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08 August
Metropolitan Co'unmtl i Environmental Services 390 Robert Street North MCES SAC-A Form St. Paul Minnesota 55101-1905 4111C.N....._„..?il, 651.602 13`8 I 651 602 1030 fax Sewer Availability Charge(SAC) 2014 ACTIVITY SUMMARY REPORT Customer Community City of Oak Park Heights Reporting Period (month or quarter) August Year 2014 m Single Family Dwelling ,.. . Q Multi-Family(includes duplex,townhome,condo,assisted living) 1 1 co 11 Apartment(with individual laundry connections or no central laundry) m Residential/Commercial Combination(residential and commercial mixed building) - 2 9 C c .E Commercial y €a Institutional/Governmental d oo Industrial(those industries permitted with MCES only) Sub-Total SAC Units Section 1: 11.00 ->� � :�?� j _bs ,.�.� d i .� �x ea i� ,eq r� � ta z GApartment(without individual laundry connections) Cs 47,1 2 x 80%(to receive 20%discount): = € a I I 2 Q Publicly-Assisted Housing(without garbage disposals or dishwashers) 0 W x 75%(to receive 25%discount): = `o O U Publicly-Assisted Housing(without individual laundry connections,garbage disposals I I Qor dishwashers)CI CA x 60%(to receive 40%discount): = C) J Apartment/Condo Conversion(converting a discounted apartment to a condominium I I < or non-discounted apartment) co x 20%: = Sub-Total SAC Units Section 2: Net SAC Units from Section 1 +Section 2: 11.00 MCES SAC Deferral Original Payment(s)(attach MCES SAC-E Form): Net SAC Unit Credit Balance from Previous Reporting Period: - 30.00 Allowable Net Credits(Only from SAC Paid)to be taken Community-Wide: - Sub-Total SAC Units: -19.00 Enter Current SAC Rate: x $2,485.00 Sub-Total SAC Amount Due: - i l .. s�q €:` p 1%Discount for Prompt Payment: i r N ', ,e - Sub-Total SAC Amount Due: t " ` :g `: °(1 « Adjustments(attach explanation): + OR MCES USE ON TOTAL AMOUNT DUE: -19.00 (*If Total Amount Due is a negative number,this is the net credit balance to carry forward on your next Activity Invoice No. Report.) Customer No. Activity Report prepared by: Julie A Hultman 09.04.2014 Check No (Name) (Date) Date Building Official 651.439.4439 x 1105 (i itle) (Phone) Amount Paid$ jhultman @cityofoakparkheights.com (E-mail Address) (1/a 119 - it, 0-„Li., C,c,,,,-,c(j '-`4 C C. d, '" /)(...../)'02-. fVIe:tt.Dci ti.'a-Counc e! i LrIv'artoi•iinent al Se rces a)H ab {err MCES SAC-B Form 5t Laui Pvtort ian Strc Sct<.a�,3L} _; n Last Updated 12/06/2013 ,,../..)/ iice........_ Sewer Availability Charge(SAC) / nt n a d RESIDENTIAL DETAIL REPORT MC es 1)_ 3 4 3 ({A, Customer Community City of Oak Park Heights Reporting Period (month or quarter) August Year 2014 All residential activity reported on MCES SAC-B,Form'Must be Shown on SAC-A under the corresponding tens: w Permit Issue w Permit Number Date Type of #of SAC Units Property Address Parcel ID Number Use* (a) z 2014-00016 04/14/2014 13924 Lower 59th St. N. * 05.029.20.11.0116 M w Type of Credit:*** Click On Cell For Drop Down List 11 m Credit Permit Permit Issue Property Address o Number Date Type of Allowable Net (If Different) #of SAC Credits(b) Use* Credits**(a-b) w re 0 a If Demo: Demo Permit# SAC-D Demo Report Date(mm/yy) w Permit Issue Type of #of SAC Units Permit Number Date Property Address Parcel ID Number Use* (a) W z rw Type of Credit:*** Click On Cell For Drop Down List n Credit Permit Permit Issue Property Address o Number Date if Different Type of Allowable Net ( ) #of SAC Credits(b) Use* Credits**(a-b) w cc a If Demo: Demo Permit# SAC-D Demo Report Date(mm/yy) 1 w Permit Issue co • Permit Number Date Type of #of SAC Units 3 Property Address Parcel ID Number Use* (a) W z rw Type of Credit:*** Click On Cell For Drop Down List m Credit Permit Permit Issue Property Address o Number Date If Different) Type of Allowable Net ( ) #of SAC Credits(b) Use* Credits**(a-b) > w re a If Demo: Demo Permit# SAC-D Demo Report Date(mm/yy) w Permit Issue Type of #of SAC