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AF - 47002SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M i � � � � � i � COMMUNITY DEVELOPMENT DIV. ' � �: ----- � r � � PROTECTIVE INSPECTION SEC. � � � � �"'1 � CITY HALL FRIDLEV 55432 NuMeER REV. OArE � ""� � ,�' 612-571-3450 910-F�5 3/26/85 �oe aooaess 6644 Arthur Street N. E. � 1 LEGAL LOT NO. BLOCK TRACT OR AD�ITION DESCR. 8 2 Creekridge 2 PROPERTY OWNER MAIL ADDRESS ZIP Joe Laconic 3 CONTRACTOR MAIL ADDRESS Z�P Brickner Builders Inc. 6170 Heather Place N.E., Fridley 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAII ADDRESS VAGE OF � � PHONE _ _ 17878 RECEIPT NO. /59p/ APPROVEO BV SEE ATTACHEO SHEET PHONE LICENSE NO. 574-9871 PHONE IICENSE NO. ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construct a 41' x 26' Dwelling and a 24.66' x 26.33` Garage 9 CHANGE OF USE FROM ro STIPULATIONS paid park fee of $1,500.00. Provide a hard surface driv�way. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SEWER & WATER LOCATION: Not available until af ter Apxil l, 1985. DRNEWAY DEPRESSION ESCROW: 18' + 6' = 24' x$13.50 =$324.00. �A ��j�� '"� 8efore dr ,n ��' �� E AR�i� �"�F;�°,"�T� R��►J�RE� ��'l��'}�� g � calllo��1 ��' :� �r � � F •E, � -. , , .� FOR , .. aND ��-�t��r1,�.��',:s;�r•� ° ;_` ��,�.. � , s.: ��;,�, ��f;r��NG S�� r t�� N �� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE Of CONST. OCCUPANCY GROUP VENTILATING OR AIR CONDITIONING. WOOC�L FYdAl2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY T�ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFS' I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PRpVIS10NS OF LAWS OCCUPANCYLOAD CU. FT. ' PARKING GARAGES VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $95, 650 y�47. H3 DOES NOT PRESUME TO CaIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC THE PERFO ANCE OF CONSTRUCTION. $421.00 $425.00 CREDIT PLAN CHECK FEE TOTAI FEE ], � SOO � � ��✓ � _ 2C� �,j ,:$105. 25 $ 574.08 + . SIGNATUAEOF 0�R ORORAUTHORIZEDAGENT IOATE� WHEN PROPER�Y VAUOATED THIS IS YOUR pERMIT2 � ER �IF OWNEA BUIIDERI IOATEI �� / Fee NEW � ADDN. [ J pLTER. � � Construction Address: �� y ' Legal Deseription: � Owner Name & A ss: Contractor: Address • � `�o LIVING AREA: GARAGE AREA: DECR AREA: OTHER: City of Fridley �R-1 AI�D R-2 Building Permit Application � Attaeh to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. Effective 4/1/84 Tel. # __ Te1. # S7y 9��/ DBSCRIPTIOH OF IMP8098MENT Length "y� � Width °�� Height Sq. Ft. Length � Width �6 �-�3 � Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. _______! Corner Lot [] Inside Lot �] Ft. Yd. Setback �_� Side Yard Setbaek l � _ Type of Construction: 1! ��.-�� Approx. Completion Date: �� 2�� a'�� Estimated Cost: � -%� � IS� �� Alt. Alt $ Is Desired:j� � b � --�� • -U a -- Proposed Driveway,,Width If New Opening $ee Back Page for Explanation DATE: � J � U �� APPLICANT : l�-`-! Tel . #s �/ ��a 7J Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeW l�Isin Charge �R.W TOTAL STIPULATIONS• CITY IISE OI�I.Y � .v � Fee Schedule on Reverse Side $ � i�S•Z.� 25� of Building Permit Fee $ • $.50/�1,000 Valuation � �425 Per SAC Unit $ ��(�. (�V Fee Determined by Engineering � �� J � Agreement Neeessary [ ] Not Necessary [ ] � ' Qs��O� �(� Ovv-"" �i�3 y � t� 3� . 