Loading...
PRE 2010 DOCSx: BUILDING PERMIT N° 2502 Village of Fridley, Minn,, rl Date , .. ... ;: " Ownerp r Builder ........ .. .......................... Address .. ... .... Address .....iw.. ..... ..... .... LOCATION OF BUILDING No. Street Part of Lot ....................... Lot ............. Block, ..... Addition or Sub -Division .. .. .......... . • Corner Lot Inside Lot Setback Sid yard .. ...... ..... . DESCRIPTION OF BUILDING Tai '° Used as: m .. ......sC:; - Front ... Depth . Hei .. .... ........ p ght . � Sq. Ft. � Cu. Ft. .. .:.. ..... ...... , . ....... ,. .... ant Depth i eight .. Sq. Ft. Cu, Ft, ........ Type of Constru on .... To be Completed ......... ... ..:......,.. Est Cost ................... ,.. In tonsideration.of I` the issuance to me of a, permit to construct the building described above, I agree to do the proposed worl: in accordance with the- description above set forth " �. d i' compliance with all provisions of ordinances of the age of Fridley. hl y ... In considerat :., :. bn of the payment of a fee of$...... , , , permit is hereby granted to ......... :.......... . ...... , ...... ....... to construct the building or addition as described above. This permit granted upon the express condition done in, around a that the person to whom it is granted and bis agents, employees and workmen, in all work ad upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Winnesot in the village Ifinj ordinances. x regarding location, Construction, alteration, maintenance, repair and moving of buildings with- : and this permit may be revoked atany time ' orf , ` 'at on of any of the provisions hof said Building ... u�ld g Inspector NOTICE: This perm t does not cover the oonstruotion, Installation or alteration for wiring, plumbing, gas heating, sewer or Ovate I' Be sure to see the Building l'nspeotop for separate permits' for these items. 1 SUBJECT P City of Fridley o 19218 AT THE TOP OF THE TWINS BUILDING PERMIT r IP � COMMUNITY DEVELOPMENT DIV. r I L ______PROTECTIVE INSPECTION SEC.��/ 1 . � CITY HALL FRIDLEY 55432 NUMBER REY. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 10/1/87 JOB ADDRESS 4590 - 21i Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Henry Igelsrud 4590 - 231 Street N.E. 572-1554 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. zneri:can Remodeling 3700 Annapolis Lane, Plymouth 55441 553-0020 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 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 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. D1LG. 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 $7,500 $3.75 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 OTH STATE OR LOCAL LAW REGULATING CON- ST ORT E P O8.50 ANCUCTION. $6CKFEPLAN CHECK FEE TOTALFEE $72.25 SIGNATURE 6FCONTRACT OR AUTHORIZED AGENT (DATE) '•.,WHEN' PROPERLY VALI ATED THIS 15 YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI LDG IN5P DATE 1 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: f� 4 '-2 t;� s;: Legal Description: Owner Name & Address: Tel. # Contractor:��® C �-i � Tel . # Address: �� �® ���r� �•�` ��'�/ LIVING AREA: r.ARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Length Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: ",*00 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: /G-/ 0'7 APPLICANT: z Tel. # ® CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 2693 6 AT THE TOP OF THE TWINS BUILDING R I I 1` RECEIPT N 1 _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r ; 0 e 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/31/98 JOB ADDRESS 4590 2 1/2 St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Pl outh SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Julia I elsrud572-1554 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Ext. Inc. 8600 jefferson-awy Po Box 266 is-469 2877 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 Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1950 $.97 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.25 F e SC $1.95 PLAN CHECK FEE L FEE Lice $5-,0/17 770. