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AF - 35724ViDlage of Fridlcy, Mian. BUILDING PERMIT N� 1� 9 Otfice of INBPEGTO$ OF BIIILDINGS ��`�'` -'� �� < Owrier '�' .�"°�-��y. "'"'�.',..°.� . t �;� ArcLftect - Frid'.ey, Mina., "�3�:_.��:✓� .,�L. � 1 ~� � � f��; y��^ , Buffder . A�T"_r„�..F,. i 1 -2,.�T ^. ,.,�,,��:.�€"'\"'� .3 r-,�,. ! LOCATION OF BUILDING r-. , ( , , � Na. ,� `f �- � su�t 4,::: - 'ra �-,,�,�.�, Part of Lo* Lot :; Front � v Deptl � , '� � ��' To be used se ( � � � � Additioa or SubDivision DES�R,IPTION OF BUII.DING ( , r .., .^?....�. � r: �,Height f v'i 3tories� H7anaer of Constructfoa_� ,'�; �j�� y�- { � r� °.,Rl"��e-�C.%J✓"v:aCr. „ To be completed '�*"". i ""' :;Estimated Cosr �� J • . r-'^� .,�'i.. Permit fs heraby graated to .. _ .. � .°..- , ,;� . . ip , : : .,— .- . - ... . . � .,`� the building �. .,� ry�.E�^ -'✓"",.iCt'�_ described ia the above atatement. TLie permit is granted a upon the esprese c�dit3on that the peraon to whom it is granted, sad his ageata, employees and workmen, ia a11 the work done in, around and upon eaid building, or aay part thereoP, ahall conform ia all reapects to the ordi- nancea bP Fridley, Minn., regerding the conatruction, alteration, mainteaance, repair and moving of buildings ovithia the city limits, and thia permit may 6e revoked at any tfine upon vtolation of any of the provisions of said otdinancee. � .. :... � � �� ! j ' .+t� ��a �� •�'t Eaepector of Buildinga. �.GxE�:rrr nrm swoxrr sTAx��rr In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the propased work in accordance with the description above set forth and according to the provisions of the o�dinances of Fi-idley, and, being Srst duly sworn, I hereby state and say that the facts stated by me and eontained in the abo've pe it are true as therein atated. ,*�/' �' ('� ..,.,, G' 14 ,�_�-...,✓_ . ' f ,� ��.�, � %�°._,��f d Subseribed and sworn to before me at Fridley, �9 0 =„�"�� A.D. 19 .,.�!.1 v�., N° 630 Village of Fridley, Mi�■. BUII.DIN6 PF�IIT 016ce of INSPECl'OR OF BIIII.DINQ3 Owner r • � G ..eL •'� � , �} �% F Arebitect_ � . .. `.. . � ✓✓'°� Fridley� M1na. •�i� , d u 19 ✓.� , . �� Builder LOCATION OF SUII.DING xo f�,� sr.a.±_��.f��yi � 2.� ' Part os � �_ Lot 'i AddtGOn or SubDlvlafoa • : 11 � 4 f! Depth,_�Hetght_� SWrlea_� Manner of Permit ie herebq gisnted Yh9 bnlla� � fleBCPiDBfl fII TL! SDDVB SLeYRmCIIC. TIIie j1CTIIliL ie $TBaYCfl upon the ezprees camdttloa tLst the per�n to whom ft ie granted, and hie agente� employees and workmen. Sn all the work doae fa, sroimd and upon satd building, or aay part Thereof. aLall conform in all reapecte W the ordi- nances of FriNep. MinII.� !E$8!'a1Tlg kLl. CAn¢tniM�pp� 81t075YlUL. ID89II1PA8TlC0. TePsir snd movlag of bu41d3ngs witbin the cltp 13mita, and tLfe permit may be revoked at any tlme upon vtolatlm of say uf the prnvieioas of satd ordinance& � y � 1 � , �i,',��,��f�!