: 5702 Penrose Ave N, Oak Park Heights, MN 55082 Date: 05Dec2024 Owner Signature: -t`/ Owner Printed Name: Trung Tan Nguyen Date: 05Dec2024 Applicant Signature: Trung Tan Nguyen Applicant Printed Name: \ —— © ) \ \.. \ il 0 : ` } KJ I \. (\ I /` /\ } / )<\ } 4 A OIv \ � tin \I� ) ® 1 { ItCL I KZ'. 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Section 1: Homestead Property Information Address of Homestead �� 4-9-679 A 17-1,.x:e._ A--u-P-- (q City State ZIP Code County C-6<k U4(1- fit SIct-4,- 11,40 Date Purchased Date Occupied V3V2-6 ( 4 /2/ 3I/2 e-( Property ID Numb r(Found on the Property Tax Statement) Is the property owned by a trust? YesNNo If yes,attach documents showing the ownership interests of the trust. Are there multiple owners of the property(not including spouses)? Yes No If yes,please provide the number of owners. Section 2: Occupant Information Occupant First Name and Middle Initial Occupant Last Name Social Security Number/ITIN Phone Number I� Email Addss Date Occupied , ( 2 -"" -z(7i.i car..,( 41 LA-11`Alf iI( `If w,et_c /2/3 yz tf Occupant's Mailing Address(if different than homestead property) t-)94 k'it City State ZIP Code Are you listed as an owner on the deed? Xs No If yes,do not complete section 4,Relative Homestead. Are you a Minnesota resident? [es 1 No Marital Status: r>trigle I I Married I Divorced 'Legally Separated I Widowed Your Previous AddresA Date Vacated y-I,c. c?a F j f ..t.4 c r- -'c / / 0/2 t/ City State ZIP Code County ..-- e_3(1)V 0)6754 lie-) --t- Did you claim homestead at your previous address? I I Yes /No If yes,what happened with your previous homestead (sold,rented,etc.): Continued (Rev.7/21&7/23) Section 4: Relative Homestead Complete this section ONLY if you are a qualifying relative applying for homestead.Otherwise,skip to Section 5.If there are multiple owners, please attach their information separately. Property Owner First Name and Middle Initial Property Owner Last Name Your Relationship to Property Owner C?/_'`Cif_L't._ D cS L / b Property Owner Mailing Address City State ZIP Code County Phone Number Email Address Is the property owner a Minnesota resident? f I Yes I No \1 4 l _ ._`"� � C ALA � I�z �� • Section 5:Signature I certify that the above information is true and correct to the best of my knowledge.Minnesota Statutes,section 609.41,states that anyone giving false information in order to avoid or reduce their tax obligations is subject to a fine of up to$3,000 and/or up to one year in prison. This application must be signed by the occupant and their spouse(if applicable)and returned to the assessor. Signature of Occupant Date / 3 f7.2- f Signature of Occupant's pause(If le) Date Signature of Other Occupant(If Applicable) Date Signature of Other Occupant's Spouse(If Applicable) Date Complete entire application and mail along with all required attachments to your assessor. Washington County Property Records and Taxpayer Services Assessment Division 14949 62nd Street North PO Box 6 Stillwater MN 55082 (Rev.7/21&7/23) QUIT CLAIM DEED Minnesota Uniform Conveyancing Blanks Individual(s)to Individual(s) Form 10.3.1 (2016) eCRV number: DEED TAX DUE: $ 462.00 DATE: 5/31/2024 (month/day/year) FOR VALUABLE CONSIDERATION, Lee A.Van Kirk,a single person (insert name and marital status of each Grantor) ("Grantor"), hereby conveys and quitclaims to Tan Trung Nguyen and Joshua Newlin (insert name of each Grantee) ("Grantee"),as (Check only one box.) ® tenants in common, (If more than one Grantee is named above and either no box is checked or both boxes are checked, ® joint tenants, this conveyance is made to the named Grantees as tenants in common.) real property in WASHINGTON County,Minnesota,legally described as follows: Lot Nine(9), except the North Twenty(20)feet thereof, and Lot Eleven(11), Block Two(2), Beach's Addition to Oak Park, according to the recorded plat thereof Washington County, Minnesota. Check here if all or part of the described real property is Registered(Torrens) together with all hereditaments and appurtenances belonging thereto. Page 1of2 Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 10.3.1 Check applicable box: Grantor ,� • The Seller certifies that the Seller does not know of any wells on '"� 1 the described real property. ❑ A well disclosure certificate accompanies this document or has (signature)Lee A. Van Kirk been electronicall filed. If electronicall filed,insert WDC number: .) ❑ I am familiar with the property described in this instrument and (signature) I certify that the status and number of wells on the described real property have not changed since the last previously filed well disclosure certificate. State of Minnesota,County of Hennepin This instrument was acknowledged before me on 05/31/2024 ,by Lee A.Van Kirk (month/day/year) (insert name and marital status of each Grantor) (Stamp) =psi' TONYA MARIE