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AFsuejECT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT('93440 REC T N COMMUNITY DEVELOPMENT DIV. v ___.__ r PROTECTIVE INSPECTION SEC. I 1 • � NUMBERREv DATE PAGE OF AP ROvED 8 i ��"','� CITY HALL FRIDLEY 55432 --_•� j 763-571-3450 910-F15 4 / 15103 JOB ADDRESS 1110 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g Norton Manor First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Juaire 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PMJ Group Inc PO Box 43243, Brooklyn Park, MN 55443 763-315-4399 20139308 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 25' x 32' Townhouse & a 20' x 19.5' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Paid $1500 Park Fee. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 1 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 Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $132,012 $66.00 $132.01 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- $1178.55 $1275 Credit fr #333E STRUCTI N OR THE PER ORMANCE OF CONSTRUCTION / / PLAN CHECK FEE T ALFEE ' y Licens C $5. 0 1,381.56 + PF SIG ATURE OF CO 'RA TOR OR AUTHORIZED AGENT (DATE, HE PRO Y VALI T D THIS IS YO,YA PERMIT I e � S-GNATURE OF O NER pit OWNER BUILDER, iDATE, . B&IFOG NSP f)AYE NEW SCI CITY OF FRIDLEY Effective I11r"3 ADON L I 8431 Unlvemky Ave NE. Frey. MN 55432 (763} 572.W" Bldg kmp AFTER f l SWOU FANiLY AND DUPLEXES R-1 ARID R-2 ('fes STI 1287 Fax BUILDING PERMIT APPLICATION C0n$V , CV0n AddMW: 14XX Norton Ave. 9 Legal Description: lit 11,: AuditWs Subdivision Owner Name & Address- Michael Juaire TOL #763-315-4399 Conor: PMJ GROUP, INC. MN LrCENSE #20139308 Address: PO Box 43243, Brooklyn Park, MN 55443 Tel, # 763-315-4399 Attach to this application, a Cert trate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF fAVIPROVEMENT WING AREA: Length 25t_ Wmpt 32 ft; 36ft UL Height 16 ft SI_ R. 1700 ft AGE AREA: Length 20 f WW& 19.5 ft Height 8 ft Sq. FL 390 ft DECK AREA: Length Width HOtHG=nd Sq_ R. OTHER: 10'x10' Conc. Patio Consort Type: Wood Frame 2580 lt��01,2 Driveway Curb Cut 1Nidth Needed: 20 Ft. + 6 Ft = 26 Ft X $ _ $ DATE: 3/5/03 APPLICANT: TeL #Z63-315-4399 C1dl (763) 672 for Permit Fees R maWng in applk4z Fax to 763 -671 -IW if using credit card and we wN CM you far card m mber. Pam* Fee Fire Sumhargle State S SAC Charge Licence Surrhww Curb Cut Escrow Erosion Corwol Park Fee Sower Allain Charge CITY USE ONLY - Awd Fee Schw1ule on Reverse Side .001 of Permit Vahmtion (1I10th%) $.50!$1,000 Valuation 33,369 $1275 per SAC Unit i/0 'AJ6>2"Z'x1 10t, 3%ajl0-3 $5.00 (StateL kens Residential Contractom) Alt "AP ar Ak "B" f+ bove x,100 Caraerrvation Plat ReWew Fee Determined by Engirtwing Agreernert Nom+ f ] Not Nin► [ l TOTAL $ �� O ,�Cf/ sT>pUt arrows* JJ 00.2'-1 00 a s- /.;^.yUt- rMuuLLZx/NZrLA�/oUmUxv. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (7G3)572'36O4.FAX (783)571-12G7 MARK NUMBER OFFIXTURES TCJBEINSTALLED C]NEACH FLOOR Wash N6 Floor isc. Water Heater Stories Clo Urinal Range Gas Elec Basement Floor 2 Floor 4 J. PLUMBING FIXTURE RATES: NO, RATE TOTAL JOB ADDRESS New Fixtures l 57.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $4.00 specified agreeing bzdoall work \nstrict accordance with the city codes Beer Dispenser __ $5.O0 and rulings ofthe Building Division, and hereby declares that all the facts Blow Off Basin _____ $7.00 and representations stated inthis application are true and correct. Catch Basin ___ $7'00 __------- 2ob� Rain F� _- ��.