HomeMy WebLinkAboutOT 1999-00059 Driveway City of Oak Park Heights ME TER NO:
14168 North 57th Street
Oal ark Heights , MN 55082. X07 PERMIT No. : 9900059
651/439-4439 FAX: 651/439-0574 DATE ISSUED: 09/01/1999
Address 14595 57th St N
PIN : 04-029-20-13-0027
Legal Desc Subdivision BREKKE GARDEN HILLS
: Lot 5 Block 2 Parcel
Permit Type : Other
Property Type : Residential - Other Than New Const.
Construction Type : Driveway
Activity
NOTE: Work shall be completed per Mn State Building Code and local ordinance req
uirements.
OWNER OTHER PERMIT FEE $25.00
Rudolph A & Shirley M Nyberg OTHER PERMIT SURCHARGE $0.50
14595 57th St N Total $25.50
Oak Park Heights, MN 55082- Paid with check # 9288
APPLICANT (612/439-5379)
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 State Building Code.
Subscribed and sworn to
before me in the City of Oak Park Heights
Minnesota ,this day of 19
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.