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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 7131 LOCATIOI�'OF UNG No. Street Part of Lot Lot ��—__ Block Addition or Sub Division Corner Lot Inside Lot Setback -- � _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Used I Mill I Front Depth s Height ,J. Sq. Ft. Cu. FtJl," n Depth f eight b Sq. Ft. Cu. FA Type of coon 967 Est. __ To be Completed In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. In consideration of the payment of a fee of $-0, —.�' , 7 above, I agree to do with all provisions of hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the 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 upon violation of any of the provisions of said ordinances. n Building Inspector NOTICE. Thh permk does not cover the construetion, lm taWon for wl&& plumbing, on henttng, w war or water. Be cure to an the Wding Impeder for seperab perm8s for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY., 14012j2ZOTA Twner Is „ Builder -,e- Address Address No. Lot Corner Lo'G LnS3.ae .LOZ V .7ieZQaCK cJ _71ae-rata ,-o —u LOCATION OF BUILDING SEWER BLEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To *. asr 00, Type of To be Co: DESCRIPTION OF BUILDING Sq. Ft. , /o_ry Cu. no 1_ 4 2n nen+l, -:24, r) ue4 EPU+ Sq. Ft. �/S — 6 Cu. Ft. 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 a the facts and reproentations stated in this applicotion ape true and correct. "y DATE --% % A�41— SIGNAT (A Schedule of Fee Costs can be found on the Reverse Side.) Land f'lonn;rr � CI Soits IPS%ll)] r 9 era l./V�l ti Alt/ns.p.71 tJr�,•' :,'..J.•�+ a -" Jrve� p 6p r < �� C'r9 �.+., , l✓r.�+r -a r..:�4:uv 4....� L:✓".� '.�.,:.� ` t !�'i rLa e.V b a a .' }-,s� oaf a �� � 2. FiP9} Cleor ¢1• 1.5 ,F-':, oC.eve C� ou�Ac1 �1 .;,� how 5.. Corv�ew5 NOTF- 3�. 37r ., 5,`,° 'may ✓J` �� i_.. L °o / l -k'. -I 275". / "/_ f O J--Ii:No-r s IRON DF-110TE 5 DRAINAGE 4 UTILITY (1:11nokct Coun4Y — Mirinq-c-,a •o) ;'!yc'Z/ ccrh y .Mai this is a Prue and carred-epresenb k,7 o�a sbrvey elhe hwndrrles q'¢hc abo r dcu bed 'and, aad and a!/ risrb/e wamc irnrn¢t , i! e. , frau or a7 soid /ate! As surveyed by tet® flus _ �c7 April A.9I5 62. SU5 UP SAN LrMC71 dEE1?IN6 ,. INC. L-noincer-•s 6 surraprs SCALE 1-= 30' - ' N 1705 -CI _ City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures 07 I Y F t6ji QC Z Z O w go U' K ? � n U' O • P • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd _ 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................7 x $1.50 $T Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ g.2s New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ A•S® Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ � REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $-.L6-- -,4"a City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn— Owner inn Owner 0`/� Kind of Building �- � e Used as To be completed about Estimated Cost, $ '/. �®® Oluilding Permit No d Permit Signed By Business Pho ROUGH FINAL .031�0.42 2M Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 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 BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: 1st 3 Fixtures ...................... Additional Fixtures ............... Gas Range to 200,000 BTU ........... AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL NO RATE TOTAL _ x $1.50 $ x .50 $ _ x 2.00 $ See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone SU 4-7470 �Z / - City of Fridley: U 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 application are Prue and correct. Fridley, Minn � "� � 19 L Owner Kind of Building 5; , e Used as To be completed about aa �Z , Estimated Cost, $ �. Old New. Building Permit No. e3 Z Permit No. % �) DESCRIPTION OF WORK HEATING or POWER PLANTS—.Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) SigneRAY N . WE LTE R HEATING CO 4637 CHICAGO AVE. By 0 42 2M Business Phone No Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines -to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 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 BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ ✓ Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 0Z City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application ar true and correct. FrrAley, Minn f a / 19 11 Owner _1.19 — Kind of Building � � e Used as To be completed about w 4 L z' 61./ ' / p " Estimated Cost, $ 42e� OldCNew!)Building Permit No. Permit No. --A- DESCRIPTION OF WORK HEATING or WER PLANTS—Steam, Ho%t;W�a Warm Air N//o / /� Trade Name A_4_ � Size No- hy /, CapacitySq. Ft. E.D. RrB� �d� BTU H.P. Total Connected Load U Kind of Fuel. BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) S N.WELTER HEATING CO. 4637 CHICAGO AVE. uiNNrwpe s !7, w�NEserw By�TQ,7 eco-T-64i�r:. _ �,� � . ��. 4 Z 2M Business Phone No Date: &y z6, 1965 City of Fridley, Minn. NO. 7562 BUR DING PERMIT Owner: R. Mathisen Builder Dawn Const. Inc. Address _7'.36]. Xamaz7 Tana Address 2W Webster Ave. LOCATION OF BUILDING No. 7361 Street Memory Lane Nt E, Part of Lot Lot 1 Block 1 Addition or Sub -Division MelodyiOT 2nd. Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Mevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. cu. Ft. Type of Construction Est. Cost -a L�00 _ To be Completed Stow Ramage Repair 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 conUWance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $-I=—, permit is hereby granted to Dawn Constanes to construct the building or addition as described above. This permit is granted upon Ltbny sricity limits and this permit may be revoked at any time upon violation of any of the Provisions of said Building Inspector NOTICE Uh peen@ die: not eoner the coestruetion, hnatallatlon for t AWm plumbing, gas heatho sewer or water. Be sins to ae the BWMIng hapeetar for apmft permhs for thea isms. 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MIIJNBSOTA OWNER'S NAME ` ADDRESS_%VG/ tI4WO/ 4 kh)vZ-- ADDRESS 4l'W2��l Z_ -7R ' LOCATION OF BUILDING No. StreetX/" dpi blwl� .,f, Lftrt.. of Lot LOT BLOCK ADDITION OR SUBDIVISION X14',,& , Corner Lot 'Inside LOT_ Setback Side -Yard SEWER ELEVATION FOUNDATIOR ELEVATION. Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPTION OF:BUILDING Front Dept h Height, Sq. Ft. Cu. Ft, Front Depth Height Sq, Ft. Cu. Ft. Type of Construct ion_5_ fM/77 Estimated Cosec � To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 021.r -L - s (Schedule of Fee Costs can be found on t e lievers r �, SUBJECT City of Fridley r,rn 7 010 AT THE TOP OF THE TWINS BUILDING PERMIT/ r ` l REC-E T NO. _ COMMUNITY DEVELOPMENT DIV.D PROTECTIVE INSPECTION SEC.41 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/3/98 JOB ADDRESS 7361 Memory Ln 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Melody Manor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Scherye 784-1659 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing, Siding, & Windows 18979 Gladstone Blyd Maple Grnva 99311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION RX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1918 .96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.25 Fire SC $1.92 PLAN CHECK FEE TOTALFEE License SC 5.00 70.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN FIR QPERLY 1DAATTEED THIS IS YOUR PERMIT � 4J ryATE -BL INSP P SIGNATURE OF OWNER OF OWNER BUILDER( IDATEI _.EES --25--1997 14-"125 NEWt A ON' f ALTMt[ 4 CITY UF 1-;KIU F- MY OF M D1SY SINGLE FA MMY ANO iD UMA R -t AND R-2 BENT GING F UCA'1 LOON ccmumamwAm c= . 73 (D i Iaa1 Dwedption: Ln baid V n �:+wr r.t0a••1ffs� EM-etive 1/j/97 VO AL w ti,J'ii 1:. f 62-a an &VOM 3w "c" int $5.00 +(tte Mmind RoMeadal Cmnwwa) Alt. "A" or AIL "B" Above �. • AOD ' n Plan Rem $ r by .. $� A tmd N _ `_-_r%i Not Necesmy �Y ® —12 'OLA'110.24S: /11 Building MECHANICAL PemutNo.