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AF - 46977SuB�ECT City of Fridley � �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ' ` R � � � • COMMUNITY DEVELOPMEN7 DIV. /� i �y' �'�� , � I V � r � � PROTECTIVE INSPECTION SEC. � � i � � � i""1 � CITY HALL FRIDLE� 55432 NUMBER pEV DarE �nGE oF APPFQVEO B� : ""�.i `.J 612-571-3450 910-F�5 10/26/95 � � JOB ADORESS 6360 Arthur Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 1 2 Spring Valley sHeer 2 PFOPEFiTV OWNER MAIL ADOFES$ 21P PHONE Strong Built Homes 743-4617 4122 3 CONTRACTOR MAIL ADDRESS Z�F PHONE UCENSE NO Same 7090 107 Ave, Clear Lake MN 55319 Same 4 ARCHITECT OR OESIGNER MAIL ADDFESS ZIP PHONE UCENSE NO. 5 ENGINEER MAII ADDHESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK � NEW O ADDITION C] ALTERATION O REPAIR ❑ MOVE O REMOVE B DESCRIBE WOFiK Construct a 40' x 25.5' Dwellin and a 22' x 22' Gara e 9 CHANGEOFUSEFFOM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. Paid Park Fee of $750.00. SEE ENGINEERING DEPARTMENT FOR SEWER & WATER LOCATIONS. P P P �� P � Permit ex iration as er UBC Section 106.4.4. Barricade o e o rot,'ect from tresspass and injury. Protect footing from freezing a�ec�0�set�nd �ng��c�t�`r in gg'g rt basement. afa utility It�a��s 4.54-��' SFPr1P,ATE PERMITS REQUIRCp FpR REQUiR�� ' L�� WIkINGR HEATING, PLUM�ING Afda SIGNS. TYPEOfCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARK�NG 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 Ofi01NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPI.IED Fire SC WITH WHE7HER SPECIfIED HEREIN OR NOT. 7HE GRANTING OF A PERMI7 $131,912 �6.5.96 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL 7HE pERM1T FEE SAC CHARGE PROV�SIONS OF ANY OTHER OR LOCAL LAW REGULATING CON- @ 1� O�F% . ZS y�HSO. OO T R TH�. ERFO ANCE CONSTRUCTION W i_' � PLAN CHECK FEE TOTAL FEE ' ��ZZ' Z' License SC $5.00 $2,100. 12 + PF NnruAE coi�' aCTOAOan�rHOaizEOac IDAiEi WHEN PiiOPERLY VA TED THIS IS VOUR PEFM17 � � ` �ir�G---� S�GNnTUaE OF OWNEA UF OWNER BUiLDERi �DATEi BIDG � SP ��4TE NEW ADDN ALTER [ ) Cffective 8/ 1 /95 ( ] CITY OF FRIDLEY �`�� [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �"! ,r �. � �� Building Permit Application � �,� �� ConstructionAddress: �::- � �� C.' -� f� � iZ. Legal Description: Owner Name & Address: 57 � C� �3 -l�, �(.,,. 'j�� J�/Y� �y--�_�---� Tel. # Contractor: ' �� ' ? , MN LICENSE # �/ � 2. Address:�� 0 / �� `�`` �c,� �c..' (� � C: ' Tel. # icr � '� %�� % Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. - S/��%,�i�) ,(� �� DESCRIPTION OF I1V�'ROVE�NIEN � � �,,�� ` � 'S ) • �Yf - � l� ,�j' `-/�� .�/L/ 1��r� �`)=/��=��'`/XS�.�`�}� =G�`/,v��=.J� �� _ � = /��:`� LIVING A.REA: /C��'�F Length � Width �� ) Height �� Sq. Ft. � IlIG',�� GARAGE AREA: Length ,��. Width �%- Height �3'� Sq. Ft. �' /� 1l =��'x, Hy DECK AREA: Length Width Hgt/Gmound Sq. Ft. OTHER: Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estim�ted Cost: $�, j/, ��G , S _ Approx. Completion Date: �7 (Cost on Ba.ck) Driveway Curb C�t Width Needed: �t.._.