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PRE 2010 DOCS• City of Fridley, -Minn. BUH DING PERMIT Date: ............ • N® 3908 Builder ................ . .... ... Y. .�.�..''� Address............................................ LOCATION OF BUILDING No. ... .... et ...�..> /.1.4.:5 ... Part of Lo .................. ..... . Lot ....!.. .... Block ........� .... Additi or Sub -Division ... . . Corner Lot ....,...... Inside Lot ............ Setback Sideyard ........................... DESCRIPTION OF BUILDING To Used 0. � 9 Q 9 .. ... .. Front �C.: r ® Depth 0 . � ` � V Height .�. � � 'Sq. Ft. �Cu. F't.�� / / .................... Front -70.: ® Depth 9l. Qo Height 40.7.F. Sq. Ft. Cu. Ft.:%�?. � Type of Construction ................... EffL Cost... f� .� . TO be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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. X................................................. In consideration of the payment of a fee of$.'.�.^'�rpe mit is hereby granted to ................... ......................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. . .. Building Inspector C NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbinZgas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. r� SUBJECT City of Fridley3 AT THE TOP OF THE TWINS BUILDING PERMIT Ir �• RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. /(/7 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/18/95 JOB ADDRESS 11 65 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 5 Ed ewa SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack P McCarty 11 65 1/2 Way - 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 Reside Dwellin • Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement windows in sleeping areas must meet the State Egress Code requirements. Provide smoke detectors in all levels of dwelling. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.50 STRUCTION O T P RFORM EF CONSTRUCTION $48.50 PLAN CHECK FEE TOTAL FEE — _ $50.50 SIG AT U CO TRAGTOR T RIZ AGENT IDATEi W PRO RL V AT THIS IS YOUR PERMIT ,,(DCO 8 D 1 PN F) ATE $ A U ,IF OWNERB ER, (DATE, r� ......._ ......._ NEW 1 [ 1 Effective 8/1/95 ADDR CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application t Construction Address: Legal Description: Owner Name & Address: Contractor: 5 eq_ F Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: S A_-ff Tel. #5 7 Y- 7_S MN LICENSE # Tel. # 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,Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot X Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: (0 n)� _ Lfkcer�r 1 es timated Cost: $ (, Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: (Cost on Back) Ft. + 6 Ft = Ft x $ Tel. # CITY USE ONLY A Fee Schedule on Reverse Side 1.41V �itiG .001 of Permit Valuation (1/10th%) lvms $ $.50/$1,000 Valuation s j1r oX 7 $ $850 per SAC Unit Z,�§Ws $ $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 [ ] SUBJECT NO. City of Fridley 24983 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. V------, PROTECTIVE INSPECTION SEC. I r � NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/22/97 JOB ADDRESS 11 65 1/2 Way NE 1 LEGAL LOT NO.BLOC�KII TRACTOR ADDITION SEE ATTACHED DESCR. XX 19 y 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE McCarty 11 65 1/2 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Netko Exteriors 7118 Riverdale Rd, Brooklyn Center MN 55430 566-3731 20060494 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 O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 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. 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 1 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 @ $1, 650 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE LOCAL LAW REGULATING CON- $54.00 Fire SC $1.65 STRUC N O THE PE FO ANCE CONSTRUCTION. PLAN CHECK FEETOTALFEE /amu LicauseSC 5 IGNATURE OF C R R A16THYderD AGENT (DATEI E PR Y VALI ATED THIS IS YOVR PERMIT )NSP Da TE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEIOG NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER f 1 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 M! 9 BUILDING PERMIT APPLICATION ConstructionAddress: // '�c ; %- Legal Description: Owner Name & Address: Tel. # 2� 2 Contractor: ij/Z�-D ��' S MN LICENSE # Address: -2%%?S -Tel. # ��`�e,- -7 (:�7�% 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. DESCRIPTION OF 1WROVEMENT Length Width Height . Sq. Ft. Length Width Height Sq. Ft. Len Width Hgt/Ground Sq. Ft. X05 ® �R;e,19imated Cost: $ _ Construction Type:_ D� J (Fee Schedu eon Back) 6 �S Driveway Curb Cut Width Needed: Ft. + 6 Ft' = Ft x $ = $ DATE: � � APPLICANT: Tel. # � Permit Fee $ 06 Fire Surcharge _ $ State Surcharge $ ClU SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL � l STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] 2�/--- SUBJECT PERMIT NO. City of Fridley 28446 AT THE TOP OF THE TWINS I L D I w BUILDING [ RV PERMIT I T572-3 v V RECEIPT NO. ♦V __.__ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I = � I 1 CITY HALL FRIDLEY 55432 '•� NUMBER REV OATE OF APPROVED BY 612-571-3450 910-F15 110128198 FPAGE JOB ADDRESS 11 65 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 5 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul & Corina Vrkl-an 574-2390 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ron Miller Const. Inc. 953 Mississi i St NE Fridley 55432 571-3514 6354 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ek REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S 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 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 1 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 2142 $1.07 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 $74.75 Fire SC 2.14 PLAN CHECK FEE TOTAL FEE T4 " on SC tRAW $82.96 SIGNATURE OF CON'RACTOROR AUTHORIZED AGENT IDATEI WHEN PROP V VA ATED THIS IS YOUR PERMIT B OG INSP PATE S-GNATURE OF OWNER,IF OWNER BUILDER, IOATE, 4V A NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: zo ;�2 &),q—y Legal Description: Owner Name & Address: %��Lo �_��QJ A& V V� IC`� 1 Tel. # Contractor:, MN LICENSE # �-- Address: �' �Jr �S S,1�J G��r� �P� Tel. # 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: -Ae'� Construction Type: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Estimated Cost: $ '�2.1,12` 'C� (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: Tel. # 3 S Permit Fee Fire Surcharge State Surcharge SAC Charge , License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sueJECT E City of Fridley 31 7 6 7 AT THE TOP OF THE TWINS guILDING PERMIT(IfNO. r COMMUNITY DEVELOPMENT DIV. r) 2-36®4 r PROTECTIVE INSPECTION SEC. REV OATS PAGE OF APPROVED BY CITY HALL FRIOLEY 53E32NUMBER 1 612-571-3450 910415 4/26/01 JOB ADDRESS 11 65 1/2 Way NE I LEGALLOT NO. BLOCK - TRACT OR ADDITION SEE ATTACHED DESCR. 19 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Paul/Lori Vrkljan 11 65 1/2 Way NE 763-574-2390 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a 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 JJ NEW O ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Construct a 14' x 20' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Am% IN Before digging call fot all utility locations 454.0002 REQUIRED Y LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR C014STRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,080 $1.54 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- 97.25 Fire SC $3.08 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT)& FEE 01.87 SIATUAE OF CONTRACTOR OR AUTHORIZED AGENT JOATE, I E PROP VALIDAT THIS IS Y�11A a 1�,�c,�,.2 o / S,GNATURE OF OWNE OWNER BUILDER. �0 TES BL iNS� - NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER pQ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I I NE Legal Description: Owner Name & Address: Pam &'t' Vr k I'jc" q I,E cis%Z way Tel. # 74 3 S7,/ Z390 Contractor: N//k MN LICENSE # Address: NrrA- Tel. # Vht- 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 I q�'i Width Zv Jf Hgt/Ground Z FE Sq. Ft. 2 �y OTHER: Construction Type: Deck Estimated Cost: $®U� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4/rcr' i APPLICANT: �GL� vrltl��v� Tel. # S7�/-23Rd CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ D� .001 of Permit Valuation (1/10th%) $ f • $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt "A" "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ /b/• 67 PL � v OI�FD SUBJECT TO FIELD pp X loV INS P CTYON IfVSPELTOR X1'910 :(aaW 3SVS) `VIM ou ytpepuw BU W , jjj Xoq PSMURAIts put'spd Ovillei Z ! P� O uae� i sp�toq oep Po} uslif 9xZ'Bul� aP puoi oq'P Bully kxZ age SI!!04`Psol400PAd0:epnlou1Aweopdes e p .4� ui pa�ewi�sa s eija ew ao � u� 1000000010£o2vo£o ( ) ISo2 SIA6 £00o£090ti0ti010t'Z00tiZ891: Aduo esn 8,101.1e19w suiplln 1109 : SwiM n (•suoi� o y�l papnlaui fou ew fob ,tV aAOge aas' —A 0"** ' 0 61c- uoi�er�snlll PeOI sulea8 s Z �so� ►►g x►Z � 6uiulei s�aua�seas pafaoouiz SMOJOS peaH aaenbS paZiueAle deep �� egnl ►►7 ! s6uilool paJno� sis0d 6ui ie a o aai14el pa.