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PRE 2010 DOCS• • L� a 41 Ya 0 0 City of Fridley, Minn. BUILDING PERMIT N® 6754 ,= 3 Date: f Owner: Builder Address Address - L N F LDING No. _ Street �� _ P of Lot Lot V Block Addition or Sub -Division Corner Lot _ Inside Lot _ Setback _��-� _ _ Sideyard Sewer Elevation _. Foundation Elevation DESCRIPTION OF BUILDING To Used Is: Front 0r Depth �J Height Sq. F&I.-1 � Cu. Ft. n Depth Height _ _ Sq. Ft. Cu. Ft. Type of Construction _ 2 Fst. To be Completed In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above set/ and in co ordinances of the city of Fridley. In consideration of the payment of a fee of $ _X-1 permit is hereby M I agree to do provi*ns of 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 satd 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 the city limits and this permit may be revoked at any u� vio ordinances. //��r of any of the provisions of said Building Inspector NOTICE M pW0 don not cover the construction, hnnallatien for WMhg, plemhing, gas heating, sewer or water. Be ams to see the Building hupomr for npwate permos for these herrn. OWNER ° S PIAN ADDRESS tiuur.ADD d'A."'.'A APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. Street / a l Lot Block Addition or Subdivisi of Lot Corner Lot Inside Lot /---Setback a �� Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates;of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 1 Front Depth Height Sq. Ft. `l� Cu. Ft. �� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ��i►,� Estimated Coat �-- To be Completed 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. -' DATE S—STONATME (Schedule of Fee Costs can be found on.the�Reverse Side).' i . ,. CONNERCIAL OR INDUSTRIAL BUILDING CHECK LIST 1. Zoning 6/L 2. Area Requirements 3. Parking Requirements 4. Front Yard Requirements 5. Side Yard Requirements 6. Rear Yard Requirements 7. Dwelling Unit Requirements 8. General Construction (-� ffI- ALLEN G. JENSEN Building Inspector . . . Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Q Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 2.50 Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ fl® 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH Dept. of Bldgs. Phone SII 4-7470 Location T 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 a 19 Owner Kind of Building_ . t Used as To be completed about 0 4a Estimated Cost, Old ew. Building Permit No. �-- Permit No.-- DESCRIPTION o.—DESCRIPTION OF WORK HEATING or POWER PLANTS --,Ste ot�arm Air—No Trade Nam Size No'SQ`'t�r/ Capacity Sq. Ft. E.D.R BTU H.P Total Connected Load Kind of Fuel - BURNER — Trade Name Size No— cap ty o Capacity Sq. Ft. EMM BTU HY FINAL (REMARKS -OVER) She y� f 4z Business Phone No ® J City of Fridley r7y Application for Plumbing and Gas F*Nng Pennit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ ; � 1 Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTL) ...... New Ground Run Old Bldg. ............ x 1.20 $ X 1.00 $ x 3.25 $ X 2.00 $^P' x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ l Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................... ...........$ TOTAL FEE A Dept. of Bldgs. Phone SII 4-7470 Location .ic'� �� — 9 e" t{ City of Fridley: 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 fact and representations stated in this application are true and correct. Fridley, Minn 4 19r=�� Owner Kind of Building Used as To be completed about Estimated Cost, $ J Old New. uilding Permit No �7 Permit No. i Signe ` e Business Phone No� ROUGH FINAL 42 2M Z z 0 i N WATER HTR. GAS ELEG Base .� 1st 2nd k/ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ ; � 1 Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTL) ...... New Ground Run Old Bldg. ............ x 1.20 $ X 1.00 $ x 3.25 $ X 2.00 $^P' x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ l Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................... ...........