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PRE 2010 DOCSY' Nes e o (eyq 30, 4I BUIMING,PERNIT, ce of RisrzCTOR OF JaURDWGS o Yvner .tom � a _ � Architect _ _ r� Frid'_ey, ,'Minn Builder 1 LOCATION OF, IT�LDIi�G I, No. � � t Street =t a Part l; of Lot - Lot. Block Addition or, Sub Division TM °4 D.n SC R.Ii��IGIN7 OF DIi3lTG Front 4+s rP De _ajrj_ Height StoriesW Alanner of Construction To be used asTo - be. copl®ted ' Vstimated Ccst II it Permit is hereby 9anted to to the building described in the above satement. This permit is granted upon .the express c clition that the person to whom it is granted, and ,his- agents employees and, workmen, in all the work done in, round and upon; said; building, or any part thereof, shall co orer I in all respects to the, ordi- nances of Frldley, lldinn., "regarding the construction, alteration, maintenance, epair,' and moving• of buildings within the city limts; and this pormit may be revoked at any time upon: violatio , of any of the provisions of said ordinances.fie 4 f ----Inspector of Buildings. In considexation of the issue and delivery to rile by tho Inopecto; of �?'.jildlns;s of. Fridley of the above perinit, I hereby "agree to do the proposed work in accord ince with the description above set forth nd according to the provisions: of t1he ordinances of Pridley, and, beim first duly sworn; I hereby state and say that the facts stated by me, and contained ' the above permit are true as therean fated.- f Subscribed an I sworn to before me at Fridley, Minnesota, :this A.D. 19AUL day of H,. Date:" Owner: WOO, Builder Address Address ® 623 N? Ll N OF BUILDING NO. �- Street - , _. _ _ Part of 340t Lot Block sZz2 Addition or Sub-llyi�a ----- Corner Lot — Inside Lot _ _ iback �' _ Sideyard 42�- Sewer Elevation ___ F dation Elevation DESCRIPTION OF BUILDING To AO"'.; Front —/P -/—Depth Depth Height Sq. Ft Cu. ont Depth Height— Sq. Ft Cu. Ft Type of Construction Est. Cost To be Completed 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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ to construct the building or the express condition that the person to whom it is gn done in, around and upon said building, or y part Fridley, Minnesota reg location, const anuction, - i within the city limits and this permit may be revoked ordinances. r T:L—, permit is, hereby granted to addition as described above. This permit is granted upon nted and his agents, employees and workmen, in all work ,hereof,; shall conform in all respects to the ordinances of iteration, maintenance, repair and moving of buildings at any time uRqAviolatkop of any of the provisions of said NOTICE: This permit does net cover the construction, ImstaMen for vrirtmg, plumbing, gn hating, sw er or water. Be sure to acs the Building inspector for separate permits for these heam APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEX, MINNESOTA AddressAddress LOCATION OF BUILDING No. ����� Street SA. & mart of Lot Lot Block Addition or Subdivision________„ Corner Lot Inside Lot /✓ Setback /0 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ao FrontZ' Depth r-4— -- Height sq. Ft. CU. Ft. - Front --- D t. Front epth Height- sq. eight sq. Ft. Cu. Ft. Type of Construction Estimated Cost c;L o To be Completed l/ 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true.and corre . DATE SIGNATURE 4 "1/ 4_x� (Schedule of Fee Costs can be found on the Reverse Side). d, . s A 01 SUBJECT PERMIT NO. City ®f Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i � CEIPT NO. COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. q � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/16/94 JOB ADDRESS 5815 2 Street NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 23 Hyde Park SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Eugene Lundberg 4675 Main Street NE Fridley 55421 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (14 Sq) Tear -off 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 I 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 $.53 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- $27.00 Fire SC $1.05. