AF - 44864I�� 5�ri
V��la�� �� �r����y, I�i�.
��T��Il\TG �E�il{�IT
�f��c� �$ �Tu��C'�'�� ('e� P��?�Y.�PY1RTfir�
�`.'' il°i "f�[ R:.-��RR �'� �Of . N-�� �..,.�
+ , �s '�..7` a°'{� i , 19 �? �
�:cchi,.ect _ F��i�z..ey, llinn., r
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Su�lder�,:�;,�y r ; � f -�,�
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L.flC�`� T��,'tiT �;' ��T�1�D�NG
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Nc. ��,�;.y_; , Street_� 1,���j�`��„ J I�, _ Part of
Block Addition or Su�-D?vision
�--,,�,r�<,.,.r-.r�,:7 rt>�' Fs,T����I�iG
._�.,� . �.�.-_ ..._ ,.
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r —�F/-- –f-�F— b --i� , ., W.�
F�'ra_�t T�e��h �eiPht S��ries__�__ i.Tanner ef Con�t:��ction ~¢'y".•�s�-�» ___
� C�e
TU be u�ged a.G ar.c�l��`�1�.t.�..r_ l��+l�'1�'l�f� �_�'t-� To b2 comr_le�ed l•� •/•�.r� Estimated Cost � r'} fj r
Permit is hereby granted to � . to :'�+G��� �?.l+'t��
Lhe building �f ,�;,�_�_,� descriUed i� �he a,L�ove statement. TYus permit is granted
upon the exgre�s conc�it?cn that the person to whona it is g-rant�d; an�? his agen.t:-, employees a,nd vJO:kmen, in all
the work done in, arotmd �,r_d t3.�on sa�d build'zn;, ar wz1,y r2.rt the*eof, s�all co�forx� in all respects to the orc�i-
n�nce� of �'ridley, 1�Ilinn., regard?n� the construction, alt: x��t�en, mainter_ance, :epair and r.ioving of buildings
with:n the city Lmits, a�d this permit may be revoked at ��n,y tir•:e upon viol2tion of any of the provisions of said
ordina,nces.
,;
_ _��� �J:' � �� �!�L. � Ina�ec��or of Pu�I1in�^�s.
�_��i,��I�ir.'T��1�' I�T'TL� SW��,.`� �'_�'I�.T�1',I�N'i'
�.r_ canside�atiozl a� the i�st�e �,na de?ive.ry �o rne b�� ih�� T;.7�»ecte�° n� '��zil.�;in;s o�' r,°:.�le� nf
the ��:�ve �ermit, lr heNeb,y a�;ree to d.a the �ro"c�e� t-�or'_� �n �cc���°c?��:�rn ��rAi,;1 4r�^ cle�eri�t��n
a,���w� set fr>a°��;h anc� �,eeorc?inr t� t�e pro�Tiuions �f ������ c����l��.n�;,e�e� �� �'F����a�,�, an�l, F,F�r:� �,rst �a.�.l;�
s��o?�n, I here�?y �tate and say th.a# the faets sta'.:�cl ��; r��_e �.;�cl eor..t�,:rec? :��. th.e ����ve r�Y•r.�it are
trL�e as �herein stat�d.
y
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Subscribed and sdvorn to ?eefore me at Fridley, T<'�;.nne�d�t�, t?7��_ +�'�'/�.dt� __
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day of�1� .�.D. ].9� —
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Village of Fridley, Minn.
BUILDING PERMIT �°• 18 5 3
Date: . . . . �..��. . . : 5... � : . . . . . . . . . . . . . .
. /. ,,
Owner . . �. . . . . . . ":'� �. . . . . . . . . . . . Builder . . . . . . . . . t�'� :'� : : . . . . . . . . . . . . . . . . . . . . . . . . . . .
.G���
Address ...��'.'.:�.�i�.��.... ��r�......... Address .............................................
LO TION OF BUlLDING
/,.� �, ;3 '' j
1�To. !�? . . . . Street . . . . . . . :� �. . . . . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . .
