PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERAHT
Date: Oct. 10, 1968
Owner: Vern Bartels Builder S. E. Templin
Address _ Address 46184 St son
--
No. 64 Street
Lot 8a & 8b Block
Corner Lot Inside Lot
Sewer Elevation _____822.1F
LOCATION OF
x
N9 99'74
vay I Part of Lot
Addition or Sub -Dion . Edgewater Ga de
Setback,
15S,_ Sideyard 10 & 5
Top3a of Footi
OF BUILDING
To be Used as:
Dwellin Front 48' Depth 26' Height 2 1 Sq, 1280 Cu. Ft 25,600
_Garage _ _ Front 24' Depth 4 eight 10' F•t, 576 Cu. Ft. 5760
Type of Construction Est, T 925.000 To be Completed
SEWER BOGATION -289' N. E. of Manhole
WATER LOEATIMN - 22x 299' N. E. of M
In consideratiolk of the issuance to me of a permit toonstruct tWbuilding dg9cribed above I agree to do
the proposed work accordance with the description abov set to!;rand in co liance with 21 provisions of
ordinances of the citylpf Fridley. ® -7
In consideration of the p ent of a fee of $ 47 , 0 , permit is ereby granted to S • E. Templ in.
to ct the building or a dation as des bed above. This r=mi granted upon
the express codition that the n to whom it is and his a ts, employees and workmen, in all work.
done in,
nr�
and upon said b g, or any ereoi', shall ffiorm is all respects to the ordinances of
Fridley, esota regarding locatioconstrumoving of buildings
within thty limits and this permit be rev o at any time pen violation of any of the provisions of said
ordinaac es.
Building Inspector
ence Belisle
NOTICE:
This panni does not cover the construction, Installation for wiring, phurnbing, gas heating, sewer or wafer. Be sure to ase
the Building inspector for separate permits for these Items.
City of Fridley, Minna N° 9990
BUILDING PERMIT Zf 101�466
.: a L'.1:1111111111
Owner: Vern Bartels Builder S. E. Templin
Address Address 61Q4 Stinson Blvd -
LOCATION OF BUILDING
No- _ 4 —Street Rice (132,-1c Teray -- Part of Lot --
Lot 8a & 8-bBlock _4 _ _ Addition or Sub -Division . Edgewater M Gardens
Corner Lot — Inside Lot % Setback 3 5' — Sideyard 10 &
Sewer Elevation $99 -18 825.18
Top of Footing
DESCRIPTION OF BUILDING
To be Used as: r
DweI I i ng Front � Depth 26' Height 20 t Sq. 1280 CU. Ft. 25 s 600
—Gaxage Front _24!._ _ Depth 24t Height 10' sq. Ft. 5Z6cu. Ft. 5760
Type of Construction _ Est. Cost _AL25-s X9.4_ _ To be Completed _-
SEWER LOCATION — 289' N.E. of Manhole
WATER LOCATION — 299' N.E. of MM Manhole
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 compliance with aJ1 provisions of
ordinances of the city of Fridley.
$100.00 Sewer Connection Charge
In consideration of the payment of a fee of s 47.00 , permit is hereby granted to S. E. Templin
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.
C�UCE BELISLE
NOTICE:
This permit dose not cover the construction, Installation for wiring, plumbing, gn heating, sewer or water. Be sure to no
the Building Inspector for separate permits for them hems.
APPLICATION FOR BUILDING P=T
CITY OF FRIDLEY, MINNESOTA
OW -NM Is
ADDRESS ADDRESS
NO.— � 5STREET
LOT Za-_:�t-jj:-BLOCK
LOCAT OF BUILDING
.4 Z�� 6 CPf:;P --40- 6(-1
COR -NM LOT INSIDE LOT
6/
ADDITION OR SUBDIVISION ;54�e-4�,--6::;��
SETBACK 3d SIDEYARD
SETTER ELEVATION— — TOP OF FOOTING
Applicant attach to this form. Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates. f --
DESCRIPTION OF, BUILDING
To Be Used As:
V Front Depth Height
Square feet Cubic Feet
Front Depth 2 Height
Square feet — Cubic Feet
Type of Construction 41 Estimated Cost
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 Building3,
and hereby declares that all the facts and representations stated in
this application are true and correct. --?
