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BUILDII�G PERMIT
�i.11age of Frid.ley, Minn. N° 2 5 9 3
�� � � � � ��
Date....................... ...............
Owner ����� �°.....'�.�.t��-���' Builder ...........................................
Address �'� .3'. �'�. . . .�'` .1.�. . �'.il.a ����
Address.........................................
LOCATION OF BUILDING
`� ��,►--�� .�.�` ............. .. � ....... ..
No. . . . . . � �� . . . . . Street . . . . . . . . . . . . Part of Lot
. ,�. .
" � �, 1���r
Loi � `� ��:`�. . �. �Block . . . � . . . . . . . . Addition or Sub-Division ���,"�` '��"`�'`;'i4d . . . . . . : . . . . . . .
Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback �':'��� �'�� �'� '�r �� .
..... Sideyard ........................
DESCRIPTION OF BUILDING
To be Usecl as:
�'.�'���+'",�� r�t' �,�,� � �r «
Front . .. . . Depth .�..�. . Height �
� ��,���;�#�•• .........
���t� ..... � .. �' R
�. . Front . �+.�.-:�: Depth ��. . . Height � . .
i� � � �e��; .
�,�.�s� .� � �dR'�% , ,�'�
Typ@ Of COI1StTLICt10II :� �. wi'. . . . ESt COSt '. . �" : . . . . .. . . . . . . .
�'�-��'
� "+:,
Sq. Ft. �..... Cu. Ft. ........
���
Sq. F't. ;� .��. . Cu. Ft. .. . . . .. .
�� �' �- �
To be Completed �. �r. . . . . . . . . . . .
In consideration of 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
ordinances of the village of Fridley.
��
%�.�r��"t1 �>�^_"`�'�'-`9�,
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��e: a�' �f,�he payment of a fee of $. . . . . . . . , permit is hereby granted to . . . . . . .� . . . . . . . . . . . . . . .
�>�-
:' . : :' . . . . . . . . . . . . . . . . . to construct the building or ad dition as described above. This pex7nit is granted upon
the express cc�ndition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, axound and upon said building, or any part thereof, shall conform in all respects to the ordinances of
F'ridley, Minnesot�. regaxding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limitis and this permit may be revoked at any time on viol n of any of the provisions of said
ordinances. '"
. ,��"`�..� x �""' � ,.
- — --- — -- - - . . . , . . s�:�. �+.�:�!:+k�.:�.:�:`. !':`.�%. . � Building Inspector
NOTICE:
�This permtt does not-cover the construction, Pnstallatloro or alteration for wPring, plumbing, gas heating,
sewer or water. Be sure to �see the 6uilding Inspector for separate permPts for these ttems.
.s►. �
.✓ �
HAftVEY A. CAF2TWr^�IGHT �'�}��'°�.�Fq9��%o� a�,.�� ac {�:.� �q ��.-as,r-� �.-1��
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ANOKA c:OUNTY SURVEYS � ���� � � ���� � �� � •� ���� ��
MENNEPty COUNTY SURVEVS P:�1'AI'y� p, A/�� p' F,• ������
AIINNLAPOIIS SURVEYS �e V 81' U dJ i
8410 SHADV OAK LAp:E N.E. REGISTEriED U."�DEF L.A',';5 rJi� :TJiTE Oi' t+tINNEiiOTA
SUe+sc7 8•0075 LICENSED BY ORDINANCE �F CITY OF h91NNEAPOLlS
. owHi:,a 3�3�PLYMUUTH EUII.DI�`2G � �
LiFdCdLN �7..i
INOUSTRIAI - JVOICIAL
B451NE55 - TOPOGHApHICAL
� CITY i.0T9 - PLqTTING
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�Etr�epor'5 �ertific&Yc
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COrqH�NING TFiE RECOROS ��F I
J. E. HiLL, Civ�L ENGtNEER
E5TAti4{5/�LD laya
G. F. SANDHGFF
, CIVIL ENGINEER
E>rn6l.�i,.f.U�l•iUH I
� JA�1E5 NELSON
SUF2YEYOR I
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METROPOLITAN LANL�
SUR4EY�]RS, �s*+Fe�isNEO i��si I'
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I hereby eertify tna� tnis is a tru� and corr�ect pla� or
a survey of Lots 42, 43 ar� �4� Bloc� A, R���JE��vT�'o'J :��ii�;�T�, �:� .
�ur�.� q�� by r;de th�.s 5�;� da� oz :�:;r�? , 1,:;� a_;r
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3:_�_
Date:
Owner•:
►frr�^?
City of Fridley, Mirm..
BUILDING PERMIT �J�►
_ �`
,��,
Builder...-•-•--•-•----..._..,..._. ...,.�:.'_ �...__._.._..._.._...__..__..._._.__......_.._..
y.,. .
Address ......----•�--�.����.'�.�'�,�•--•--------._.__.._..__..
