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Metropolitan C.ounel i Env lonni ntt i; e,v;ces, MCES SAC-A Form 390 Robert Street North di(' • _ ``e. Paul Minnesota:'t°;rota 5r'ri€•a 805 /..?0/ 651 002 13'78 16'51.602 1030 fr.,o< Sewer Availability Charge(SAC) Ci 2014 ACTIVITY SUMMARY REPORT Customer Community Oak Park Heights Reporting Period (month or quarter) June Year 2014 " rte, Ctyecl# , A.-'1,;.:;.,1.: L €dke l � w... �, - m Single Family Dwelling Q Multi-Family(includes duplex,townhome,condo,assisted living) Apartment(with individual laundry connections or no central laundry) d J Residential/Commercial Combination(residential and commercial mixed building) 0 9 °`Commercial 4 4 V = € a .E °'Institutional/Governmental CO m 3 m . ° Industrial those industries o ( permitted with MCES only) Sub-Total SAC Units Section 1: 4.00 ;,. . ... ' ; L Ifl t tR». 7 ts� ' "+ s z tee *** c Apartment(without individual laundry connections) O R x 80%(to receive 20%discount): = c O r Q Publicly-Assisted Housing(without garbage disposals or dishwashers) G W x 75%(to receive 25%discount): = 0 U 9 Publicly-Assisted Housing(without individual laundry connections,garbage disposals V = or dishwashers) 0 0 Q is x 60/o(to receive 40/o discount): U) N VJ Apartment/Condo Conversion(converting a discounted apartment to a condominium tQ or non-discounted apartment) x 20%- _ Sub-Total SAC Units Section 2: Net SAC Units from Section 1 +Section 2: 4.00 MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form): Net SAC Unit Credit Balance from Previous Reporting Period: - 35.00 Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: - Sub-Total SAC Units: -31.00 Enter Current SAC Rate: x $2,485.00 Sub-Total SAC Amount Due: 0 Check if 14b ,, nt , 1%Discount for Prompt Payment: - MCES must rein ;, uf e i nd. Sub-Total SAC Amount Due: the rep pooled.tiestmar4 date hyttet acceptable. Adjustments(attach explanation): + —I C;vx.'LU- TOTAL AMOUNT DUE: -31.00 / FOR MCES USE ONLY (if Total Amount Due is a negative number,this is the net credit balance to carry forward on your next Activity Report.) Invoice No. Activity Report prepared by: Customer No. Julie A Hultman 07/07/2014 Check No. (Name) (Date) Building Official 651.439.4439 x 1105 Date (Title) (Phone) jhultman @cityofoakparkheights.com Amount Paid$ (E-mail Address) 'nil f i y — rY 11Cilli c:Ci /,2")(!(.1- "-:Q:(1.1- / (. C- c) /6 -.{,—,,c`�,,L," Lietrcnoina,?C o ;:c.? i*€viion; ent ;l S vicos MCES SAC-C Form 390; ober So eet North Last Updated: 12/06/2013 ,4....._ St Paul Minnesota 55101 1805 61 602.1378 i 651.602 1030 fax Sewer Availability Charge(SAC) 2014 COMMERCIAL DETAIL REPORT Customer Community Oak Park Heights Reporting Period (month or quarter) June Year 2014 Proposed Occupant Type of Business Farell's Xtreme Body Shapaing Fitness Site Address Parcel ID Number 5825 Neal Ave. N. 06.029.20.11.0011 Permit or License Number Issue Date Gross Square Feet of Tenant Space 2014-00072 06/06/14 ' CALCULATION OF SAC CHARGES: N Use Calculation SAC Units E i.e. Retail 4,800 sq. ft. @ 3000 sq. ft. = 1.60 **Please See Attached Deterimination Lettter of 06-04-2014 5.31 E If this is a new building, the total charge is rounded to nearest whole number. TOTAL CHARGE: 5.31 (In Units) Previous Occupant Type of Business Site Address(If Different) Original Parcel ID Number Credit From: ❑ SAC Paid ❑Non-Conforming Grandparent Demand ❑Non-Conforming Continuous Demand Non-Conforming Permit Number* SAC Paid Permit Number Demo Permit Number** Non-Conforming Permit Issue Date SAC Paid Permit Issue Date Demo Permit Issue Date ' CALCULATION OF SAC CREDITS: .t Use Calculation SAC Units t U ** Please See Attached Deterimination Lettter of 06-04-2014 2.27 U S .__._ __._..__._ _.___.....__ , _,_,.._.,_ .... . __. ___ __ _._.....____.__ _ ____.