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PRE 2010 DOCSSUBJECT ERMIT City of Fridley o 18240 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. I VL ____�_, INSPECTION r � � PROTECTIVE SEC. ��yy 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j, J\ 612-571-3450 910-F15 10/10/85 10B ADDRESS 1486 - 66th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6-6A 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin/Doris Asp 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inca 6199 Heather Place N.E., Fridley 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Same 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 551 x 241 Dwelling and a 241 x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide x -d sod in the front and side yards. Provide City with copy of verifying survey before capping. Pay Park Fee of $1,500.00 SEWER "Y": 80' East of Manhole "Y" ELEV: 885.48 TOP OF FOOTING: 888.48 Minimum WATER LOCATION: Sane trench as sewer �1 4\dry Before digging call local utili:-iSEPARATE PERMITS REQUIRED FOR TELEPHONE - ELECTRIC -Cj� Eiw. WIRING, P,''��`�'��` '�" ° �r^"3I��C AND SI N& RSI �pP� �r t SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 1472 + 564 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 $88 600 $44.30 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 ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31 $400.00 Credit from School STRUC THE PERFOR OF CON RUCTION. • PLA;J CHECK FEE TOTAL FEE f $10 00 $544.30 + PF SIGNATURE OF CONT C R AUTH OR12ED AGENT (DATE) WHE ROPE L A ED THIS IS YOUR P �� 01s I SP OATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NE [ City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: b(0 6 't 6,4 /3ZaCA' 2- Owner Name & Address : /� '�'00X/1 �/-oo Tel. # Contractor: X/ c/! /f/C- v� Lh sus /�' `' Tel . # `� ��" !/ Address: 61 31-',2 h/ /(Z'Al.oK 1`9G Ey 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. J` GARAGE AREA: Length Width Height Sq. Ft.`, DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback a s C Type of Construction: �� n'%E Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired:�� $ $ See Back Page for Explanation DATE: °x -30 -fir Permit Fee Plan Check State Surcharge SAC Charge Park Fee - Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: - ��- Tel. # CITY USE ONLY -W-4,)t' Fee Schedule on Reverse Side $ � 100 25$ of Building Permit Fee $ 9M �Vi. 50/$1, 000 valuation $ $425 per SAC Unit $ Pso C) -C) Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] i 1 i EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER I P �i -f// SITE ADDRESS Iyd C� �� CONTRACTOR %SL �'/t S DATE /0' 3 o " �r p$ONE i • Determine working square footage of each. 1. Total exposed wall area •_ sq. 2. Notal roof/ceiling area sq. ft. x 'OSS Total exposed wall area above floor = a. Total wall window area .......................... /•79•�'� b. Tctal. door area...... ...................... g, qj c. Total sliding glass door area .............'.. • . .. 3 3 • 3 d. Total f ireplade wail area..•.. ..... •.........:... e. Total wall framing area (average -D f. Total net wall area above floor ................. •g. Total rim jois tk_-. area • Total exposed foundation area = i h. Total foundation window area...,* rea....7•= is Total net foundation area above grade........... Determine "U." value of each wales. segment. a. _175• �� lirgll . 3 _ ��•/ X 11�g11 V �/ C. A flu to • 3 � _ •p c � Fi r�✓/ X 61U 11 JJfI� "9 i ll YJ . yp qpm/ 2 GG 11 Stu $a X flu to • n �• X 11u11 ofull . Tota.? 23�, if item #3 on previous page is the same as, or less than item #1,. you have met the intent of SBC 6006(c)2. -�'Z o �? . Total exposed roof/ceiling area = j. Total skylight area........ ........ k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area........ Determine "U" value for each roof/ceiling segment. jX "U to 1. 