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AF - 36103�y�c r' i•' �!M�.�wr �� :: J�tsil� �� ;- �u -•ra•- .�.�.•. _ ... , . �re, ,.., . �� t, ENGINE£R�NG� INC. .�� ; : _ - , �rf �,cosc _ � -- Ertt�rneers E Surve�ars =- ; ` +��`�c�+e a� s�as�� s•s �srri �wo �s � : : ULY : . � SSES STREET . � NORTH ' � ' 8007 O � ' "' �, � - �;,. � .. � � i i� � � ' .� "' � � � � �-- x � € , � �� / . \ 0 � � , � .s;,, �^ V Q m �"�0�'�''�'S Ai.'4�Y :.:..:.. D.ENU7�S lJT.�llY � Q�Q,�1/M+lGE EAS�EN'ENT �: .,. - � � ��. faCf� 3 ,../�%£Al.�I�I��R TRRAC�' • '� s.�r.,ror„of � 3,�r+e�r,d�,f;,,,lP, ��+'�+rs1�'�•i�es4a�I , Nir`i�lr,�,�,/j.�['wj.�iM�r� anilt,il�d. ds „r,cy,,,/lymt Aii � , 3�tAt?�A1 �6�YEERANt3 lNt .� � e' �• . � � ?� �� `�- �; " _, ., �� . � � • City of Fridley, Minn. BUILDING PERMIT s �� N° 7255 7�8LB` �L�_^' � _ � OWaer � ' Buiider - - _.....__._.._..._...__.._..---- Addreas _.__.� ��.._.—_._._._ ?'ddrns° --�------------- - _ _ � �� s� . LOCATIC/�Q/t OF ,BUILDING — .�`-�-��...c.�. ce int ..—.__ ._ . _ Lot __!�_..__ Bloek ._. _...__._.___ Addidoa or 3ub-Divleian��'.l�•�, -/ / � coe� �t _. �ae r.oc _..__._...._.�_._ s�te�x __��_._._._ sia�a _1..11____'y��._ sewer Elevetlan �.._�..._.__.__..��...__.._ su„nastlan nevsciaai � DESCRIPTION OF BUILDING U . Front � DeP� �-� Hetght ...�� 3q. F't �.L4,].� Cu. FLCL�L...� --- .� . t _y_..__ DepTh _..._ t _..:. �� ' �"�� Sg. Ft. ____..__ Ct. FC _.._.._._ 9j'De oP ConstrucKlaalD%�.�� Fe4 C ��: ...._..__.. To be Completed �._—._.._._.�� Ea candderatlon oP the ieauance to me of a permit to caoshvM��ibed aimve/,a agree tp do tha Dmpaed work in ac�rdance wlth the description abwe sM P in mce with Bli pravlstons of Cn'8lnances of the dty oE EY'f�eY• // m wostaerattaa of the � v payment of a fee ot ��...._._.._.., peimit is hereby granted to_.«-- to c�atruM the building or addftion as deecr56ed above. This P��t ia granted upon the acpress oonditi� that theperson to whom it is gi'anted a� his a8�b. �PJoyees and workmen� in all work �done in.� around and upon said buildin8, �' aqy ihereof, shaII aonform in all neapects to ffie ordlnancea of PY�1d1eY, Minn�ota ar�(� lxatiu4 c�struct� elteration, maintemnce repair aud movfng of buildinga wi�� dty ]imiffi�and thls Barmit m�v be reva�ced at aqy time uPon vt�le�ion of aqv oE the Brovisions oP aaid Buildln6 Inspector • I NOTICE: TW owsle dea na ess du w�uncNa. IwdMNw fw w6iy, P�F W��!. an�e w wara. M wn ro� 16� la9di�y t�qNwr fer wywti y�Ys fae WN IMr. '-� i � �"14 �� . ... _._ .,.. . . r,.,:�' Y.,r:�� .�: � � . ;' .��ICATION FOSfBBTirDI�6,Y$il�IT , _,..,. , " . , � ,. , ,;,,f . ' � � ,CITY 48 FAIDLEY, ,MINNBSQTA. :�.:, •�..-.� ....�r . -�... . ,. ,., . . , , . OWl�R' S NAME , ._ ' gUjypg$ ; . .� '� � r _ e i . , , _ , .ADAHBSS - a , , r ` . •x �' .c �1f ' •.i , , , .; - . , � , .. � ,, „ . �,�.,. . �4� ,�; � ,.. pK�� I.00ATION OF_BUII.R7.HG, :.. � G_ �O". i�e.�, � ., __ ..a - � St�eat �.,,, ,: � •:� ,.,Aastr,�f Lot - � _. r. _ LoC:' ��Black �, .�`Additioa �o; Subdivil.i�on , . � �� n. �. �>e: � .. . .�i . .., :.� " doi�ar LoC' Inslde Lot Setback_��g�de-Yazst,. , � SEWSR LLBVATION FOUl�ATION 848VA1TON I�p�2i�ea�nt attac,h.�n..thig, form Taro Cece3:Eicat.qF of Surva,�r: o�.yot -�nd pzopo,,s�d build- !ug ,-loriatioa d_r4aa ..� theag� Caax.Giiic�Lea . _ ..,. ; . " , , , . . :., : ; . . _.- , ,.,.-. = . , �. _ , .. . _ , , . :.� . . ,;:... _: ,_ .- . DESCAIPTION Op BUII.DING . ., To ha used as: . , . .. .. . .. .,, W . ,, . . . �. :: - .. „ , ,. _ FrAnt� e Ds?��„�„--�„_,.__�ie�$bx .. _ ,�,_ . , ,. � . . , � . , . .,. � , 'Sq.-F,t..� . �u. Ft. .,. "" '. ., ,,r::; , . , ;:. ...: . ,..__r:. , .a , _ � , ,, ..; Front Dspth 8eight . . � Ii, ` •"�. � � .. ,. ' � _ � _, . ss, � .. Sq.. Pt. Cu.,Ft._ ,.: Type' o� Cans�rueE�ou ,. Bptim+tted G4st � � � To be Compfetad ' : :: : _, . �, ,i;; ,-� ,: ,, , _ . , The uadeibignad hlreby makee applicatioa folc a j�eFfsi@, £qrvS�ee wg�k �ra�,A;e�pl�cified, agreeing to do all aork in etrict accordanca o►�th"'khr City of Fridley Ordinances and rulings Qf,the. Departmept, qf Buildispgsi and hexabq.:dqclaTe;a ChaG ;Ll,the ��te and sapreaea�alioas aEated in this applicatiat ue ti�uA apd ccrr4at.. ,:;. .' �S+chadule of Fes Coe[s can ba found on the Reversa Sidn). `��_ �� f u! ��A }� �� x � �� SUILDIIdG PE:tMIT FS& SQiSDULE Sectian 2. The Iaspectbr of Huildings shail, before ieauidg any gerlbit for the erectiop of,a�y b�ilding or atructure,, o; for ap�r addition �p any exist- ing building or atructure, or £or any eltexaCions or repafxa to any exiating building or structure, upon application therefor, require the payment by the applicant for euch permit of feea te the amouat herein below set forth and in the ma�}er herein'provided to-wiC: ib . . . . . .