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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn.. N? 2197 Date.................................. Owner41_1 Zf,�i Builder ........................................... Address t'••�*� �' ddress......................................... LOCATION OF BUILDING No... AS �i� e ... Street .. 4,11 • ...................... .. Part of Lot ................. ... . Lot ....:.... Block......... Addition or Sub -Division Corner Lot ... ... Inside Lot ... ..... Setback N.V"t�� Sideyard ..�+'C! ..! 40 '!........ . -- ., ... k �''� _eat' .t "�' DESCRIPTION OF BUILDING To be Used as: Front Depth . j,d/t1.0eight ,IA*.... Sq. Ft......... Cu. Ft......... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft........ . Type of Constructio 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 accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. cen i ration f the payment of a fee of $ .. permit is here granted to ��:� y ' :, , :.. ; .. .. to construct the building or addition as described above. This permit is granted upon e ,express conditio 1 that the person to whom it is granted and his agents, employees and workmen, in all ' work done in, around and #Pon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota r garding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits �nd this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .•-"1 . �'B'uilding Inspector NOTICE: 'kThis permit dies not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. i sure to see the Building Inspector for separate permits for these Items. v City of Fridley, Minn. BUILDING PERMIT Date: July 6, 1965 per: Walter J. Horowichi Builder Walter J. Horowi.cki Address 6050 6th Street N. E. Address LOCATION OF BUILDING No. 6050 street 6th Street N. E. Part of Lot Lot 3 —Block 2 Addition or Sub -Division Bonny Addition Corner Lot _ Inside Lot X Setback 2t _ _ Sideyard 101 Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ..29�3,, N° 8121 . i n al a Dwel l i nn g Front 411 Depth 251 6a Height 81 sq. Ft. 1045 Cu. Ft Garage Front 22 t Depth 2 21 Height 81 sq. Ft 8h _ Cu. Ft Type of construction Frame, StUC3co Est Cost $159000.()0 _ To be Completed and Plaster 0 Rebuild: Stora damage 10 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 compl with a'll provisions of ordinances of the city of Fridley. / p In consideration of the payment of a fee of $L10 --00 , permit is hereby granted to Walter J. Horovicki 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions oP said ordinances. Allen Jensen Big Inspector NOTICE: Ub pem b don not ems the conatmdlon, hutaMen for wWng, phmbing, an heating, ewer w water. Be sun to see the su"We b gmftr for sopwale permtb for thea hwn. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Walter J. Horowicki BUILDER ADDRESS_ 6050 6th Street N. N. ADDRESS LOCATION OF BUILDING -un, 6o50 6th Street N. E. Street Part of Lot LOT,-36.�i.00IC 2, ADDITION OR SUBDIVISION Bonner Addition . Corner Lot Inside LOT x Setback 32' Side -Yard 10' ...SEWER ELEVATION FOUNDATION ELEVATION. _ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION ,OF BUILDING/ To be used as: Sin le dwelling Front 1' Depth�5i 611 Height $ Sq. Ft. -1045 Cu. Ft. Garage Front 221 Depth 221 Height 81 Sq. Ft. 484 Cu. Ft. Type of Construction Frame stucco & Plaster Estimated Cost 15.000.00 To be completed_ September 1, 1965 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. DAT$ June 25, 1965 SIGNATURE c (Schedule of Fee Costs can be found on the Reverse Side). APPS for Power Ptads and HenthiS Cooling, Vend7attonR ReNgeraton and Air Conditioning Systems and Derks PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & bines—to 400 sq. ft. EDR Steam .. . $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 1000 $ Each add. 200 sq. ft. EDR Steam ...................... 