/" //��'�e^_r^• oP Buildings. AGREF��NT AND SWORN STATII�iENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the pmposed work in accordance with the description above eet forth and secordittg to the provisiona of the ordinances of Fridley, and, being Srst duly sworn, I hereby state and say that the facts atated by me and contained in the above permit are ltve as t�erein stated. Snbscn"bed and sworn to before me at Fridtey, day nE_��Gf�. A.D. 19� 1',.rdt � � „ ,��,� � �I/�+�. .!.. � .. � � �r �� C � T � m � I.L. � � � • U F �. � r � O o 30 O'� O� � � a N iE a � iri V � M %' � d x�� oo� 3�m d � Y ,SU�� "~°' � �' o N � � u �3v� T m � � � �� o � W .� ^� m U � � � a ,� u � a � � a Q %e M � N � O ca� Y A � � .� M � °i ro° � �y � �� Fo°pw o � �#'o°�g Wmffi � ��d ..'� W '6 'O U m m W � �I A � A ki � o � � b a � � � w � I C �S W � i4 ` J i ; i I q u a z . . 5'�NIN3d0 � � 3`JNVtl « sv� � ,mv �4 �� u tl3NSVM � ourv o sNisre U H�ir� SNIWO � aoov •sronws ]NItlO s.iwi NSYM S1NI5 m�� sen. ruw snwroo � V31YM ��$ � � � � � � � �O 3� � • p • • B m d .°; � u R F I � » � U � v � � � q � W J � 0 W U N W C J Q � a /; q � � � Y \ � � O ',y.'� °a � � � � F � F F � F w w w vr w ap �7 w � 4 8�i, � c�, 8 c'� 8 F `�, � S 05 w � � � � `� p� � w � % X % k X % M X % iC °z � I I I� 1 I � �� ' m � `= �O � �. � m •� $ � w G ^ E '� g s o� � a a v O� � a�' `3 S�'� g �+ o a ie � � � `�3 � v � " w � � °� � �e � F 3 �' � a E�. � � �' .0 v � ° U' 6u '.�n CC z�� a r w a Y z � e c� z�' z ci 3 z"� F.. b� � � � �� U « m w � 0 � � o a � •c � � a a �it� °{ �ri��e� 6431 UNtVERSITV AVENUE NE Mr. J. G. Westby 7426 Bacon Drive `— Fridley, Minnesota 55432 ANOKA COUNTY 560345G FRIDLEY, MINNESOTA 55432 October 10, 1974 Re: Boulevard restoration on Bacon Drive Dear Mr. Westby; As you probably are aware of, there is a depression which acts as a collection point.for water runoff in your frant yard. To achieve a satisfactory runoff gradient from your residence to the street, this depression should be filled in. Since. this problem is on private property, the City is not authorized to attempt any correction. I would like to take this opportuniiy to offer you some some assistance at this time. There is a small berm between the depression and the street which the City will be removing to ob- tain an aesthetic slope to the existing grade of your yard, lhis would be an ideal time to fill in the depression with the excess material from this berm. The City will do the berm re- moval at its expense, but any further landscaping would have to be done at your expense. If this is agreeable to you, please inform me of your intent, by October 17, 1974. At that date, if there is no reply from you, the fill will be removed to some other location. If you have any questions or concerns, please feel free to contact me at 560-3450. Very truly yours, C/�%� �"' �� Thomas A. Colbert Assistant �ngineer TAC/pl �/, T � City of Fri�l}ey AT THE TOP OF TNE�TWINS � � COMMUNI7Y DEVEIOPMENi D1V. �� PpOfECTIVEJNSPECTION SEC. �. . ��°'4 � �CITY NALL KRIDLE� 55I32 ' '' 61�2-571-3450 SUBJECi � � � � BU ItDLf�IG PERMIT g10•F15 lOB ADDRE55 ']426 � BdC01] Slf Drive NE 1 LECiAL ��T NO. BIOCK � TRACi OR ADOITIO! aescR. 