�� Gumo/Reook/inQTank ____ $7.00 k Y'o Water Treating Appliance $10.00 Owner VP VVaterHeater-E|ecthc $7.00 VVeterHeater -[Soa^° \ $10.00 Building Used As. GaoRange^° ___-_ $10.00 Gas Dryer** _____ $10.00 Estimated Cost PERMIT NO. Back Flow PnavenbarRequired ( y/ao No Type ____ $15.00 PLUMBING CON\PA Reinspection Fea$47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ^r 1.5% of Value ofFixture orAppliance d8 Final Approved y Rough -In h,( u� n Da�� nm a State8urchmrge $_.5D � 5e� MINIMUM FEE FOR ANY - PLUMBINGIGAS PERMIT IS $20.00 TOTALFEE $/~2-_' PLUS THE $.60 STATE SURCHARGE COMBUSTION AIR SHALL BEPROVIDED PER UMC SECTION 5O4U\AND TABLE 6+A. COMMON VENT INFO QNBACK SIDE CITY OF FRIDLEY INSPECTION DIVISION Lo 6431 University Ave NE m Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, ® (763) 572.3604 (REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES a FAX (763) 571-1287 � I JOB ADDRESS I 0 I `� RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range 0 �- Gas Dryer *Air Conditioning All Others/Repa �S lyb of'Value of A;ornmercial/indi 1.251 of Value LL 0 0 MINIMUM Fa FI REFRIGERATION N FLUS THE 0 16 Rate $ 30.00 $ 10.00 $10.00 $ 10.00 $ 25.00 q 11 l� Q ;harge n � N t 1 TNTILATION S $Z6.0 M 3EINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without vritten permission from adjoining property owner. - TOTAL $ 0,0 Orn W1 BUILDING USED Effective January 1, 2003 �- a ESTIMATED 1 J� PERMIT NO. /Z M CRIPTION OF FURNACE AND Q11_813FIR +NER_ No. of Heating Units Circle One (Steam) {Hot (Warm Air} Water Trade Namey o l� Size No D BTU 0 HP N4 EDR Aht Fuel Total Connected Load Burner Trade Name YAW -e-- Size No. BTU HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �� Rough -In Date- Final Date MAY -14-2003 15:26 FROM CITY OF FRIDLE:Y TO 4980006 P.06/06 TWE BM0W MUST BE FILLED IN VMEN REPLACING FUEL. BURNING APPLIANCES OR THE APPLICA'T'ION WILL. BE RETURNED VVhen nadanion sin axinflcW fumn= the undersigned hereby verities that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required, Yes( 1 No( ) The venting system is plastic/PVC and meets all currant codes and manufacturer speafications including sizing, length, number of ebcws and termination. Yes (1 No E ) The undersigned also verifies that the replacement u,111: is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes (i No { ) assisted and natural draft appliances. is sized and installed tO meet the current codes and manufaciurees specifications. Yes (? No ( ) VVhen required to inmoi, 3rjawcomb icHnn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) WharfkubIlinn a nimm yarding Sycalm, the undersigned hereby verifies that it Ts a listed assembly and meets the current codes and manufacturees stions. This does include AGA -LAMA Category I Central Furnace YesNc� ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed corredty after an appliance has been removed from the common vent and vented Yes( )No( separately as per current codes. AnnllaWa MM and i7air Fan Assisted or Nat �-Appliance #1 Type , BTU Input �� Fan Assisted or Nat but— Appliance #2 Type -- an Assisted or Nat Appliance #3 Type ETU Input. Total Appliances f�T�tal BtuInput 7* Common Vent Type Vent Height ._ Diameter Inches ts E8 Appliance #i Vent Connector Height ft Length ft Diameter in Type r Appliance #2 Vent Connector Heightft I_engtii _ ft Diameter _in Typo Appliance #i Vent Connector Height ft Lengtiz ft Diameter_„_ in Type r • /lei► �� a �.- `- r TOTAL P.06 Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS I, (0 nQ IL�On AV RATE SCHEDULE OWNER i M -1 C ko Lt - Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range �-' I N_ ?UuLt Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL I BUILDING USED AS - S$30.00 $30.00 $ pp .