- 7 Inspections RESIDENTIAL APPLICATION Rmeeiive�dBy: 20 7 Dat eMPR12 763-572-360 CITY OF FRIDLEY DATE 0 C>-1 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CO CTOR NAME: l9 �� PROPERTY OWNER/ ADDRESS: CITY / ST ZIP TENANT-� PHONE: CONTRACTOR COMPANY NAME;__ _ CONTACT PERS(! : L 410 WEST SUBMIT A COPY OF MN 55408LICENSE 029�214- YOUR STATE STATE LICENSE Ii STATE ZIP WITH ADDRESS: APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW INVLACEMENT ❑ ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the fixtures. (This should reflect only the cost of labor) improvement, installation or replacement of a residential fixture, excluding the Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X .05 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SIZFJBTU Equipment imWied MFG: MODEL: SIZFJBTU MFG: MODEL: MFG: MODEL: SIZE/BTU �&C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _AIR TO AIR EXCHANGEER $15—FIItEPLACE (WOOD) $35.00 $35.00 GAS UNIT HTR $10.00 _BOILER $35.00 _FURNACE CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 PIPING $10.00 VENTILATOR $15.00 DUCT WORK $10.00 GAS Permit Fee $ 146fter of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ $ Number of fixtures @ $25.00 x $25.00 = $� TOTAL DUE Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = THIS IS AN APPLICATION FOR A PERMIT 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 C' of Fridley and with the NImnesota Construction Codes; that I understand this is the not a permit but only an appli '. ' n for a permit w its not to start without a permit; that the work will be in accordance with approved plan in the case of w evi and approval of ans. 114-0� �/Yl V ATE SIGNATURE OF. City of Fridley Building Inspections 1}eparttnent 6431 University Avenue NE, Fridley,. MN 55432 763-572-3604 FAX: 763-502-4977 L'r�_W1 , Building 0 UUUUYAINUY '1'YYE BUILDING $ 11, 9.2 Permit NO.: Inspections $ RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604CITY Surcharge OF FRIDLEY .0005 x Permit Valuation Minimum $.50 D'F F R 1 2008 DATE �� -�� YOUR E-MAIL ADDRESS J,?_an A Q JW S 1,4fytod eel f .Ceram SITE ADDRESS 1�& I M ffifi r A M A) Curb Cut Escrow THIS APPLICANT IS: ❑ OWNER I6ONTRACTOR Erosion Control PROPERTY OWNER/ NAME: .&n + 6a.'Q r r i 'S h e v v -P Park Fee TENANT ADDRESS:151olPIMOYL4 Iry NF CTI'Y Ad lfN STAT L IP2_ Sewer Main Charge PHONE:1 1017D1 S � 110, "Cf Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME:`rh Q W I ndou, 15�o rf LLC Make checks uavable to: Citv of Fridlev Attach Stinulations 1 STATE LICENSE #:1,01, S -q s° EXP DATE ?� -7j 1- 0 8i SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:q a o -1 S . <ho r --e (1, Ire 3 u � �CITY STATI IP SSi1q WITH APPLICATION PHONE U FAX PROPERTY TYPE WINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED DKVINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEw ❑ ADDITION ❑ MAINTENANCE/REPAIR 04EMODELING DESCRIBE WORK BEING DONE: rCJt*JrJ 119I rTJ 1)1 hrJe)1,t 9 I nS2 f +5 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ATTACHED GARAGE 1. 2. Existing Floor Plan proposed floor plan PROPOSED SIZE: 11 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS Wes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 2GQ Ydo Wt OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS 1 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TU'1'AL JOB VALUATION $ —1 OC70. 0 0 UUUUYAINUY '1'YYE Permit Fee $ 11, 9.2 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 1 Z) 0 .001 times the total job valuation Surcharge $ 23 15 0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5',G 0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I,!; U -1 S Make checks uavable to: Citv of Fridlev Attach Stinulations THIS IS AN APPLICATION FOR A PERMIT -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 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 which requires review and approval of plans. L!! A SIGNATURE OF APPLICANT lJ" � PRINT NAMEA� �� Ol C,$ t) P 1 S n DATE�i I L!! I o a