10 Auditor's a Ray/Lisa Re CONTR�TCTOF �- Meland Cons OF 9 CHANGEOF 7426 &awn � �MAILADORESS Inc. 5230 : .MAILADDRESS MAIL ADDAESS 21942 �D �c� REY. O�TF G�GE Of RPPPOVEOpY 6/29/93 � � . . SEEATTACHEO. �iV2S1RR �#129 SHEE7 Z�p PNONE 780'7358 ZIP PNONE LICENSENO. Mounds View MN �54-6993 4980 �ie PMONE IICENSENO. PMONE LIGENSE NO. {{7 NEW �❑ ADOITION ❑ ALTERATION O REPAIR ❑ MOVE � REMOVE a 24� x 24� Detached Garage; Remove an axisting 14' x 22� Garage STIPULATIONS gee notations on plan. Proyide a hard surface driveway. E�cisting garage must be removed from site before final inspection can be completed on new garaqe. install smoke detectors in cbzelling as per UBC 1210, adjacent to all sleeging areas and in basement. 1MJ�tH{NG SEPARATE "; fi��tTS F��;tIIRED FOR WIRING� HEATING, PLUMBtNG A!� SIGNS. Before digginB can tor ali utility locstions 454•D002 REQUIRED BY LAW SEPARATE PERMITS ARE HEOU�AED FOR EIECTRICAL. PLUMBING, MEATIN6. � ' r. V� �V �� YENTILATINGOR AIR�CONDIT{ONING. . � THIS PERMQ�BECOMEB�NUCt AND VOID IF WONK QR CANSTFUCTION ZpM�p6 �.. � SO.fT. �AUTkORIZED IS N4T COMMENCEO WITHIN 60 OAYS, OR IP CONSTRUCTION � � OR WORK-IS SUSPENOEp OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY.TIME AFfEP WOFtK�7SCOMMENCED. � NO. �OWLG. UNITS � � �I��HEAEBYLBRSIFY THAT 1 HAVE READ AND EXAMtNEO TH16 APGLIWTION 1� 57AL15 � �ANDKNOWTME�SAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS yp�UAT10N � � AND-0REMNANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $gt71�. . WITH-WHETHER SPECIFIED HEREIN OR NOT. TME GAANTING OF A VERMIT � DOES NOT PRESUME TO GIVE AUTHOR17Y TO VIOLATE OR CANCEL THf pERMITFEE . � PROVISIO OF ANY OTHEA STATE � 8 LOCAL LAW ii GULATING CON- �� Sll%�iiO.�. �STRUCTI R TME RERFpRMANCE � CONSTRUCTIO - � PLA C � �FE � License SC $5.00 . � SIGNP?UA �O�CO 'ARCT . X6 iMOR12E�OG IDAiO . � WMEN ERL � $4.86 SACCMARGE Fire SC $9.72 $136.58 � IVEW ADDN AI.1'ER t� [l [l „, �„.,,� �:. ,�� crnr o� r��as�r SINt3LE FAMII.Y AND DUPLffiCHS R-1 AND R-2 Building Permit Application 7�z� Ldr l�� /,� Effective S/2G/93 �.� Oa+ner Niame & Address: �it �/�� y,�.oL 1 s S/� ^�c 2��.c 5� Tel. ��So-�3 8� ConhaCtot: fi?� L� ,. � Lu �. sTr �� 74Y ?.� c. MN LICENSE # 000YS' So Address: ,� 3c� %}�e� 6�(l ��. !'no�ti�s r��e_, Tel. +� �f `/ �Q93 Attach to thic a�lication, a Certificate of Surygy of the iot, with the proposed const�tion drawn � it to scale. ► � 1' � i• I�.f'•� - I I.IVING ARBA: Length Width H�ghf _� Sq. FY. (#ARAGE ARFA: I.�gth o2 �'J � o " Wi�h %� Y � � " Heigtrt � � � � Sq. Ft. S�6 � DBCK AItEA•/� L.eagW Widm �Igt/Grau�d Sq. Ft. V1AiHl. Yl��✓�Ga�L /Y �� ]�L . i Cotoer I.ot {] Inside L�,� Ft. Yd Set�ack %3 � �� Side Y�d Selbacks 8� G�� 'l�rpe of C,00�rt�ctiat: �r t �-r � Estima�ed Cost: S�_ _� i4G Ap�ox. Co�►letion Date: �-/S'- 7'� � ��/� �- f.U�E (Gast on Back) �P�i ° Dirveway (�rb C�t Width NeaAed: � Ft. + 6 Ft = Ft x S =$ °�� DA�E: G�� Y�53 APPLICANT: ,d C.