AF - 43022�
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City of Fridley, Minn.
BUILDING PERMIT
Date: _._.__�E 29�.1966 _�
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N� 8909
Owner: _. RICHARD M. FICOCELLO_�._ _ Builder _. IMPER��?,....�,A�i,AG�_.BITII,DER�._______...—
Address ..._ 6329_ DELLWOOD. DR�E ..�.�......_.___.._._ Address _.._.12/�83._._— _?3r.d....A.ueaau�a-�7oa�-�-�#�-.---�
FRIDLEY, MINNESOTA 55421 Osseo. Minnesota
No. _.._6329
i.ot _..._._19._
Corner Lot ..___.
Sewer Elevatiam
LOCATION OF BUILDING
Street ._._.. DELLWOOD DRIVE _N..:.E �_._.._..._..._._..._.._._. Part of Lot ._.._....._._.._._..._.._.
. Block _�.___..._____._..____ Addition or Sub-Division __.._..1`�S?QR �, .FL� ..HTf:Hi.A'ITI)� .�_..1.ST—ADDN.
_ Inside Lot _..._.._...X._...__..._._ Setba,ck .._._.._..b5. � __._._ Sideyard .__._.j,.�.! :._..
Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as: 10
DET.�_ G�.....C.�.._....._ Frant __..?�.._.. Depth _._._.?.�.. Height ._.._.�...._.. Sq. F� _...�.�$ Cu. F't. 5..,.28n
.._.__._..__._..._.....__._.___._ Front .._._..........._.. Depth _...__v_._.. Height ._.._......_...__ Sq. Ft. _..__.._...._. Cu. F't. _.
Type of Construction __.._....._F�M�_....._..._._... Es� Cost _...�1.:_500..�0...._........ To be Completed _..:__..._....._w __._.
Iri coluideration o! the iseuanee to me of a permit to co�st
tha propo�ed work in accoxdance wlth the d+�ecrip#an above set
ordinanc�a o! the dty o! Fridley.
e building described above I agree to do
ead in cornpliance with af l provlaioru o�
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Iri COauider8ti0�► Of the p8yment O! a fe@ O! �. 5.00 ._.__._.._.., peTiriit 18 h6�'eby �ranted t0__.�ERTAT. C. RA ,(�
BUILDERS to co�atruct the bui181ng or addition ae dsscribed above. Thia permit is �ranted upoa�
the express coaiditlon that theperson to whom it is granted and hia agente, employeee and worlcsner►, ia all work.
done in, araund aad upon said building, or anypar� thereot, shall conform in all reapects to the o�dinaaae� o�
P`ridley, Mianesota rea locatlo�, c�atructfon, alteratio� mais►tena�nce. repair aad movit� o! buildi�s
arithin the dty ]imib and�s pesmit may be ravoked at any t3me upaai violation of a�y oi the provldans o� said
ordinaace�.
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(�1'•ARFNCE BELISLE B�� ���
NOTICE:
11�b p�e+nM dow not eo� th� eonstrueNon. M�aIlNien Mr wirin�, pWsibino� Yn hNNno, aw� er wabr. !� �un to �
�h� lnildiao latp�eler hr ap�raN p�emNs iee 1h�a h�nu.
APPLICATTON FOR BUILDING PERMIT
CITY O� FRIDLEit, MINNESOTA
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N0.__ (� 3 Z 9 STREET �� PART OF LOT ir�
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LdT INSiDE LOT '� _SETBACK ��� � SIDE-YARD � 9
SEWER ELEVATION k'OUNDATTON ELEVATI4N
Applicant attach to this form Two Certi£icates of Survey of Lot and propoaed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
�l�„��rG _ � ;i���K�G- Front_ � � Depth o� 2. Height �
Sq. Ft .,� �, �i Cu, Ft .�2 2�
Front Depth Height
Sq. Ft. Cu. Ft.
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Type af Construction Estimated Cost r�00.
To be completed_ Q„u� �Q
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the Gity of
Fridl.ey Ordinances and rulings of the�Department of Buildings, and hereby
declares that all the facts and representations stated in this apglication
are true and correct.
DATE 7,.,�► SZGNATiJRE .i'e�f JI�E� �'l � _1.�del�'� �
(Schedule of Fee Costs can be found on the Reverse Side).
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12483 73rd ,,.��.,,� ,�v.
RT.2 OSSEO, MINNESOTA
PHONE 425 - 2618 r
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City of Fridley 3 0762
AT THE TOP OF TME TWINS g � � L D 1 N G P E R M I T
� � RECEIPT NO.
, � l� �
� • COMMUNITY DEVELOPMENT DIV.
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r � � PROTECTIVE INSPECTION SEC.