Lot � . . Block . . . . . . . Addition or Sub-Division . . . �:! �'����"�::� :'. .�'��. .
... .�...... ,,�... ... ..
Corncr Lot ........... Inside Lot ...'�.f... Setback ........... Sideyard .............................
DESCRIPTION OF BU[LDING
To be tised as:
..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
..................... Front ...... Dept .... Height ........ Sq. Ft. ........ Cu. Ft. ........
��xFC= � .��s�. Cost . �. >?.� �. ��. . . . . . To be Completed . .�.�. r��:>. "vr. ' .
Type of Construction . . . . . .
� F J� �{ o f
�/�C-L-�1.��,/�' �' �.1/�,.s,,�-F� ����. �c t: /y� `G�`rTL��.�
%
� � ' ���+-c;e� ��/,.�.-'l.�j"" _� �'./�- -G. t! 6" "'��%.
�,��,��y�, .� �,., ��.�Y ,/��..�.---�,-� �-.-��_y -
�;� �- :�� . ,��-�.e.��,�-���� � ��-�!�-.-�
�,,,�� ..���� -- �� _
d - %�� �-��� _ � �° � =�
���� ��'�-�-,�% � �
��� �� 11 � � C�'��� �ESR�� � k.,�'ev''r'&"1.
In consi eration of t e issuanc t me of a ermit to cons uct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
A./. t./t'.Q!'. . � . . . . . . . . . /.!.•. . . . . . . . . . . . . .
�, �� s�
In consideration of the payment of a fee of $. ....... .�.�, permit is hereby granted to ...� ..��j. ....
. . . . . . . . . . . .. . . . . . . . . . . . . to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employe�es and worlanen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, 1Vlinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon vialation of any of the provisions of said
ordinances. /��
� �� . . . . . , �� . . . ���` : . . . Building Inspeetor
NOTICE:
This permit d'oes not cover the construction, instailation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the 9uilding �nspector for separate permits for these items.
' �.�I
Date
Owner
Addres
/�e��,r�` �
BUILDING PERMIT
�
Village of Fridley, Minn. N° 2� 91
�. . . ! 7. �.1.`t.S_�S . . . . . . . . . . . . .
�•��'�"�'�l.. . . ....... Builder .... .... ........................
/� n _���Q� c r
s +(F��...�•".�►40.. ................ Address. .................. ....................
LOCATION OF BUILDING
No. . (J�� �? . . . . Street . ��� . . . . . . . . . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . .
Lot . .� b.J:1.1.d.0 .�. Block . . . �. . . . . . .. . Addition or Sub-Division . . . �C�.�!v. . . . . . . . . . . . ,
Corner Lot ............ Inside Lot ...�etback ............ Sideyard ..........................
DES�R[PTtON OF BUILDING
To be Used as:
.••U`1'.�:�tl!�i� , ..�... ......... e. ........
Front . ��.. Depth . Height Sq. Ft. .�aZ . Cu. Ft,
. . . . . . . . . . . . . .. . : . . . Front . .. . . . . . Depth . . . . . Height . . . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . .
Type of Construction ,� ,,,,,,,,,,,,,,,, ,,,,,,,,
.l-.Cl.PrY!".�. Est. Cost � a.�� To be Completed ��...
���Yl U d I-� �G �`' C., I,� cC C v� '�'�"`�`
/
In ebnsideratian ef the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
drdinances of the village of Fridley.
In consideration of the payment of a fee of $# Jr.��, permit is hereby granted to ��,yL'rr'T"'�; ....... ...
.�.ot�,.�....... to construct the building or addition as described above. This pernut i5 granted upon
t. express cbndition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part ther , sha conform in all respects to the ordinances of
Fridley, Minnesota regarding location, cbnstruction, alter 'on, m'ntena re air and moving of buiidings with-
in the village limits and this perrnit may be revoked at a y time pon ol ti f/�ny the prnvisians o said
ordinances. , . �� �(/,� _ � _ ir/�
0
NOTICE:
This permit does not cover the construction, installation or alteration for wi g, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
City of Fridley �
Appticatian for P'lumbing and Gas Fitting Pernrit
- Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK � -- �� `-0�-- "' "°'" � ` � •
Number, Kind and Lxatian of Fixfures Locatioa
� � � `�°
(9 WATER HTR,
� �
p� � 1/� � = N y Z Vj oQ: Z u Z �= J � W � *
;O Z-a, � �� Z1</� Z `� Z-a' �Q = J�<~� j` < a 7 Z< � a R N GAS ELEC.
