AF - 47681.
City of Fridley, Minn.
BUII.DING PERMIT
Date: . . .% v . . . .°.�. �. " . .�.�. . . ! : . . . . . . . . . . .
Owner.......................................
Address.....................................
.
N° 3508
Builder.��.. ...........................
�Address .............................................
� LCaCATION OF BUILD[NG
No. . 2. a �. . . S�t . ,,1�.����. . � Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot . . . .�. . . . . . Btock . . . . .v�, . . . . . . . . Addition or Sub-Division � . . . . . . . . � . . . . . . .
Corner Lot . . . . . . . . . . . . Inside Lot x . . . . . . . . . Setback �. �.—�� y . Sideyard % � . ( � .� . . . . . . . . . . . . . . .
DESCRIPTION OF BUILD[NG
To Used as•
�Q �` ,(/` / r. �/� �/ //; � �� /n�� ��Q AE�
��W�,�,�:Gk!�. . . . Front 1. ./ � � Depth �:f . !? Height !. .T. � Sq. Ft. •-x G�.i. Ft. .
CJ
.................... Front ........ Depth .. Height .. Sq. F't. ........ Cts. F`t. ........
7jrpe of Construction . . . . . . . . . . . . . . . . . . . �s� �[ Q� � 7 V . T . �. . . To be Completed . . . . . . . . . . . . . . . . . . .
In consideration of �he iss�uance to me o! a permit to constr u esribed above, I agree to do
the proposed work in accordance with the descrlption above t f mpliance with all provisi�s of
ordinances of the dty of Fridley.
.!!�b
In consideration of the payment of a fee ot $.�/......., permit is hereby granted to ...................
. . . .. .. .. .. . . . . . . . . . . . .. . to construct the building or addition as described above. This permit is granted upon
the express condition that the person to wharn it is granted and his agents, employees and worlunen, in all work
� /' done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
V Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buffdings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
. .o 'f-� ��. �3t`r! . �y[. . . .� Builcling Inapector
NOTICE:
This permit does not cover the construction, installation or alteration for wirinp, plumbiny, gas heating,
sewer or water. Be sure to aee the Building Inspector for separate perm(ts for theso Items.
City of Fridley, Minn.
BUILDING PER�VIIT
N° 518>
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nate: ....�'_""_�� � ..�_ ._.___ ._._. .
_ _... _. _
Owner: _._����. - _ - _--_ __ ._ Builder - ••• ._._.._.... .._.....�.!__
Address....._.._._........_........_...__._�._...._._...__........_...._...._._....__..._..._ Address ....._..___._._..___....__._.._._...-•--- -- --_. _. _.._. _. __...__...______._
LOCATION F B L ONG
NQ..� .��.��:�-:�
_... ._. _.....S�t_.�- �o t ............... _..._..._______...
Lot _..._...- ---._......._........ Block -------------,�ne........---------- ... Addition or Sub- 'vi 'on :... . .. ....• _- `----:� .�._.__
Corner I:ot ......----•------...---._.. Inside Lot •-.---.. � .............. �tback . ... .... ideyard .........--.�-
Sewer Elevation _..._.._.._..---------.._.._.._.._._..._...._.__.._...-----..._..._... Foundation Elevation --.---...-•---.__._.._...._....__.._._...._.__,_._.._.._.____.
DESCRIPTION OF BUILDING
T
..... . ..�t_ Front /�.!'-i.c---_ Depth _� Height �.�...__ Sq. Ft.��� Cu. Ft ����
_.._......____:. _._..__..._.�__._. Front .._.___..._._ Depth _.____.� Height .� Scl. Ft. _.._.._..._..__ Cu. F� ._..�.��..._..
� Est. Cost�, ��... .. ... ..... To be Completed ..___...__.___.._.______.._._.
Type of Construction .....�.~�. �__.. ._. _. ..
In consideration of the fssuance 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 comphance with all provisions of
ordinanoes of the city of F�idley.
�-..._.._..__..._._..
In consideration of the payment of a fee of $..�_._.._._._......._., permit is hereby granted to.._..
_. to construct the building or addition as described abwe. 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 ordinances of
P'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked a t any time upon viola ' any of the provisions of said
ordinances. ./'1 � /� �
��
NOTICE:
'Ihis permif doas not eover ths consfwefion, insfallafion for wirin�, plyrnbin�, gsf heafing, sswe� o► wahr. B� wn M sN
�h� Buildin� In�eqor for :epante permiis for th�ss items.