5.00 ' $ Each add. 320 sq. ft. EDR Hot Water ..... ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour .....:... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) .... _ *................. 8.00 $ �® over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... J x$ 2A0 $ Za Additional Fixtures ................. x .78 $ Gas Range to 189,000 .......... x$ 800 $ AIR CONDITIONING FAN HEATING SYSTEM See'Fee Sckedote VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE izl�_5� E ROUGH FINAL 1/- oZ V_ 2.5 Dept. of Bldg& Pkons 880 -SM City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinancm 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- Owner® IaJ Kind of Building V T Used as /—) L.) E - e- -,-! To be completed about Z, Estimated Cost, $ Old—New. Building Permit No. Permit No. —V3 SENTING or POWER PLANTS—Steam, Hot Water. Warm Air—No- Trade Name X_A-4 A -�� �V� Z Size N.&V_ Capacity Sq. Ft. E.D.R 34 an ® BTU H.P. Total Connected Load Bind of Fuel BURNER — Trade Name Sid Size No N - 1� -;;- Capacity Sq. Ft. E.D.R��- ®®O BTU NY.. (REMARKS—OVER) Signmed JDlue flame Contractors, Inc. Business Phone N 090-9 in Edina, Minn. 55435 Phone: 941-6740 SUBJECT IT M15 City of Fridley `P; - 7 3 r AT THE TOP OF THE TWINS BUILDING PERMITr. I t IPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. % / i CITY HALL FRIDLEY 55432 ,.j NUMBER REV. DATE PAGE OF APPROVED iY 612-571-3450 910-F15 8/13/80 JOB ADDRESS 6050 -6th St. N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Bonny Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter J. Horowicki. 6050 -6th St. N.E. Fridley 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Chas. E. Johanson Inc. 424 Rice Ck. Blvd. Fridley 55432 574-9576 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 [Z ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior remodeling for rehab. work. 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $950.00 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISI ANY OTHER STA OR LOCAL LAW REGULATING CON- STRUC O THE RFORMANC OF ONSTRUCTION. $7.50 PLAN CHECK FEE TOTALFEE v $.8.00 SIGNATUREO CONTRA O OR AUTHORIZED AGENT (DATE) WHEN PROPERLY (DATE THIS IS YOUR PERMIT INSP SATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERh1ITS (New, Alterations, Additions, or Repairs) OWNER: t') 0(j�� `T. H�2vwi�� ADDRESS : � d OC�. /Q,t TEL NO: BUILDER: - ne*j- C ADDRESS: TEL NO: 7 Construction Location STREET NO: STREET: IV LOT: BLOCK: ADDITION: �`✓n y 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 - Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ 7b Be Completed: 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 pyre true and tort. . A// u• l � � �i ry Stipulations: I SC; _ . a HOI111. 11WHOVENENT GRANT PROGRAM 1 . CONTRACTOR-110MG0I4NER WARRANTY CONTRACTOR WARItANTIIS a. ) HOLD HARMLESS Contractor s11u11 defend, indemnify, and hold harmless the Owner, and the officers, members, and employees of the City of Fridley from all liability and claims for damages arising from bodily injury, death property damage,' sickness, disease, or loss and expense resulting from or.alleged.to. result. from Contractor's operations under this contract. b.) LIEN WAIVERS - ""`-The contractor s11all protect, defend and indemnify the owner from any claims for unpaid work, lauor, or. material. Payment shall not be made until the contractor delivers to the owner a lien waiver stating that charges for all labor and materials supplied to the project have been paid. In addition, individual lien waivers shall be provided by all'subcontractors and material supply men who have given the owner a written notice pursuant to Minnesota Statutes Section 514.011, Subdivision 2. As an alternative to filing the above described lien waivers, the contractus may furnish the owner with a corporate bond indemnifing