PRE 2010 DOCSCity of Fridley, Minn. 11.23
y
6431 University Ave. N.E., Minneapolis, Minn. 55,132
BURDING PERMIT
Owner: Vi eXr-on, Tnr_o_rpor to Builder Same_
.Address -5901 roQkl n- Bouievard Address S aMe
No x.10 street - West Bavaria Pass _ _- � part of Lot
Ut 4 Block 11 Addition or Sub -Division _Jmnsbruck North Tnhs. Site
Corner Lot ]nside Lot X Setback __-. Sideyard
Ewer Elevation Foundation Elevation
Individual 31'
Front .24' Depth . XX r Height 28' Sq. Ft. _7.48' cu. Ft. 20,944
Front 2.01 _ Depth __ 22_1Height 101 Sq. Ft. .4401 Cu. Ft. 4,4001
Type of Construction -- Wood Frame Est cost 4,610.56 To be Completed Jan.- 15;r—� 972
Stipulations: Provide 10 foot wide plato at elevation 857 for future walk around
the lake. All parking lot and street grades must be greater than .6%. Area to be
platted and filed before occupancy of units.
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 fo d in compliance with all provisions of
ordinances of the city of Fridley.
12.31 State Surcharge
In consideration of the payment of a fee of $ 47.00 , permit is hereby granted to Vi.ewcon. Inc. -
to
.c.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 city limits and this permit may be revoked at any time upon violation of any oftheprovisions of said
����Building Inspector
HANK MUHICH
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, -gas heating, sewer or water, Be sure to see
the Building Inspector for separate permits for these items.
A
("C" Unit)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: VIEWCON, INC. BUILDER: VIEWCON. INC.
NO:, 5510 STREET: West Bavarian Pass
LOT: 4 BLOCK: 11 ADDITION: Innsbruck North Townhouse site
CORNER LOT: INSIDE LOT: X SETBACK: -- SIDEYARD: --
Applicant attach to this fora Two Certificates of Surv@x of Lot and proposed
building location drawn on these Certificates
DESCRIPTION OF BUILDING
To Be Used As:
Individual
jgWohguse,UQIJ Front: 24► Depth: 311 Height: 28'
Unit: 748 UA-LUE_ IcFI-7,11O
Square Feet: Fin: 1496 Cubic Feet: 2.944
Q.0ugg Front: 20' Depth: 22' Height: 10'
Z"7,ZCJ --- Square Feet; 440 Cubic Feet: 4.400
ICTAL- V-LUE: 6� ' j ATS
Type of Construction: Wood frame Estimated Cost: $ Z:��j k_11 , � SL pU(
To Be Completed; 1 ,eJanuaQ4- 1272 2e, 9,Iy �® -2IP- 9'0
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in attict accordance with the City of
Fridley Ordivances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations statedA th a lice io,
are true and correct. 11 z \ /-) /
DATE: .M 10/14/71 SIGNATURE
(See Reverse Side For Additional Information.)
TO 79-t s��= — 57
TovvmtAoucE
P. o p I)' s U "\Ql
N VAD u
P OS
lU F.0
T,
I
r
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 .. ........................ 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 ..............
8.00
$X X
2.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—ta 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 $ X
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ..... x $1.50 $ X
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 $ 17.5Q
ROUGH -
FINAL
,. ill,
y
Dept. of Bldgs. Phone SU 4-7470
Location 5510 W. Bavarian Pass
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 December 13, 1971 19
Owner Vieweon, Inc.
Kind of Building Frame
Used as Residence
To be completed about Jaxuary, 1972
Estimated Cost, $
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1
Trade Name Bit Size No3Q_$.0
Capacity. Sq. Ft. E.D.R 80.000 BTU H.P
Total Connected Load 44,100 Kind of Fuel Nat. gas
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P
(REMARKS -OVER)
Signed Advanced HtS. & Air Con.d, Inc.
By cG _
q'w42 Business Phone No 786-4881
City of Fridley
Application for Plumbing and Gas pitting Permit c
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
Q
3
c
�n
u�5 N
3F
Y
C Q
o u
u�
RK Z
3
LL o
vZ7
c
m
I- �ii
7<
<3
n
09!'3
u1 W
4 z
UN'
?
n
c90
F
N
WATER HTR.
