PRE 2010 DOCSCity of Fridley
SUBJECT
®13494
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
IPT
COMMUNITY DEVELOPMENT DIV.
e PROTECTIVE INSPECTION SEC.
1 = �
1 1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF A O ED B
612-560-3450
910-F15
5/4/76
JOB ADDRESS 1590 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
2
Harris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
The Rottlund Company, Inc. P.O. Box 32082, Fridley, Mn. 55432 571-2060
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT 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
JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 26' x 42' Dwelling and a 28' x 24' Garage `11"-'ORTANT
WARNIHO NOTIFY THE FRIDLEY ENOR.
DIVISI®N
9 CHANGE OF USE FROM Beforedigging Gall local utilities TO REMOVAL AND REf'LACEIVIENr
TELEPHONE _ AT DIS
STIPULATIONS Pro $' K—q 1 �
rif�g t a eway. Provide a verifying survey before
3EXEMM capping. Provide sod in the front and side yards. Provide truss design
WATER LOCATION: 371 South of Manhole, 108' S.E. of the S.W. corner of house #6500
Fridley Street.
SEWER LOCATION: 10' West of water service.
WYE ELEV: must be verified in field prior to establishing footing elevation
THE CITY OF FRIDLEY DOES NOT GUARA
ACCURACY OF UTILITY LOCATIONS A14D EL
SEPERATE PERMITS REQUIRED FOR WIRINIG, THIS DATA
IS FOR Ii,IFOeJMATI®Qy FU: PCS[S
HEATING, PLUMBING AND SIGNS. PERSONS USING IT SHOULD VERIFY THE INF
ON THE SITE.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
1170 + 606
22,630 +6060
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$35,760
$17.88
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
STRUCTI OR T E PERFO}MANC OF CONSTRUCTION.
�
53.0$
350.00
PLAN CHECK FEE
TOTAL FEE
W RHe %'Y( � 410 •T'�,
+�— 7` ?
$420.96 M
S16NATUREOF CONTR CTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG. INSP DATE 5�
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
'01
ITE» THE
VATIONS.
14LY AND
`MATION
knr-d
lunci
Murvqcvp(-1 Eng -nee, -.9 FI' gineers Lk Survtv,ors
Certificate of Survey for
567-, 11,9-h-oy %4n 65 N1
55432
Teltphone 184-6066
A,eo Code 612
Weil>`aIppI 5TF11-T WARNING
—IMPORTANT—
NOTIFY THE FRIDLEY ENGR.
DIVISION REGARDING CURB
REMOVAL AND REPLACEMENT
AT DRIVEWAY OPENINGS.
N7
I
THE C" OF 'FRIDLEY DOES NOT rjjARAj
ACCURACY OF OF UT(My LOCATIONS AND t6
THIS DATA IS IFOR INFORMATION PURPOSES C
PERSONS LIS114G IT, SHOCAP VERIFY THE 1NFC
- 4 'H- 'ITE
S003
s
r, -7 f
THE
)NS. 4
1111011 digging call 10Ca1 U 0 .
TELEPHONE - ELECTRIC. 'ties
.GA IEtc
�py
414
LOT - .BLOCK
Z)
H ASIS LAKE
ESTATE
S
"Out"',
(e, f'o, 1j 1,uP ond
,3,,
th, (,t Iv vm� above
Of the 'fllf,Ull 1-14
d4w%r bed I.VvICA, 0110 El
ill I
OU.Idlllq�,
-Q0 i p C, C 03
0 illY, 1,ni or fill
%4jl
';VmVkt1AN EN I EEPIW7, rNk:
1 91 Ok-
br,-
&t)6 TS -2
371.� oF/nN.