13 '�-� �� U� BIIILDING PERMIT FEE SCHEDULE The Chief Building Offieial shall, before issuing permits for the erection of any building or strueture, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation �1.00 to �500.00 �501.00 to �2,000.00 Fees �10.00 (Minimum Fee is �15.00) �10.00 for the first $500 plus $1.50 for each additional �100 or fraction thereof, to and including �2,000. �2,001.00 to �25,000.00 $32•5a for the first �2,000 plus $6.00 for each additional �1,000 or Fraetion thereof, to and ineluding $25,000. $25,001.00 to �50,000.00 �170.50 for the first �25,000 plus �4.50 for each additional $1,000 or fraction thereof, to and ineluding $50,000. �50,001.00 to $100,000.00 �283.00 for the first �50,000 plus �3.00 for each additional �1,000 or fraction thereof, to and ineluding $100,000. �100,001.00 and up ��t33.00 for the first �100,000 plus �2.50 for eaeh additional $1,000 or fraction thereof. DRI9Ei1AY DEPRBSSION BSCROiW (Concrete Curb Streets Only) . Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Kide approach With 6 ineh depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construetion will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been cionstructed will be required before proceeding with the framing. 6�°"'� �.°� , �'1 x � , - r% ,�-�c* � h 33 r�9�,4 ��.4ti y s4zZ,2�1 �� a�.4 �a� �' � � � Z � � ��•g 2N� � o4�z � � � .� �. �y�3t,.: ?G ,� �\ �� , C �'`�' �`1 � t� �, �1 � ~. � �� , �S 4$,zo�,g� . 33 , �55, ��ti '.is,��; �s�b��. � .� � �� `� , . , • _..�. ;- . , OWNER EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION � SITE ADDRESS G��7 ��1 �� e��' . �_, CONTRACTOR_(� �t-r�.yt.tr_ -�� . DATE �� Z O'�f pHONE J 7 �` � -- . �. 2. • Determine working square footage of each. q'� �� ,� 31� Z �, Total exposed wall-� area ....Z3 31. Sq. ft. x'� � ' . . , E,a ��,a�9 Total roof/ceiling area .... � Z3� sq, ft. x�°'� °� ! � . -, i 3� 13 . - • � Total exposed wall area abov� floor = a. Total wall window area .................. ....-•••._ '� b. Tctal . door area.. . . . . .. . . . . . . . . . . . . . . . .':`; . . .. . .. 3?�—�_ � c. Total slic3ing glass door area ................... 3 9•9 b • d. Total fireplace wall area ....................... e. Total�wall�framing area (average l0y)........... • f. Total net wall area above f loor.................. •tiv •g. Total rim joist•area ............................� - S , • _ Total exposed foundation area = �'Z � h. Total foundation window area....... . ��D 3 ... ......... i. Total net foundation area above grade........... 3'1�_y v . • � � . . , � 3. Determine "U•" value of each wall segment. a . �7 �• � X ��U �� , 3 � _ � 7 S. Fl� 3 S� _ ��• ��b • . � b6 X ��v�� • . - � 3• 6 X„U„ .�� = 1S• l� ax "u �' _ . e. �'�7 X ��U�� •+ . � i� � � _ ��'7J f � � . .�.�, X „U„ , o = 6 , qr g ,S''� X ��U�� .� _ .% . h. � ?- �3 X „U„ � , 3g = �.91 , . �. . v X „U„ � . �/ = 1?, .� ..............................Tota� � =.J,�a7' � � � � � � � I .: � ; . ; . ! �►Z �. , �' �� , , • ' . � -2- If item #3 on previous page is the same as, or less than item #1, . you have met the intent of SBC 6006(c)2. . '�� Total exposed roof/ceiling area = 2 3-C . , j. Tota1 skylight area .......................... • k. Total roof/ceiling framing area (average 1Q9L) 1. Total net insulated roof/ceiling area......., / L� . t . Determine "U" value for each roof/ceiling segment. � � � X ��U �� _ k� X ��U �� _ � ; . . _ . �. �ti�� X..,U„ , av =� y,� v � � . . �y.�v i� ' 4 ...................:..............Tota1 = , ' If total af #4 above is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. . • To utilize the total envelope system method, the values established . by the sum of items #3 and #4 shall not be greater than the sum � • of items #1 and #2. . 1.' - +2- _ 3. +4. � � . \ 0 . ` a�� - �� '' '� .