GAS
ELEC
Base
1st
J
2nd
!
A
I
3rd
4th
• Future Coaaec3ion Openiags
* New Fixture, Old Openings
I
Connected with
SewerCesspool 0
PARTIAL RATE SCHEDULE
Dept. of Bldgs. P,Zhhoon_e 860-3450 -3450 \\
Location �-- �A 111 au a r a �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_
Owner U.�-e�,e� ' n u.
Kind of Building o z7zxJ
Used as �<
To be completed about
Estimated Cost, $ h��Oa °o
91
PLUMBING FIXTURE RATES: NO. RATE TOTAL Old ew Building Permit No Permit No. / /�C 7
Number Fixtures ...................... �� x $2.00 $ Signed
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 $ '3
New Ground Run Old Bldg. x $3.25 $
Electric Water Heater a $2.00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... ( x $2.00 $ --;� , 0
Additional Fixtures x $ .75 $
ROUG
FINAL
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code ��eJ
Description ................................................$ ,
TOTAL FEE $- dZ
By
Business Phone No-
(Ll
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RAVES- NO. BATE TOTAL
Number Fixtures ................ x $2.66 $
Future Fixture Opening .... ® .. • . • . x $1.60 i—.•
New Fixture Old Opening .......... x $1.50 =
Estimated Cost, $ 10,00 n' /
OldX New. Building Permit No. - —Permit No. �/ r 0
Signed
By MINNEGASt:c
Business Phune No
Catch Basin ................ e o .. —x$3.26 $
Water Beater (Up to 99,000BTU)-- • • x $3.00 $
New Ground Bun Old Bldg......... —x$3.25 S ROUGH..
Electric Weter Heater . . ............ x $2.00 $_ 7- %5e
GAS FITTING TEEM NO. RATE TOTAL
lot 3 Fixtures ........... • • . • . • • 1 x $2.00 $ 2.00
Gas
qhs.O ................ x $ 35 $i ,,,
Vas Range to 199NBTU o s i.. s . o s ... x $5.00 y 3 - 00 (1) gas 11d,e
State Surcharge $ .50
REPAIRS & AI. `SIO fes 19 Ccde_ t
Description ooaooa.aooa.soaoo. ow...••.s•...•...s.s...►..� _
TOTAL yn f 5.50
City
of Fridley
53-84-S915.51
-
Dept. of Ridge. Phone 560-3455
DESCRIPTION OF WORE
* 51510 Bavarian Pass
Number, hind
oa of Fixtu
and Loc i
@mtj--
City of Fridley:
p
GAS
MIC.
The undersigned hereby makes application for a permit for the work herei<
rse
A
speeified, agreeing to do an work in strict accordance with the City Ordinance
Base
and neling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true aid correct
lst
Fridley, Minn Sept. 14, 1972 ,I9....
2nd
_
3rd
L
Owner Darrell Farr Devy .Co .
4th
Kind of Building frame
Fvlure iiipa
wl�
Sewer• ❑
,
d�rrce
• Flow 3FIe. Old
Used as r��i
To be completed about . S ept. la, 1972
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RAVES- NO. BATE TOTAL
Number Fixtures ................ x $2.66 $
Future Fixture Opening .... ® .. • . • . x $1.60 i—.•
New Fixture Old Opening .......... x $1.50 =
Estimated Cost, $ 10,00 n' /
OldX New. Building Permit No. - —Permit No. �/ r 0
Signed
By MINNEGASt:c
Business Phune No
Catch Basin ................ e o .. —x$3.26 $
Water Beater (Up to 99,000BTU)-- • • x $3.00 $
New Ground Bun Old Bldg......... —x$3.25 S ROUGH..
Electric Weter Heater . . ............ x $2.00 $_ 7- %5e
GAS FITTING TEEM NO. RATE TOTAL
lot 3 Fixtures ........... • • . • . • • 1 x $2.00 $ 2.00
Gas
qhs.O ................ x $ 35 $i ,,,
Vas Range to 199NBTU o s i.. s . o s ... x $5.00 y 3 - 00 (1) gas 11d,e
State Surcharge $ .50
REPAIRS & AI. `SIO fes 19 Ccde_ t
Description ooaooa.aooa.soaoo. ow...••.s•...•...s.s...►..� _
TOTAL yn f 5.50
FEW
SUBJECT
MIT NO.