-.' . . . . , . . .. .._"_... _..<.. .. ... .. � L. .' . 2.1. For any such permit for'the,ere4tion o� eqp.,fire-proof buiiiiitlgy other ;than a gaxa�e�.warehouae. tacforq'or graia-elearatorT--e�-foF the eree¢ion of any fire�=pYoof ad'dieiaa, for similar occ�ncy, to ai►y existing building ahts�l be at the rate of $1.40 for eaet� ane tho�aau! epbta feet, 'or �raction ehereof, in such cubical coatents. _..__�,_2, Fdr'et�y. such..permit for the erection of �TI¢'�blR7a pstpf garage,-aier�houae. factory or grain elevator, or foz the erection of �ny fire-proof a¢dition, _.__for similax occupancy,'�a'eay existing building-ahall be at the rate of $1.25 for eaeh one thousand cubic feet� claesified as "gireproof" bq Sectioa 502 of � -:GI��Minne�olie B�iiTdin(�'�Code.. , _ ;� . , _.._... .. S. 5.... .... F ��. �is�E �.,-. 2-.�3': H+or 'aay �ueh permYt' for' tkie 'erectiai of aay no�i-fireproaf buildiag otfier � than a garage, wazehouse, factory or graitis eleva�or,' or`anq non-fireproof additi�, for similar occupancy, to any existing buildiag - permit $1.00 for each oae thousand cubic feet. GARAGES 2.4. For any such permit,for the erectioa of aay noa-fireproof garage, __ w&re2►nuae, feetcry or.grafn'elevator, or €or'the-erectioa o€ any non-fireproaf additioa,-£or-elmilar occupsacy, te any existing building or for each such __<.._:.-.bi!#�diqg_nr .add�.tioa - ainetyc.centa ($0.90) for each oae thouasnd cubio feet or fraetion thereof, in the cubioal contents thereof with a minimum of $4.00.. Fot the purpose of computiag feea '�or buflding pesmits, the cubical contents _ o�.eay kuilding'-or addition to a-uniform height throughout by multiplyiug the - ground area covered from a poinC�'s�ifc (6) inchea below the floor liae,o� tlie baaement or cell8r'to tRe average-heigh`tr:of the u@per aurface or to the � average height of the r�of surfaca of the maia gable of a pitched roof. _ __ 2.5. For repaira or alterations to an existing eiructuxe, the fee ahall be at the rate of $3.00 per each Five Sundred Dollara ($SOQ.00) or frsction, " tnerE�Bf" iir Ct[e 'ccst of eli progosed'work. - ,; „ 2.$. Ia n6?c&s�'.sitdl2'�C6+a`fe�..ct+at`8�.��Y-P�� as set forth in Section 2 be leas. t2inn �4.U0. ' �` �.y ;, s > � • 4L. �N�� :� �' ' � ,.'Y� �� . i r1 LJ City of Fridley, Minn. BUILDING PERMIT ��; �Feb. 19. 1969 �,_�__ i�s� � � N° 1010$ Ow+�: E_a=�9 Blders. _�--- Builder �av.. Swenann ..---.._..__....-_------- Addsroas _..._._._� Addrese 5615 Camdgg__Au�....�IT..__—_._.�. LOCATION OF BUILDING �, W7650 _ S� ^ Bacon Drive _.__. P� � 1„a _�_ I.ot -.--°4 --•--- Block -.-- 3 ----- Addihon or Sub-Divieion .._�I��,Qwmoor — Corner.Lot _ X .._ Inalde Lot _._...._..__ Setback ----.- gifleyard 3ewer IIevatim --------- ---._ Famdatlan IIevatlon ---...—. DESCRIPTION OF BUILDING 1b be Used as: _ DwellingL__^ �t 44` ��, 24' �ight $�— Sq. Ft 1� Cu. Ft _�44fl__ _�°a'r�p EY»nt 20�--- DePth 22! Height 1�' _ Sq. b't. �4�__ Cn. P't. �Qll_ lype of Conshvcti� _._Frame ---__.. EsG Cost _��000 __.. __,_ Tb be Completed _ In caodderetlam � 8�e isauence W me of a permtt to M b dmg deacribed above, I ngree W do the 6a��oee� aro�k in acaordence with the descriPtimCr e�ath compltance wtth all provluona of adinances d the d;q ot FYidlev. in caodderatlon ut tLe pqyment M a ree of i 14 • DU pe�t ��, �� R� Swenson Blders . to conshuet t6e building or addltian as doa�lbe8 abwe. Thisp�{ t ia B+'ented upon tl� eX�wt ca�[tiaa that thepe reaa to whom it Ss gi'eated and his agrnta, employees ead �n� in s11 work does 1q araw�d a� upan aaid buildla�� or anY thex+ed, ahall c»nform in all reapects to tite ordinaneee ad FHdley �pwta reganding locatia4 �s�uc� alteratlon. mainU�a�. reFair and mav3ng of bufl�yq� wl�slty ]imiTs and thia permit msY be x'evaiced at aRY time uga� vioiatldt of a� d the Da'o�one of sa�d � �. _ . � i. � � /' '� . ' oftt�a�i s,�tng a� NOYICE lYk pr�W dw we wv« N. wrd.eNw, irhllxlen fer Wef�, p�r�byiW� W� INn�, �w�r x w�wr. M wn�a w� IM MIYIp Ir�e1x� ter wpr.b M�Yt fw 1Mo N�r. � � � �„ _ Z- s T-u'. .r •^� ■ t�'i !8 APPLICATIDN FOR BIIII,DINC PFiiMIT �v - CSTY OF FBIDLEY, MII�iN�OTA � :�,: -- � �.. LOCATION OF BIIILDING A �r �l w ,4 .