�' , �P , BUILDING
..... ' .�_ �y � . :---�°�``-- --�- �
No.,,,�.!`._.��_---.�� st�t _;�,�.�LOCATI� _,���.,�:`.__.... Part of Lot
�
Lot ----------.-----_-----.._... Block -----------_...._ ............._................. Addition or Sub-Division ------......---_-.--.--
Corner Lot ..........................--....... Inside Lot
Sewer IIevation
Setback ....._ ............._......._...._........ Sideyard ....._.. ��._:�_.......-----------�--..._....._..
.._....... Foundation Elevation _....�............_.....---..._ .............-••---.........._.------._.._.------�--
DESCRIPTION OF BUILDING
To be- U�s as:
. . ,,.� ' Heaght ....�.... --. Sq. Ft �� � "., f'! _
. , -
_+�4 �_.. Front ..rx� �----. DePth � . Cu. Ft.,,,,�'..rr-:.►,t. �
.� ;: _ . - - - - -. • � . .��..�.'__
..
, � ,
„� .... Front ,,rf�° Depth . �;.. � Height /�r"' . Sq. Ft �.1'�'.�. Cu. Ft,�i��..��a
,. ,_
�!,�
Type of onstruc n....��'.:���..... Est. Co� �� ... ...... To be Completed ....................---------_---....._........
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the progased work in accordance with the descripiion above set forth and in compliattce with all provisions of
ordinances of the dty of Fridley.
.-�.._..._........._.__......__...�...._......__.__ .._.....�_� _�_._._._.
In consideration of the payment of a fee of ��'"'� '
� {�-- -�---�--�--------.., Pernut is herebY �ted to-�----.._.-----�---.........-------_..---�-•-�---..
__. _._.. _. _..._..._.._.. to construct the building or addition as described above. This permit is grauted 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 upoa said building, or any part thereof, shall conform in all respecffi to the ordinances of
Fridley, Minnesota regarding location, construction, alteration,` maintenance, repair �and moving of buildings
within the city limits and this permit may be revoked at any time t�pan violsa n of any�of the provisions of said
ordinances. � , ��- f� ,d
1'`� ,t'' � "�:�"� f ` p``' . � _
,�`
NOTICE:
This permtt does nof eover the eonstruHion, fnstallation for wiring, p1umbing, gas heating, sewer or water. Be auee to see
1he Building InspeNor for wparate permffs for lhese items.
4
�, �'
� -r ;as+ ` — �� +.
- ��,-, -- � �;,
��aner's Name
�+ddress
No.
APPLIC�TION FOR BIIILDING PF�iMIT
CITY OF FRIDIEY, MINNFSOTA
�L!�"' - __ ,
r,nr.aTrnu nra Rmrnnvr.
of Lot
Lot Block Addition or Su'�livision
Corner Lot Inside Lot Setbaek Side4-Yard
SE`WEK ELLEOgTION FOIINDATION ELEIiATION
�4pplicant attach io this form Certificate of SirrgBy of Lot and proposed bui].din�
location.
To be used s:
� � �� �
, ,.
sq. Ft.
DESCRIPTTON OF BIIILDIATG
�
.Ft.�����
.� ,
� �" �. �. f � �' �. �. _ 1 � �' �
.
�
Type of Conatruction_ � Estimated Cost �����
To be Completed
The undersigned hereby makes application for a permit for the a�ork herein spec3fied,
agreeing to do ell work in strict accordance with the C3ty ard3nances and ruling of
the De�rtment of Bu31cl�.nga, and hereby declares that all the facta artd repreaentations
ataf,ed in this appl3.cation are true and correct.
� �Jl� s�I / � �.
(� Schedule of Fee Costs c�n be found on the Reverse Side.)
_ �.� �
��+..
��
_ _ > .r
BIIILDING PERMIT FEE SCI�EDUl�
Section 2e The Inspector of Buildings ahall, before issuin� aa�y per�n3.t ior the
erection of any build3::ng,.or structure, or for aay addition to e�+ ex�.atin� build-
ing or st�ructure, or for any alterations or repa3re t�o ac►�► ��d.st3,ng bu3lding or
s�tructurQ, upon appl�cation therefor, require the pa�ment by the applicsnt for
such permit of fees to the amount here3n be].ow set �orf,h and in the me�aer herein
provided ta-wit: '
2e1. For any sueh permit for the erection of any �ire-proof buildin�, o'ther thsn
a garage, �aarehouso, factor9 or graia e7:evator, or for the erection oi en�► fise-
proof addition, for similar occupancy, " to e,ny ex3.sting 'building ehe11. be et the
r�.te of �1.40 for each one thousand cubic feet, or fraot3on thereoi', in such '
cu�ics7. contonts.
202, For any suc�. perm3t for the ereetion of any fireproof �arsge� mat'ehouse�
�actory or gr�in elevator, or for the erect3on of anq fireproof addition, for
�-�1ar o�cuganc�r, to any existing building sha].1 be e.t the rate of �]..a5 f�
e�.�a one thousand cubic feet, cl�ss3fied as "firegroof" by 3ection �� of t�
?�Iinneapolis Building Code.