City of Fridley6'at®--
13287
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
may_ _ _____ DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.COMMUNITY
1 �
� CITY HALL FRIDLEY .55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
10=28-75
JOB ADDRESS
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Stielvogel 5510 West Bavarian Pass NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
C. 0. Field Company 2940 Harriet Avenue South
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 ❑ ADDITION ❑ ALTERATION X1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
rebuild garage (fire)
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
frame
VENTILATING OR AIR CONDITIONING.
Wood
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
ISTALLS
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,
$$ 2,000
1.00
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-
12. QQ
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$13.00
SIG TURE OF CONTRACTOR OR ORIZEDAGENT (DATE)
LY VALID TED THI IS YOUR PERMIT
DATE
�.L.GINSP
SIGNATURE OFOWNER(IF OWNER BUILDER) (DATE)
FEW
-APPLICATION FOR RL•SI'DL'NTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY,-MINNESOTA
. J
OWNER'S NAME : • r C �Ja�r,4/� e G 7f� L BUILDER :
ADDRESS • S-.5-16 /3 ADDRESS beg -S
STREET: n
LOT: BLOCK: / ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Too Certificates..�f Survey •of L-ot and.proposed
building location drawn on these Certificates.
•DESCRIPTION OF BUILDING
To Be Used As:
__Front: Depth: Height
Square Feet: Cubic.Feet:
Front:' Depth : Height:
r --
Square Feet; Cubic Feet:
Type of Construction: ,., Z� Estimated Cost: $ Oec .�
T6 -Be Completed: Aln
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: SIGNATURE , LL::4
(See reverse Side For Additional Information.)'
nrrL.iuni iun run i wiviciitu miu unj i i i i,r.0 v„ 1
97 -8v -87 900.1
•
N0,
RATE
a
ll��et Flx[uret
x
?,
a
Future F!xtura Opening
•
$2,00
U
.
k
U
$
Water
x
.Mv
.ai
A
a
$5..00
h
r a
„
$10,00
a
A W
�
�{
New Ground -Run 01d Building
I(Qator
4
J
Elactric Water Heater -
x
'L4
$
-GAS FITTING FEES;
c
lit 3 fixtures
x
$3,00
$
3.dditional Fixtures
x
$1.00
$
C.it Range to 199,000 BTU
x
$10.00
$
REPAIRS 6 ALTERATIONS
'
'rK.
•.Fi
h
g
m
Aj 0u
$2,00
$
o
State Surcharge
s
$ 50
TOTAL FEE
' 8.00
a'�a
Q
v'ci
w
c
K x
n s
e c
Zad
.
3rd
.
(«
'
7-() - Future Connection Opening
Connected with Sawor
(•) Now Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUNMING FIXTURE RATES;
N0,
RATE
TOTAL
ll��et Flx[uret
x
$3,00
$
Future F!xtura Opening
•
$2,00
$
Now Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
S
i Water Heater - to 99,000 BTU,
x
$5..00
$
100;C00 'BTU to 199,000 BTU
�r
x
$10,00
$
Water softener
x
New Ground -Run 01d Building
x
$5.00
$
Elactric Water Heater -
x
$5,00
$
-GAS FITTING FEES;
lit 3 fixtures
x
$3,00
$
3.dditional Fixtures
x
$1.00
$
C.it Range to 199,000 BTU
x
$10.00
$
REPAIRS 6 ALTERATIONS
'
ririt $100.00
$5.00
$
each add. $100.00 or traction
$2,00
$
'
State Surcharge
$ 50
TOTAL FEE
' 8.00
Job Address 5510 West Bavarian Pass
Department of Buildings
City of Fridley I
Tal. 0571-3450
• The undersigned hereby makes application fora permit for the woe
specified agraoing-to do all work in strict accordance with the Cit
and rulings of the Department of Buildings, and hereby declarat tha
the facts and representations stated in this application are true a
Fridlay, Mn, 10-31-77 , 1�
OWNER MARGE GUMBRILL
KIND OF BUILDING frame
USED AS
TO BE COMPLETED ABOUT 11-5+-77
ESTIMATED COST
OLD - NEN BUILDING PERMIT 140, rr PEfV4IT N0. 24P7
Company
' Cd
Signed By'
Tel. No.