___ ._.. . If this is a demolished building, the total credit is rounded to nearest whole number. TOTAL CREDIT: 2.27 *Attach documentation of non-conforming credit. *"SAC-D Report Required (in units) NET CREDITS ONLY OCCUR IF SAC PAID OR NON-CONFORMING GRANDPARENT. NET SAC UNITS: 3 ONLY SAC PAID CREDIT CAN BE TAKEN COMMUNITY-WIDE. (x.5 rounds up to whole number in units) Determination Completed By Name(If completed by MCES,attach Determination) Date of Determination Karon Cappaert 06.04.2014 CITY OF OAK PARK HEIGHTS PERMIT NO.: 2014-00072 14168 OAK PARK BLVD. N. #2007 OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 06/06/2014 (651)351-1661 FAX: (651) 439-0574 ADDRESS : 5825 NEAL AVE N FARRELL'S PIN : F0-000-15 LEGAL DESC : OAK PARK PONDS ADDITION : LOT 0 BLOCK 0 PERMIT TYPE : BUILDING PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : REMODEL NOTE: PERMIT ISSUED FOR SAC ONLY AS PART OF REMODELING OF TENANT SPACE FOR FARRELL'S EXTREME BODYSHAPING TENANT. SAC UNITS 3 APPLICANT METRO SAC 7,455.00 TOTAL 7,455.00 KTJ LIMITED PARTNERSHIP ELEVEN Payment(s) 900 2ND AVE S STE 420 CHECK 1330 7,455.00 MINNEAPOLIS, MN 55402- OWNER KTJ LIMITED PARTNERSHIP ELEVEN 900 2ND AVE S STE 420 MINNEAPOLIS,MN 55402- 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. Julie Hultman June 4, 2014 Building Official City of Oak Park Heights 14168 Oak Park Boulevard Oak Park Heights, MN 5082-3007 Dear Ms. Hultman: The Metropolitan Council Environmental Services(MCES)Division has reviewed the SAC assignment for Farrell's Extreme Bodyshaping. The original letter for this determination was dated May 6, 2014, letter reference 140506C1. This project is located at 5825 Neal Avenue North within the City of Oak Park Heights. The City will be charged 3 SAC Units for this project as originally determined. The SAC review is based on new information. SAC Units Charges: Fitness 3543 sq. ft. @ 700 sq.ft./SAC 5.06 Office 603 sq. ft. @ 2400 sq. ft./SAC 0.25 Total Charge: 5.31 Credits: Retail (SAC Paid 7/97) 6808 sq.ft. ©3000 sq.ft./SAC Net Charge: 3.04 or 3 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be made. If you have any questions, email karon.cappaert@metc.state.mn.us. Sincerely, cPS l LLC Karon Cappaert SAC Program Technical Specialist 1rcN( us-I-Own (1/ 9(0.0 KC:fa: 140604A1 4 Q(0G29 20 I I 00(1 Determination expiration: 06/04/2016 (G,Ssti - SvLSJNI-oc�.) cc: File, MCES Kerrie Robbins,CK Hardcore Fitness(email) Cindi Nikituk, CK Hardcore Fitness(email) 390 Hob, Sr tc't No P8111. MN 55151 t U5 Pnu,-6_1.502.1050 71.. 501.60 1:,50 ii",5 METROPOLITAN C O U N C I L iii -,_,_ ,6, ,� ��. � t I�� dohs aNd�d�roo� I N ,i _ i 1 4 -Lo , i -1- CD C.t.' , D IsED t ,.. ,,„ , • ` c I L IL JL JL-IL t .1'.‹. i • it R 8 . OW ,---1 Ai i ill (it. i ■ tR il I so :n ' = IP 1C, iL4 i Fr it A Q I I L o I _ 11 ID A f II c p ___ �__ _________ -o iv :i p Iiiaa(wick tt,i Err:€ni?aE iaal.5,ei v ces MCES SAC-C Form ,./.094.._\ 0 Robert Street N or O Last Updated: 12/06/2013 St Raul Minnesota 5510 1805 (lei 002 )- ,8 i 65', 602 1030 fax Sewer Availability Charge(SAC) 2014 COMMERCIAL DETAIL REPORT Customer Community Oak Park Heights Reporting Period (month or quarter) June Year 2014 Proposed Occupant Type of Business I.St. Paul Eye Clinic Clinic >; Site Address Parcel ID Number 5945 Norwich Ave. N. 05.029.20.12.0045 Permit or License Number Issue Date Gross Square Feet of Tenant Space 2014-00072 06/06/14 CALCULATION OF SAC CHARGES: N "_ Use Calculation SAC Units E i.e. Retail 4,800 sq. ft. @ 3000 sq. ft. .._._.._ _ . 