�, 7 O F m N 3� � LL N LL O V m <�i (� G U� Q' U� O
Base
lst
2nd _
3rd
4th _
• Future Connectioa Openiags
* New Fixlure, Old Opeaiags
with
PARTIAL RATE SCHEDULE
Sewer ❑
CesspooI n
PLUMBING FIXTURE RATES: NO. RATE TOTAi.
Number FYxtures ....... �
. . . . . . . . . . . . . . °�� x �i.so $ • G
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTLT) ...... x 2.06 $
New Ground Run Old Bidg . . . . . . . . . . . . . x 3.25 $
GA3 FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures .......................... x $1.50 $
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTLT .............. x 2.00 �
REPAIRS 8c ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE • � �
City of Fridley:
The undersigned hereby makes application for a perxnit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and �orrect.
U Fridley,
Owner �� ��'�`�`
i
Kind of Building r�'�
Used as � - �
To be completed about
Estimated Cost, $
Old--.�Eevv�Building Permit No. Per�t No. �
Signe �`
By .
Business Phone No
ROUGH
FINAL
a z 2M 7-s9
19_
0
�ity of Fridley, Minn.
BUILDING P�RMIT N° 5 z� o-
,
Date: __._.._ _. *_`_`..._..�_.�"r".`.�.�� _._.. ___.
Owner: _._.��...���`.� -. ._ Builder _..._...__... .._.._ _.._.._....._..._._.._..__.___.._..._....�. _
Adclress.....___...___._.._...__.__.._.._.._._.._._.. ........._..__.._..._..._....__..... Address __ _._..._._w._. � _M..._.._........_...�_,... .
„ � LO TION O UILDING
No. �.y�..�� Street __���!����':.'��._�!."�.�...�..f----•--_---. Part of Lot ---__._..r_.��_.��..� '
Lot _.___...r..::._...._..__ Block .._.__M__..:_._.._..:_._.._...._... Addition or Sub-Division ....._......__.._.._._.._.�_.._._.___ ._._._.�..
Corner Lot ._.._.__......_..__ Inside Lot _.__.._.._.._.._._._._..._. Setback ...._...._._._._.__.__ Sideyard •_-•-.....-•--..____._....��...,.._._.
Sewer Elevation ._.._._w..._._.._.__..__ti...___._.._....____._._.._.___.___.... Foundation IIevation _..._.._..__....�.r.._.._..�____ ,
P.
DESCR�PTlON OF BUILDING � �
���••--A.a.�•..u` t�� DePth -f�' � Height �:..:_ Sq. Ft. _ (�u. Ft
~*��
�����
_...�_.__............_ ..............._. __....._ Depth _____._._�. Height ..� � Sq. F't. _._.._._...._ Cu. I9't. �_
Type ot Construction _.._ ..y��;�,� Es� Cost .�c.••#�.�!___.._..._.. To be Ca�npleted __.�
In consideration of the issuancx to me of a permit to construct the building described abo�ve I agree #o do
the proposed work in accordance with the description above set forth and i� compIiance with a�l �av�o� ot
ordfnances of the dty of Fridley. �
_�
In coa�sideration of the payment of a fee of $_��._...__.-._.