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI 1,,nE PROP SAG INSP ALID T D THIS I OU PE M r TE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:�`� Legal Description: Owner Nan Contractor: Address: Effective 3/1/96 ewrdl G L�it✓ Tel. # 39�Ste/ Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ /.gE� - Approx. Completion ate: Af (Cost on Back) Driveway urb ut Width Needed: Ft. + 6 Ft = Ft x $ _ $ �r — DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ Fee Schedule on Reverse Side $ I. 9 j� .001 of Permit Valuation (1/10th%) $ a,9�7 $.50/$1,000 Valuation $ $900 per SAC Unit $ 6-, d?'b $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �U✓� �!rL���® r GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 17, 1999 Julia Ingelsrud 4590 2 Y2 St. NE Fridley, MN 55421 Re: Final inspection at 4590 2 Yi St. NE Contractor River City Sheet Metal Dear Ms. Ingelsrud: A mechanical permit was issued on May 18, 1998 for the property located at 4590 2 Y2 St. NE for a new furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, Bary Riesch Building Inspector CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE 1J, Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, ' 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 149c) 0 c;L l kt 1) RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential 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 Vent Fill Out Hack) $ 30.00 $� D representations stated in this application are true and corn �1 9 �1 (Side — Gas Piping (Needed with new furnace) $10.00 $ 3Li _LnO -eAs J'uO OWNER i 0. Gas Range $10.0 $ BUILDING USED AS Gas Dryer $10.00$ I ESTIMATED COST 1 PERMIT NO. / 3f � *Air Conditioning —All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK-e-�P�c� 1% of Value of Appliance or Work S No. of Heating Units Circle One (Steam) (Hot Wate �Ki Trade Name T.ern��c., Size No. 'jam Commercial/Industrial BTU E&O I HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE $ .50 s 3d•D MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name BTU HP Size No. EDR HEATING COMPANY R1 UPW 111' dad Signed By L—A,2," Tel No. _7�y_'2zfi Approved By Rough—In Date Final Date FILL OUT BACK SIDE F41 STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes *03CNo ( ) 2. Is free from rust or deterioration Yes (zf No ( ) 3. Has no foreign objects lodged within Yes ((/" No ( ) 4. Is securely supported . Yes ( t,)'" No ( ) 5. Meets all current Code requirements for size Yes ( ) and total BTU's connected (dNo 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT P City of Fridley 3 0 2 6 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. � • ____ COMMUNITY DEVELOPMENT DIY. j PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910-F15 9/22/99 10B ADDRESS 4590 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Julie I elsrud 572-1554 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO DuAll Service 636 39th Ave NE Col. Heights 55421 788-9411 3478 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 MK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage.(19 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $1661 $.83 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $60.10 hire S $1.66 PLAN CHECK FEE TOTAL F Lic SC 5.0 $67 9 SIGN 4TURE OF CON'RACTOR OR AUTHORIZED AGENT iDATE. FOR PE (DATED IS P MI BIL i p 4 gAfE S,GNATURE OF OWNEROF OWNER BUILDER( 1OA1E1 NEW I Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER f 1 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 r BUILDING PERMIT APPLICATION Construction Address: 7f -XT Cr0 (V /off 5 7—. -,V z J Legal Description: Owner Name &Address: Tel. # 57,R - Contractor: %,R -Contractor: bv-411 S -e A U Pc a MN LICENSE # J7 f 7cP Address: ( 3 ( 3,9 Y -z! e W 15� Cyfg 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: Construction Type: �� ^ i°®®�got 6� (tq,�je ) ,7�, �//; Estimated Cost: $ a v Driveway Curb Cut Width Needed: DATE: APPLICANT: Ft. + 6 Ft = Ft x $ CITY USE ONLY Permit Fee 10 Fee Schedule on Reverse