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AF - 43755sue�ecr PERMI �� City of Fridley AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � ECEIPT NO. � i L__�_� COMMUNITY DEVELOPMENT DIV. � r � PROTECTIVE INSPECTION SEC. � �� 1 � � � i_--_�; r'��;,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY � si2-56o-345o g10-F15 � � 4 30 75 JOB ADDRESS 1630 Camelot La.ne N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 33 2 Harris Lake Estates s"EET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE � James Ba.nkston 4011 Glenn Haven, New Brighton, Mn. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. W. F. Bauer Construction Co., 1655 Stanbridge Avenue, Roseville, 55113 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential • 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Constxuct a 40' x 26' Dwelling and a 22' x 24' Gara e 9 CHANGE QF USE FROM TO STIPULATIONS Provide a drawing on the sta.irway prior to calling for the frami.nq inspection. Provide a hard surface driveway. Provide a verifying survey before capping. wAR�,�G SEWER IACATION: "Y" 132' East of Manhole ��Y° Elev: s�s.s3 Before digging cal! 4oca{ u�ifities Top of Footing: 8s2. oo Ntinimum TELEPHONE - ELECTRfC -�S ��. Manhole Elevation: s�8, oo REQUIRED By �q��► WATER LOCATION: Stop box 10' East of sewer service SEPERATE PERMfTS R�QUiRED FOR 1�li�iNG, TIN L TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC�i FY'c'�IR2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT R�1 I.O4O + 496 20 896 + 496 ANY TIME AFTER WOFK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PAFKiNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIGATION ]_ STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITti WHETHER SPECIF{ED HEREIN OR NOT. THE GRANTING OF A PERMIT 2L� DOES NOT PRES TO GIVE AU7HORITY TO TE OR CANCEL THE pERM1T FEE SAC CHARGE PROVI Y OTH OR LO L W REGULATING CON- ST CTIO OR E PERFOR E F N UCTION. PLAN CHECK FEE TOTAL FEE _ Gu.c�z--_ 1 � 3a � SiGN TUREOFCONiRACTO ORAUTHORIZEDAGENT IDn7ei N PR PERLV VALIDATED THIS IS YOUR PERMIT G� �'��.' �,,� SiGNATURE OF OWNER UF OWNER BUILDERI IDATEI BLDG �NSP DATE .- � APpLICATION FOR RLSIDENTIAL, ALTERATION, OR AllDITIOrd BUILDING PERI�IIT CITY OF FRIDLEY, i�1INNI:SOTA Ot�7NER' S NAME : ��-wn-cJ �lisif�y, BUILDLR: �L. � Ctc�"L ,�',�ds��t (Jv. AD�xxESS : /� ADDR�SS : 1655 Stanbridge Avenue �,�ct� �'i° - '' � rro • ! to 3C� s��r • � - �l � LOT: � � BLOCK: 2 ADDITION: CORNER LOT: INSID� LOT: � SETBACK: 3� SIDEYARD: �d �/ 1 Applicant afitach to this form Two Certificates �f Suxvey of Lot and propo�ed building location drawn on these Certificates. llESCRIPTION OF BUILDING To Be Used As: �j 5��,. Front : �j Depth : Z�D Height : sl�G/ � . Square Feet :�� Cubic Feet : p�d �i6 � tl/l�'�1�D � Front : 2�i Depth :__�� Height : /�% Square Feet; u7�_Cubic Feet: Y G Type of Const�uction: �� A'� � Estimated Cost: a �� To B� Completed; The undersigned hereby malces applicatinn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Oxdinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in. �his applicatiun are true and correct. � , ,.. �% __.. . �-�` � ,�," . ,� DATE : S IGNATtTRE : i'=;�� ..C_.1�� ' L�/ (Sec Reverse Side For Additional Information.) �'rc++,� K-. ,� �, gS ,:. y7.83 z�, 8 � 'p ` / t. Z�' �, aN, s x � . ��J.�B 3 Z,,,,'' o tl � i s `�g S�t,i ,g�'T'J4�ir� �t �'�t1�5. . �.��s �y,��z_ _ �iQ�i1� U� Q�Au.1, �G C9N STAr k i.,�y ,��v�E'_�, F,�m��.,� , /�2c��,o� �-1H2� S�c.e�l�C� ��'��. P� t�J � D�. U� �2 �� y i�i C� St��2 �s �� ,�� K�., . CA PO, N� . � _ _ , � � . � G ao� �� ---- � Co 3C� C.�or.v` ss.ut �0 '� 1 O S't..'� 9C S� _ �� —�--`-!� —�_ i i. _�' t't.+��o_ c",��'r Z.2 � SZ. Y Y � 3 'L -----��_ _ 14�4n x�� d�� t — ----� __�� -------- � .�_ = yg60 �. 9, 1'� ._ -�c2s�_x—��-- `---34$iz��_.—_ -1 o_y�_ �1�-�__'`_ � Y og �. �� 4�t�, �� - _� � S� — ---��G 1 0 � � z �' .• �✓ � �Cf�°rL ��?