AF - 45261. � SUBJECT � PE .
City of Fridley o 18 6 6 2
AT THE TOP OF THE TWINS g U I� D I N G P E R M I T
�
� � R .
� ; L _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. � a 3S�
1 � i
� � /"'1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED BV
�---•'�•• •�� 612-571-3450 910-Ft 5 9/23/86 / /
JOB ADDRESS 5562 Fi.11more Street N.£.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 1 IW2ri Terrace Ili SHEET
2 PFIOPERTY OWNEH MAIL ADORESS 2IP PHONE
Kenco �nstruction Inc. 10666 Uni.versity Ave., Suite 105, Coon Rapids, 55433
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Same 757-4052
0 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLA3S OF WORK
�J NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 34� x 24� I74�1elling; a 20� x 18� Garage
SEPARATE PERMITS REQUIRED FOR
9 CHANGE OF USE FROM � � .
STIPULATIONS provide separate water and sewer services. Pxovide City with copy of
verifying survey before capping. Provide a hard surface driveway. Provide
sod. in th.e front and side yards.
SET!dER & WATER SERVICE5 NOT AVAILABLE: Sewer 8" VCP at centerline of Fillmore
Street. T�I'ater 6" VTP 10' West of and � parallel with. sewer main at centerlin .
DRIVEWAY DEPRE5S20Ns 16' + 6' = 22` x$13.50 =$283.50 �ARNING
THE CITY OF FRIDLEY DOES NOT GUARANTEE THE
ACCURACY OF UTiLITY LOCATIONS AND ELEVATIONS.. BefOf@ dlgglfig CBjI lOCal Iltlit#ieS
THIS DATA IS FOR I,N,�QiZI�(1J,���Q,iV; F�R�S fi9+@�y', tEIEPHONE -�L�Ci�I� ��AS �tE.
�,�Q ��� �,�� ���� �� R�c�uia�n �Y �Aw�
V�RI�Y; Ifi l�I�l TN� Sl'�,;� �
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTIIATING OH AIF CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHOAI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND COFiRECT. ALL PROVISiONS OF CAWS VALUATION ' SURTAX
' NO ,ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED
ITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $49,600 $24.SO
O NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAfiGE
VISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S UC OR THE PERF ANCE OF CON UCTION. $ZH3.00 $475.00
Q PLAN CHECK FEE TOTAI FEE
/� O � . 75 $853 . 55 + I7W
. SIGNATURE OF CONTFACTOR OR AUTHORIZED AGEN7 IDAT 1 �1�I EN �PRO R LI AT D THIS IS YOUR PERMIT
/
SiGNATURE OF OWNERfi� OWNER BUIIDER� � IDATEI BIOG WSP� DiTE
N�+ [ �I
ADDt; . I J
AI,TER. I J
City of Fridley
R-1 AItD A-2 i
Buildir�g Permit ApplieaLion
Effective 4/t/8c
ConstrucLion Address.-- °���� �"�G1 rr�a'+eE � �--+2 � �T - ,
Legal Description: ��+ � `� �-�u< < �c� r Ze2R� � v
ownez Hame t 1►ddzess : �-r c� ��-` ST Tr. ?el .� 7 S 7-�-/ O S Z-
Contraetor: � L(� (o �„ U r..� c� S�T�c A v-e Tel ./
Addreas: C;. �� 1�S C oc�� [2,�a ��� ►-,'� � SS `f 33
LIYING AREA:
GAAAG£ AREA:
DECR AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, vith the proposed coastruction draWn on it to scale.
DESCRIPTIOA OF IMPROYEMEh'T
LenEth �,�_ Width � ` _ Height _�
Length � zc' Midth f� Height ��
Length � iiidth Hgt/Ground
Sq. Ft. � JZ-
Sq. Ft.
Sq. Ft.