Side Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .001 of Permit Valuation (1/10th%) $ 3 $.50/$1,000 Valuation Tel. # $ $1050 per SAC Unit $ 0 Q $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:01142010 (763)572-3604FAX: (763)502-4977 Permit #2010-00046 4590 2 1/2 ST NE ADDRESS: PIN:263024330101 LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH :LOT 1 BLOCK 2 PERMIT TYPE:PLUMBING - FIXTURE BASED PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:WATER HEATER NOTE: CALL FOR FINAL INSPECTION COMBUSTION AIR PER CHAPTER 7, 2006 I.M.C. AND STATE AMENDMENTS. MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS CALL FOR FINAL INSPECTION WITHIN 10 DAYS INSTALLATION OF REPLACEMENT WATER HEATER. WATER HEATER FEE35.00 APPLICANT STATE SURCHARGE, PLBG FLAT0.50 RIVER CITY PLUMBING TOTAL 35.50 8290 MAIN ST NE STE #39 Payment(s) FRIDLEY, MN 55432 CHECK624035.50 (763) 754-2199 Minnesota State License #: 065655-PM OWNER CARLSON, MELISSA 4590 2 1/2 ST NE FRIDLEY, MN 55421- AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 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________ 1/14/10 Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:01/14/2010 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2010-00046 4590 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330101RIVER CITY PLUMBING LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH8290 MAIN ST NE STE #39 :LOT 1 BLOCK 2FRIDLEY, MN 55432 PERMIT TYPE:PLUMBING - FIXTURE BASED PROPERTY TYPE:RESIDENTIAL(763) 754-2199 CONSTRUCTION TYPE:WATER HEATER BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS PLUMBING FINAL02/16/10PDAVE INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. Building PLUMBING Permit No.:-=(0 Inspections RESIDENTLALL APPLICATION Received By%, 763-572-3604 CITY OF FRMLEYN c 763-502-4977 FAX EFFECTIVE e DATE YOUR E-MAIL ADDRESS SITE ADDRESS AND 2 tz St BJ H THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: ,-wk OE ,y ADDRESS: L100 i C /'f_ , 1 IJ CITY �� lvLb'�// STATE_&ZIP_11J 2-' I T� T PHONE: �' ���- 16 54 CONTRACTOR NAME: P4vtv O STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: X*110 W01 Pt CITY P � STATE_&LZIP INSURANCE PHONE '9U q5- f1 FAX GL6 PERMIT TYPE ',SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: E3 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 FLOORDRAINS _SHOWER WATERPIPING BATHTUB —GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($I5) _ _ LAUNDRY TRAY _LWATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER OTHER . �' 1. 4 a 5 . _,,,,:. �fi' ,3�+�.: -: " 7. � ;9 w.rgJ, � R' � :<'� � �s � k i � '„� i �'3ib "i�� 1 �'sfi r u 3 �L �ti�, d�.” �f i ...�. , i .�,,�„ •�.ry .� i7 : r _ ;f �S%:`, (( .-„� �: 1� �. •�,� �' if .� A+`i'N � 3 � J' f �� ,a?,:. � `y id i �, � '..;E r°� E,. �� � s , a¢ .epi” � � f=•!?r 3 er 1r. ;a „6 >C fi '��, i� � t � y�,` r f .R'.1 .ti (i ��.�"! �.� ' r '�' ? �S, � 'i� } A i,� ;��'•�i � �. ti„; i?; .} �Y R4��¢ ."E f f ii'3' 9 • „�. e5 3i, 'xia;.:5. "� v"iS% f l a' AA 13\'3 71L �i i^3'�' Me. '3c,. ? i :..b�� bra 'XS .i SM .. �. 3 t:- � yrve ,�'..M � .. ."$ 'Pi :5 .':^I iF�C....'. ,.. �?• X Y �',:fh.. ,l.b,.>< .d'. Y f . '', i ., „� �� F"�.', .tau a� Uk't�,''�:;'�JS� P�'11,1111311K, �7: �L�r»a'b ,1� if Yi`�, •' m + Y.:.n Y 1': d3 F b fn �S 4� ;. ' ,. .(�, 1 X.,.. ) . , . Ui, k is i} +,. fir 11 P1K, rs 1 xM£ d ,y5 1 ,7:is "�.. wl✓y $�r ftp 55 14• Psiki::. , . S rJ '�'"+i'k rt r,�_ `'.: : it[[r �4 5, .la 1 ,li V� 3 s F'�kf 5.35 }"� `,� fi 4.� i .�r �c;: "� £,' N!" 8Y '�."-m�" i A s a �S r"" �s ?af }- �. .,.h a 5 kap 5€ c >• c, .. Fd i ?� . 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 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 on site; that the work. will be in accordance with the approved plan in the e of all work which requires review and approval of plans. as tIcasgGa SIGNATURE OF APPLICANT / /✓'^' _ `”' "" `'I ui PRINT NAME I (* &' 10- DATE {AI ID R{�iZIIIIN�x>;I� 'R�iL.AND EC1NL�i1C , Ol s City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, N4N 55432 763-572-3604 FAX: 763-502-4977