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $28.58 SIGN A URE OF CONTRACT R RAUTNO-IZED AGENT IDATEI PE VALIDATED THIS IS YOUR PERMIT Jc 147 11 - O V BLD DATE SIGNA URE OF WNER FIFO N, BUI DER1 ID TEI A 01 NEW I ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 / L / Bding Permit Application T %� _ GCC i � ,2j� L �c- Construction Address. 7-1-1_.._-- Legal Descriptio, : �.SYI.Q -- Owner am Addre s: �� Contractor: P Address: s lot LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/ 1/94 �—LA Tet. # MN LICENSE #c - I to this application, a Certificate of Survey of the ,ith the proposed construction drawn on it to scale. Length Length Length Corner Lot { ] Inside Lot (j Type of Construction: Approx. Completion Date: _ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: i � .q APPLICANT: _ �- � Tel. # I % tl� DESCRIPTION OF IMPROVEMENT Ft. Yd Setback Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. DL Side Yard Setbacks / Estimated Cost: CITY USE ONLY Permit Fee $ ---)'7. Fee Schedule on Reverse Side Fire Surcharge $ A .001 of Permit Valuation (1/10th%) State Surcharge $ $.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: ; ` (% ��> A SUBJECT City of Fridley 2 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 10/13/95 JOB ADDRESS 5815 2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 23 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce Lundberg 5815 2 Street NE 571-372.3 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Associates 3482 Auger Ave, XXXMM White Bear Lake MN 55110 770-9322 4391 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 ❑ REPAIR % ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside dwellin • install new doors and 3 windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING 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 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 $5,000 $2.50 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- $99.75 Fire SC $5.00 STRUCTI OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE _®— f3 License SC $5.00 $112.25 SIGNAT E OF ONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROP LY VALIDATED THIS IS YOUR PERMIT d D6 INSP I� DATE _ SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NEW [ } Effective 8/l/95 ADDN CITY OF FRIDLEY ALTER (} SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application S?917 ConstructionAddress: %) rJ J Legal Description: �.. Owner Name Address: �j Tel. #%� 1 �� Contractor: ?-y, ��- _ MN LICENSE # ��3 9� a Address: �>'/ 52— 6c, Tel. # 7 76 — ci 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: Corner Lot [ } Inside Lot [ } Ft. Yd Setback Type of Construction: P t �. Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ Jay IA C.— -p— 3 --eof®u'-3 STIPULATIONS: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATE/a APPLICANT: _ Tel. # CITY USE ONLY Permit Fee $ q9. %S Fee Schedule on Reverse Side Fire Surcharge $ L7 00 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 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 [ TOTAL $ STIPULATIONS: SUBJECTRMIT NO. City of Fridley 32332 AT THE TOP OF THE TWINS BUILDING PERMIT � RE w_____ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. I . , CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED By 612-571-3450 910-F15 11/19/01 JOB ADDRESS 5815 2nd St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 19 23 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce Lundberg, 5815 2nd St, Fridley, MN 55432 763-571-3723 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Irving Companies, Inc., 2101 Hennepin Ave S, Mpls, MN 55405 612-871-7663 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20226412 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house & garage (tear -off) (12 sq.) 