(Schedule of Fee Costs can be found on the Reverse Side.)
S-1 I ( 4- 0
'A
v
City
®f Wi le
p•® V
Dept. of Bldgs. Phone SW -3480
DESCRIPTION OF WORK __ _ //
Number, Kind and Location of Fi3ctures t•(� y %e/C gelz,67,9-W e�irz y Al 6;�-
p
®
NO. RATE TOTAL
Number Fixtures ...
S F
$ /17/
w
3
Y
O
New Fixture Old Opening
s
3
t� 2<
3
n
m
O
•
►
t
N
WATER HTR.
GAS
ELEG
Base
z $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
lot 3 Fixtures ..... . ......
/
Additional Fixtures ..... ...........
.. x $ .75
$
Gas Range to 199,00o BTU ..............
x $5.00
$
lot
--
—
2nd
3rd
—
— -
4th
Facture Connection Openings Connected with
e Now Fixtwm,Old C w�®g ElI
I� ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ...
_._2 x $2.00
$ /17/
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 stun Old Bldg.
x $3.25
$
Electric Water Heater
z $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
lot 3 Fixtures ..... . ......
.. �— x $2.00
Additional Fixtures ..... ...........
.. x $ .75
$
Gas Range to 199,00o BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .................................. .............$
TOTAL FEE 2- L -
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-��®� �/'7� 19(11 9
Owner
Kind of Building
Used as
To be completed about _ e2 l
Estimated Cost, $
Old -,Building Permit No—_ 9Pg0. Permit No.
Signed. - _
By- -!
Business Phone No -4-X0
FINAL
PERMIT for Power Plants and Pleating. Cool-
ing, ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of / Heating Plants be(nstalle ltered—repaired
Make , Size %3 m
Oil fired—, Coal fired—, Gas fired --X--; Gas Authorization No.
Remarks 4 t- " I—
IL4_11�
Approved
Final Inspection
19_
Inspector
Permit N° 4440
Fee $ 3 2
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn.`'
Owner 121 n I L- 2
Location � q ° ci
Kind of Buildi
How Occupied a E.R p
Work to be Commenced—,19—
To
ommenced ,19_
To be Completed 4) - 13' 4 ,19 -i
Estimated Cost, $
Old -New, Building Permit No. 9q 96
Permission is hereby granted to A-1 ' 7 f A/U__k_r `' 0 a'Z'S-Z 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 specific tions set forth in the approved application for this
perms filo in the nffino of the Lusp y. toof Buildings -
Inspector of Buildings
4z 2M 1147 V
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... $10.00 $
replacement of Furnace ............................. 6.00 $
Repairs & Alteratians—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR p
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) 0 0
...... 5.00 $�
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 2.00 $—
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE
Dept. of Bldgs. Phone 560-3450
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 19
g Zl� –74.
Owner
J o
Kind of Building
A r
Used as
To be completed about ✓`'`
Estimated Cost, $ /s
ft—New. Building Permit No. Ll C1 q 0 Permit No. e?4994
DESCRIPTION OF WORK
BEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name Size No- .-ef 7- F6
Capacity Sq. FL E.D.R BTU H.P.
Total Connected LoadSind of Fue
BURNER — Trade Name Size No 0 o
Capacity Sq. Ft. EDR BTU H.P.
(REMARKS --OVER)
Signed=(
By���
as Business Phone No- A•� 4
r
City of Fridley
r AT THE TOP " THE TWIN✓s
j-�-------- coaauNlTT eEVEtosareNT crv,
1 M0TECT1Vt w91tCT*M OLPT,
i r.. CITY MALA FRICUISY 15641i
�.-... Ale `.a M15-1500-34150
s
53 -8L -s-915,51
ISU®JECT
6h N. E. Rice Creek Way
PLUMBING PERMIT APPLICATION
1
""-'-
Aaaress
Phone
Vernon
E. Bartels
Contractor
Address
MINNEGASC® -i
Phone
7,33 MARQUE TE AVENU
Kind of Building
Use MPLS, MINN,
Frame
Res.