�/ '
Corner Lot (] Inside Lot �) Ft. Yd. Setback �S Side Yard SetDack �U
Type of Construction: ��-� �°'-"'� �2'"'Y'�- Estimated Cost• � � � ��'2
aDFrox. Completion Date: �A�-' �.� S g% �'�
Alt. A Alt B
Propose� Driveua�� iiidth If Neu Opening Is Desired: �� ��`,� s��4- � �
See Back Page for Explanation
� ,� � Te1. 0 7S7 - `�G'sZ-
D�TE: APPLICAI�T:
CITY �SE ONLY
Per�it Fee ;. � Fee Schedule on Reverse Side
Plan Check � O.% 25i of Buildfng Permit Fee
State Surcharge � �in-� �.50/�1,000 Valuation
SAC Charge � iJ IC�U ��175 per SAC Unit
Park Fee ;. �►� .�5� b Fee Determined Dy Engineering
Sewer Nain Charge �
�� Agreement Neceasa�ry I l Not Necessary []
TOT�I. :
,
STIPULATIO?iS • �Q�'v�� �
' Q� w� o`�.� 3, 5Cl
f 1.. �
�-.a �
, .
�•, �__�-.
. � � � _ .
�ER: ���;
EXTEIl1011 ENIIELOI�t AYEIlAOE 'yr' COMI'IRATIOM
�1r 4 � ' .
�� i
�:�;� .
'E AQORESS s �I.S� G� "' IOO � • , '`'.'=;r.
.-_..�.�.�
�TMCTOR: DATE : I �►�ON� :
DETERlIINE 1IOIIKINQ sO,UAItE f00TACE OF EACH: ,�`
TOTAL EIIPOSEO 11A�L AREA - � � �
........ _ �9'� •a �t x 'u� � . °I2..
�
TOTAL ROOF/CE 1 L I NG AIIEA. .... ... �. ����� � �q f t x"U" �.�� ' ZO•q
..,.
TOTAI EX�OSED WALL AItEA CAL�ULATIdNSs
Tot�l •xpos�d wall
an� •bov� lioor........ �I .� •a tt ,
- - -- - - ,
. �
a�
b)
� �`�-�,.,
q1a:�d...... '
_ 1 n .q r� x„��� �_ � Z�� �,�.�
. ; ,
qlat�d...... tq tt x ����� ! . .-. , ,
.�_.._..._ _�.,,_;:
Total doo� ar�� ......... �1 sq It x��U�� � Oi � 2- ��.o
__..,..`.....� .....�.__..__ .____.
c) Total tliding qi�st doo� •��at
91as�d...... _ q'Z •q ft x ����� � �j • �:7Zi
�r��w����
qla=�d� � � • � • " iq �� X Ilull ,�- � r
�.�
d) Total flreplse� wall ���� •"� �q ft x"U" �,��, '• .-
_ ,� ��_,�.,r ,
•) Tot�l wall t��inq ar�a
�Av��aq� 10�� . .......... �n fq• tt x ��u�� t . �� • • .P�
...�..�.�.��..� ���.�.���
f) totai n�t wall ar�• �bow
floo� (Insul�t�d)....... � •q tt x��U�� t,�� -� Z_3_��
5�2 °I ..
��-
q) Total �l� Joi�t •r�a...... �� sq �t x"U" . O�' _• �� y
Total. �oundatlon
ar�a (Expo��d).......... Q'� •q It
._..�....� __..�
h) Tot�l foundatlon ' ,` �
windav •r��������������• '� �q �i i� ���� {�w � ^
._...._�..,.
1) Total n�t found�tlon
• ���a �bov� qr�d�........ � •q /t x "11" �_V . (1���►
���
.. TOTAL •% thtu 1) w g'�•� �
�
1 f f t� I; 1 s tM sa� •� � e� 1��• tMn I t� /1 � you h�v� Mt tM Intent ot ;
z � i.i600e e .na o. .
�,� L �2.� ; .� vi� �
P��� 1
a
L _ ` _' ,
, T4TI1L ExP4SEO a00fltEl�INfi CA6tuLATiMIS� • , ' ,•. �•{
, .;
,
Total txpo�ed , • � , ,.:,:;5�fi� �
roof/c�i l lnq �r��........�v� .5 �q �t �
. . . � '�• �.�.:_� ;
Jj Total �kyll�ht •r�a....... .�— •q �t x �'U'� , ,t� • .— .