the owner against any liens. c.) PERMITS AND CODES Contractor shall secure all necessary permits and licenses required to perform.the work called for by this contract, and all such work shall be in compliance with all building code regulations and 'ordinances whether or not covered by the specifications and drawings for the work. d.) EQUAL EMPLOYMENT OPPORTUNITY Contractor shall provide equal opportunity to all persons, without di'a ' crimination as to race, color, creed, religion, national origin, sex, marital status, age and st^tun with -regard to public assistance or ais - bility. e.) UNACCEPTABLE RISK Contractor shall not be listed on the"unacceptable risk determination" list of the U.S. Department of housing and Urban Development of the U.S. Farmer's Administration. Contractor shall be presently.licensed by the City of Fridley. - f.) FOR GOOD AND VALUABLE CONSIDERATION The Contractor hereby warrants to the Omer, and to subsequent Owners, of the property to he improved, that all laaterials, hardware, fixtures, - and utilities, of whatever kind of nature, incorporated in said dwelling by the Contractor are of good quality, and free fuom defects in workmanship or material, and the Contractor shall repair, correct, or replace, at 3 no cost to Owner or subsequent Owners, any instances of defective workmanship or materials of deficiencies subject to the warranty contained A in this paragraph f; provided, however, that the warranty set forth in this paragraph f shall apply only to such deficiencies and defects as to which Owner or subsequent Owners shall. have given written notice to the Contractor,•at its principal place of business, within two (2) years fra41 the date of execution of the Completion Certificate by all parties thereto. s I g.) .. COMPLETION OF WORK Work shall be completed within 90 days from the date that the grant is approved by the City of Fridley. Requests for extensions \ must be approved by the City of Fridley. ACKNOWI"FAGIaiF.NT Tile above warranties are in addition to, and not in limitation of, any and ' all other rights and remedies to which the owner, or subsequent Owners, 1 may be entitled, at law or. in equity, and shall.. survive the conveyance of title, delivery of possession of. the property, or other find settlement slack b the n14o(-r rind sh,01 hn hindirin n� P1• ,tltSlp ;•.;f i,a:.i S:e tt: J.111:; t:::: ltiL tiny provision to the contrary cont -a111-1 in any instrument hereafter executed by the Owner. 1.11c Contr"('.tor hereby +Icknowledges that this warranty has been approved by the Fridley Plannbng Department. • }) J3ONDr ' Tho Cr+nt:rar,Lo,; 1:11,11 Pont: Y J.icrnlxl bond vlth the C.i.l-y of. Fridley 1'J.annl.lu.1 Uotrlrt.nu:nL•, Warrantor(n) .� 1 Firm Name Telephone 1 a'( pax 1 Firm Address Signature Title HOMEOVINERS CONDITIONS a.) The Homeowner understands the attached bid(s) or esti.matc(s) and -agrees to permit contractor access to the premises to be improved to the extent necessary to complete the improvements specified. b.) The Homeowner certifies that Fridley Grant Funds shall be used only for eligible property improvements, and shall not be applied toward any work completed before the dale of the Grant. c.) The Homeowner agrees that the•improvements specified in the attached , bid(s) or estimate(s) shall be inspected by the Fridley Staff or its representative before Grant Funds are disbursed. d.) The Homeowner further agrees to, and understands that the proper legal lien shall be recorded against the property, for the total amount of the grant. This lien will be satisified in full by continued residency at the property for S full years. If the property is sold before 5 years, homeowner agrees to repay the grant in accordance with the following schedule: 0-11 months - 100% after 1st year - 80% after 2nd year - 60% after*3rd year - 40% after 4th year - 20% — • •after 5th year -0 Signature of Hom 6-urner i TRIS FORM„ COMPLETED IN FULL, MUST ACCOMPANY ALL BIDS FOR IMPROVEMENTS TO BE PERFOI'SIED UNDER THE FRIDLEY I1011E IMPROVEMENT GRANT PROGRAM. Contract- approved for $ 955,00. at • /p0 % percen-t grant by r \ i the City of Fridley. 