Completion Date
Estimated Cost
5-10-7l
10.00
Plumbing Fixture Rates: NO.
RATE TOTAL
W
Number Fixtures x
2.00
$-
Future Fixtures x
$1.50
aoNra
u�!
New Fixture -Old Open. x
$1.50
®
'•7ddY
I I
j Catch Basin x
$3.25
Water Heater -99,000 BTU x
$3.00
•�g�w�
(
i I
I
i
I
Ground Run Old Bldg. x
$3.25
•sao,
•INNIVU
Elec. Water Heater x
0
$2. 0
XHOtv7l
w
I
I
I
o
°�
Gas Fitting Fees:
'O C
liN�Yaa
{
3 o
•�
lst 3 Fixtures x
$2.00
--^
,Q u
10.0
I saae►oaS
I
Additional Fixtures x$
.75
'1Nfl03�
I
I
I
I
I
HN�ao
Gas Range -199,000 BTU x
$5.00
Q1
N: M'
}
Repairs & Alterations
See j
SNNI9
I
I
Description; Install Gas Grill Code
5.00 I
aN1sYa
I
I
I
State Surcharge , .50
I ;s urchargo. aS®g3
u re
I I
I
I
TOTAL FEE
$ 5.50
I
I{
87Y"ia°
!The undersigned hereby snakes application
for a permit
for the work herein specifiedo agreeing to do all work
•t�soo
in strict accordance with the City Ordinances and ruling
aaLv
I
of the Department of Buildings„ and hereby declare that
all'the facts and representations stated
in this
application are true and correct.
,r
'Signature VffWGA5C7C
Date
City of Fridley
SUBJECT.
T
9
AT THE TOP OF THE TWINS
PERM
f
BUILDING
NO.�COMMUNITY
DEVELOPMENT DIV.
1 L
RZPT
r , PROTECTIVE INSPECTION SEC.
s,
ILCITY HALL FRIDLEY 55432
A/—
NUMBER -
REV.
DATE
PAGE OF
APPROVED. BY
L"" 612-560-3450
910-F15
5/12/77
JOB ADDRESS 64 Rice. Creek Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION
SEE ATTACHED
DESCR.
SA & 8B
4
Edgewater Gardens
SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
Vern Bartells 64 Rice Creek Way N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Patio Village 3918 - 492-2 Street West, Mpls.
926-2771
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASSOFWORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Porch enclosure and deck 24' x 12'
9 CHANGE QF USE FROM TO
STIPULATIONS
Area can not be heated unless structure were altered to meet the
Energy Code.
SEPERATE PERMITS REQUIRED FOR WIRING, Before digging call :M utilitlej
HEATING, PLUMBING AND SIGNS.
TELEPHONE' ELECT; GAS Eteo
[REQUIRED r�,f LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
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.
$6, 16O
$3.08
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$36.96
STRUCTION OR PERFORMANCE OF CONSTRUCTION.
'
PLAN CHECK FEE
TOTALFEE
$40.04
it�R�< 7
WHE PROPE LY A D THIS IS YOUR ,
GNA UR CONTRACTOFf ORAUTHO AGENT (DATEI
G,i INSP
D.