..�......�..
k) Total roof/c�llinq frawlnp �
� ���� (Awra� iMt)....,. �� tt x "U" � OZ(� . Z,o9 ,:�: ;.
..r.._.._� ,
,�, �,,:,$
1) Total n�t Insulat�d ; �
I root/c�111�9 •n�....... ��'`�"' s, tt x"U" � t�ZZ • � 5�.'�=7 .. 3-
f�� �'.�Y. � �l., � �.
T'OTAL ) i thw 1 j ( 8,o'Z- �, '
�.
�otai of •M is th� •a� as. o� 1�st th�n �t. you h�w �t tM Int�nt ot �;;.
MCAR 1.16008 A a�d 0. '� I�.02 G�� °� �' . v MC. " �p' �'
• r ! � ��r�
. ,,
. .� � ' *� V�
i. !��
i+��}�
. ' � a �:
IILTEIWATE etlI�D1NG �NVELOPE IfESiGN ,�`�r�:;:
- :�-. .
, ,; � : ..
� uti 11s� tha tot�l �nwlop� •yst� �thod. th� v�iw� •stabl i�h�d by tM su� �:� �'
f 1 t�s /3 Md �1 shal l eot b� 9�Nt�r than tM •u� of i t� /1 and I►2.
t. + s. -
j� ♦ A• •
1
u
' CERTIFICATION
�w�r�w�+�..�.� ��� �..�
1 h�r�by c�rtify that 1 haw crlcul�t�d th� "U" faccors and "11"
�Iws h���in and that th� bulldl�n M�� d�werlMd �ts or �xe��ds th� Stat�
f Miea�saota En�r�ryl Ca�s��v�tiM Ikt.
. �,
,
� �i(/ �
qn�tur� . .
``; ��'
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, Q : • ,a,,
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•�..,�„�.
? � 6 Studs
��JSTRUCT I ON
AMING SE�TION:
Interlor atr film
•a =ee roc.c
�3� tnches so t a
�. .. ur te �°-1� tQ.
xterior ai� Film
NALL SECTION (INSULATEO)
---(1 Interior alr film
—{ 2 � ,T'�til '
--{� .,��; ns aticxt
--� 4 �5 3�. Ei cxite
—� 5 S; c�inF
—��+ Extertor a r film
R VALUE
A.6A
TOTAL R � 11.C4
U • 1/R � _n^
�.hR
.45
19.00
2,n�
.81
� n.t7
TOTAL R � 2�.17
U � 1/R � .043
RIM JOIST SECTIAN:
-{1 interlor air film �.6A
—{2 _S1; Insulatiat � 1� .00
--( 3 1� �'ood 1. S°
---i 4 ?5 / �� L':ilc�rite 2 . QG
—{ 5 .�'i;.in� . 81
--{fi Exte�ior ai ��i lm �.17
TOTAL R � '�4.6
FOUNDATION INSULATIOP� REQUIREO:
Min. R-5 on entire wall OR
Min. R-10 down to frost depth
�•
� � •
1
, �
�� .
� /_��.����i
.. ...
� V � _ � ' A �
U � 1/R � _!?4
FOUNDATION SECTION:
—{1 Interlor alr ftim �.FR
--{ 2 tvro ns . . .:
---i 3 � oc c
--(4 Exterlor a r ilm �.17
(5
(�
TOTAL R �
SIAR ON GRADE
, �,...,
,�,, „
.�
�
Heated Slabs:
MinimumR=8:5
, ,,aU; V1.•.4; Unheated Slabs:
�• Q� ., ,• ; Minimum R = 6.2
a•a a ,�'a • �a �'�: ; ,q;,
.. �
, •, ..'� o,:,;.•�.... • . ,�; � ., � . . .
.