-�. ,6 Ft ;� Ft x =$ .. DATE: '"� �-�7� APPLICAN��.- ,�1 , "` :-;: ,.` . _ � , -___....� Tel. # �r- /�- "7��~-��/� Pemut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow �rosion Control �'ark Fee �ewer Main Charge TOTAL �TIPULATIONS: $ � ��'��, �'S� $� � ��l! r ! � � ' �' ` _ � `) � �s.� $ $ � ,• -rt� $ i� �1; ` $ $ �;.s c�. r�- ?�.-,_...___. -- ,�/ `` CITY USE ONLY � Fee Schedule on Reverse Side .001 of Permit Valuation (1/1(�h%) $.50/$1,000 Valuation $850 per SAC Unit $5.0(l (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 � �/ .� ,f=° � � �� ; � � �� `'s j �� C��-' ,f 32 � �� !�-,� �i�C �� . � �� 's � Y'�JJ r /��.,�� l �� s�. m Z �— ; ��'i� �� 1�� -� � �'' � �. �'�.. � � � ��.�-- (� S� � � i ,z�'� �-c:,T_... ��''"� � � ' � :S��aG. % `% � j ;.-� �' , /,,'f%� l�\/�-1�„ �;;��_ 1-� �; 1 J ! �✓ � � . _.. _ . . . . `n ,', i x�n y . �n. ); - ' J�� C' /l.�l , f ' � / ��'/'�J� �.. ✓� �� /� � � :; . s r x �� /��'� �� tfi �� f .2� � i � +t .� y 1 f , 5� Y ip+."��'* R� I'' dh �. .;j d�} dg''v T '��. �Y'�" .`�' �� G��' Y 1��.{, �� ; u�.,, `k � � ,. � �# � � F�� :; � � � � � � /Gtf�L%/�J `� = � ;� � � ��.k �, � - y ��r, � �� ° -� � � ' . �� ,,� ��x'%�� ,, � ��/�T � _ � ^f�� } �+ V �-^ ! , ' -C+ J % h �µ � �/ '�n/J i'/U� G�'.�'j��- `//�l %,�� % �1 � � a�, �� ; � ' ° �. { ' . _ � - ��- . � � j. y . s .,� ! .A 0 CITY OF FRiDLEY iNSFECTION DIV. 6431 Univers'rty Ave NE Fridley� MN 55432 572-3604 Stories Basement Floor 1 Ftoor 2 Flaor 3 Floar 4 PLUM6ING FIXTURE RATE$: Effective On August 1, 1995 APPUCATION Ft?R P#.UMBING AND GAS FITTfNG PERMIT MARK NUMBER OF FIXTURES TO BE iNSTALLED ON EACH F � ; Wash ��,� � F(oor �a#ch ? Auto, 8hower �i�1F� : TraY �t��t`kt�,'��.; Drain $a�ln Washer N�, RATE TOTAI, New Flxtures � Old Opening, Mew Fixture Beer Dispenser _.__.._ Blow Oif Basin Catch Sasin Rain Water Leader Sump/Receiving Tank Water T�eating Appliance Water Heater -Electric Wa#er Heater - Gas** Gas Range** � Gas Dryer** � Back Flow Preventec Required ( jYes () Na Type � �.cm $ 4.00 $ 5.00 $ 7.Q0 $ 7.04 $ 7.00 $ 7.00 $10.()0 $ 7.00 $�a:oo $10.00 $t0A0 $15.00 Rsinspection Fee $42.00/Hr ALL OTH�RS ANDIOR REPAIRS AND ALTERATIONS 1.5% ot Value of Fix#ure ar Appliance State Surcharge 70TAL FEE �3, OU ��. U a 1¢, C b / 0. OG .5Q $�.� �� ' � �� , Water Heater i�t�t. .; Gas Elec �� T •c �•�- � /I' , /J/� ,�i The undersigned hereby makes application for a permit for the work herein specified agreeing to do aii work fn strict acco�dance with the city codes and rulings of the Building Division, and hereby declares that atl the facts and representations stated in this application are true and correct. Owner Buildin //� �� , 1995 om Estimated Cost PERM#T NO. -�'7�� '%� , � PWMBfNG CQM NY ' � � %�/f� � S{GNED BY TEL N0. �1��-_y/ (/ / ,, U✓�� 1r/ �p�2°�l Approved By Rough-in Date Final Date (�ap�.u�o � LL-a� � �5�� '�-�.