�7 ESTIMATED COST PERMIT NO. A;�: / $ 10.00 $ /D. 00 DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade NameH 16L0 Size No. SL S"5 O $ BTU 96 00 HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE x -03 HEATING CO W�, A 1 (Z- H�J)+; nG Sig d -fnTEL #_266- q9$^ 16fl?) FAX # Approved By Rough -In Date' Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r+niyiMnN VENT* VENT CANN GTOR AND r-QMBI ISTION AIR VERIMATICIN When rani- Ingan existing e__ra=, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (;► No ( ) The venting system is plastictPVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and termination. Yes( No( ) The undersigned also verifies that the replacement unit is a listed assembly Fan Assisted or Nat and meets the current codes and manufacturer's specifications. This does BTU Input include AGA-GAMA Category 1 Central Furnace Venting Tables for fan Total Appliances assisted and natural draft appliances. Yes () No ( ) The gaxrstrne comb conn air is sized and installed to meet the current codes Vent Height and manufacturer's specifications. Yes () No ( ) When required to Install a new cnmhtisfien airy it will be sized and installed ft Diameter in Type to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a now •=antingiYstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per currant codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type' Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: rAA C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTDfrTY (763) 572-3534 September 30, 2003 PMJ Group Inc PO Box 43243 Brooklyn Park, MN 55443 Re: Final Inspections at 1124, 1130, 1136, 1140, 1142, 1150 Norton Avenue NE, Fridley, MN Dear Sirs: A final inspection was conducted on September 30, 2003 of the new townhouse construction at the above noted addresses. The inspection noted that the construction has been completed in accordance with the approved plans and is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 763-572-3603. From: Michael Juaire To: Ron Julkowski Date: 5/4/2004 Time: 8:13:40 AM Page 2 of 3 This e - - °iLVtrdlhrn` .t although the appliba5en-ins actions listed on CRC's larnlrrat l 41 bund.b. ers Indl a 10, 20, 30 inch application pattem, an appligoition pattern of shingles racked in at least V offsets Is acceptimible (the shingles will perfbirm then' watenhedding t ri) and the UmIted Material Warranty Is valid. -A to nlol bulletin Is aftched for further inibr ion. � Ips-si_ - i�te'lit��r,_i'I Hca floul OurwWer Manager, Technical Support- Residential CanRoof Corporation Inn. 71 ORENDA ROAD 0 ®RAMP` ON, OWARIO a L6VV jV8 9 e TEU (905) 457:5321- o.1-800-2 -O878 a FAX. (905) 457-3195 Is From: Michael Jualre To: Ron Julkowsld Date: 5!4!2004 Time: 8:13:40 AM Page 3 of 3 igo UI; \ Y - ilA .. i .. _ PATTERNS FOR O LAMINATED ,L' D D s' SHINGLEO QVSF the pmt 20 years, Iminated asphalt shingles horm offered to b.tidblig owneis I h a d6911inetIve altemadVe to standard 3 tab shingles. Sk= their applWoon is smewhat differeM In compa dson to tradWonal three tab shingles, core should be tin to erasure that it» 2 r.- where sMVQ joints line up In successive cour4ias is minlmimd. To reduce tHs occurrerme, KO recommends an aftet patterml of ID° since (for most roofs), K will provide an aesthetically pleasing applization while still pm%Ading a funotbonal, wowmedding roof system. Other offsat Paftffm P.O. MUMples at !V, I r, 270; r, 16", W, r, 14", 21"- etc.,) are =eptable although it would be Woo ibr the applkWor to lay W some shh9les in m=eWw courses to d'etemine If the deGired aasthefte have been sch5eved, Pleam note that any offset of 4" imp to 10" is acoaptable, however, lamir ate d *"halt shiraglte oft47 are not re MM!a Wsinoe theses appfrtation patterns May nsgaWaly erect Me moos water4heddr`ng capabNes, and