ROUGH INSP,
Data
FINhL INSP. /.0 -
Da to
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS 37.50
97 -8b -b16051
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: N0.
RATE
to
Number Fixtures
X
$3.00
u
Future Fixture Opening
x
m�
$
Water
x
$2.00
$
1
��
X
$5.00
$
Water Heater - to 99,000 BTC
X
$5.00
$
100,000 BTU to 199,000 BTU
Heater
.,Le
0
Water Softener
x
$7.00
F
N
1wC{o
•ti ",1'
�
U
O
.ese�d
L i�11
V N
a
N
a"
w
O
'U
c
.p�
ruaropro
o
as
lec
W
a
m
ai
W
S
aw
y
w
Uwa3
PAC.
I
1st
.�
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
M - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: N0.
RATE
TOTAL
Number Fixtures
X
$3.00
$
Future Fixture Opening
x
$2.00
$
Neer Fixture, Old Opening
x
$2.00
$
Catch Basin
X
$5.00
$
Water Heater - to 99,000 BTC
X
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures x '$3.00 $
Additional Fixtures x $1.00 $
Gas Range to 199,000 BTU X $10.00 $
REPAIRS & ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $ 8. C®
REINSPECTION FEE
(510.00)
Job Address 5510 Wes-t—Bavarian Pass
Department of Buildings
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, Mn. 9-1-78 , 19
OWNER Gumbri'll
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 9-8-;-78
ESTIMATED COST 20`00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ® /
Company
Signed By MINNEGASC®
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT r
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE
SUBJECT
PERMIT NO. `
City of Fridley
AT THE TOP OF THE TWINS
?CEIPT
BUILDING PERMIT
22515
Ir
NO.
COMMUNITY DEVELOPMENT DIV.
LV--o---,
r � � PROTECTIVE INSPECTION SEC.
may}1)
®
1 i
1 "'1 CITY HALL FRIDLEY 55432
NUMBER
REV
GATE
PAGE OF
APPROVED B
612-571-3450
910-F15
5/18/94
JOB ADDRESS 5510 West Bavarian Pass NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
11
Innsbruck North Townhosue SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis MN 55414781-6170 24RI
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 ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reroof Garage (Tear-off); Install gutters
9 CHANGE OF USE FROM 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.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2109
$1.06
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$554.00
Fire SC $2.11
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$62.17
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)FdH_gE1NPRGRERLY
VALIDAT ¢CHIS IS YOUR PERMIT
DATE
SIGNATURE OF OWNER i IF OWNER BUILDER) (DATE)
NEW (j Effective 1/ 1/94
ADDN CITY OF FRIDLEY
ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2�
Building Permit Application
Construction Address: 5510 - West Bavarian Pass
Legal Description:
Owner Name & Address:
Contractor: Dicks Fire and Storm
Tel. #
MN LICENSE # 2 4 81
Address: 864 - 19th Ave S.E . Mpls Mn 55414 Tel. # 781-6170
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= Remove Arid replace roofing on garage Install gutters,
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Roofing /gutters Estimated Cost: $ 2,109.00
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 5/ 15/94' APPLICANT: Dicks Fire and Storm Tel. # 731- 617 0
CITY USE ONLY
Permit Fee $ _ Fee Schedule on Reverse Side
Fire Surcharge $ J, .001 of Permit Valuation (1/10th%)
State Surcharge $ 1,06 $.50/$1,000 Valuation
SAC Charge $ $800 per SAC Unit
License Surcharge $ $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:
l
SUBJECT
0•
City of Fridley"31043
Fr)AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT
�`COMMUNITY DEVELOPMENT DIV.
y------
PROTECTIVE INSPECTION SEC.
��� n
`�
1
1
r"'7' � CITY HALL FRIOLEV SS132
NUMBER
DATE
PAGE OF
APPROVED BY
612-5IDLEY 0
910418
T
6/8/00
JOB ADDRESS 5502, 06,10,14,18, 22 W. Bavarian Pass
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
,:DtscR::
.;1-6
it
1 Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Innsbruck.wTownhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp. 2301-E. 25th
St...Mpls., MN 55406 612-722-7129
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
00001423
S ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
,Residential
T. CLASS OF WORK
O NEW O ADDITION O ALTERATION )p REPAIR ❑ MOVE O REMOVE
8 - DESCRIBE WORK
Reroof Building
9. CHANGEOFUSEFROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit inspection Cards
Will B6 Mailed
To Homeowner To Posh
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE"PERMITS ARE REOUIREO 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 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
.