�earl uaajq ADVAlyd u p 4}°N do}n paleail uaaae ►►st x x. d p 31 p Aa8 salpuidS pa4eaJ1 uaaJ Z x ►l� �� „Zx„Z 8fr 6uiliela�puids kA�- spreo8 load pa}seal uaa�� ►�9 „Z joep moll ro j pe jeeles sAey BOA suoi}do x ue ellijs 6ui ier e o u 6ul�oed �e�uoziJr. I. 4} � ores a si a+ole8 leiaa�ew 6uiwea� pa�eaa punoa6 ay} 11° ►Z loop ►0Z x '81e0910W Jn0A 0080ind o; 49ap sleljajeWpl9�� 4 6ui no a o leaus slye ale ►�! a pa�aa�a 1002/O!/1� 1 MIL log .1 ING5511 1917 8912 Please bring these plans to 2 the cashier to purchase. ---6411 I Cn MAY Iq a Post an(6eam imension Sheet esign :71523 I 2' I 4' 2 3.9" 1' 1 10 --`�zn��F 1�ppQov�d o�si R pQoUF�1lois-I h��Q AJ ho(Fs f- luj;Rsj K a ® - Denotes railing Posts and are Placed at a 48" maximum post spacing. Illustration may depict options not included. Beam laout for Your Deck The ale is 1/4": f Design#:71523 Mark length Description A 617/8" 2-2x8 Green Treated 8 16' 2-2x8 Green Treated C 20' 2-2x8 Green Treated Illustration may depict options -not included. Joist layout for Your Deck The Scale is 1/4" :1' Design#:71523 Mark length Description Usage A 518-7/8" 2x8 Green Treated Rim joist B 9'11-1/2" 2x8 Green Treated Rim joist C 11'9-1/8" 2x8 Green Treated Joist D 19-1/8" 2x8 Green Treated Joist E 13'10-1/2" 2x8 Green Treated Rim joist F 16'1-1/2" 2x8 Green Treated Rim joist G 1919" 2x8 Green Treated Joists to be on 24" centers. Joists to be hung from the ledger with joist hangers. Joists to be toe -nailed to beams with 2-1/2" (8d) galvanized nails. Rim joists to be face -nailed to joists $ ledgers with 3-1/2" (16d) galvanized nails. Blocking and bridging is not shown, but may be required by your local code. Illustration may depict options .not included. Ledger INDUSTRIAL 'COMMERCIAL CRY LOTS TOMORAMIICAL LAKESHM RARING Andrew Hohn CERTIFICATE 'OF SURVEY r ' 0 4P 0 6:: I hereby certify that this is a true and correct :plstt of ,survey,ofl. Lot 19, Block•5, EDGEWATER GARDENS,, Anoka County, Minnesota..' As surveyed by me this 30th day of Apri1,.1959 A:D. Signed i Nov"N C., Holum Jee�rq� 7101 U& AVE. So. MINNIIAMIS 27„ MINK , on° . 13740'106-17&23 lY a ,� stays r ' 0 4P 0 6:: I hereby certify that this is a true and correct :plstt of ,survey,ofl. Lot 19, Block•5, EDGEWATER GARDENS,, Anoka County, Minnesota..' As surveyed by me this 30th day of Apri1,.1959 A:D. Signed i Building PLUMPING Permit NO. Inspections RESIDEN'T'IAL APPLICATION Rece' ya a....: 763-572-3604 CI'T'Y OF FRIDLEY a Dat 763-502-4977 FAX EFFECTIVE 2-19-09 DATE `(� 01 - YOUR E-MAIL ADDRESS SITE ADDRESS Y7, WA THIS APPLICANT IS: 0 OWNER `CONTRACTOR PROPERTY NAME: Rfuhm EWPL 11—tyk Ve ADDRESS: it f b.- vAst 1115 CITY STATE MAI ZIP 5 3� --f OWNER/ TENANT PHONE: -I19 3- 5-11 - 1001 CONTRACTOR NAME: ZV4/ LL til 12(V'64 6!.'y4 CV' STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE KM W-5W-5q 1,14A A1/j CERTIFICATE OF ADDRESS: ?h 0 n Me CITY STATE ZIP INSURANCE PHONED s✓ ' 7 I qG% FAX _N5 Z�b� PERMIT TYPE YSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK .LASrtljj QA f3F Ye AlLf---CE+%- FEES ARE BASED,ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER: OF EACH BELOW). MINIMUM FEE $35.50. BATH SINKILAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ PIPING (NEED CITY LIC) —SWIMMING POOL _ WATER SOFTNER (S —BATHTUB —GAS CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. $-1I _ _ DISHWASHER _ LAUNDRY TRAY aWATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Y^ x_ a W ;. •` f. �rS �i' n �+sQ �� 1 �� `6b� > �� ro... � v° � , a � � v:� .fir' t3��. �.'�a F9 Yy°,�'-l�"v `� ..fi. �,. .a• g v •...r"`p`nL `'+-`v�#' in �z �`L'`'�"-�.�."�''ks`' .�,5��. .r5 rn�'` '�'� '"��"� 4> s L?m' {... •t Si?�'t ,'�5 —tet .•i3^,5, ." k�, x^�%� ,?? iF.L;$?'..'.'° tr°',k-"'v,�c .`r.�.w+`�..+ :.� 9..Y 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 case of all work which requires review and approval of plans. n'f u �� l G%T_DATE ' SIGNATURE OF APPLICANT PRINT NAME P.11Vfi3D );off B> JTL�DINb ErG Ate:. ..` City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977