� �4. 1655 Stanbridge Avenue ��. �� l�oseville,. Minnesota 55113 G��--c v��.JC',C.t c.e�._ �;5� sS'�� /��J � �A v✓u l, a�f' L" R-!�/ '� ST,4 i r2 c,� aY �� T�-�� —. .._.,�. i � ,�� c � � EC i � !�� +lf ��Z �� (,{�woo� wl s�. %a� • � 1 f 3 � �a 3 � �� _ \ §�. y � [� l {-� �� =�d'�S �� .,�. � ��,� _ ___ . __ _-- __ �-==--=rt ..:, . . �:�;;,�" ; � � � r.,� _�_. _ _ ___. ... �._. : ,� . _ . _ � _ � , �s �sy ��! � ��`,�� .,�,�� "�. 1655 Stanbri�ge Avenue Roseviile, Minnesota 55113 739-9364 �.�.. �, , .;w: ^�+�w..., . ,. � .:.. . _ . ... �-l+w,.„. - ..-�,�,..,.-.;.�-.o.,-. . �..... ' .. � ,..;. -vwa+�'+ . .. 1018 Glendon Street St. Paul, Minnesota 55119 ��? � � �/� e��"�° S� ��1 A�t� �� 1 �,}'v+i►i'�'�e—•S` j1'R!� R?�"•.•�•TT ,�+..- ts.. �5 ' „P,, R!�^r:*.,..�.� �!"`+rn�^,,,,,,�� .'4�,,, w.�� n,g .� . 9Gie+{��rt+^i�et..^.t,�F p-��a�s�� 1;�.;,r��rSa.tJs'l'a'� !'�w'+ R °s��rWw "d a ,.fi 4�•a.wit �'a..<.oC+.�..�� `6r*it �%ir-'�4� l''to�":ia+i'[�%c':tc�i; �JiiL�.Jr`G�a.4ai9�.iYi�. !YN'i� b �� ..� M� ,e� v.n...�"trR 1�,.��r,++fs. .w+.�! r...--.�� .....,..�.�r�♦ _ . � . . a d rab'dw".v� i�l:�wc�iia•y v'��bCirL�:.V "4r.r.�,.� �arb•tsw-.4..�21 �. . . . PAl�.TI�l. R�►Tc S�!-i�:�;�11L� GRAPfTT WAA�i lti'Fi: �,u i� 70Te'LL iurs�er S}:e11 ac :lurt �iark .. i10.00 � Rrptacerrrni of FZ,rn3rt G.Qr� g F,�aa�-c h:�1:cnt:pr.e---up to SSG(3.00 6pp � Rr��*s & nitcrailon� cach add. SS00.00 , 3(}�� $ _� :?3�. W l,itk�i ?tilii 7lunsce She':1 fi Iluct Worit tri 150,04t! BTU " ea� add. 60,�J0`0 BTU . .. • ReDIacrmeat of F3: nare ReDairs & A1te�al.ions--up to SS00.00 i�ain & At,rratlocLS ea<h add. SS00.00 STEJ�M os KO'f tktt.�TER SYBTi:� i�.rri:ace Shell S� Lir.es---Ito 4Q0 sq, it F.DR Steam iL•rnace She:l k L.in�- t•o 640 �q. :t. EDR iiot Wa!er Each �dd 10� sQ. ft. EPR Steam EscA add. 320 sq. :t FDR Hot Water .�10 (� � �C�• C��% :i.W i 6.00 ! 6.00 ; 3.00 ; S:0 � S 20 00 t. � �� j 3.00 S___.�� _ qtL SIIRFEP.—to 3 RaL qer hour 6.00 S.._......"..,_,,. over 3 Qal. per hour--See !'ee Schedule G113 BLTs�KER (+:D �.o Lq9,Ua. BTtA 6.�0 ; a.zr 199.00c1 +B'TIJ 8�� Fr� 8.ehwduls C1i.S FITTINC t°EF,3: ' It0 RATE TOTAL Sst 3 FZztures _._ z� 200 S 2• �G AddiUc�al Flztures _ x .98 i_.�. _.._ Gas Range t5 1�.G�J .� z� 6.OU � ASR �e�AIT1t?}'4IFa' rR.*r �,�nr.c �r�r�:s v�uzu.�zr.�c a�rsr,� ,�.!_T'��A2iQ�3 � REP.'�.fR3 ROi3CH F.'�. 3JlS, (� ` y ' ? % State Suxcharge .50 8 aoa i'�+r sc.�'..�ls 8 •ra; a�.a. �a �.`'y� �L o4 &l�aa. F'f:�:�s 3�'J-3tiJU / � �/ Lccas,no� %�'�!''` ��„�+y _� �� o�i�r'�,,�� City o4 �'rlciSr�: . � The �:ndersiqned hrrc5y m:,kes aD�1ir_a�cm for a prrmtt far the vori At:el.r sprcified a�rc�•i.ng to dc all K'O!'k �n strict a:cordanre x�ith L'��e Cit� Ord:a�ruct and .►�iting vf the �epa� tm�•nt of Bu�)dings, a.^.d hcreby decla:ts that a11 t�e fc�, and rrpr�sPntativns sta�rd in tt:is appuca:ion arr tr1:e and Co�ECt.. I Fridley, Mi�n � !�:y2t:.��._,,Ig �2„ � f.)wtter K±»d of IIuiiding ._.�.`! -is� �� - �_f/!�'-m}- s '' , ►Jse� e• . ;� _ T� be completc�l atx+ut �" �`�� ; 1 Estima?t� ('as� S �� ' � Old—New. Bwlding Pernilt No. -•--.._ ^ P•rmit No. C�� 1Z��RIPTIOX OF itlOPt.i iiFATTNG or PO�Eit k'I.AN1"�'.r--.St�am, Aot Water� Warta Air—No Trade Ivame_Z�.,�`�,.'�__— . S�e No °,L� �- L�.�"j � J� � i o� t7 � U G_ 7,-[;/. ,-, � c .e,�� Capacity.__.__.�___ Sq. Ft E.D.R �� BT(,� � H.p TotaI Connected Load�_ Slnd ot FtxL�'�;�'-� 1s � BURNEH — T?� Na��e �+ ��; Stxr No �J�'"'_. Capacity .._ 3q. F't. E.D R R!V B�! ts�s:�c-�s-ar.R 0 Stffn�ed .Z�..�':��'>��,� �> `/.L�- .ZOS�o w w �- �,. -,�,t �._�,� � � n ' ��` ' �% � P?�t !i ' ' - .,�,�� .� • • l! ` �rt1A``� E'.'� �S'lG�3�/ � • /� ��p�ic{:�2�a:� �� Pl�� a �� '�:-r�i� ° f/ I?ept. of Bld„s. 1'hona ��J-34a? ..: . DE5CRIPTIO;i O: VIOIii: ' �/� . �j�•��-�! ��' Num]aar, Y.iad and Loce_�ea of Fi�!urci ��`4�-��y�= V� �' w�rc+� �rR. City oL FYidley: �j ~ .J «y M � � N � � � C �� r 1 � F Z ` + Y � I � � � ` � U .z�1 � � ' V + Z . 