U � 1/R � .17
.•
/ � � � � r' it , � • 1 � �• �• � It �
V
1 .� � �l � 1' . � 4 .�; 'a�, � � �•4' �
. �. . „•
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Page 3
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` �I
VENTED
�. �..,
CONSTRUCTIAN R VAI.UC�
CEILINR SECTIAN (INSULATEO):
� Interto+r al� fllm �:5�
2 5/R ST' —
3 F,]. m I sul. 44 .(�
a Exte�lor air fllm sttll �•�1
TOTAL R �4�.78
U � 1/R - .0�2
CEILING FRAMINC SECTION:
1 Intertor air film �•��
2 5 SF
3 ns atiarl • '
4 Intertor ai� ilm still �. 1
S 3 inches soft woocl 4.35
TOTAL R s __,,_
U� 1/R�_0?�i
CEILINC SECTION (INSULATEt1): �•�'
1' Interlor air film
2
3 n. t
4 f.xterior a r film still
TOTAL R = _,
u- 1/R=
CE�LINr, FRANI�lR SECTION: A �`
1• Inter{or air film
2
3
4 Exterlor ai� ilm still �• 1
S Inches soft wood
TOTAL R = __
. , , �
U� 1/R�,__
1 ,Instde air film �•��
2
3 �
4
5 Outside atr film _ ����
TOTAL R � _�
U� 1/R�
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CITYOF
FRIDLEY
CIV[C CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
ApriT 14, 1987
Kenco Cons truction Inc.
10666 University Avenue N.W., #105
Won Rapids, NIN 55433
Re: Final Inspection at 5562 Fillmore Street N.E.� Fridley
Dear Sirs:
A final inspection was conducted on April 13, 1987 of the above address and
the follawing items were noted whicn must be completed before the structure
can be finaled:
1. Provide house numbers on structure by rlay 1, 1987.
2. Provide City with copy of verifying survey by May 1� 1987.
3. Provide sidewalk and step by May 1, 19£37.
4. Sheetrock basement wall by garage by May 1, 1987.
5. Provide pos t under inside landing by May 1, 1987.
6. Provide sod in the front and side yards by June 15, 1987.
7. Provide a hard surface driveway by June 15, 19£37.
We will expect the above itesns to be completed 2�y the scheduled dates when
reinspections will be conducted to determine compliance. If you have any
questions on these items, please feel free to wntact me at 571-3450.
Sincerely,
DA L G . CLARF:
Chief Building Official
DGC/mh
sua�ecT P RMI .
City of Fridley 19369
AT THE TOP OF THE 7WINS B U I L D I 1 1� ` P E R M I T s
r
' ' RE
� � .
� i y_ COMMUNITY D£VELOPMENT DIV.
r � ��� PROTECTIVE INSPECTION SEC. �. �9��
1 . ,
i•-+- �; '°,,, CITY HALL FRIDLEY 55432 NUMBER � REV, � OATE � PAGE OF APPROVED BV .
i �� 612-571-3450 910-Ft 5 4/1/88 / /
JO�'ADDAESS 5562 Fillmore Street N. E.
1 LEGA� �OT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED
DESCR. 3 1. I�n1EI1 `I'@x'L'3Ce SHEET
2 PROPERTY OWNER MAII AbDRESS ZIP PHONE
Willard Iawrence 5562 Fillmore Street N.E. 572--3739
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCH}TECT OR pESIGNER MAIL kDDRESS 21P PHONE UCENSE N0.