• �4 r
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APPLICATION FOR BUILDING PERMST
C=TY OF FRIDLEY, MINNESOTA
Owner `s Name �.�k. �"i (/�r �o _/ f' ��.Hu11deY' •SvS Se � ��vd��. �'v
Addres s% L o I��"„y,�,�= �,. rQ r, v� Addrea s/8 s"G �� d � �t
sf �/
LOCATION OF BUILDING •
No. Street Part of Lot �
w �� .
Lot_�,___ ° Block_ � � Addition or Subdivisi �
Corner ot Inside Lot � Setback Side-Yard
� __.._. �._...._.
SEVaER ELEVATION FOUNDATION ELEVATION
Appl,icant attach to th is form Certificate of Survey of Lot'and
proposed building l.ocation.
DESCRIPTION OF BUILDiNG
To be used as:
�� '��-� � Front__ � o Depth '�-i-- Height /O �
Sq. Ft. Cu. Ft.
Front____,____Dep �. Height
Sq. F�. Cu. Ft.
Type of Construction F� �� ,�, , Estimated Cost ,� ,�-_
To be Compl
The undersigned hereby makea application for a permit for the wark
herein specified, agreeing to do all work in strict accordance with
the City of Fridley Ordinances and ruling o� the Department of Suild-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE �✓� 3a —/� �/ SIC�IATURE sd Se ��i�wis-ri
, �--�---
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(Schedule of Fee Costs can be found on the Re�ver$e S1d .
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B�.Q"K BD�RESS �1 a G ��Q--rn.�r ��t�;_ �-c.�c�.,, ��70 �
�.�.._ __.__, � —�4`""�`""�"`z VALUATION
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Please advise !he customer before sterting ths Job ot
. tbe approximate amount of eatra fill and extro conCreta J
and get the OK to go ahead. When the job is complet�r,
notify the owner and aiso AAene of the exsct amount �f '.,�r�
tras used.
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FRONT PROPERT'X LINE
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City of Fridley, Minn.
BUILDING PERMIT
Date: __.._. M�'Y _16, 1966
Ovvner: _ BEI� VARHOrLDT _. Buiider _� THE SUSSEL. COMPAPY _._
720 Kennaston Drive N. E. 1850 Como Avenue
Adaress ._.___,._.�_._.. . Address �_ __ 4
Fridley, Minnesota 55432 St.�Paul, Minnesota
N°
LOCATION OF BUILDING
720 KEPNASTON DRIVE N.E.
No. __.._.__._...�__. Street .� _..._..._. _____ ..____.__.._._.._ Part oY Lot _ . .�
Lot .._._��_.._.__ Biock .� _ � Additiari or Sub-Division ._._.._. BROOKVIEW TERRACE
Corner �Lot _.___..._..�_ Inside Lot ___.._._...._�__.__.. Setback .__...__._.__.___._ Sideyard
Sewer Aevation ._._._____..._____....._r.. ___.��.__ Foundation IIevation _.._.._
�� � ��
..
..
DESCRIPTION OF BUILDING
To be Used as:
.B��Q� It;00M F`ro�t .....__._....�. Depth ____._..� Height ._._..___...�. Sq. F� _.._.._._..
& DEN IN BASEMENT�nt �.._�......� Depth ._..__..._...._ Height ._._..___. Sq. Ft. __....._....
Type of Construction __._Fs.�.._...._____._..... Es� Coat _...._.�.800. 00.._._..._.. To be C�npleted
Cu. FL _.._.
Cu. Ft
In consideration of the issuanoe to me of a permit to construct the buildfng described above I agree to do
th� ProPoaed work in accordance with the dBSCrlption above set lorth and in compHance�th a'll pro�vlaibns o�
ordinances of the city oP Fridley. �T_ '� /% �,_ .� I/ ���,� � i .
In cansiderati� of the paymznt of a fee o! � 6• 00 _.._._ , permit is hereby granted to T� SUSSEL
��- to c:onstruct the building or addition as described above. Thispe rmft ia Sranted upan
the expre�s conditi� that thepe reon to whom it is graated and his agents, employees and workmen, in all work
done in, around and up� said building, or anypar� thereof, shall conform in all respects to the ordinances o�
Fridley, Minneaota reg locatic�, conatruct�oa�, alteration, maintenance, repair and a►ovin8 0! buil�s
within the dty limits and�th s pennit may be revoked a t ar�y ti�ne upon violation of any of the provisioais o� sa�d
ordinancee.