%�� **COMBUSl'ION AIR SHALL BE PROViDED PER UMC SECTION 504(Aj AND TABi..E 6--A. MINIMUM SlZE 9 SQ INGHES. CITY QF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 . RATE SCHEnULE Effective On August 1, 1995 APPLICATION FOR POWER PLANTS AND H�ATING, COOLING� VENTILATION� REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES � . • JOB ADDRESS � R �!G' Residential . . Furnace Sheil and Duct Work, Burner — Also Replacement Furnace (Side Vent — Filt Out Back) Gas Piping {Needed with new furnace} Gas Range Gas Dryer *Air Conditioning — All Sizes Rate TOTAL $ 30.00.� $ �U �� $ io.00 � � � /D. �� $10,00 $ $10.00 $ $ 25.00 � $ r All Others/Repairs & Alterations (UST ON BAC� • 1% of Value of Appliance or Work �� .$ Commercial/Industrial _ . � � 125% of Value of Appiiance or Work � $_� State Surcharge � �� TOTAL FEE '��_� MINIMUM FEE FOR ANY HEATING/COOLINGNENTIlATION REFRIGERATION/AIR CONDITI�JJNING PERMIT IS �25 00 PLUS THE $.50 STATE SURCHARGE . REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property ovmer. ; The undersigned hereby makes application for a permit for the work herein specified agreeing to do aA work in strict accordance wlth the City Codes and rulings of the Building Division, and hereby declares that ail the facts and representations stated in this application are e d orrect. ,1995 . -� , � �''' � BUILDING USED AS Ii� • � � E�TIMATED COST _,�i�� PERMIT N0; --_-�� . ,' DESCRIPTION OF FUR�JA E D QR BURNER No, of,F{eating Units Ci�cle One (Steam) (Hot Wate (Warm Asr , Trade.Na e Size No. , BTU � Q�� HP T EDR Fuel . Total Conneated load Burnec•Trade Name,�� Size No. BTU' ` ��D�� HP EDR �-- _ � HEA7ING CO Signed By, Tel No. v�/�/`� �/ i�� '-� �? � ��`�' Approved By Rough—In Dat�� y F al D� � yZ�� FILL OUT BACK SIDE �OR STACK VERIFICATION ON REPLACEMENT FURNACE CITY OF FRIDLEY INSPECTION pfV, 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEI ULE Residential - Effective On March 1, 1996 APPUCATIOfv FOR PaWER PLANTS AND HEATING, COOLIhIG, VEN7ILA�ION, REFRIGERATION ANQ AIR CONDITIONING SYSTEMS AND DEViCES � j, JOB i4DDF�ES:i �%' _J � �` C �. C�.i2t c -t • �--� Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent - Fili Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) : 1% of 1l�liue of Appli�nce ar Worl�_ `� , �: S i . � i /t�C-, D�- <;; r �- Commefcial indu tri� ' � � i��-��c'� 1.25% of Value of Appiiance or Work % State Surcharge 70TAL FEE $ $ The undersigned hereby makes application for a pErmit for the work herein sp�ecified agreeing to cfo all work in strict �ccordance with the City Codes and rulings nf the �uilding Division, and hereby cleclares that all the facts and representations stat�d in this application are true and correct. _— - --< ---- - -- � " .. "--� ,1996 �.. 