FQ? ;S.'�
2. 3 e �'or arry suc� permit for the
t��� Q �arage, w�rehouse, factory
c.�dition, for sirailar occugaacy,
e�.rh ene thours.n�i cubic feeto
Gt�:.'�.1'���5
erection o� aay noa-fireproof bu3lding otha�c
or grain elevator, or aay nor�f'ireproof
to any existing bu31d3ng. Permit �1.00 Yor
2-,�, For any such permit for the erection of any no�fireproof gar�ge, warehouse�
sa�tc�*y or g►.�a�n elecator, or for the erection of eoy non-fireproof addition, far
eim3lar occupan��, to any e�d.ating building or for each auch bu3.lding or additiofn,
Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubicAl
confi.ents thereof wi+h a mi�a.imum of �1�v00a
For the pvrpc�^ �f co�putir�� feea for building perm3ts the cubical c�ntonte of a�y
buiiding or addition to a un1."�rn noight throughout by multiplying the ground erae,
covered from a point si�c (6j inches b�low the floor line of the basement or aellsr
to thQ average heiglit o� the uppex surface or to the avera,ge height of the roof
surface o� the main gsble oi a pitchEd roofe
2,5e For repairs or alterations to �.:� existing structure' the fee she.t]. be at ihe
rate of �3000 for each Five HLr:drs�d IDollars (�500°00), or f�action thereoF in the
cQ�st of all proposed° works
2.6, In no ca.ae shall the feo charged for any permit as set forth in 5ectiou 2 ioe
less than �4.00.
��
- i� � � � �
��
r�
�
City of Fridley, Minn..
BUILDING PERMIT
Date: SEPTEN.�ER 7, 1966
•�"�'_- . i � -�� . � �
Builder SAME
Addres,s �„� �NC�Q �'�'R??ET N - E - Addrese
FRIDLEY, l!![INNESOTA 55432
�o
LOCATION OF BUILDING
No. 195 s�t HO'GO STREET N. E. __ Part oP Lot
Lot �2'�_ Block .�..___ Addition or Sub-Division _�VE�.�� H�zGHTS
Corner Lot _ Inaide Lot Setback _.� Sideyard
Sewer IIevation _________ ...._ Foundation IIevation
To be Used as:
RE-SHINGLING 130USj�ront
Front
Type of Constructfon
DESCRIPTION OF BUILDING
Depth Height — Sq. Ft C�. FL
Depth �Teight .r Sq. Ft Cu. Ft
� Fas� Cost �`2�.4.�____...____ To be Completed
�����
9001
In consideration oP the iasusnce to me of a perinit to construct the building described above I agr�e to do
the proposed work in accordance with the descrlpt3on above set forth and in compliance wlth af 1 provlafons of
ordinances of the dty oP Fridley. �o� /' �,, . A
In con�deration of the payment of a fee oP $ 4. 00 � p��t is hereby granted to �GO
SRRANDIES to cronstruct the buflding or addition as described abave. Thia permit is granted upon
the express cbndition ttiat the pereon to whom it is granted aad his agents, employees and worl�nen, 9n all work
done in, around aad u�n said building, or any gart thereof, st�all cbnform itt all respects to the ordinances of
FridleY� Minnesota regarding location, conatrueti�on, alteration, maintenance, repair aad moving of buildiugs
wlthin the dty ]imfts and thia permit may be revoked at any time upon violation oE any of the provisiona of eaid
ordinancea
(:T.ARFNCE BELISLE g�� �r
Nonc� �
Thb permit doa aet eevsr �hs eeesteoeNoe, halall�toe h� �rlAng, plumbiee, gn huHne, ssw�e e� w�Mr. B� wn fo a�
t6a Buildiu� Inspaetor }or ssparat� pannhs fo� f6ps Nsnn.
1�%v [ ]
A�N [ ]
�� � �
Q�nstruction Address
City of Fridley
R-1 Ai�ID R-2
Building Penait Application
�
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0
E�Efec;tive 5/L88
��� .�o�� y
IL�gal DeSCilpti�il3 " .
Owr�er NaQae & Address: Cc� �P s a/ - Tel. # -%%�/
�ntractor: �, �
Adc3ress :
Attach to this appl ication, a Certif i,cate o� S�uvey of the
lat, with the proposoecl oonstruction clrawn on it to scale.
�r� � ar�ova�.�rr
r�IV1NC AREA: r,engtli wiath Heic�t st�. Ft.
c�� �: Length widkh Height �. I�t.
DECK AREA: Length Width 8gt/Grotmd 9q. Ft.
�6:.