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 OCCUPANCYLOAD 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF ILL BE COMPLIED $1,286.00 $.64 WITH WHETHER SPECIFI R NOT. HE GRANTI OF A PERMIT DOES NOT PRESUM O GIVE RUTH ITY T VIOLAT OR NCEL THE PERMIT FEE SAC CHARGE SIONS IF A OT R LOC �L LAW EGULA G CON- $47.90 Fire $1.29 S ION OR TH PERFO NC F TRUCTIO .SC PLAN CHECK FEE FEE License 00 754.83 TURE OF CO . CTOR OR AUTHORIZED AGENT IDATEI EN ROP LALIO T THIS IS YOUR P,-RlIQ ITUBE �ZNNA 10 OF OW NEA IIF OWNER BU4D,ER1 IDATEI ' it TV INS TI ATE NEW [ ] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Tel. # -1UfS--S-11 Contractor: -R4v.w,�, dznL,�� MN LICENSE # Address:\b� Tel. # I1-`1 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: -� � 4�a ®a MC"( - c� Construction Type: Estimated Cost: $' 1C� 6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `-cAPPLICATel. # (DO-R"7I --I (moi CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 49, _qQ Fee Schedule on Reverse Side - Fire Surcharge $ /- d 9 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ ® 0 $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 PLUMBING Permit No.: City Inspections APPLICATION Received By: - y:763-572-3604CITY 763 -572-3604L/ CITYOF FRIDLEY Date Rec'd: _ — 763-502-4977 FAX 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE YOUR E-MAIL ADDRESS SITE ADDRESS 5 r W ' Ci TENANT S e SUITENO. PROPERTY NAME: /? .z TENANT ADDRESS: S ~ ° - �I/. i C S STATF/LZIP .5 S PHONE:26,3 - ,�%- 72-3 CONTRACTOR NAME: °�V� I SUBMIT A COPY OF STATE LICENSE # 7 �� EXP DATE r YOUR STATE b.'-) DP7 LICENSE, BOND AND PLUMBING BOND #® EXP Za 3 r CERTIFICATE OF ADDRESS: !�� S S CITY % . �G r> L ST 4 TE V IV ZIP INSURANCE PHONE -/ - Z S -j FAX PERMIT TYPE ❑ INSTITUTIONAL TI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK? FIXTURES: (INDICATE TOTAL NUMBER OF EACH) _ CLOTHES WASHER _ FLOOR DRAINS , RPZ VALVE _ URINAL _ DISHWASHER _ GAS PIPING BACKFLOW PREV. _ WATER HEATER —DRINKING FOUNTAIN _ GREASE TRAP _ ROOF DRAINS _ WATER METER —FAUCET _ KITCHEN SINK _ SHOWER _ WATER PIPING _ FLAMMABLE WASTE TANK _ LAUNDRY TRAY _ SLOP SINK _ WATER SOFTENER LAVATORY _ SWIMMING POOL _ WATER CLOSET Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ 1 (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ "' Valuation X .0005 or Minimum .50 i j^ s� Total Due $ Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that -the. information above is complete and accurate; that the work will be in I conformance with the ordinances and codes o i yl`�of Fridley and with the Minnesota Construction Codes; that I understand this is a permit but only an applicati f permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the c fall work which requires review and approval of plans. / DATE lC NAME OF APPLICANT SIGNATURE OF APP CANT ORD PLEASE NOTE-ITPARATE PERMITS ARE RE UIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK- City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE 1AYYOUR E -MAI ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER fitONTRACTOR PROPERTY �ME: OWNER/ TENANTbi�� CITY STAT ZIP PHONE: ✓ s' CONTRACTOR COMPANY NAME: G -V, HEATING & AIR INC CONTACT PERSON: 5182 WEST BROA®WAY SUBMIT A COPY OF STATE LICENSE # C A14MUS5429 YOUR STATE LICENSE WITH ADDRESS: 763-5535-2000ITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW /ALPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL 006 ASHRAE HANDBOOK Equipment Installed MFG: MODIELI/MW�l�'' SIZEBTU /�A MFG: MODEL:! SIZE/BTU MFG: MODEL: SIZEBTU V/A/C $25.00 _FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 _GAS AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _NEW _BOILER $35.00 jl FURNACE $35.00 GAS UNIT HTR $10.00 _,_ CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00 _POOL _DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 iI1�btl (I€ill } a-•=Y�`'�:iL?'