AF - 43899�C: A�. & Mr�. gtor�h
�P�� �g, �.959
�w►5.� �. t7�rZ�on & �o�, 7�►e�.
3�Q �nc� �,v� �n't,�t
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— �► �r. ��h re��9,n� e�t �7�l1 ��r�trel .��em8e �. �. ds�nd� �h� a��eze
'Co mak� �,n �rie�e�t�a os h� d��l.lin� �.n a�eg+� t� � �+�'�s of �ultjr
�'t�at�'i�i�, �r 1�ef.� m�d� �� ti�ra., t� i'3.ctdita� e,x�e �� t"oilc�a�s
�h� �p�on � the+ e �.� �e.��, �p �� �o f`r��t �,vin�. �.t�e�, th�
b�i�k-.�c�r�� ►�h�c�h � �� ���Li�,t,�.cs� �tE �he �a�dfr�� Ixa���f,��� �� �d.1.�
p3�� ar� �top of t�ae �.gron, r�tai+a� d�, t�� n11t� ��� �r�p� �r�nt og ���
�prma� �i��cru� �,��� bre�ge �� � �ar�. ��er �be�► �asve�ti�.�oa�,
the r�.r ���,�9�►n �a1�. �h+�s� a�r�.����.]. c��c � t� %��a �nd t&��
��c�►mm� �Ca► t�� �p a�r� �a� ba�. T�h��, z r�,1.��, � 1�� a���a �
�e►at pre���a t�i�i�� c�r��aaly tu�ve be+� mmr� ��a u� thi� �. T�
�hc�we �r� ].��e blm�k �,t ixi�e �f p�a�fng ��12 ��r�eA b� � exad ��►
dlowt� a� t�� 1'a��'�a 1by th� dae�rt�r. �c�rd9.� '� t�. ��►�� � 1��
1���� t� ��a� towsde��oa� ��d th� l�ae b%re� �ai t1� p�rt,�n�g
�.Il..
� �te�ar ��►�rr �o tb� i� � fh�o� �� 1i�� ar� �ss � th� ���i—
��ion►► ot' thi� o�'!'�.t�► �� b�9� oP �oor �n�'�rua��ion. "The po��ibii3�y a�`
aollap�e� ��i�► �. he�e.eg 3o�d ra� e�r�d dcn�# ean �+�n��,dered a
prob�ble k�.p .
��� 08' the �ic�rr� ?zn re�ard � tlae �ront �lk a� ���p�
�hc�r�t �t �. e��i� �• v� � +�� �d+� �m � �otot�p �ad �
s'��ps d�aa t��arto +� itxealwci�g �r� oS the �r�.�y �ith no �d�ncs� o�'
f'�ti3.��i�� �► bi�d� �he a�t�p� and the �k t,o��t�er. �e �ett.�.�t>����
�► �ii tu�d� �� t�lk-�a� b�.� �a�e� �. �s�ry bs� e�� at�ndit��
��ti.ch �S �,d �n �p�lg re9a�o�*eed,, �aou2d n+�t lu�ve �e�,� �o ���h,�9.y
� cto�itf.aua.
I t'e�l th�� 1�r w S���zh �e � 1����G�� �onp2aint� offi ao� �itat�
a� he �'el� �rer�r ��,��ed aboa�t th� e�aaaditivn� aaa ��e.t�d k� vouleP
no� t��� 'th� ��'F.�► Ii�hf.l�.
�oP�� �ha� you ese.� c�o�s�t�i the� �t��, I�
l+�s �
R�ap�tf�l�r yot�r�r
i�le� W. �3s�
�uiZd�ag In�to�
� ., +
',ARV1D
%�ui�cie�s
E.
l�e��fa�s • �e�ela�ie�s
����
SON,
3 2 O O F R A N C E A V E N U E S O U T H
M 1 N N E A P O L I S 1 6, M I N N E S O T A
Mr. R�a.1ea Tg1er, Building Inspector
Cit�r of �ridle�r
b�31 IIaiQersity Avenue B.E.
M3.r�eapolis 21, 1�i3.anesota
8e; 577i Central A�eaue N.E,
Storch Heaideace
Iaspect3on
�e�,r Mr. '��ler:
,<
� rL'�?;�
�:wtaRS;�
,�� �{m::� �, :.