Q�rr�er Lot [] Inside I�t [] Ft. Yd Setback Side Yard Setbacks
�ipe of Gonstruction: Estimateol Co • 8
Approx. Completion Date : n'/, S�
�7 r�
� � J �� i $ . A � Alt. B
Proposed Driva�ay Width If New Opening,Is Desired: "7
' See Back Paa�
nATE: �� J ��APPLICAI�:�'(./G��
(�.TY DSE
Pe�it F�ee
State Surchatge
SAC (barge
Driveway Fscraw
Park Fiee
Sewer ltai.n Qzarge
TO►PAL
3P�UL�Af�I�dS:
S
�
�
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S
S
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T�.. � �.�%l��
F1ee Schedule on Reverse Side
5.50/51,000 Valuation
�550 per SAC Unit
Alt. �" or Al� '�" Above
�e Determired by Ehgineering
Agreeaent Neaessary [ ] Nat Neoessary [ ]
�= � � �. ���v�M �� �M:I�i�.l
The Chief Building Official shall, before issuing penaits for the erection of any
builoling or �ructure, or for any addition to any existing building or structure, or for
any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein prwided to-wit:
TOTAL VALUE
$1 to 5500
5501 to $2,000
52,401 to $25,000
�25,001 to $50,000
550,001 to $100,000
5100,001 to 5500,000
FEES
S15 (Minim�an Fee is S15 plus surcharge)
$15 for first 5500 plus S2 for each additional $100 or f raction
thereof, to and including 52,000
S45 for f irst $2, 000 plus $9 for each additional S1, 000 or
f ractio�n there�', to anol including 525, 000
5252 for first $25,000 plus 56.50 for each ac]ditiona7. 51,000 or
f raction thereof, to anc7 including 550, 000
5414.50 for first $50, 000 plus �4.50 for each ac�itianal Sl, 000
or fraction thereof, to and includi.ng 5100,000
$639.50 for first $100,000 plus 53.50 for each additi�al 51,000
or f raction thereof, to ancl including $500, 000
5500,001 to 51,000,000 52039.50 for the first 5500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including 51,000,000
51,000,001 a�d up $3539.50 for the first 51,000,000 plus $2 for each adclitional
51,000 or fraction thereof
���«.4 ��'i�,.� •� ��;,�..
. - . -- •
Alternate "A°: Renwal and replaoement a� curb and gutter only - Driveway width plus 6
feet times �13.50.
Alternate °B°: R�naval and replaoement a�f curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times �15.75.
��±; x �► � � • � a•:��� �,; � •��
Permits for construction will be issued a minimum of 24 hours f rom the time of
app].ication to allaw for proper review of the proposed structure and of the a�nstruction
site.
A Certif icate of �uvey of the lo�, shawing the location of the foundation once it has
been aonstructed will be requirec7 before prooeeding with the fraaninc�
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The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (,)
2. Is free from rust or deterioration Yes ()
3. Has no foreign objects lodged within Yes ()
4. Is securely supported Yes ()
5. Meets all current Code requirements for size and
total BTU connected
6. Has Total hea ting BTU's of
All other BTU's
TOTAL
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The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (X)
2. Is free from rust or deterioration . Yes (�
3. Has no foreign objects lodged within Yes (�()
4. Is securely supported Yes (�Cj
5. Meets all current Code requirements for size and
total BTU connected
6. Has Total heating BTU's of 1��� �
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TOTAL f� /�_
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suerecr NO.
City of Fridley 2 5 � 9 0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � COMMUNITY OEVELOPMENT DIV. CEIPT NO.
r � L � PROTECTIVE INSPECTION SEC.
� � ��� �
� ` �
, ����� � CITY HALL FRIDLE� SS43P NUMBER REV OATE PAGE Of APPROVED BY
�""'� � �'' 612-571-3450 910-F15 10/13/97 / /
JOB ADDRESS 195 Hugo Street NE
1 LEGAL �OT NO. 9LOCK TRACT OR ADD�TION
SEE ATTACMEO
oESCa. 42,43,44 A Riverview Heights SHEET
2 PROPERTY OWNER MAIL AODRES$ 21P PHONE
Warren Lamusga 195 Hugo Street NE 784-1079
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PFIONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PFIONE LICENSE N0.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
C� NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WOFK
Construct a 10' x 14' Shed
9 CHAN(3E OF USE FROM TO °
STIPULATIONS
Variance �if97-17 to reduce the side yard street side setback from
17.5' to 6.5' approved 10/8/97.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS ypLUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTiNG OF A PERMIT �SOO �p . SO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�21.O0 Fire SC �.SO
PLAN CNECKFEE TOTALFEE
r�e �22.0�
iAEO oN�RACTOFORAUTMOR12ED eNr IDATEi HEN PROPERLY VA ATED TNIS IS VOUR PERMIT
/�'���j s � �� G���
SiGNAT RBWLO i IDATEI BLOG i SP pFTE
NEW
ADDN
ALTER
r�
[I
[1
ConstructionAddress
Legal Description:
Owner Name & Address:
Conixactor:
Address:
LNING AREA,:
GARAGE AREA:
DECK AREA:
OTHER:
' C[TY OF FRIDLEI'
S[NGLE FAMILy pND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
��
Effecti��e .1 / 1 /97
Tel. �%��— l 7 �'1 CJ
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, .with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEl�7E\'T
�n� Width Height
Length Width Height
�n� r Width HQt/Ground
Tel. #
Sq. Ft:
Sq. Ft.
