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PRE 2010 DOCS52-84-x915.51 City of Fridley Application for Plumbing and Comas F'itti'ng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 61 Talmadge T�Iy Number, Kind and Location of Fixtures Location— PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric water Heater GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 199,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code —x$100 $ _ x $1.50 $ — x $1.50 $ c, $ 8 a� ~g c�3 �1 <3 �°' c�°d �Z c9Sa `a a (90 F N WATER HTR.0 GAS ELEC Base 1st a 18 S! nt ge 2nd 3rd 4th ° Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric water Heater GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 199,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code —x$100 $ _ x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ — x $2.00 $ NO. RATE TOTAL — x $2.00 $ —x$.75 $ x $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, Minn4`30-68 19_ Owner Demis Greenwood. Kind of Building frame Used as res — To be completed about 5-4-68 Estimated Cost, $ 10,00 Old—New. Building Permit No Permit No. 0 � r By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE Gv 42 SUBJECT PE City of Fridley I ;52�5 AT THE TOP OF THE TWINS BUILDING P E R M I T _ r RECEIPT NO. • __ _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE i NUMBER REV. DATE FPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 '•� ____11.� 612-571-3450 910-F15 6/11/79 / / JOB ADDRESS K 61 Talmadge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. of 311 1 Auditor's Sub. #77 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dennis Greenwood 61 Talmadge Way N.E. 571-7895 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Miles Garages 4500 Lyndale Avenue NorthSRA-9790 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 �7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 30' x 24' Detached Garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. SEPERaTE PEjjV117'g HE�1rr[uG, �LUMBri;h� ACQUIRED FOO IYp SIGNS. e 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 720 7200 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6026 $3.01 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- $28.80 STRUCT NOR THE PE F ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $31.81 SIGNATUREOF CONTRACTOR OR AUTHORIZED AGENT ATE) WHEN PROPERLY VUL+rATED THIS IS YOUR PERMIT _60_A_� _ // SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DAT CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL.BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:a' 1L ADDRESS: � �% 7/' Aiyl Ao k Y TEL NO:s`2/-2ly9'-5— BUILDER: T ADDRESS: 41 TEL NO: S � — C 7' Construction Location STREET NO: STREET: f i4- 1? -1- x o 7` 37 LOT: e% S. lUo -%7 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 certificates to scale. DESCRIPTION OF CONSTRUCTION r Front: ®i Depth: a�/ , Height: �® 0A"e4(�0"-"-Square.Feet: • 7--Zo Cubic Feet: coo Front: Depth: Height: Square Feet: Cubic Feet: (N2 (P Type of Construction: Estimated Cost: $ Tb Be Oompleted: c� 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 representations stated in this application are true and correct DATE: 7 SIGNATURE: Stipulations: BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x �15®75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 ;11 1 p ► /' 1► For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Per each five hundred dollars --($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. SCATION AND BUILDING. PERMIT SLIP - Home Days Home Phone Garage Size //tour of Lot roge Site ercmlot to be obtained by: Permit No. Addition Gradual Flat slope f Home Evenings Steep Slope Mi les Customer Lot NoBlock No. Lot Size 56)(1.2,.S 0,5YSTREET .......................................... .................................... ............................ .................. ......................................... . ......... ............... ................. ............................................ ............................................ ........................................... ........................ . ........ ................... .......... ................... ................ ............... ............................................ .................. ........... .. .................. .................. ......................................... ............... ............. ............................. ............... .................... ... ........................... ........... . ............... ............... ................. . ........................................ .............. ............ El Check here if alley E] Paved M *tVaved Width . . . ... . F] Office Copy E3 Cement Copy ................... .......... ............. . ....................................................... ............................................................................................................ ................... ............................ *.,.*.*.*.*.*.*.*.*.'.'.*.,.'.'.*::::::::::::::::::::::::::::::::::*.::* ................................................................. ................................. ............... ........................................................... .............................................. .......................................... . .... . . . . ......................... ...................................................... ......................... ....................... ........................ ............................. ..................................................................................... . ................. . .................. .................. ............... ............ I ........ ............................ ........... ................................ ....................................................... .................................. ................................................................... ... ........................................ ............ ......................................... ...... ...... ....................................... ..................... ........................... .................. .......................... ...... ......... ..... ............... ................ . ................... ............... .1 ................... . .......................... ............................. :� ........ . . .. ................ .... ... .. . ..... ...... . .... ............. ........ .. . ............ ......... ............... ... ..................... . ....... ...... .............. .......... . ..... ........................................................................................ .............. .. .................. ... . ................ ......... ... ...... ............ .. ..................... ...................... ....................... a ............... .... .......... ............ ........... ........ I ......... ....... ..... ...... ........................ ........ ... ........ : ............ I ......... ........... ............. .................. I ................... .......... I .................. . ...................... .......... � 1:::::: . . ................ ...... ............. . ....... : ....................... ............ ....... .............. .... .................. ..... ... .................................. ............. ........... ...... ....... ................................... I .............. ....................... I ............ .. ................................................. ....... G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 9, 1994 Dennis and Delores Greenwood 61 Talmadge Way N.E. Fridley, MN 55432 RE: Property at 61 Talmadge Way N.E. Dear Mr. and Mrs. Greenwood: A recent inspection revealed that trees at the southwest corner of the above -referenced property appears to be creating a visual obstruction at the intersection of Talmadge Lane and Talmadge Way. This obstruction extends into what is called the "vision safety zone" (see enclosed definition) restricting a clear sight path for motorists at this intersection. Please take the appropriate action to bring this property into compliance with the enclosed ordinance. I will be reinspecting on or shortly after May 23, 1994, at which time compliance is expected. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation!_ Sincerely, Steven Barg Planning Assistant SB:sb CE -92-183 ; [� Community Development Department Q PLANNING DWISION City of Fridley DATE: May 13, 1994 TO: John Flora, Public Works Director FROM: Steven Barg, Code Enforcement Officer SUBJECT: Stop Sign Request at Talmadge Way/Talmadge Circle Recently I received a complaint regarding vision safety at the above -referenced intersection. Subsequently, I sent a letter to the homeowner (Dennis Greenwood) at 61 Talmadge Way concerning a tree and a bush which are hindering sight at this location. Upon meeting with Mr. Greenwood, he indicated that he would resolve this matter by removing the bush and trimming the tree in question. However, he complained that the main problem which he has observed at this intersection usually results from vehicles speeding south on Talmadge Way and turning left or right into this development. He requested that the City consider placing a stop sign at this location to improve safety, and I told him that I would pass on this information to you. Should you wish to speak with Mr. Greenwood regarding this matter, you may contact him at 571-7895. SB:sb CEM -94-34 01 SUBJECT City of Fridley 24440 AT THE TOP OF THE TWINS ? BUILDING PERMIT I RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC `� �// NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/12/96 JOB ADDRESS 61 Talmadge Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Parcel 56 0 L Auditor's Sub. 177 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Greenwood 61 Talmadge Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 6331 Riverview Terrace NE 574-9966 4051 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 D C1 NEW El ADDITION ❑ ALTERATION X REPAIR X ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,650 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- $54.00 Fire SC $1.