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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® 4 211 Date: ` a 1:5 d Owner: 7�1 Builder -..........-t- .. ........... .....__ �._ Address .--e Address fi LOCATION OF BUILDING No. _..J_... Street of Lot•--•--............._...._._...._......-..---_........_...._ .. Lot ........... t� .--.............. Block._.._....�.�. ......................... Addition or Sub -Division .....,f Corner Lot ....._ ............... ............ Inside Lot ....A............................ Setback ..................... Sideyard..C....A..'.. �........... ......--�.---.��.... Sewer Elevation ..... .............. _............._.............-.......-...._....... Foundation Elevation DESCRIPTION OF BUILDING To be Used as - ---------Front 1-11 0 D ..epth ... Height ._ S' 'q'. Ft.Cu. Ft. -- ..... ont .140 Depth y� -ate` _ Height ._1.....`'Sq. Ft ... ........... Cu. Ft.... Type of Construction . .......... Est. Co 11ri � .. ..... To be Completed ..... ............. _........ ......_......._........ In consideration of the issuance to me of a permit to const the proposed work in accordance with the description above set ordinances of the city of Fridley. Jr e building described above, I agree to do and in complitance with all provisions of In consideration of the payment of a fee of $... r Z.__.-.:...., permit is hereby granted .... _..................................... ..................... 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. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. Application for Power Plmts and Heating, Cooling, Ventilation, .Refri and z Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, V 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 ............ r .each add. 60,000 BTU . .................. Replacement of Furnace ............................. I Repairs & Alterations—up to $500.00 ... . ............ Repairs & Alterations each add. $500.00 .......:...... . Sl'iEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam, ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water . ,. . Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 2.00 $ %.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 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 $ T ROUGH FINAL Dept. of Bldgs. Phone _SU. 4-7470 Location J ic 0 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. Fridley,Minn- "�3-o 11 19 Owner Kind o: Used as To be completed about Estimated Cost, $ (`� Old—*- Building Permit No. � � Permit No. Jr� DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Wa , Warm Aim No 7 Trade Name '°"� Size No. $- /Cj " Capacity �� Sq. Ft. E.D.R a BTU. H.P. Total Connected Load / Kind of Fuei BURNER — Trade Name /Q �Ts� Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Sign `�'y"w'W.42 1141 7-59 Business Phone No- 7 7 ,.% HEAT -LOSS CALCULATIONS Weatherstrips A.S.H.V.E. Guide Windows Doors Reference Cut. —No I Yes—No 11 19_. '® / F1.1 Room I Length Z?, -6 Width DEPARTMENT OF BUILDINGS Construction it. Wall I Ceiling I Roof I Floor II Kind Height 0 Windows andboors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack egpft. -2-o- -,-- 7z 6-i� T :3/v%" oc®v P e 2® t ed -m R Coef. / 71 9-a / JCoef.j Btu Infiltration Glass m z c, 9'5:6 Exp. wall /7 - Glass 4 Net exp. wall Z 7 757 Z- 5 Z , Int. wall Exp. wall 3 n , I Ceiling 112 6 /Z-00 Net exp. wall Zr Int. wall t- VC, 2 -3 Int. wall Ceiling 0 7 V 170 0 Ceiling�- 0 7 Floor g-c� i✓9 Total Btu. 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -�zo' / F1.1 6 X Of Room I Length JZ -.4 Width l o Height J-" Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Deane ofpane lights of crack ft. os�q. 9- 01 7z 6-i� T :3/v%" oc®v Coef. Btu Infiltration Btu :_76 31 el Glass m z c, Exp. wall , Z_ _ �o 4 Net exp. wall Z Exp. wall Z- 5 Z , Int. wall , I Ceiling 112 6 /Z-00 Floor Zr Int. wall t- VC, Total Btu. 1.7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Id;, '/ F1.I -97/ Room I Length / 4-/ Width i �2:_- Height P1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. y- z® `-- 3r,-/ .0 /k,0 7z 6-i� T :3/v%" oc®v Coef. Btu Coef.1 Btu Infiltration2_0 31 el Glass m z c, Glass'm J 4 Net exp. wall Z Exp. wall Z- 5 Z , Int. wall , I Net exp. wall 46,10 -1-b Floor Zr Int. wall