HomeMy WebLinkAboutOT 2012-00143 Driveway Replacement CITY OF OAK PARK HEIGHTS PERMIT NO.: 2012 -00143
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED: 08/15/2012
(651) 351 -1661 FAX: (651) 439 -0574
ADDRESS : 5695 NEWELL CIR N
PIN : 05- 029 -20 -23 -0068
LEGAL DESC : AUTUMN RIDGE 3RD ADD
: LOT 10 BLOCK 1
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL - OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR REMOVAL OF EXISTING ASPHALT DRIVEWAY AND REPLACEMENT OF SAME (NO FOOTPRINT
CHANGE) WITH ASPHALT AND NEW BASE MATERIAL. CURB STOP COVER INCLUDED WITH PERMIT. JOB VALUE $3,260
DRIVEWAY CURB STOP COVER 100
APPLICANT OTHER PERMIT FEE 25.00
DRIVEWAY CURB STOP COVER 100.00
BROCHMAN BLAKCTOPPING CO. TOTAL 125.00
12770 MCKUSICK RD.
STILLWATER, MN 55082- PAID WITH CHECK # 15193
(651) 439 -5379
OWNER
BENNY R & MARY BETH BROCK
5695 NEWELL CIR N
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.
Aug 13 112 02:21p Cheryl 651 -439 -5379 p.3
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Mckusick Rd., Stillwater
MN 55082 MN: 651 -439 -5379 WI: 715-294-162
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St Croix Valley
Asphalt Form `ag 2 3 j since 1972
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Email: piel
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Materials used are in compliance with the state highway specifications and thickness meets or exceeds local
building codes. See warranty on back side' ^
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