��,�� /s" ,z • . s� � ' ,�`�� . ! �� . z �� . . v� ��' �.� /-//�� - 9.� ' �-� ,�;, a�;�,._, . i , �� G , , - �� z"' �`��i l- 2� C��:�„ �,�,�- •!.Z. 2./3 = �% ��,;, �� - �/ • a �9G � �� ' �� ; n-�'�� 'a , _ a�� , ��,,... • � y �� ,,. ��.. � _ ' �i'' ,�,��`�,�,� . y'S' .�/ • �7 = . �I93 , , � �� '�� 1 � _-_ � � 2� � z • �-� � ��.'� �� r-�f . 43 _ _ � _ . _ } v.�i� �� t.--_ �� i 2 3.�2- - .o��g , �� ti� � � � � '' ��P � g ;'/�?,,, iI y %-`/! � �Zs� ; L.ab , � � i � ., r� �_��_ - �7 ,��.' `_ i ,� ��.� .�� :L � � �. �3 = - �y'� I . RONALD F. MEYER . I.�ND SURQEYOR Lr�ND sUAV�YtNd fu�oiv�s�q►+ pts�ON � T�s..+o«c 7�t-asae Ce.s Jtf�it ET. iT. �AtJt., MINN. 0�101 • � • t I hereby certify 'hat this survey was p�epa�ed by me and that i am a duly - Reqistered Lcnd Su�veyo� under the laws of the State of Minnesotc. � / �-----' ..�c .'�•{ '•`" �, �� Reg. No. 9051 Dote: o�i /. %� 96'd — .� �° � . �� . � �r , � �. � � :� � \ ,+ �� ` \ :_; ' ,, O Indicat�a iron sonument pLo�d .SOtUt 1� = 3D� � �� Cr�� v � � � � 3 o ' Lot 8� H1oek 2� �RIDG�� /luoka Count�. Mir�n�aota. ' . . 6 � . . \ �� ( ,� ,s �- '. � ` ,. .�.� ,�- �''�� t� ''✓ �" ' � � /' , a ,.'� � � � ' ,- / � ;/.� l/ � � � �% !� � � G -t /~l �i �-- / L � �3�- �1,: _ � �^�' `� f' �' � �= �� % �� } � `_ , ; � , j� �� 1 J _�. �,. � � .._..�- i • . q . ,�� ,-�� .� f :� f � ... SUBJECT PEHAAI'� . c�ty of Fridley ' , AT THE TOP OF THE TWINS gU ILDING PERMIT 22436 r � � � ' COMMUNITY DEVELOPMENT DIV. � � y nj r � � PROTECTIVE INSPECTION SEC. iG� i r--• A; "'1,', CITY HALL FRIOLEY 55432 NUMBER pEV. DATE �AGE OF APPROVEO BV Z '� 612-571-3450 910-F15 4/20/94 / / JOB ADDRESS 6644 ARTHUR STREET NE t �EGAL LOT NO. BLOCK TRACT Oq ADDITION SEE ATTACHED oescR. g 2 Creekrid e sHeer 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE .Ioe Laconic 6644 Arthur Street NE 571-1833 3 GONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Coronado Stone 1634 Hwy 10, S rin Lake Park MN 86- 4 ARCHITECT OR DESIGNER MAIL AODRESS Z1P PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO. 6 USE OF BUI�DING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Install Heat N Glo Gas Fireplace 9 CHANGEOFUSEFROM TO STIPULATIONS Install per manufacturer's specifications. TYPE OF CONST. OCCUPANCY GRQUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITiONING. � THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOR12E0 IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION � OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO 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 �2 � OOO 1.00 DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE pERM1T fEE SAC CHARGE Pii VISIONS OF ANY OTHER S7ATE OR LOCAL LAW FEGULATING CON- U N OR THE PERFORMANCE OF CONSTRUCTION. ��FS.00 Fire SC Z.00 PLAN CHECK FEE TOTAL PEE 'cense SC 5.00 53.00 S�GNATUAE OF CONTRA TOR OR AUTMORIZED AGENT IDATEI PERLY VALIDAT f$ IS YOUR PERMIT SiGN.4TUAEO:OwNERiifOWNERBU4DERi iDATE� 8L � � �aT� [vEw f I ADDN ( � CITY OF FRIDLEY ALTER (� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Constructi<m Address: ___� ___�______._— �� '��-!)-�:�'�- � - Effective 1 / 1 /94 �/�� Legal Description: __ _ _ Owner Ndme & Address:� Cs � G.�� o�1/i'G j/g /�'t � Tel. # S%/-/�,�3 Contractor: �� O� G N f�C�U �% P�`/U �i MIY LICENSE #C�OO '% %.7� Adciress:�r, „� C"� �� y �(�J J�� L��- �/'% /�l�/i� Tel. #�i��"�� Attach to this application, a Certificate of Survey of the Iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Heigi►t Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtlGrouad Sq. Ft. �l UTHER: S �/� L r�C G(!C) ls G �� I��P �/✓G�.1(�J _ V e �v T, r�� oN,cy � Corner Lot [] Inside Lot [) Ft Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost= $ ��. � U� Approx. Completion Date: 7-%�% y (Cost on Back) Driveway Curb Cut Width N�ded: t. + Ft = Ft x$ _� DATE: ' �- � '" �� APPLICANT: . � Tel. # Z (7 �- 0�.3 �/� Petmit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � �'�r� $ ��.