SIGNATURE OF OWN ER (IF OWN ER BUILDERI (DAT EI_
k " .
k 1
HARVEY A. CARTWRIGHT
ANOKA COUNTY SURVEYS
HENNEPIN COUNTY SURVEYS
MINNEAPOLIS SURVEYS
8410 PALM STREET N.W
SUNSET 4.7885
OWNER
INDUSTRIAL _ JUDICIAL
BUSINESS - TOPOGRAPHICAL
CITY LOTS - PLATTING
COMBINING THE RECORDS OF
J. E. HILL, CIVIL ENGINEER
ESTABLISHED IS"
LAND SURVEYORS C. F. SANDHOPF
REGISTERED UNDER LAWS OF STATE OF MINNESOTA CIVIL ENGINEER
ESTABLISHED IV" BY ORDINANCE OF CITY OF MINNEAPOLIS
JAMES NELSON
326 PLYMOUTH BUILDING FEDERAL 8.8721 SURVEYOR
HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA ESTABLISHED I9aa
xrbe OY g CFrtlftLatt METROPOLITAN LAND
C SURVEYORS ESTABLISHED iRar
LA
7,�''O� ��s ���ad � ��1� t�lx•�
7 p9
i I'.• T'E?lhy G .''_"v l qtr'
t '—t t:lis is
Lot l'. ana 8 �! .
L, ,-h-water C rdf ns, City
Of F ri :'_`''Jr) :10:03. Cua aL y,,
r1`.i.='1-:,Lott. s Surlee- ed. U
ite this 13ti1 .11'ay of
-
9 1.
. #, Wjv� �02
I -aila
11
! t eP ✓��
I
C
e-
'a. . %
i 3 4 4
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to
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-01
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to
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CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: �� ��'ZTYG<,.L, BUILDER:. s® f (—UA
��' s.
Address: "� /G� IR�EK �A Address: s91,8
Tel. No.: ,9 -'2-7'2
No.: 1*= Street:
LOT:
BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach -to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Be Used As:
Gt4
�R�AIC.�•as�Re- Front:? / Depth: Height:
Square Feet: �,� Cubic Feet:
Front: Depth: Height:
Square Feet:
Cubic Feet:
O b
Type of Construction: t �g Estimated Cost: $
To Be Completed: %1jV14t r S = /}7', Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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 representa ' ns stated in this application
are true and correct. See reverse side or ddit * nal information.
DATE: SIGNATURE:
Stipulations:
r
/I fro-
r
/yj CCd--
17775rc rExicaG
SUBJECT
-PERW NO.
City of Fridley
0 18467
AT THE TOP OF THE TWINS
I' I L D I N %� D[ D� A I T
BUILDING
r
D v v r L R'v'
ECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
v
r PROTECTIVE INSPECTION SEC.
t ` i
CITY HALL FRIDLEY 55432
L
'NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/3/86
JOB ADDRESS 64 Rice Creek Way N.E.'
1 LEGAL
LOT NO.
BLOCK
TRACT R ADDITION SEE ATTACHED
DESCR.
8a, 8b
4
Edgewater Gardens SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Vern Bartels 64 Rice Creek IWay N.E. 574-7394
3 CONTRACTOR MAIL ADDRESS i ZIP PHONE LICENSE NO.
Patio Village 3918 W. 49k Street 938-7989
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
❑ NEW q, ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESC(BIBE WORK
Construct a 141 x 141 (App ox.I) Deck onto Dwelling
9 CHANGEQFUSEFROM
TO
STIPULATIONS
SEPARATE PERMITS REQUI
E® FOR
WIRING, HEATING, PLUM131N
AND SIGNS.
TF1 fp
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL
PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCC PANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOR
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 P
RIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMI
ED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AL
PROVISIONS OF LAWS
VALUATION
SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WO
K WILL BE COMPLIED
$.63
WITH WHETHER SPECIFIED HEREIN OR NOT. THE G
AIdTING OF A PERMIT
$1,250
DOES NOT PRESUME TO GIVE AUTHORITY TO VIO
ATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL L
W REGULATING CON-
STRUCTION OR THE PERFORMANC OF CONSTRUC
ION.
