AF - 47553�
C�
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City of Fridley, Minn.
BUILDING PERMIT
�� �- � .� � ��
N° 6964
Date: _.._._.�-'.-._..�.. ^— (�.�_� �
Owner: ___..r�� ..___.__..._.._.._..._._._. Build ..:_� .__._.. ..._..__........��� ••••--�C...._...._...__._..._._.�._
Addresa.._._._._...._.._.__._..___._... ._...�...__.__._...__._._..___..__..___.._ Address _.__._._..._..._....___....__..._..___w____.....____._..... ._._.
Sewer Elevatian __.___.�___...__...._...._.•-•--.______....._..__._._ Foundation Elevatian ...._..__. _..._..�
� DESCRIPTION OF BUILDING
T Use@ as• � /
_ Front �.�2..._. Depth �•-.Q._�l Height .�_.. Sq. Ft ,!� Cu. Fy�SL�C.��
._....._._..___..__....._.._._._.._. Front _...�__.._._.. Depth _._._._. Height __... �.� Sq. F't. _.._.r.._.._. Cu. F'�.
Type of Construction _. .._.. ... _.. . . .. _.. Es� Cost��.����,�. ✓To be C�pleted ....._____
Ea consideration of the issuance to me of a permit to construct the building described abave, I agree to do
th� proposed work in accordance with the description above set forth and in compliance with all pravisions of
ordinattoes of the city of Fridley.
� c_°�• . /?T�,��-°����i
In c�sideration of the payment of a fee of �...���.., permit is hereby granted to
to construct the building or addition as described above. This permit is granted up�
the express condition that thepe rson to whom ft is granted and his agents, employees and worl�en, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o�
Fridley, Niinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this pernut may be revoked a t any time upon vio1� of aqy of the provisio�na of said
ordinances. ll _ il / 1
Buildin8 Inspecto�
NOTICE:
lfiis p�nnir doa aot eov�r th� eonsfroeNoe, install�Non fer wirfno. P����Y. Yas h�Nin�, swv�r er wN�r. d� wn /o sN
�� duiWinB In� for s�p�nN p�neils for fh�a ibms.
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, . AP�ICATION FOR $iiILDING PERM�T �; �:�
� r.
. CITY,OF FRIDLEY, MINNESOxA ' �
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UWNL�R � S NL41� n.i�' .> /����'/� -. BUII.DER A�/1'��iJSs�C�I `
� � � , , -��i' - •.. '
.�'� � c�-w-�9Z�., ADnR�ss1�.��c����,��� �-
T
Loca�oN ag guu,�ir�a '
No. �5 � o�-. ,� : S�reet ..f� . �� ��,�p I�q ��
,� �.� = ��. �,� ast �:of t�`�.3
Lot _7'"�(�. B,lock,: C AddiCia� ,o; Subdivision �.� ��,%,�,��`,�� -��_�-
. , , �/ . ,r _
Corner LoC Inside Lot L- Setbeck ��-�. Side-Ya�ct. %D `- /��
----.— �._. _....�_r...
SEWER BI�EVATION �`�` • �"9H�N ELSVATION . r . '
i v r
AgpliGastt attach..Co t�f�ia�rni : a Qerti.ficatee of Survey:.of Lot and prop build-
ing location drawn.on thca,e.�Certificatea.
:•s : ,
DESC�IPTION OF BUILDING
To be used as;
0'".� � . . . _ . � ; / - � �f .. � . . �
�-e�� .. . � � � Froat� . � Depth . r� Iiaight 8
' _ Sq. Ft:.� /Oo�, � Cu.. �t.� —
- _ ,. � -.. � . �,
Front ��� Dspth .�8:�9 �> Height
, . . 5q,. Ft. /�°p�� . Cu... Ft-. ., _
J ( L�
Type of Constructiop ��.� :__r�; P.stimated Coat�i��d4 - ,,w.
To be. Campl�ted . �::c�,� ��_' �1�� . : , . . , . .
�-
The undersigned h�reby makes application for a�eraait for the:work hereiq.specified,
agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and
rulings �f the.Departmeat of.8u�ildings, and hereby decl¢.�ces. tb�� atl the facts and
represeatations etated in this applicatioa are true and correc.t. , ,
—�i� SIGNATURE °����� - �.� /� �
�,'Schedule of Fee Costs caa be found on the Reverse Side).
. _.. y � ' ' ' • .. " ,.
SUBJECT PERMIT N4..
City of Fridley ° 232
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
' � ti: -
r � � PROTECTIVE INSPECTION SEC. J_ Q/��
1 i l� O J
� � /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
: "".�: `•J
612-560-3450 910-F15 � �
9 '21 .73
JOB ADDRES
�2$ Janesville Street N.E.
