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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn, No 2279 Date �+, !; ................................ . Owner , . A Address Builder .4&-4*f .................. Address ------------------------------ �Y,49 LOCA lON OF BUILDING , ''o,60. ...... No.. ....... ... Street � �..... Part of Lot i Lot ....... .... Block ............ Addition or Sub -Division: ?+! . q Pam Corner Lot .... e. Inside Lot , ........... Setback .,+R ..... Sideyard AV ..................... To be Used asi Type of Constructio DESCRIPTION OF BUILDING Front `. ... Depth~j + 4... Height ?, 1 .... Sq. Ft.. ...... Cu. Ft........ . Front .+".... Depth .!�!!':... Height ......... Sq. Ft......... Cu. Ft. .. 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 se± forth hand in compliance with all provisions of ordinances of the age of Fridley. In co ideration f the payment of a fee of $. % ., . , permit is hereby krldrted to ........ ... to construct the building or addition as described above. This permit is granted upon the cress conditio 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 rq garding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits And this permit may be revoked at any timeupon violation of any of the provisions of said ordinances. T' ./ Building Inspector NOTICE: This permit d es not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. B sure to see the Building Inspector for separate permits for these Items. tt ii . City of Fridley' ARPiication for Phinbing and Gas RMng Permit Dept of Bldgs. Phone SQ 4-7470 DESCRIPTION OF WORE n� Number, Rind and Location of Fixtures Location �✓ (/���f W U0' WATER HTR. �0 P N GAS ELEC. Base 1st 2nd 3rd 4th " Future Connection OpeningsI Connected with Sewer New Fixture, Old Openings Cesspool a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ........... . NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ x 3.25 $ — x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Descriptio................................................$ TOTAL FEE $ 4p -e City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances 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_ �S", 19a A Owner 4411zo Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. .QW11 POST 1M-12-58 Signe By Business Ph4e No 19— 8431 UNIVERSITY AVENUE N.E., .FRIDLEY, MINNESOTA 56432 TELEPHONE ( 612)571.3450 /2r PH >a P 7F, OBSTRUCTION: Lot Block Addition ��. FSI art Property Owner -address 41J7 6 ?7 -*t &j?f RECORD OF COM %nJ,iICATIONS : 2. J. 4. S. 6. 7. .l j !t �• i .j 8431 UNIVERSITY AVENUE N.E., .FRIDLEY, MINNESOTA 56432 TELEPHONE ( 612)571.3450 /2r PH >a P 7F, OBSTRUCTION: Lot Block Addition ��. FSI art Property Owner -address 41J7 6 ?7 -*t &j?f RECORD OF COM %nJ,iICATIONS : 2. J. 4. S. 6. 7. SUBJECT P City of Fridley 20905 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIP _ COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. "" p� r 1 I NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/1/91 10B ADDRESS 48 - 69th Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Bjorklund 48 - 69th Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Co. 6331 Riverview Terrace NE Fridley 574-9966 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 X 8 DESCRIBE WORK Reroof House (tear --off) 16 Squares 9 CHANGE OF USE FROM TO STIPULATIONS tE3r-Offs an replacement roofs. On 0 eew roofs or that 2 taYers Of 15 Ib. f(It. requites be installed to a point 24 nches together, uh from eyterior wall line, or the use of other underlayment membrane. approved TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 ISTALLS 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 $832 $.50 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- $23.00 Fire SC $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .83 PLAN CHECK FEE TOTAL FEE 7l/I` $24.33 SIGNATURE OF CONTRACTOR OR UTHORIZED AGENT IDATEIW EN PRO ERL V I 'ATE HIS IS /QYOUR PERMIT r�J BLDG INSP GATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI NEVI [ J Effective 1/1/91 ADEN [ ] R-1 AND R-2 ALTER [ J Building Permit Application Construction Address: ftd e-1, Iagal on: Owner Name & A. u�: 17 co re d ,_ .P Tel. # Contractor: j5','c- R P /�A f 7 ,' ArC S Teal . Address: ( 33? K i UC -4 v� ✓f ��� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. rim CIR11 TIM OF X-1 FVF1��TP L1VIM AREA: Length Width Height Sq. Ft. GRRAGE AREA: length Width Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Oft• Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: '72 --,AP, ®f=F -- ?, 6 iZv e F Estimated Cost: Approx. Completion Date: 7 /3®`2 / Proposed Driveway Width If New Opening Is Desired: Ft. $ $ _ e Width + 6' See Back Page DATE: 7A � / APPLICANT: � � - Tel. # S ? - 9 ADZ Permit Fee $ 4? 3 - o 0 Fire merge I c9 3 State Surcharge SAC Gorge $ Driveway Escrow $ Park Fee $ Sewer Main akarge $ STIPULATIONS: CITY DBE QTLY Fee Schedule on Raverrse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by RViraer *g Agreement Neowmary [ ] Not Neoessary [ ] SUBJECT PERMIT NO. City of Fridley 24683 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC "07 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/15/911 JOB ADDRESS 48 69 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 1 Ostman's 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Bjorklund 48 69 Way NE 571-5825 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 X 8 DESCRIBE WORK Construct a 14' x 8' Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS Shed to comply with City Zoning Code on location, setbacks and tie downs. 