-� �o .v $(}, '1 Ie So STRBiTJ.' �ate-�� LUT � BLOCK�_ADDITION OE SIIB�IVI9IQ�°" �" � p� A'1 a c/L, COA::F� LOT ✓ IHSIDE LOT SETBACE SIDEYABD SE4l�t �YATION TOP OF F00'PI116 Ayplinant attsch to thie form Two �ertificatee of Survay of Lot and p�ogoaed building location drawn on thee� Certifioatee. To Be IIsed Ae: DESCRIPSION OF S[IILDING 5quare feet io S(o Cubic Feet g��l 4 io � 3quare feet �� Cubic Feet �F4 �a Type of Construction �2- � M� Eetimsted Cost � g, d�-i.� To Be Completed The undereigned hereby me,kee application for a gaz�f,t for the work herein epecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulinge of the Depsrtment of Buildinge, tad herebq declaree that all the facts and i::=;ree��ations etated in th#,e spplication are true and correct, n� � 11►TS' a — f �7 — y � �j< � i�v — C0� SZG?iATURE c.�3Z c� (Sah9dule of Fee Coete can be found on the Heverae-8ide.) �r�� >� �� bTx ��0 ■ • � � y� r BIIILDING PF1iMIT FEE SCF�IILE SHCTION 2. The Lnepector of Buildinga ehall, before iaeuing pex9ite for the erection of any buildixig or etructure, or for pxiy addition to any exieting etructure or building, ar £or any alteratio.n or repaire to any exieting building or etructure, upon application therefore, require the payment by the appliasnt for euch permit of fees to the amount herein below aet forth and in the me»�ner herein provided to-wit: Uniform Buildintr Codes Type 1, 2, & 4-�1.75 for esch one thoueaud. cubia feet, or fraction thereof, in such cubical cAntente. Type 3� 5- i1.5o for each one thousand cubic feet. For the purpoae of computing feee for building permits, the cubical aonteate of any building or addition to a uniform hei t throughout by multiplying the ground area covered from a polnt aix �6) inchea belov the floor line of the Easement or the cellar to the average height of the upper eurfaoe or to the average hei.ght of the roof surface of the main gsble of a pitched roof. Fo7c xepairs or alteratione to an exieting etructure, the fee ehall-be at the rate of �3.00 per each five hundred dollare (=500.00) or Praction thereof in the coat o£ all propoeed work. In no caee shall the £ee charged £or any permit se set forth in Section 2 be lees than �5o00n NSS3D Connection Chargee baeed on location - Area 1 or 2. �„ � ;�.•. _ _ � � � �� a.- . ;.- . � � � 4 � � � o � � � � � $ U � �f. � � � � k� 3 a �4 i� 0 u a �� W � A Y Q � 0 � `� � U �Q� � �� L y w � � O 3�:v � �- a U � .'�7 � ._+ � ('. « ,4 � u �3 v c � m a oE.e� 0 � � �d a ��! �� 4 °�°�_ m S 7 � � a X'1� u+ w �a°� M �,��9 d a �o�� $�&� � Em 2 va b�o� �i 7 � d ��b� c �S� $ � < W 3 � • 2 • a $JIIIM3dp �r+vu r� �s+v zv� � i�fSYM OLn SNISW I H]lY� SNIWO YODV 'S1U1115 'ar�no� aHroa uvai MS/M s�u+a � .,n.�. }� � mu � �� swr�nn �"�" X tl11VM BapO3Sl � � W � F � iC 0 s �: �� m d � �� g� 0 -i- � � � �� • il eI, X i � Y` � m\ � y' � . a°� � � \ � c z � � � 8 „ � � � .r .� ti � � a U � � � v ,� z A � � F r� O W J � 0 W N W ` � J a � a a �y O .' w C 0 a � '�� _�. e�` o �� "' � F K M N N K M �i NO N � N pS� Npp�� O r O � M �H N �!IG M N� N M M X X K X IC M M K K K 7G1iol I I � I ¢ � I I I � m �.. C �� q � -� � .� $ � � � � v� Ys,� 4 „ p ,o - a a ' � � a '°'' d o � a � ... k � � � � � �g � � � s p� �' B ,c � g � T` �° � � 'F W 7. U � 7�. � �' S � �5 � � � � �e A • 1 � � 0 � w a � � e � F �-�+ . ,0 8 I �y� � I � � � � ". w. .t � �� gp o � �� Z �� q � � .� � N 'pq° �'' a ^ � � � M � � � a �� A m � � � � p.� � �� i $� � w .S e� •�r � i � � o' z .� � � � �`V � � � w o � � U O � w S -� w K — � m 3 � 0 9�Ntltl er� � /�'� \ s U N �: H�1W.1I I � BNItltlO pMOOI! ~ � � SM3MOX$ s p'lrvnod � MNINa 63 sarat I AHStlM �i � SNNIS � z SNIBtl6l � i � sanil I � . HltlB i � � • I � ♦ �.` 5 a ' � � � � � � ro Q � � � U ,� o d . ° � U � 2 � ro ro .°io . x � F w o i 31tlMI I I I I mI W .Ymr api m � �p� O w � � � � W C � � � b � � p C '� � � � a .s G � 'n � � �,�:L � � � � C o � v � � � "' � �' o `w ^tl H � U � a, d ,� o � 4�. o � � o o � � � � a � � d G � � � .�C ?� � C 'a '� .d., R� � C O� b � N � � � l � y � � � q � d C7 � °' tl " ° :�°� � � N � � `o p' �y ` � e C o�i � •.I:i (�j � ro �N v � .� � � `� w o � 'nv � �v '� C � a�'� tl '� �ro�a � � � � � � � y ry �D � � � � O � O .r`. " �.