$22.00
��
Y3A�
LAN CHECK FEE
TOTAL FEE
$ 5.50
28.13
SIGNATURE OFCONTR CTORORAUTHORIZEDA T
IDA EI
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER I IF OWNER BUILDERI
IDATEIBLDG
iNSP ry 7E
NEW [ ] City of Fridley Effective 4/1/86
ADDN. I R-1 AND R-2 j
ALTER. [ ] Building Permit Application
Construction Address: 60 : !) Ice_ [; fe--f/l LA /
Legal Description: 63 S - d- �B R/v��[ �rT/o r� Icr�Pr >�✓'���r
Owner Name & Address: iJA ryl 166kPI_'� i ���'. �#
Contractor:_ -rho _a-, Tel. # 1,0
Address:-3.2,hp�L'_ ij A2.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length —�— Width_ Hgt/Ground / / Sq. Ft.
OTHER:
1� X10 V (d 3y,
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: & Estimated Cost: $ ' -
Approx. Completion Date: Ca - "2 o -
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: tp 3� �h APPLICANT: � Tela # C
` 3F 7PlJ,7
CITY USE ONLY
Permit Fee $ AJW Fee Schedule on Reverse Side
Plan Check $ ® 25$ of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL $ Agreement Necessary [ J Not Necessary [ ]
HARVEY A. CARTWRIGHT
ANOKA COUNTY SURVEYS
NENNEPIN COUNTY SURVEYS
MINNEAPOLIS SUR VETS
6410 PALM STREET N W
6UN119T A-7683
OWNCR
INDUSTRIAL — JUDICIAL
SUSINESS — .TOPOGRAPHICAL
CITY LOTS — PLATTING
Lp
0.,
f
,vie
1 y
°�k •alb ' �'��-� �5'� d
f.i.�.t this is y U.a
J3~ - s-` rv.." Of J
Lot I'- and 80,
f) J`3�'�:It t�M i��11+:��•ia� } Civ
CCa, 1 t.
I' 1:L'1,?COVu • :5 su; JE'yeO b,. -
la
.I a Lhls 'LSth day of
-1P
V
p � � f `I � F•. � � f
err.
/1. oily
� C� & OLSON
COMBINING THE RECORDS OF
J. L ENGINEER
E. HILL. CIVI
Esrw�Ln»tco t„S
LAND SURVEYORS
C. F. SANDHOFF
CIVIL ENGINEER
8E61STERED UNDER LAWS OF STATE OF MINNESOTA
,_. CST^01.ISMco Io"
LICENSEO Sy ORDINANCE OF CITY OF MINNEAPOLIS
;DAMES NELSON
326 PLYMOUTH BUILDING • FEDERAL 8-8721
SURVEYOR
NENNEPIN AT SIXTH MINNEAPOLIS 3. MINNESOTA
9STABUs~ea loan
METROPOLITAN LAND
$1tT11cpor g �rttiticatc
SURVEYORS. CSTAIDUMP490 1981
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f.i.�.t this is y U.a
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f) J`3�'�:It t�M i��11+:��•ia� } Civ
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I' 1:L'1,?COVu • :5 su; JE'yeO b,. -
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.I a Lhls 'LSth day of
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In Effect for 1987
..........• ..-s. . .•,..a
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
%ZSIDLKTIA L RATE
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00
Gas Piping S 10.00
(Piping needed with rise furnace)
Gae Range $ 10.00
Gas Dryer $ 10.00
® Air Conditioning (all sizes) S 10.00
All Others/Repairs and Alterations
16 of Value of Appliance or Mork
CERCIAL/INDUSTRIAL
1® of Value of ApplLance or Work
State Surcharge
Roinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
KINimm FEE FOR ANY HEATINf► PERMIT IS $10.00
PLUS $. SO STATE SURCILARGE
S
S
S
Attach stack verification form with replaceernt furnace permits
*Air unnditionern can lint be placed in -:ade yard without.
written It* rwisston f r m adnoinasig nrtgtdx.r.