1 uthorixed Official Executive Director Fridley Housing & Redevelopment Authority Tit•)c July 30, 1980 Uato Approve • Fa CHARLES I!:. JOHANSON, INC. -_ - 424 RICE CREEK BLVD. FRIDLEY, MINNESOTA 55432 Phone: 571-8021 :-574-9576 Walter Horowicki 6050 -6th. St. N.E. 'Fridley, Minn. 55432 ESTIMTE May 14, 1980 $ 80.00 ..... New weather-strip and new storms on 4-24x36 casement windows. $125.00 ..... Repair roofing. $14O.Oa0.....Repaair gutters. e"r ) kla�' 480.00..... insulate rim joists. $240.00.....Add soffit vents and 2 wind vents. $ 50.00..... Repair wiring in garage. $955.00.....TOTAL Charles E. Johanson Inc. 4 �f � /Owl 1 SUBJECT NO. R:2�6 City of Fridley 2 7 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/11/94 JOB ADDRESS 6050 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chris Rodgers 6050 6 Street NE 572-9809 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK a� ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK COnstruct a 22.5` x 10' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Front yard variance #94-05 approved for a 22.5 foot setback instead of 35 feet. Provide smoke detectors adjacent to all sleeping areas and in basement. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $12.%791 $6.40 W 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- $144.00 Fire SC $12.79 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $163.19 51G TjURE OFCONTRACTOR 0 UTHORIZEDAGENT 1DATE1 WHEN paOPERLY LIDATED THIS IS YOUR PERMIT -- KOG INSP DATE SiGNATURE OF OWNER IIFO UILDERI IDATEI NEW (. j Effective 1/ 1 /94 ADDN -qr CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXE R ND •R-2 ..Building Permit Application Construction Address: Cobh_ COP1eo Legal Description: -- /07 3 J�0-:Zt Owner Name & Address:Awl--, Tel. # �'7Z 9�Dys�ysi9� Contractor: 6 GVA16=,e MN LICENSE Address: ' /✓/sA Tel. -# LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to _scale. .DESCR.IPTICW- O3 IMPRQVEl"NT Length Width /�. �' Height' Sq. Ft;� Length Width Height Sq. Ft. Lengih . Width Hgt/Ground' • 'Sq. Ft. Comer Lot [ ] Inside Lot of Ft. Yd Setback Side Yard Setbacks Type of Construction: -,4w&Ayo Estimated Cost: $ /S Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: VkFt. + 6 Ft = Ft x $ _ $ DATE:?1-1"1�� APPLICANT: �� � Tel. # .-57Z-9,FeY CITY USE ONLY t% ►u) J Permit Fee $ �� ' Fee Schedule on Reverse Side Fire Surcharge $ia'��� .001 of Permit Valuation (1/10th%)� State Surcharge . $.50/$1,000 Valuation �S 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 $ ` J' STIPULATIONS: FRIDLEY CITY COUNCIL MEETING OF JUNE 20, 1994 PAGE 15 project would proceed. She stated that the rezoning would also be conditioned on the vacation and plat approvals. MOTION by Councilman Schneider to close the public hearing on Rezoning Request, ZOA #94-02. Seconded by Councilwoman Jorgenson. Upon a voice vote, all voting aye, Mayor Nee declared the motion carried unanimously and the public hearing closed at 10:00 p.iti. MOTION by Councilman Schneider to close the public hearing on Vacation Request, SAV #94-02. Seconded by Councilwoman Jorgenson. Upon a voice vote, all voting aye., Mayor.Nee declared the motion carried unanimously and the public hearing closed at 10:00 p.m. MOTION by Councilman Schneider to close the public hearing on Plat Request, P.S. #94-0.4. Seconded by Councilwoman Jorgenson. ..Upon a voice vote, all voting aye, Mayor Nee declared the motion carried unanimously and the public hearing closed at 10:00 p.m. OLD BUSINESS• 4. RECEIVE AN ITEM FROM THE