7Z -t� M1.JC� ,CJ C� r C. i ,, n BUILDING USED AS �L � LC.-�" L�� '�- ESTIMATED COST PERMIT NO.� c� �CRIPTION OF FURNA�:� AND O,�BURNER $ No, of Heating Units Circle Ono (Steam) (Hot Water) (Warm Air) Trad�s Name Size Na 'BTU HP EDR $ Fuel Total Connected l.oad .50 _��•�� MiNIMUM FEE FOR ANY HEI�TING[COOLIWGNENTILATION REFRIGERATION/AIFt CONDITIONIIVG PERMIT 15 $25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be piaced in a �ide yard without written permission from adjoining property owner, Burner 7rade Name Size N�, BTU HP EDR � _.. �_ . HEATING CC�MPANY �:� l 1�-C%mL�C-� � �.L r C l`�-��"� L� S� �__---�' �. signed By. // �7 -=�-72 C>N� Te� No. �'��' - �%i � -----T- Approved By Hough—In Date Final Date ��Z�`'!l FILL QUT BACK SIDE OR STACK VERIFICATION ON �� REPLACEMENT FURNACE c�ty of Fridley S�e'E`T P�� 2 AT THE TOP Of ThiE TWINS g U I L D I N G P E R M I T r ; � RE IPT NO. � COMMUNITY OEVEIOPMENT OIV. ' j L- � � r � � PROTECTIVE INSPECTION SEC. � � '' � �'�� CITY HALL FRIDLE� 55432 NUMBEF AEV OATE PAGE OF APPROVEO B� �.��i/ �.J 612-571-3450 910-F15 4/8/96 / / �oe nooaESS 6360 Arthur Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Sprin Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Stron Built Homes 7090 107 Ave, Clear Lake, MN 1-320-743-4617 4122 3 CONTRACTOR MAIL ADDRESS Z�F PHONE LICENSE NO Same 4 ARCHITECT Ofi DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WOfiK Finish basement 9 CHANGEOFUSEFROM TO STIPULATIONS Driveway Curb Cut 16' + 6' = 22' x$13.50 =$297.00 TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE RE�UIRED FOfi ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF CONDITIONING. THtS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZON�NG SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 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 WOAK WILL BE COMPLIE� WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT �9s6OO ��F.HO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �149.75 Fire SC �9.10 STRUCTION OF THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAI FEE $1FjH. GS + DW License SC $5.00 $465.65 SIGNATUAE OF CON'FA(;TpR OR AUTNOA�ZED AGENT IDATEI WHEN PfiOPE VALIDATED THIS IS OUR PERMIT � ��. ,� S�GNATURE OF OWNEA UF OWNER BU��DER� IDATEi B G�NSP � t NEW ADDN ALTER [] [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �.� � � �T� Z � Legal Description: Effective 3/1/96 -.�fs��s: Owner Name & Address: �',P�� %� �' r LT ,�-��'�� Tel. #�"— 3a� -'�5�� - � ! 7 Contractor: � i f�✓l_ ,(o MN LICENSE # �� ZZ-� Address: ''� � `� �' C 8� �� /��' �LCi�-�� ./� Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I.ength Width Height Length Width Height Length Width Hgt/Ground ��c�� v-' ,� � �� _ �� G ` Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: J�V � Estimated Cost: $ y g(� c9�C� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: �Ft. + 6 Ft = ZZFt x$ ��- Sr —$ �� 7 DATE: ��J•�� APPLICANT: '� j Wl �o Tel. #�iz-7c�3- �-L�, i7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge i� . .