$ TOTAL FEE A Dept. of Bldgs. Phone SII 4-7470 Location .ic'� �� — 9 e" t{ City of Fridley: 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 fact and representations stated in this application are true and correct. Fridley, Minn 4 19r=�� Owner Kind of Building Used as To be completed about Estimated Cost, $ J Old New. uilding Permit No �7 Permit No. i Signe ` e Business Phone No� ROUGH FINAL 42 2M CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required Type- $7.00 ype NO. RATE TOTAL $7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.0 $10.00 $10.00 )Yes () No $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance n -OD State Surcharge $ .50 JOB ADDRESS %9 DLA1 AVC . N The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner 3L_m ")-,aa I -,— Building Used Asyy)L_2Et�..3.p �� Estimated Cost PERMIT NO. i' 7®� � ... . • cam, � PLUMBING SIGNED BY Approved By aW Rough n Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ ��i `JC7 PLUS THE $.50 STATE SURCHARGE C� ,199.. 6Z_ Water Closet Urinal Bath Tub Shower Sink Wash Drink. Floor Catch Tray Fount. Drain Basin Auto. Washer Gas Appl. Gas iMisc. Range Fixt. Water Heater Stories Gas jElec Basemen Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required Type- $7.00 ype NO. RATE TOTAL $7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.0 $10.00 $10.00 )Yes () No $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance n -OD State Surcharge $ .50 JOB ADDRESS %9 DLA1 AVC . N The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner 3L_m ")-,aa I -,— Building Used Asyy)L_2Et�..3.p �� Estimated Cost PERMIT NO. i' 7®� � ... . • cam, � PLUMBING SIGNED BY Approved By aW Rough n Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ ��i `JC7 PLUS THE $.50 STATE SURCHARGE C� ,199.. 6Z_ FRIDLEY MUNICIPAL CENTER • 0431 UNIVERSrrY AVE. N.E. FRIDLEY, MN 55132 - (612) 571-3450 • FAX (612) 571-1287 November 14, 1996 James Eisler 1287 Norton Avenue N.E. Fridley, MN 55432 Dear Mr. Eisler: Thank you for stopping by our office on Friday, November 8, 1996, to inquire about dividing Lot 7, Block 1, Melody Manor, from Lot 6, Block 1, Melody Manor, in order to construct an additional multi -tenant building. I reviewed the address files for both 389 - 74`h Avenue and 371 - 74`h Avenue. The property survey in the address file for 371 - 741h Avenue shows the location of the westerly edge of your building located at 389 - 74`h Avenue. Based on this survey, I was able to transfer the approximate location of your 11 -unit building onto the enclosed certificate of survey. Upon further code analysis, I determined that both Lot 6 and Lot 7 are required to meet the minimum lot area requirement set forth in the R-3, General Multiple Family Dwelling District. Combined with the fact that the building crosses the property line dividing Lots 6 and 7, the City would be unable to approve a lot split allowing you to construct another building on part of Lot 7, Block 1, Melody Manor. To summarize, both lots are required to meet the buildable area requirements in the R-3, General Multiple Family District. There is not enough room to construct another multiple family dwelling. If you have any questions regarding this letter, please feel free to contact me at 572-3593. Sincerely, Michele McPherson Planning Assistant W is C-96-263 A "e.wr' -[di )ct//eic, Z>b9 -14T-" -aveLjm L.om it UPJ I -i °a:54ZI1a1t.,Lc-, Im s$9 -dx:ldjA-- ,, . / ®��so-7- ��71s 1cx:) r 389 74th Ave � ,Iot, -- oil Scale 1:9214 o T7±1 -!l 'oilYl 1b fa�ln (rr� .rv)• � ®111)JOY Wl�tl�Y1011®O.0( SUBJEO-T R City of Fridley 28009 AT THE TOP OF THE TWINS BUILDING PERMIT i • `- DIV. COMMUNITY DEVELOPMENINSPECTION _ r � � PROTECTIVE INSPECTION SEC. NUMBER DATE PAGE Of APPROVED By CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 IREV 9/28/98 JOB ADDRESS 389 74th Avenue NE i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6, 7 1 Melody Manor SHEET 2 PROPERTY OWNER . MAIL ADDRESS ZIP PHONE