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PRE 2010 DOCSc CITY OF FRIDLEY BUILDER; Approved Contractors, Inc. V' NOTE: Applicant'should obtain building permit iro= rlurpJ1n in M11A from Building Inspection Department Secretary. ADDRESS: 1052 Osborne Rd. N.E. Fridley 554 NOTE: A Certified Survey of the lot, , Street City Zip Code showing the location of the foundati n, TELEPHONE: 786 3 680 once it has been constructed, will be Home Business required before proceeding with the.. framing. PROPERTy OWM(S) Roger W. Larson ` Donald a ast �. James E. Wiansch MiL W a v/Kra 85 West R$. Circle Pines, Minn. ADDRESSES) 8804 Lexington New Brighton, Minn. 55112 Street City Zip Code 614 W. Brown Deer Rd. Milwaukee, Wisc. +' Street City Zip Code TELEPHONE NO.(S) Home Business Property Location on Street or Exact Street Address (if any): County Rd. H or 69th Ave:., N.E. Legal Description of Property: KIThe East 3/4 of the NE 1/4 of the NE 1/4 of Section 13 T-309 R-24 City of Fridley, County of Anoka, State of Minnesota Total Area of Property sq. ft.n Present Zoning Classification DESCRIPTION LF BUILDING Proposed Building Use: Multiple 141 units ,a! Each unit 44 wilding Dimensions: ont 20 Depth 32 Height .21 E4 NJ Square pt. 1213, Cubic Ft. Type of Construction: WnQd Frame each unit PrOject Estimated Cost _16.000.00 To Be Completed . 7-1-73 DATEs'� �� ` APPLICANT'S SICNATURIPt `� 9 r0�55.r-- CO1VP V 7-4—T /d Uti1T / 2 S .2 fr l5 G4 7ca ZSL �4y o 0 �2&, 2Y l73 y 3 , ® 6 7or,�,� , V4t611 :7l/e T 5RPL- R 1/flx I/ F- /'-c upv/-t l � 3 9 3: ©� a 7 SC HF_ Ove 9 3 `� 0 z U,+ku f �,4? 70 ZoW,6,e-"A1 4 4 -Ar c T S- C/ e7 C Hw -- l b y x qo = �/ O S �t F% ---"- C f 2. ago PT 3 ® o 7-u7'�x Sq . 213 ®o® -o 5-0 J r 33 5 - Fr Fr�o�r �.Sr�4-TE r ,* I-V C o F AAL 4+4/1 AB S �PY,vti l f� � T d -�oTi¢ C/ �` y^ �� c m00%► AI -4 �� I I _� aha 7 5 7`47`e Svc Af ,VC,e G�.9�9230 &&.-21% NON-RESIDENTIAL BUILDING PERMIT x ZONING: ��� VARIANCE REQUIRED: SPECIAL USE REQUIRED: PLOT PLAN: TOTAL AREA GRADE ELEVATION SFT N - 01V siTr= / , � aY C / r y CITY OF FRjLLEY ADDRESS :,tea v /�< - �'' AU /V r LEGAL DESCRIPTION: ��� o f /U6 of &f -A— sPc t- 1 ? - T 3 BACKS: FRONT YARD SIDE YARD REAR YARD SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL 91 U APPROVAL DATE: REMARKS: ' U FIRE REQUIREMENTS: FIRE MARSHALL FIRE :REVENTION BUREAU EXITS (dates App) W U INSIDE UTILITIES: PLUMBING VENT & HEATING KMTRICA14 Ems., U Date Approved : / AJ H A OUTSIDE UTILITIES & SITE DEVELOPMENT: Date Approved City Engineer WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING /-S Pei?i/4 5 AE R P,4 g� SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMENT MUST BE SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED, LACREEMENT NECESSARY Finance Director I AGREEMENT UNNECESSARY Registeted Engineer's Stamp Legal Description Check a. (A) FOUNDATION PERMIT FINAL APPROVAL ��• ilding Official Building Official (B) FINAL APPROVAL NOSE: Easements, R/W, Special Agreements' City Engineer DATES oq CERTIFIOATE OF OCCUPANCY: PARTIAL: DATE: FINAL: DATE: ra REMARKSs REMARKSs C? � 5V JV/ %XtaN /f� 5 Ss if �o /6 6 7-6 ` -7-,ry ✓35 fir' .%_ " L•'/_— f'.'� L's= .� f l i' 3,,.�r.L� d'H✓LLS 70�'�I7?ljcTFl�L�,7ri-5'7c���bc�S 'vF Connection Charge Receipt No. -Sewer G.