2 �,� 7 � g t < 7< 7 7� 7g r w c�s __�.- �� ' S � i N�� O � � ��. O V o < 3 � U � U 4 I U V Ba�t � � 2 st � � 2r.d 3:d S:h _. _ Con.: ac:.d G+12a • Fut�• Co^-oc•�.n Opoai fl[C. � .... ... '?� 8�tass � e?t•w FS::tvr�. Old O,tissir.�,s Cc:: Jwl � PARiIAL RATE S�H�DULE FLQMBINC FIX7t)RE RATES: N0. RRT'E TOTAL c� O PJ Nur,zbcr 'r�x;ures . . . . . . . . . . . . . . . . _lL. x 32.00 S �' ` Fl�ture Fyxture O��cning ... .... .... x 51.50 S__. •:v'ew Fixture 01�1 Opening.... .:.... , x 51.50 E�.-_. Catch Basin . . . . . . . . . . . . . . . . . . x 53.25 3 ' � 3 00 V4'ater Fieaier 'L'p to 99,600 BTU� •••• _� x 33.G0 b � • tiew Cround Run Old Btdg. ... ... .. x 53.25 S EI.ctrk Ylst.r H.atas . . . . . . . . . . . . . : �2.00 � :,1C3 FITTING FE£3: NO. RI;7E T07AL lst 3 Fixtures • • • • • • • • • • • • • • • • • • _—.--� x S2.00 = ,� Additioaal F:xtures ... . . .. . .. . .. . x $ .73 a ' Gas RanTe to 199.0�0 BTIJ ..... ...... , x o5.00 S 0 Thc undersigned hcreby makes application for a perm�t fcr the vrari� herei specifi�d, z,^,ree:ng to do a:.' «•cck in s:�ct acco:dar.ce wi:h the Ci� C:�:r.:-ce and n:?ing of the Dcpar:nent cf �u �ci:ngs, and he:eby declares L�at alt �he t:c1 and representations siatctii in :his app;:ca�ua a:e tr�tie .nd eorrect F'ridley. N.�nn � � /� 2�� Owner Kind of Buildir,g ✓"�' CI /�� v Used as To Ue completed about Estimatpd Cost, S Old—N�w. Bui:ding Permit No. P.tait No.�� Signed ROUGIi FINAL . P.EPAIFt3 �c ALTERI►TIONS—Raf.z to Cod• .50 State Surcharge • Descziption . . . . . . . . . . .. . . . . . . . ... . . . ... . . . . ... . ... . .S TOrrA.L FEE �..1� . ' . . , By� Busincss Phune � �-�- ' �6 2�s.G�_ . 560-3454 : � it o ridie cy c�% ANOKA COUNTY - 6431 UNIVERSITY AVENUE NE October 29,1975 FRiDLEY, MINNESOTA 55432 W. F. Bauer Construction Company 1655 Stanbridge Avenue Rs�seville, Minnesota 55113 Re: Final Inspection at 1630 Camelot Lane N.E. Dear Sirs: , A final inspection was made on pctober 29, 1975 oE the a.bove address. The following items were noted and must be completed before the cons�ruction . can be finaled out; 1. Provide a verifying survey. 2. Install a door closer on the door between the house and garageo : 3. Seal the openings above the door casing on the door between house and garage. 4. Provide a hard surface driveway. We will expect items 1, 2, and 3 to be campleted by November 15, 1975, and item 4 to be eompleted by June 30, 1975. If any problems arise that will prevent you from completing these items by the appointed dates, please contact us. Reinspections will be conducted on or about the appointed dates to determi.ne compliance. � Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh CC: Homeowner �� : �� t. ,(��. �� _� 1655 Stanbridge Avenue �� Rosevilfez Minnesota 55113 r �c� �� 3 `�� - �� : t.� ia l ��" . , �'�" l� ��-� ��. �.rF-;� i� � Lr�� _ � r' .`.c� c�.tic�.� _ �� . GG�//Cr --�.R «�,—�� %L�,'u'`-e� .r�:�'�'�'c'� � �� G �.-�-� �� ,�-�£.� !k' i=�-t� G� Z�c�.�,� ��. �-x--�. � �-'�`-'— �'' - _ L. .� � c.�-�t1-►-�x-�.. �� .�..-�' �� ' '�� i.- , t�.� ` l ��- � ,'.� `�-P .Y- "--� /'��--�- � .�c.�� - � ( � " < , - r �`� . ,.�� - .� � ��--� --yl-� d--�'� .� . T��.p � _. / ��,�—� i�'-�-c�c-z �, '��:-.c�-�Y ✓� `' '" � � ��'�=�' = �, , _-__ � -� � -� , , . .� .�;, �� , � �� ,�� . 1655 Stanbridge Avenue � �,��—� `� Roseville, Minnesota 55113. , q,� �� ,Z� ��" ��'-� C�Q� �.�►�..