APPEALS COMMISSION MEETING OF MAY 24, 1994• A. VARIANCE REQUEST, VAR #94-05, BY CHRIS RODGERS, TO REDUCE THE FRONT YARD SETBACK FROM 35 -FEET TO 22.4 FEET TO ALLOW THE CONSTRUCTION OF AN ADDITION, GENERALLY LOCATED AT 6050 6TH fJ STREET N.E. (TABLED JUNE 6, 1994)• — - --- Mayor Nee removed this item from the table. Ms. Dacy, Community Development Director, stated that the peti- tioner, Mr. Rodgers, is requesting a variance from the front yard setback from 35 feet to 22.4 feet in order to add a 10 foot by 22 foot addition to the front of his home for purposes of expanding the kitchen area and entrance. Ms. Dacy stated that at the last Council meeting, Council requested information regarding the properties on the east side of the street and setbacks of other homes in the area. She stated that there are three homes that are not within the 35 foot setback; two are at 28 feet and one is at 30 feet. She stated that Council also requested information on setbacks on West Moore Lake Drive, which has been supplied. Councilman Billings asked if variances were granted for the homes on 6th Street that do not meet the 35 foot setback or if they were non -conforming uses. Ms. Dacy stated that they were non- conforming. Councilman Billings asked about the setbacks for homes on West Moore Lake Drive. FRIDLEY CITY COUNCIL MEETING OF JUNE 20 1994 PAGE 16 Ms. Dacy stated that .these setbacks were at 30.2 feet and 34.7 feet. Mr. Rodgers, the petitioner, stated that his home was re -built in 1965 after the tornado. He stated that the kitchen and the dining room are too small, and it is not feasible to move the kitchen to the south or west, as.it would either interfere with the sheetrock in the basement.or with the plumbing lines. Mr. Rodgers stated that he is proposing a 10 foot by 22 foot addition, and there is 45 feet from the front of the street to his home. He stated that because the addition would be in the center of the property, it would minimally affect the line of sight of adjacent properties. 'Mr. Rodgers stated that the.Appeals Commission recommended denial of the variance, as they did not want to set a precedent for the block. He stated that there are several homes on his block that do not meet the 35 foot setback. He felt that the precedent has already been set for the neighborhood and, unfortunately, it has been set illegally. He stated that all the neighbors approve of this variance and have voiced no objections. Mr. Rodgers presented data on front yard variances granted by the City from 1986 to 1993, which indicated that 22.4 feet was about the mean. He felt that his request was not out of line in view of the other variances that have been granted. Councilman Schneider stated that the most severe variance on that street is 28 feet. Councilwoman Jorgenson stated that Mr. Rodgers had some very nice plans for his kitchen, and she understands the point that others have proceeded illegally. She felt, however, that there were alternatives to minimize the setback in the front yard and still achieve what he wished with the addition. Councilman Billings stated that with a five foot variance, Mr. Rodgers would have a 13 foot by 15 foot kitchen and dining room combination. MOTION by Councilman Billings #94-05, to reduce the front yard for property at 6050 6th Street. Upon a voice vote, Councilman Councilman Schneider, and Mayor motion. Councilwoman Jorgenson Nee declared the motion carried RECESS• to grant Variance Request, VAR setback from 35 feet to 22.4 feet Seconded by Councilwoman Bolkcom. Billings, Councilwoman Bolkcom, Nee voted in favor of the voted against the motion. Mayor by a 4 to 1 vote. Mayor Nee called a recess at 10:25 p.m. 136.80 North m LOT 3, BLOCK 2, BONNY ADDITION ANOKA COUNTY 80.00 EXISTING ® PROPOSED 11 41.20 SCALE: N/A UNITS: FEET (6050 SIXTH STREET NE, FRIDLEY) Chris & Barb Rodgers, 05-01-94, PLOT.DC2 Im 32.40 - Iron PROPOSED ADDITION (VIEW FROG THE STREET/EAST cl d adds{;°r e pr°pc)s LOT 3, BLOCK 2, BONNY ADDITION CHRIS RODGERS 7-1-94 E—VIEW.DC2 JG� Jr N N --l#-- <- - z C-4 wl I . a r7m C -L CITY OF FRIDLEY INSPECTION DIV. 