Sq. Ft.
�
Construction Type:__!!% �� Estimated Cost: $ �"�`x'
.
(Fee Schedule on Back)
Driveway C�rb C�t .Width Needed: Ft. + 6 Ft = Ft x$ � _$
DATE• APPLICANr- � G�..._— Tel. # ?c��(��Q'G>
Permit Fee
Eire Surcharge,
5tate Surcharge
iAC Charge
�icense Surcharge �
)riveway Escrow
srosion Control
'ark Fee
;ewer Main Charge
To�rA�.
r�E>ur.,��rto���:
CITY USE ONLY
$ 2% � Fee �heduie on Reverse Side
$ , �� .001 of Permit Valuation (i/lOth%) -
$ . f v $.50/$1,000 Valuation
� $950 per SAC Unit
� � $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt_ "B" Above
$ � $450.00 Conservation Plan Re��iew �
� Fee Determined by Engineering
$ Agreement Necessary [] IVot Necessary ( J
� 22� �'
0
_ 6UlLUli�it:.PF;[t�1['C rEE SCHL;llC'(.t:
"1'lic Cliief Building Ofticial shall, beCore is,suing pern�its for the erectia� ol� any Uuilding or �tructure, or i<�r
any addition to any existing building or struciurc, or for any alteration or repair to any cxisting buildin� or
structure, upon application therefore, require the payment by th� applicant for su�htpermi�� of fees to the arnount
herein below set forth and in the manner herein pro�rided toivit:'� �� ��` �� ''
TOTAL VALUE,
e '
� 1 t0 �5�
$501 to $2,000
�2,OU1 to $25,OOa
$25, 001 to $50, 000
$50,001 to $100,fl00
FEES • .
$21 (Minimum Fee is $21 plus suncharge)
$21 for fust $SOD plus $2_75 for each additiona( $1(}0 or
fraction Lhereof, to and including $2,000
S62.25 for first S2,000 plus $12_SO for each additional �1,000
or fraction thereof, to and including �25,OOD
$349.75 for first $25,000 plus $9.00 for each additional �1,000
or fraction thereof, to and including ��0,000
�574.75 for first $SO,t200 plu� $6:25 for each additionai
$1,W0 or fraction thereof, to and including $100,�30 .
$10�,001 to $500,000 � -.$887.25 for first $100,000 plus $5.00. for each additional
$l,��or fraction t�ereaf, .to and �including $500,000 .
$5.00,001 to $1,0(}0,000
� ' �
. � ; , .
$1,00O,OOI and�up
� $2887.�5 for the first $500,000 pius $4:25� for each .additiomdl ,. k�
$1,4Q0 or fraction thereof, to an� including $�1,(�0,000 : `� '.' �
0 . . e .. b .. n . . . .
$5012.25 for the fust $1,000,� plus $2.75 for each additional
$i3OQO or fraction thereof
DRIVEWAY DEPRESSION �ESCRO�V
(Concrete (�ub Streets Only)
Alternate "A"�: Removal and replacement of curb and gutter only - Dri.�eway width pius b feet times $13:50.
��,Iternate "B": Removal and replacement of curb and gutter and install a 3 foot wide �
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIF[CATION OF FOUNDATION.
::rmits for construction wil! be issued a minimum of 24 hours from the time of application to al(ow �or prop�r
-�� ie�a� of the proposed stiucture and of the construction site_
. t�er�it'icate ot� Survcv c�f tlie lot, st�owin�* the location of�the foundation ��nce it has it ha.r he:in const�-ucti�{
:+�_ r�yuirc:cl l��i��r� I�r�,::�:�•(jlil�` �ritii th� t�r:tmin�_
m
I � t
_ .. .� .�_...-. . _ ._.. _ ..._� . . �
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------- -- ---- --- ---------- - -- -- ---___�
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---- -- - - _ _ _.. . _�.-- -- - - - ��� Ca.�� -- -- _ __ _ _- -- ------_ __-_-- – -
----,�v�,s ��.,_�I,3,-�1� ---�dlc��K ����v���� �� ��� ____
---- _ � - - - - _- . _ . ... .
.
.
-_^--= -5�=�3'--_ -_-____-_._ _.__--_� -- - --- -- --- -- ----____-.---_.A-f
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ARROW
�,��►��,
a s�o�e e�an,�s.
THE H�. Y�]�Ca�01�
�; �-
!�
�G�
��--���-5.
.. ,,S
_ zx4-
e�
�.�.
. - - .----__ _ -.-__.___s._. __ __
�_ �`."5 YEAR LIMITED WARRANTY LX1o8— 0 2686210025 2
. -. ,,...
' Your Arrow storage building is backed LX1014-0 26862 10024 5�•
. ,�,' ,::,.,�: by:an exclusive 5 year wazranty Wall Color: Eggshell with taupe door frame trim.
