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PRE 2010 DOCS• 0 City of Fridley, Minn. BUILDING PERMIT Date: AUGUST 182 1965 N? 8384 Owner: WMUR C. LARSON Builder SAME Address 1340 - 66th Avenue N, E. Address Fridley 32, Minnesota LOCATION OF BUILDING No. 1340 Street 66th Avenue N. E, part of Lot 6 Lot Block Addition or Sub -Division Rev, Aud. Subdivision No. 10 Corner Lot _ Inside Lot — % Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: D, Garage Front 22 Depth 24 Height 10 Sq, 1±•t. 528 Front Depth Height Sq. Ft. Type of Construction Est. Cost_ _ 800 00 _ To be Completed _ Cu. pt 5, 280 r� In consideration of the issuance to me of a permit to construct the building described v e I agree to do the proposed work in accordance with the description above se forth and in co ce a'll provisions of ordinances of the city of Fridley. < 45F 44zee In consideration of the payment of a fee of5$ • 00 , permit is hereby granted to WMBUR C, LARSON to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within rdinan� city limits and this permit may be revoked at any time upon violation of any of the provisions of said ALLEN G, JENSEN gig Inspector NOTICES Uh pwmb does mat cmu the canavWw, hufsihstien for whIM piumbk& ea hatln8, ower er wder. Be an to as the BuDdin9 t gmftr for sepwaft permit for these tmnn. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME E) /N1 - BUILDER ADDRESS 3 O W ADDRESS C LOCATION OF BUILDING N D STREET LK U -C \ e PART OF LOT LOT /c BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT__X_S=ACK SIDE YARD 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 sed as; l� ►^ @� Front .'� Depth Y r Height Sq. Ft. `� Cu. Ft. �5 d Front Dept h Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated Cos tee), To be completedAm 0, .2 D — t^ � 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. DATSIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). s d�� City of Fridley, Minn.. 0 108,87 BUILDING PERMIT Date: November 6, 1970 Owner: Mrs. Grace Larson Builder Sussel Co. Address 1340 - 66th Avenue N E Address 1850 coo St. Paul LOCATION OF BUILDING No. 1340 Street 66th Avenue N E --- Part of Lot Lot Block Addition or Sub -Division Rpyi q eel Au Snh 610 Corner Lot Inside Lot _ _ % Setback _ __ _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Family Room Front —J.V_ Depth 14' Height ._1.21 Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _ tea a Est. Cost _$3.,.170____...__ To be Completed 1211170 _ In consideration of the issuance to me of a permit to constru the buil cribed above, I agree to do the proposed work in accordance with the description above sego h {/ ante luvith all provisions of ordinances of the city of Fridley. f // ` �/ In consideration of the payment of a fee of $ 15 .00 vlpp=it is hereby granted toSussel Co . to construct the building or additon 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, constru on, 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 of said ordinances. AL D. BAGSTADor— NOTICE: This permh doe not cover the eondruation, hudaMon for whtng, plumbing, ee heatiae, cower or water. Be ane to we the Building Mqm for for separate peenih for then hems. 0 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S RAM: ZS ��Z� LkA2Se1 N BUILDER: y SSL L w ADDRESS: I U--� - �-c is v L ADDRESS : �SL i NO • . [) STREET: L/„ -yy Xue /V LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK:� SIDEYARD: %y J 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: V"a Front: Depth:_ k Height Square Feet: 1� Cubic Feet: 9&4iL Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:Estimated Cost: $ To Be Completed: `� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : ' _ I l_; / e % i SIGNATURE : � �--1— ,:� �S �L �� � � cx _� �� � f (See Reverse Side F_or Additional Information.) "t r Th -ru 4W_ �Y �F • a 3� a ���,��� >��,� �,�,_,� � STS -v' (3C.AiZ1tJG oN 4 Cot�c �Jt ocKS '2'1? ;NL.. C01M6. QCo oct ® ZEN '('q CK3-rr? 'lc..c l7oorZ ,_ � ❑ 5- � lei Ci, ��o tf�,N� Lnuvc-_r:eJS� c�oCa�ZS � a ® ® QC--(-0CATE GX1ST. UUTC.CT '�rZQM ad 5 sec- Is ❑ 4x6 ryS Cxp % \69 \ >SC:L To SZC-OC r\"�'C OT21/07 VC.NT 4' Or- �' � o-,vNER To N tsve svc-LCIS Tw.31<S F6M i �ti® r�c.