�r�'�'d�� Tel. li %� �{-�� Pamit Fee F'ue Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erasion Gcmtro( Park Fee Sevva' Mairt Charge TOTAL S f/� �° s 9.�a s � S� S $ �.DO S $ �� Y M `� :��T:I 11ii Bce Sc6edule a► Reverse Side .001 of Permit Vatuati� (1/i0th%) S.SO/51,000 valua6� $750 per SAC [Jnit $S.flO (State Licens�! Resideatial Conhactors) Alt. 'A" or Alt. "B' Abwe Conservatioa Plan Review S45Q.00 $ Fee Determined by EnBi+�ering $ Agreemenc Idec�ary I l Noc Necessary [ I $ /��o•�S STiPULATIONS: , .�... �- _ - . BUILDINCi PBRMIT FEE SCIiEDULE The C6ief Building Official shall, befbre issuing permits fa tbe �+ec.�tian of any buiiding or structure, or for any addiflon to any existing boiiding or strucdue, or for any alttxation or repair to any ezisting building or slructure, upon application thetefqre, re�uire d►e payment by the applicant for such permit of fces to Uie amamt herein below s� faath and in N►e manner herein provided to-wit_ TOTAL VALUE S1 to 5500 5501 to 52,000 $2,001 to $25,000 $25,001 to 550,000 � $50,001 W $100,000 $100,001 to S�OO,Q00 $500,001 to $1,000,000 $I,000,001 and up FEES $15 (Mimmum Fee is $15 Qlus stucharge) Si5 for fust SSOQ pins S2 for each additioml $100 or fia�ion thereof, to and including 52,000 S45 for fnst 52,000 plus 99 fa :eaeh additioaat $1;000 or fraction thereof, to and including $25,W0 $7.52 �for first� 525,000 plt�s 56.50 for each additional 51;000 or fraction therEOf, to and including �550,000 5414.50 fa fust $SO:fl(i0 plus 54.50 for each' additioaet $1,000 or fraction thereof, to and i�luding $100,000 $639.50 fo� first 5100,000 plus $3.SO for each additional 51,000 or fiacrioa thereof, to and i�luding $500,000 $2039.SO for the first �500,000 pins E3 for ea�ch additional 51,000 or fractidn thereof, to and including $1,000,000 53539.50 fot ihe first S1,OU0,000 plus $2 for �ch additional $1,000 ar fraction thereof . DRIVEWAY DEPRESSION ESCROW (co�,�e a� s� o�y) Alteanafe "A": Removal and replacemem of curb and gutter onty - Driveway width plus b fe� times $13.50. Alternate "B": Removal and replacement of curb and gutt�s and install a 3 foot wide. approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for conshuction will be issued a minimum of 24 lwurs from the time of application to allow for proper review of the proposed slructure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been consaucted will be required before proceeding with the framing. ,, . _:. —,. .._. � _ .i_ .-� .._l. �� '__ T .__{__._ � �I } t I � + -��Y .� . -- � . _ -; --, . - , - , ; �; ,� ��, � �; � : . � _; , � ;_� __. __*_ . _ __ _. ,., I I ._ � _ _�. y . _I___ � i .....I - . 1-- �--. 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N� a � � s� a" v� 3 _ � � � � Q(((jjj... � O �7 > �o U� � W d Z N � a 2 � � z v � m E m m m � L {y} � W � � u� ¢ 0 N O Z a � O U � z ¢ LL1 s � � � L v d c � � a S l� � m O � m � C 1 s 3 O 2 m v 0 a ¢ � W LL Z U w � z W � Z O Z F U � � � Q f0 ¢ U O Z � � y LL U Z 00 w j U og � Q 0 r .