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2004-07-21 Contract Plan Review Application
�j CITY C, . OAK PARK HEIGHTS !`''"" -' 14168 Oak Park Boulevard No. • P.O.Box 2007 • Oak Park Heights,MN 55082-2007 • Phone:651/439-4439 • Fax:651/439-0574 APPLICATION FOR CONTRACT PLAN REVIEW Richard Lockrem #1237 1. Plan Reviewer Certification No. 7037 Sherwood Road—Woodbury,MN 55125 • Street Address w/zip 651.738.6034 richalock@aol.com • Phone Fax E-mail City of Oak Park Heights 2. Name of Municipality 14168 Oak Park Blvd. • Street Address Oak Park Heights,MN 55082 City, State and zip code Jim Butler • Contact Person 651.439.4439 651.439.0574 jbutler@cityofoakparkheights.com • Phone Fax E-mail 3. Architectural Firm /1/ /1j >ç , y :: t j j C.A ....r.,-, , • Street Address /f ve 7 V/4--ilyj N /4:Nl et. • City, State and zip code E"" 7E/4-/if—i C J1/1 3 5 3,/c/ • Contact Person I I/ D /8' / i ti 40 • Phone ?‘"col7 l'l$6 © Fax /-5—p1 '-yy/ —273-5—E-mail 4. Building or Project to be reviewed (1? 4 i( D!/.' ,,, /,,,//-i44'j ddress or 1. ation L-13 /' 6O f.' 4 r. 7—Z1— ail ::_yettfd .ving submittal(signature) Date Pri_ ! / /...D-5— _ — — i3---- lding Of-Age ignature) Certification No. Date For Office Use Only City Project No.: Plan Review Fee: Dated Invoiced: Date Paid: Invoice CITY OF:,,:' `IEIGHTS Invoice Date: 7-17-2004 CLAIMENDORSEMENT To: Jim Butler ALLOWEDN THE SUM OF$ 7/! City of Oak Park Heights DISALLP D j I SUM OF$ 14168 Oak Park Blvd. ►• lr ./''FOak Park Heights, MN 55082 SIGNATURE L./PP..-- From: rom: Richard Lockrem 7037 Sherwood Road Woodbury, MN 55125 RE: PR-04-119 Chipotle Mexican Grill Building"A" 13301 60th Street North Shoppes of Oak Park Heights Oak Park Heights, MN 55082 • Perform plan review for code compliance to the 2003 Minnesota State Building Code, and 2000 International Building Code for the project noted above. • Prepare plan review comment letter dated 7-7-2004 identifying specific code items in need of additional explanation or revisions requiring a response from the architect and/or owner. • Coordinate and communicate plan review code items per the Chief Building Officials direction. Balance due . $1,771.00 Thank you for allowing me to .rovide this service, and please call again for future projects. ..iii, Richard Lockrem Minnesota Certified Building Official#1237