1 LEGAL LOT NO.�'� BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 57&58 F Riverview Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Elaine O. Tenney 528 Janesville Street N.E.
3 CONTRACTOR MAI� ADDRESS Z�P PHONE IICENSE N0.
4 ARC!-IITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Construct 24 x 24 ara e
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 bESCRIBE WORK
9 CHANGE QF USE FROM TO
STIPULATIONS
Provide a hard surface drive
`;�PE�ATE PERMITS REQUIREa FOR �111RIiVG,
: �� ,ATi���, FLU���BIlVG AND SIGNS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OF AIR CONDITIONING. WOOC� fram
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTI-IORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 576 5, 760
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. All PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITFi WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 CO9. ZH ��..30
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGf
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $1�.. OO
PLAN CHECK FEE TOTAL FEE
12.30
SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT 1DATE1 EN PROPERLY VALI TED THISVS YOUR� MIT
/
� 9- z!• ,23 /
SiGNATURE OF O ER IIF ER BUILDEFiI IDATEI � ' DATE
APPI,I:;�TION FOR i�LSIllE;'�`I'I�L, AL1'EIt�1'I�!:�`,
OK �1i)lll"['I0� I3UII,I)ING PERM�IT
C:I'1'�" OF 1-1:lULl.:i', '•11:'�tiF�SJ'['�
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A�Q s°�...__—.— CJTlW' J'.+1 :
T�Q'� ��,�%tf c�JrT' BLOCK ; V
� � ADDTTION� � �
CORN�R LQT: INSIDE 1�OT:��SETBACK: SIDEYARD;
Agp].ican� attach to this form 'I�ao Certificates of Survey of Lot and proposed
bu�.7,dlrig location drawn on these Certifi.cates. T
DESCRIPTI�N OF BUILDING
To Be Used As:
ti�� Front : � Depth : 2-9 � Heigh� : ld/
1
Square Feet: �?'li Cubic Feet: �%G a
Front: Depth: Height:
Square �eet; Cubic Feet•
�.'y�p� of Constxuction: ��,,.�,,� Estimated Cost: $ �DOp, �
To Be Completed: �9� 1�� 9�J'�
r--
The undezsigned hereby ma.kes applicatinn for a permit for the work herei.x�,
spec�.fied, agreeing to do a11 work in stfict accoXdance with the City of
F�i.dley Ordinances and rulings of the Department of Buildings, and hereby
declares �hat -i11 th� facts and representations stated in this application
axe true and � urr�-c t.
DATE : —..��; � 9 �.3
(S�a Reverse Side Foz Additio�
1 % . �o � .� � � .� ~t
/ •3 ° : S%` ���,
�t �•3 �
SIGVATURE: �
al Information. ) � � � � � OA� � t� � �"r�.
D t� �� •�� � T` °'S
S c� n� /�/ s/�-e� � R c�, �
,�' •
f �,S , `� ,����� v e,.,_ �
560-3450
l.�it o ��id�Ce
� �
ANO�KA COUNTY
6431 UNIVERSITY AVENUE NE September 20, 1973 FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
If frost footings are not to be provided under this garage, at
528 Janesville Stteet N.E., Located on Lots 57 and 58, Block F,
Riverview Heights Addition, Fridley, Minnesota, the undersigned
agrees not to connect this structure to the existing house.
WITNESS:
! ` �♦�!i �, � � . �
, -
�_�, ; _ � � / `, /
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0
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C1TY OF FRIDLEY . Effect�ve May 1, 1990
APPLlCATION FOR F'OWER PLANTS AND HEATING, COaLlNG, VENTILATION, REFR[GERATlON AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
QESTDEhTEAL �
Furnace 5he11 and Duct Work,
Burnez (uso roll�caaent furnace)
Gas Piping
(pipinq n�eded vith na+ furnace)
Gae Range �
Gas Dryer
EtATE TO'fAL
$ 20.00 S 2�.��
$ 10.00 $
$ 10.00 $
S 14.00 $
• Air Conditionfnq (all ei'zeel $ 10.00
All Others/Repairs and Alterations
l� of Value of Appliance or Wcrk
CONMERCIAL/INDUSTRIAL
1f of Value of Appliance or Work
State Surcharge
TO'PAL !EE
Reinapection Fea ($15.00)
Rough Irt�p.