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'girn xI c e,
VIA PIP
cv
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APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BU11,DING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : 1�7` , ��+A, �� T<y BUILDER.--;
ADDRESS: PO (3 L-<- 3 2-0 E-7- ADDRESS:
PTO-. 16 -?6 _ STREET: _ �✓C SS l S c//'� i ST N•
LOT : / . BLOCK: _— 7. ADDITION: .® r r ! S .d e Es-: � A 7x-5
CORNER LOT: INSIDE LOT: _SETBACK: SIMARD:
Applicant attach to this form T<<,io Certificates of Survey.of Lot.. and -proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING '
To Be Used As:
6v s Y= Front: I;z Depth. 7 Height :
Square Feer: /%SZ Cubic Feet:
i
Front:__ Depth: Height:
Square .� Cubic Feet:
Meet• � �_-Z
Cubic
of Construction: __E—!.A `A e Estimated Cost:
r
To Be Completed: A u y ,7 k
The,, undersigned hereby makes app.1 icat:irn for a permit for the work herein
spLified, agreeing to do al st- -ict..accornance with the City. of
F idlPy Ordinances and rulings. o: -clic Dopartment .or -Buildings, and hereby
eclares that all the facts and re z- esentaticns stated in this application
are true and correct.
C� a �� / � e.7`i'�v/�v
7 DA'T'E: 7 - 13_` 7r% �� c7Ci?w�iii.E:_ ._��/ /a�-'S
(See Reverse Side For Addi.t:i oral -luf:ormation.); < It- 0'
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USURBAN
NGINEERING
a INC.
D�4__ Civil, Municipal & Environmental Engineering
Land Surveying • Land Planning • Soil Testing
Mr. Dave Harris
6279 University Avenue NE
Fridley, Minnesota 55432
Dear Dave:
Al
Main Office 571-6066
6875 Highway No. 65 N. E.
Minneapolis, Minnesota 55432
South Office 890-6510
1101 Cliff Road
Burnsville, Minnesota 55337
April 20, 1976
Re: Lot 1 Block 2
Harris Lake Estates
On April 12, 1976 at the request of Jerry Belair we
examined the subgrade excavation in the above lot. Sub-
Isequently the contractor backfilled the lot with material
borrowed from the south side of the project.
Immediately after compaction the backfill appeared
spongy due to the excess trapped moisture content. At the
request of the Building Inspector support pads were extended
through the fill at three points along the north foundation,
and the footing was reinforced with steel bars. A.density
taken in the fill after dissipation of the ex pore"..
pressure indicates a fill. density..equi.val.ent to.94% of
modified Proctor density._
Please call if you have any questions.
WKM/jp
cc: Rottlund Co.
City of Fridley
Sincerely,
SUBURBAN ENGINEERING, INC.
William K. Meyer, P.E.
Robert Blinder. Reg. Eng. E. A. Rathbun, Reg. Surv. Wm. E. Price, Reg. Eng. Gary R. Harris, Reg. Surv.
Wm. E. Jensen. Beg. Eng. Wm. K. Meyer, Reg. Eng. H. Willium Rogers, Reg. Surv.
560-3450
CitO d°l�ieu
U U
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE July 23, 1976 ' FRIDLEY, MINNESOTA 55432
The Rottlund Company, Inc.
P.O. Box 32082
Fridley, mn. 55432
Re: Final Inspection at 1590 Mississippi Street N.E.
Dear Sirs:
A final inspection was made on July 23, 1976 of the above adc.ress. The
following items were noted and must be completed before the construction
can be finaled out;
1. Install house numbers
2. Install P.C. alarm in basement
We will expect the above items to be completed by July 30, 1976 when a
reinspection will be conducted to determine compliance. If any problems
arise that will prevent you from completing these items by that date,
please contact us.
Building Inspection Officer
RH/mh
• ' 53-84-9915051
Cit`,
Of Frill a y
.
;.r ;3 for PlSrG'
�•
• ..,,,.....
N; t. of B1dga. Phone ScJ•34W
• DESCRIPTION O: V1011M
LoraLOU 159099ixsJDm .lam
Numb.Tr. Ki.:d e.nd Locr:!om of Fixtures
City of >r`r•idley;
L.= `
• � : 7
�.
: t
z
7 s I.v'
$ I,.
s
p
� �
�
u
7 �
tt))
2
z
7 -
0
r
e
>r
w�Tt� wT1.
r,�s nrc•
The undersigned hereby makes appllcaLon for a permit for the aorY he
Cit,7 O:d:r.:
I�
�
•,
�
3 t
u �
v .