'k �� Roof Color: Taupe
For warranty,or customer service information, write:
` ` Arrow Group Industries Important Leuington foundatiott kit iniormation:
.' : Highway 50, East . Lesington Proper Arrow foundation
; ;; :� Breeae, IL 62230 � M�del # kit model to use
�:' :�:�; ��Attn: Cuatomer Service Dept. LX108 • FB109
� . LX1014 FB1014
The PROTECTED BY RUST-OLEUM aymbol means that your Arrow atorage building ie protected by painta and
coating applicatioua wliicli liave met Rust-Uleum's alriiiyent testing atandarda {or ruAt and moiature protection.
SUBJECT
City of Fridley
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
i �
� �
� • COMMUNITV DEVELOPMENT DIV.
� �,. -
r � � PROTECTIVE INSPECTION SEC.
� _ �"'t � CITY HALL FRIDLE� 55432 NUMBEF t+Ev
�"""'� � ,�' 612-571-3450 910-F15
JOB ADDRESS
195 Hu o Street NE
1 LEGAL LOT NO. BLOCK TRACT Ofi ADDiTION
DESCR. �+2,43,44 A Riverview Heights
2 PROPERTY OWNER MAIL ADDRESS
Warren Lamusga 195 Hugo Street NE
3 CONTRACTOR MAILADDRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDpESS
5 ENGINEER MAIL ADORESS
DATE
10/16/97
IIP
ZIP
J
25E04
,�/�/ �
OF APPROVEO BY
/
SEE ATTACNED
SMEET
PHONE
784-1615
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDOTION �] ALTERATION O REPAIR ❑ MOVE O REMOVE
B DESCRIBE WOFK
Alterations to breezeway
9 CHANOE OF USE FROM
STIPULATIONS
TO
See notations on plan.
�P1��'A1� 1�ERr�11TS REQUI� f��
.�llRrrl�, t;::��r���G, P�Lr,�atr�G At�D 5���
riPE OF CONST.
SEPARATE PERMITS ARE REOUIRED FOR ELECTfi1CAL. PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 OAYS AT
ANY TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8�000
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 137 . ZS
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �
CON7
ORAUTNOR�ZEDAGENT IDATEi
�DATEi ?
��
CU. FT
OFFSTREET PARKING
IGARAGES
SUFYAX
$4.00
SAC CMARGE
Fire SC $8.00
TOTAIFEE
$149.25
:D THIS IS VOUR PERMII
�~ � � 1
LOAD
N E�V
ADDN
ALTER
tl
[1
(1
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: ,��P�
Construction Type:
. ' CITY OF FRIDLEI'
SINGLE FAM[LY AND DUPLEXES R-L AND R-2
. • BUILDING PERMIT APPLIC�TION
/� ��
Effecti��e 1 / 1/97
� ��
� �
� �
�
�� Tel. # � �/— ���5 �'/
MN LICENSE #
Tel_ #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEAZE\'T
Lengrh � Width Height S.q. Ft.
Length Width Height Sq. Ft.
�n� Width H�t/Ground Sq. Ft.
. n , z. ..L:. 1 _ _ �, � - - � e .�-: .
� �
O Fstimated Cost: $ �� �
(Fee Schedule on Back)
Driveway C�irb Cut.Width Needed: Ft. + 6 Ft = Ft x$ - _$ �
DATE: � �� APPLICANT: �2.� �it �' � Tel. # � �
.� �
CITY USE ONLY �� � l� 7�� °"'
'ermit Fee
�ire Surcharge
itate Surcharge
iAC Char.ge
,icense Surcharge �
)riveway Escrow
:rosion Control
'ark Fee
ewer Main Charge
TOTAL
�['[PU1_n'l'IONS:
� /�%. �-�. Fee Schedule on Reverse Side
$_ �. C)C� .00l of Permit Valuation (1/lOth%) �
$ � Cd � $.50/$1,0� Valuation
� $950 per SAC Unit
� $5.00 (State Licensed Residentiai Contractorsj
� Alt. "A" or Alt_ "B" Above
$ -$450.00 Cot�servation Plan Review
� Fee Determined by Engineering
� Agreement Necessary [ ] Not Necessary [ ]
� / g, ���
�
f _.
�;v«,u�,�c. ��H;�t�irr rr?E SCHEsDC�i.��.
'l�lie Chief Building Officiai shall, before issuing �ern�its for the erection al� any Uuilding or structure, �r f<�r
a�iy addition to any existing building or stcucture, or for any altera�ion or repair to any existing buildin� or
structure, upon application therefore, require the payment by Ehe applican� for such permit of fees to the amount
herein below set forth and in the manner herein provided to-�vit:
TOTAL VALUE
$1 to $500
$501 to $2,000
�?,OU1 to $25,000
$25,001 to $30,000
$50,001 to $100,000
$100,001 to $500,000
$500,001_ to $1,000,000 .