�. U �� w, � :C � S � w � � ��y,�� Y � � 0 .� h � .� � 0 R'i � ,� w .� ti �L m k � 0 0 V �q N e� � Q � p L�f� � b ' ' � w a• z- �� u 1P � . . �� m A � �� a �� = �� ; z.� � .o°� °�' . C I � C� � a ° � � H . � ,� a � ` .� h � � �, � C � U � 2 U O � aC � F � O � y ;3 �� i ��•�� :�� s ��s �s � ��.� h �� s ��° � �� $v�o� � ��s ��s s�a � � � � � 8. �� .��E� �� .� •� s .. �� .�� a � h .� � � � � 0 0 � •,� Y � R � � > � � . . � ��.. �..�--. �� ._�a. �- ,. . ., z : .�;; � _ � � � � , r� ` +�4�- a: ,- � . .�„ soe+ecr . , � PEHMIi O.r ��'� �' ��rii�e� �' 1 ; �r �� ,�� x BU 11.t�-��M 1 ` m � � ' RECEtPT NO � �. t ` - i �. COMMUNIN-OE�E%C#±M�C�WV. _ { :#� �� PRdTECi1VE ��1SPECi�iQ!!F<AEC. � ' �. , � � j E . � . � _ n � �_ - . {, �-✓""�"�� GITY HAL! �#ql{�.�CX �� b5i32 NuueEF T�v tE , vecE oF aPVrbvEP eV � . � � � siaFis _: �� / / � � � �� ._ . ,. ; . __ � : m� �isG�� YYi 76s0 Ba��;�i.ve N.B. _' . i ., t -€�4At�. { �.:�- �lEH) ' :; Y'RhCT11NADDETION �� SEEA�IACifiED �- - , .. . , . . . - ' ` ",' - �• .. ,�� , �.: � � M6�DWL'E�ji,4�i..:'r@�SdCO-� ' �SHEET . , ' " Z" 4�( -: � (L.+ICOPE�S� - .. � .. : , 7�P. PNONE ..- � � �. a __ . . .. �._ � ,... _ : . .. . .. - . . � � WN'��:_ _ 1hAI6A�PtES6 - � .AP,�.- . PHO#E '�` LiCENSENO�. �,;--�_�< S��a �.'� a7 eon Stseet N.B. 78fi-2860 �' .i �AiiL`IT}. . MAIlA,.C4� . .. . � ZIP �. � PWONE .- - � C1C8NSEN0. _ ` ��.` . . � � � � . � E . -� . �.'�� - MAILADGkESB .� � � � . �.� . 21R � � PMONE - � LTF,ENSEND � �� K_ . .-. a-r_e _ _. . . - � - < , x ,�, .`� x` c , � . . ._ -• ��. ... .e....'._. . �.. . 6> � . . . . . . .. : ` , —t`i�$;��1,3�.° ' ,.'. . � � �. .. � . ': � .� � . � :..�. . ... _�. ��. ❑ .1dL�M-�� ❑ AOR1?IEiN `_ � 1�LTEHA?i4N " �.�� Q 3�!4EPAlR �❑ : MOVE �i FiEMOYE ` b ��iqt�_- �� - ��-t3fd.E " ' ° s ct�a�t�s�t¢�� : =a . ;; LL � _ . -. M :. _ _ � �` � : _ � � , , � , � � - " :7YC6 t�CGUPAAIEVGRF�UP OCCUPANCYkDAD 4 SEP�FM1f��t�811R��BCatlfRED FFiR ECE<%TF(�ilC YLUMBiN6; MEATIM3r x . � Y£M'¥ . flR'AJN:CK1�O�ilONIHLi. . ' . . � TH�I . ... 6��NULi #N4"YOID 1F- N+pFK QR CON$Tp(ICFION . . � �T. CU: FT � . �, �X17 � ,$�i Ni3T lNiC3ED 1N#THIN EO DAYS. �R IF C4N$Tt11MT1.€7N - ` .;; .� � ; D.OR,.A6]tNDQ!{EQ FOR A PERIO�S s5R ��Drt1� AT . `.: . .. '� 4P1Y73tij��7ERYIG��.lSfFO�1MMfiffiiEU. �ysz "' _ . q0. DN�1'Bi. _ - WFSTREET PAH,KiNC± .. Y iiF�"Ti311t I MFVE READ AND EXlst,i)ykq Ttti9- APP4GATt0N 1 �� ' . GRpK�f,,88 �5RN�4-8ETAUEANDCGRIiEC7•b��.PL90YJ5�ONSQFI.AYB�.yALUkT�p{,-* � �S � RX � ' A 4NG YHF3�TVPE OF Y1t0+iK WILL BE �6QMPLIE� :- . . W�N�. . � i�.4tE#�iN�9A�19T.TFfESif1liNTIN4�F-h-PERMIF � �� -� � yS.sS�.� � .� �i ' �:= Q4`-, �' �7G�91MH RIJe#IGiIiRY TQaV,IOCATfi OR GANCEL TkE;.. PEftkiTF '::: . �'� ' ;' � '�AC�.MAP�E"� . '..,: �� ' z #M� i}TNC-�4 BTAi� _CR LUCkt iAW Rfi4��L14TFNG CAN• � � .. , � 5I � ,�:—�� THE . � �. . 4R COti M{. " , :.: ��.� ; - _ _ �. . ' ' - TQTAk�F£E- : ' �' " .E" � '�1`1.cQ�. . IGN � � � �.��'iOR�FALL flQ9 Bi.¢EH� IRATEI ' � , ' , 'f' .iFk3 Iff , UK PER#AIT � : ¢ '.7� 'b10NA.� E ER�_£^ BUftOE r 1 - �� . "'�r � .-. . � .. . �. . . °,: :-. -., .:... :_, S:. . - .:._.. -.�+r...`..a. _..-', ' .,. � .: ,` ,. '�...:_ . �� . .�. � ... / . . � �., . .-:_ � � • CITY OF fftIULEY . AP1'LICP,TI01� fOR R[STllt:NTIAL BUILDING PERf�11TS . ' i�CW, �ILT1;R/1T10tdS, �1BDIT101JS, OR iE•PA1RS) OWt,l�R: Address: ,�� S d.�2:��_ No. r.oT: y nuzr.us�t: � � o � i2��i.� v— Address: �_�._�1�� Tel. No. : % g' � �60 � 5treet: � sr.ocr,: � nnDiTior�: �{�'LQ�c�>Ju� (i062� �9.A�� CCI3tNER LOT: -. INSID� LOT: S�T1i1�CY.: SIDEYIIRDS: Appllca'r,t attach "to this form 4WO Certificates of Survey of Lot and pzo�osed bui.2d$�g location drawn on these Certificates. . DESCRI PTIOh� OF BUI LDI NG To Ese vsea As: Fxont: Square Feet: Tront: Square Teet: Depth: ' Height: Cubic Feet: Depth: Height: Cubic Feet: Type of Canstruction: ,�,f1,p,�,�,;� � EsEi.mated Cost: $��Op �d �b T�e Completed: Alt. A Alt. B Prciposed Uriueway Widt-h If New Opening Is Desired . $ $ (SE� 72�VERSE SIDE OF SHEET) The unslexsi�ed hereby makes application for a permit for the work herein specifisd, aqreeing to do aLl work in strict accardanca with the City of Fzidley Oz'dinances and rulinqs of the Deoartment oi'SUildings, and hereby declares,ihat all the facts and representations stated in i:his appZication aze true and correct, See revcrse side f additiAnal information. UTlTE: �—�%–'�S SIGNATURB: `�� " Stipulations: � �a,q $ ��_9s, � � , a BUILDING PERMIT FEk SCHEDULE SECTrON 2. The Inspector of Buildings shall, before issuing pexmits for the erection of any building or structure, or for any addition to any e�cisting building or structure, or for any alteration or xepairs to any existinq building or structure, upon application therefore, require the payment by'the applicant for such permit of Eees to the amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Conarete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate �: Removal and replacement of concrete curb and } gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$17.20 :11___..�\:. ► �:u• �� Fbr the purpose of computing fees for building permits� the cubical contents of any building or addition, is determined by multiplying the gzound area covered from a point six (6) inches below the floor line of the bas�aent or the cellar to the average heights of the upper surface or to the average height of the roof surface of the nain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. ; � • � • � � : �[�J�■ N028: Permits for construction will be issued a minimwn 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 once it has been construct�d will be required before proceeding with the fsaming. ; � • � :c Application Eor a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a buildi.ng pexmit has been issued; and said structure shall not be used or occupied until a Cextificate of Occupancy has been issued. �:.. . �, �� sue�ec� � � � PER City of Fridxt�y ^�{ 16 4 6 b `.,: �.,' ATTMETOPOFTHE7'WINS : . BUIL�� R�i\�IT � .. � � . �� . � � � RECEIRT NO. � � � ' •� �� COMb1UNITV OEVftOF#4EH7 ➢1V. � � ' � i i Y".��' . � :�.. � . �. � � '� PROTECTIYE INSPECTION SEC. �� . . .. � ' � r�O{�:.1 � GITY HALL FRIii�EV�:. SSd�'1 NUYBER.� FEY � D�TE . pAGE OF APPA6VED BY� � � �._."�% �'' 612-5�1—$450 910-Ft5 r SEJlB/81 /' / �4b.anpR�ss 7650 8ao�n DYive N.S. .� 1 tECa(,:. �4TNO......¢ " e�ocK 3 � raaMe Padofvatoor TeYraae. �� 9ee�arjncHeo � . . ' .DESCF1r � . ._ . . .. SHEEF � . . � " '2 PRQPBHAW�pWNER..� � MA4GADORE&S �� . ZIP� � PHONE � � � `�€an xarster. i650 Sacon Drive N.E. 784-4439 � � S �CC1 ,�.�- . " M'AIC�ADDRESS � � . � 21P � PHONE ttGENSENOI� ��.. � � BAIDE . . , . . . . . .. � �. � AACTt� 70RDE9KiNER�� MAILA�pRESS � � .� - ZfP PHONE � UCENSENO: . � � 5 ENGINE@R� : MAfLA�ORESS � � . . ZIP � PMONE L16ENSENO. . � �. � 'B USEOFBUICOINO . � ' .. � . . . , . . . .� . . �,.RES1dP.I1t13�. � � . � . . �� . . .. . 7 CEA38'OF WORK � � .. � . � ❑ NEW � GE1 � ADDITION C� ALTERATION �� D REPAIR � ❑ MOVE ��q REMOVE � � . � �� 8 DE$CRIBEWOPK .. .. . .. . . . � � � : Gonet2uct a 19' x 19' Addition and Re&ide-Dwelling � 9 CHANG OF USE FAOM . . . . TO . . � STIP4JLAT�ONS. .. . . . � .. . .. . .. .. . . _ ..... . ' � . .� .. � i y+�p��G ,�it�ues e d�Eg�'�$ �� Et�� SEPERATE PERMf7S REQUIRED FOR VYIRtNG. Beta ��,�RIC-� HEATING, PLUMBIf�G AND SIGNg. t�r.� �lR�� BY 1,p�W ' � *'� TVP�pf N i. '�� DCCUPANCVGROUP OGCUPANCYLOAD � � . SEp�,F,}APEPEf±MITSAREREpU1REDF�ryEIECTRICAL,PLUMBING,HEATING. . . � . ENTF TdNt3AR-AFRGONDITIONIN6. � � � � �� . . . .EifiM{T BECOMES NULI AND VOID IF WORK OR CONSTRUGTION. ZpNING �'SQ,£T�. � -` GLL FT'. AUT RIZED'I& NOT COMMENCED WITHIN 80�DAYS, OF IF CONSTRUE710N �-. � � � � - .. OR WORK 1$.$USPENDED Oii ABANDONED FOH�A PERI069F--iYO [1,4y$ AT- � � � � �- � � � � ANY TIME�AFTER WORK ISCOMMENCED: � .. � NO DWLG:'�UNN ' - OFfSTREE7PAFKiNG � � ' . '_'.__: .. . � .... � . . 4 I HENEBC�ERTIFYTHAT t MAYE REAO AND E%AMINEO THIS �PPLICATION l �TALLS GAfiAGES � ANOKNdWTNEZSAMET08ETRUEANDCORRECT.ALLPROVISIONSOFLAWS p�UATION �� SURTAX � - � .� ANO ORDINANCES CaOVERNING THIS TVPE OF WORK WILL BE COMPLIED� � �y`j��OOO, $%.SO � ' . WITH WHETHER-SPEGFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES.NOT PiiESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE p�pMIiFEE� SACCHARGE�� PROV1610W8 OF ANY OYHEF-STATE OR��IOCAL LAW REGULATING CON- � �� . STRUGT+bN OR THE��PERF,ORM{�NQE OF CONSTRUCTION. S�OrSD- �- � �� NON$ � � M • `� ... . . . . �PLR G ..��, EE: .�- . . 107ALFEE� . � .