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) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (UST ON BACK) 1% of Value of Appliance or Work Com mercia I/Industria I 1.25% of Value of Appliance or Work Effective On March 1, 1996 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ 30.00 $� representations stated in this application are true and correct. $10.00 $ 1 OWNER $10.00 $ .......-- BUILDING USED AS $10.00 $ 25.00 $ $ — ESTIMATED COST PERMIT NO. �� )SIC DESCRIPTION OF FURNACE AND -OR BURNER $ No. of Heating Units�Circle One (Steam) (Hot Water)arm Air - Trade Trade NameLLA_ r Size No. BTU _f 2, `Y jU __ HP EDR $ Fuel Total Connected Coad State Surcharge � ,,50 Burner Trade Name Size No. s _ BTU HP EDR TOTAL FEE aZ)L�� MINIMUM FEE FOR ANY HEATING/COOLJNGNENTILATION 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. HEATING COMPANY r ;Aoxno 0 G -i �. Signed By =0 y. O Tel No.�1Llr� Approved By Rough -In Date Final Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done.• HEATING CO: Signed By: Date: CHMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes 0, No ( ) 2. Is free from rust or deterioration Yes (y() No ( ) 3. Has no foreign objects lodged within Yes (x) No ( ) 4. Is securely supported Yes (X) Not ) S. Meets all current Code requirements for size and total BTU's connected Yes (DO No ( ) 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 (Dc') 8. Has combustion air been provided for water heater Yes d(} No ( ) Remarks: List ALTERATIONS Being Done.• HEATING CO: Signed By: Date: 10 If.) 910 SAT ii- ,;4 FA� HARR1-5 iR; HITS; TS ENGINEERING Z001/001 h �a i t'. ti: L . 1 if:SIDENC.E ADDIiIU'' m i0i 2. BI K B0NN'Y .,.DDIE10NN A�,'UKA CQUN."Y ;✓.._. -HE ';71.f_'F_­_ :_,EA"°i I'C>~: HE 10 -6 OPEN T'ar ._hE BASEMENT :I -I. EF SL"PPORII`T(- -HE �<.E1,{' rI00R JOT +.IS FOR "HE ADDIiIC)'\, ,I?E EX I':Iv- LOO ,� IS C:F THE FIRST FLOOK AID THE PCI STI L( ^; FROM � HE GOF ABOVE A : IE ENC OF PHE E' 0, FNT NG , iO MY t:ALCULA-IONS, THE OPTIONS FOR FHE SIEEL a�thM 1_`-11E ON7 ti b';' SMEET BEAM (8" HIGH X `>" e.71DE '.,'E,IGHT 71LF1 (:SE'C[e;C� t�6x_?'v STEEL BEAMS (6" HIGH X 6" t%IDE ' VEIGH-7 ?!i PLF FA%H) $/,P _711LPE IS No ZINC' F C)" HT011 `'17171 Br.,A-, 711A Oac= 3-4g-31-099, q: �2&z 4161W 531 2nd Avenue North Suite200Minneapolis, MN 55401 612-341-9372 612-339-4763fax 5trohenglneeringC4worldnet.ATTnet 105.625 (8' 9-5/8") 2x6" CRADLE BEAM SUPPORT 1 13' (>e017 1.75"x14" LVL BEAM (26'10"L) 12" Grade 2 Rafter 24"O.C. (x16) (Qty=8 l4'L) (Qty -8@10'L) IleSJQ 2X6"STUD 16"O.C. WAFERBOARD TAR PAPER 261.625 (2119-5/8 R-19 INSULATION 1/2" SHEETROCK , MIL PLASTIC VVAPOR BARRIER Rafter & Wall Detail Chris' Phone: 612-428-4075 6050 6th St. NE, Fridley I Cell:612-817-0994 %;�e. N/A -i ncnes c. rodgers 11-3-99 1 6050rftr.dc2 } ' SUBJECT < P 4 City of Fridley 3 012 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � NUMPERREV OATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910 -FIs 8/27/99 JOB ADDRESS 6050 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Bonn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chris & Barb RodgersS72-uno 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Inc ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan WAWNG- Befom digging coil for all utility locations 454.0002 REQUIRED BY LAW .per �p �► � WtRINC, NEATING�np g�j NG AND SIGNS, 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 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 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 $18,683 $9.34 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 $303.05 Fire SC $18.68 PLAN CHECK FEE TOTAL F E Zf .G U E OFC OR UTHORIZED AGENT iDATcEt 14 1 -07 ENP OPE L ATED IS IS Y. E BIOG NSA - I r1AT1 ATURE OF OVNNER,1 NER OERi MATE. NEW[ ] Effective 5/10/99 ADDN CITY OF FRIDLEY 'A.LTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Addre, Legal Description: Owner Name & Address: /tel S Tel. �— y' Contractor: �,�='„ L� MN LICENSE # Address: o�� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT .2q4 LIVING AREA: Length Width Height- 8 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: o Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:' - APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 3©3.06- $ 18, �8 $ 9.3y a .07 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Vzp�h eb' t� �' ��f�'�,�i;+ �'x tsar . � �. • t +' t Y� °~$Sr�t� rt.:1,^+�`�,9 a &5 Zc :. � /•p�j� � up; * � a t M ,1 f# ;k ENGINEERING, INC*' L/YIt t ` Fn ineers � Sur ve ors 9 y �, a state of lo: W.4 NQQ ow I C. K 1. 4 r x Y O O W A yda%' f r d Yr,t .f� Y9 W �..t 1 yt at ✓. fn 4 A lVr�' � N ' .�q• ,.i •'V ,' A ` • 3f t : � n1 T �� • II < .• • t 1 • • • W F 00 3 LA Eo- "' /btw ;ar 1S F �Z,.i .' N► � V, � �� .. . L Of p � is '. 1( • � +ro1 f « � •M1a '✓'�9 j'',y'i.�$tiM4i�te 4 k�'•^ ' V � • ` �'r� 1 `Loi 3 BLOCK Z BONNIY A DDt't ION �' ANO K A C OU NT1C ;: ` *.`-�a,�t - ev5 tl ^F :: •:. , '��. �, �j�lE iRiG(*fie �i�!�N F '• &1s•1iod Qom npr�smtatwav�'a suet' �'!�t' iP1Y'aiiMMo��Ys. •lD/wfi �f.�lr•.� rR sed Ardi M +q• �q�Y 1qI!�",,, t q ,ti. A.a a"..1.&16U R8AA1 EN61NEElRWId '1A/C p✓r� i� #.y.#' >! �,�*`a i�6�r � T .. .�/l' ..'/-fir'' .S i,`'.7 .efd 1�P,� wi i ^'• 4 J"t'1 �T I 24Y t ' 'A �T y�^,''a • 1f �� _r �.�• � ,� {�1I� '�Iy� fir` :.1 R+ 136.80 North A LOT 3, BLOCK 2, GARAGE BONNY ADDITION ANOKA COUNTY X00 ,� Z1711— O ❑ EXISTING . � o ® PROPOSED 214 >> SCALE: N/A UNITS: ET 1 h JL -- (6050 SIXTH STREET NE, F IDLEY) „ Chris & Barb Rodgers, 05-01 —9 C2 24.50 SII Iron; 10.0 92.5 32.40 - Irani OF Or 110 MAA Ridge Line 211411 1 i81 paa�l��sry� LVL Beam --� (See De "O"A") Z./YWllog G�. tn6 P v� P- vIdo �a�e �� oz.s oe .-tAj5y la4ed St.Qe,,�« Tis . cn(Y or? a l/ /.Qv -cels' Z,.,d & & 0 A OY /to OP a11, Ocl SCI Qe a 97 Ot 6050 6th St. NE, Fridley Top View C. Rodgers 8-8-99 6050_tv.dc2 sec aro, : UQC N �jWe, �E7 �IS Basement Window - 80 -se m 60-� Oufnclo fmns or escape cvindocos Shia// `oue (5mi��r�u- C� t^ c ih� 07() :!!3-.,7 scP 4 12 1/2" Dia. Re -Bar (x4) Innurses of 12"Wx16"Lx8"D Concrete Block —� i v a /Ue /'4 �oU/7 Q/a X1®4 �//s 8 8 n ase w wi 20 ---� peer e.h t� U . �(O\Ji4e de -4't � ®p 84 h0 rade 40 rc Footing Detail Oto, k (inches) 6050 6th St. NE, Fridley Bsmnt. South C.Rodgers 8-8-99 '1 6050 sb.dc2 4 9.5 —►�3.5�-- Lousisiana-Pacific's "Gang -Lam LVL" &2) glued and nailed together). b 13'2" is " (x3) 2x4" StudEach End tA U=pper Level Support Beam (Above opening from existing room into ad OrOkAQ -Calc ion) 5 ilo 19' 1/4"T Mild Steel "I" Beam g Basemen p ing Support --� g (Min.)(x2) 25" Existing Concrete Block 6050 6th St. NE, Fridley Addendum A C.Rodgers 8-8-99 6050 ada.dc2 3k ExE3irv% Qr,,MrA Floor Joist Plan 2x10 Ri (x3) (x4) -i -i iz-- r range x w --i /2"H (26A Series) 1 6050 6th St. NE, Fridley ( Addendum B I C.Rodgers 8-8-99 16050 ad i a --- Interior Ceiling Line (Vaulted) min a P" Val ue l 10 4 44-11c w Zkv y ZE-�ekgy -flAosses z3 Patio Steps Stucco Exterior 6050 6th St. NE Fridley West mew C. Rodgers 8-8-99 16050 wo.dc2_j Ridge Vent Asphalt Shingles IeE -�W" � e /C£ W¢�� Acx 7 sn-k,0;04 P ro 0 i(h E -S v e, \`0 P U ly 9;<17-IZ,,171-��41 Stucco Exterior 1,6050 6th St. NE, Fridley .I South mew I C.Rodgers 8-8-99 1 6050_so.dc2 j 6050 6th St. NE, Fridt Ridge Vent -� Ac.r�h.