� -o • `m d � ,m� o m �' R d C p 'D R v rn � � c_ 'c a° � o � = E U � � O � � o € � o a U � ¢ '� � - ----- --- : - - : — J►�� .,�' � .; o' _� �I�� / �/( � a�eQ .Cg peubtg ar�a�ao� �xzs�zax :aQOQ uiag SIIOi�E30�jj[ �SZZ S7[3EilI'd2j S � f}.Lfi 'IKSO L S � I1SS za�o ii`i _ -- -- _ _ _ _ _ _ _ 3o s,�S�-b+3T�eaR ��+�o� stizF; 'S - - ( j oH () sa,� pa3�auao� s,nyg TE�o� puE azTs �03 s�uamazznbas apo� �ua.zzn� Tie s�aayt •g () oH () sax pa�.zoddns .ita.znoas si • y ( j oH () sax u-c�tM pabpoi s��aCqo ubTazo3 ou saH 'E () oH () sa� uoT3e.zoFsa3ap zo �snz mo.z; aas; sI •Z () oAI () sax pautmexa .tirn3ai�o uaaq srg -T � :xos�s .zo �Cau�iKo buT�stxa aq� �8y} sa�;T.zan .[qaaaK pau5isxapun auy xoistr�i�a x�rss xa� , �- l d CHIMNEY AND STACR VSRIFICATION e �' �� ,w , r The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (� No O 2. Is free from rust or deterioration Yes (�f No O 3. Has no foreign objects lodged within Yes (�) No O 4. Is securely supported Yes (�/) No O n 5. Meets all aurrent Code requirements for size and total BTU's connected Yes (� 6. Has total heating BTU's oi /�B,pO� All other BTU's �GN R. TOTAL BTU's (j�,�g p Remarks List Alterations 8eing Done: e � . � HEATZNG COMPANY � Signed By ` \� Date _ .Y—� �p'!j� No ( ) 0 � �e ��'-' : 7�2`�' r� � �' �`�'�� ,, . �., 3 �O 2 � � �a3 `� ,,,� ; � i ,�N�Y x z 4 0 s ) a� �� m� Jo dm � � ' � � � W� J �� zny � K � �� Y � V 2 � � � ; � . ��W �— µ � � � � ] p F a u r � � � • } a . � U�� . .�� .�F ,�.x„ : ? w� �� n � � �i -," � g �, � t8 � s ,� g `�.� � i>' o°. rY �f 2• W ( (I G' q�y� JI .. V� f� �' X� o� � P �,� �.o� �:�� Y � 8't,�„� ��y 2 �'�' Y � ---� s��q � J � ¢ Y l2 .Q �.i.� � i �� <3a�N� T �':.. J �^ OO�Y ��aa .�� - ��3a �r r 1L i. i v. f a: o — -- '" �� _ � ��; — N!u�A� �� y; C1A _ N i I � �� I iy � � 1. �.i i .ni Q��"} ��•i i i f r � � � �: '.� ;....�I o o,. i � _ W9�d yo`�S� �� >�w �04 �� W�2 � !o i;= Z �i'2 ,: - d :� �r: S�' —i �il; ��i �I� c �� x ° � z � < � W � �y� � Z � � � t- � sue�ccr P . .. City of Fridley 3 9 5 AT TNE TOP OF THE TWINS B U I L D1�N G P E R M I T r ' � RECEIPT NO. � ` _ _ COMMUNITV DEVELOPMENT DIV. � / r � L PROTECTIVE INSPECTION SEC. a�/ i � � , /'�9 � CITY NA�L FFIDIEV 55�32 NUMBER REV DPTE v�GF OF AVnROVEO Bv 4""� � ,'� 612-571-3450 9i0-Fi5 1/17/96 / � ios nooRess 7426 Bacon Drive NE t LEGAI �OTNO. BIOCK TRACTORADDITION SEEAT�aCMEO DESCH. lO Auditor's $llb. �129 SHEET � 2 PROPERTYOWNER . MAILADDRESS ZIP VNONE Ra & Lisa Re nolds 7426 Bacon Drive NE 780-7388 3 CONTRACTOR MAILADDRESS ZIP PHpNE UCENSENO. Custom Remodelers 8729 Centr - a ARCHITECTORDESIGNER MAILADDRESS ZtP PMONE UCENSENO. 5�ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 ClASSOFWORK � ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR O� MOVE O REMOVE e DESCHIBE WORK Basement alterations• Reside Dwel in 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQllIRED FOR WIRIN�, HEATING, PLUMB(NG AND SIGNS. TYPEOFCONST. OCCUPANCYGHOUP OCCUPANCYLOAD SEPARATE PERMITS ARE FEOUIHED FOR ELECTRICAL. PLUMBING. HEATING, VENTILATINCa OR AtR CONDITIONING. THIS PERMIT BECOM�S NUII AND VO10 IF WORK OR CONSTRUCTION