., permit is herebY gx'anted to....._ :------
..-___..._...._..._.._.____._...__._..___._ to construct the building or addition as described ,above. This Pernut is gi�t�d upoa
the expres� condition that the person to whom it is gi�anted and his agents, employees and worinnen, itt s]1 wor][
done in, around and upon said building, or aqy part thereof, shall conform in all respects to the or�tnodi t'�[
k'ridley, Minnesota reganiixig location, construction, alter�tion, maintenance, repair and moa►ing o! bu
vv�thin the city limits and this pernut may be revoked at any time upon violation oi an� ot the D�vLeio� o� se�d
ordinances.-
� �' �
NOTICE: � �
'Ifiis p�nnh dou AOf COVN tM COII3MYiNW4 UlfhNtllOR for wiefn�. PWmbh�g, yas h�aNs�, s�w�r er wN�: i� rwr !a w■-
th� dvild� insp�eror fo� sp�raM p�nqits fo� iha� it�n�s.
�....�a �cti_�
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APPLICATION FOR BUILDTNG PERMIT
CiTY OF FRIDLEY, MINNF,»SOTA
Owners Name ��d�' ---
Addxesa Address
LOCATI4N OF
No. fD__����__Stree� C�/%�A �� ��Yl% Part of Lot
Lot Block Addition or 51.ib.Div.
Corner Lot Inside Lot 5et Back Side�Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applica.n� attach to this form Certificate of Survey of Lot and proposed building
loca.tion.
DESCRIPTION OF BUILDII3G
To be used as:
I
� �''2'Ori't
Sq. Ft.�_�Z��Cu. Ft.
Front � Depth iieight
Sq. Ft. Cu. Ft. �
Type of Construction� %� ��_ Est3mated Cost ______
To be completed
The undersigned hereby makes application for a permit for the work herein specified�
agresing to do aZl work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declaxes that a11 the facts and repregenta-
tions stated in this application are true and correct.
DATE �/�' � / '— L� SIGNATURE
_.____...�
(A Schedule of Fee costs can be found on the Reverse Side.)
�
�
•
� k 'P}� � .: ..
. . l `rA �w �i +ie
� �_� � (�
. _ __ . .. � ,L..��. . � .
�� . .
�,� Ci+y of Fndley
A icatian for I�mbin cmd Gcrs �ttin Penn�it
PP� 9 4
DepL of Bldgs. Phone SU 4-7470
DESCRIPTION OF WOiiK � � �
Number, Kind asid Location of Fixtures Lxalio�
�U�' WATER �HTR.
��j � N Y F� VI 1' Z= N W W Z w �
'€: � z = � � _> zz � $ vz ox � c� z
.� � � � � j � Z � �¢ � O � � �a ~ 1S/� � � � a � Z< � a f N GAS ELEC.
� �� � � h f0 N 3 1-� O LL 1/1 LL � S m �� Ci G C1 4' U� O
Base I � � � � �
lst ,
2nd
3rd
4th
' Futurs Connecfion Openings
� New Fixture, Old Openings
PARTIAL RATE SCHfDULE
Sewer �
Cesspool n
PLUMBING FIILTURE RATES: NO. RATE TOTAL
Number Fixtures . , . . , , . . . . . . . .�___L_� x $1.50 $�
.......
�
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $
i
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BT'Ln ...... x 2.00 $
New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures .......................... x $1.50 $
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTIT . .... ......... x 2.00 $
REPAIRS & ALTERATIONS—Refer !o Code
Description ............................... $
. . . . . . . . . . � a '���
TO'TAL FEE $
�
. �1 L�,
�
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this appIicatian are true and correct.
Fridley, 1Vlinn. ` � �" / � , 19 b �
Owner _ Z�dl/��"� � � , 19`
Kind of Building ���� , 19�
Used as y
To be completed about
Estimated Cost, $
Old—New. Building Permit No. � d
Sign
By ��� � ��.�.�.�
Business Phone Na. ���"' � D� Z–
���1��(O/ � �-,
11 POST iM-12-58
/
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City of Fridley, Minn.
BUILDING PERMIT
Date: Oct . 8, 1968
N°
��s�s-
99'70
Owner: _..Bruce Kanton _ _�_ _ _ _ �__ __ • Sussel Co.
. Builder _..___...__.._......—_ ............._............_......_....._...---•---.•---•...._..___.__.__.._..