wiO void It aspfeak shingle timfted wwmty. Please note that all ales of our printed appopetion Instruefftins, Including tease for hip and ridge atingle applica*m, must be fogovwd to ani full RrMted m warranty cove e_ Forfmther lrtf matin a rding IKA"s larmr wted shingles and WwresidenWi rootrng prc dm inquiries, plam Wait our wab site: at wwN.IX%mM. or carftct us in dada at 1-300-258-0878, extension 4M. or the Un Ited States at I x-2318, exterWon 493. r 404 Kao zt d` 13Y' Ya 1 Ali �1 %r 14 �If Building PLUMBING Permit No.?,,, Inspections COMMERCIAL APPLICATION Received By:P G 763-572-3604 CITY OF FRIDLEY ae� 763-502-4977 FAX EFFECTIVE 7-1-2010 E-MAIL ADDRESS —L lJ,^ DATE YO SITE ADD SS TENAN SUITE NO. PROPERTY Nom; OWNER/ ADDRESS: �� CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: ylI C'a coin SUBMIT A COPY OF v p STATE LICENSE # • 1 EXP DATE 12-- -3 1- 1 y YOUR STATE LICENSE, BOND AND PLUMBING BOND # EXP DATE CEIRTIFIU T OF ADDRESS: J� GI. XA- 10 I VIOL CITY J) STAT1ArZIP�aa CE PHONE FAX PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK A1 lNfa 1 fq7M //►�11 Sn,L �y � o � �i np✓ � V I Mfg i , A(Z FIXTURES: (INDICATE TOTAL NUMBER OF EACH) o CLOTHES WASHER FLOOR DRAINS RPAL URINAL _ _ DISHWASHER _ GAS PIPING BACKFLOW PREY. WATER HEATER DRINKING FOUNTAIN _ GREASE TRAP _ ROOF DRAINS _ WATER METER FAUCET _ KITCHEN SINK _ SHOWER _ WATER PIPING FLAMMABLE WASTE TANK _ LAUNDRY TRAY _ SLOP SINK _ WATER SOFTENER _ SWIMMING POOL _ WATER CLOSET tLA�VATORY `rt 1 Total Job $ ees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ ° (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 o Minimum permit fee $40 Total Du $ UC-,,' Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 appli ion f r a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in t case of 1 work whic requires review and approval of plans. lc�`�'� Y ` C �r� SIGNATURE OF APPLICA PRIN AMEN V DATE: APPROVAL INSPECTOR SIGNATURE: DA 6 PLEASE NOTE: SEPARATE PERMIT ARE nQUIRED FOR BUILDING, ELECTRICAL AND MEC AL ORK <' City of Vidley Building Inspections Department 64 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd�b l 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE YOUR E-MAIL ADDRESS p 1��Y L fly IT ►P�.i-P 1 �C✓1r�E`D SITE ADDRESS 11 V _�] y+0,) TENANT SUITE NO. PROPERTY NAME: AC;T &A GAME OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE 12-- 3 LICENSE, BOND AND PLUMBING BOND # EXP DAT CERTIFICATE OF ADDRESS: J�J' (�� som- f! 1 Wad./ bIr CITY STAT ZIP�j�.a INSURANCE I PHONE FAX PERMIT TYPE ❑ INSTTFUTIONAL ❑ MULTI-FAMILY ❑ SWIMMING POOL TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FIXTURES: {INDICATE TOTAL NUMBER OF EACH) _ CLOTHES WASHER DISHWASHER _ DISHWASHER _ FLOOR DRAINS _ RP AL URINAL _ GAS PIPING BACKFLOW PREJJ0 0ft WATER HEATER _ DRINKING FOUNTAIN _ GREASE TRAP _ ROOF DRAINS _ WATER METER FAUCET _ KITCHEN SINK _ SHOWER _ WATER PIPING FLAMMABLE WASTE TANK _ LAUNDRY TRAY _ SLOP SINK _ WATER SOFTENER LAVATORY _ SWIMMING POOL _ WATER CLOSET . Total Job $ 41 es are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ CJ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Ej. C�0 Valuation X.0005 or Minimum $5.00 Minimum permit fee $40 Total Due $•�� Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 appli ion f r a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in t case of 1 work whic requires r view and approval of plans. �,j `'r c SIGNATURE OF APPLICA P NAMED V 1(A F✓"'y ' `n DATE:T;�`^l APPROVAL INSPECTOR SIGNATURE: DAyV 13 D PLEASE NOTE: SEPARATITPERAMT5URE'ffEQUIRED.FOR BUILDING ELECTRICAI> AND MECHANI AL WOM City of Vridley Building Inspections Department 643 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977