�u $
specified a� Being to do all work In strict acco.Ca^ce with the
rn is i1
��
and ruling of the Department of L'uild.'n2rt ani hereby declares that 24 the F
II
1
' and teprescrtations stated la _':is app:icatioa are true and co. re.•t'
Es:r
,
,
6 -23 -ib I9
Iat I
s)nni
oatFridley,
Llan
2nd
-"'-
Aottland Oo an .
-
Owner
3:d
Kind of Building fr
S.1 -
Cc::t•c.
d
with
• FL;.:•o Ge::oc.'„a G?:•n!r�
ueaor [j
Used as
i N•v Flun-un. Old 0;,az.inss
cc --spool []
6-30-76
_ _._..__. .---•To
• be completed about
•
Estimated Cast. S 10100
PARTIAL RATE SCHEDULE
p.t�:t�•
Old—New. Building Permit No.
L.I3I11G FIXTU?E RATES:
K0. RATE
TOTAL
Sizrtcd ,
Number Fixtures.....••.•••••••0 ---..
X SIM.
s.�.---
Ftiiure Fixture Oponing t .. • • • • • • • t ----
x $1. 50
S _.._._.._
By .
Susln�-.s T'h�r
few Fixture Ofd Opening. ••. • t a,• • • •----_---
X $1.50
$�:--•
�INNEGAS(O
Catch Da sin t t .. t t .. t ...... 0 t ...
x $3.25
E -
Water )tester 't:P' to 0.000 BTU),*-* -------
x $300
$
ROUGH `
•
new Ground Run Old BW1..9.:..:.
x ;1.25
5
' • ,
V&ctrite W&-ar Hwatar ...
S2•o
$
FINAL.,®
iAS n. T:11G FEES:
NO. R:+IMI TOTAL
.
• 1st3Fixtures ......••••••••'•" .—.—�—.x32.00
5 -
AdJlUcnal Fixtures ............... ------
x + .75
Gu R.==ia to 1x].000 BTU ............--.---
x $5.00
5-.----
,
.50
State Surcharge '
ALTERATIONS --R&-61 10 Cod*
'
e.
5.50
•
TOTAL ss
s—
' • • • t V I • • . • .n yf
aiy of F r18 y
Ai
9 rS iCi! for iCiFrt .icr••! Vita qu �btf itM IP�ie'•is .
- — Doprt. of Blduz. Phono S.=vJ•3SS0
DESCRIPTIOIt O^ Won=
humil"r, laird dad Lecr_icn o:
e
V = •_
NO. RATE
TOTAL
'<
l
r! 7 I`
a
zlx z�
k
0<
u
U
z
o
0
wATE4 wrk.
% L- '
_
Future Fixture Opening ...........
x
. 51.50
��
$ y
B y ,.
=•� 7 I
G i a (.�
3
o
f
z
<
U
7<
u .
7 g
jU V
P
N
ras
E1tc•
Catch Basin ....................
x $3.25
"g `c
I.{i
-
Water Beater 'Up to 93.000 BTU).
x S300
$ =�%< `' .•
.e
•
ROUGH
•
tiea Ground Run Old Bldg....:..o.
x :3.25
5
•.
T'ectrtc Watar H&atar. ..............
s :2.W
FINAL 1 d a 51''-
21S FITTING FZES:
NO. RAT_ TOTAL
x 52.00
G;
S
Ist 3 Fixtures ..................
-
Additianal Fixtures ...............
Gas R—je to 10.3.000 BTU ...........
----_ x $5.00
L
.
1
.50 State
Surcb.arge
-
P.T.? i:RS 8c A L T EF.ATIOY. S—P.a!sr 10 Coda
2r' ,
I
L .
•
TOTAL FIZZ
$ ' `r
3rd
S:h
t !{•v :i::hlm Old Cc ---pool
PARTIAL RATE SCHEDULE
City of Fridley,.
The undersigned hereby crakes application for a permit for Lhe• Qork herti
specified, acr eeing to do ail work in strict acco:rarce with the Citi
and ruling of the J.%epur tment of Buil%LMV, and hereby declares that 1A L`.e fad
and representations stated in this application are true aced correct'
�. r idley. bean ..__— . 19_.
Owner 14
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. nu,..dirZ Permit No. 1S•rmit;io, /' /�
LUMBINC r1XTi)?E RATES:
NO. RATE
TOTAL
n
/
Number Fixtures ............ ...