�� ` I S �� , � ' �k�-� sue�ecT PE NO. City of Fridley 18 3 6 3 AT THE TOP Of THE TWINS g U I L D I N G P E R M I T r ; � RECEI . � ; L � COMMUNITY DEVELOPMENT DIV. 7� r � � PROTECTIVE INSPECTION SEC. a D I / � � � � � /"'1 � CITY HALL FRIOLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � ""'�" ,�' 612-571-3450 910-F15 4/4/86 / / J08 ADDRESS 1630 Camelot Lane N. E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 33 2 Harris Lake ESt.3t@S SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE James /Janice Buechler 1630 Camelot Lane N.E. 571-5251 3 CONTRACTOfi MAIL ADORESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RES1C�Gri'tldl 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 16' x 16' Screen Porch Addition 9 CHANGEQFUSEFROM TO STIPUTATIONS WaR�Il�G Before diggiRg �a�� la�at UIRED FOR TELEPHQNE_ ut+�r'ties SEPARATE PERMITS REQ ELE�T,�� _ � �t� VVtR9NG, HEATING, PLI��NG AND SIGNS, REQ��REp �Y � � SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTVLATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUL� AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OFl WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,200 S�-•6O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIOtJS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �44. SO � PLAN CHECK FEE TOTAI FEE $11.13 $57.23 SiGNAT AE OF CONTRACTOA OR A OAl2ED AGENT IDATEI WHEN PROPERL V IDATED THIS IS VOUR P RMIT . t ' � � S�iGNATURE OF OWNER UF OWNER BUILDER� IDATE-� BIDG iNSO. TE N�' I J A�Pt:. [ ] pLTER. [ ] City of Fridley Effective 4/1/64 �R-1 AND R-2 � Ruildin¢ Permit Annlieation Construction Address: � 1 -� � � ✓" `"" '"`tT_"�'�_ • __ __ _ _ _ _ _ Legal Description: �CJ�� 313 -�1�� i/� --� i-�C.r'rts �.Lt.k�c- �S��i-¢-s Owner Name & Address : �. � a-►�ri'C'=S G. °I�"�G''� ►�-� � . �ua-c-1-�I e-r Tel . # �% � -S� S � �� Contractor: � T-el. � Address: LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Corner Lot [ J e10-1� L.a n� ( �r,c11�e Attach to this application, a Certificate of Survey of the lot, with the proposed construction draKn on it to scale. DESCRIPTI01� OF IMPROVEMENT Length Width Height Sq. Ft. Length Kidth Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �.a c� � � 't��2t��- 1 � �CI b � 2J (� -- �c�x �a. c,, ` 3 , z�� Inside Lot L] FL. Yd. Setback Side Yard Setback Type of Construction: wvUfl `'2�'^'�� Approx. Completion Date: `.� .5 Proposed DriveWay Width If New Opening Is Desired: DATE: ^ y'� �� APPLICAhT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�er Main Charge fOTAL STIPULATIONS: CITY DSE ONLY � �f�•��v $ l I./� s ?-`� � Estimated Cost: ��Zdb Alt. A Alt B � � See Back Page for Explanation Tel. �. Fee Schedule on Reverse Side 25K of Building Permit Fee �.50/�1,000 Valuation E425 per SAC U nit Fee Determined by Engineering Agreement Necessary [] Not Necessary [ j , .�'''r±! . .` , . � . �..� ►b„�c�� «("!«<"�ll� , •��s N� � aa:is �.t., lowd Sv►vhriw� � 1 ) .�� Minw�ri�Oli � �iis T..�;,,, �tf�lJ�« �fll�� • , Miww:�� _ �i.il En'IMS.3w� t�liMl+�ne .Tii-AOOe ��+�� ^��••�^� Engineers dc Surveyore �••• coa. •iz ificate ot Surve for �/�/, t• �iAUC'�2, ON5�7. Cert Y __ �___.--- CA�I�I�T LAN� N.E, . � � . �- . �---�-v-- � � . � � , ,--: � � �!� -,-�-.v � � o • � �. � r � � � �. , s� , � V�r � 30 750 �`x�� sec��R Po�+� w-4-8` Scalt• 1�`40t� =' 1�� L .. , �� . 4� . l�0 3� OCK 2� 1� H s � � � � A•a.ko C�+�� ;. 1 w•..�r �•.�:Ir t1►�• tF�is is a•►�• �wd t��t rep��ie�tot�0� f v svsv�r •f th• bov�d�rifs �i fhe �bev� M�s�i►� I�wd, and N tA� lote�ien oi �li bu�ldi�y� th��o�n, and oll visiblc ��tr��cl�TeAf�� i1 anr� /r�e+ M ew 1�M1 bN. •s avr�� br w�e tAis dor ef_ �/�,�Q��+_A.D iq�. .. ` .�_' e t�E�ES �h �IMEt� � . _ ._�__ __ .._ __ � _ ___ SUtURdAN ENGINEERING, INC.___ -- _ __. _�...�....�.�-.......w._.... � __�.. _ . . _ �_ _ . _ _ , - ° : ` _-�_ _.., . _,...-� _ _.__. . . . �, .� �J ��4 O �� . � ��7 GC � �� ____-- __.-- ,'- y- � - ---_ - . . l � � � � � � �� . � , -� � � �� `� � ° . � a �,� ' __ _,� �` � � � � ; �;, i i � ; i . ► , �F i � 1 � � i t �� i � �� I V t i I � I , I � 1 . e 7� \: d ZS �� M �!