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Q i'` 6 PLAN CHECK FEE License SC $5.0 TOTAL FEE $61.47 ol SIGNATURE OF CONTRACTOR ORA HORIZED AGENT IDATEI WHEN PROPERALIDATED THIS IS YOUR PERMIT 7r'YJ 4 INSP Y Z DATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDAT 01 NEW j ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:� Legal Description: Owner Name & Address: Z2P O2E;�z1vwv V Tel. # Contractor: I\"CAAleb 4As i 6-T MNLICENSE# Address: 6331 Tel. # 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: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: _% �� off JL 2 ,Q 2,,,, F Side Yard Setbacks Estimated Cost: $ /(SSD Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: e ! Z f ,6 APPLICANT: Tel. # 57? (C - P J'45�4 CITY USE ONLY Permit Fee $ 421�� Fee Schedule on Reverse Side Fire Surcharge $ (� 5� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ C� $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 [ ] TOTAL $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-12137 PERMIT NO.: 2004-00552 2o� DATE ISSUED: 04/21/2004 ADDRESS : 61 TALMADGE WAY NE PIN : 103024140011 LEGAL DESC : UNAVAILABLE LOT BLOCK PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. APPLICANT PREMIER ELECTRICAL CORP 440185 AVE N BROOKLYN PARK, MN 55443 OWNER GREENWOOD DENNIS & DELORES 61 TALMADGE WAY NE MINNEAPOLIS, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application 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 does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date, STATE SURCHARGE, ELEC FLAT 0.50 ELEC AMP SERVICE FEE 30.00 TOTAL 30.50 PAID WITH CHECK # 059709 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FROM :City of Fridley Building Inspections 763-572-3604 763-502-4.}/9�g77 F T)ArC_ SITV ADT)KESS.._—,__ MIS ANPLIGANT IS: PROPF RT'Y OWNER/ TENANT CONTRACTOR SLIFIN41TA COPY OF YCILiR STATE J.ICEN. iz, BONI) AND CERTIFICATE: OF 1NSI I ItANCE PERMIT TYPE TYPE OF WORK: DETAIL11D DESCRi FAX NO. :7635711287 Feb. 15 2008 12:55PM P2 s-- --r—` Permit Nn _Z PLUMPING„' RESIDENTIAL APPLICATION Rec:civel Hy —.—..— • J,CITY OF FRIDLE V nate :_ . ErFF.CTiyF 1-1 08 — YOUR E-MAIL AUDR.1•SS p )WNEK CONTRACTOR PER MS 160.665 the improvement, installat Labor cost under $300 FOR PkOJEC:IS WHfAE NUMBER OF BACH BF.1. _ HATH SiNK/LAV — BA: rHTUB CLOTHES WASHER DISHWASHER Fee TOTAL M J E _�MINJ.MUM $15.50 I hereby apply for a p conformance with the not a permit but only with the approved ply SIC,NATURE OF APPROVED RY 'HONr.: VAME:TrCe-Cc c 1mnis-MO;P DATE__ — — - iTA,rE. LICENSE. —. �� • .—.'�.L,IA1�1ta Cr—.—EXP PATE_...—. S'TATF 9ONn q — . — STAT E— _ZtP ,—..— AD1)RESt: PHONE LChfifNGLF. FAMILY 0 TWO FAMILY 0 TOWNHOI.ISC ------ — -- CI NF.W� �RFPI.ACEMENT — — - — — ION OF WORK wka C_K__ — -- rinit fee is a minimutn of $15.00 or 5% of the total cost uQ to $S0o.00, whichever is greater, for the fixture,. (This should reflect only thecys5�f'slabh`I�ge n or replacement of a residential fixture, excluding the _ I)l $15.00. Labor cost between $;300 to $500 = cost of labor _ •—. • _ x .f15 _— — BOR EXCEEDS $500, FEES' ARF BASED ON $1Q 000 vPR FIXTURE, EXt_ FPT W F{LRE NOTEf). FIXTUltFS: (tNDIC ATL'fl:)TAL J), MINIMI.IM FEF S 15.50.SHOWER_ Ft..00R I)KAINS -.- SWJMMiNCT POOJ. WATER PIPINO WATER SOrTNER ($35) _ GAS PIFTNG ('NEF.I) CITY LIC) - WATER CaASk'i' "— HACKrLOw t�RLV (S15) KiTCHEN SINK LAI.INDi� TRAY IWATER IJEA'rER ($35) rOR. IkRI(iATlt)N CY1'l IER - WATER METER 777 Number of fixtures (ct� i10-00 _ ._ x $10.00 Number of fixtures ([il $15.00 — x $15.00 nR Number of fixtures (t� %15.00 — x $35.00StateSurr;harge (M1NiMiJM $.15.50) THIS IS AN Al K.ICATION FOR A PERMIT -NOT VA1.11) UNTIL PROCGSSFD imbing permit and i acknowledge that the inffn-matinn above is complete and accurate; that the work will be in rdinat,ces and codes of the City of Fridley and with the Minnesota Construction Cvdes; that I understand this ;s I application for a permit and work is not to stats without a permit on site; that the work will be in accordance in thec e c f all we wl� ieh requires review and approval of plans. /� G lD DATE VT_ _ — --. PATE p City of Fridley Building Inspections Department 6431 Un.i.versity Avenue NE, Fridley, N N 55432 763-572-'1604 FAX.: 763-502-4077