P H O N E: W A L N U T 6- 6 5 O 4
�� �-� a 1959
Thank you for gour letter o� April 28, 1959+ rega.rd3.ng cer�a.in condi—
tion� vaar�a.n�3ng our �.ttentio�. at the sta.bject premises.
�le, of covxse, do not feel responsi'ble for the apron cracking dne to
frost heavingz ho�ever, to thoroughl� isolate the apron from the brick
v�eneer a.gainst avy fnrther subsequent mot3oa of �Ghe apron, we plaa to
remove the e�3sting apron and pour a ne�r one with gre�.ter egpansion
joint cle�.rance at a.11 points.
As to the horizontal crack between the top and second covrse of blocks
in the rear fovnda.tion Tcrall, we w311 be gla.d �o poin.t th3s up at the
time of �he above apron work, in addition to sec�u°ing by re�etting one
loose bloek in the garage bearYag curb, as prom3.sed to Mr. Storch.
If the 3sa.nging of the stair stringers �.ppears questionable, we will be
glaa. to add metal strap ha.ngers to preclvrle aa�r snpposed poesibility
of collapse. '
JC-S.bcm
cca Mr. Arthvr F. Storch
Ya�ars very trvly,
D E. (iARZS�N & SON, I�'C.
�
. • �' ,G
� � ��� ; ,�� � . .
ahn G...Sp se1
�� ��
��
sue�ecr PER .
c�ty of Fridley �"� �� � 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
�
� �� COMMUNITY DEVELOPMENT OIV PT NO.
r � L � PROTECTIVE INSPECTION SEC. ���
� �
� �
� � /"'1 � CITY HALL FRIDLE� 5S4S2 NUMBER REV OATE PAGE Oi APPROVED BV
�""""�' �'' 612-571-3450 9�0-F15
8/21/95 / /
IOB ADDRESS
5771 Central A
t LEGAL LOT NO. BLOCK TRACT OF ADOITION SEE ATTACHED
DESCF. ], 1 Parkview 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Realy 5771 Central Avenue NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Exterior Innovations 2187 Overlook Dr, Bloomin ton MN 55431 884-0814
d ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE L.ICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING Sa. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PEFiIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED �y
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �C7 S7% quao �3.44
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S RUCT R THE PERFORMANCE OF CONSTRUCTION. 124.75 Fire SC C).8%
PLAN CHECK FEE TOTAL FEE
Lic nse C 5.00 140.06
si EOFCO • C?ORORAU OAl2EDAGENT IDATE� WHE P OP lY V pATED THIS IS YOUR P RMIT
_ � ,.
S�GNATUAE OF OWNEFl �iF OWNEA BUROERi �DATEi BLOG �hS ��4TE
. . . . . �r,.Zt,w-;a.:,:;qt! .a :.ri,�t,:c: .. . .s. . .. ..a ... ... . . .. . . . . . . . . . .�. . . , . . , ... , . , . . . . . . , , , . . , . . . ..,.... ..
NEW []
ADDN []
ALTER [ ]
Construction Address :
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
� �� Building Permit Application
��---a.- �--�-�-� � � , ..� , �
Legal Description: Ld7 I
Owner Name & Address: �
�
Contractor: � � 7�-�- fo�
Address:
LIVIN�ir � AR�A: .
GARAGE AREA:
�ECK AREA:
OTHER:
�
� 6� �
Tel. #
Effecdve 8/ 1 /95
��� ��
� � MN LICENSE #
� — -� r
�' Tel. # � �
� _ 2�C�s� P---�-� � � .
Attach to this application, a Certificate of Survey of � the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
`i;ength � � . - 'Width . . . Heigfit , sq� Ft. . . . .
�IIg�h Width Height Sq. Ft.
�ng� wi� Hgt/Ground Sq. Ft.