Job Address (` C
Department of Buildlnq% bill University Ave. N.L.. Fridley. no 55612
City of Fridley
Tel. 1571-3650
The undersigned hereby maked application for a permit for the work herein
specifled agreelnq to do all work in strict accordance with the City Cafes
and rulings of the Departakent of Buildings. and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Kinn. D • lt�
OWWR
RIND OF BUILDING
USED a
To BE COMPLETED ABOUT f e 1-
ESTIPATEp COST�OL � ��✓
NEM BUILDING PERMIT MD. -- PERMIT NO. I
DESCRIPTION or ruFmALWBuw=R
HEATING or POWER P$AtM. Stem. Plat mater•cc Air No.
a
Tr ad* Nape also no. 4
Capacity Sq. Ft. CDR,^ T—BTU IIP
Total Connected loot 111 � �I fNWind or rue,
GUMIER - Trade Neese �/ /I de _ Size no.
Capacaty 5g. Ft. EDA ®°i41 NP --
—2251
Company / "b
G�
Signrd By
V'l -7
Tel. No. ���
CiTY OF FRIDLEY iNiSPECTION DiV.
6431 University Ave NE
Fridley, MN 55492
572-3604
Stories
Basement
Floor 1
Floor 2
Floor 3
Floor 4
APPLICATION FOR.PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Wash
l�i'itt�t, ` Fioor �a�C?1 + Auto.
Urinal 'irif�' {Shower •:Srnk.; Tray- ' '> Y
.o'prirL..'.:< Drain R'ajtt':: Washer
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
New Fixtures
$ 7.00
Old Opening. New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Slow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$7,00
Sump/Recelving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas-, iL
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.0D
Back Flow Preventer Required ( )Yes No�
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
]
State Surcharge
$ .50
TOTAL. FEE
$��
Effective On March 1, 1996
Gas
Heater
Elec
JOB ADDRESS r '
The undersigned hereby makes application for a permit for the work hereln
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.
_t�� i , 1 D96
Owner �L�/d� ��% �`�� S 791 - 7 3 9t-/
Building Used As , 6
Estimated Cost �— PERMIT NO. 40
PLUMBING COMPANY �/vtG
SIGNED BY TEL NO.®�'SS"—
1An
Approved By Rough-rn Date Final Date
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES.
City ®f Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT (/O
ER11 -
16826
r
�6 -_-__.' COMMUNITY DEVELOPMENT DIV.
r e PROTECTIVE INSPECTION SEC.
I "S CITY HALL FRIDLEY 35432
612-571-3450
-L
y
NUMBERDATE
910-F15=7/27/98
PAGE OF
APPROVED BY
JOB ADDRESS
64 Rice Creek Wa
1 LEGAL
DESCR.
LOT NO.
8a & 8b
BLOCK
4
TRACT OR ADDITION
1 Edgewater Gardens
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Vern Bartels
74-7394
3 CONTRACTOR MAIL ADDRIS7235
ZIP PHONE LICENSE NO.
Gary Nordstrom -
441-3787 8832
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP 55303 PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION W REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 29 Sq) 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
MOT.
CU. FT.
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
1
ISTALLS 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
$2418
SURTAX
$1.20
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PR)SVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUgN OR THE ERFORMANCE OF CONSTRUCTION.
PERMIT FEE
74.75
SAC CHARGE
Fir SC 2.41
PLAN CHECK FEE
TOT FEE
Licens C 5.0
$,A 3.36
SIGN CONT RACTOR OR AUTHORIZED AGENT (OATEI
gWaOP
Y ALIDA THIS IS YOUR PERMIT
BLD 1NSP00,
f742
PATE
S.GNATURE OF OWNER 0F OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: %14 �R kCr- C qfi' ,L U ft!�
Legal Description:
Owner Name & Address:Qy Tel.