20 S7 X flu" 4...................:..............Total = If total of #4 above is the same as, or less than #2, you have'met the intent of SBC 6006 (c) 1. ' Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than -the sum of items #1 and #2. l." +2. -- 3. +4. _ • 1 LAND Su"VeyIN0 SU®^!V1910N OmslaN Tz6.E6PF76N6 771.4580 gas JM98ter ST. ST. PAUL. MINN. '3'3101 I hereby . certify that this survey was prepered `y mo cnd t"at 1 cm a du!y Registered Land Surveyor under the laws of the State of Minnesc',Ic. d-,. Or°•'? �� L Reg. No. 5051 CaAe: iA UM d / o Indicates iron monument placed Sealet S" = 30, •,►pie 5 !i Lots 6 and 6A, Block 2, CREMIDGE, Anoka County, Minnesota. 000 SC'wC67 ,X Ia rl4S T /fi► i a/ o A114- % C— A _ g-)*A'F 71F •v CH 01 SUBJECT PERM City of Fridley 1.9600 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/20/88 JOB ADDRESS 1486 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 & 6A 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin/Doris Asp 1486 - 66th Avenue N.E. 571-7720 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pane lcraft of. Minnesota, Inc. 3118 Snelling Avenue So., Mpls. 55406 721-6628 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct patio cover and door hood 9 CHANGE OF USE FROM TO STIPULATIONS City will not be responsible for any possible frost movement unless frost footingsare jt;j=3tft& for post supports. provided 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,500 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $63.00 PLAN CHECK FEE TOTALFEE $64.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) a WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLDG INSP U0 11AT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 [ C1tV [ ] R-1 AMID R-2 [ ] Building Permit Application Descrj Name a actor: dress: Effective 5/1/88 Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF INFRU W Length Width Height Sg. Ft. Liength Width Height Sq. Ft. Length Width Hgt /Ground Sq Ft. r Lot [ ] Inside -Lot [ ] Ft. Yd S back Side Yard Setbacks Construction: Estimated Cost: S�9,w x. Completion Date: Alt. A Alt. B )sed Driveway Width If New Opening Is Desired: S V idth 61 See Back Page • APPLICANT: ii4V4dZw(4f=1-9"&a41 I . Tel. Y USE ONLY P+emnit Flee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer Main Charge TOTAL Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Neoessary [ 263/14H/10M F m 1981 Alcan Ak niran Corp. eY ALCAN AURORA PATIO COVERS Enjoy a vacation in your own backyard. Barbecue. Let the children play. Relax. Have a party. You will be safe from sun or rain. Akm Bum, Products.,Al Dna n of Akan Afmmnam Corpmahon ALCANfr• SUBJECT City of Fridley 29509 AT THE TOP OF THE TWINS BUILDING PERMIT NO. ------COMMUNITY DEVELOPMENT DIV. SEC r 1 � PROTECTIVE INSPECTION 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ,.j 612-571-3450 910-F15 5/20/99 JOB ADDRESS 1486 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 & 6A 2 Creekri d e SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Randy Kavanaugh 571-8996 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Walker Contracting Inc. R 618 5th612_68C)_Q525 20062232 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 ❑ ADDITION ❑ ALTERATION U REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (34 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with theState Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 S CIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2913 1.46 DOES NOT PRE"E O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS Pj Y OTHES STATE OR LOCAL LAW REGULATING CON- STRUCTION E ER MANCE OF CONSTRUCTION $83.25 Fire SC 2.91 PLAN CHECK FEE TOTALFEE �-2 6-22 License SC $5.00 1 UMM $92.62 SSG UpEO�CON'AA ORs0mORtZEDAGENT iDATEi WHEN PRROPER ALIDATED THIS IS YOUR PERMIT As BL INSP a12 t�AtE S,GN4IUAE OF OW NEp,iF OWNER BU4 DE pj DATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY a) ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION + P ,► 01600 Construction Address: 14 f&��- Legal Description: Owner Name &Address: Tel. # :57/ - J'i 7(, Contractor:�r'��r�� l�,;P �,.. �<< . MN LICENSE 3 ? Address:��'? �sy �,�' 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: s(P Construction Type:lc�� ,�,9 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft Ftp c $ _ $ DATE: 5 — ?v APPLICANT: ' ° Tel. # ;z , CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ . y $.50/$1,000 Valuation SAC Charge $ $1050 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 $ - o 2 - STIPULATIONS: From: 9528814491 Page: 2/3 Date: 5/23/20071:38:13 PM IJS9 (o-1 Building MECHANICAL Permit NO.: / Inspections RESIDENTIAL APPLICATION Receivedtr. i 763-572-3604 CITY OF FRIDLEY Dateg MAY DATE %s�v U^1YOUR E-MAIL ADDRESS SITE AVDRi$S, (q €3 f,io�e�W-f- P 1 THIS APPLICANT IS; O OWNER XCONTRACTOR PROPERTY NAME: ADDRESS;%,� S b 7'TENANT y CITX i 9TAT6ZiP, f2 PHONE: CONTRACTOR5-:Luc CdMPANY NAME: G SUBMIT A COPY OF CONTACT PERSON: 1.411 10 WenbNOM V8. ,Ilar1emm YOUR STATE STATE LICENSE 0 LICENSE WITRIOWA) 11M ADDRESS: rrY $TATE ZIP APPLICATION PHONE PAX PERMIT TYPE X SINGLE FAMILY 17 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: D NEW " (J ACEMENT ❑ ALTERATIONMEMODEL + DEI•AILED DBSMPTTON OF WORK IQ ,, c1,,1re � .c>G► C GSI r C. �9 01.u/LRt '�i idb PER MS 168.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, far the improvement, installation or replacement of a residential fixture, exoluding the fixtures. (This should reflect only the cost of labor Labor cost ander $300 = $15.00. Labor cost between $300 to $500 m cost of labor X.05 = FOR PROJECTS WHM LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INOTCATE TOTAL NUMBER OF EACH BELOW 8gWpmud ThsMIled UFO: Lmn - MODEL,6 (Poufi U 5615 q 0 SMEIBTU 96 a0 c) MFG:Dylt arl Ox MODEL: X Bi c7 SIZEISTIJ 86 .. MFG: MODEL: SIZESTU A/C $25.00 FMEKACE (GAS) si sm GAS RANGE(OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 TSEW GAS GRILL $10.00 UNIT HTR $10.00 DOILER 535.00 FURNACE $35.00 GAS CFDMNEY LINER $10.00 GAS DRYERS10.00 _POOL HEATER$35.00 _DUCT WORK. $10.00 GA9 PIPING $10.00 VENTILATOR 515.00 Number of fixtures @ S10.00 x $10.00 = $ Permit Fee $ Surcharge $.. _ ..._ _.... _50 .5.0 Number of fixtures 0 $15.00 _ x $15.00 = $ TOTAL DUE 3 Number of fixtures @ $25.00 / x $25.00 ^ $ Z • a4 Number of fixtures @ $35.007—x$35.00 = $ -6 S- 60 Stare Surcharge = $ .50 TOW =$--60 • C� THIS IS AN APPLICATION FOR A PERW.-NOT VALID UNTIL PROCESSED T bereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the rork which rel u' A7w d approval• of plans. SIGNATURE OF APPLICANT PRflVT NAME I W PATE 2 t• d') . Qty City of Fridley Building Inspections Department 6431. University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 2007 From: 9528814491 Page: 313 Date: 5/23120071:38:14 PM City of Fridley Residential Mechanical A,pplicadun Page 2 REQLTUMD MORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PER39T APPLICATION HVAC ❑ NEW HOMES/.ADDI'T'IONSISTING HOME 0 MAKE-UP AIR REOUIIiED FORL- NEW/ESISTING HOMES 1. Combustion .Aar (See note below) 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 TtE0-TJ- tEA FOR NEW HOMES 4. Heat loss dt cooling load per room a. Required on new construction TMC 1346,0312 5. Ventilation a. Per. MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. RCCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received sy: 763-572-3604 CITY OF FRIDLEY 05_11L-13 11 2010 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE /–//— �% YOUR E-MAIL ADDRESS SITE ADDRESS /!y 660 CPLD "i" L' U2 2-2 THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: 1_tn-e - _ U ADDRESS: I qe4- 6& ,jue N& CITY I�-7'iGl STATEILIsULIP S5� OWNER/ TENANT 2/a PHONE: CONTRACTOR NAME: PrVFcS5,o n A-1 /06cwom 1*4 S e— SUBMIT A COPY OF STATE LICENSE # 6Cp EXP DATE �d1 — 3.1 _2210 O YOUR STATE LICENSE, BOND AND STATE BOND # q & POA EXP DATE CERTIFICATE OF ADDRESS: f �( /L� 1 %Zk vLCITY /� pyf�i c� Ilv STATE�G IjZZIP INSURANCE PHONE a /d- X05-5-- W4.0 FAX El SSIN GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE ffgPLACEMENT TYPE OF WORK: ❑ NEW 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 SINKILAV FLOOR DRAINS SHOWER _ WATER PIPING _ _ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER "{fi V7i�''�^' � ur J " P J 's% 8 ne ,�l, i _ ✓ 4iT3 `t3 �, tl 1 qq b � � Y F ��. � .� S � �� "��-r •.G e.,' e h, : 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 ity ridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permi o is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of ork i e fres review and approval of plans. SIGNATURE OF APPLIC PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977