Coraer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacl�s
Type of Consiruction: �o s ��� �����-,� Estimated Cost:. $ � � e r7C� _
Approx. Compietion Date:
(Cost on Back)
Driveway C�t Width Needed: Ft. + 6 Ft = Ft x$ = S
DATE: � �i '= APPLICANT�� Q � °¢ P�,.� Tel. # � � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY`
$ ��'� •`�S` Fee Schedule on Reverse Side
$ ° .(�1 of Permit Valuation (1/lOth%)
$ $.50/$1,000 Valuation
$ $SSO �r SAC Unit
$ �. (.X� $5.00 (Stats Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.� Conservation Plan Review
$ F� Determined by Engineering
$ Agreement Necessary [ l Not Necessary [ l
I► 'I' �•
STIPULATIONS: ° ° '� °
93iTILDING 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 sbructure, or for any alteration or repair to any existing building or
slructure, 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,(}01 to $25,�
$25,�1 to $50,000
$50,001 to $100,Q00
$100,�1 to $SQ0,�0
$500,001 to $1,000,�
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$2i for first $500 plus $2.75 for ea.ch additional $1� or
fraction thereof, to and including $2,000
$62.25 for first $2,� plus $12.50 for each additional$1,�
or fraction thereof, to and including $25,OQ0
$349.75 for first $25,� plus $9.W for each additional$1,000
or fra.ction thereof, to and induding $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,� or fraction thereof, to and including $100,OW
$887.25 for first $100,� plus $5.00 for each additional
$1,0� or fraction thereof, to and including $5�,�
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,�0 or fraction thereof, to and including $1,000,�0
$5012.25 for the first $1,(�0,� plus $2.75 for each add.itional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCR4W
(Concrete Cvrb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
Alternate "B" : Removal and replacement of curb and gutter and in.�tall a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issu� a minimum of 24 hours from the time of application to allow for proper
review of the propos� structure and of the construction site.
A Certificate of Survey of the lot, showiag the location of the foundation once it has it has been conshvcted
will be requir� before proceeding with the fiaming.
�-� _ ,
sue��tr O.
City of Fridley 3 0354
�
AT THE TOP OF THE TWINS B � I L D 1 N G P E R M I T
; � RECEIPT NO.
� �v _ COMMUNITY DEVELOPMENT OIV. e ���
r � � � PROTECTIVE INSPECTION SEC. � /��
� i , �
� /'�'1 � CITY NALL fRIDLE� SSIJZ NUMBEN REV OATE PAGE Oi APVROVEO BY
�"""'� � �'' 612-571-34b0 810-F15 10/6/99 / /
JOB ADDRESS 5771 Central Avenue NE
t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED
oesca. 1 1 Parkview 2nd Addition SHEET
2 PROPERTY OWNER MAtI ADORFS$ ZIP PNONE
Richard Kealy 571-0477
3 CONTRACTOR MAIL ADDRE33 21P PHONE LICENSE NO
Aztec Roofing 11583 Ru Dr Burnsville 55337 895-0040 20139140
4 ARCMITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW O ADOITION � ALTERATIQN � REPAIR O MOVE O REMOVE
B DESCRIBE WOpK
Reroof house (20 Sq) Tear-off
9 CHAN(3E OF USE FROM T�
STIPULATIONS
Underlayment mu.st comply with the State Building Code.
�err�it Inspection Card�
� Vllill �e I�ailed
Yo Home��rner To Posf
SEPAfiATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, FIEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING Oii AIR CONOITIONiNG.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. fT CU FT
AUTHORIZEO IS NOT COMMENCED Vy1THIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I MEREBY CERTIFV THAT I HAVE READ ANO �%AMINED THIS APPLICA710N STAILS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
ANO OROINANCES GOVERNING TMIS TYPE OF WOpK WILL BE COMP�IED
WITM WHETMER SPECIFIED NEREIN OF NOT. THE GRANTING OF A PEfiMIT ].%4H . H%
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEi�M1T FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION 63. irJ Fire .SQ �.. %5
PLAN CHECK FEE TOTAL F
License 5.00 70 7
S�GNATUpEOFCON'FACTOpOAAUTHOA�ZE00GENT �OntE� N ROP L VALIDAT IS IS VOUR PEAMIT
�a-�- ��'
S�GNaiUAE Of pWaEa�i%pWNEABU4DEiii iO�TH� B G�NSP ' ����E
� JUN-c4-1998
v�w ' � �
�DDN ( J
�LTER ( j
�onsuuctionAddre;
(.egal Description:
11 � 48 FR0�1 C I TY OF FR I DI.EY TO
8959962����
uaaw�� •
CIT'Y OF F�tIDLEY
SIIYGL� FAMiL'S�' AND DUPLEXES R-1 AND R-�ITY OF FRIDLEY
BUILDING PERMTT APPLICATION 6431 UNIVERSITY AVE. N.E.