Contractor: C ftpMN LICENSE #3�
Address: \�l�`� ���S�b�. 9G� - Rh%s[A,m Tel. #Ct13 Q)
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
LIVING AREA:
Length
GARAGE -AREA:
Length
DECK AREA:
Length
OTHER:
-1 7 7
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
J
Construction Type: Estimated Cost: $� ,
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: ` { APPLICANT: Tel. # 17
STIPULATIONS:
r
CITY USE ONLY
Permit Fee
$
�7
G y
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
/. r20
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
60
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
P-)3- 3
TOTAL
$
STIPULATIONS:
r
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1997
6431 University,AveNE
Fridley, MN 5532 APPLICATION FOR POWER
PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR
CONDITIONING SYSTEMS AND DEVICES
JOBADDRESS
RATE~ SCHEDULE
The undersigned hereby makes applfcation fora permit for the work herein
flesidential Rate
TOTAL
specified agreeing to do all work In, strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.40
$
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10.00
$
1
OWNER
Gas Range $10.00
I3UlLDtNG USED AS
Gas Dryer $10.04
$
-�
ESTIMATED COST -ZPL-U ( PERMIT NO. 1 <�
'Air Conditioning -All Sizes $ 25.00
$
'
DESCRIPTION OF FURNACE AND OR BURNER .
AN Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$ o�- mo
No. of Heating Units Circle One (Steam) (HotWater) (Warm Air)
Trade Name d N COCA SizeNo,
Commercialfindustrial
BTU 21a Q HP EDR
1.25% of Value of Appliance or Work
$
Fuel fJ Total Connected Load
State Surcharge
$ 5Q
Burner Trade Name Size No.
BTU HP EDP
TOTAL FEE
5 , ��-'
Afta
dba Fireside Corm
License #20090911
HEATING COMPANY 2700 N. Fairview Aver.
MINIMUM FEE FOR ANY HEATING/COOLINGIVENTILATION
REFRIGERATION/AIH CONDITIONING i'1=RMIT i& $25.00
Poseville, MN bblIS.
E�,re:�3-2561
Signed ByQ4 ��, Tel No.�i�/��
PLUS THE $.54 STATE SURCHARGE
C)
Final
REINSPECTION FEE $42.001Hr
Approved 8y Rough -In Date Date
'Air Conditioners can not be placed in a side yard without
FILLOUT BACK SIDE F STACK VERIFICATION ON
written permission from adjoining property owner.
REPLACEMENT FURNA
i
II
City of Fridley
6431 University Ave NE
Fridley MN 55432
(763) 572-3602 orFax `(763) 502-4977
Water and Sewer Permit Application
! ❑New Connection
[]Utility Line kepair/Relocatio
BExisting OWater and Sewer Connection
II
Date:''
Job Addr+:
c
Name of Applicant : CA-
C1' lumber)
i
Name of Property Owner:
Existing Structure Permit #
Permit Type: Sewer Fee:
Water Fee:
Meter Fee:
Repair Fee:
Relocation:
Sate Surcharge:
SAC Charge:
Special Assessment Fee:
I�
Total: $
State
04/04/05
tepair — Weekend & Holidays
tions Permit
;tions Permit
for Water/Sewer Line Repair
�ments
Meter
See
$ 50
Building
PLUMBING
Permit No.: &r.>010— ov
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
mate Rec'd: 2- n�
DATE k of 6th E-MAIL ADDRESS
�y d �Y,.OUR
SITE ADDRESS -� noia [.c.� P k
THIS APPLICANT IS: ❑ OWNER 4CONTiACTOR
PROPERTY
NAME:
OWNER/
ADDRESS:IRjC?!J to Lir CITY ricjAl STATF ZIP
TENANT
PHONE:
CONTRACTOR
NAME: Akj
STATE LICENSE # EXP DATE ld- V
STATE IP,S5nA3
14W4>14
SUBMIT A COPY OF
YOUR STATE
ADDRESS: &XaAAD CITY
LICENSE WITH
PHONE FAX —
APPLICATION
PERMIT TYPE
NGLE FAMILY O TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
EI NEW "PLACEMENT
DETAILED DESCRIPTION OF WORK Aza_ e_—
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
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 DRAINS _ SHOWER _WATER PIPING
_ _FLOOR
GAS PIPING a&m crrrrrczhsW _ SW NDvUNG POOL —WATER SOFTNER ($35)
—BATHTUB _
_ CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY ,WATER HEATER ($35) FOR IRRIGATION
WATER METER —OTHER
PERMIT SEERb`i �., 7� .. f., fiTSigh
_h ..