��.j: ' `. ��.f53.., , >$145a63 . �6� U E-0F � QRAUTN 2EDAGENT � [&1 - ;":p IDA b THIS IS VOUR PERMIT � << r_ � � � � � � ��_� $ � ' � 6 REOFOWH � . Efi-BUIL�E � i � � 8L6��'.Sa� � � � �A� � � � [and Ah�,arg ladSu+r�°� �s �� tsw� s ,Mt.,,ripo� �� V l�{JV l�V �� GB75 KS kf -�L��/ / V �lq�'^°J Alwnv�,ks � t. ENGINEERlNG� INC. �� i Fhx1 J{0C,6 — En9ineers E Surve�/ors — certiFic�te o� s��tve, �'o: ��STREET � �AcNOTES /RON �arXOwsxi �wo C�i,�s _ - NaRTH �_a-1 � C� � z 0 � � m 0 --- D.E'NUTES UT jVTY � ORA/NAGE EASEMENT �D� = B� aC�= /%EADOW/IOOR TRRAC.E CAIA/TY Gtf' ANOKA /lx�eby u�rh�y ,►�t �,; n o b,�, �,d am�i .��„�,r;�'('o su-.ry �'/br dwnda+rs �'�sfr �6.K �w:bC lad, md � ��o� o�Pe�9 Er+Nrqs , Ibaren, �ad,r/ nsibt a�vrarbaren/t , ifwy, �ivn r n ieid /and. As surNeyed � me /1�6—_ 4i f"�t3. _.._ AO/�Q .SC�fLaf /. �� SUBUIZBAN ENG/NEElIING, INC. �r- . CITY OF FRIDL[Y Effective Aug. 1, 1981 APPlIC11TIaJ FOf; R[SIDLt�TIA� I3UILDIiJG PERi+lITS (Rc�a, Alte ations, Additions, or Repairs) � 1�� i OWNER: _ �Ete� �, 7 e-�"3 ,�X— QUILDER: (��,� ;��p��e,y� ADDRESS: �� c�,�,p-„ ADDRESS: ��.,, , TEL N0: �$y-yy3�' TEL t�0: 7�'� - n/��s' 3' STRLTaT NO: / �S� STREF IAT: . _� BIAQC: �7 ADDITION: ��C�,�,/Y1C)C)L, /fE'�/�'S v Corner Lot: Inside Lot: Setback: Sideyards: Ap�licant attach to this £orm two Certificates of btirvey of lot and proposed building locatio¢� drawn on certificates to scale. �n DESCRIPTIOfd OF COFlSTRUCTION �-fDD�• Front: !�T nepth: � Square.Feet: 34 � Wbic Feet: �--��,t� �� Front: Depth: Squar.e Feet: (�ab' I'eet: �i x�3�3 � �� . _ , Height: Height: Rype of Construction: / �e Estimated Cost: Rb Be Oanpleted: �R ,r-� L 1^�� a..�� /� �L� ��. Proposed Driveway Width If New Opening Is Desire8: S�O��P/ Alt. A Alt. 8 $ S SE� F�VER;E SIDE OF SHEET Tiie und�s signed hereby make., application for a permit Ecr the work herein specified, agreeing to do,all,work ir,�strict accordance with the City of Pridley Ordinances vid rulings of the DeFk�rtrn�t. of Duildings, eby declares that all tlse facts and representltions stated in this applic ion are true and corY,�ct. DATL': � G � �S SIGNATUI�: Stipulations:/� ��(/.ti,.+� / lOi J v RC a�.�3 Py .s�o ��'.�3 d , BUILD2I3G PERMIT FEE SCHEDULE The Inspector of build3nqs shall, before issuing permits for the erection of any building or structure, or £or`any addition to any bxisting building or atzucture, or for any alteration or`repairs to any existing buildinq or structure, upon application therefore, require the payment by the applicant foz such permit of £ees to the amount herein belo�+ set forth and in the manner herein provided to-wit: TOTAL VALUATION $1.00 to $500.00 $501 to $2.000 $2,001 to $25,000 $25,OD1 to $SD.b00 $50,001 to $100.A00 $100,001 and up FEES $1D.00 Minivaum Fee $15.00 Plus surcharge $10.00 for the first $500 plus $1.SO for each additional $100 or fraction thereof, to and including $2,000 S32.SO for the first $2,000 plus 56.00 for each additional $�,000 or fraction tl�ereof, to and including $25,000 $170.50 for Yhe first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50.000 5283.00 for the first $SD,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including 5100,000 5443.00 iar the £irst $100,000 plus $2.50 Eor each additional $1,000 or fraction thereof PLAf7 CHECK: 25 percent of buil8ing pexmit fee DRIVEWAY DEPRESSION ESQtOW: Concrete G1irb Streets Only�� Alternate "A": Removeal and replacement oi curb �d gutter only� Driveway width plus 6 feet a$13.50 Alternate "8°: R�oval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 ieet x$15.75 VERIFICATION OF FOIINDATION Pgrmita for con,truction will be issued a miniminn of 24 hours from the time of application to allow ior proper review of the proposed structure and pf the constzuction site. • A Certificate of Survey of the lot, shaving the location of the founda tion once it has been oonstructed will be required before proceedi� with-the frami.ng, �S�Ou u 2.t�av — 13 x` �,�. _.. 3.'t,Sv � ?d.ov ___.— t t O .S� � � r ��FN� .��-e� S.zr- __s�� 7r �a�' a. � ��. a (�,�j4�y�uy� iu ! 5r�q�{, oG � � . �a � .o .c � c�•-� 7-Z �lo '� g �.. ii= s u:-P R'�'� �� w�� U�K�y 4 'soFe'FI -L Icoo Rue. � ^�v�y 34'L �r�ePaw,{�.�` CL lg ._SN�t�"'� .3/y 6�,,:� �'F R��-L. 5'�u�s 2K`f- - L°ci�� f 2 X �v �aer 3oi>�' 2-X l a (ZN C1.�:.. �jv�rSti�$vr �Z °�, 4 X i�cltrrn�� ParTletit�.a-rV r-��i ga� w�-- iti�'a.e �oQ�� -_- �as� , � : y : �. ��,-.., ., �r�,i%✓ !d .Y ' °"'CA. f`'� -�C,�. (,G� ✓'�'' `�/�' � B 1 �? I/��nWWS o Ga 3 • � P a � r . . . �: : � � : . . . . t � � I � . , � j --�� i ; . � ; : _ �� _ ,. _ . � - _ �� . �� , , ; , _ __ _ � , ; , i � � -_ _ . ,; - -_ '_�. �.