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� � �"'1 � CITY HALL FFIDLE� SS�SZ NUMBEN pEV DATE VAGE OF APPROVEO BY
�""'�" �'' 612-571-3450 9t0-F15 3124/00 / /
JOB ADDRESS 6329 Dellwood Driv e NE
t LEGAL �O7 N0. BIOCK TfiACT OR ADOITION SEE ATTACNED
DESCR. 19 1 Moore Lake Highlands lst SHEET
2 PROPEiiTY OWNER MAIL ADORESS ZIP PMONE
Laura Ficocello 6329 Dellwood Drive NE 571-9545
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO
Twin City Exteriors Co Inc 9060 Zachary Lane N, Maple Grove MN 55369 425-4737
� ARCNITECT OR OESIGNER MAI� ADDRESS ZIP PHONE UCENSE NO.
2535
5 ENGINEER MAtL ADDRESS 21P PHONE UCENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Reside House
9 CHANGE OF USE FROM
TO
STIPUlAT10NS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
Call for building wrap inspection before covering.
Perm�t'�SAecf�on Cards
To HWill Be Malled
omeowner To Posf
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING,
VENTII.ATING OR AIF CONDITIONtNG
TMIS PERMIT BECOMES NUII ANO VOIO IF WORK OR CONSTRUCTION IONING S�. FT CU fT.
AUTHORIZED IS NOT COMMENCED VyITMIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD Of 120 OAYS AT
ANV TIME AfTER WOqK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
1 HEFIEBY CERTIFV THAT I MAVE READ AND EXAMINEO THIS APPLICATtON 1 STA�LS IGARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION
AND OROINANCES GOVERNING TMIS TYVE OF WORK WILI BE COMP��EO
WITM WHETMER SPECIFIE� MEREIN OR NOT TNE GRANTING OF A PERMIT �7�000
DOES N07 PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMITfEE
PROVISION$ OF ANV OTHEFi STATE Oii LOCAL LAW REGUTATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION $139.ZS
� Licen,s��SC $5.
S�GN4TUQEOFCON'RACTOpOAAUTMOQ�ZEO�GENT ID�TE� MGN PiillOFYI]I
NYTUREO�OWNEQi��OWNEpBU�IOERi iD�iE� � / ' 6LbGI�N
SURTAX
$3.50
SAC CHARGE
Fire SC $7.00
TOTALFEE
154.75
IATE TMIS IS �OUR PE MIT
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ADDN
ALTER
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ConstructionAddress
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
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Effective 1/1/99
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Owner Name & Address: � � �C��1L U Tel. # �J63 -,S�? / •�Sf�s
Contractor: TWIN CITY EXTERI012S CO., INC. MNLICENSE/} 2535
Address: 9060 ZACHARY LAIVE N MAPLE GROVE, MN 55369
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 INIPROVEMENT
I.ength Width Height
Length Width Height
Length Width HgtlGround
Tel. # 612-425-4737
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: / Estimated Cost: $ � � � _
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � APPLICANT: Tel. # 612-425-4737
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
$ J Fee Schedule on Reverse Side
$__��"�Q,Q .001 of Permit Valuation (1/lOth%)
$ $.50/$1,000 Valuation
$ $1050 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 [ ]
$ � .
STIPULATIONS:
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CIN QF FRIDLEY INSPECTION DIV. Effective On August 1, 1995
6431 University Ave NE ,
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 . REFRIGERATION AND AIR CONDITIONING SYSTE{NS AND DEVICES
RATE SCHEnULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
: _Gas Range
Gas Dryer
*Air Conditloning - All Sizes
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.Q0 $
$ 25.00 $
All Others/Repairs & Alterations (LIST ON BAGI�
1% of Value of Appiiance or Work "
Commercial/I ndustrial
c
1.25% of Value of Appliance or Work '
State Surcharge
TOTAL FEE
$
$
�5�
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JOB ADDRESS V��� iliU�d� �{� 1 ���
The undersigned hereby makes application for a permit for the �NOrk herein
speciiied agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application e tr}� and correct.
� �`p�-Qp ,1995
OWNEI�«��,f%?����r.�� 4�-`,`�`�'.� -
BUILDING USED AS �/.��;�cc%,�-/!G� ,/y�'`'% � _
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ESTIMATED COST �/��1� �' PERMIT N0.
gESCRIPTICIN OF FURNACE AND OR BURNER
No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel � Total Connected Load
Burner 7rade Name
BTU
HEATING CO
MINIMUM FEE FOR ANY HEATING/COOLI�JGNENTILATION '--
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed
PLUS THE $.50 STATE SURCHARGE
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REINSPECTION FEE $42.00/Hr --� � </ '�1� Approved By
(/Gr �,,2 �'r?�1��'�ir�
*Air Conditioners can not be placed in a �ide yard without FILL OUT E3ACK SIDE F R
written permission from adjoining property owner. REPLACEMENT FURN CE
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Size No.
EDR
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Tel No. �1��-�.�� ' � ��
Rough-In Date Final Da� �
STACK VERIFICATION ON � ���� c��