�,�'f, `/ar,�a�4= Permit Fee &Plan Check�5 3, Receipt No. 3 , c> Less Deposit:T��� Receipt No. -3 7, `i Net Permit Fee Due / • Receipt No.y SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMENT MUST BE SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED, LACREEMENT NECESSARY Finance Director I AGREEMENT UNNECESSARY Registeted Engineer's Stamp Legal Description Check a. (A) FOUNDATION PERMIT FINAL APPROVAL ��• ilding Official Building Official (B) FINAL APPROVAL NOSE: Easements, R/W, Special Agreements' City Engineer DATES oq CERTIFIOATE OF OCCUPANCY: PARTIAL: DATE: FINAL: DATE: ra REMARKSs REMARKSs C? � 5V JV/ %XtaN /f� 5 Ss if �o /6 6 7-6 ` -7-,ry ✓35 fir' .%_ " L•'/_— f'.'� L's= .� f l i' 3,,.�r.L� d'H✓LLS 70�'�I7?ljcTFl�L�,7ri-5'7c���bc�S 'vF F g y 1'!4f° 4� t o C17 -IV fifes Cl 1,2-e FBF om HPI & /'(/ (//V/ rs A9 126 2- Tv l-�R /f t /111416 i,,A,M /0-4,? /7 PLO 7.07-,44. 21 Play ?U7 -,4.L 72 o L7 2 70 7A1 3 2i? �� n � S -517'aw'1 Al � -G ?`� v C civ✓' Fr �� c -{.. Z- 6? c o�To�iv � �= r'��� � �' �— /b; Y'G�P L' 1' � ` n�h'i�> AIS sem,¢ �� 5 � • g y 1'!4f° 4� t o C17 -IV fifes Cl 1,2-e FBF om HPI & /'(/ (//V/ rs A9 126 2- Tv l-�R /f t /111416 i,,A,M /0-4,? /7 PLO 7.07-,44. 21 Play ?U7 -,4.L 72 o L7 2 70 7A1 Permit Fee paid on Permit #112315 for 1560 - 1570 69th Avenue s �16A� Ci of Fridle Minn. 113 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date; FPhiniary 22, 1972 Owner: Rice Creek Development Company Bider Approved Contractors2 Inc. Address _85 West Road, Circle Pines, Minn. Address 1052 Osborne Road N.E., Fridley 786-3680 z 159621594, LOCATION OF BUILDING 1592 1590 No ° Street 6 9th Av nup- N.E. Part of Lot Parcel! 10 & 200, Section 13 Lot �_. Block Addition or Sub -Division Corner Lot inside Lot Setback --- Sideyard Sewer Elevation Foundation Elevation 0. R-3 Zoning 14.1 Acres DESCRIPTION OF BUILDING To be Used as: 4 Townhouse Units Front 20' Depth 32' Height 21' _ Sq. Ft. 1213' Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est, Cost See #11,315 _To be Completed 1 year. In consideration of the issuance to me of a permit to construct the building described abov I agree to do the proposed work in accordance with the description above iand in compl�nce wi provisions of ordinances of the city of Fridley. _ / In consideration of the payment of a fee of $S€Q #114-3-15, permit is hereby granted to Rice Creek Dev. Co. 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 IlWley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings anthe. city limits and this permit may be revoked at any/tome upon violation of any of the provisiordbons of saidceme l � a CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building inspector for separate permits for these items. Application for Power Plants and HSR Cooling, Ventilation, RohigerntioD and Air Conditioning Syderns and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIA: RAIZ TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace . .. 600 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $—__ MECIL WARM AM Furnace Shell & Duct Work to 130,000 BTU ...... .41 ..$10.00 ; ®� 00 each add. 60,000 BTU .................... .. 3.00 $ Replacement of Furnace .. . .. .... 6.00 111— Repairs Repairs & Alterations—up to $500.00 .. 6.00 $ Repairs & Alterations each add. $500.00 &W $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. _ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 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) .. ...... -41. &00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures �_ x$ 2.00 $ 6 . 