Address .... �65 23-----.Anoka _S t�---N-' ---E--'-----.-------------._...-------_ Address ____...185 0 _ Como _.Ave.,. __.
LOCATION OF BUILDING
No. ....._65.23.._..._.. Street ....._ ............. Anoka.. St...._N •_.._E �__---.._.......---.--------.----.... Part of Lot ....._......._....___..__._.__..._.._
�.---.-1_8_-20_......__ Block ---.----.--.--.-5.--.--.....-----------------_. Addition or Sub-Division -.-.--_Dak_Grove Addition
CornerLot ------------------_........ Inside Lot ---•--......_..............._.......... Setback -•-----•----._.....---.._.._........... Sideyard .---..._.___.._...___..___...
Sewer Elevation -----......._._._......_...._..._..._..._......._..._ ............._......--•------------ Foundation Elevation ---.----••--._..._.._.._..---.._..__..�....__.._
To be Used as:
Gara�e
Tj�pe of Construction
DESCRIPTION OF BUILDING
� �
Front _...--- 24•--_ Depth _...__�� ..
Front _____.._..___ Depth _...__...........
_ .Frame _ . �t. Cost ..
�
Height .._---1-�•------ Sq. F� _.._528
Height ....._ ............._.. Sq. Ft. _.._..._...
$2, 000 To be Completed
Cu. Ft _.5280
Cu. FL _.__..._.....
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
_ ._�.__.�._-:- �3���� ��,-�t�-
i
In consfderation of the payment of a fee of $...._.._.8�00 ......._.., pernut is hereby granted to_.._.Sussel Co. r
...._._,........__._..___._....__.:.._._.._........_. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea o�
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at a�y time upon violation of any of the provisions of said
ordinances.
., n .
.�'��u�'�!�/G-� l+sc�c-c.a-L.Qi BuildinBInSpeCto�
Cla ence Beli�le ,� J�,� � ,
NOTICE:
7his p�rmh doa not eowr th� eonsfrudfon, ins�allNion for wi�iny, plumbing, oas h�Nin�, aw�r er wat�r. 8� wn to sM
fh� Buildiag Insp�eMr for �ps�ah p�rmNs for fh� if�ms.
AF.Pi.IC;ATICI� FCR. BTIIL�ING PIl�MTT
� ?TY Q� FRIDLEY 9 MI?V�I�TE�OTA
Q��?V�EFi °S IVAl�!���? �r,'7�on R�JILDER �'"����--F9 ��
ADDRE�S G,.��� /9`I� %t,�., ' A�ii�RE�S� /d:S'a' �'.�rna �� �-� ��
LCGA'I'�ON OF BJII,DI�T::
I�0 0 �; :� �. 3 c �REE�'�' �e � z���-��.
LOT �i�� � U BLOGk
�OR.�'ER LC'I'
SEGfER ELE'JAmIC?N
�
�h
I��; ;I�E I,OT
A�DITIGt� OR SJ�:�IViSI��r ��� �/�-.�� �-�
SE'TBA ;�' SI��°�ARD
TOP 0� �'OG'?'I?�7;d
Ap�lycar!+ az�ar�h to this .Lo��r. 'I'N7c !"�:�ti.fi�°at�� c�" Sn.�vey of' I�ot anu
proposec: bui��.l�^g lo�atio��� ri:c°�,?.�-� o�� �h�s•� rE:�tiiicat�s�
7FS'JRTr"ii...OI� Ci B�'TI�DTN�
'I'o BF� iJsr ct A�: �e�{� cQ� ��
.