�lf Cl�inn�ec Patio Steps North View Size h9--Acf\ ■ MrI\I V\/\/5 `V/■1\AV■, C. Rodgers 8-8-99 16050 no.dc2 4 lil I i Vr rnIULCT 1110rMaIMV UIV. 6431 University Ave NE Fridley, MN 55432 ` 4 572-3604 y E tnecuve un uanuary i, i aai APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas NO Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type RATE. $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 • $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance TOTAL JOB ADDRESS d'01 ->5D !TEST . "2c_.1 State Surcharge $ .50 TOTAL FEE $/515b 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. AV -3/ . 199.• Owner LAS S;7 Z — (:� 450 Building Used As Z44E Estimated Cost PERMIT NO. /1a.�C� PLUMBING COMPANY SIGNED BY TEL N0. Approved Rough—in Date Final Date, MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.5o STATE SURCHARGE 6 . Urinal �1& `� Shower I .......�.`...... W sh .��. a � aY FIo0 r Drain � :...:. Auto. Washer Gas Water Heater eStories Range . ec1 Basement ' >, Floor o 1 :r Floor 2 I r Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas NO Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type RATE. $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 • $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance TOTAL JOB ADDRESS d'01 ->5D !TEST . "2c_.1 State Surcharge $ .50 TOTAL FEE $/515b 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. AV -3/ . 199.• Owner LAS S;7 Z — (:� 450 Building Used As Z44E Estimated Cost PERMIT NO. /1a.�C� PLUMBING COMPANY SIGNED BY TEL N0. Approved Rough—in Date Final Date, MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.5o STATE SURCHARGE stwhl ENGINEERING 1 ))s1 qc7 �s "Py X5 1®LL� ale 610-50 &d/ S Oct. 16-j 1999 ATTN: CHRIS ROGERS FROM: BERNIE STROH; P.E. RE: RESIDENCE ADDITION - LOT 3; BLK 2; BONNY ADDITION ANOKA COUNTY MEMO: THE STEEL BEAM FOR THE NEW 16'-6" OPENING IN THE BASEMENT WILL BE SUPPORTING THE NEW FLOOR JOISTS FOR THE ADDITION; THE EXISTING FLOOR JOISTS OF THE FIRST FLOOR AND THE POINT LOAD FROM THE ROOF ABOVE AT THE END OF THE 12'-6" NEW OPENING. ACCORDING TO MY CALCULATIONS; THE OPTIONS FOR THE STEEL BEAM ARE AS FOLLOWS: USE ONE W8x31 STEEL BEAM (8" HIGH X 8" WIDE (WEIGHT 31 PLF) or_ USE TWO W6x20 STEEL BEAMS(6" HIGH X 6" WIDE (WEIGHT 20 PLF EACH) NOTE: THERE IS NO SINGLE 6" HIGH STEEL BEAM THAT WILL WORK. �" REGISTERED • `•y PROFESSIONAL ENGINEER 14269 �® J1401"le, 4- 10 331 2nd Avenue North Suite 200 Minneapolis, MN 55401 612-341-9372 612-339-4783 fax Strohengineering@worldnet.ATT.net Building PLUMBING Permit No.: t �,� .� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'(YZ �® 763-502-4977 FAX _____..._ _ . ___ _ DATE I V "13 — I U YOU-MAILADDRESS t— t!tTAAe/Uge,'L.A(. M/f)4 v�T f i" SITE ADDRESS �" (!� 1E FLOOR DRAINS �_ THIS APPLICANT IS: ❑ OWNER AaCONTRACTOR GAS PIPING (NEED CITY LIC)— PROPERTY NAME: rJ KITCHEN SINK OWNER/ TENANT ADDRESS: " CITY ,6 L,L�/ STATL�I �--^ _WATER HEATER ($35) PHONE: CONTRACTOR NAM k7n M SUBMIT A COPY OF INl YOUR STAT$ STATE LICENSE # EXP DATE LICENSE. BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDS; m Sf CITY!� STTArp INSURANCE PHONE 21p.4-59,1-- FAX PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: 1 13 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 53530. BATH SINK/LAV FLOOR DRAINS �_ SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC)— _ SWIMMING POOL _ WATER SOFTNER (S35) CLOTHES WASHER KITCHEN SINK WATER CLOSET , BACKFLOW PREV. (SIS) - DISHWASHER ` LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER THIS 1S AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED 1 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 app on for a permit and work is not start wm a permit on site; that the work will -be ' ce with the approved plan in � o it work gllrres� aad ap v 1 bam h1ri�. n_ATF SIGNATURE OF APPLICANT Z�1 1�1 h. RiNT NAM�I City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 INV £SVe 0 �ZMZ/9/06 :alea Z/Z :a Md 6888 71S 19L .1b0h]