The URL can be used to link to this page

AF - 43029SUBJECT � � PE City of Fridley ° 13 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � REGEIPT O. � `L _.____ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTIO SEC. Q`C"�' � � d- t , � � �"�1 � CITY HALL FRIDLEY SS4$2 NUMBER REV. OATE PAGE Of APPROVED BY �•°"�'� •'� 612-560-3450 910-F15 11 1 76 � � JOB ADDRESS 6366 D�11WOOC7 DL' � V@ N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 ]. Moore Lake Highlands 3Y'C� SHEET 2 PROPERTYOWNER MAILAD RESS ZIP PHONE Gerry Long 636b Dellw d Drive N.E. 3 CONTFACTOR MAIL AD RESS ZIP PHONE LICENSE N0. Same 4 ARCHITECT OR DESIGNER MAIL AD RESS ZIP PHONE LICENSE N0. 5 ENGiNEER MAILAD RESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW 0 A DITION O ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCfiIBE WORK Construct a 16' x 24' Garage 51ab (Garage to be moved in) 9 CHANGEOFUSEFROM TO STIPULATIONS provide a h rd surface driveway. �� pERMITS REQU1i�E� �. �� ?tNC, PLUt�iNC ANO SI�N'�. .-r Po�rANr-- N071FY E �RIOLEY ENGR. � ��1�� D1YIS10N EGARDING CURB �gtl k�ca1 rititltieS AEINOVAL Nu kE��MENr 8ei�e digB�B AT DR1V WAY OPEN►NGS. T�LEPl10l�E � ELECTR�C - GAS EtC. ��QUlRED 8Y LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRIC L, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. C p.Ilt THIS PERMIT BECOMES NULL AND VOID IF W RK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAY , OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF W RK WILL BE COMPLIED yS`l � 2OO WITH WHETHER SPECIFIED HEREIN OFI NOT. THE RANTING OF A PERMIT $'6Q DOES NOT PRESUME TO GIVE AUTHORITY TO VI LATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL AW REGULATING CON- . STRUCTION OR THE PERFORMANCE OF CONSTRU TION. � �9.00 PLAN CHECK FEE TOTAL FEE $9.60 Sir n UAEOFCOn�R ro AUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � � �, �� 1 �� __�`=�� '� �/ � � �� /�V:, f iGNATUREOFOWNERIIP WNE 8U1 1 IDAT 1 BLDG INSP DATE C11Y �)F FfZIDI.EY APPLICATION FOf�; f��lI7ENT1l�L. BUILDING PEFZMITS iNEW, L_TERATIOf�S, ADDITIONS, OR REPAIRS) OWIvLR' S Nl�I�1L : '��1 L!`J/�✓,�✓ ADDI2ESS : 0 BU ILDER : <-s�!"�%�� GII��IZ (� Cl , ADURLS S : �� L�G�� TEL I10. : ��L � .e�. �o :�.3_�?� sxnrrT .��G�OI�(�, zoT: � �T�ocx: �ADnITIC1.,.: 1�1�1D.�P� ��'� �il��/Qs . ��J COItNER LOT: I'S:LDF LOT: SETEACh: SIDEYARD: Ap�licant attach to thi: bui.Iding lacation dra�•�n To Be Used As: s iorm Ztao Certificates of- Survey of Lot and proposed �n these Ceri:iricates. )L-'SCRIPTION OF BUILDI\G ��i��.�T� Fxozzt �j � r�t:th: ��` � Hei�ht: �.._.. � �L�_.._: � L�� Q�/ Squar Feet • �07' Cubic Feet • �ront Squax� I�'eet; Type of Construction: .�To Be Completed: �� Depth: Height• Cubic Feet• 4!� Estimated Cost: $ �� ✓ Tl�e undersi�ned hexeby akes applica�i�n f_or a pei-mit f�r the work herein specif.ied, aga:eeing to o all wor�c ir: stxict accordance �,�ith the City o� Fxidley Ordinances and ulings of tli� Department of Buildings, and liereby declares i:liat all the f cts and repr�sentaCions stated in tiiis application axe true and correct. DATE: �O o� . STGI�ATUfi�: � �L (See Reverse Side Fox A ditionnl Intoz-mation.) � c� � a �) ��1' '� � �� Ccn `r°�� n � -i��- —� ` � ��t � �l� �- � ��t�-'`'�y ., ,--- �� r ,.� � , . 0 �a€�;;. .�. SUBJECT City of Fridley MovzNG AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ; y__��_ COMMUNITY DEVELOPM NT DIV. r � � PROTECTIVE INSPECTIO SEC. � , ; �t � /��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF i..��i �.J 612-560-3450 910-F15 11 1/76 � � JOB ADDRESS 6366 Dellwood Dr ve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 4 1 Moore Lake Highlands 3rd Addn. 2 PROPERTY OWNER MAIL ADDRESS Z�P Gerry Long 6366 Dellw d Drive N.E. 3 CONTRACTOR MAIL A DRESS Z�P Si+�i Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAIL ADDRESS Z�P �. 1385 CEIPT NO. £��ol� APPROVED BY SEE ATTACHED SHEET PHONE PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK � NEW ❑ A DITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WORK - Move garage from 7600 Hi,gh ay #65 to 6366 Dellwood Drive N.E. Osborne to Central to Miss ssippi to Dellwood 9 CHANGE OF USE FROM TO STIPULATIONS provide a ha d surfaced driveway. ��r� �1MPORTANT-�- � �� TiFY THE FRIDLEY ENG�t, AIVISION REGARDING CURB �MOVAL AND REPLACEM�i�� ".