HomeMy WebLinkAboutOT 2001-00159 Driveway Replacement .ty of Oak Park Height(` METER NO:
14'. 3 Oak Park Blvd. N. #2.-i7
pERMIT NO . 0100159
Oak Park Heights, MN 55082 -2007 HATE ISSUED : 06/29/2001
651/439 -4439 FAX: 651/439 -0574
Address :5827 Peller Ave N
PIN :03- 029 -20 -21 -0040
Legal Desc Subdivision OAK PARK
:Lot 15 Block 5 Parcel
Permit Type :Other
Property Type :Residential - Other Than New Const.
Construction Type :Driveway •
Activity
NOTE: Intall per applicable Mn State Building Code and Local Ordinance
requirements. This permit is issued for blacktopping driveway at
existing residential address.
OWNER OTHER PERMIT FEE $25.00
Linda C Moszer OTHER PERMIT SURCHARGE $0.50
5827 Peller Ave No Total $25.50
Stillwater, MN 55082- Paid with check # 10053
APPLICANT (651/439 - 5379)
BROCHMAN BLACKTOPPING CO.
12770 Mckusick Road
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.