WILLIAM H. SANDIN B�� �
NoTice:
i1�M p�natr dow aet ���oearoalloe. la�� hr wl�� PW�bMW �a haNno, awa or watw. M w� fo �
fh� WiWiao In�alee Mr �pHaN p�natM fer fhw h�aa.
API'LICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNBSOTA
`, ��
OWNER' S NAME ��tY �i�R /�`d L�iT BUILDER ��S'�� �4'SS FL �,
ADDRESS �aG� C�iN�S7'6�I _��1C• ADDRESS���� �o�7D „��Y�-
LOCA�TON OF BUILDI� .
N0, �r�C� STRE8T1l t�I/VL�,Si`d �Y ' PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
GORNER LOT INSIDE LQT. ,SL�"rBAC& SIDE-YARD
SEWER.EL�VATiON FOUIQDATIQN ELBVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates. ,
DESCRIPTIOIV OP BUILDING
To be used as;
�� .
�C�L'd'�'i'e�(/ ��l�f� ��iV Front Depth Height
�t� �S� l�'1�- Sq. Ft. Cu. Ft.
Front Depth Seight..
Sq. Ft. Cu. Ft.
Type of Construction ��'fC Estimated Cost���.��
To be completed__ �J !!�t/E �df �%��
The undersigned hereby makes application for a permiC for the work herein
specified, agreeing to do a1J, work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Builditags, and hereby
declares that a1X the facts and representations stated in this applicatfon
are true and correct.
DATE / ���`SIGNAT[IRL�a�!t � �
(Schedule of Eee Cost� can be found on the Reverse Side),.
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Application for Power Plams dnd Heafing. Cooling. Yen�'lation. Re�igeration and
Air Conditioning Systems ond Devices
PARTIAL RATE SCHEDULE
GRIIVITY WAAM AIR: IiATE TOTAL
Furnace Sheli & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 �
Repiacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $500.U0 .................. 5.00 $
Repairs & Alterations ea�h add. �500.00 ............... 2.50 �
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTLT . , . . . . . . . . , .
each add. 60,000 BTU . . ........... ....... .. .
Replacement o4 Furnace ...........................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . .�.
Repairs & Alterations each add, $500.OQ . . . . . . . . . . . . . .
8.00 $
2.00 ;
5.OQ $
5.00 $--��
2.50 $
3TEAM or HOT WATER $YSTEM
F�rnace Shell & Lines—to 40Q sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. Yt. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
Each afld. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BURNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour--See Fee Schedule
GAS SURNER <up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x $1.5Q $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $
AIR CONDITIONING
FAN HEATING 3YSTEM
VENTILATING SY3TEM
ALTERATIONS 8c R�PAIRS
ROUGH
FINAL
�
3ee Fee Schedule
�
TOTAL FEE #
Dept. of Bldgs. Phone 560-3450
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City of Eiidley:
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 apglication are true and correct.
Owner
Kind of Building _ �%Gf -� —�� ��
Used as ��%�� -�
To be completed about
. .
l
Estimated Cost, $
----� / �
Old �ew. Building Permit No. � Permit No. �� �-^ "'�
DESCRIPTlON OF WORK
HEATING or POWER �'I.ANTS—.Steaun, Hot Water, Warm Air—No.
Trade Name Size No.
Capacity Sq. F't. E.D.R. BTLT H.P.
Total Connected Loar� Kind of Fuel
BUftNER — Trade Namp Size No.
Capacity Sq. Ft. E.D.R BT[J H,p,
. (REMARKS..OVER)
��<z
RAY l�1, W ELTE R H EATI N G C O.
Signe ` �
C 1 AGO AVE.
B ` a^
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Business Phone No- ���G �� 7
�.i 1 � v(' 1 �:iLl.Li
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATICN AND
.AIR CONDITIONING $YSTEMS APdD DEVICES
PARTIAL RATE SCNEDULE
GRAVITY WARM AIR:
Flirnace Shell & Duct Work �
Replace�ent of Ftirnace
Repaizs 6 Alterations-up to S500.00
Repairs s Alterations each add. SS00.00
MECHA.NICAL WAR�I AIR:
Flirnace Shell s Duct Work to 100,C00 81V
each add. 50,000 BTU
Replace..^�ent of Furnace
Aepairs 6 Alterations-up to $500.00
Regairs s Alterations each add. $SC0.00
SIFA.�I OR HOT kATER SYSTE'�f :
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 8TU
OIL BURNER- to 3 gal. per hour
each add. 3 qal. per hour
RATE
S12.ou
7.00
7.00
4.00
53.2. 00
4.00
7.00
7.00
4.00
$12.00
4.00
7.00
6.00
:S10.00
10.00
TOTAL
S
S
S
S
S
S
S .s
S
S
$
S
$
S
s lU �' .
