HomeMy WebLinkAboutOT 2014-00082 Driveway - Asphalt CITY OF OAK PARK HEIGHTS PERMIT NO.: 2014-00082
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS,MN 55082-2007 DATE ISSUED: 05/12/2014
(651)351-1661 FAX: (651) 439-0574
ADDRESS : 15087 64TH ST N
PIN : 34.030.20.32.0038
LEGAL DESC : MC KENTY'S ADD
: LOT 6 BLOCK 7
PERMIT TYPE : OTHER
PROPERTY TYPE : RESIDENTIAL-OTHER THAN NEW
CONSTRUCTION TYPE : DRIVEWAY
NOTE: PERMIT ISSUED FOR PLACEMENT OF ASPHALT DRIVEWAY. INSTALL PER 04-14-14 WORK DESCPRIPTION AS PROVIDED
WITH PERMIT APPLICATION AND ATTACHED. JOB VALUE:$2,500
APPLICANT OTHER PERMIT FEE 25.00
TOTAL 25.00
BROCHMAN BLAKCTOPPING CO.
Payment(s)
12770 MCKUSICK RD. CHECK 15940 25.00
STILLWATER, MN 55082-
(651)439-5379
OWNER
PENELOPE A STEWART
15087 64TH ST 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.
W4'g0 CH.1 Licensed and Insured
M St ,.. 1 BLACKTOPPING CO.
L. www.brochmanpaving.com
Illrft
12770 Mckusick Rd., Stillwater,MN 55082 MN: 651-439-5379 WI: 715-294-1622 Serving the
Asphalt Estimate Form St.Croix Valley
O _,YZ ) ` t since 1972
Customer Name• fie nil.) s re IAA"d--- Phbone: q 3 3 Date: L,t, ,
$ " 5r' (52 ..P-1.- -, - 44 S4lII. kid JJ O _Location of work: y �+ ) l
Billing Address:
Job sketch: Email:
/, vi k_.
Rec.lr.,; i—","4 su4- / l
Lis Ko 3 /d s --?
I
lAidje
i
vv reil-f-e-vh;i-
Rrl
ermit Needed
elty Locate •
o Sprinkler System
On-Site
o Lien Waiver On d (
Request /_ /r
Job description: A .
,...,01._ ° 6'7 — .40 '4� L,rn eSI-R_ S&.
>�1'44-4- P/tt-1 -d e. - reify,it - fA4-t w,Ll-t. 2i J2 6L 3 b`s n 1 S
Co # I,/ c r fh4. --
Materials used are in compliance with the state highway specifications and thickness meets or exceeds local
building codes.
CO
/
Aenroximate square footage: b I° Total Cost: "w. Unit Price$ sq. ft.