Permit Fee $ Number of fixtures @ $10.00
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
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 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 r iew and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME d 1�� DATES
&?iT! �VWRA, U ` .. x `R
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
C*kA tnSc
Building
MECHANICAL
Permit No.: 0'7 6A L
Inspections
RESIDENTIAL APPLICATION
Received BINE7jon"
763-572-3604
CITY OF FRIDLEY
D 'a
DATE �'" fJ� YOUR E-MAIL ADDRESS
1'
SITE ADDRESS L0 IQ.Q- (,^ Ce_ K. \Qa-A
THIS APPLICANT IS: ❑ OWNER JVCONTRACTOR
PROPERTY
NAME:_ ' { er rlo rI C3 c A e ks
OWNER/
ADDRESS: �1\C` Oree.LI)0-44CITY STATE ZIP
TENANT
PHONE:
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: `TOANN 7INKEN
SUBNIIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE NrrY "CO0Nfi RAPIDS STATEMN zIP55433
APPLICATION
PHONE 763 — 757 -- 6202 FAX 763-757--6701
PERMIT TYPE
kSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW )9REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK r i e y— 5 g fa aC 0 -�rnac
a)nd
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)
Equipment Installed MFG: Q.1- r e Y MODEL: 615 Y %Axebkl 6 SIZE/BTU e16,600
MFG: MODEL: all Ptd(Z,3;24 SIZE/BTUA Y
� MFG: MODEL: SIZE/BTU
—VA/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00
AIR
_NEW
$35.00 $35.00 GAS UNIT HTR $10.00
_BOILER
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 —POOL HEATER $35.00
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
i w ! 3 k } �.. �£�1.
. . '�-111 li
k.11s�r . , Y �k" n ; n'k. .� .sem„3;�
p
F x , SQ ,s lc 3 . r, ,
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ . .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 �_ x $25.00 = $ bz)
Number of fixtures @ $35.00 1_ x$35.00=$ 5S,p0
State Surcharge = $ .50
Total = $ o,'S
THIS IS AN APPLICATION FOR A PERMrr-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.
SIGNATURE OF APPLICANT ROGER HOFFHEIN DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building PLUMBING Permit No.:C'_�''
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY D
763-502-4977 FAX
EFFECTIVE 1-1-2010 _
DATE v LJ YOURE-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: dOWNER TRACTOR
PROPERTY NAME: pp
OWNER/ ADDRESS: t - Vo
TENANT fw n
CONTRACTOR
NAME•����i1Li%I
1 1= Anq o CA'hC-1Q rDy U
SUBMIT A COPY OF
BATH SINK/LAV
YOUR STATE
STATE LICENSE #
EXP DATE
LICENSE, BOND AND
STATE BOND #
EXP ATE
CERTIFICATE OF
ADDRESS`:tq
t
l Y ze MirSTATE IP
INSURANCE
_ BACKFLOW PREV. ($15)
—CLOTHES
DISHWASHER
_ LAUNDRY TRAY
PHONE
FAX
PERMIT TYPE
_SINGLE FAMILY
O TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
0 NEW
REPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINK/LAV
DRAINS
SHOWER
_ WATER PIPING
_
_FLOOR
GAS PIPING (NEED CITY LIC)
_
SWIMMING POOL
1 WATER SOFTNER ($35)
—BATHTUB
WASHER
_
_ KITCHEN SINK
_
_ WATER CLOSET
_ BACKFLOW PREV. ($15)
—CLOTHES
DISHWASHER
_ LAUNDRY TRAY
WATER HEATER ($35)
FOR IRRIGATION
_
WATER METER
OTHER
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumAqf
I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an aion it ork is not to start without a permit on site; that the work will be in accordance
with the approved plan in o quires review and approval of I s.
SIGNATURE OF APPLICANT PRINT NAM��^'�' Wf
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977