^i 4+A , a k 2_N", 7 3,A x 'vis r� 1 r ..q` f ✓in'W„Y ?Y u„`n mq X�� r W,.rA 3�C. S ✓ �+1 $ d :.S �"t.4 k:. 3 �& 4"Axk; „ k H f f 1� 4 a 4, u 5 i Q'�Y2 l" ,'' rY �,"�,-.-syn-,-^^—... t P 7f G 3� A- lAr I.s '< � s � xr f 3v •'1i'� < g ?010" 4 '—"�..s 9r' rt; _r ? , '^-:i p�r�Pf�`�r✓F ,x ,• 9*",.".� ''`�Y:: �„ f �,'a xr dpi T 4i ,.�Y. 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 wor and approval of plans(�AY �re 2 Zola SIGNATURE OF APPLICANT� �0 J� PRINT NAME DATE APPROVAL IN�•SPECTORS SIIG�jNATURE DATE AND City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 _ From: unknown Page: 212 Date: 7/21/2010 3:38:35PM ---------- BuiUng, BUILDING � Inspections p RESI�►ENTIA�►L APPLICATION Rcc�iv dB 1763-572-3604 MY OF FRIDLEY L 1 bA.Tl_ ._ _ YOUR EMAIL AMIMM RIB AMON$ TM AP UCANT 1S! D OWNJ'sR. M'g4n(AVMP M171JPat y OWNM T'lE�1AN7` twA.l�: �` t AC• 13 �G. � +('1 � , _ 1>:_ .� ..,1 •--- ,may; �-• a..t`._ �..v _ fin= •� - - d+WRES&!_ 3. h�.t = .�`. t%!TY .4EE( CONTRACTOR NAMis: ' •• f) A CC) STAYS 1.tCSl0 S�tJ&J49I'A Q171'X i3K YoUUR STATE U=-N9L •1: YQ ALORESS: ��� city. W IN APPLICA77ON R S7 `-- � Ia 1PIt lIrTY TYPE01Y. FAM[LY/N .W CONSTiitl'CI70N . O 1 Wb FAfo4lLYtt�W fx71gSTRUG.t7pN STORIES •IF RMU TYPE ffAl7itl•J ON a GAMOWSNED �� WINpUVVS 13 BASSMEN•rIMSH Rotor— ❑ DRAIN TILE 0 DT:CIG Ll 01'i L -M TYPE =E OFI tBFCJHC: 13 NEW 13 MARY C@tiAAd '`E1PL6FA R 0 EtTs1 g..)VI t1 13LSCR1813 WORK $l±IN(i DOTiJ@: SIJEOF IMPROVE L>•:ltii�TxCl WIDni HFIGHT Sq. Ft; 1.7 HOUSE, OM.Y F SQUARW Q MUSE do A4RAU14' B A E M N'1. r ❑ ATi ACH51] rARAtili 1. L rWag Fano 2. FlopcmW d0 Plan plot+ P7l� SZE: t3L1ACH1z[l4ttStAGIf 3. List a(sttut mconbas to:bm asod Ktor,054 i tIBIGIli: , In FOR NEW CONSTRU rlor� I MJ DING DAI=, 4II I -1S GS E3 Ala*, 1. SItG PMIMM stw�ring 19d 6aeedns �euca:tcs E3 (hilar_ -- �Taltm i is and proposed 2. Twa sans of prtdctt. 0 xwtruefion plans IFd� GiM41NUS CIY= GNO UX ATWN GIF WiNAf1W9 3. Energy G al tattoru G7Ct'POlt�l�©I'klNiNtiS-1)F'�'iCItIBk.'�ZCC�F .—,�p--_.� cPhrnnNa CI'11 W(MS & TYl+le as WR=W TO Ds INffALLbD NLMSER op WeRW:e ALL FEES AR$ WELD ON VALUATION INCLUDIING THE CAST OF LABOR AND MATEM ALS: (�IS1NCx E IiJ. M FFA$ SCHED'U'LE) 12TAL JOR VALUAT)it)mtjpA1VCX -TYPE P"it FM $ Ser, Back for Fee Schedule Plan.xoiaty - X61% offtildins Permit Pec Fire LRurcbmrSe 5 mi times the tot4ijub valuation S a e S .0005 x Permit vaiusition Minimum S.54 Lie a Stoma 9 _ $5.0 (State Li=ma Residontic3 contraulca) SAC OW99 _ $ — $1675 per SAC Unit (Plaw to mwrc for dnienNn Mon) Cob Cut Faorow Eroaioa Canti+al $ S450 COFlseiroMCM Plan ROVW x Park Fac tree I a"Miu d by �itgiaeertng 9e'Aar Mail Charge _$ S � —�� Agreells13ttt neaas my ( ) Na Necessary { ) l►+»e able to: C1Ey of Frid1 rittaGla Sti AA#IDhE• TotRI Duff S checks 71in IS AN APPLICATION FOR A PFAMJT-NOT VALID LWrIL P10CE-682D I herby apply ft a building perudt and I acknowledge f W the i0ormalatm aboYe is complete and A MitmewN C;.onsJruction Codes; te; that the Woric WiQ be in that I undentmid this is not a (,Oafpl�tnaoae whit tilt+ ordblancos and codes of tib City of pridley and the 'not that tho work will be in %dace with the approved permit but only as tsppli or a permit: and work is a perralt; t plat in the 4M of all w k vVlnic w and appro c P pilo , ., 5JOK&I1..ME OF AITUCAN'C r� Ld Wd90:p9 LPMZ ZZ 'ior) LB:TTL : -ON XU=l Fiatpi,iJ to Fiz!:): woa=l