�� $ /� C> C� $ $ � •�O $ $ $ $ � ��De r � �I Fee Schedule on Reverse Side .001 of Permit Valuation (lllOth%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Dexermined by Engineeting Agreement Na;�ssary ( ) Not Nece.ssaiy [ ] < � CIT`t Of'�q'iDLEY INSPEC'f10N DiV, 6431 University Ave NE F�tdley, MN 55432 572-3604 � � i APPLICATION FOR POVYER P1.ANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDiTIONING SYSTEMS AND DEVICES Residentiat Fumace Shelt and Duct Work, Bu�ner - Also Repiacement Fumace Gas Piping (Needad with new furnace) Qas Range Gas Dryer *Air Cond�loning — Aft Sizes All Others/Repairs 8� Afteratlons (LIST ON BACI� 19'0 of Value of Apptia�ce or Work Com mercialll ndust�iat 1�'o of Value af Apptiance or Work Rate TOTAL $ 20.00 $ $ ,o,00 $ i� $ 10,00 $ $10.00 $__,_.___ $10.00 $ State Surcharge TOTAL FEE Effective On January 1; 1993 JOB ADDRESS � � `� � �T v �r�'`� � � � � The undersigned hereby makes appiication for a permit for the wohc herein specifled agreeing to do ait work in strict accordance wtth the City Codes and rulings of the Building Division, and hereby deciares that ail the tacts and repreaentaticns stated in this app{ication are true and co ct. �� i�yY �ss- OWNER �/l�i c�,r� y�� p v� f c_ BUILOINCi USED AS ESTIMATED CO3T _ l td a� PERMIT NO. %�S� � � � �►. • i►L :►� •; 1i► : $ No, of Heating Units Circle One (Steam} (Hot Watsr) (Wartn Airj Trade Name ' Size No. BiU HP EDR $ Fuei Totai Connected Load �5_0 Bumer Trade Name Slze No. ' � � 6TU HP EDR � u J i. u • " • • • � ;_ � �l• ' • � • ;u �� 1■_ � .i. i_ a�i HEATING COMPANY C �5'7-p� �� c.ttic�� c c� _�� Signed By__1�_ �/�- � ! e� N0._ ✓/(-J V V �� REINSPECTtON FEE $30.00 . � Approved By �� Rough—ln Date ,� Final Dats �� y *Air �ondi�oneB can not be p�aced in a side yard without �--2�/'it- Z. written permission trom adjofning property owner, FILL OUT BACK SIDE FOR STACK VERIFIC�ATION ON REPLACEMENT FURNACE _ � y � �, � . . � . � . � � .i } '.i Y.� . . � __ � `�3 ' 7 ,r�'e :�i�� . �. � . .. , _ . . � `e.;"`. . . . . . . . . CHIMNBY AND BTACR V$RIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( j No (.� 2. Is free from rust or deterioration � Yes O No ( j 3. Has no foreign objects lodged within Yes O No ( j 4. Is securely supported Yes (�) No O 5. Meets all current Code requirements for size and total BTU's connected Yes ( j Na t j 6. Has total heating BTU's of � ;:: , All other BTU's . , .t,w� . ��.� _ . �„, � � �`�` � TOTAL STQ's � . ��., ::}�. � � Remarks - G��s � r� �-- List Alterations Beinq Done: v- c ,D [c,c.e., HEATING COMPANY Signed By Date � ' -- o: i ' �..�'_ ;� 4 _ ., C�TY OF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE 16121 571-3450 July 8, 1985 Brickner Builders 6170 Heather Place N.E. Fridley, N�1 55432 Re: Final Inspectio,n at 6644 Arthur Street N.E., Fridley Dear Sirs: A final inspection was made on June 27, 1985 of the above noted address and the f ol lowi ng i t�ns were noti ced whi ch mus t be canp leted bef ore the structure can be finaled out: 1. Provide sod in the front and side yards by July 22, 1985. 2. Seal openings in brick ledge under the front window by July 22, 1985. We will reinspect the address on July 22, 1985 to determine compliance with this letter. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, n DARREL G. CLARK Chief Building Official DGC/mh sue�ecr P VO. City of Fridley 3 0 3 37 AT THE TOP OF THE TWINS g � I L D! N G P E R M I T r � � COMMUNITY OEVEIOPMENT OIV. RECEIPT NO. ' � ti: ----- � � �/ r � � PR07ECTIVE INSPECTION SEC. /'�/j/�� J L,F+� � � . vvv �`.r / ti� � � �"'1 � CITY NALL fR10lEV 55�32 NUMBEN pEV D�iE P�GE OF •POqOVED Br �'""'�" �'' 612-571--3450 9tQ-Ft5 10/4/99 � � JOB ADDRESS � 6644 Arthur Stree t LEGAI LOT N0. BLOCK Tf±ACT OR A�OITION SEE ATTACNED DESCF. 8 2 CY,eekY,ld e SHEET 2 PAOPERTY OWNER MAIL ADOR�S$ ZIP PMONE Joe �, Mar Laconic - 3 CON7RACTOR MAIL ADDRESS ZIP PMONE LICENSE NO North Metro Constr. 525 Tower Pond Ct Anoka 55303 712-0522 200983 7 a ARCHITECT Ofi OESIGNER MAIL AODRESS 21P PMONE IICENSE NO. 5 ENGINEER MAIL AODFE$S ZIp PHONE UCENSE NO 6 USE Of BUILDING Residential � c�ass aF woAx O NEW O ADDITION � ALTERATIpN, � REPAIR O MOVE O REMOVE 8 DESCFi1BE WORK Reroof house and ara e 28 S T 9 CHANGE OF USE PROM TO STIPULATIONS Underlayment must comply with the State Building Code. TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV �OAO SEPARATE PEfiMITS AqE REQUIRED FOR EIECTRICAL, PLUMB�NG, MEATING, VENTI�ATING OR Alq CONDITIONING 7HIS PERM17 BECOMES NULL AND VOID IF WORK OR CONS7AUCTION 20NING SO. f7 CU F7. AUTHORIZEO IS NOT COMMENCEO V�IITMIN 60 OAYS, Oii IF CONSTqUCTION OF WORK IS SUSPENDEO OR ABANDONED fOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UNI7S OfFSTREET PAqKING I HEiiEBY CERTiFV THAT 1 MAVE READ AND �XAMINEO THIS APP�ICATION STA��$ GARAGES ANO KNOW ?ME SAME TO 8E TRUE AND CORREC7. ALl PROVISIONS Of LAWS VA�UATION SUpTAI( AND ORDINANCES GOVEFNING THIS TVPE OF WQRK WILL 6E COMP�IED WITH WMETHER SPECIftEO HEQEIN OF NOT TNE GRAN7ING OF A PERMIT $2447 $1.ZZ OOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE PEqMIT FEE SAC CMARGE PROVISIONS Of ANY OTHER STATE OF IOCAL lAW REGUTATING CON• TR CTtON Oii 7HE PERfORMANCE OF CONSTRUCTION �iS3.25 Fi @ SC �2.45 � PLAN GMECK FEE T L FEE � �b'�' 4� Licens 5 91.92 $IGNATUAEOFCON'�7ACTOAOQ�UTMOp�IEO4GfN� tOAi�� EN ii VALI EO THIS IS YOUR PERMI �� S�GHaiuAE O� OwHEQ��f QWNEpBUROEFl� � �OATE� B G�NSo - <<E . NEW [ �] AJDN [ ] Effective 5/10/99 CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-Z BUILDING PERNIIT APPLICATION P�,�;� � 3a33 � � 000�a� Construction Address: - � c,,. �� . . - t�tQ�[� A �ar S-f�, Legal Description: '�Q�� o� F � ('e - ('oo-� Owner Name & Address: �� ,,.�(�o�Go�; � Tel. # s7(- )�33 Contractor. No� �i �' � O Con:�,�c �.c�r! drl MN LICENSE � o70�°i �33�i i Address: S�� '�dw cr panc� G+. Ig �o k.� ,(V1, rn, �5 �3Te1. # l�c a�? ��-O SS Attach to this application, a Certificate of Survey of the c.l,� l.� � a'% a1- � a: .�10�3) lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: I3��'�IO1�T �� Il9�R� �'�R��.'T Length Width Height Sq. Ft. Length LVidth Height Sq. Ft. Length Width , Hgt/Ground Sq. Ft. Construction Type:��,� �O� Estimated Cost: $� �`��% Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: (h-y � �� APPLICANT: � �� '� � Tel. # a� �- �,a �1 Permit Fee $ �,o� rire �urcnarge $ �. State Surcharge $ ,�-2 SAC Charge $ License Surcharge - $ �. �(O Driveway Escrow $ Erosion Control Park Fee . $ $ Sewer Main Charge $ TOTAL $ - oZ STI�ULATIONS: CITY USE ONLY Fee Schedule on Reverse Side . UG E of �emut �aluation (i i i Otn 7) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Li�ensed Residential-Contractors� Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]