S
GAS $UR`ER- fro�a 100,000 BTU to 199•999 BTU $7•0.00 $
(over 199,999 BTU see Fee Schedule) S
Cu1S FITTII�G FEES:
lst 3 Fixtuzes x$ 3.00 $
Additional Fixtures x $ 1.00 $
Gas Range to 199,Q00 BTU x 57�0.00 •$
AIR CO\DITIO\ING � ' g
FA�\ HEt1TIIvG SYSTE�IS See Fee Schedule $
VE�JTILATING SYSTEbiS g
RLTERATIONS $ REPAIRS S S
State Surcharge S .50
TOTAL FEE S�S�
PAUGH I2iSP.
Date
YINl1t, INSP.
Date
]1PPItOVAL F10R BERMIT�� j�
REINSPECPION FEE
iS10. 00)
MINIMU:i FEE FOR 1►NY BEATZNG PERMIT IS 57.50 PLUS $.50 STATE SURQiARGE
Job Address
Department of Suildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a peza�it for the raozk hereln
specified agreeinq to do a21, work in strict accordance with the City Coces •.
and rulings of the Departr.ier�t of Buildinqs, and hereby declares that all the
facts and representations stated in this application are true and correct.
n �� Fr�tdley, Minn. J'pZ� , 24��
OWNER
KIND OF BUILDING
USED RS
TO SE COMPLETED ABOUT V� ��� % O
� ,
ESTIMATED COST O �
OLD NEW BUILDING PERMZT NC). PERMI: NO.
, DESCRIPTION OF FURNACE/BURNER ,
HEATING or POWER PLANTS, Steam, Hot Water wazui AiY- No.
Trade Name . • �,_ Size No.�� JS r' /�' �
Capacity Sq. Ft. F.DR BTU _�JC%� HP
_�.�--
Total Connected Load Kind ot Fuel G
BUItNER - Trade Name� Size No. •
Capacity Sq. Ft., EDR STII XP
1
Company r� �u �+' �.
Siqned Sy �( �
• Ta�. �. �-�—.
�
SUBJEC7 PER � NO. -
City of Fridley � � 9��
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � ECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
' j L'--'�--�
r � � PpOTECTIVE INSPECtION SEC. ���
1 i /
1 � /�'�1 � CITY. HALL FRIDIEY 55432 NUMBER REV. OATE VAGE OF APPROVED BY
�'.---� � ,'� 612--571-3450 910-F� 5 5/14f 85 � �
JOB ADDFiESS gg� 720 Kennaston Driye N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 7 2 Brookview Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ben Varholt 720 Kennaston Drive N.E. 571-2275
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE N0.
6 USE OF BUILDING
Residential
7 CIASS OF WORK
� NEW ❑ ADOITION f� ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroaf Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Roo£ ca,n be the 2nd layex but not the 3rd. Install ridged galvanized
valleyse
z
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. AS. Yla1�.t
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOp OF 120 DAYS AT
ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFY THAT 1 HAVE READ ANO EXAMINEO THIS APPLICATION STALLS GAfiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT S1�OOO $. SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULATING CON-
. STRUCTION OR THE PERFORMANCE OF CONSTRUC710N. X�XY� $Z�.SO
LAN CHECK FEE TOTAL F�E
$IB.��
. SIGNA RE FCONTRA OFOFlAUTHO%±IZEDAGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PE MIT
.�
Si n E O ERiIF ERBURDER� iDATEi s w B�DG WSP qpl
N� [] City of Fridley Effective 4/1/84
ADDN.� I � R-1 AAD R-2
AI,TER. ( ] Building Permit Application
Construction Address: � �� �r ���°� �.1��-i%
Legal Description: � OT � '� � G� �,�'��,..�.�.�, C � ���1 1 � �/
Owner Narme & Address : _,.,_ ��� �. � �i� I _ ?el • � `� %/ - �� %S
Contraator: _____-- Tel. #
Addreaa•
LIVII�IG AREA :
GARAGE AREA:
DECg IIREA :
OTHER:
Attach to this application, a Certifieate of Survey of the
lot, With the proposed construction dra�►n on it to acale.
DESCRIPTZOIi OF IMPBOVBMENT
Length Width Height
Length flidth Height
Length iiidth Hgt/Ground
Sq. Ft.