Ceiling 0 7 V 170 0 Floor 0 7 Tbtal Btu. j ,_ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '473/a&-14 FRIDLEY, MINN. How Applied F1-1 /rte ' _ _ Rnnm I Length /7_ -f- Width / zo Height S'- Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / z 3' 2 0 7- .75-17 /®®Z ZL9 Coef. Btu Coef. Btu Infiltration 31 el Glass e z c, �rBtu Glass J fir, Net exp. wall Z Exp. wall / Int. wall , I Net exp. wall 46,10 -1-b Floor 1401 Int. wall Ceiling 0 7 V 170 0 Floor 0 // �, Total Btu. 1 6 57� / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l A V J Room I Length ® iC Width / e Height *- Windows and Doors—Crackage and Area Windows Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / z 3' 2 0 7- .75-17 /®®Z ZL9 Coef. Btu Coef. Btu Infiltration 31 el Glass f 10 / ? Z T Glass J fir, Net exp. wall ! 5"C 7 - Exp. wall J,777 - fid'Int. Int. wall , I Net exp. wall 46,10 -1-b Floor 1401 Int. wall Ceiling Floor J y Total Btu.�/i.F Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �r P im I z�� 12-111—OL 1-7 W;Ath Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / z 3' 2 0 7- .75-17 /®®Z Coef. Btu Infiltration 15' 71 Z a 31 el Glass ®/ Exp. wall J Net exp. wall 5 y � J,777 - fid'Int. Int. wall , I Ceiling 46,10 -1-b Floor 1401 7xs-o Total Btu. Required sq. h. E.D.R. or sa. ins. W.A. Leader area _ It'll City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... — 9 x $1.50 $ / O S Future Fixture Opening ................at x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Neater (Up to 200,000 BTU) ...... x 2.00 $ �` New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... i x $1.50.$--LeS� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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. Owner Kind of Building Used as To be completed about — Estimated Cost, $ Old ew: Building Permit ROUGH NOV 12 1959 0 FINAL - -9610-42 z 2M 749 a WATER HTR. AS ELEC. c79 C9O R N G Base j 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer E] New .Fixture, Old Openings Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... — 9 x $1.50 $ / O S Future Fixture Opening ................at x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Neater (Up to 200,000 BTU) ...... x 2.00 $ �` New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... i x $1.50.$--LeS� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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. Owner Kind of Building Used as To be completed about — Estimated Cost, $ Old ew: Building Permit ROUGH NOV 12 1959 0 FINAL - -9610-42 z 2M 749 Dou M ; PERMIT for Power Plants and Pleating. Cool- ing, ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of_ Heating Plants to be installet"ttoeredd—repaired Make , Size. 6-66 Yom" ; Oil fired—, Coal fired—, Gas fired ; Gas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector 'Z5 '��00 Permit N° 4733 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn./' , 19-20 Owner I/ ®�✓c�i1�� Location IJ06 J �� Kind of Buildzng,_� How Occupied Work to be Commenced—, 19— To be Completed - ,19A Estimated Cost, $ 'Odo •&d Old- ew, Building Permit No. Permission is hereby granted to e a to install--erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set rrth yin the approved application for this permit on file in the office of the Inspector of Buildings. A I 6( Zy, spector of Buildings 42 2M11.67v CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 13'FCTnW1:MY%r Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE TOTAL $ 20.00 $ 20.00 $ '10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date ��yy�� Approval for Permit -C- JA) Address 180 Rice Creek Ter. Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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. Fridley, Minn. August 28 19 89 OWNER Harold Kendrick KIND OF BUILDING Frame USED AS Residential TO BE COMPLETED ABOUT $ .50 ESTIMATED COST $1400,00 %®,1Q $ 20.50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER *FURNACE REPLACEVIENT" HEATING or POWER PLANTS, Steam, Hot Water, Warn Air- No. one Trade Name Carrier Size No. 58SSB060BC Capacity Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name Capacity MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with.replacement furnace permits *Air Conditioners can not be placedinside yard without written permission from adjoining neighbor. Sq. Ft. EDR Kind of Fuel nat . gas Size No. BTU HP Company , Dependable Heating and A/C Signed ByQ�Z= 0 &Jjj/?