1.60 ** Please See Attached Deterimination Lettter of 05-20-2014 2.65 U S E , If this is a new building, the total charge is rounded to nearest whole number. TOTAL CHARGE: 2.65 . (In Units) I ) 3 Previous Occupant Type of Business 4 Retail Site Address(if Different) Original Parcel ID Number I Credit From: O SAC Paid ❑Non-Conforming Grandparent Demand ❑Non-Conforming Continuous Demand I Non-Conforming Permit Number* SAC Paid Permit Number Demo Permit Number** R Non-Conforming Permit Issue Date SAC Paid Permit Issue Date Demo Permit Issue Date E:°° CALCULATION OF SAC CREDITS: 1, Use Calculation SAC Units a U U ** Please See Attached Deterimination Lettter of 05-20-14 1.84 U 9 If this is a demolished building, the total credit is rounded to nearest whole number. TOTAL CREDIT: 1.84 *Attach documentation of non-conforming credit. **SAC-D Report Required (in units) NET CREDITS ONLY OCCUR IF SAC PAID OR NON-CONFORMING GRANDPARENT. NET SAC UNITS: 1 ONLY SAC PAID CREDIT CAN BE TAKEN COMMUNITY-WIDE. (x.5 rounds up to whole number in units) Determination Completed By Name(If completed by MCES,attach Determination) Date of Determination Jessie Nye 05.20.2014 CITY OF OAK PARK HEIGHTS PERMIT NO.: 2014-00084 14168 OAK PARK BLVD. N. #2007 OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 06/30/2014 (651)351-1661 FAX: (651) 439-0574 ADDRESS : 5945 NORWICH AVE N PIN : 05.029.20.12.0045 LEGAL DESC : OAK PARK COMMONS : LOT 3 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : REMODEL VALUATION : $ 400,000.00 NOTE: CONSTRUCT TENANT SPACE FINISH TO SHELLED SPACE FOR ST. PAUL EYE CLINIC PER APPROVED PLANS. WORK SHALL COMPLY WITH ALL MN STATE BUILDING CODE REQUIREMENTS AND CITY ZONING ORDINANCES.SEPARATE PERMITS REQUIRE) FOR PLBG,MECH,SIGNS,FIRE PROTECTION. ELECTRICAL PERMIT SHALL BE OBTAINED FROM STATE OF MN. SAC UNITS 1 APPLICANT BUILDING PERMIT BASE FEE 2,673.75 PLAN REVIEW 1,737.94 CMS CONSTRUCTION SERVICES LLC STATE SURCHARGE-BUILDING 200.00 3470 WASHINGTON DRIVE ST. 102 METRO SAC 2,485.00 EAGAN, MN 55122- TOTAL 7,096.69 (651)452-3303 Payment(s) CHECK 036439 7,096.69 OWNER CSM EQUITIES LLC 500 WASHINGTON AVE S SUITE 3000 MINNEAPOLIS, MN 55415- 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. tt SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. May 20, 2014 Julie Hultman Building Official City of Oak Park Heights 14168 Oak Park Blvd Oak Park Heights, MN 55082-3007 Dear Ms. Hultman: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for St Paul Eye Clinic to be located at 5945 Norwich Avenue North, Suite 5945 in Oak Park Commons within the City of Oak Park Heights. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Clinic 45 1. u. @ 17 f. u. /SAC 2.65 Credits: Retail (SAC 7/06) 5523 sq. ft. @ 3000 sq. ft. /SAC 1.84 Net Charge: 0.81 or 1 The business information was provided to MCES by the applicant at this time. It is also the Citys responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at Jessica.n ye(ametc.state.mn.us. Sincerely, jt.4.0ici?..Ade Jessie Nye Supervisor, ES Revenue (SAC) JN:fa: 140520C3 Determination expiration: 05/20/2016 cc: File, MCES Chad Sandey, CMS Construction Services (email) 390 Robert Street North f St. Paul MN 55101-1805 Phone 651 602 1000 Fax 651.602.1550 j I I Y 651.291.090+ I rrrehocouncii.org METROPOLITAN o o u ti c t I T T = -4_ ...._____ , __....4......... . ____ ,I____ I ' ' 0= ler;." 1.'41 C 11 MN 610161 6 • o u o I : II-40 M" Ml .0„ ' 7,,,•--, hi -a,.... 1111," rm- . es,..., °E:01,,E1,; .'.,tiaz 04 r... 9. ... y 0 ril." „.-;;;,it,'.• "- =----: I '''' 01 IIN relamos Ilk - Oh = .., ,.. iliMIIIMI■711=-7/181.■'MINN Me, .0111,r001 1■■•=1•111/ i,;■.1 AM tiM .-1■_• ...-.1-me, I 1 I r_771:11 P'• 41 •. lir 11E=1,11Gail 1/1112 '„11 ME i ''.' =1::— , "En = - • .. 1 - I Elt5 imignik NMIliti 6, .111 04 ;: .4Qt• ,__. ..---- 11 0, 2 l ; NU,........ia. -"a0 i (1-).'..613. i 4.15 "M a) gm -7:" -- , .,. 1 , l I — a.. 4 IL,'%.,;■Les„.•, s i'le ! . -i-g ''Itairi-;- 1111k • INkS 0.• 4,' ,L ' IIICIMIggt, e ; •! 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I .-- A100 City of Oak Park Heights SAC Report: Format 2-Detail Issued Date From: 6/1/2014 To: 6/30/2014 Status: Not Voided Order By: Permit# Permit# Site Address SAC Units SAC Fees Fee Type: METRO SAC Permit Kind: BUILDING COMMERCIAL REMODEL 2014-00072 5825 NEAL AVE N Farce ' / ri '``" 3 7,455.00 2014-00084 5945 NORWICH AVE N — L.P CLAAJ t , 1 2,485.00 Permit Kind Subtotal 4 9,940.00 Fee Type Subtotal 4 9,940.00 Report Total 4 9,940.00 7/3/2014 Page 1 of 1