�i� Fr�~�.+.� �� ` �)Npth /L% Height
�quar�e �°eE�t „Z �l ���ubic F�rt� 5� g �
Fr°o:n.t � �1F�;th _ Height
Squa�°e i'eet
vubic Feet
T,ype oi Constructio.n� r�,r,� E�t�mated Cost 2Goa �=-
To Be Completed �u ��y�,,s
��`
The undex�sign.e� hereb,y mak�, applic�.tio.n io� a pe:c°mit for the �ork
he���in sp�ciiied, agreei�.g to do all work in strict aGCOrdance with the
;'it,y o.i Frzdley Ordinar�ces and rulings o� th, ��partr�ent o_f Building� 9
and h��eb,y �.ec]ares that ali t�e :f��ts and rep�•esertations stated i.n
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CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Stories
Basement
Floor 1 '
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
Urinal
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
W - -
ah
s �ri�:���:<�:
. t�..:;:`<>�:=:� FI
oor
�:::���<':; Aut
o.
> :: > :; : <: > :: > ::. ::: ;
::r::> Shower �::;<'�::: Trav �:�u�;»:�;=><�: Drain .8���i::;�:>:<: Washer�
NO. R,�TE TOTAL
New Fixtures -
Old Opening, New Fixture _
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas*' �_
Gas Range*"
Gas Dryer`*
Back Flow Preventer Required ()Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
�_�
Effective On Jan 1, 2000
Gas l:1�5�:_<:;::;::;: Water Heater
Ra
n e �`_<"`.::,:;::::'<:>;::
Gas
EI
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9 f. -- -
. ��*-�3 ��
JOB ADDRESS �I"l� �s dt,�����
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and n�lings of the �uilding Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
KRALING, MICHAEL
_. _ 6523 ANOKA STREET NQRTHEAST
FRIDLEY, MN 55432
Owner ��63) 571-6249
Building Used As ' ��v� �1l) �,
► Z �Z3 , Zo oZ
o, j �,
Estimated Cost PERMIT NO. �"1� C�; � J
PLUMBING COMPANY OI�C�L.�}I� L.UJ'✓�Ci/i�Ci ��Ci
_ SIGNED BYL7� ��y��;�'�.���---- TEL N0. f�Z'S�I -�0��
�' ~ �
y�� g ja � 03 �
Approved B Rou h-In Date Final Date
� �i ► �i ii � ► � ► _ �i = ► � ii 1 11
� • � r . ...
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
Building PLUMBING Permit No.: (,��� -- a�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY �`����� 1 2007
DATE 11/9/07 YOURE-MAILADDRESS serviceCnorthlandmechanical.com
siTEaDD�ss 6523 Anoka Street, Fridley MN 55432
THIS APPLICANT IS: ❑ OWNER X�CONTRACTOR
PROPERTY NAME: Mi chael Krael in�
OWNER/ ADD�ss: 6523 Anoka Street CITY Fridley STATE MNZIp �JS432
TENANT PxorrE: 612 - 3 6 3- 4 5 91 ( c e 11)
CONTRACTOR NAME: Northland Mechanical Contractors, Inc.
SUBMIT A COPY OF STATE LICENSE # 3 9 5 7 PM EXP DATE 1 Z� 3 1� O%
YOURSTATE ADDRESS:gOOl SC12I1C2 Center Dr CITY NeW HOp� sTA�MN Z� 55428
LICENSEWITH pHONE 763-544-5100 F� 763-544-5764
APPLICATION
PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � NEW �REPLACEMENT
DETAILEDDESCRIPTIONOFWORK Water line and fixture replacement and/or repair
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELO�
1 BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
� BATHTUB GAS PIPING (NEED ClTYLICENSE� SWIMMING POOL _ WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK r WATER CLOSET BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
,; ,,, , s. .. . .. , . ,
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. . . . - _ . „r < ,,,,,; � . �z " . . , .,.
3 ,,,,,,., ,,,, , d . . . >..-:
Permit Fee $ Number of fixtures @$10.00 x$10.00 =$
Surchar e .50 Number of fixtures @$15.00 x$15.00 =$
TOTAL DUE $ Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
Tota1= $ 3 0. 5 0
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LTNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a�ermit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case qf �ll wor wh�jch requires review and approval of plans.
,>,? �
SIGNATURE OF APPL�ArP�iT /'1 PRINT NAME M21 S 1 IttIll O ri S DATE 1 1� 9� 0 7
'G
"� ; „ �..'��� = ry .���. � �.
� ..
.,
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977