� M X �� // \ �. Z v �Z � r0 = t� � � � �b �' � �= r �w � . K� �' • `� � 1 . • ' 1 s � �_ . � � � a�W� o � � 'v: bo�c ��`� �,► �4 � � a . � _ � T �� vx � 4' � � �1 Q ' �. � �� . � f � � ♦ - -_,,��_-..._. . , � • o.. r. , SUBJELT PE c�ty of Fridley 2 1 18 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. r � L � � PROTECTIVE INSPECTION SEC. a�� i i----� �'��;'� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVEO BV i 612-571-3450 9i0-Ft5 (/2/gg � � JOB ADDRESS 1630 Camelot Lane NE t LEGAL �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACHED DESCR. 33 2 Harris Lake Estates SHEET 2 PROPERTV OWNER MAII AODRESS 21P PHONE Mike Schorer 1630 Camelot Lane NE 3 CONTRACTOR MAIL AOORESS ZIP PHONE IICENSE NO Richard Hastings Contractor 6331 1Ziverview Ter NE, Fridley, MN 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 574-9966 4051 5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTEHATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK tS SUSPENDED OR ABANDONED fOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORF;ECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO @ @ WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT W2� 168 y�1.OH DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFMITFEE SACCHAHGE PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGULATING CON- $74.75 Fire SC �2.1% STRUCTION OR THE PERfORMANCE OF CONSTRUCTION. � �� _ PIAN CHECKFEE TOTALFEE �� .�, L ��d� License $5. $83.00 S�GNATU�7E OF CON7RACTOA OR AUT RIZED AGENT I ATEI EN ROP ALIDAT THIS I��ERM I SiGNOTUFlEOFO�NNEAUfOWNERBUILDEAi iD�iE� � � �p �iiTE ! ' NEW ADDN ALTER [l [] �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 ��1� `?� � (p � ConstructionAddress: /�, .�� C��C L�7` 1--�/ E� Legal Description: , Owner Name & Address: �� t<�= 5� ��,��iz Tel. # Contractor: 2� G�, -� �t �� .,� S��`,�l� S MN LICENSE #�{p S% Address: � � 3 f t� � � � tZ�; `; � � ( � � Tel. # S' �� / 'l�'pd � LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT W idth Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: � � S� ,� �� o Construction Type:��l � ot�= $- iZ� Iz. � � r� Estimated Cost: $ ��(� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ h� �/ Tel. # S� y-�' i G,,� DATE: (� / �- �' d' APPLICANT: �� .�..._ —_�— Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS : $ , � /� $ �.� � 1. d�o $ $ � �Q $ $ $ $ � $ C� �. � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] � ° � SUBJECT City of Fridley 2 617 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � COMMUNITV OEVELOPMENT OIV. ' j V �"'� �/�/ r � •� PROTECTIVE INSPECTI.ON SEC. ' � /'��1 � CITY HALL FRIDLE`/ 55432 NUMBER REV DATE VAGE OF APPROVED BV �""�'� �'� 612-571-3450 9t0-F15 6/9/98 / / JOB ADDRESS 1630 Camelot Lane NE 1 LEGAL �OT NO. BLOCK TRACT OF ADOITION SEE ATTACHEO oescR. 33 2 Harris Lake Estates SHEET 2 PROPERTV OWNER MAIL A�DRESS ZIP PHONE Milce Schroer 1630 Camelot Lane NE 572-9495 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO. Cardinal Construction of MN Inc 600 Janesville St NE Fridle MN 55432 4 AFCHITECT OR DESIGNER MAIL ADDRESS Z�P PMONE UCENSE NO. 784-6497 20136205 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ AD�ITION � ALTERATION O REPAIH ❑ MOVE O REMOVE 8 DESCRIBE WORK Install two skylights in screen porch 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SO. FT. CU. FT. AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEFTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAFiAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEfi SPECIFIED HEiiEIN OR NOT. THE GFiANTING OF A PERMIT �1 sSOO �. %S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF; CANCEL THE pERM1T iEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- [�H.SO Fire SC �L.SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � -�i�PLAN CHECK fEE TOTA� FEE ��_��_�� - ( - `�'- � � License SC $5. 00 $55. 75 SIGNATUAE OF CON"RAC OA OR AUTHOAl2E0 AGENT IDATEI WHEN PROPER� LIOA ED THIS IS YOUR PERMI / SIGNATUAEOFQWNEAiIFOWNERBUILDEAI �DATE� g� INSP �i�TE NEW ADDN ALTER [] [] [l CITY OF FRIDLEY 5INGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ��,� D L�A- rr� e L o 1� ,L e✓ Legal Description: Effective 1/1/98 �� 0� Owner Name & Address: /)') / /�'� S � �i � � � 2 Tel. # .S %a " i'�° 9S Contractor:�,gR o�/� A! G�o n s� �� /Y1�tt �N � MN LICENSE # a o/ 3�� oS Address: �r� D o�,4. ,ve.