0 Additional Fixtures x .75 $ Gas Range to 199,000 x$ 5" $ AIR C0I6DITIONENa FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL 62J 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 Ordi>aaneft and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. F;?�7 /� rWley, Mian. c ( 116 / 2- Kind of Building _ .4 C X-4 J "A.,4" , P Used as _ ____ To be completed about Estimated Cost, Old ew. uilding Permit No. Permit No._ ro DATION OF WORK HEATING orZ'& PLAN15—Steam, Hot Wa Warm —No� Trade Name/0/V/�(°�1� Size Ne U ®Z ' Cy �— Capacity—B) O 0 () Sq. Ft. E.D.R BTU H.P Total Connected Load K" of Fuel BURNER — Trade Na.ne Size No a CapaciSq. !'t. E.D R BTU NP Soe Fee schedule TOTAL FSE .� .�`� (REMARIIf-OVER) �r M -f► rr City of Fridley Applic0loe for Pkmbkkg and Gin R41inq Pam* Dept. of Bldq•. Phone SOD -345D DESCRIPTION OF WORE Rumb•r. Bind and Locaiiou of gig tuw" I,••l•N••• 1-RMIMMMMMMMI Base 1st 2nd 3rd 4th City of Fridley: v a cAs Eirc The undersigned hereby makes application for a permit for the work herei,. specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the tact and representations stated in this application are true and correct Fu: Openings with sower ❑ • Now ns"re. Old Opentup Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTUM R&TES: NO. RATE TOTAL Number Fixtures ................ � x $200 g & 4/, c� Future Fixture Opening .... :...... x $1.50 = New Fixture Old Opening.......... x $1.50 i Catch Basin .................... x $3.25 ; Water Heater 'Up to 99.000 BTU) ®... 1 x $3.00 $ New Ground Runs Old Bldg. .... .... x $3.25 $ Electric Water Heater .............. a $100 $ GAS FITTING FEES. NO. RATE TOTAL lot 3Fixtures ......••.•••••• •• x3200 ; o-2'� AdditionalFixtures7 .............. x3.76 $ i y �961 d® Gas Range to 199.000 BTU ............ x $5.00 6 State Surcharge $ .50 REPAIRS & ALTERATION15- Refor to Cado Description ................. ®... ,...................... � g TOTAL FM ; / q Gas Fridley. Mn- -to— Owner . t 9_ Owner D -Pas-, �C9�sa��//� Kind of Building /0,Ls Used as To be completed about to 71 Estimated Cost. $ Old—New. Building Permit No. Permit Signe By Business Phune No ROUGH FINAL A -- Application for Power Plants and HeaNeq, Cooling, Vemnaftna Rs-igeralioe and Air Conditioning Spstem and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ... .... ....... .. $10.00 $ Replacement of Furnace ... ..... 6.00 $ Repairs & Alterations—up to $.500.00 600 $ Repairs & Alterations each add. $500.00 3.00 $__ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .....� 1� . $10.00 each add. 60,000 BTU .................... 3.W i 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 & Lines—to 400 sq. ft. EDR Steam $10.00 $.-- Furnace . —Furnace She]] & Line --to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 9,1x1 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ — over 3 gal. per hour -wee Fee Schedule GAS BURNER (up to 198,000 BTU) G� . 8.00 s_2_(_-1_, U ci over 199,000 BTU See Foe Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2:00 G G Additional Fixtures x .7 $ Gas Range to 199,000 X$ 800 $ AIR CONDrrtONlNa FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS ! REPAIRS ROUGH FINAL Lso Fee Schedule TOTAL FEE 117-9,0 v So, 00 (SURCHARG Ifo Dept. of Bldgs. Phone 880_3480 _ /-/ / 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 Ordinance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and 4mrreaL ��C'r*IT�ItI�/.r�/F/_�//IFfl(/��i�1►//� Kind of Building