ZONING SO.FT. CU.FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. ORIF CONSTRUCTION OR WORK �S SUSPENOED OR ABANDONED FOR A PERIOD OF 120 O�YS AT ANV TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTHEET GARKING I HEFEBV CERTIFY THAT I HAVE REAO AND E%AMINED TMIS APPLICATION 1 STALLS GARAGES ANO KNOW TME SAME TO�BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION �� SURTAX ANO ORDINANCES GOYERNING THIS �YPE OF WORK WILL� BE COMPUED � WITH WHEiMER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �ZS�OOO . �IZ.SO OOES NOT PPESUME TO GIVE AUTHOiiITV TO VIOLATE OR CANCEI THE pERMIiFEE SACCHARGE @ PROVISIONS OF ANV OTMER STATE OR LOLAL LAW REGULATING coN� �349.75 Fire SC y�LS.00 STRUCTION OR TME P O OF NSTRUCTION. PLAN CHECKFEE TO7ALFEE License SC $5.00 $392.25 SwHn*uaEOrCOH*Ae ror+onautHOaiZEOaceN* ioare, WHEN PROOER V,OLIDATED THIS IS vOUR PEAMIT AGNaTUREO�OWNEPqiOWNEP&WLOEiii �O�TEI ..BL �N50 / !c- f IE �- f � � �gDN ( � '. , ��s�r �aF �Rtn�� ',, ' At:l'1?� 0 � �riYGi.ii FAA4IP.Y AN� DUPLEiXFi$ il-1 Ai'(F) R-2 i ituriciin�; i�ermii A�iiCe(i()fi � iAiei.�i�iu:i+ii�iiKicirc;�ti}:_�7�iCji /`7/y�.-C/�..w,��_J.1/•V_,�_ E�`�` — I,�.y4H1 [)eccri�io�': _ • . . - -- -- —/--..... . - - . ,...... ... ', ... thvcx.7- iVamc cYc itdcu�css- �/t?.,Y_. 4LG�SA ��}/NOL.DS_._ Tcl: �.,E� L�iii:iidi:i�:i":�L.y��OrY.1—��.m.a.p��B.s._. .....:... ivi��.i�;rNSC#��r A�kt��s:- _��`' _,C�y_4��.C.?E_ [�. �;n,A,�,SSy��ep1. �� Altach tn th 1 t f �s ap�s ica ion, a C.ori� xate af 5urvey of thc iot, with t�e px�posai con.�Ur�ction drawn on it tu scaie. - AFSCRIPiiOi�i 01+'IMPROVBN[EIYT .. L1YIN(B 1tRCd; . ��+�k6�—A�eii�: �-A�t: �"FHER: ��_r�.�_ :4'i:hh _�A� C+ength WidtM1 i�en�th ._ Width " , t$eighl_ .._ Scl• E't. �� HCighl I $q, Ft. � Hgt/C,rcxmJ _ Sq. C�Y. Coraer l.ol [] IruuiJe i.ot f 1 Ft. Yd Setiiack !V�— 5idc Yar� Type oF CUnstructicm: _��5 Ltstin�aWd Cast: A�qarax. C'.�mpietEan Datc_ `f S � ��v � �4`�5� � � � � I!`nr.t nn BMC�} ' _ _._ _ nr+,�way cu w��, N�a1c/ rr. + d re : r� x� DATH: a.� /�� _ APC'I.ICA 'T; ��J _ ' r�_� r�� r� ' l�irc Surchartic ' State �urchui�;c SAC Chw-gc Liccnsc Su:chargc Drivcway E'_acrnw Emsicy+� Cw�lrul r�� r� N . �WCC )475:ii [.'�Y$i; T(7TAI. 5'I'INUL,A"1'IpNS: $ �12.25 $_. ._. �. �_. . „ /a. S O a.. _ S �:.UU $ .. . _._ a___. _ � --_ . - � __._--.___ . s.r._ �9a ..��'. CITY � - �NLY , A' i7?e� .. � ', � �.. � \ . . = s�----- . _ Tel a� ...—, • 1,.�.�._, � � s�n«w� �m R� s;a� � .QOi ot' E'��r:rit Ya�uai�o�i (i/tUtFi'%) S.SfI/Sl,(1W Valuatitut S$00 per SAC. Unit �.i.fk`1(St2te i.i�n�tK1 Rc.ri�aitial Co��lra�iors) Alt. "A" or Ah_ "IS" Atave 5450.Q0 Conservation Plan Review F,�e Qetenninedby Ta�inucrin� tl�rc:cwa,�r�t 3Y�:G;�ry f i iv<x N�.�+y j I � +�/'i v ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CITY OF FRIDLEY 6431 iTNIVERSITY AVENUE NE FRIDLEY, NIN 55432 : 7426 BACON DR NE : 123024130005 : AUD SUB NO 129 : IAT 10 BLOCK : BUILDING : RESIDENTIAL 1'YPE : ROOFING r.