Units m Permit Number Date Property Address Parcel ID Number Use* (a) w z rw Type of Credit:*** Click On Cell For Drop Down List Credit Permit Permit Issue Property Address � Number Date (If Different) Type of Allowable Net p ( ) #of SAC Credits(b) Use* Credits**(a b) > W re a If Demo: Demo Permit# SAC-D Demo Report Date(mm/yy) w Permit Issue Permit Number Date Type of #of SAC Units w Property Address Parcel ID Number Use* (a) z Lu Type of Credit:*** Click On Cell For Drop Down List m Credit Permit Permit Issue Property Address Type of Allowable Net o Number Date (If Different) #of SAC Credits(b) Use* Credits**(a-b) > w cc a If Demo: Demo Permit# SAC-D Demo Report Date(mmtyy) *Type of Use: S=Single Family M=Multi-Family A=Apartment P=Publicly-Assisted Housing CC=Apartment/Condo Conversion **Allowable Net Credits are only from SAC Paid or approved Grandparent Credits.Community-wide credits are only from SAC paid. ***Attach documentation for Non-Conforming Grandparent Demand and Non-Conforming Continuous Demand. Julie Hultman Building Official July 3, 2013 City of Oak Park Heights 14168 Oak Park Blvd PO Box 2007 1 39 2 4 Oak Park Heights, MN 55082-3007 L c J l0 9 Jt Dear Ms. Hultman: The Metropolitan Council Environmental Services(MCES) Division has determined SAC for the Memory Care addition to Oak Park Senior Living to be located at 13936 Lower 59th Street North within the City of Oak Park Heights. This project should be charged 11 SAC Units, as determined below. Charges: SAC Units Elderly Housing(with common laundry) 26—Studio Units x 1 resident/unit =26.00 4—1-bdrm units x 1.5 residents/unit =6.00 32.00 32 residents @ 3 residents/SAC Unit 10.67 or 11 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 there are any questions, please email me at jessica.nye©metc.state.mn.us. • Sincerely, ja22,,:cnitdc Clcco( CARS- I -fv 139 31P 1 .9414aN Jessie Nye SAC Program Administrator Environmental Services Division G 7J1C JN:kg: 130703A4 cvJ 2C1 4 Determination expiration: 07/03/2015 41(�0 �1tcm cc: File, MCES Mike Diem,Archnet(email) 390 Hobert Stre�t NOlt ' S!. Pritil. MN 35101 1595 Phuoo 651.602.1000 Fax 51.602 15!)0 TTY 651.25 1.0'90 metN;counl. !.crc METROPOLITAN COUNCIL City of Oak Park Heights SAC Report: Format 2- Detail Issued Date From: 8/1/2014 To: 8/31/2014 Status: Not Voided Order By: Permit# Permit# Site Address SAC Units SAC Fees Fee Type: METRO SAC Permit Kind: BUILDING COMMERCIAL ADDITIONS 2014-00016 13924 LOWER 59TH STN 11 27,335.00 Permit Kind Subtotal 11 27,335.00 Fee Type Subtotal 11 27,335.00 Report Total 11 27,335.00 c5 L)--n ni-QuYvAc/ 01-A-L si-A‘pouric,44' j- SLUj t ctc1 -d . I393(,:7 C ouazacL Lu del) 9/2/2014 Page 1 of I CITY OF OAK PARK HEIGHTS PERMIT NO.: 2014-00016 14168 OAK PARK BLVD. N. #2007 OAK PARK HEIGHTS, MN 55082-2007 DATE ISSUED: 08/14/2014 (651)351-1661 FAX: (651) 439-0574 ADDRESS : 13924 LOWER 59TH ST N PIN : 05.029.20.11.0116 LEGAL DESC : OAKGREEN VILLAGE : LOT 3 BLOCK 15 PERMIT TYPE : BUILDING PROPERTY TYPE : COMMERCIAL CONSTRUCTION TYPE : ADDITIONS VALUATION : $ 3,500,000.00 NOTE: CONSTRUCT 2-STORY,30 UNIT MEMORY CARE,PEDESTRIAN WALKWAY ADDITION PER APPROVED PLANS. WORK SHALL COMPLY WITH ALL MN STATE BUILDING CODE REQUIREMENTS, CITY ZONING ORDINANCES&DEVELOPMENT APPROVALS. SEPARATE PERMITS REQD FOR PLBG,MECH,FIRE PROTECTION. STATE ELECTRICAL PERMIT REQUIRED. PLAN REVIEW PAID UNDER SEPARATE PERMIT-DIFFERENCE IN PROJECT VALUE FROM PLAN REVIEW($2.4)AND WORK PERMIT($3.5) AND 3"WATER METER HAS BEEN CHARGED ON WORK PERMIT. SAC UNITS 11 WATER METER FEE 2216 APPLICANT BUILDING PERMIT BASE FEE 14,733.75 PLAN REVIEW 2,609.75 STONEBRIDGE CONSTRUCTION INC. STATE SURCHARGE-BUILDING 1,300.00 15734 FOLIAGE AVE. APPLE VALLEY,MN 55124- METRO SAC 27,335.00 (952)431-5700 WATER METER 2,215.79 WATER FUND 35.00 SEWER FUND 35.00 TOTAL 48,264.29 OWNER Payment(s) OAKGREEN VILLA LLC CHECK 41924&1 48,264.29 P.O. BOX 2118 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.