Used as To be completed about Estimated Cost, Old ewe` uilding Permit No. Permit DEsdCRiPTION OF WORK HEATING or PO PLANTS,- Steam, Hot Wate , ��No Trade Name Size No- Capacity_Gr > > Sq. Ft. E.D.R BTU H.P Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. ED R- BTU BIP (REMARKS -OYER) NINE M'011 Cii-i of Fridley Applic tian for Plul<rlIng end Gas Fal,ng Permit D•pi. of Bldea. Phone SEA -3450 DESCRIPTION OF WOnX Number, Kind &rid LocrSion of Fixtures Im A714 MTe. City of Fridley: V sw � = Z � i � � • ZI�jZ , V Z • • = I 3 g c 0e o o ; $ r w GAS We. The undersigned hereby makes application for a permit for the work herei h_ • s 3 , s . o=specified, agreeing to do all work in strict accordance with the Cit? Ordinance ings, and hereby declares that all the Sac1 Barr and ruling of the Department of Build and representations stated in this application are true and correct* 1st Fridley, Minn An — 22nd 3-d OwnerJL 4th _ Kind of Building Conn"tod wilh ° i prsse Ccnao '.. a Gp; nin,�s Saver ❑ Used as t Now Fixture, Old Openings, Ccrmpcol ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . . .... . .... . . . . . .. x $2.00 $._._-_ Future Fixture Opening ........... ...._._ x $1.50 S _. New Fixture Old Opening......... • x $1.50 $�--- Catch Basin ............... • .... x $3.25 $ Water Heater 'Up to 99.000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg......... x $.3.25 $ Electric Water Heater... , .:........ s $2.00 S i� 's rITTING FEES: NO. RATE TOTAL Ist3Fixtures •••••••••••••••••• x$2.00 $ , Additional Fixtures ............... x S .75 $ Gas Rsnge M 199.000 B: U ....... ° . °. x $5.00 $ To be completed about -- Estimated Cast, $ Old --New. Building Permit No. Permit N.O. Signed i By Business Phune No—Z- ROUGH FINAL '3V;4?RS r ALTERATIONS—Reim: fo C9d• .50 State Surcharge 'IWAL FEE 3 r City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Mechanical Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley See Back Side For Required Information Permit # Date % Site Address: The applicant is: (cirl a one) Owner Contractor Property Owner: /?7 Address A6✓ Z 9 -//*7 AW—MU-191. city: &s�State: -A✓ Zip: Phone: Cell: Fax: Contractor Informati n %- Company Name: - Contact Person: -i Address: >I? C4.AW zip: 7S .&State: Phone: 657 06V Mt -e- Cell:A(& `/9® 4j� Fax: �L� 61�o Email: a MN Bond# & Exp Date a Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: 6 Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 to Air exchanger $15.00 $35.00 Pool Heater $35.00 _Air _Furnace $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Boiler _Chimney Liner $10.00. _Gas Piping $10.00 -7 �_:.< , Duct Work $10.00 Gas Range/Oven $10.00. 13, - r - Permit Fee $ (Total from above -Minimum fee $35.0 Surcharge 1 0.50 Total Due $ Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the information above is complete !nd(50 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 case of all work which requires review and approval of plans. 10 -e -4 - Signature of Applicant: Date: Approval Inspector Signatur --_- Date: .