PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT NA 7403
Date: JV *401V
Owner:Jl ..s..w. / ,i�,.a .�.lr�arY/Bulkier 49
Address Address
O ON O BU DING
No. Street" Part out:
Lot _ Block Addition or Sub-Divisiop
Corner Lot _ Inside Lot _ _ Setback Sideyard it
Sewer ElevatElevation
DESCRIPTION OF BUILDING
T Used
Front - Depth - Height Sq. Ft..YAu.
Fran r�cr Depth eight Sq. Ft.'
Type of etion Est. Co' , _ Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in (pmpliance with of 1 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of 44 -~-00' , permit is hereby granted to
to constrict 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 worl�en, in all work
I
e in,around and uponley,Minnescity limits and this permit may be revoked at anytime viojon of ani► of the provisions of saidord
NOTICE
Sk permit does not cover the coashudloe, hatallation for wbing, plumbing, gn henthm sewor or water. Be son to we
the Boibling Inspector for soparate permits for these hems.
0
51
I
APPLICATION FOR BUILDING.PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS ADDRESS ' fes^42
LOCATION OF BUILDINO
No. Street Part of Lot
e •
r
Lot Block. Addition or, Subdiviaion
Comer Lot–X—Inside Lot Setback Side :Yard o�
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location dirawa on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft.. Cu. Ft.
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 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
,(Schedule of Fee Costs can be found on the Reverse Side).
CONTRACTOR CALITD49
7) / - A -f J -,-/5 «,L/
,t/
MONTH
DATE
DAY
INSPECTION & ADDRESS TDS
CC//
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SUBJECT
PE
City of Fridley
1266.6
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RtQEIPT
COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
r
a
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
8/8%`74
JOB ADDRESS 1381 - 75th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
3
1 Don's 5th. Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Walter Muyres 1381 - 75t1i Avenue N.E.
3 CONTRACTOR MAILADDRESS 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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Install patio doors
9 • CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIREA FOR WIRING,
HEATING, PLUMBING AND SIGNS.
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.
$450.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
5
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-
$5.00
NCE CONSTRUCTION.
STRUC N 0 THE PER�4'0
PLAN CHECK FEE
TOT
�
$5.50
IGNAT4RE OF CONTRACTOR CFRAU RIZED AGENT (DATE)
WHEN PROPERLY V L ED THIS 18 YOUR PERMIT
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
BLDG INSP DATE
N
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: O// of 4�—BUILDER:.
ADDRESS
: � ,�v� y'� ADDRESS :
NO:. /3O / STREET
LOT: 41
BLOCK: 3
ADDITION:. X/ 2'i
S
CORNER LOT:
INSIDE LOT:
SETBACK:
SIDEYARD:
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:
awl/4o��Front:_
Depth: Height:
Square Feet: Cubic Feet:
Front: Depth:
Height;
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:
To Be Completed: 3 '0�0�
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: C% /' SIGNATURE: �i`!/
a
(See Rever Side For Additional Information.)
J.
SUBJECT
P
City of Fridley
6 4 9 8
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
i �
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.®®
r
1
NUMBER
REV
DATE
PAGE OF
APPROVED By
= CITY HALL FRIDLEV 55432
612-571-3450
910-F15
7-8-98
JOB ADDRESS 1381 75th Avenue
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
3
1 Don's 5th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter Muyres 1381 75th Avenue
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Stifter Bros. Construction Inc. 3445 219th IN NW Anoka MN 55303 753-5413 200644
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 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re -roof house and garage (27 Sq) -Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the 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
SQ. 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
1 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
$1.12
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,251
DOES NOT PRES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS 0 N OTHER STATE OR LOCAL LAW REGULATING CON-
$74.75
Fire Sc $2.25
STRUCTNSTRUCTION.
PLAN CHECK FEE
TOT FEE
License $5.0
3.12
5 NATLFREOF CONTRACT6wbRAUTHORIZED AGENT IOATEI
EN ROP
VALID THIS is VOS,R P MIT
.4GATE
S,GNATURE OF OWNER OF OWNER BUILDERI (DATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION Q� ADDb
ConstructionAddress: 75 v -e
Legal Description:
Owner Name & Address: 6J21�-e-- V r e 5 Tel. #
Contractor: . TnC MN LICENSE # aDa /4jOZ
Address: 3 yy S 1 `` iL� n e LI)e Uj 14ro & S's 3o_:� Tel. # 7S3 -_-3_'q/3
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length _
p
Il e f -o®
e VMO _
_ Width
ocsse,: f (�orgG�
Sq. Ft.
Estimated Cost: $�/
(Fee Schedule. on Back) -
Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ = $
DATE:. — 2r —`i <,/
APPLICANT: %� Tel. #
Sewer Main Charge $
TOTAL $ • /�
STIPULATIONS:
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 [ ]
Permit Fee
$ �+
Fire Surcharge
$ - aZ
State Surcharge
$
SAC Charge
$
License Surcharge
$-
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ • /�
STIPULATIONS:
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 [ ]
Gi i Y OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NHMRFR nF FIXTURES TO BE INSTALLED ON EACH FLOOR
t_IIC: Lia; ji 11.