Sq. Ft. _�
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback' Side Yard Setback
Type of Construction: � � S��L% Estimated Cost: � � n0�•��
Approx. Completion Date: J� ���
Alt. A Alt B
Proposed Driveway Width If NeW Openiag Is Desired: # a
See Back Page for Explanation
�
DATE: � g� APPLICANT: Tel. #
CIT QSE OI�I.Y
Permit Fee
Plan Check
State Sureharge
3AC Charge
Park Fee
Sewer Hain Charge
TOTIIL
STIPULATIONS•
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Fee Schedule on Reverse Side
25x of Building Permit Fee
=•50/�1,000 valuation
�425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [] No� Necessary [ l
, ., w ..
SUBJECT PE ��IT NO.
City of Fridley 18858�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RE IPT NO
� `v ______ COMMUNITY DEVELOPMENT DIV. � �/ ��
r � � PqOTECTIVE INSPECTION SEC.
� �
L-_-- � ��'�� `,� CITY HALL FRIDIEv 55432 NUMBER REV. DATE PAGE OF APPROVED BV
i• �� 612-571-3450 9�0-F15 4/6/8� / /
JOB ADDRESS 720 KennastAn Drive N.E.
1 LEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACHED
DESCR. % 2 Brookview Terrace sHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE .
Varholt 720 Kennaston Drive N.E. 571-2275
3 CONTRAC70R MAIL ADDRESS ZIP PHONE LICENSE NO.
North Central Builders 7401 - 42nd Avenue North, New Hope 55427 533-6168
4 ARCHITEC70RDESIGNER MAILADDRESS 21P PHONE LICENSENO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Res iden ti al
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION I� REPAIR ❑ MOVE ❑ REMOVE
8 OESCRfBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS AfiE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOfiK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY 7{ME AFTER WORK IS COMMENCED. N0. DWLG. WNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAqAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. A�l PROVISIONS OF LAWS VALUATION SURTAX
AND,OfiDINANCES GOVERNING THIS TYPE OF WOAK Wll� BE COMPLIED
WITH HEF SPECIFIED HEREIN OR NOT. THE GFiANTING OF A PERMIT SS�OOO �S`Z.SO
D S NOT RESUME 70 GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE
P VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST CTION R THE PERfOFj1MANCE CONSTRUCTION. yCiSO. rJO
/ PLAN CHECK FEE TpTAL FEE
� $53.00
NATUREOFCON'AACTOROAAUTHORIZEDAGENT IDATEI " WHEN PROPERLY V DATED THIS IS YOUR PE MIT
SiGNATUREOFOWNERUFOWNERBUILDERi IDATEI " OG w5P �--"I�
qaTE
NEW [ ]
City of Fridley Effeetive �/1/86
ADDN. [ ] �R-1 AND R-2�
AI,TER. [ 7 Building Permit Application
Construction Address: `(� �1f�� N N�^ST b�U � iZ
Legal Description:
� R •V �/2 r{' � L 4%T Tel .# 5��—�� 7�
Owner Name & Address: --
Contraetor:. /U d ��'!� T�-� �_ ��L/��� Tel. # S 33- 6/b�
Address: % `�6 � y�- �� %1%� /V�l[����P� �S y-�% .
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attaeh to this application, a Certificate of Survey of the
lot, with the proposed construetion drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
Length Width Height Sq. Ft.
Length _________ Width Height Sq. Ft.
Length _______ Width Hgt/Ground Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setback
Type of Construction: �E�/ ' S���L ��'*� 1�w� Estimated Cost: � �6� ��
Approx. Completion Date: / � d � �
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $ --
See Baek Page for Explanation
� %-/� -- Tel. # �-3 3-�/G'�'
DATE: � �� APPLICANT: /
Permit Fee
Plan Cheek
State Sureharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS•
CITY IISE ONLY
$ ��'S°
�
$ ,� , � d
�
�
�
$ S� . d d
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$ 525 Per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SuBJECT
City of Fridley 2 7 4 05
AT 7HE TOP OF TME TWINS g � I L D I N G P E R M I T
� � R O.