% L- '
_
Future Fixture Opening ...........
x
. 51.50
��
$ y
B y ,.
•
Bu�inrss vne .Io � c�. `'�
..ew Fixture Old Opening.....:....
_ x $1.50
Catch Basin ....................
x $3.25
$
-
Water Beater 'Up to 93.000 BTU).
x S300
$ =�%< `' .•
.e
•
ROUGH
•
tiea Ground Run Old Bldg....:..o.
x :3.25
5
•.
T'ectrtc Watar H&atar. ..............
s :2.W
FINAL 1 d a 51''-
21S FITTING FZES:
NO. RAT_ TOTAL
x 52.00
G;
S
Ist 3 Fixtures ..................
-
Additianal Fixtures ...............
Gas R—je to 10.3.000 BTU ...........
----_ x $5.00
L
.
1
.50 State
Surcb.arge
-
P.T.? i:RS 8c A L T EF.ATIOY. S—P.a!sr 10 Coda
.1kzcript:on ...............:........
,..............
L .
•
TOTAL FIZZ
$ ' `r
CITY OF FRIDLEY
Effective Date January 1, 1991
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
$ 20.00
$
{
Gas Piping
$ 10.00
$
(piping needed with now furnace)
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
10.00
* Air Conditioning (all sizes)
$ 10.00
$
All Others/Repairs and Alterations
li of Value of Appliance or Work
S
COMMERCIAL/INDUSTRIAL
li of Value of Appliance or Work
$
State Surcharge $ .50
TOTAL FEE $--" ' 5f�--
REINSPECTION FEE $30.00: $ /-!�- �r'-6
Rough Insp.
Date �J
Final Insp. —T- 2 l — `
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT
IS $15.00 PLUS THE $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address 1590 Mississippi St. N E.
Building Inspection Div. 6431 University Ave NE Fridley MN 55432
Tel. No. 572-3604
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
312-93 . 19_
OWNER Matsrice & Betty Doebbeling
KIND OF BUILDING =8idanan
USED AS fram
TO BE COMPLETED ABOUT
ESTIMATED COST 1000.00 7
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF.FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company P D o l�l
Signed By
Tel. No. %rj%—rjO(y(1
Fill out back side for stack verification on replacement furnaces
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas
NO. RATE TOTAL
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
JOB ADDRESS /5_P ,6 111 ; 65 6 t ALE
$ 7.00 The undersigned hereby makes application for a permit for the work herein
$ 4.00- specified agreeing to do all work in strict accordance with the city codes
$ 5.00 and rulings of the Building Division, and hereby declares that all the facts
$ 7.00 and representations stated in this application are true and correct. G
$ 7.00 e � -1 �l z-
$ 7.00
$ 7.00
$10.00 Owner "a a r i Ce ®D e A is
$ 7.00
$10.00 Building Used As
$10.00 l
$10.00 Estimated Cost -PERMIT NO. /�
Type $5.00 PLUMBING COMPANY
Reinspection Fee $30.00 SIGNED BY TEL N0. 6
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
pp Approved By _ Rough -In Date Final Date 'w
State Surcharge $ .50 ell 1 y
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 �'� -�`
TOTAL FEE $ /6. PLUS THE $.50 STATE SURCHARGE
Water>
UrinalrShow
Bi
r
>> Wash
Tray
Floore
:Drain
.:.
Washer
Range
r
Water Heat
:
..
Gas ElecStories
Basemen
..:......
Floor 1
Floor 2
Floor 3
FI r 4
00
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas
NO. RATE TOTAL
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
JOB ADDRESS /5_P ,6 111 ; 65 6 t ALE
$ 7.00 The undersigned hereby makes application for a permit for the work herein
$ 4.00- specified agreeing to do all work in strict accordance with the city codes
$ 5.00 and rulings of the Building Division, and hereby declares that all the facts
$ 7.00 and representations stated in this application are true and correct. G
$ 7.00 e � -1 �l z-
$ 7.00
$ 7.00
$10.00 Owner "a a r i Ce ®D e A is
$ 7.00
$10.00 Building Used As
$10.00 l
$10.00 Estimated Cost -PERMIT NO. /�
Type $5.00 PLUMBING COMPANY
Reinspection Fee $30.00 SIGNED BY TEL N0. 6
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
pp Approved By _ Rough -In Date Final Date 'w
State Surcharge $ .50 ell 1 y
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 �'� -�`
TOTAL FEE $ /6. PLUS THE $.50 STATE SURCHARGE
From: unknown Page: 2/3 Date: 9/27/200711:27:47 AM
wlqu ..ny v1 i in+ior 1v, v 1t 0"A rase: &Z U20: t9"j4VJt911:1WU/ AM
Building
FZ,j �,
PernIft NO.: ?