�RIDLEY, MN 55432-438��
�wner Name & Address
�onctacv
A►ddress:
�/�� VI �1''c( �c�,_ Te1. �i � l z -5 7 / -0`( 7T
�vsEa 2���9�y�
Tel. � (L2 -�'`1 S-��
Attach w this applicadon, a Certificate of Survey of the
lvc, with the proposed construction drawn on it to scale.
DESCRIPTYON OF IMPRO'VEMENT
LI'VING AREA: Letlgih _ Width Hcight Sq. Ft.
�AR.AGE AREA: Length � Width Height Sq. �'t.
DECK AREA: Length � Width � HgUGround Sq. Ft.
pTHER: . - '
:onsnvction Type: Estimated Cost: $ _ . "' � ��"o -_��
(Fee Schedule on Back)
)riveway G�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$
)ATE: 'L I l APPLICANT: Tel. N$�v`�- C1�� (�
'ermit Fee
�ire Surcharge
;tate Surcharge
�AC Charge
.icense Surcharge
)riveway Escrow
;rosion Control
s � 3,��
$ ,7
$ ��
$
$ o�
$ �
$
CITY USE ONLX
Fee Schedule on Rcverse Side
.001 of Pennit Valuadon (1/IOth�)
$. SO/$1.000 Valuadon
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. uA" or A1t. "B" Above
$450.00 Conservation Plan Revicw
'ark Fee $ Fee Decermincd by Engineering
�ewer Main Charge $ � Agreement Necessary ( J Not Necessary (]
TOTAL
�TIPULATIONS:
$ 7�� �
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
��i�,ii•► / ►� / �� •►� •: '►� ��,�i: 1•►� ! : I : �I�j�i��
Wtten r,� In acine'an�e�ln0 furapGg, the undersigned h�reby verifies that the
: venting has been examined and is free from rust, detecioration, obstructions, . •
� and is securely supported �nd firestopped where required. Yes ( i No O
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The QY � �eme���on Air is sized and insfiailed to meet ihe current codes
and manufacturers specifications.
When PiBqulred to �netall a n_w _emb �etien air� it will be �i�ed and installed
to meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
�n gp�� a new ven�in�y �m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
speccifications. This does include AGA-GAMA Category I Central Fumace
-�/�rtti�g T�bles for faa �ssi�t�d at�d natural draft appliances. _ Yes () No ()
Is the common vent and vent connectors sized and installed correctly after .
an apprance has been removed from the common vent and vented
separately as per curre�t codes. Yes () No ()
�.. .� - .,- .�. .����.� -� .�. -� .��- . � ..��. .�
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total A.ppliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
App4ance #1 Vent Connector Height ft Length ft Diameter in Type
Rppliance #2 Vent Conn�tor HeigF�t �t Lenglth ft Diarrteter' in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type N
� � �•► �;- �.-
HEATING CO:
Signed By: Date :
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 LINIVERSITY AVENUE NE
FRIDLEY, MN 55432
57"L-36U4 1+'AX:
: 5771 CENTRAL AVE NE
: 243024230030
: PARKVIEW MANOR 2ND ADD
: LOT 1 BLOCK 1
: HEATING
: RESIDENTIAL
: FIREPLACE
571-12if7
VALUATION .
NOTE: INSTALL 1 FIltEPLACE (WARM AIIt, QUADNA FIRE, 30,000 BTLTS)
APPLICANT
FIltESIDE HEARTH & HOME/ALLIED FIRES
2700 N FAIRVIEW AVE
ROSEVII,LE, MN 55113
(651)633-2561
OWNER
TIM, SWILER
5771 CENTRAL AVE 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 construction
or work is suspended or abandoned for a period of 120 da.ys
at any time after work is commenced.