� u � 11 � S T` 1�2� �� y/�%�✓ .s's�/3 Z- Tel. #��'y ��/ 9� 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 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. .�'�'s �"A// � SKy �igT'�"�s .�.aV ,3eee�� t�o 2 e, {� Construction Type: �y o a G, f�/c'/�rn �- Estimated Cost: $ /� �O d' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: lp r 9` g� APPLICANT:�r�;� �LLp�/j% �-c./-�A� Tel. #%�'y' �`/9 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � ��'!� $ • J�� $ . ?S' $ �� $ v`'�ls� $ $ $ $ -- �� _ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] oF F��a�Er f�vsPECTiar� aiv�s�arv f31 University Ave iVE m F' � rtdley, (v1N �5432 AP#�LICATIC}P�# F4R �OWER PLAAITS A�ID HE1�4TlNG, Ct7�Lt[+�G, Y��ITtL14T1i3N, � 7G3•572•3fiQ4 REFRfGERATIt}{11 AfS�D AFR CflNDITi4NllwlG SYSTEMS A[%1D DEYICE� � 4, u� m � � r� �n � RATE SCHEE3lJlE R�sid��tiaf Furt�a�e Shell and Duct l+�ork, 8urner - AI_ Rate TC}TAL - n��., �.��r�ent rurnac�e $ 3{},C}� � Sv�u� �Side Vent • Fill 4u� Back) � Gas #�iping (�J�edeti with new furnace, $ 14.f�� $ . bu# not replacement� Gas Range $ 1�.{lQ $ _ Q- — :_ __ __ __ __ _ __ _ __ _ __� �Ga� �ry�r _ _ _ $ �f}:i��7 _$ �*�tpr Conditifl�ting � t�it Sizes All C}therslRepairs &Alteratior�s {�IST pN gqCK} 1% of Value �f Applian�e ar bVork �- QCa►rr�rnerciall�ndustriai � 1:25% of Va��re af Rpplianc� ar t�fark � a � ;. V � � _ 0 � $ 25.Op $� State Surcharge TOTJ�L FEE � �rinr�iinu�v� trE F�R AI�lY HEATINGlCOQLIIVGlVEHfT�LATION �E�'RIG�RATIQMIAFR C4NQIi�QNJNG PERlV�Ii iS �2a.00 � �LUS THE $.50 ST�ITE SUR�HARGf ao - --- @ �EINSPECTIQN FEE $47.0�/Hr � m m�Air Conditioners can r�ot be placec� in � side yard ,vithaut M vritter� perrnissian fram adjaining pt-aperty awner. z ¢ ti � s� �: �.f� C3�f'J �—�e��L�T Effectir��e Qn January 1� �� ESTIf�AT�[} COST % ��O�v , PERft+ilT (VCi.! � :�^ DESCRIPI"IQ(V 4F FURNACE Af�p pR BURNER �ta.-�fil-t�at��g Un"rts� Circle a�re {Steam} (Hr�t 1�Vater) {Warm Air) Trad� fVa r�e 7TLq�E Size tV o.�91 %��j�. BTU ��Oi� � Hp EDR �"�— Ft�eI�YSa>' �i-.9S ,...__ Tatal Co��e�fed Laad Burner Tra+de Narne Size No. BTU _ NP �Q � The undersigned heref�y �nakes applieation for a permit far the work her�in specifiecf agreein� ta do al! w4rk in strfct accordance with the City : odes an $ �� rulings af #h� Buil�ling Oivisior�, and heref�y declares #hat all the fac#s and �Q ��O re�resentatians s�atec� i� this applicatian are true and c+orreef. $ DATE �a—��" .�''J'� HE�Tirv� co � � c � /✓r�-- �� . Sigrted Approved a%! -� TEL#��,3-�1Z�� Rc�ugh•In �a�e � Final Date �� 4� � �,►�� m�,��E �r��_�a in� �r� vErvrsiz�, v C4MBUSTIQN AIR V�RI�1CATf�N ��•d �dlol When r� la i Istina tuni�e, the undersfpned hereby ver�fles that the vtrttin� has been e amin�cl and i� fi�ee irom ru�t, dete�ioration, �bstrur.dons, and i� aecur�ty sup orted �nd fEra�topA�d where roquired, Yea 40 No ( i '�'h� ventin� system is piasticJ'PVC and meeta a11 parr,ent codes and m�nutactur�ar gP��xsons inclu in� slzi�p, I�h, number caf elbows and termination, Yes Qc) Np () The Gndersigned at o ver(}ies th�t the replacemsnt unit i� a listed assembly and irreets the cta nt codes �nd manufacturer'� speci�t�ation:. This doeaa indude AGA-GAMA Categary l Centra! Furnoc� Vanting Tables for fan assisted and natura dratt �pp�ia�nce�. The ax�stin�_cQm� and manufacturers VVf�n required to �p % me�f the currer�t is sized and installed to meet the cum�nt cod�s n�v eom_�uation a�ir it wlil be sized �nd installed and manufadurers ep�ctflca�ons. When ' in . the underaipned heroby veriRa� tttat it Is a Ilsted assem�t and mest$ the c�c»rro,nt codes and m�nuf�cturer"s specifrcatlons. Thfs oes include AGA-GAMA Category'1 Cerrtral Fumace Venting