��r-orznn rzGccx�-Te:o • LY p 01 > Z Q. I - � a •. AVL � �\ roust: New Vf� FS EXIST CA�ItvC 1+j . �J l 1c C 1 USN �X1ST. �1NCTTG EXIST. ��21TGaGt`1 _ _ - 1 NI S Q SC COUL,I. COLING '-aVACLS T7LC ,0T? r2c— mcarzV5> _ 4 EXC� �CAM`i PANGuv-1G CQr2PCv G'Lc,o`zs T� MDTcm TITLE: Roots 'x:yoM,mks. THEUSS 645-0331 Co.v 1850 COMO AVE., ST. PAUL, MINN. RESIDENCE OF: MT2s Grz&cc ►�vzsW DATE: OCT 1 , 19M SCALE: I/4' = I - O' ADDRESS: I-- 40 -Lo0± Ave PLAN NO. �SO3 SHEET I OF ' AREA: �>z1oC.c,i DRAWN BY: O•D�uc.- HOUSE HEATING TEST RECORD ADDRESS ®'" �' G 611 91 APT. FLOOR _ OCCUPANT OWNER HEAT LOSS,—DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT GA INSTALLED BY Gas Line By FA I�'_HW STEAM SPACE HTR. - I S DESIGN MAKE i MAKE OF BURNER _ Model /i3��„� Model Serial 14& 0 `` Max. BTU Rating — INPUT /004 ® 0 0 MAKE OF FURNACE Model CITY SUBURB UNIT HTR. OTHER CONVERSION CONTROLS THERMOSTAT Heat Plug Vent Size Volvo/ KIND OF LINER SIZE Clf NONE Limit ` Draft Hood / Regularor Limit Setting Filters Size L 6ME Mumber I Fan Setting Chimney Location Inside Outside Pilot Type - -- Chimney Construction '�- Pilot Make Pilot Model _ Pilot Timing L.W. Cut Off Smoke Bomb Wiring — Draft ", t' Test Tag Door Pressure Pressure �rSr Percent CO2 617- Date Tested' a ` V-0 Input CFH Percent 02 adCompany Testing Stack Temp. ��� ® Percent CO Name of Tester Form 235 Lighting Inst. c__ a / SUBJECT City of Fridley 2694 AT THE TOP OF THE TWINS BUILDING PERMIT rp ECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 76 r 1 . � NUMBER REV DATE PAGE OF APPROVED BY /'�'� CITY HALL FRIDLEY 55432 IL"" 612-571-3450 910415 7/31/98 JOB ADDRESS 1340 66 Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ( Parcel 1550 1 Aud. Sub #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carla Larson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Const 4208 83 Ave N Br.Pk- 55443 20077950 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 B DESCRIBE WORK Reroof house(11 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 917 @ $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC NOR THE PERF RMANCE OF CONSTRUCTION. $34.75 Fire SC $.92 PLAN CHECK FEETOTA EE 'I t7 �� 5.0 ense S 1.17 SIGNATURE COIR T ROR AUTHORIZED AGENT MATEI p EN R ALIDAT IS IS YQUR PERMIT BLD INSP MATE �- SiGNATURE OF OWNER OF OWNER BUILOERI IDATEI a / 07/27/98 22:59 FAX _ [a 02 NEW [ ] I 11LJJ 10 Effective 1/1/98 ADDN [ ] CITY OF FRI.DLEY /�4S ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND 311,-2, �7i� LDIN P . C/� P,- '� �-57/��: _jj ConstrucdonAddress: Legal Description: Owner Name & Address: Contractor_ Address: LIMG AREA: GARAGE AREA: DECK AREA: OTHER: 1 Tel. # MN LICENSE # 7-6 () -77 9S -Z) Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. s s7L/�J/ DESCRIPTION OF I PROVTIIfNT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground S% Ft. Construction Type:,/"— Q ?4- ��j�''O a Estimated Cost: $ 2/2 '(Fee Schedule on Back) Driveway Curb Gut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # S V r Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $1�q 75- $ 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] D r s Building Inspections 763-572-3604 DATE- (I I SITE ADDRESS _ THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE LTYPE OF WORK: MECHANICAL permit No.:a- ©yE RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY Date Rec'd: O G YOUR E-MAIL ❑ OWNER NAKt: f ITY ri STAT$ ZIP ADDRESS PHONE:�a� COMPANY NAME: CONTACT PERS 410 WEST STATE LICENSE ADDRESS: , MN 55408 2- 24- STATE ZIP PHONE FAX `SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW PtEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES' (INDICATE TOTAL NUMBER OF EACH BELOW) SIZE/BTU Equipment Installed MFG: �� MODEL• SIZElBTU MFG: MODEL: SIZE/BTU MODEL: A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 AS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 :E x $35.00 = $ State Surcharge = $ .50 Total = $ ?S- 4C 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 Fripey and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permi k is not to start without a permit; that the work will be in accordance with the approved plan in the case all 'ch req es ^ w and approval of ans. SIGNATURE O F APPLIC ' V rnIh1T am0 ATE f y� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley,MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTINQ HOMES . ,. 