$1,OQ0,001 aiid -up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for fust $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,�00
S62_25 for first 52,000 plus $12_50 for each additional �i,000
or fraction thereof, to and including �25,000
$349.75 for first $25,000 plus $9.00 for each additional � 1,000
or fraction thereof, to and including ��0,000
�574.75 for first $50,000 pius $6.25 for each additional
�1,000 or fraction thereof, to and including $140,(�0
.$887_25 for 5rst $1�,000 plus $5.00. for each additional
$i,(�IO�or fraction thereof,.to and including $500,(H?0 -
$2887.25 for-the: fust $500,000 pius $4:25� for each.additiomdl
$1,OQ0 or fraction ther�f,� to and including $1,�,000 `-
$5012:25 for the fust $1,000,000 plus $2.75 for each additional
$1,OQ0 or fraction thereof �
DRIVEWAY DEPRESSION ESCROW
(Concrete G�urb Streets Only)
���
. • .. ''�,�
Alterna�e. "A"•: Removal and replacement -af c:urb and gutter only - Drive�vay width plus b feet times $13:50.
4lternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet ti�nes $15.7�.
VERIF[CATION OF FOUNDATION
'crmits for construction will be:issued a minimum of 24 hours from the time of application to aflow for pro��r
�:view of the propased sU-ucture and of the construction site.
��:�ertil�icate of Survey <if' tllc lot, sliawin� the location of tl�c foundatian c+nce ii has it has hc;Ln constf�uc=i:t!
.:+�� rc:c�uirccl t,�ti�re i�r<r_:���•<jiil�� l\'li�l lllt framin�.
� � �
� � �
� - � -� �
1 � �
��
�,
� � �
� ��
.. . � �
�
_ _ __ ._ �-
,
G' �'I `i/1 hSc/Yt �S �G':�
c�
�7��j- /C� �� c�
( [ ✓ / L V ���a�
�
<J�� �i�
a
� ���
��� �����
f 3"x y 4 C.��t �.►�..� �
./�� ���'� � � ���i���'�'� �`�
;
�i-v,,� c S C ��%ll�:= ��'��
�'�1y'
���� �� �
T "��
� C �v'�
' .� r o� �i�
�
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1 ---� ,���.�
.
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.. oP�'` ;'`� �,�
'�i(o v
� �� �
�_ _
,_ �q���
��r�"
-� �J
n-� ��, �
�►''���„1��.C1 ��
c./��
�
f�:� � �, ��R�✓
r�
3�
_
���
�,
�`
��.
A+�
C�.ne�t�w� ��
��v�� �
���
, �e���P
�� J _
� �
�
�/� //���i
l
�.
C ur1'er� �� 1v�/ Cvn s�: o� 1</O" �u n,� i" �`i P//' .�n��`i l('�.� C�i�
. �
����5e�: �,�e fl� �'l�i r''.
s �P� ���,� w,.�� � ��,
�o t i��" � /�
�^
:,
I�e� cP�'// ` �i��' /� w.l�% �'
� �
/(o '' �•, c f i, v� i�' �' Fl�,u.; �
� �'y��
a SUBJECT
City of Fridl'ey 2 6� 9'I
AT TNE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � O.
� `v _����_ COMMUNITY DEVELOPMENT DIV. � Y ��
r � � PROTECTIVE INSPECTION SEC. �
l..-_ w�����,•, CITY MALL FRIDLE� $S43i NUMBER NEV OATE PA6E Of ApPROVEO BY
L J� b12-571-3460 910-F1S 7/29/98 / /
JOB ADDRESS 195 Hugo St
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED
DESCFi. /{2,43,44 A Riverview Hei hts SNEET
2 PfiOPERTY OWNEFi MAIL ADDRES� 21P P}iONE
Warren Lamusga 195 Hu o St 784-1615
3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO.
awaer
< ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII AOORESS. ZIP PNONE UCENSE NO.
B USE OF BUILDINO
Residential
7 CLASS OF WOqK
❑ NEVY C� AOOITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOAK
Add deck 432 S
9 CHAN(iE OF USE PROM TO
STIPULATIONS
See notations on plan.
������
8efore diggirrg call for
el! ufility IocetlO�S
�EQU��RED By
LA1�V
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBIN(i, MEATING. �PE OF CONST. OCCUPANCY aROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION 20NINd SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PEfiIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATtON STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yq�UAT10N SURTAX
AND ORDINANCES GOYERNING TMIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OFi NOT. TFIE GRANTIN(3 OF A PERMIT 3 OQ ], ,
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI TNE pERMITFEE SACCMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATINO CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 87 , Z,rj 3. 88 Fire SC
PLAN CMECK fEE TOTAL FEE
S�GN CONTRACT AUTMOf11ZEDAGENT �OaTE� N P PERLY VA ATED THIS I VOUR PERMIT
.�. i
Si NAT � OF piOWNERBUILD i TE� BL �NSP pl.TE
NEW
ADDN
ALTER
[l
[]
[l
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY -AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
. �•� �i�
�Qi
�•� ��0�
�
C�c� �
Owner Name & Address: � Tel. ��
Contractor: /il�_ MN LICENSE �
Address: , Tel. �
' � Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
�
��,
l�' �
_ �
DESCRIPTION OF IlVIPR�VEMENT
% � ! / �, 'I
L : Length –� ��— Width � Height Sq. Ft. ,�/ ��
i
: Length �� Width � Height Sq. Ft.