`` , � .. � ��- I -� .\ , ,. � � , -� , � ; �� .; ,t -��=_� _ � . , � � ��_ �, � �o ; � � ��' � T � • I � � � N a � -s ` �a a � � . . � . � � , � ' �� i � I , , . �J � � � �+ , �, .� � ; . �. � ' 1 w �� -� , - � '- -� �� I � - � sus�ec* PE City of Fridley 5 6 7 3 AT TNE TOP OF THE TWINS � BUILDING PERMIT � � � �� . . RECEIPT NO. �. i �� COMMUNITY DEVELOYMENT DIV. % �. � �� PROTEC7IVE INSPECTION��6EQ .. �fl � P � i ; O a i-... `��"��;'� CIIY NALL FRIDLE� SS132 NYMlEF NEV . WTE � P�GE � O/ �IPq0VE0 Br l Jl . � 612-571-3450 910.Ft5 11/7/97 / / lOB ADOqESS� 7650 Bacon Drive NE 1 IEGAL �OTNO. BLOCK TPACTORADDITION SEEATTACMED oesce. y 3 Meadowmoor Terrace SMEEi 2 PROPERTVOWNER MAILADDRE&R ZIV PNONE � Anthon Trinh 7650 Bacon Drive NE 7 CONTRACiOR MAIL ADDRESS � � � ZIP PHONE UCENSE NO. Same 1 ANCMITECT ON DESI6NER MAII ADORE65 ZIP PMONE LICENSE NO. 5 ENGINEER � MAILADORE88 21G PMONE UCENSENO. 8 USEOFBUILDINO Residential 7 CLASS OF WOPK � �� ❑ NEW ❑ AUDITION l� ALTERA710N ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement remodel/finish 9 CNANf3EOfUSE:ROM - TO STIPULATIONS See notations on pian. SEPARATE PEpM1T5 ARE REOUTAED FOR ELECTRICAL, PLUMBING, XEATING. TYPE OF CONST. OCCUP�NCY GRWP OCCUPANCV IOA� � VENTILATING OP AIR CONDITIONING. TMIS-PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO.FT. CU.FT. AUTMORKED IS�.NOT COMMENCED WITHIN 80 DAY3, OP IF CONSTppCTIpN OF WOpN IS SUSCENDED OR ABANDONED POF A PERIOD OF 12p pAyS AT ANV TIME�AFTER WORK IS COMMENCED. � NO. DWIG. UNITS OFFSTFEET P�RKING 1 HEFEBY�CERTIFV TXAT 1 NAVE READ AND EXAMINED TNIS APPLICATION 1 STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AHD CORRECT. ALl PROVISION$ OF LAWS VRLUATION SURTA% AND ORDINANCES GOYERNIN6 TMIS TYPE OF WOqK WILL BE COMPLIEO WITH WMETNEN SPECIFIE� XEREIN OR NOT. THE GRANTING OF A PERMIT �5�>OOO . �P.SO DOES�NOT PRESUME TO GIVE AUTMORITY TO ViOLATE OR CANCEL TME pERMITFEE . � SAC CMAPGE @ STRUCTONSONfTME PE fOflMAN E OF CO STRUC ONEGULATING co«- $99.75 � Fire SC yS.00 . � PLANCNECI( E TOTALFEE � �1��.2 S�GN UREO iF�CTOF-OMAUTM�RI DaGEeT m�rE� yy� p �. p pTED THIS OUR PEAMIT PTUfiEOFpyyNEp�6pWN P U40 Ip� fi � ��A/O� I R � NEW [ ] Effective 1/1/97 ADDN [ ] CTTY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � /� 5 �'%� ConstructionAddress: '71oS0 �kC' n►J j� � . Legai Descripdon: Owner Name & Address: �-At7-.�� y -�� — Tel. # 7$S— °7(.� i/ �, - Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction MN LICENSE # Tel. /1 Attach to this application, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scale. I.ength Length Length Driveway Curb Cut Width Needed: DESCRIP'PION OF Il1�ffPROVEMENT Width Height Width Height � -- Sq. Ft. Sq. Ft. Sq. Ft. �` ,�,6r,�ixz� ! l°,A�c9� Es[imated Cost: $ ��, 6�� a� O o� (Fee Schedule on Back) Ft. + 6 Ft = _Ft x $ _ DATE: 1 7 APPLICANT: � Tel. # 7� �—�� 7 � CITY USE O Y Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ , 7)' $ Fi� � _•-- $ Z. � $ $. $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth�) $.50/$1,000 Valuation $950 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 [ j $ 7!D , 2� �° � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or strncture, or for any alteration or repair to any existing building or structure, upon appiication 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 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 FEES $21 (Minimum Fee is $21 plus surcharge) $21 for fust $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fracdon thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $5o,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $SOO,p00 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional ;. �1,000' or fraction therebf, to and including $1,000,000 �•.x; $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or•fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Stteets 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 wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. ',.� , � � ��, _ � �� - . y . . _. _ _ _:. '� . �� _ ` � , �J . . . . .. . _ �p _ M . . �.' L1 � °� �' � J �� i x O0 \V � � �' � �° \a � 7` _ . � �, � <,, , '� �,1 �� E,� � , �. - ---_ _ _ __ � - _ _ _ ._, , .� � 0 � � � � �� . � � � „ ; ,: , � ;.` �; i� � ��; ,,i �� e � 1�; �:< �` � \ , 1 � � �� t�tt .