�►: PERMIT NO.: 2004-00672 DATE ISSUED: 05/10/2004 VALUATION : S 2,084.00 NOTE: UNDERLAYMENT AS PER STATE BUII..DING CODE. REROOF HOUSE (18 SQ) TEAR-0FF. STATE LICENSED CONTRACTOR 1 APPLICANT L J ROOFING 10151 FOLEY BLVD COON RAPIDS, MN 55448- OWNER REYNOLDS RAYMOND E&c LISA A 7426 BACON DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if consevction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined t6is application and know the same to be hve and wmct. All provisions of laws and ordinances goveming this type of worN will be complied with whether specified 6erein or not. 1'he ganting of a permit does not presume to give authority to violate or cancel ihe provisions of any other state or local law regulating consmi�tion or the performance of construction. �� BUII,DING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 6053 SEPARATE PERMITS REQUIRED FOR W6RI� a'I'i�ER THAN DESCRIBED ABOVE. 83.25 2.08 1.04 5.00 9137 NEW ADDN ALTER I] Il I1 CITY OF FRIDLEY 1�� 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 F� �� 0 Construction Address: 7 yGt�O r�acm� ,� r� Legal Description: Owner Name & Address: �� i- �sa �e ��01 cl } Tel. # Contrector. �-,� �°�•�� MN LICENSE # 4° 3� Address: �olT� _��ty �� Tel.#�H3'767-(rP7 LIVING /1REA: GARAGE AREA: DECK AREA: OTHER: Attach to this appiication, a Certificate of Survey of the bt, with the proposed construction drawn on R to scale. DESCRIPTION OF IMPROVEMENT Length Width Heght Sq. Ft Length Length �� Pi�d�'��1 Width Heght Sq. Ft HgtlGround Sq. Ft . Construction Type: �� °'�-'� f«�°`� Estimated Cost: �..�-/"°° �°� �r Driveway Curb Cut Width Needed: _Ft + 6 Ft =_Ft x$ _ DATE: � �'' Ia Y APPLICANT: G � "� Tel. # % 6 �� ? � 7 -lT �I Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will calt you for card number. ' Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control $ . as $ $ a•0� $� $� CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Aft. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $� STIPULATIONS: � � .Y .r. BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permics for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteradon or repair to any existing building or structure, upon application 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 VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,OOlto $50,00� $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEFS $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fracdon thereof, to and including $2,000 $69.25 for first $2,000 plus $14.40 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for fust $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction ther�f, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, w and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete G�ub Streets OniY) Removal and replacemern of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed stmcture and of the consuvction site. VERIFICATION OF FOUNDATION A Certificate of S�uvey of the lot, showing the location of tbe existing foundation will be required before proceeding with the framing. New Houses Onlv 'f- . _,