I hereby certify that I have read and examined this
application and l�ow the same to be true and correct. All
provisions of laws and ordinances goveming this type of wor�
will be complied with whether specified herein or not. The
granting of a pemut does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulatin construction or the performance of construction.
An icant A / Date 1 �
Bldg
_ `�-�-�-�_�-._.=_�,.h
PERMIT T�jO.: 2004-00460 _�i�•
'� =---_z_-__- -
DATE ISSUED: 04/08/2004 ��f'`` ��',�
HEATING PERMIT NIII�TIMUM FEE
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 1688
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
25.00
0.50
25.50
MAY-03-2806 01:�4 RM STANDARD WATER CONTROL 763 537 1882 P.01
V:TVI ur����v�v���...�..��. .....�Jr:""" "' _ 4" " . .. r �
'� ALT�t�t (] 81N�L.�: F�II'JIi�Y AND bUPLEXEB R-1 � AND R-2 {763) 571-4287 Fa�c
� ElWILDiNG PERMIT AP@LICA►7I.ON ��(.`�� � - �"�� �� d
Constru�ti�n Address:
Lsgal aescription:
Qwner Nam� & A�
Tel. #
MN l.lGENS� �
�T�1. # ,���%— �%r���
Att�ch to this appli�atian� a Certiflcate of Survey of the
lot, wlth th� pm��a��d ccnstruction drawn on it to scale.
�t���RIPTiQN C�F IN9IPROVENIEN�T
LIVING AREA: Len�th V�n� Height � Sq. Ft.
vAR�►�� AFt�►: �engtt� Vv�c�tn Height �„^ sq. Ft.
DECK AR�A: Length � �'��h HgUGraund Sq. FL
OT1iER:
.�--
Constn.rction Type�:=,��e�d � f���,� Estint�t�d Co�t:
Driveway Curb Cut Width NBeded: ��t. �� Ft =
. ARP�ICA��''����,��,.`
DA7�: f "
Call (783? �7Z-36�4 !or P�rntit Faes if mailirie iro
call you rtor c�rd number.
t;ITY ti$E CiNLY -
_�s � � � ���
�
•� I
_ ,
Fax to 783-671-7287 if using credit card and we will
Permit Fe�
Fire Surt�arge
Sta#e Surcharge
SAC Cha1'ge
License Surc�erge
Curb Cut �scraw
�rosio� Cor�trol
Park Fee
Sewer M�in Charge
-rorA� . .
$�"�P ��'�_ , F��� Sc�edu� oru R�vers� Side
�„ . � � �� _ .001 aF Pen�t�v�luatio�, (1110tl���)
� � �� _ $.�/�1,OQQ Valuation
� _ $°I275 per SAC lJnit
$ _ � �°�� � ��5.00 (State l.io�ns�d Residentia! Cortttrr+s�ctor�)
� _ A1t ��A'� or A1t "�" Above
$ � � $�O.QQ Conservetion Plan Reviaw
$ „ F�e Determined by Engineering
� _�,� A��reemer� Ne�ssary [) Not N�s.sary [ I
,
� ��� � � ��
;
���`
�'���`'
- _ .�
MAY-S3-200� 01:34 PM STANDARD WATER COMTROL 763 537 1882 P.02
.i a ',?
.; �
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Stat� of Minn�sot�
Departnt�nt of Labor and (ndus#ry
d43 Le►f�y�tte Road.N.
�t. Paul� MN 5516v-4344
�anstruct4on Codes and Licensing Divislon
Tel�phone: (651) 26a-5065
�.-mall address: dii_contractor@st�ta.mn.us
Websi� address: www.dali.sta4�_mn_us
Residen#�s�l ��uildin� Cor�t�c#or License
� Legal Name: STANOAR[� WA1`ER t:ONTRC�L �YSTEM INC
C�BA:
Address: g337 �.qKELqND AVE N
CRYSTAL, MN �r6429
L�c�nseld�nt�flc�ation Number. f��
Business Structur�:
CORP�RATlON
Qualifying P�rson: MIGHA�L W HOG�NSCfiV
Licenss �xpiratlon I]ate: �131/2007 Contlnuing �ducation: 7 hoUrs due by 3f31l2c}Q'