1. Combustion Air (See note bel0v0i a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations FROM :City of Fridley Building Inspections 763-572-3604 SITEAT)DR'RSS TH IS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUF hOT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY 'TYPE TYPE TYPE OF W 01U<: ADDR FAX NO. :7635711287 Mar. 27 2006 12:34PM P2 0 BUILDING 1'eM No. _ RESIDENTIAL APPLICATION Received By: - CITY OF FRIDEEY Date Rec'd:��- YOUR E-MAIL ADDRYNS Q OWN RR CONTRACTOR NAME: OtlI=IPd0 & REMODELING. II r, _ .. .... ff-V STATE L11'.5N5: EXCE1_81OR BLVD. EXI, nA•1'13_,_„ , �tSWA 55416 _..._... STATE 7rn_......_ ADDRESS: .,. � .. _.... . _... CITY . PPWNE _. _ YA X ...,... ,. ❑ BASEMENT FINISH ❑ DRC:K DESCRIBE WORK BEING DONE: SI7.13 OF "ROVEMENT nni�V—IIZ 7 _t or XIF ❑ DRAIN 117.11 ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ ADDITION ❑ RPMOTIF.LING _ LENGTH WIDTH C. USRONLY OUSE, & GARAGE GARAGAS 'CI ATTAMM GARAGE PROP001) SIZE: ❑ DETACHED GARAGE PROPOSED IIEIGHT: SIDING ❑ Vinyl ❑Soffit * Aluminum 13 Trim ❑ Oa,er ❑ Fascia WINDOWS IN EXISTING OPRNINGS ❑Yes []No LOCATION OF WiNI)OWS OR FOR NEW OP.FNiNOS-C)"CkIBE SIZE OF OPENING CHANGES & TYPE OF WTNJI'OW TO BE (NSTALL41) NTJMRRR OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LAl (USING T E 997 U.B.0 FEE SCHEDULE) TOTAL .TOB VALTJATION $ .,'(4 Q -r— OCCUPANCY W_. Sq. Ft. D4S'l; l>rNT 1tIIvI0I?EL1fl�LO stlAMrr: 1. Existing Finor Plan 2. Proposed flour plvm 3. List of staictural ntctnbcm to be used FOR NF.W CONSTRUCTION INCLUDING T)12,(, KS, .IIDDITJ..QN3.,s&L'fI,RCHFS sugmrr: I . Site Plun/Survey showing the existing structures and proposal prnjcet. 2. Two sets of construction plans 3. anergy Ca1culafloos lOR AND MATERIALS: TYPE 1'crmit Fee $ 15"� as' See Back Page for Fee Schedule: Plan Review $ 65% of 'Building Permit Fee Fire Surcharge $ _ o? _ S' ,001 Limes the notal job valuation Surcharge $ • t( iN__ .0005 x Permit Valuation Minimum $.50 License Surclwge $ M _ S- ' $5.00 (State I..iccnscd Residential Contractors) SAC Charge y$ $1550 per SAC. Unit (Plans to MWCC for determination) Curb Cut Escrow $ _ ft + 6 ft = ft x $20 Erosion Control $ _ $450 Conservation Plan Review Park twee $ _— Fee Deternmined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due. S Qa . (DLJ Make cl�cckspayable to: City of Fridley AttAc ,.:.. THJS IS AN APPLICATION FOR A PL-imr-NOT VALID LINTIL PROC R4SED T hereby apply for a building perrttit and I acknowledge that the information above is complete and accurate; that the work will be in conformance w.itb the ordinances and codes of tho City of Fridley axed with (Jae Minnesota Construction Codes; that T understand this is not a pert -nit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan. in the case of, all work which requires revi w a al of platt.S. SIGNATURE OF APPLICANT. -101w -la -0 G!� .. PRINT NAME/ . l� e DATE e la -0 Building Inspections 763-572-3604 763-502-4977 FAX DATEJ / IJP V _ i SITE ADDRESS 23 go THIS APPLICANT IS QaIWNER PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY FFFEC'TIVE 1-1-08 YOUR E-MAIL .ADDRESS OCONTRACTOR NAME. Lor /u- ADDRESS.13 t-10_ (Ob -0 A3M AE__ ___CITY PHONE _c;rl 1_:—���is-- -- Permit No.: Received By: Date Recd: TAME -IzA STATE LICENSE ++ / EXP DATE STATE BOND 9EXP DATE ADDRESS- �Wi C �Id �/7 CITY ASTA' PHONE �ZC 3 S�I:i �ti� _— FAX _-_tr___�--- TYPE OF WORK: 1O NEW FAMILY O TWO FAMILY O TOWNHOUSE DETAILED DESCRIPTION OF WORK REPLACEMENT PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor _ x .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON S 100 00 PER FIXTURE. EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL f4bWBER OF EACH BELOW). MINIMUM FE€ $15.50 f�WATER PIPING _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER VdgIEIt SOFTNER ($35) BATHTUB _ GAS PIPING (NEED CITY LIQ SWIMMING POOL —BACKFLOW PREV. (S 15) _CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER (S35) FOR IRRIGATION -XWATER METER _OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surchaz a .50 I Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ _ State Surcharge = 50 (MINIMUM $15.50) ! (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT' -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and i acknowledge that the information aboveis complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minn,esota Construction Codes; that i understand this is not a permit but only n 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 a ca o£al{ or Mich requires review and approval o/ifyplans. S SIGNATURE OFAPPLICAN 9 _ _ PRINT'�AME-__C.�ItC`I Dp` APPROVED BY __ -___ DATE City of Fridley Building Inspections Department 6431 University Avcnue NF., Fridley, MN 55432 763-572-3604 FAX: 763-502-4977