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 $1,408 $.70 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 $48.50 Fire SC $1.41 PLAN CHECK FEE TOTALFEE 50.61 SI mUREOFCON' ACTRAUTHORI2 AGENT IDATEI/ WHEN PROPE VALI DATED THIS IS YOUR PERMIT i ` BL NSP MATE SIGNATURE OF OWNER 0FQWNER 8UILDE RI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 17V- IV, , E, l ' 6�1 ,�q i Legal Description: Owner Name & Address:rl`��oO,Zez-aryD Tel. # Contractor: i�C/< �f2rp kelt_ Thi �y� �s���/s MN LICENSE # Address: �'�� %©� 2 2 Z% % ��si %A� i' /:I "IV xA' 55®3 / Tel. # 3 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length==/. Width Hgt/Ground Sq. Ft. OTHER: Sf/4<--fl 1-�711 , Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Side Yard Setbacks Estimated Cost: $ %, (Cost on' Back) Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ , .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 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, G/ STIPULATIONS: AG.vo el ., COMPLETE DISPLAY AT 3070 N. Hwy. 61, Maplewood between 1-694 & Beam Ave. (612) 486-9294 - Fai: (612) 486-0463 BACKYARD WELDING A. SYSTEMS -:--- Quality Backyard Storage At An Affordable Price 5590 222nd Street East Hampton, MN 55031 (612) 438-3886 - FAX 438-8611 ...... ..... / P.O.# Date -7) / Sold To p To Phone# (H)-' cy Scheduled Delivery Date J ALL ORDERS C.O.D. ---4 Chg Exp. Check Name Date Acct.# ROOF COLOR Black- White_ Itexn# Desc-rintion Brown / Custom� J TOTAL -Y�r respon"Itty to errata any permit � wb1c4,y ; area'reodres. Also. make UILIP goe'ye#ritna i4v" detached buildings. DUE: UPON RECEIPT. 0i delinoent iivic4m all rights and remedies annable to Haekzaid BuildivU Sydeass will be fritiated, including rights to repossess the unit and to file wW zaechar&s Hem Sales Tax Del. Chg. (if any) TOTAL Payable to. Builder Balance. Due Price a 1z -CJ J TOTAL -Y�r respon"Itty to errata any permit � wb1c4,y ; area'reodres. Also. make UILIP goe'ye#ritna i4v" detached buildings. DUE: UPON RECEIPT. 0i delinoent iivic4m all rights and remedies annable to Haekzaid BuildivU Sydeass will be fritiated, including rights to repossess the unit and to file wW zaechar&s Hem Sales Tax Del. Chg. (if any) TOTAL Payable to. Builder Balance. Due Price a 1z 6020 SUBJECT City of Fridley 2 AT THE TOP OF THE TWINS BUILDING P E R M I T t RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I 1 NUMBER REV DATE PAGE OF APPROVED ev i I "1 CITY HALL FRIDLEY 55432 612-571-3450 910415 5/5/98 JOB ADDRESS 48 69 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Ostman's 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Bjorklund 48 69 Way NE 571-5825 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO The Cities Home Improvement Co 6148 Olson Memorial Hwy, Golden Valley, MN 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 591-0332 20076414 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same. 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 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 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 $3.50 WITH WHETHER S CIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,000 DOES NOT PRES E TO GIVE AUT ORY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AfjOTHER STATE O LOCAL LAW REGULATING CON- STRUCTION OR HERFOR ANCE CONSTRUCTION. $124.75 Fire SC $7.00 PLAN CHECK FEE TOTAL FEE �� License SC $5.00 $140.25 SIGNATOR OFC 'NTR R OR T )ZED AGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT "SIGNATURE OWNER OF OWNER BUILDER) IDATEI LD )NSP BATE 6020 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name �& Address: Contractor: e, loe", Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: R 9 13 -1 k) " mw�iSwlm Effective 1/1/98 Tel. # !�-7/ S" �aS.— t"'t' 'Bp MN LICENSE # a®0 7& y�G% a ( I kkjq 10 d1 916 q Tel. # S 9/r e -�c9 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. Leng Width gt/Ground Sq. Ft. T/ L Construction Type: _ Estimated Cost: $ -76 Cie) (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ = $ DATE: - APPLICANT: Tel. # CITY USE ONLY Permit Fee $ l l Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 $ �S✓ STIPULATIONS: Building $ BUILDING Plan Review Permit NO.: 00 Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Dated: J N 200 4 _ a a —o —7 �) �TnQ G �t � S-{_ DATE YOUR E-MAIL ADDRESS N O /� 6cA G l i rn C SITE ADDRESS U0264 AJ -1E $ THIS APPLICANT IS: ❑ OWNER ONTRACTOR $ PROPERTY. OWNER/ NAME: �- LLcx- �. C CJ C(� $ TENNT ADDRESS: 4 Sf AJ 'L CITY (:r STATI70 ZIP Make checks payable to: City of Fridley Attach Stipulations PHONE: -16 3 •1 o a 4— CONTRACTOR NAME: o U1) Ll G STATE LICENSE #_ aQ y' �4 3 a EXP DATE - SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: d - (2 U+% Lk) at-tt� fV & CITY (c.O I STAT1l IP � S WITH APPLICATION PHONE 'l l4 3 -W10 ` 9 S S FAX -7 (4 3 - S'- 7 PROPERTY TYPE ❑ SINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED .RWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Lk` AAO Q Ef'2�pa �C-e VA P,s'lk N I Cr f U Ll , % 0 PP-^ I Iq r„ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS NYes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & e TYPE OF WINDOW TO BE INSTALLED NUMBER OF"WINDOWS l J ALL FEES ARE BASED ON VALUATION, INCLUDING THE C ST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ CQ, -i� of 1 , 00 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ ' .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ /r-0. Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMITNOT 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 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 case of all wor , hich requires review and approval of plans. r I SIGNATURE OF APPLICANT n 11 _ PRINT NAME Amy V� �� DATE `�� `