� �.�I�� t ��" �,� ` �"f �� i�C� " �� Cl 1 1 V OP� �l\L 1 .�,� �' f �L�tM�-' �6 y / S � � �$ /`��Q�� L�� _� � �� ,� � �_ � $ `� ' � ,� . L � --�� ;1, CC � $ $ $ TOTAL $ �-�-�� 1.� �-''1 � �'�' STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 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 [ ] v �� a5 �. - �'i►� �c.�cc- �,s-- ��i • >s _ C�TY OF FiZt DLEY FRIDLEY MUNICIP,�L CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN ��-13? •((,I?1 571-3�t50 • FAX (612) 571-1287 April 26, 1996 Strong Built Homes 7090 107 Avenue Clear Lake, MN 55319 Re: Final Inspection at 6360 Arthur Street NE, Fridley Dear Sirs: A final inspection was conducted on April 26, 1996 of the above address and the following items were noted wr�ich must be completed before the structure can be finaled: 1. Finish the final grading and provide sod in the front and side yards by June 15, 1996. 2. �rovide a hard surface driveway by June 15, 1996. We will expect this item to be completed by the scheduled date and a reia�spection called for. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, �C1 � — Ct� BARRY ESCH Building Inspector I• ' SuBJECT City of Fridley 4 � �� AT THE TOP OF THE TWINS gU I L D I N G P E R M I T r ; � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. � � �.-------� / r � � PFOTECTIVE INSPECTION SEC. ��/� � V.GJ ( ' 1 � CITY HALL FRIOLE� SS432 NUMBER REV DATE PAGE OF APPROVED Bv 1 �.�� '""�� ,�' 612-571-3450 910-Ft5 / / 8/27/96 JOB ADDRESS 6360 Arthur Street NE t LEGAL LOT NO. BLOCK TRACT OF AD01710N SEE ATTACHEO DESCR. ], 2 Sprin Valle SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Strong Built Homes 7090 107 Ave Clear Lake MN 55 1 - 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK Cl NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 14' Deck in Rear Yard 9 CHANGEOFUSEFROM TO STIPUTATIONS Deck built before permit issued. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARA7E PEFMITS ARE FEQUIRED FOA ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIFi CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1��F9H .7S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROV�SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION. ��FH..SO Fire SC I..49 PI.AN CHECK FE TAL FEE License C .00 55.74 S�GNATUREOPCONTRACTORORAUTMOR�ZEDaGENr IDA7Ei p RLY VAU ED THIS IS YOUR PERMIT r �� G � SiGNaTUREOFOWNER�iFOWNERBU�LDER� iOATEi p� � p r�pTE ' � hJOl1-°�3-20�5 1�� 42 C I'fY OF F� ? DLEY �U11C�1I1,� , �iU��l�+' nspectio�.s ��►ID�NTIAL A�."PI,r��AT�ON °63-�'7z-36o� , CITY Ok" FRY�LEY aT� ___ ! �� s� � HIS AFPLICANT I5: ?�h A1V'T 5t.i�MiT A COPY �F YpUR STATE LICENSE WIi"�i A�'PLICA'FiQ?t PROPERTY T'ti'1'� P�RMIT T'Y1�E ,�_ !