Date
Finel Inap. V 'l�" U
� Date V
Approval for Pe=.nit -��1i`�r
0
•Air Conditioners can not bc {�larcd in �.►c:e yard vitl�out
vrl[ten prisission [ras ad�oiniiq rw:�yl�bcr.
s 10.00
��
S
Job Address 528 Janesvi 11 e Street
DeNartment oE Buildings, 6431 University Ave. N.E., Fridley, MN 554�2
City of Fridley
Tel. M5�1-3450 '
The undersiqned hereby inakes application for a peniit for the work hereSn
specified aqreeing to do all work in strict accordnnce wlth the City Codes
and rulings of the Depertment of euildinga, a�d hereby declarea that all the
facts and repreae�tationa stated in this application are true and correct.
Fridley, c�.t�n. Anl^71 26 , �9 9Q'
OMNER E1 ai ne Tennev
KIND OF BUILDING Frame
usen As Res i dence
1`0 BE COMPLETED A80UT _
ESTIHATED COST 3� 516 . ��
$ .50
OLD - NEN BUILDING PEPNIT N0. _
530.50
$
PERMIT N0. �
DESCRIPTION OF FURNACE/BURKER
HEATING or POWER PLANTS, Steam, Hot Nater, Na[w Ait- No. Wci1"RI AlY'
Trade r��e Carrier s�Ze �. 60,000 BTU
Capacity _ Sy- Ft. EDR BTU 60,000_ HP
7bta1 Connec[ed �,oaa _44e2ZO Kind of P�el Ci.dS
BURNER -'rrade N3me Carrier s,Ze No.
Capacity Sq. Ft. EDR ezu _ 75,000 HP 1/3
c��>a�y De end bl e Ht
,,
Slqned By ,•`�
T�i. r�. 757-5040
fill out back side for stack verification on replacem ent furnaces
ADDRESS
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57Z-36U4 r'AX:
: 528 JANESVILLE ST NE
PIN : 033024230041
LEGAL DESC : RIVERVIEW HEIGHTS
: LOT 55 BLOCK F
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK
571-1ZI37
, ..._.,�.
PERMIT N�.: 2004-0080 �
�---
DATE ISSUED: OS/04/2004
VALUATION : $ 1,391.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 14' X 8' DECK AND A PATIO
DOOR..i������.: ; , � :. .
STATE LICENSED CONTRACTOR 1
APPLICANT
DAN BAR HOMES LTD
2708 CRESTWOOD CIR
HOPKINS, MN 55305-
OWNER
ALASPA, IONE
528 JANESVILLE ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and lrnow the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
will be complied with whether speci ied herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construcrion.
Applicant Date
Bldg Insp Date
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
TOTAL
�
SEPARATE PERMITS REQUIRED FOR' WORK OTHER THAN DESCRIBED ABOVE.
50.95
33.12
1.39
0.69
5.00
91.15
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
eITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�63) 572-3604 FAX: (763) 571-1287
: 528 JANESVILLE ST NE
: 033024230041
: RIVERVIEW HEIGHTS
: LOT 55 BLOCK F
: BUILDING
: RESIDENTIAL
: DECK
r,.._..... _�.. .e
PERMIT O.: 2004-00613 ;
DATE ISSUED: � 04/2004
VALUATION : $ 1,391.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 14' X 8' DECK IN SIDE YARD.
� ����� � �� '��
�
APPLICANT
DAN BAR HOMES LTD
2708 CRESTWOOD CIR
HOPKINS, MN 55305-
OWNER
IONE, ALASPA
528 JANESVILLE ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applic t Date
,r� D�
Bldg Insp Date
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
SEPARATE PERMITS REQUIRED FOR WO�IC OTI�ER THAN DESCRIBED ABOVE.
50.95
33.12
1.39
. !�9 -t�:e�ar-
_15�6'
9i �"
RFR-26-2��4 1Q��8 FR��4 CITY OF FRIDLE`�' TO
M�/ ( j G1TY C?F FRIDL�`(
ADDN .�]' 6431 Universiry Ave NE, Fridiey, MN 55432
ALT�R [ j $INGLE FAMILY AND DuPLEXES R-1 AND R-2
$UILDING PERMIT AFPUCATION
�n�����,�d��: �aa_ ��; j�
�1�8�9�513 P.02fa�
EfFectivE 411/2�����
{763) 572-3604 �ildg Insp
{763) 57't-1287 Pax
.,
�° y � '. ,✓
yJ/..,
L�gai Descy'iptio�n: �N
Ovuner Nam� 8� Addcess: Tet. #� 7��?'
GOntraGtCC: L-'�' MN L[CENS� # g����'
Address: .� � .v.v �5 Tei. # _ % ��v�6��20� C
�7f� Ci2�'-�� ���t t�is t�i���, a CerCif�ft of Survey of the ����s�� ��
bt, wAth the proposed constructian dravm on it to scai�.
DESCRIPTION UF IMPROVEMENT
Ll1tiNG�AREA: Length �,_,_,,,,�. wdth _,. Height Sq. Ft.