Tabces for f�n assist�d an� natural draft appliances, Is the c.ommon v�nt �nd verrt cor+neGtors sized �r1d it��t�llsd corr�tly aRl�r an appiiance has be n removed from the camman vent and vent�d sep�r�tely �s per cu nt cad�s. A,�pliatnce #1 Type _ Appliance #2 Type - App�ance �i.3 Type - Tatal Appliances Commor� VQnt Type Appfiance #1 Vent Appliatic$ #2 Vent Ap�liance #3 Vent � HE4T1NC3 CQ: S�gned By: i�I@'d 656�£9j 'l`Z U,�',� Yes �() No ( ) Yes � No ( } Yes (� Na ( ) Yes � No ( ) Yes (D� No ( ) 8TU fnput �� Far nttor Nat � � �� BTU Input � a�� n A�sei��ted or �Vat � BTU Input �,�,,,,� Fan Assisted or Nat � I Btu Input � �'-�- ._,_, Vent hielght �, �,,,� Diametcr �,,,,,_ inc�es ��rt ..-.�„_1t L�ngth �,ft Diemet.�r � in T'ype � Hei�ht _____f� t�angth ",.ft �iameter �in Typ� �, Meight _____ft Length �1� Dlameter __,�__in TypQ � u3 j,�uG , L�v� � � � ��Tl ��'a��- Ol ��= �� 'r�� s�.r��y �-� Date : � � �Z ,� J.��Q I�� 0 Al I� I..q�1� trS : t Z 00QZ-0£-Nflf C►TY �F FRID�EY fNSPECTIQN DIViSi�pN £431 lJniver�ity Ave NE � Fri�dley, NEI'�! 55432 APf'LIC1�Tt�l� �'QR PO'WER PLANT� 1��+ID HEATING, COOLI[+�G, V�1+�ITlLATIC3N � 7�3-5723�ii34 REFRIGERATIt�i� AI�Q AFR CONDITi{}f+lING �YST�MS 1��ID DE�fICES� f � m u� m �o � � � RATE SCFlEE}U!E ��S��entE�� Furr�ac� SheiJ and Duct bVork, $urn�r - ace [Side ��nt - Fill 4u� Backj Gas �'iping (�J�eded with new furnace, bu# not replacernent� Gas �iange . �, - _ -- --- - _ . _� �Ga� �Ky��- __ -- �Air Canditiflning • ,�I! Siz�es Rate �'t}TAL $ 3{}.0�0 $ %� $ lU.f�{} $ $ 10.�0 $ J�B AQDR 44�'NER �� ESTIMATEa G�ST Eff�ctive 4n January 1� 2p � �� C� �Tc�'c�: PERMIT N� QESC�IFTIOf�I tlF FU�t(�ACE Af�D OR BUR�IER - ---- - - ____ _..�ya��l-�at�ng / 'ris Gircie 4�e �Steam} {Hvt 1Nater �'Warm,qir�' _ __$ �f%:l�47 _ $ _ BTU � Siz� iVa. $ 25.0(} $� F�e � HP EdR I All C}tf�erslRepairs & Alterations {�IST (}fy gA�F(j l�a of Value of Appl�ance ar lNork �- QGarr:rnerciall�n�dustriai � 1.2�°Jo of Va�ue of ,Appliance ar ln{Qrk � � D } �- c� � a � � S#afe Surcharg� T{7TAL FEE ��r�i�+��m FEE FCIR ANY HEATIN�IC40LING/V�NT�LATIOM �EFRIG�RATI4NIAFR C{}NpITfQItif1N�G PER�Ii iS $2a.0� � �LUS THE $.5Q S�TATE SUR�HARGE 00 @ �EINSPECTIflN FEE $47.0(}IHr � m m�Air Canditioners can rtot !�e �IacecE in � side yard wiihaut ��ritte� perrnission fram adjaining p�aper�y owner. � z Q ti Total �on�ect�d Laad �urner Tra�le Narne � G'UU Size Na, � B �TU HP E�R � 5'S-� � �J� $ ,D The undersigned hereb�r rr►ak�s application for a permi# far t�e �v�ark her�in specifiecE agreeing to �lo all w4rk in strfct a�cordan�e +nrith the City Gc�des an rulings af the Building Oivisior�, and heretay decfares #hat alf the fac#s and represer�tatians s#atec� in this application are true and cflrreet, �1 DATE � �� H EATt�lG C� c��- IQ "�C �i ��'r.�� . � � Sigt�ed ,_ i'EL # Appraved BY -��_ Rough• I n�ate ��inal D ate --� BACK SIDE M�1ST BE FfLLED I�! QN VENT SIZE, VENT CO�fNECTaRS 4�ID C41U(BUSTIQN AIR ��RI�ICATI�N JAN-31-2��1 @8:1� FROM CITY OF FRIDLEY 6516336959 P.02i02�, When re lacin an exi tin �urance, the undersi�ned hereby verifiesith 't the venting h�s be�n exami ed and is free fram rust, de#�riortion, obstrua�ior�s, and is secur'�1y sup�ort d�nd fir�stopped where required. �� Yes �) No ( ) The venting system i� p1 sti�IF'VC and rn��ts �lf current codes and i specificatians ir�clud�ng izing, I�ngth, number of elbows and #�rmin2 Th� under�ig�� v rifi�s th�t the replacement uni# is � listed as, and meets the curren# � des and mar�ufacturer's specifteations. This include AGA-C,q�1/1A C�t ��ry I Centra( Fumace Venting Tabies for f assist�d and n�#ural dra applianc�s. Th� existin �omi and manufac�ur�r's When required #o i� to m�et the current is si��c! a�d jns±2tlled to m��t the <<,�w comnusr�on air it wi(1 be siz�d and and m�nufacturE�'s sp�cificati�ns. Wh�n instatlit� a n�w v`ntin� sy�t�tt�'�, the und�rsigned here�y verif i� is � listeti �ssembly art me�:ts the current cades and manufacture�'s �pecifc�tjans. This does include qGA-GAMA Category I Gen#r�l �urn� VeC�tirlg T�bles far fan �s isfed and na#ur�l draft �ppliances. ; I� the cammon vent and ent cQnnectors �ized and instafied correctfy ; $n �ppfiance has been re ov�d from the common vent ar�d ventec! separateiy as per current ocl�s, Appiiance �1 Type - Appli�nee #2 Type _ Appliance #3 Type - Totaf Appliances . _ BTU Input `_'� �� _ BT1j lnput Fan .