Barbara J. Stevens 1949 Collin St. Mora MN 55051 320/679-4085 3 CONTRACTOR Coa4r, MAIL ADDRESS ZIP PHONE LICENSE NO Dan Stevens 1949 Collin St o - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Commercial 7 CLASS OF WORK ❑ NEW ❑ ADDITION 3a ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 6 windows and patio door 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 ISTALLS 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 $1150 .57 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• ST U OR THE PERFORM NCE O C STRUCTION $40.25 Fire SC $1.15 r PLAN CHECK FEE TOTA EE 41.97 SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT I ZATE, N ROP VALIDA D HIS ItIR P R IT J � S,GNATURE Of OWNER,,f OWNER SUILDERI IDATE, BL G -NSP 4TE Prepaid Plan Check $ Estimated Cost $ Receipt # Effective 1/1/98 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL BUILDING PERWT APPLICATION Aw r / 40P Construction Address — �,�. 1-r , el C� Zoning Legal Me I ®h 1 ° A,,C-r ("ate u A Er U L� u Lali te17- owner 7 Owner & x CONTRAcim & ADDRESS Y) Ain- n S4 Pye,.., � / 1 yj C®l jt n .5' • M g-rA- /V - Tel# % VQ87_ Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION v TYPE OF WORK [] New [] Addition Ig Alteration -Describe ,51K OFC. AREA: Length Width Height Sq. Ft. WHSE ARFA: Length Width Height Sq. Ft. OTHER ARFA:gth W'dth Height Sq. Ft. 1Z APPLICANT . ��+ ,�,,.. � /`1 q q C'� (( Tel # ate VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ "C Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes (]No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received [] Yes [] No x Permit Fee $ O --2S See Fee Schedule on Reverse Side Plan Check $ In Excess of Prepaid Amount - See Reverse Side x Fire Surcharge $� .001 x Permit Valuation (1/10th %) ,( State Surcharge $ S $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1000 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee 1 $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary [] Driveway Escrow $ feet x $13.50/foot TOTAL $ / s ATTACH STIPULATIONS 01 SUBJECT no City of Fridley 33843 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E �L7/ 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 9/2/03 10B ADDRESS 389 74 Avenue NE 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6,7 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott Manning 2333 135 Ave, Andover MN 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Husbands For Hire Inc 2860 135 Ave NW, Andover, MN 55304 612-280-6146 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING 11 Unit Apartment T CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Fire Repair to Deck 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 E WITH WH/HERIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $ .50 DOES NOTO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIOOTHER STATE OR LOCAL LAW REGULATING CON- oN- $23 50 Fire SC $ TR TIERFORMANCE OF CONSTRUCTION .50 PLAN HECK FEE TOTALFEE $24.50 SIGNATURE OF CONTRACTOR OR AUTHOA;ZED AGENT / TE- WHEN PROPERLY VALIDATED THIS IS Y U PERMIT _ I\NV\NV3 LD jR ATE S-GNATURE OF OWNEROF OWNER BUILDERi (DATE, 01 NEW [ ] CI OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION' Construction Address: s®% 74�/ ,4v,, �--- Legal Description: Owner Name & Address: MN LICENSE# Contractor e -V- I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. TOTAL $ STIPULATIONS, DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Gro nd Sq. Ft. e OTHER: Construction Type: ! % �DEstimated Cost: $ ov ®® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x_.$ DATE: APPLICANT: T .� z — 6an —Z.el Call (763) 572-3604'for Permit Fees if mailing in application: Fax to 763471-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ c� 3. � O Fee Schedule on Reverse Side Fire Surcharge $ -r, -0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ G- $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ STIPULATIONS, PROPOSAL SUBMITTED TO: NAME ADDRESS 4 C A.