Inspe�ctii0ns
763572-3604
RESEDENTUAL .A►.PPLICA►.TION
$
2
=ee
4-•+
�I Y OF FRMLEY
d:
DATE -, YOUR &MAIL AMRESS . .
SITE ADDRESS --
THIS APPLICANT Is DOWNER #DNTRACTOR ... _
PIiOPERTX
ADDRESS: L tr�S 0 7 CT!'YTENANT 1f'51'A 1�a
CONTRACTOR
NAW -
StMM1T A COPY OF
STATE �- EXP DATE . f ' �►
YOUR. STATE
t� +`
nom:� _ 'Z h � lsE IPS crrr_ ..� k� srAT8v1t1y�IP
LICENSENrm
PRONE3- ' -39oV FAX
APPLICATION—(&,P-
------�-
PE1RMT TYPE
=ME FAMMY D IVO FAl4 T O TOWNHOUSE
TYPE OF WORK:
D 14W REPLACIiMEn T
DETAILED DESCRt1'TION OF WORK 10 �,,fe VYL L' Vc+
PER MS 16B.WS the peamit fee is a mlalmam of 515.00 or 9% of the total cant up to SSM1.00,'whichever is grearnr, for the
itpPrcvemenk m*flati0n orreplocemept of a re sideaW fixture, excluding the 6xftm. (This should "Red only the cost of labor)
Labor cost under $380 = $1 S.00. Labor cost bet weep $300 to $500 = coat of labor X.05 -
FORPROJECI°S WE1EtE LABOREXCEMS 35co, FW. ARE BAMM ON $10.00 PER FIX71 URF, EXCEPT'A 703M NOMM. FDMMBS: Moir-ATIE TOTAL
NI MMR OF EACH BELOW)
_ BATH SDOU,LAV _K=R DRAI :VS SHOWEEL _ WATER PIPD10
„ BATHTUB OAS PIPINQ mw vrlrre'mm) _ SWZDAINa POOL SOFTNER (433)
—WATER
— CLOTHES WASHER _ K1TC W S1NK WATER CLOSET _ BACKFLOW FREV. (SLS)
_DISHWASHER _ LAUNDRY TRAY _WATER HEATER (539) FOR MAIOATION
_ WATERMBTER �OT=
Fermit Fee $ Number of 5xtunes c@ $10.00x $10.00 = $
53 Number of fxtu-vs @, $15.00 ^ x $15.00 = $
TOTAL DUE $ .,� Number of Sxtn •es @ $35.00 ` x $35.00 - $
State Surcharge - $ 50
Total = $
THM M AN APP LICATIONFOR APERMIT NOT VALW i N7jL pA )C.Lu D
I hereby ding permit and I aolmowh4e that the information *Ova is comp late sad acmnate; that the work will be in
e0af with the oramattEas mid codes of tic City of Fridley and with the Minnesota C n*uctim Codes; that i Understand this is
not s permit an appli ' for a permit and work is not to start without a pwwt; tt at the work will be in aeconlanoe with the
approvedP the w elr requires review and ofleaupplank
SItINATURB OFAPPLT �, PRiNT N �
�... _.__. __ ____.,_....................,...•....--»ooiw>rwrw:m'mm�ma�..7,^F'k}.1}}}':i: N»fxax:�: y.-.�r' YiiSdntiiCjYw^;.;6�.GYa:9:,2;:,1.:.ta'X,bfiSR:l
City of Fridley
Bafiding Inspections Department
6431 University .Avenue NF, Fridley, MN 554 32
763-572-3604
FAX 763-502-4977
07