ENNEN natureofnotanalofri • % Notary Public State of Minnesota Title(and Rank): • I My Commission Expires a { January 31,2029 My commission expires: (month/clay/year) THIS INSTRUMENT WAS DRAFTED BY: TAX STATEMENTS FOR THE REAL PROPERTY DESCRIBED IN THIS (insert name and address) INSTRUMENT SHOULD BE SENT TO: (insert legal name and residential or business address of Grantee) Tan Trung Nguyen Tan Trung Nguyen and Joshua Newlin 2230 Oak Glen Cres 2230 Oak Glen Cres Stillwater, MN 55082 Stillwater, MN 55082 gci) i _q --J S City of Oak Park Heights 14168 Oak Park Blvd. N. Oak Park Heights, MN 55082 Phone (651) 439-4439 "' Fax(651) 439-0574 www.cityofoakparkheights.com 41 HOME OCCUPATION PERMIT APPLICATION *P41. eg .10 Applicant: Trung Nguyen Phone # 701 205 5474 Street Address: 5702 Penrose Ave N City OAK PARK HEIGHTS Zip 55082 Email: ourfamilypharmacy@gmail.com Pursuant to MN Statute 270.0O2 Tax Clearance; Issuance of Licenses, the licensing authority is required to provide the Minnesota Commissioner of Revenue your Minnesota business tax identification number. Please provide the following information as it applies to your home occupation: Business Name as certified by the Minnesota Secretary of State: Doing Business as Name, if different that certified with Minnesota Secretary of State: Minnesota Tax Identification Number: Federal Tax Identification Number: For application property: Street Address: 5702 Penrose Ave N City Oak Park Heights Zip 55082 Legal Description of the property: beach's addition lot 9 block 2 Zoning District: 1 Is the property connected to the City water and sewer system? X Yes No (If additional space is needed to adequately answer the following, please accurately number and answer the responses on the back of these sheets.) Describe the home occupation (type of home business) being proposed: owner occupied, transient lodging in late fall, summer, and early fall Describe the character of the existing surrounding property: Single family home on .26 acres, 2 bdrm, 1.5 bhrm Who is to be employed in proposed occupation? no employees, currently only owner of home and proposed business Will any person(s) be employed that does not live at the occupation address listed in this application? Yes X No In what part of the structure will the occupation be located? Main level and basement 2 How many customers will be served at one time? 3-6 people What are the intended days and hours of this occupation? year round What service will this occupation provide? owner occupied main residence and transient lodging Is off street parking available? X Yes No If yes, describe location, capacity and type of surface: 1 car garage and drive way suitable for 2-3 cars Will there be a need for street parking? Yes X No If yes, how much space will be needed? Will the occupation require the use of an accessory building? Yes X No If yes, please justify the need of an accessory building and describe the facility: 3 Will the home occupation require or involve any equipment not normally found in a dwelling unit? Yes x No If yes, please describe the equipment: Will the occupation involve over-the-counter sale of merchandise produced off the premises? Yes x No If yes, please describe the merchandise to be sold: How long do you anticipate the occupation be carried on at this address? Indefinitely How much of an investment in the premise is required for this occupation? Home has been refurbished and upgraded to accommodate. reference: building permits If an investment is required, does it include alteration? x Interior x Exterior If so, please describe the required alteration: New: roof, siding, insulation, walls, flooring, kitchen, bathroom, electrical 4 Are other governmental licenses or permits required to legally conduct business in this occupation? x Yes No If yes, please list the licenses and/or permits below: Transient Lodging permit from city of OPH The City reserves the right upon issuing any home occupation permit to inspect the premises in which the occupation is being conducted to insure compliance with the provisions of Zoning Ordinance 401.15.M "Home Occupations." May the City inspect the premise during the application process? x Yes No If no, please explain: Is there any additional information regarding this application that the City should be aware of concerning the occupation? No By signing this application, I declare that I have read all applicable City Ordinances. I affirm that all information provided to the City of Oak Park Heights on this application, or as a part thereof, is true and accurate to the best of my knowledge. Date: 05 Dec 2024 Signatur f Applican 5 Please Check One: Fee shall be submitted with complete application. Special Home Occupation — Fee: $100 (Ordinances 401.03 &401.15.M) X Permitted Home Occupation — Fee: $ 25 (Ordinance 401.15.M) Home Occupation Renewal (Annual) — Fee: $ 15 6