HomeMy WebLinkAboutOT 2012-00113 Driveway Replacement CITY OF OAK PARK HEIGHTS PERMIT NO.: 2012 -00113
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED: 06/28/2012
(651) 351 -1661 FAX: (651) 439 -0574
ADDRESS : 5598 PENROSE AVE N
PIN : 03- 029 -20 -24 -0042
LEGAL DESC : BEACH'S ADD
: LOT 1 BLOCK 8
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL - OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR REMOVAL AND REPLACEMENT OF ASPHALT WITHIN EXTING DRIVEWAY FOOTPRINT. NOTE: IF
THERE IS A CURB STOP IN THE DRIVEWAY, CONTACT OPH PUBLIC WORKS FOR A CURB STOP COVER. WORK SHALL COMPLY
WITH ALL ADOPTED CODES AND LOCAL ORDINANCES. JOB VALUE: $5200
APPLICANT OTHER PERMIT FEE 25.00
TOTAL 25.00
BROCHMAN BLAKCTOPPING CO. PAID WITH CHECK # 15112
12770 MCKUSICK RD.
STILLWATER, MN 55082-
(651) 439 -5379
OWNER
JOHN LEMIRE
5598 PENROSE AVE 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.
Jun 2712 09:25a Cheryl 651 -439 -5379 p.3
(WSA1 � 3 0 Cli 4, Licensed and Insured
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12770 Mckusick Rd., Stillwater, MN 55082 MN: 651 -439 -5379 WI: 715 -294 -1622 Serving the
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Customer Name .J 0 114 L Q `�'� Phone:
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Location of work: ? A `
Billing Address:
Job sketch: Email:
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Materials used are in compliance with the state highway specifications and thickness meets or exceeds local
building codes. See warranty �A�
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