ANY TIME -AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
C
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
6 ISTALLS
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
$16,674.56
$8.33
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-
$279.25
Fire SC $16.67
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
1.101
304.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN R P VALI AT D THIS IS YOUR PERMIT
9L INSp (/® fIA IE
SIGNATURE OF OWNER.IF OWNER BUILOERI IDA TEI
l
'!F
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
.but not replacement)
Gas Range
Gas Dryer
*Air Conditioning- All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $_ Q
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMITS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On January 1, 2000
OWNER �AWAA
BUILDING USED AS ) Li % - bV I
ESTIMATED COST � � 40 PERMIT NO.
_L11 1v LAA %LAIC �f Y 10
No. of Heatin its C'rcle eam o a er�(Warm Air)
Trade Name L®� Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that.all the facts and
representations stated in this application are true and correct.
DATE 0 10 1
HEATING CO.,11%t%1 AWL
Signed TEL #
Approved By �. �.
Hough-in'ice
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacture_ r
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes( ) No( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. ' Yes( ) No( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes( No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input Fan Assisted or Nat
Appliance#2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length .t Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date
Cr YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
January 11, 2002
Ms. Margie Gumbrill
5510 West Bavarian Pass NE
Fridley, MN 55432
Re: Final Inspection at 5510 West Bavarian Pass NE
Contractor: Total Comfort
Dear Ms. Gumbrill:
A mechanical permit was issued on August 14, 2001 to install an air conditioner at
your address. According to the 1991 Uniform Mechanical Code a final inspection
shall be conducted on the work authorized by this permit. As of this date, no
inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was
completed according to the Codes. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspection called for" and no further action will be taken.
To set up the inspection or to have any questions answered, please contact the
Building Inspection Division at (763) 572-3604.
Sincerely,
SEN
DJ/mh
CITY OF F,RIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner .
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25 Jo of Value of Appliance or Work
Effective January 1, 2003
JOB ADDRESS 55 .b �-Q cA,- r-'%e� �z
OWNER�'-
Rate TOTAL
BUILDING USED -eac_-e-
$30.00
e-
$30.00 $0 00 _
ESTIMATED COST rR'qQ0, 0® PERMIT NO. l
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units 1 Circle One (Steam) (Hot Water War -m Air,
$ 10.00 $ Trade Name v 6 r Size No: SC -V C,"1C5- i7—
BTU tGL.on r-Cpd HP EDR
$ 25.00 $ Fuel %\,A Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
$
DATE X30._ ®�
CenterPoint Energy Minnegasco
HEATING C013562 Central Ave NE, Anoka, MN 55304
Signed Q 763-757=6202
FAX # 763-757-6701
Approved By Rough -In Date Final Date -7
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When ra l,r-iinn an exietinn fury anae, the undersigned.hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes Xi No ( )
and is securely supported and firestopped where required.
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (X) No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and Cential�FumVenting Tables urer's specifications. acef r' fan Yes
include AGA-GAMA Category
ryYes (x) No ( )
assisted and natural draft appliances.
The a ictinn omeustinn air is sized and installed to meet the current codes Yes ) No ( )
and manufacturer's specifications.
When required to in -dale a nffi& cemhustien air_ it will be sized and installed Yes No ( )
to meet the current codes and manufacturer's specifications.
When inatalfing a n� ntina�cystem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace Yes {t) No( )
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented Yes (x) No ( )
separately as per current codes.
Aeellaenp- Tyg)a end Si�n�Ge mon filen and vent Cnnnp-ctor Information
_
Appliance #1 Type BTU Input 66, )2' an Assis or N
at
y.,�„�t BTU Input w. csy�v Fan Assisted or
Appliance #2 Type � ��� 3
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances _— Total Btu Input k -vo . ab-
vv
Common Vent Type " y 4v Vent Height 070 � Diameter 5 inches
ft Length -� ft Diameter�_in Type
Appliance #1 Vent Connector Height =
Appliance #2 Vent Connector Height _ 4 ft Length �_ft Diameter fK ^-_in TypeN
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:CenterPoint Enprcv Minn 13562 Central Ave NE, Anoka, MN 55304
egasee
Signed By: Date: .