$ I PHONE NO. F"A SHEET NO: DATE WORK TO BE PERFORMED AT. ADDRESS 57 1 DATE OF PLANS ARCHITECT Wo`horeY propose to furnish the materials and perform the labor necessary for the completion of grow- A !�b,40_ 164 CA 4 -o -a oo _J1 0,J I AA 5 :k j2 at n J j4p� 4., All material is, guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work, and completed in a substantial workmanlike manner for the sum of I—E. A 4 Dollars ($ Ct,2 //dftroh r 4P with payments to be made as follows: -A Respectfully submitted AN alteration or deviation from above specifications Involving extra costs will be executed only upon written order, and will become an extra charge Per over and above the estimate. Ali agreements contingent upon strikes, ac- cidents, or delays beyond our control. Note -This proposal may be withdrawn by us if not accepted within M� —days. D8118 sds MADE IN USA 'PROPOSAL 0 From: 612 605 4665 Page: 1/1 Date: 5/18/200712:10:15 PM From: City of Fridley To: 6126054665 Page; 111 Date: 5/18/200711:48:22 AM Building PLUMBING PeTXIIxt No.. Inspections COADIERCIAL APPLICATION Rinne 3r j 7631-572-3604 CITY OF FRIDLEY Tate Rec'd.,�5 DATE V YOUR E-MAIL ADDRESS y y SITE ADDRESS- xnvANT � svTTE No. PROPERTY NAME: OWNER/ ADDRESS: V" CITY `S O VKI sTATIM—WZIP h Qf T7! ATANT PITONS: CONTRACTOR NAME I CC- ro STATE LI �r 0 EXP DATE 11 t i'� lP n SUBMIT A COPY OF YOUR STATE ADDRESS: CITY W STATE ZIP LICENSE WITH PHONE 612, EB7!5 FA3C��a1— iriD� `L APPLICATION PFRm.r TYPF ❑ 1NaTITtmogAL *ULTI- FAMILY O SWRAMING POOL O TOWNHOUSE ❑ C0M,I%MaAL/=u3TRIAL ❑ OTHER TYPE OF WORK: O MW ❑REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 122121,ne c K1�,2 ;^1't k k Ui4� A A/0 -6v., �4I.9wtr Jpld� - .....................................................................:::•:::.........................................................:...:::.:............::::::::,::::.;.............. ...... . :PDC[UT9i::1XCcATEcTALc'1DSi3?# Il,°I�tIJ .......................................................::::::::::::::.:..:......................... _ CLOTHES WASHER _ FLOORDRAINS _ RPZ VALVE _ URINAL DISHWASHER _ GAS PIPING RACULOW PREV. _ WATER HEATER _ _ DRINKING FOUNTAIN _ GREASE TRAP _ ROOF DRAINS _ WATER MUM I FAvcur KrrCHEN Snub _ SHOWER _ WATEX Y1P1NO _ FLAUMABL$ WASTE TANK ^ LAUNDRY TRAY _ SLOP SINK _ WATER SOFTENER LAVATORY _SWIMCNGPOOL _WATER CLOSET ::::::::::::::, ••,•,: t:•::::::::...................................................:::::::::::::................................................... ........ ::...•...............................................................................................,;.........;............:::::::::::::::::::::::::::::::::::::::::,•:::;:: :..:..................................................................:.:::.•,,:::::::::................................................. ............ :.....:::......................,...:.,.,.:.,.:: ,............... ................................................................... , 7 ,.-.......................................::.,..............:::::::::::::::::::::::::::::::::::::::::................:::::: Total Job $W • All fees are based on valuation, including the cost of labor anal materials. Valuation L� Permit ]FCC $ (1.25% of Job Valuation/ Minimum fee: $35) Surcharge $ Valuation X .0005 Due $ 13's 1 Total Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSW 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 ordinawoes end 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 curd work is not to start without a permit; that the work will be in accordance with the approved plan in the one of all work which requires review and approval of pleas. NAMB OF APPLICANT DATE % SIGNATURE.... OF APPLICANT ::,,,,::::'..'...j.:.:..`.e�:�v.:.• :` `� '� .tfi�::....Y•.• X?iA:lidti:...:::..:..:.:.....:.e:....:...:.:.:.?......::....:::A��...Y....:..:.+Y.':{Rkti:.....:.,4iifit`;:: CT1 ' :.:.: M. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977