� �
� ; y �_��� COMMUNITY DEVELOPMENT OIV.
r � � PqOTECTIVE INSPECTION SEC. � /
� �
� � �'�'1 • CITY HALL FIiIDLE� 55+32 NUMBER REV DATE PAGE OF APGROVED BY
�'""�� ,'' 612-571-3450 910-Ft 5 � �
8/26 98
JOB ApDRESS
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTAGHED
DESCR. 7 2 Brookview T c SHEET
2 PROPERTY QWNER MAIL ADORESS 21P PHONE
Scott Johnson -
3 CONTRACTOR MAI� ADDRESS Z�P PHONE LICENSE NO.
Town & Countr Ro f'n -
e ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTEfiATION ¢� REPAIR O MOVE O FiEMOVE
8 DESCRIBE WORK
Reroof house and ara e 25 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIREO FOR EIECTRICAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCURANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOI� IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHOR12ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TiME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV TMAT I HAVE AEAD AND EXAMINED THIS APPLICATION STALLS GARAGES
ANp KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE AC CHARGE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
������'� � PLAN CHECK FEE TOTAL FEE
� License 5.00 82.
SIGNATUAEOFCON�RACTOAORAUTHOR�2EDAGENT IDATEI N OPER Y V IDATED T IS YOUR P MIT
� SiGNATUF7E OF OWNEA Uf OWNEP BU40EA� �OATE1 BLD �NSD � pp
� �
AUG-13-1998
.,.�.. � �
ADDN j ]
�-T�x [ ]
__._. _ __. __
08�42 FROM CITY OF FRIDLEY TO
CITY OF �'RIDLEY
SINGLE FAMYLY AND DUPLEXES R-1 AND R-2
BUTLDiNG PERMiT ApPLICaTiON
8589320 P.01i02
rriwuv� ii iiya
��
��
coasavctionAadress: ���.�' /►/ q s To �v t� ,E?
I.ega1 Description:
Owner Name & Address: �ro f f -� � ii�,r/s d,�� Tcl. #�_ �i�= d�" /I
Contractor: � � MN LICENSE �_�r`}�q����
Address: %'ll O /..2 f y �I v� �%�l o os��.�_ 6�e w/ �% Tcl. � , c
Atcach to this applicatioa, a Ccrtificate of Survey of the
loc, wich the pmposed cons�ution drawn on it to scaie.
LIVING AREA:
GARAGE AREA:
D�CK AREA;
o�x:
nFSCRIp'Y'ION 4F ID�LO�'F.MENT
Len�th __ Width Height � Scl. Ft. �_
Length . width _ Height Sq. Fc.
Ixngth Width HgVGround Sq. Ft.
�S � .
Consaucdon Type: % ea r��-;Qe �,� F.scimaud Cost: $�,��-�' ��S�qj S�
r
(Fee Schedule on Back)
Driveway Curb Giu Width Needed; Ft. + 6 Ft = Ft x$ = S
DATE: � 2 � ��F� APPLICANT: ~ --�� Te�l. � %' ��'�.�'/�
Perinit Fa
Fire Surcharge
Statc Surchargc
SAC Charge
License Se�azge
Driveway Fscrow
�rosivn Control
$ �.�5
$ � O�
$ /. O �
$
s�c��
$
$
•MII 'i �v
Fce Sci�eduk on R�.wers� Sid�
.001 of Permit Valuation (l/lOch96)
$.SO/51,000 Valuuion
$1000 per SAC Uait
ss.00 �sffiu �� x�� cona�w��
Alt. 'A" ur Alt. "B" Above
a4S0.00 Coaservation Plaa Review
Parlc Fee $ Fee Det�eimined bY �8�8
Sawer Ivfain Charge $ Agrxmcnt Nocess�rY I] Not NecessarY I l
, roT�►L.
• STIPULATIONS:
$ ���
sue�ecr P
City of Fridley 3 3 0 8 2
1 ` AT 7HE TOP OF �ME �WINS BU I L D I N���- IT
f �g
Li RECEIPT NO.
� ` __�� COMMUNITY DEVELOPMENT DIV. �T
r � L � PROTECTIVE INSPECTION SEC. 5/�O
i � �
� � �"'1 � CITY NALL FRIOIE� 55132 NUMBEN NEV O�TE v�GE OF �ovROVED Br
�""'��� ,�' 763-571-3450 9t0-Ft5 9/13/02 � �
JOB ADDRESS 72p Kennaston Drive NE
1 LEGAL �OT NO. BLOCK TRACT OR A�OITION SEE ATTACMED
DESCR. ] 2 Brookview Terrace SHEET
2 PiiOPERTY OWNER MAIL ADORESS 11P PHONE
Scott Johnson 720 Kennaston Drive NE 763-572-0511
3 CONTRACTOR MAIL ADORESS Z�P PMONE LICENSE NO
Home Depot RMA Home Services Inc 3200 Cobb Galleria Pk STE 200, Atlanta, GA 303 !