OCCUPANT Uu K &
HEAT LOSS Yes DATE HTG. INST.
SOLD BY CenterPoint Enerrnr Minneytagro
Electrical Work By
• 1
•/ /•
APT.
�A
INSTALLED BY rP 'n
Gas Line By
TYPE OF HEAT FA SPACE HTR. UNIT HTR. — OTHER
MAKE CArri eg GAS DESIGN
Model e O
Serial 7 yb
NPUT QQ®
Pressure
nput CFH_C Percent CO2
Percent OZ
Stack Temp. %yam Percent COS-N
CONVERSION
r/
Vent Size
KIND OF LINER SIZE
NONE
Draft Hood C/`Oe,,4 Regulator
Filters Size /_— & A Number
Outside
Chimney Location
Chimney Construction
Inside
Wiring
Test Tag
oe-
Lighting Inst.
Date Tested
Company Testing CenterPoint Energy Minnegasco
Name of Tester
Building
$ /�
BUILDING
Permit No.: t)71�
Inspections
$ L12-01�
RESIDENTIAL APPLICATION
Received By:
763-572=3604CITY
$ . o- )
SAC Charge
Date Rec'd: d%
Curb Cut Escrow
$
OF FRIDLEY
$
DATE ' YOUR E- AIL ADDRESS 3 n4. Im.
SITE ADDRESS
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: CITY
STATE ZIP
PHONE:
44
CONTRACTOR
NAME:
STATE LICENSE # % EXP DATE
`t —
�
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
a!� STA461P G
WITH APPLICATION
PHONE C-- =� FAX
PROPERTY TYPE
INGLE FAMIL IEW CONSTR CTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ADDITION
13MAINTENANCEIREPAIR REMODELING
DESCRIBE WORK BEING DONE: — 1 'A4f
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
inyl
❑Soffit
ADDITIONS & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
i. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
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 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ k n ine-) OCCUPANCY TYPE
Permit Fee
$ /�
Plan Review
$
Fire Surcharge
$ L12-01�
Surcharge
$ j , LL)
License Surcharge
$ . o- )
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
Sewer Main Charge
Total Due
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 w ' h e it review and approval of plans. SIGNATURE OF APPLICANT PTNAME/�� 6-uJDATERIN"
Building
Permit Fee
BUILDING
Permit No.: ,0
Inspections
$
RESIDENTIAL APPLICATION
Received By:
763-572-3604
.001 times the total job valuation
CITY OF FRIDLEY
Date &GAO v UN 4 2
5-- VV-)
�+� YOUR E-MAIL n a 2a r i o
DATE _W
SITE ADDRESS SS I C)
ADDRESS Ic
W E4 Net f i U 0 Va S S
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME: %J ri 0
ADDRESS: 555 8 w 54ya r i atn Pa.ssclTY FT i!a 1 eH STATEgWip 5S432.
TENANT
ft + 6 ft = ft x $21 = $
PHONE: '7143-577-- 395 3
CONTRACTOR
NAME:R114 I L UDDrs
STATE LICENSE # 2Q1 &SaG &-qEXP DATE 0 31311 200C
$
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:I53o® ZS I~ N .*too CITY P1%M ()l,& i1 STATEMiP _5 7
WITH APPLICATION
P ONE -71P - 9 -JY FAx 103-r7 - 14L1
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
Make checks payable to: City of Fridley Attach
❑ TWO FAMILY/NEW CONSTRUCTION STO TES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCEIREPAIR RREMODELING
DESCRIBE WORK BEING DONE: 1 s Iidtrul ftr o r^ e. Sim DPeyi1 h �
J
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
IN EXISTING OPENINGS 1AYes ❑No LOCATION OF WINDOWS ( �—
3. Energy Calculations
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 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
? See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
'J .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
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
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 review and approval of plans.
SIGNATURE OF APPLICANT 9g9,J�t'� PRINT NAME�;G Naga ��yC0>cQa�DATE 5'-340 ��+
I
07