� BiU Inpu# �� Fan Totaf Btu lnput � (I�d � t�at ,, Yes� No ( ) Y�s� No ( ) Y�s()No() Yes()Noi) Y�s �j lrlo { ) .1 Y�s (�j No ( ) or Nat � �r Nat � or Nat �� vmmon Vent Typ� Vent H�i h# �� 9 Diam��ter;�, i��heS Appliance #1 V�nt Canne or Heigftt _� L�ngth ft Diameten-I�in Typ�e Appli2r�c� #2 Vent Conrt� ar H�;ght �#� ��„ th Applianc� #3 V�nt Cvnne or Hei ht � ft D��meter�`ir� Type � � ..,.,��t Len�th ft Diameter��,�in Typ� � ALT�RATIt�N5: Describ - ! � NEATIN� CQ; Signed By: ,� ��f��. Qate �� ' - 12-2,� --�_ SuB�ECi City of Fridley AT THE TOP F THE TWINS g U I L D I N G P E R M i T r � . � � � • COM UNITY OEVELOPMENT DIV. � ; V �� , r � � PROT CTIVE INSPEC710N SEC. � . � � � �"'� � CITY ALL FFiIOIE� 35132 NUMBER REv �'""�"� ,�� 763-571-3450 910-Fi 5 �oe Aooaess 1630 C ELOT LANE NE t LEGAL LOT NO. BLOCK TRACT ON ADOITION DESCR. 33 2 Harris Lake Estates 2 PHOPERTY OWNER MAIL ADORES$ Michae� Schorer 1630 Came2ot �ane NE 3 CONTRACTOR MAI� ADORESS Same � ARCHITECT OR DESIGNER MAIL AOORESS 5 ENGINEER MAII ADORESS O�TE 7/18/03 21P ZIP v�GE O� / / �3714 � RECEIPT NO. ' 3g5 a� APPROVED 8� SEE ATTACHED SMEET PMONE 763-572-9495 PHONE LICENSE NO PMONE LICENSE NO. PNONE LICENSE NO Residentia� 7 CLASS OF WORK ❑ EW C� AOOITION O ALTERATION O REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Construct a 16' x 13' Detached Deck 9 CHANGE OF USE FROM STlPULATIONS See notatio:is o:z pl��. TO �� 8eforQ diA��n� c�ll for a�� utility locations 454-0002 �� i �,�� TYPE OF CONST. SEPARATE PERMITS ARE REOUI ED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIO ING TMIS PERMIT BECOMES NUII AND VOIO IF WORK OR CONSTiiUCTION 20NING AUTMOFlIZED IS N07 COMMENC D WITHIN 60 DAYS. OR IF CONSTqUC71pN OR WORK IS SUSPENDED OR A ANDONED FOfi A PERIOD OF 120 DAVS AT ANV TIME AfTER WORK IS CO MENCED. NO DWIG. UNITS I MEREBY CERTIFV THAT I MAV READ AND E%AMINED THIS APP�ICATION � AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $2�583 WITM WHETMER SPECIFIEO MER IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE UTMORITV TO VIO�ATE OR CANCEL THE pEqMITfEE PROVISIQNS OF ANV OTMER S ATE OR LOCAL lAW REGUTATING CON- @83.25 STRUCTION OR TME PEFfORMANCE OF CONSTi7UCTION W �OA�ZEO aGEtiT NsTURE O� OWNERiif �� iDATEi OCCUPANCYGROUP OCCUPANCVLOAD SO. fT CU FT. STA��S �V'/ EN PROPEQIV VAL � � BL INS� OFFSTREET PARKING IGARAGES SURTAX $1.29 SAC CHARGE Fire SC $2.58 TOTAIFEE $$� . �.2 � p THIS IS `/OUR PEAM T � il�fb� r�cff NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor: LIVING AREA: GARAGE AREA; DECK AI OTHER: Construction Type: � �O3 CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1� � Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 71-1287 Fax �� re�. # 7�03 -S `7� °p��.� MN LICENSE # Tel. # ttach to this application, a Certificate of Survey of the t, with the proposed construction drawn on it to scale. �� DESCRIPTION OF IMPROVEMENT �� i� Width Height Sq. Ft. � Width Height Sq. Ft. i Width �3 HgUGround � Sq. Ft. � C� Estimated Cost: $ ,. � l� � 3 � ,��p Driveway Curb Cut Width eeded: Ft. + 6 Ft = Ft x$ _$ � / D�r 'sa �-�.� DATE: � l�� A PLICANT:, �cc�tCA,�� c�l/C�6�� Tel. # 7G.`� -� Call (763) 572-3604 for Pe call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ $ $ $, $ $ $ $ Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will � � CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 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