GARAGE AREA: Length Width He�ght _,,,___r___ Sq. Ft
t?e AREA: Length �,_ Width __�, HgtfGrvund � SQ. Ft, ��
,
Canstruc�ion Type:, �(.��— _ Estimate� Cast: ���'�" ���/, O 7
Driv�v,ray Curb Cut Wicith Needed: Ft + 6 Ft = Ft x� =$
oarE: ���"v �} APPL�caWT: �� Tel. � �v �-��v ���f'
Cail (763) 572,3604 for Permit Fees if mail�ng in appEication. �'ax to 763�571-1287 if using credit c.ard and we wiii caQ
you for ca�d numbe�.
C1Ttr usE oN�Y -
P�rmit Fee
Plan Review
Fire Surct�+�rge
State Surcharge
SAG Charge
U�nse Surcharge
Curb Cut �SCrow
Erosion Co�tcol
Parlc Fee
Sewer Main Gharge
TQTAL
� .
� ��� � a
$_.r..�.t �
$
�_
.�_��� oa_
$
$
$
$
� -/ / • �
�e€: Schedule on Reverse Side
65% of Perrrtit Fee
.00i of Petmit 1/aluation ('1/10th°k)
�►.50/$1,000 Vaivatian
$1350 �r SAC Unii
$S.DO {St2�te l.icensed Re�id�ntial Gontractorsj
Alt. "A" or A�t. "B" Above
$45fl.00 Consen�ation P{an Review
Fee Defermined by Engine�ting
Agreement N�ssary [] Not Necessary ( j
STIRULAT14.�l�
AP'R-26-200�4 MON 10 � 55AM ID: DAN-BAR HDi`1ES � L�'D ��: �
B. H. BRADLEY ,,,,(( �+'
CIVIL6NGINfi6RANDEURVEYOR ��'�`�/�� J��� ,�`^'f�tE� �,�: `Jy,iy�
� �!{�► L� ��„A' I r►
l82Y - 247N AVENUB EOUTH
MINNfAtOL// �, MINN, / y 4I /_���, I��I • I I
��ir ii�
T4• {�W
rA11KWAY 4-21N
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Building
Inspections
763-572-3604
763-502-4977 FAX
DATE /'��Wtj
SITE ADDRGSS
THIS APPLICANT 1S:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STA'1'E LICENSE
PROPERTY TYPE
PERMIT TYPE
� OWNER
BUILDING
RESIDENTIAL APPLICA
ADDRESS:
PHONE:
CITY OF FRIDLEY
EFFECT[VE 1-1-OS
YOUR E-MAIL ADDRESS
�ONTRACTOR
PHONE (��j�
STATE LICENSE #
�.SINGLE FAMILY/NEW CONSTRUCTION
❑ TWO FAMILY/NEW CONSTRUCTION
❑ ADDITIOIV O GARAG
❑ BASEMENT FINISH �`,�,JtOOF
❑ DECK � SIDING
���� = ���z, �
Permit No.: �` � ���
Ef}�- eceived By: ��� �
Da d�' P
ITY ��� p��(� STATE�_Z1P
_ _--�
�i S • /CITY ' �� lV TATE�
_ FAX lX S � � �Q� "" t.XJ- /S
EXP DATE
SIZE
STOR[ES
❑ WINDOWS
❑ DRAIN TILE
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDI1'ION
'�MA[NTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
STZE OF IMPROVEMENT LENGTH WIDTH
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES '� �HOUSE & GARAGE
GARAGES ❑ ATTACHED GARAGE
PROPOSED SI"l.E: ❑ DETACHED GARAGE
PROPOSED HE[GHT:
HEIGHT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Pian
2. Proposed floor plan
3. List of structural members to be used
S DING FOR NEW CONSTRUCTION INCL.UDING DECKS,
❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT•
Q Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures
❑ Other ❑ F�C18 and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE STZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL �EES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUA1
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due �'
(USING THE 1997 UBC FEE SCHEDULE)
OCCUPANCY TYPE
$ See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ .001 times the total job valuation
$ 'L .0005 x Permit Valuation Minimum $.50
$ $5.00 (State Licensed Residential Contractors)
$ $1825 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
S o�l Make checks payable to: Citv of Fridley Attach
THIS IS AN APPLICATION FOR A PERM[T-NOT VALID UNTIL 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 Constructio odes; t t rstand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work wili be in acco it ppro p n e of all work which requires review and a pr val of pl-ajns. p�� F
SIGNATURE OF APPLICANT PRINT NAME r,� ��-��1%� I-L�, � I►+ v i v DATE G�2' V
APPROVED BY DATE