HomeMy WebLinkAboutOT 2004-00326 Re-Roof '- City of Oak Park Heig: '3 METER NO:
.68 Oak Park Blvd. N. #A007
Oak Park Heights, MN 55082-2007 PERMIT NO, 0400326
651/439-4439 FAX: 651/439-0574 DATE ISSUED: 08/09/2004
Address : 5869 Oldfield Ave N
PIN : 04-029-20-21-0033
Legal Desc : Subdivision ALBERT'S ADD
: Lot 4 Block 2 Parcel
Permit Type : Other
Property Type : Residential - Other Than New Const.
Construction Type : Re-roof
Activity
NOTE: WORK SHALL COMPLY WITH ALL MN STATE BUILDING CODE AND LOCAL ORDINANCE
REQUIREMENTS. PERMIT INCLUDES TEAR OFF.
OWNER OTHER PERMIT FEE $25.00
Bonita & Ernest Jr Polichnia OTHER PERMIT SURCHARGE $0.50
5869 Oldfield Ave Total $25.50
Stillwater, MN 55082- Paid with check # 10434
APPLICANT (651/436-1351)
CROIX VALLEY ROOFING
101 Croixview Dr S
Afton, MN 55001
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.