DECB AREA• � Length � Width �� Hgt/Ground Sq. Ft.
OTHER: �:
Construction Type:
Driveway Curb Cut Width Needed:
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� ���
$ 3
� � 9�
$
$
$
$
$
$
$ ' �F ��
Ft. + 6 Ft =
, 9�7
� � � � 3,��s �y
►timated Cost: $ (�; ��� �
� �
(Fee Schedule on Back)
_$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.� Conservation Plan Review
Fee Determined by Engineering �
Agreement Necessary [] Not Necessary [ J
.�{ ���
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,0�
$25,001 to $50,000
$50,001 to $100,0�
$100,001 to $SOO,OQO
$SOO,OU1 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,�0 plus $12.50 for each additional $1, 000
or fraction thereof, to and including $25,000
$349.75 for first $25,OQ0 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for``first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,�0
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1, 000 or fraction thereof, to and including $1, 000, 000
$5012:25 for the first $1,000,0� plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the locadon of the foundation once it has it has been constructed
will be required before proceeding with the framing.
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The �ome Depot #2802, 5650 MAIN 5�., N.E., FRIDLEY, NIl�T 55432, (
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C�OMMON VENT� 1/�Ni C_ ONNECTOR AND COMBf��T ON A.lR VERtFICAT�QN_
VVl�hhen rgplacinaan exist�n��a�ac�. Qhe undersigrtad hereby rr��s t��t �e
venting has been examin�d and is free �rom a�ast, deterioration, obstrua#ions,
and is secuce(y supported arZd fires#oppecf where requireci. Yes (�'j�No {)
The vertting system +s ptasti�:l1'VC and eneets ai! cuRent codes and manufachtrer
spec�icatwns including sizietg, ier�gth, �umber of eibows and terminatior�. Yes (.a'No ()
The undetsigned also ve�if�s tt��t the replacement unk Is a listed assem��
and meeYs the current c�odes �nd manugac#uc+ers specifications. Th1s do�s
indude AOA-GAMA Category ! Genbr'dl Fumace Ventin� Tables fcr fan
assisted and natural draft appliances.
The existi�p eambastton atr is gized �nd installed to meet the current �es
and mant�cture�s specific�tions.
When �equired to lnslatt � e��v�r ao�l¢ustion air, it wi11 be sized and insEalled
To meet tne cutren3 codes and ;nanvfacture�'s specifiCadons.
Yes (�1Vo ( )
Ye9 ( �,yFo ( )
Yes ( y'Na ( ?
When i�stat{inq�.n�+v vee�tir►a svst�rn, 9i�e under5igned hereby ver�s tha4
it is a Nsted assembiy and meets the wrre�t cades and manufacfurer's
speci5ca11ons. This does i��tde I1GA-GAMI� Category 1 CenVaf Furrta�
Venting Tables fac tan assisted and naturat draft appi'ianees. Yes (�Ho ()
Is the commo� vent and vent connec.tors �iaed and installed oorrectly atter
an appliance has been' rer»aved �'rore� the ;.�mmon vent �nd vented
separate�t as per cunrent caies. Yes t to ()
Annli�nc� % and SixelCotnmrtn Vgnt artd Vent Connecto� {nformazion
Ap�llance #1 Type ��i�--�-__ ��U (npui an 1�ssisted or Nat
AppUance #2 Type � _ �TU Input Fan a�sststed or Nat �
Apptiance !�3'�ype _ �TU inpt�t Fan Asslsted or Nat
Total qppiia�ces � Totai �tu [r�u4 _
Cammon Ver►t Type
Vent Height _ Oiarvaeter �____, irtr�es
Applian� #'1 Vent Connec;tor Height i# Le�gth ft piameter in Type �,
ilppliance #2 Vent Connector Height �t 4.ength � Diam�ter � jn Type , _
AppllarKe #3 lOeR# C�rts�ector N�igh� f� Length i4 t}iameter in ?ype
AL1'EFtg,7iONS: �6esc��A ° fe._ ^.
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CIZYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Apri127, 2�4
Ms. Rebecca Brannan
195 Hugo Street NE
Fridley, MN 55432
Re: Final Inspection at 195 Hugo Street NE
Contractor: CenterPoint Energy/Minnegasco
Dear Ms. Brannan:
A plumbing permit was issued on August 21, 2003 to install copper piping to the water
heater at your address. According to Section 4715.2800 of the Sta.te Plumbing Code, a
final inspection shall be conducted on the work authorized by this permit. As of this date
the inspection has not been requested.
The permit fee tha.t was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your pemut open for another 30 days and if we do
not hear from you witin this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to ha.ve any questions answered, please contact the Building
Inspection Division at (763) 572-3604.