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
763-542-8826 2026825
5 ENGINEER MAIL AODFESS ZIP PMONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace 10 windows within existin openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 IIniform Building Code.
����i� I�s�����an �����
Will B� I�ailed
�o �Q�n�owner �'o Po��
TYPE OF CONST OCCUPANCY GROUP OCCUPANCV �OAO
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLLMB�NG. HEATING.
VENTIIATING OR AIR CON�ITIONING
TMtS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONiNG S�. FT CU fT
AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTiiUCT10N
OR WORK IS SUSPENOEO OR ABANOONED FOp A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UN175 OFfSTREET PARKING
I HEREBY CERT�fV THAT I MAVE REAO AND EXAMINEO THIS APPLICATION 1 STA��S GARAGES
AND KNOW TME SAME TO BE TRUE AND COiiRECT. ALL PROVISIONS Of LAWS yq��pTION SUpTA%
ANO ORDINANCES GOYERNING TMIS TYPE OF WOiiK WItL BE COMPIIED
WITH WHETHER SPECIFIED MEREIN OA NOT. THE GRANTING OF A PERMIT �6 s 221 �3. i l
DOES NOT PRESUME TO GtVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING coN- �139.ZS Fire SC �G.22
STRUCTION OR 7ME PEAFORMANCE OF CONSTRUCTION
PLAN CHECKFEE TA�fEE
License 5.00 $153. 8
S�GN4TUAE OF CON'AACTOQ Op �UTMOA�LEO OGENT iO�rE� N Pq PEiiL� ATED THI S Y�L{��� IT
�i�� 7 �
S�GNaiuAE OF OwaEp��F pwtiEp BW�DEA� �O�TE� 8L0 �tiSo �i�TE -
rrEw � �
ADDN
ALTER
�l
I]
EfFective 5/10/99
CITY OF �'RIDLEY
SINGLE FA1bIILY AND DUPLEXES R-i AND R-2
BUII.DING PERMIT APPLICATION
Constntction Address: �o'Z a 1�,-��nt��trsi'�� �C �
Legal Description: �
Owner Name & Address: �,�j- � dy���� � Tel. #�{o� • 5'�- o�.0S1 �
Contractor:; � HOME SERVICES INC. � j;j�ENSE #
Home Depot Installed Sales �
Address: 3200 Cobb Galleria Pkwy., ste. #20o Tel. #
Atlanta, GA 30339
A 763-542-8826 u�vey of t�le �
1cBC-2026825 r__r____ _.,_...___�,,._..........1II lt t0 SCa18.
DFASCRI�i.dN UF ���?�EMENT _ . � '
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Length Width Height � Sq. Ft.
Length Width Height Sq. Ft.
Length � Widtli � Hgt/Ground Sq. Ft.
v� �
��� �ost: � c�. aa�
,
Driveway Ci�rb C�.it Width Needed: Ft. + 6 Ft =_ Ft x$_ _$ .
DATE: APPLICAN . . nr1 Tel. � lJo�- 3�ic�� �y �
CITY USE ONLY
Permit Fee
Fire Surcfiarge
State Surcharge
SAC Charge
Lic�nse S�.rcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STII'ULATIONS:
$ I.
� Co�a�
$ 3,II
$
$ � .00�
$
$
$
$
� � S .S'iS
Fee Schedule on Reverse Side
.001 of Permit Vaivation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (�tate L�censed Residential Gontractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary []
, �/v �
3uilding
_nspections
763-57�=3604
.�
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
Permit No.:
Received By:1�
Date Rec'd: � � ��li "t�
�ATE i �� S��C� YOUR E-MAIL ADDRESS SJ� �� c.`(� ']�—`�""'' "+ � C�-^—r
�ITE ADDRESS `Z�,�2'^�`"" c'�t7c�t. (� �'� ��.