��v � 0 owNk�'� N,9Jvt�� ADDRESS;� PHt)2vE', %�O t ��:� STATE LICENSE # 'folJR �• A,nDiiESs 'Z7f��_T ti� �orm�.�,cro�. �dN J�FMC o ��,e S3� � /0 7 3 �w�-r _xT �,�9�0 I_�!111j'll�i�'.�1 C] B.4S�eMExdT �'lNISH O I7�CK l7 )]ESCRI�3E WQRK B�1NG P.�f03 Permit No.: Receiv�d By:_ - — �a�e Rec'd: � � � �� ,T� � � �J� � �/ f i:ITi'�T � L- STATL�''L'LF J "��/ ! i r �r►� .eai% I � ❑ DRAIfV 77L� D 4Tk�4R ;�� '�/� 0 H�USE ONLY �T..'h�f'3ER OF SQ�UARES !� O i;OUSE & GA1tA,�E #ARAGES ❑ ATTACi3EI? GhRAGE ''�29PQSED,SI7,E: : � DE'FAC1i�U GARAGE 'i�OP05Ei: HEfGHT: _._,�.,_,_, - �_ . :.: �� C7Sof�it " . ' � ., ] :Uumin►nn � ""c,3 ",Crim ] Other [] Fascia R�O N�W OFE.NP.1 S-DE5G� BE S Lf)CATION OF w1,:s�"c�'�1�5 k �TDUVV ►� dF . _ . . ..`.,..._�. � . >r�ENI'yG CHA,t3GES � �+S C�' Ft. �1ASBN1�?3T RE:�+iODEi.RJGySiJsN•.lr: 1. Existing �loor P1an 2. Proposed flbor plaa ? Li�s ot sm�ctura! members to be used �' i: F�R tIEW CahIS13tUCTI0ri1'[tvCL'(JDiT1G DECKS; ' I� � ,wD1'iTONS. & pO�GHES SU3MTC:' � . , . , f ; 1. Si� PIatY3urvey Showfitg the acigunp suvccures !; � A*QPased� prejeet. � 'I�vc+ sers of consErua3on pt�s 1 �. �a, , �nGrSY CelCulatio� ` ALL FEES AIZ� �ASED 4N"VALU�kk'�[UN, INCLi3riCNC THE COS'F OF LABO� Al"�D MA (US�NG T%YE 1997 U.B.0 �'EE SCH�bLTI.Ej TQTAY, JOB VA,LUATIOI� S S oo pC�i�q34CY TYP� ?lan Review �urchar�e ?ire Swchar�c �icense Suscharge 3AC Charge yurb Cut Escrow �rasion Gontoi ?ark Fee M ' Char $ �,� Sea Baek Page f�r Fas Sc�,edule $ 65°/a of Building Pe�rriit �ee �$ ��_ (.�005) times the tot�l jvb valuat[on — Minimum $.50 $ _� 14} ,Opl x Pernait Valuation (1/l0°0) �S TT �5.00 (Stace L°zcensed Residential Contracto�rs) $ �;� �$ I450 per SA� CJnit (Plans to MWCC for determinatio�) �$ ft�6�= ftx�^0=$ � $450 Gonservation lPian Review $ ��' Fee DeCtsmined by En�neering >�wer atn ge r$ A�reement nec�ssary ()'1on Necessary () Total Due ��i�� Make checks pAyable to: City of l+ridley ; Attach Sti�utatfons - '�H13 X5 AI+� .4PP:.ICATIOtQ FOR A 1P��.MIT-NOT VALID L1NTX� PRC�CESSfiD i h�r�by apply far � buildang permit and I aclv»wledgG that the infornaatior, above is caraplet� a.�d accurai.e;, 3hat °:th� work will-be in ' �onforrnar�ce wixi� �he ardinances suad codes o� ttie +��ty of ��i31ey and with the M�izu�.esota Construction Cade:; th$t I t��tderstand this is s�ot a;. �snmit but only, an application £ar s permit and wark is not tart without a perr.�it; that th� wor}r wi'1'bc in ��ccordance wit}i the�c�aprov�d i' jtan in tEre �ase af al] work whi '�u�� al of glans. /�INN '� - �� 0 T >iGNATUP.F QF APPi.i�ATiT . • P'itL'JT NAN�4E ! � �� I?ATE � ' �� - -- - - � -/-�-�-'—. — - j- � , . . . w, �,. � �a� '�:' � � : �r�� . t �. � "�.� �.� �, .�r�=a' a . � ' �� . ,z �s. ,� .. �.,�,a '`� ``� �� rs� w w�-"�� ,; �''. ��. � ,� �m�.,,.� -� �� . 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