� . ,� � 1� t�< ;:. � . � �. _ � - -.; .�. �•. � � : '� i`, � 0 5 � p 3 � � /� t � `.'� � �� -� , �'� � �� \ ,j ., . _ : _ �u �� _. �;. � ~' � '��A. 4 '- �� • �' i = I rr �.1. � . ��, � . � �, � �_ .�. }.�;� � - ,�, �� `�;"" � � '�. � � � � �i I '� � \ � G y s g � �' � � � � � � � ..� � � � a _ � ,V `� 1 � � � � 3 ul o � � � � � . :4 JOB AODRE35 1 LEGAI UESCF. G City of Fridley ATTMETOPOFTNETWIN$ gUILDING �PERMIT COMMUNItt qEVELOPMENT OIV. �� PROTECTIVE INSPECTION SEQ � "'9 � GITV MALL FPIDIE� 53�92 Nu4BER AEV. O�Tf � v�GE 0� �'� 61�-57t-3450 9�aFt5 8/17/98 � � ADdTION MAIL ADGRE55 27230 •vGROVEO BY SEEATTACMED SNEET PHONE LICENSE NO. ❑ NEW D ADDITION ❑ ALTERATION Sk REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and 9 CMANOE OF USE FFOM (25 Sq) Tear-off TO STIPULATIONS Underlayment must comply witha the State Building Code. SEPAqATE PERMITS APE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING. VENTILA7ING�OR AIR CONOITIONING. TNIS�PERMIT� BECOMES NULL AND VOID IF WOPK OR CANSTRUCTION AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONStPUCT10N OR WORK IS SUSPENDEO OR ABANDONED FOH A VERIOD OF 120 DAVS AT ANY TIME AFTER WOHK IS COMMENCED. - I HEREBY CERTIFV TXAT I HAVE HEAD AND EXAMINED THIS �PPIICATION AN�KNOW THE SAME TO BE TRUE ANDCORRECT. ALL FNOVISIONSOF LAWS AND ONDINANCES GOVERNING THIS iVPE OP WORK Wlll 8E COMPLIED WITN WMETMER SP C�FIED NERH � R NOT. TNE GRANTING OF A PEHMIT DOES NOT PRE E TO GIV AUTH TV TO VIOLATE OR CANCEL TXE PROVISIONS 0- NY OTHER STATE LOCAL LAW REOULATING CON- STRUCTION ' NE PERF MA OF CONSTRUCTION. �%/l—�� NPLUREO�CONtPPCT ORAUIMOAl2EOAGENT IO�iEi STAlLS 1.�4 OCCUCANCY�OA� ; '�i� �� C.,.� ,p' Zsf -: „ ._;_:;: [ l :'i:lt [ � j � °SINCY ��. * ;- � i� �`a �ridrf �.'K� �r �t'� � ar s...g; �s �ructionAddres&��v _ ::: L�scription. . ," =� � ..._c: Name & Address. � �� . . .r.:ctor: �c,`,�, ,i�nz �`�,�� t .�_::��s:. '7�30"�ln�iie�� > ' '�'' Y �.ttflCll�t IOt> W1L� � ��*;-��,� �, , � 4 . �,'r:t�;, �.itLA: I.ength ::<:«G�'`i�TtCA ��'>s< :.Length �i;:i;ii Aii�A: 6rigth v".�Fi�lt: ,3' �� , . � '`��.,`' � e �. u ..:.�ii�.c�ion Type.�Q�,%� ... . r ,;,+ : �` 4 ,.� ?a ' �/q . q � :; ay Curb Cut �Vidth��i�e�ed�� .� � _�:� — 1 _.._.:r Pee .._ ;',�rchar�e 4. sutce, Surcharge?t;4�� ; SAC Chargs f :;�� L�cense Surcharge ';::vcway Escraw'= :._osion Contcol c :�e� _' .,_ ., cr' PF4ai�t' Cliai'�'i � � TOTAL i� � r ?�� . `�'' ��; � S`i'fUUI.ATIONS �" ` ��` ��, _ :� �r � �a rr . w3�. �'�;, "." e Effective 1/I798�"'�'`- ' ` CTTY OF FRIDLEY ��VtII,Y•AND DUPLEXES R-1 A1�ID R-2 �: ' �;�.� �UII;UIN(3 PERMIT APPLICATION �� . /�� `' "`' ` .Yt s:: �� nci r _.'� ( � ' ...�{'y,�' s i *'�. � a s +V ..;.- AC �. �< � i�K � � �� ` `. . `.'�: . , �,: . ��r -- � - � < F, r�,� � '��'t %� �(L�S� F3ac�u,p�; � Te1. A�.�i.3�4�. ,4. .� 8ni r.„ �;�; ...' L�C MN LICENSEl�_ 's �� :, �� '`¢' `Gr'' AJf. Fr�� (� Tel. �l '/CI5-' �/0. uS a lication, a Certificate of Sucve of the '' ' PP Y 3�.�; ' � c�proposed construction drawn,on iE,to scale. ,, :' • :. t '. : ,��,, : . . . . .t tl .� 6'SCRIPTIOI�t OF IMPROVEMENT ` �' �, �; '"-'��,��,� _ � � _ • ; .� � � �,� -� �� `'' . Width Height Sq. Ft. '� �` (.'� 'p^ - Width Height Sq. Ft. 4�`.` Width � HgtlGround _ Sq. Ft. #. w � _� �_ iri � � - - p t..'if . .. . . . . �:�`�-� Estimated Cost: $ e I-6F� Ftx $ o�C3� �- ; � ,M on Back1. __$ ,. TeI.I/ r"' �_ ` , �� ,,yCTfY USE ONLY , ?ee Schedule on Reverse Side � ` � {" OOl.of Permit Valuation (1/lOth`�) ifSd%$1;000 Valuation �n .r� Y�e � 6"�`400°per: SAC Unit <�``� � � �� . , , �,' ; ' �.�=F, 65'00 (State Licensed Residential Contractors) ,, q;.� � . �1��'A" or'`Alt: "B" Abovc ` �� -�.=�'��x�'�=€, :�'�:� 6450:00 Con'servation Plan Review �.. ., . ;ee`Determined by Engineering � }� z;,�, ; 4g"teementNecessary [ ] Not 1�Iecessary [ J . ;; � �, ��r ° i?��x 7�� '� - �x �- ;,+ �a k � ��; � `' � �,�k ' �- �� i�`�'ti� t; ��` ' °� , "r< `* _ . : ': " �t'�. z � �°r �. _? ' � . . : . . . :.. ( .1 h.� y, n �: .� • 1 '�' +!"�I�yr..�. .�. . - - " raiynd� . ��Za�G d L.!J'.. %06('C!/.t4 'S �al sF7 � %to ]O i3.9COtie' %�2. AJ.�_ .�.Q T V /�L I�C � lX��A�ID�ai Mo6Rf � / ��i�f�G� �, /�3' CE.� �LTJI nLf, �e i`il�GESd , �'�s�P�ur i.y�s;sfevsK c�,as � N�r�z •,2�✓�e� y Fdrz �G� U�h,vcr /�iaH (v,/-r'i[-v' , i �-� +� • rs .�4�'�`),� 1 ,__,,.�;. � .rou�- � _ h ��; �. �°�a�~�X. 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