PLUMBING FIXTURE RATES
NO. RATE TOTAL
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 ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
JOB ADDRESS
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
Buildin
Estimated Cost
PLUMBING CC
SIGNED BY C
/ay ,20®3
PERMIT NO.
TEL N0.
V
Approved By�� Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
$ . S) PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VFNT- VENT CONN .TOR AND r.QMR1ISTION AIR VERIFICATION
When reply i an existing f ,ran _ _, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The Pxon inn rnmhi istinn air is sized and installed to meet the current codes
and manufacturers specifications. Yes () No ( )
When required to Inst -ll a new cemhuctinn airy it will be sized and installed
to meet the current codes and manufacturers specifications. Yes () No ( )
When instauinn anewntingqystem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By: Date :
SUBJECT
P .
City of Fridley
33393
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I
1 . �
NUMBER
REv
DATE
PAGE OF
APP OvED BY
CITY HALL FRIDLEY 55432
763-571-3450
9104'1.
3 / 24 / 03
JOB ADDRESS 1381 75 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
3
Don's 5th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter Muyres 1381 75 Avenue NE
763-784-5106
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
d 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
O NEW O ADDITION ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Remove and replace sheetrock, flooring &
window in 1st
floor bathroom
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
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
$2,000
$1.00
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 OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
`1'69.25
Fire SC $2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$72.25
T REO C N'RAf R TMORIZED AGENT
SGNA13
I
N PROPERLY
J_,W
VALIDATED THIS IS R PERMI
h
�04AT
S.GNA O[ WNER,I OW RB ERi
l -NSP
TATE
NEW I ]
ADDN [ ]
ALTER
Construction Address:
Legal Description:
Owner Name & Address:
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Tel. #
Contractor. - MN LICENSE #
Address: Zj& Ale Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
/414'&'01%
LIVING AREA: Length ( Width
Height
Sq. Ft. �®
GARAGE AREA: Length Width
Height
Sq. Ft.
DECK AREA:
OTHER:
round Sq. Ft.
� (,c), a��W lA) �� e . A -D
ConstructioA Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ '-
DATE: '3 0 APPLICANT:& -y Tel. # 7 J /9 KS
Call (763) 572-3604 for Permit Fees if mailing in application. F to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL $ lr7c� , CZ�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
z
k �PLP cL
w, NDoc,J
/ 3 8 / - /;?�- �� � /J, �-
BuildingMECHANICAL
Permit No. Ob
Inspections
RESIDENTIAL APPLICATION
Received By: Y
763-572-3604
CITY OF FRIDLEYc'
® 13 2010
763-502-4977 FAX
EMCTIVE 7-1-2010
DATE I—loY�QUR
E-MAIL ADDRESS
SITE ADDRESS I
E. N.E.
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY
NAME: nJVRa
OWNER/
ADDRESS: CITY STATEZIP �j
TENANT
.i
/ —
PHONE:7
CONTRACTOR
COMPANY NAME: SHARP HEATING & A.C.
SUBMIT A COPY OF
CONTACT PERSON: FLOYD JOSWICR
STATE LICENSE # EXP DATE
YOUR STATE
LICENSE WITH
ADDREss:7221 -University Ave. N.E. CITY Fridley sTATEMN zip 55432
APPLICATION
PHONE - 763-572-0459 FAx763-572-0164
PERMIT TYPE
16INGLE FAMILY - ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAELED DESCRIPTION OF WORK ,
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW).
PROVIDE HEAT LOSS CALC'S PER MANUALI 2096jASHRAE HANDBOOK
Equipment Installed MFG: a U 13 MODEL: U SIZEBTU
I �
MFG: MODEL: Vt'fiP SIZE/BTU
"
MFG: MODEL: SIZEBTU
' A/C $25.00
FIREPLACE (GAS) $15.00 RANGE/OVEN $10.00
_GAS
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00
FURNACE $35.00 UNIT HTR $10.00
_GAS
CHIMNEY LINER $10.00 GAS DRYER $10.00 HEATER $35.00
_DUCT WORK $10.00
_POOL
_GAS PIPING $10.00 VENTILATOR $15.00
h
""u; "�'" �':sem;' ,..5 tiA '� -,..� iC - .�" �E - �'� •. �e ,� ��'
� �
—
— � ,� tl?. r*'l .s A,.... _ x2`. N".. Oil .. :� _ _ _ ✓'�"i yu`x. �
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 ap lication for a ermit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case o 1 work w is re es review and approval of plan
SIGNATURE OF APPLICANTMq r
PRINT NAME V DATE 1 1
APPROVAL INSPECTORS SIGNXL DATE
MEN 09M
City of Fridley
wilding Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977.