(p iL� Tel. No. 757-5040 City ®f Fridley AT THE TOP OF THE TWINS SUBJECT ®U I L ®I G R �A I j PERMIT T NO• 26682 i COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. r I , o , 1 : CITY HALL FRIDLEY 55432 612-571-3450 BUILDING ! � 1 RE�CEI�jPTq�NO. �l ✓�J NUMBER 910-F15 REV DATE 7/17/98 vAGE OF APPROVED BY JOB ADDRESS 180 Rice Creek Terrace 1 LEGAL DESCR. LOT NO. 2 BLOCK 2 TRACT OR ADDITION Rice Creek Plaza South SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Neumeister 180 Rice Creek - 3 CONTRACTOR MAIL ADDRESS Owner ZIP PHONE LICENSE NO 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Y] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 23 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. - 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOUR 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 1 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION 1918 SURTAX $.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- STR JVCTION OR THE PERFORMANCE F CONSTRUCTION. 62.25 ire SC 1.92 PLAN CHECK FEE TOTAL EE A 6 .13 SIGNATUREO.CONTRACTOR OR AUTHORIZED AGENT IDATEI PR PERL (DATE IS IS YOUR PERMI r/ is BLDG iNAP �• z C-001 I PATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER { ] SINGLE FANIILY AND DUPLEXES R-1 AND R-2 p BUILDING PERMIT APPLICATION �Y ConstructionAddress: r PP nen: 69 d Owner Name & Address: � l (,F_ �� Tel. # 6 f a 57ZH — dC 3 7 Contractor: t✓ MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: / Construction Type: � � Estimated Cost: -� / (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 2 APPLICANT: S� S S Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] - , • CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 os O l / a APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On January 1. 1997 MARK NUMBER OF FIXTURES TO BE IN5IALLW UN EACH rLUUM Water Closet Bath Urinal Tub Shower Sink Wash Tray Drink. Floor Catch Auto. Gas Gas Misc.. Water Heater Fount. Drain Basin Washer lAppl. Range F'ucL : Gas El Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 Range" _ Gas Dryer** _ Back Flow Preventer Required ( )Yes (j No Type — $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge 1E •50 JOB ADDRESS 11,4 �� exe=C'e 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct �p Owner G�//G�/�/n /J 7L 2 Building Used As Estimated Cost OA -5_41$10' PERMIT NO. —a— PLUMBING COMPANY 'TEr�! �Gc°o!Y✓Qis✓� SIGNED B TEL N0. Approved By k Rough—In Date Final Dat4�,k ]�_MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 a I - Building PLUMBING Permit No. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Date Recd: CITY OF FRIDLEY DATE 6O - 2�jp_1 YOUR E-MAIL ADDRESS S SITE ADDRESS 0� 1 ce- e� f_&CQ. _ THIS APPLICANT IS: ❑ OWNER MONTRACTOR PROPERTY NAME: 9 V\ TENANT OVVNE ADDRESS: CITY �� [moi n STATiwA�FGIP �/� PHONE-_�Ye�/ CONTRACTOR NAME: Champion 00223 PM SUBMIT A COPY OF STATE LICENSE # 651-365-1340 EXP DATE YOUR STATE ADDRESS: E70,_ CITY STATE ZIP LICENSE WITH PHONE MR 0-71zi-lam gagm, FAX APPLICATION PERMIT TYPE IM SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW )ff REPLACEMENT DETAILED DESCRIPTION OF WORK ace uda,c �Q PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) 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) _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING _ _ BATHTUB _ GAS PIPING (ArE F -D cmvcE," _ SWIMMING POOL SOFTNER ($35) —WATER _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET PREV. ($15) _BACKFLOW _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER jay � .umber`o Permit Fee $ Nf fixtures @ Surcharge .50 Number of fixtures @ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ '3q _0 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 City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatioi, 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 ork which re wires review and approval of plans. .yam SIGNATURE OF APPLICANT PRINT NAME DATE 10 wy n ikn,rt � E��.../F � -X�'1J P� ��' <�� i iT��d�s4:. �K��l� ,•��.E� ;�i'h�G City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 sQ