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PRE 2010 DOCS.q 4/VdO�6 City of Fridley, Minn. BUILDING PERMIT N? I. • t Date: Addresslw-ner: Builder& 7� A", 20 .. LO I N f F BUILDING No. �-� Street 4z Part of Lot Lot ZD___ Block Addition or SubI,Ivisio�n r Corner Lot Inside Lot Setback -�= -- _ _ _ Sideyard Sewer Elevation�`��' •�S enation �L s � DESCRIPTION OF BUILDING U P li Used Front _ Depth Height _ Sq. Ft. Cu. Ft. Fro t Depth Height Sq. Ft. �13w- cu. Ft. Type construction 7X Est. V; 12 `� To be Completed 0 In consideration of the issuance to me of a permit to construct e building described above I agree to do the proposed work in accordance with the description above set fy i ay�d in c;�mgk agce with provisions of ordinances of the city of Fridley. /. �/ In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the peion 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 11mits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 1-1-N A n ZI—1 NOTICE: nb pennh don not corer the aonstwcdon, Installation for wiring, ph mbing, gas heating, sewer or water. Be sore to we the Building hrspoctor for separate permits for these Noma. APPLICATION.FOR'BUILDING.PERMIT CITY ..OF FRIDLEY, MLNNESOTA OWNER'S NAME �%�rpQ /T • f&LI#2644) BUILDER %��lP � • Z�� ADDRESS •��'`? ;.��°t1�_„ _ADDRESS I �f�� ����3�,vo,. LOCATION OF. BUILDING. No. f � Street Fart of Lot �/f®ti !� -. Lot_$lock . !� 9x- .p�,i.�e�or- -Subdivision ® . Corner Lot Inside- Lot Setback 3,5' Fr.' Side -'lard ' SEWER ELEVATION FOUNDATION ELEVATION Applicant attach,.to this.form Two Certificates of Survey.of;Lot and proposed build- ing.location drawn on these .Certificates. DESCRIPTION OF BUILDING To be used as; ,ll?011-y/FL L/= ront ! _ Depth. C;26 � geig6 Sq. Ff •. ZS . Cu . , Ft ��• . Front_ Depth Height , f. f Sq Ft. � Cu...Ft. Lie A Type of Construction Estimated Cost .f %71 0`16 To be Completed' The undersigned -hereby makes application fora 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,Buildingso and hereby decjgras. that all the facts and representations stated in this application are true and'correct. DATE_`/� 9 �7� SIGNATURE jSchedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 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 ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. Location 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 are true and correct. 8.00 $ 2.00 $ Owner j 5.00 $ Kind of 5.00 $ Used as 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 Fr�Vg Minn 7� To be completed about Estimated Cost, $�T�— Old—New. Building Permit No. Permit No. c;;-'- DESCRIPTIONOF WORK HEATING or POWER PI.ANTS­Steam, of Water Warm Air—No Trade Name• ""e— Size No /" C �' Capacity. Sj Sq. Ft. E.D.R.. ^ c` c' BTU H.P Total Connected Load Kind C' �- Kind of Fuel_ S BURNER. — Trade Name Genl=- — Size No Capacity. _ 42_ (REMARKS—OVER) Sq. Ft. EM.R BTU H.P Signedv Bye -z Business Phone C-� C, xv L F CALCULATION SHEET 1502 Copyright 1960 by The Institute of Boiler and Radiator. M.n.fi".Wre`rs, 608 Fifth Ave'.. -.New York 20, N. Y. OWNER ADDRES TYPE OF BUILDING —CONSTRio t9 COL. A COL. 8 COL. C COL. 0 COL. E ='COL.'F, I Room Room T> A k/ --i 7— H L W H W H L H H L I W 1 02. * 2 Room DIMENSIONS, FT.... --7 1-4- 17 - 91 BTU/HR 7> 4. REQUIRED * LENGTH EXPOSED WALLS. FT. 3 4 LENGTH EXPOSED WALLS, FT. GROSS WALL AREA, SQ. FT. BTU/HR tH REQUIRED BTU/HR 1, tp, REQUIRED BTU/HR REQUIRED -3 0. -Lj1 . BTU/HR ... REQUIRE�l 5 GLASS AREA. SO. FT. GLASS AREA. SO. FT.L) --- ITO c) r') A- r) 6 NET WALL AREA. SO. FT. 1) U(,) 3 K CS 7 8 CEILING AREA. SQ. FT. FLOOR AREA. SQ. FT. t r C) V4 81 FLOOR AREA. SQ. FT. I 9 Room VOLUME FOR INFILTRATION ICU. FT. IFI -------------------- ------------------------------- ______________ -_______________ - ------------------ ----- ------ ------------------------------- 9 -------- -- -------- 10 TOTAL BT /MR AT 70F TEMP. DIFFERENCE' -«__----_--_- --- --------------- --- TOTAL BTU/HR OF'BuILDING AT PESIGN TEMP. DIFFERENCE 10 I I I TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE 7, 0 2- —0 -0 12 HEAT DISTRIBUTING UNITS L O t 7 4-- 7-4 v I r- T7 F; COL- A COL. G COL. H COL- I COL. J COL., K I Room T> A k/ --i 7— H L W H L H L W H 1 02. * Room DIMENSIONS. FT. * LENGTH EXPOSED WALLS. FT. BTU/HR REQUIRED BTU/HR REQUIRED BTU /MR REQUIRED BTU/HR Ar REQUIRED .,,BT,U/HR. REQUIRED * GROSS WALL AREA. SO. FT. S' GLASS AREA. SO. FT.L) r') A- r) 61 NET WALL AREA. SQ. FT. U(,) 3 K 71 CEILING AREA. SQ. FT. T, V4 81 FLOOR AREA. SQ. FT. I 9 Room VOLUME FOR INFILTRATION CU. FT. -- -------- __«_____ - --------------- -«__----_--_- --- --------------- --- TOTAL BTU/HR OF'BuILDING AT PESIGN TEMP. DIFFERENCE 10 TOTAL BTU/HR AT 70F TEMP. DIFFERENCE 7, 0 2- —0 -0 11 12 TOTAL BTU/MR AT DESIGN TEMP. DIFFERENCE HEAT DISTRIBUTING UNITS t 7 4-- 7-4 *INCREASE BATHROOM TOTAL 20% .1 WOR CONCRETE FLOOR ON GROUND OR FILL LINEAR FEET OF. EXPOSED EDGE "F0,RM, 1 02. COL. A COL. B COL. C COL. D _9 COL. F j. Roots ,, - K". H L H L W H L W H L W H L W H L W 1=B=R CALCULATION SHEET 1502 Copyright 1460 by the Institute of Boiler and Radiator Manufacturers, 608 Fifth Ave., Now York ZO L 3 LENGTH EXPOSED WALLS, FT. OWNER ADDRESS DATF.c A. BTU/HR REQUIRED I TYPE OF BUILDING CONSTRUCTION t, 1,? BTU/HR ; v.) 4c:. REQUIRED / BTU/HR .'., REQUIRED BTU/HR REQUIRED - BTU/HR REQUIRED BTU/HR REQUIRED - 51 DESIGN TEMPERATURE DIFFERENCE----"-It-F. I 'LA, ✓j"9 �1.. 6.'y`� Gx! NET WALL AREA, SQ. FT. IN 6I COL. A COL. B COL. C COL. D COL. E COL. F 1 Roots H L H L W H L W H L W H L W H L W 2 ROOM DIMENSIONS. FT. 3 LENGTH EXPOSED WALLS, FT. BTU/HR REQUIRED BTU/HR REQUIRED I BTU/HR REQUIRED 3 41 LENGTH EXPOSED WALLS. FT. GROSS WALL AREA. SQ. FT. 1,? BTU/HR ; v.) 4c:. REQUIRED / BTU/HR .'., REQUIRED BTU/HR REQUIRED - BTU/HR REQUIRED BTU/HR REQUIRED - 51 GLASS AREA. SQ. FT. I 'LA, ✓j"9 �1.. 6.'y`� Gx! NET WALL AREA, SQ. FT. IN 6I NET WALL AREA. SQ. FT. - 71 CEILING AREA, SQ. FT. - 7 CEILING AREA, SQ. FT. K1,•, (� 81 FLOOR AREA, SQ. FT. t - 8 FLOOR AREA, SQ. FT. t '�•""'� - - - - - 9 ROOM VOLUME FOR INFILTRATION- CU. FT. 9 ROOM VOLUME FOR INFILTRATION CU. FT. V --------------------- q• 3 �� �'-�i �1, -- - _' �.��� 'i --� - �------- -----_-_"__"� - - - - 10 TOTAL BTU/HR AT 70F TEMP. DIFFERENCE• - 1 1 I 1 I TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE G } C„ 6� ' 12 12 HEAT DISTRIBUTING UNITS _ q.' (_ COL. A COL. G COL. H COL. 1 COL. J COL. K 1 Room H L I W H L W H L W H L W H L W 2 ROOM DIMENSIONS, FT. 3 LENGTH EXPOSED WALLS, FT. BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED 4I GROSS WALL AREA, SQ. FT. 5 1 GLASS AREA. SQ. FT. I - - 61 NET WALL AREA, SQ. FT. IN - 71 CEILING AREA, SQ. FT. 81 FLOOR AREA, SQ. FT. t - - - - - 9 ROOM VOLUME FOR INFILTRATION- CU. FT. U ----•--_---� ---- ------------ ----------� __ --__-_ '--_ �- ------- —._-- — --� - �------- -----_-_"__"� --- —__-_ �___ "--"- '--- — - - _" -_- __ - 10 TOTAL BTU/HR AT 70F TEMP. DIFFERENCE* - 1 1 TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE ' 12 HEAT DISTRIBUTING UNITS - - INCREASE BATHROOM TOTAL 20% Room TOTALS t` FROM LINE I VAta X V f B C D E - F G H J yxv K A --I n TOTAL BTU/HR & OF BUILDING AT f DESIGN TEMP.. DIFFERENCE tFOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL. USE LINEAR FEET OF EXPOSED EDGE k - FORM 160a , c MIL wo City of Fridley Application for Plumbing and Gas Fitting Permit Dept of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK '5'990 Number, Kind and,Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $1.50 Future Fixture Opening 3 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 New Ground Run Old Bldg. x 3.25 TOTAL $ 9"00 $—J. —A GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ l' rri Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance w!W the City Ordinance and ruling of the Department of Buildings, and hereby eclares that all the fact and representations stated in this application are and correct. Fridley, Minn '- d 19406 Owner_'Z/ ,a,C; Kind of Building Used as To be completed about Estimated Cost, $ Old New. - ding Permit No / O Permit No. _ Signe By Business Phone No_ d'9 3 e ROUGH FINAL Description ................................................$ TOTAL FEE $--L– —If &1 42 Y en Z 8'o�O < Zuu<�pfi w ? • F • N WATER HTR. GAS ELEG Base Ist rig 2nd 3rd Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool El❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $1.50 Future Fixture Opening 3 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 New Ground Run Old Bldg. x 3.25 TOTAL $ 9"00 $—J. —A GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ l' rri Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance w!W the City Ordinance and ruling of the Department of Buildings, and hereby eclares that all the fact and representations stated in this application are and correct. Fridley, Minn '- d 19406 Owner_'Z/ ,a,C; Kind of Building Used as To be completed about Estimated Cost, $ Old New. - ding Permit No / O Permit No. _ Signe By Business Phone No_ d'9 3 e ROUGH FINAL Description ................................................$ TOTAL FEE $--L– —If &1 42 City of Fridley Application for Plumbing and Gas fitting Penrdt 53-84-5915.51 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 5990 Oakwood Manor NE. PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 12 New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ Z_ < (�9 °d (�90� ? �O • F • N WATER HTR. GAS ELEG Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 1 x $2.00 $ 2,00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas gill 3.00 1st 2nd 3rd 4th • Future Conaeation Openings New Fixture, Old Openings I Connected with Sewer E] Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater x $2.00 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 1 x $2.00 $ 2,00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas gill 3.00 REPAIRS & ALTERATIONS --Refer to Code Description ................................................$ TOTAL FEE $ 5.00 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, m_ June 29, 1970 , 19— Owner Eino Efraimson Kind of Building frame Used as residence To be completed about _July 3, 1970 Estimated Cost, $10.00 O1dXNew. Building Permit No Permit No. By Business Pho 8f IV ROUGH FINAL 42 City of Fridley Application for Plumbing and Gas Rtting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK rq�� ®�� Number, Kind and Location of Fixtures I n®+;sn 5:770 W ® ® V PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $---Z &d Future Fixture Opening ................ x 1.20 $� New Fixture Old Opening .............. U 1.00 N WATER HTR. ELEC. 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ 00 GAS base -1, 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $---Z &d 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 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ x .50 $ — x 2.00 $ 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 19— Owner &A Kind of Building1�� A, Used as &W-eLL%► 4 To be completed about Estimated Cost, $ Ol New. wilding Permit No f 4 /s Permit No ---� Signe By Business Phone No- ROUGH - o ROUGH 9 q — tP FINAL Description ................................................$ TOTAL YM $ / �� 3 4a CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 3, 1990 Eino Efraimson 5990 Oakwood Manor Fridley, MN 55432 RE: Property at 5990 Oakwood Manor Dear Mr. Efraimson: On July 1, 1990, the City of Fridley began a new program called Systematic Code Enforcement. This program is designed to provide fair and equitable code enforcement, improve the City's appearance, and maintain property values by creating a more attractive suburban environment. Under this program, all properties in the City will be inspected approximately once each year to ensure that they are in compliance with the Fridley City Code. A recent inspection of your property revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the Code: 1. Discontinue outside storage of wooden containers located at the west side of the property. Your prompt attention in correcting this problem would help us in our effort to improve the City. A reinspection will be conducted on or about December 20, 1990, at which time compliance is anticipated. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-1027 Building BUILDING : Permit Nc,.i�� Inspections RESIDENTIAL APPLICATION Received By: Mof 763-572-3604 CITY OF FRIDLEY D '�E� � ���� 763-502-4977 FAX EFFECTIVE 1-1-08 g DATE — Z?- 69 y YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTO'R PROPERTY OWNER/ / NAME;, v/ • O+`- ./, ADDRESS:5"9-96T w %I%i•/!/+✓CITY �j,, STA t ZIP S TENANT PHONE: 26°3 S'71— 0" NAME: r ADDRESs:, C STA ZIP CONTRACTOR SUBMIT A COPY OF PHONE % 4'�- S/5'O - O 7�p FAX 6'3 - SlS4 7 07 z2_ YOUR STATE LICENSE y% ddo STATE LICENSE #0���d EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK IKSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION AtMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim I. Site Plan/Survey showing the existing structures ❑ Other AFascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) ../ , TOTAL JOB VALUATION $ .iUCCUYANUY 'YY Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$- Erosion $Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary •( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FO A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the inf tion a ve 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 Cod , that I and rstand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in acco a with the appro ed plan in case of all work which requires review and approval of plans. SIGNATURE OF APPLICA RINT NAME,_/c_r'Fri ,c �s+2a DATE APPROVED BY Al