5 ENf31N&ER MAI�. ADDRESS ZiP PHONE IICENSE NO.
6 USE OF BUILDING '
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION �J ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a basanent batiz, shower and bedroomn
9 CHANOEOPUSEFROM TO
STIPULATIONS
SEPqRq r� p�RMIT�s
W f R�N�� HEATIN� P REQUIRED FQ
� !V �B�NG A�y� S �
N�,
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THI& PERMIT BECOMES NULI AND VOID iF WQRK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 AAYS', OR IF CONSTRUCTION
OR WORKIS SUSPENDED OR ABANOONEO FOR A PEHIOD OF 120 DAYS AT
ANY tIME:AfTER-WORK IS COMMENCED. NO. OWLfi. UNtTS OFFSTREET PAFKING
i HEREBY CERTIFY iHAT I HAVE READ AND EXAMINED THIS APPLICATION 2 STAILS GAqAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND .ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $1 � SOO $. 75
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE $AC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- $2S.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK PEE TOTAL FEE
$25. 7�
. 1GNAiURE OP CON7RACTOR OR AUTHORIZED AGENT '. IDATEI � WH�EN PROPER ALIOATED THIS IS VOUR �EfiMiT
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City of Fridley
R-1 AIiD R-2 •
Building Permit Application
Effective �/1/86
Construction Address• 5'S 6 Z Fi//r�dye ST/yL- /C7'L���y ���� �s��3'�
Legal Description: �,r 3 6�� �-z�'�'�! T� �'y°� e --
Owner Nante & Address :�'V��I � %� � L a �Y e � � P Tel . # S7 " 73 �'
Contractor• � a �l ° _ Tel. # _
�
Address•
LIYING AREA:
GARAGE AREA:
DECR AREA:
OTHER:
Attach to this applieation, a Certificate of Survey of the
lot, with the proposed construetion drawn on it to scale.
Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Length Width _ Height Sq. Ft. _
Length Nidth Hgt/Ground Sq. Ft. �._,�.
�as��P��'- !3 2T�i sl�4i�r � l3e 7"oU� --
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setbaek
Type of Construction• Estimated Cost: $ ����
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ �
See Baek Page for Explanation
DATE: P ' y
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS•
APPLICANT: � �������t''-.-�-r!� Tel. �
CITY OSE ONLY
$ ���� U Fee Sehedule on Reverse Side
$ '��� 25K of Building Permit Fee
$ . � �.50/$1,000 Valuation
$ � ��p per SAC Unit
$ Fee Determined by Engineering
$
� �1� ; Agreement Necessary [ ] Not Necessary [ ]
$
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Building PLUMBING Perrnit rto.: ��1-� c�
Inspe�tion.s RESIDENTIAL APPLICATION Re�ei�ed By:
763-572-3604 CITY OF FRIDLEY nate �� '; ��
DATE �� �o- Ci � YO�&MAIL ADDRESS
SITE ADDRESS _ J i� � !� i�'� ��`C.J •
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY N,q�,,�; �� j_(jS
OWNER/ pDDRESS: 6 CITY �(7�PJL�1 STATF�N(ZIP SS �
TENANT Px0't•1E: % C� � ( 3 �
CONTRACTOR N.�ME: CNeu�.. a Bcl ��.�/l�
"'°' SERVICES
STATE LICENSE # 212 N. Rlv �_ EXP DATE I�- � O�
SUBMIT A COPY OF �oge-C�--
YOUR STATE ADDRESS: �m���� MN 5,�j,y,�7- CITY STATE • ZIP
LICENSE WITH PHONE � �'�I�` I� V FAX
APPLICATION
PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: ❑ �w Y�P�CEIvIENT
-- DETAILED DESCRIPTION QF WORK
PER MS 16B.665 the permit fee is a minimum of $15.04 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 refleet only the cost of labor )
Labor cost under $300 =$15.U0. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXT[JRE, EXCEPT WHERE NOTED. FTXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOVI�
BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING
BATHTUB GAS PIPING � c►rrt✓ce�rs� SWIMIvIING POOL WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15)
� DISHWASHER ^ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION
— ^ _ WATER 1vIETER , OTHER
��
Permit Fee $ _�_. (`�1 Nuznber 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
Total = $
THIS IS At3 APPLICATiON FOR A PERMIT-130T VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is comptete 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 permit and work is not to start without a pernnit; that the work will be in accordance with the
approved plan in the case of all ork which re uires review and approyal of plans.
SIGNATURE OF APPLICANT PRINT NAME� "G 1 DATE ��
City of Fridley
Building Iaspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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