"HIS APPLICANT IS: �,OWNER ❑CONTRACTOR
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATTON
PROPERTY TYPE
�
a.n�xESS: %� rv�,,.,�s.�.tl�-, cz�r
PHONE: %G � .S % � d�� I
.� �.z���
NAME:
STATE LICENSE �{ EXP DATE
ADDRESS: CITY STATE Z1P
PHONE FAX
❑ TWO FAMILYMEW
PERMIT TYPE � �DTTION ❑ GARAG
O BASEMENT FINISH ❑ ROOF
� DECK ❑ SIDING
TYPE OF WORK:
Q wnaDOws � ��
❑ DRAIN TILE
❑ OTHER
DESCRIBE WORK BEING DONE: �_t-e,.�S CSve�" Q�S�'hi,.� e-.�`�1-P�
SIZE OF IMPROVEMENT
NUMBER OF SQUARES
G G
PROPOSED SIZE:
PROPOSED HEIGHT:
LENGTH
o HousE orn.Y
❑ IiOUSE & GARAGE
❑ ATfACHED GARAGE
❑ DETACi�D GARAGE
HEIGHT
BASEMENT REMODELING SUBIvIIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of swctural manbers to be used
Ft
SIDING FOR NEW CONS'IRUCTfON ITiCLUDMG DECKS,
my) �Soffit ADDITIONS. & PORCHFS SUBNIlT:
num � Trim 1. Site Plan/Survey showing fhe existing structures
Other O Fascia and proposed projecx.
WIIVDOWS 2. Two sets of construdia� plans
IN EiCISTMG OPENINGS, �Yes 013o LACATION OF WINDOWS 3. Energy Calculations
OR FOR NEW OPENWGS-DESCRIBE SIZE OF
OPENIIdG CHANGES 8c
TYPE OF WWDOW TO BE INSTALLED �� NUMBER OF WMDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE) .
TOTAL JOB VALUATION $�. � OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Chazge
Curts Cut Escrow
Erosion Control
Pazk Fes
Sewer Main Chazge
Total Due
$ �e.�
$
$ .�
$ .'�
$
$
$
$
$
$
$ -�oc�
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the totaf job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determinadon)
ft+6ft= ftx$21 =S
$450 Conservation Plan Review �
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks uavable to: Citv of Fridley Attac
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED
I hereby apply for a building permit and I aclmowledge 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 permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work w ic ires review and approval of plans.
SIGNANRE OF APPLICANT PR1NT NAME �� ��"�'�Ld cy�. DATE
�
r
�
c�nroF
FRtDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLiCANT: PROPERTY OWNER
I, �c� ���I,�,�,c� , understand that the State of Minnesota
requires that all residential building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific exemption from the licensing requirements. As
the owner of the property at � 2� � c��-� I�r�s� , Fridley, I
am exempt from the state licensmg requirement only if I am not building or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, is! the first residentia! structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license. I forfeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perform
ce�tain aspects of the construction or improvement of this house and 1 understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that 1 would forfeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, t aione will be responsible to the City of Fridley for compliance with al!
applicable building codes and city ordinances in connection with the work being
pertormed on this property.
i I?
Date ���(o�
Building
Inspections
763-572-36Q4
�
DATE ' l( K 1 �
.�
SIT'E ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATI�N
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
r
OCONTRACTOR
Permit No.:
Received By:
Date Rec'd:
NAME: � C� "�'� c� I...vi b cYL
ADDRESS: ��?� r�2�v�r<� �� CITY� STATE�'IP��L
PHONE: �G 3—��i�- v S L(
NAME:
STATE LICENSE
EXP DATE
ADDRESS: CITY � STATE ZiP,
PHONE
' SINGLE FAMILY/NE
� TWO FAMILYMEW
❑ ADDITION
❑ BASEMENT FINISH
� DECK
DESCRIBE WORK BEING DONE: �c�
SIZE OF IMPROVEMENT �^"� �� _
FAX
❑ ROOF �DRAIN TTLE
❑ SIDING O OTHER
O SWIT9vIWG POOL
C
:�
��
Ft.
NUMBER OF SQUAItES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
GARAGES D ATTACI-�D GARAGE 1. Existing Fioor Plen
PROPOSED SIZE: 0 DETACI�D GARAGE 2• pro{�� floor plan
3. List of str�ctural membas to be used
PROPOSED HEIGHT:
SIDIIWG FORNEW CONSTRUCTION INCLUDING DECKS,
❑ V;�y� ❑Sofftt anniTlqNS & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site PIaNSurvey showing the existing structures
O Other ❑ Fascia and proposed project
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
II�T EXISTING OPENINGS DYes �No IACATtON OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES 8c
TYPE OF WIIdDOW TO BE INSTALLED NUMSER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(LTSING T�IE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $�� 1� c7 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
S�rcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Chazge
Due
$ � R `1 S
$ as.�9
$ .�
$
$
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
,001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=5
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks aavable to: Cityo uf Fridley Attach
THIS IS AN APPLICATION �OR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work wt 'ch requires review and approval of plans.
SIGNATURE OF APPL[CANT y„ � — PRINT NAME ��� �C^il DATE ����! �� _—
i
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