% -Z5 19 vloncc KI„aA- gPnPrgtP nPrmits are reouired for Buildinct, Plumbing, and Electrical work AUG -09-2005 13:34 CIT`( OF FRIDLEY P.02iO4 61-9 PLUMBING Permit Number RESIDENTIAL /APPLICATION Receive J% �f d By City of Fridley Date Reoe �d NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED. A LICENSED' CONTRACTOR MUST OBTAIN THE PERMIT. DATE YOUR AIL ADDRESS SITE ADDRESS—ZLIZ. 4247T" THE APPLICANT IS_ (CIRCLE ONE) OWNER CONTRACTOR t NAME PROPERTY OWNER/ TENANT ADDRESS CITY STATE ZIP PHONE f! NAME ® ' CENSE N 2v ADDRESS'z 1/ q CONTRACTOR CITYSTAQ.Lt� PHONE�4&11 Y-4 AO- 0AV.0 /l/_ i iE IfAJ t !J i i PERMIT TYPE SINGLE FAMILY TWO FAMILY TYPE OF WORK p NEW le REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FD(TURES: (INDICATE TOTAL NUMBER OF EACH) _BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need Citi license) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK —_WATER CLOSET BACKFLOW PREV. ($is) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER Perlmit Fee $ 5 0c MINIMUM: 415.00 or 5% of Cost of the improvement Whichever is Plan Review $ — greater on work less than $300 Surcharge $ .50 TOTAL DUE $ Make checks payable to: City of Fridley • • •.� .v ra• ru- r ■.wr■ w.N V Wn N rr.1%1Y111 - rvv 1 V ALIu UN TIL PKOCESSED 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 butonly a 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 n requires review and approval of p s. NAME OF APPLICANT DATE 0 �J Pi setype or print SIGNATURE OF APPLICANT OF FRIDLEY COMMUNITY DEVELOPMENT DEPART 6431 UNIVESITY AVENUE NE. FRIDLEY. MN 56432 AU5-09-2005 13:34 CITY OF FRIDLEY City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Mechanical P.03/04 Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley See Back Side For Required Information 01115 Permit#��" -" I Date /Z, Site Address.---- ddress:The Theapplicant is: cirice one) Owner Contractor Property Owner- wnerAddress: Address: City: State: Zip. Phone: Cell: Fax: Contractor Informati�r}�%2'J�%4� ��IIJJ Company Name: Contact Person: Address: City: State: Zip: Phone:_ !y6LIZ 4 kt— Cell: 8f7 Fax;7-7-- Vu/2s' Email: cAd&AM4 Anca'h. MN Bond# & Exp Date .T8 jXpe of Work (circle one): New Replacement Aiteration/Remodel Detailed Description of work: -I&L ALtA/1.hv_ s , • Equipment installed: MFG; Model. Size1BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 _New Gas. Grill $10.00 V/C $25.00 Fireplace (wood) $35.00 _Gas Unit HTR $10,00 Air to Air exchanger $15.00 _Fumace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00 w Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Perrnit Fee $ &5-00 (Total from above -Minimum fee $35.00) Surcharge - ----- - _ .._...-0.50 - Total Due $ Z-6 Make check payable to City of Fridley This is an application for a permit• not valid until processed 1 hereby apply for a mechanical permit and 1 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 1 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 case of all work which requires review and approval of plans. Signature o. App / R� CITY OF FRIDLEY — 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE : 133024110002 : UNAVAILABLE : LOT 0 BLOCK 0 I�� A TiATlS TOWNHOUSES ALTERATION FAX: (763) 571-1287 15-1Z—/do VALUATION NOTE: INSTALL GAS PIPING FOR A WATER HEATER AS PER IN; BRING VENTING UP TO CURRENT CODE; REMOVE RETURN AIR LINES. COMMERCIAL PLUMBING HE TING 24428 GREENWAY AVE FOREST LAKE, MN 55025 (651)464-2988 OWNER RICE CREEK TOWNHOUSES CO 1652 69TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date /��Bldg I� / Date Q 6� PERMIT NO.: 2005-015 6�' " ! J ^a DATE ISSUED: 08 /2005/0" KEVIN HANSON. CERTIFY FURNACE; )N RETURN AIR DROP AND MARK GAS AS PIPING FEE 35.00 TATE SURCHARGE, OTHER 0.50 TOTAL 35.50 PAID WITH CHECK # 7942 `" O a SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.