$� DRIY�WAY af'[1VIh1fs�: SEP'ERAtE PERMITS RE U1RED Fat WIRING� I�EATiNG. pLUN4$tNG AN SiGN8. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRIC L, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCZ FY'dIR@ THIS PERMIT BECOMES NU�L AND VOID IF W RK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAY , OR IF CONSTRUCTtON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXA INED THIS APPLICATION 1 STALL£ AND KNOW THE SAME TO BE TRUE AND CORRECT. LL PROVISION$ OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF W RK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE RANTING OF A PERMIT $�.�64�..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VI LATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL AW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRU TION. S�-S.00 , c� OFCONiRA TO OR, O 2EDAGENT (DATEI � � � -%- a )FOWNERIIFOWNERBUILDE I IDATEI B OFFSTREET PARKING GARAGES SURTAX NONE SAC CHARGE ITOTALFEE $15.00 R�Y VALlOATED HIS IS YOUR PERMIT /�-I - �� R- City of Fridle j qT T11E TOP 0� TM� TWINi � � 1 rL"'^--� GOMM�N�TY QEV[ NT Dlv. � ' � MIATEGTIVR MIl�CT ON'r, �` � .---� i pT� MAI.L ►iu0��r 1t L_---1�•� `.� N�-��0�3�i4 _ __. . PXoperty Qwner ��/�'�'� � �� reaent Lot NA a oc o �egal. o Be �'- [oved To �i �C/ f T ---- ' . � Pex'mit No MOVI��G P�RMIT APPLICATIOid _ Receipt No.; A�xe � �.� ox t ,�� 2/1.�/73 I J. 1 .1�� //�or� � l�L�/rU :�� 0 i'�f�/Cr !.�/� �'/2 � � l�LvY .� % �— S Expecte T me n o7� x�.t �' �e �stima.te oat Rauting C�f3pRN�' 'j'p OL�J Cen7RAL � G'��jj�?/�t f0 l�?/SS,�f'1 —/z9JSS/Si�PI �p �G �� l, �' f �� F-=� tc'r-7�> Approved By: Utili�ies Notifi�ed; State wh �her no�ifi.ed and date � Minneapalis Gas Ccampany Enginaexing DeparCmenfi 372-4$50 Nortk�ern States Pow�r Compan �,�� Customer �usiness Office 330-55/+0 Northwestara� �el� Tel.ephane a. � • Business Offie� � 332-�+112 Approved �y Water & Sewex� De axtm�n�: All Bills Ars ]?a�d 0 Sexvicea Are Aisconnected , The undersi�nsd her�by makes application �ox a permi� ta move� the building �des�ribed abaye, agreein� ta do a�l work in strict accordance with tha Ci.ty � � Qxdinances a.r�d �uli�ga o� th Depa�r�z�ent of �uildi�$a, and hereby declaxes that a1J. faats and repx+�senta��ion atated i.n thi,a aPP�i.cati�on ax� � e and corxect. /° ' s �, � ' �- �� - �t / � %�� Coa�tzactor � i � Aate � � . . '' � , � . ." SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;, � � � ; L__�� COMMUNITY DEVELOPM NT DIV. r � � PROTECTIVE INSPEQTIO SEC. 1 � 1 �4 � �"'1 � CITY HALL FRIDLEV 55432 NuMeER REV. DATE `°"� � ,'� 612-560-3450 910-F15 4 7 78 JOB ADDRESS 6366 Dellwood Dr ve N.E. 1 LEGA� �OT NO. BLOCK TRACT OR ADDITION DESCR. !� 1 Moore Lake Highlands 3rd 2 PROPERTY OWNER MAIL AD RESS ZIP Gerry Long 6366 llwood Drive N.E. 3 CONTRACTOR MAIL AD RESS Z�P Same 4 ARCHITECT OR DESIGNEF MAIL AD RESS Z�P 5 ENGINEER MAILAD RESS ZIP PAGE OF � � PERMIT . 14623 RECEIPT NO. 0 APPROVED�BY SEE ATTACHED SHE&T PHONE 571-9203 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING Res.idential 7 CLASS OF WORK ❑ NEW ❑ A DITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Construct a 12� x 26 Addition 9 CHANGE QF USE FROM S�TIPULATIONS TO Treated bottA�n plate and insulate below grade to 7.5R SEf�ERATE i'ERM TS REQUtRED FOR W�R1NG, '� M�ATING, PLUi�B NG AND StGNS. ��NG W Before di8g�ng catl ioe.�t utilities TELEPHONE - ELECtRIC - GAS E� aE(�UIRED BY LA OCCUPANCY GROUP OCCUPANCY LOA SQ. FT. CU. FT. TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRIC L, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF W RK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DA S, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG..UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXA INED THIS APPLICATION �- AND KNOW THE SAME TO BE TFUE AND CORRECi. lL PROYtSIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF W RK WILL BE COMPLIED $2� OOO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL AW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTR CTION. � +��-4•97 PLAN CHECK FEE $ 3.74 SI NATURE OF CON i RAC� OR, AUTHORIZED AGENT IDATEI WHEN PRi S�GNATUREOFOWNERIIFOWN�E BUI� 1 IDATEI �� BLDG WSPI OFFSTREET PARKING STALLS GARAGES SUATAX yS`�.. 0� SAC CHARGE TOTALFEE $19.71 RLY VALIDATED THIS IS YOUR PERI �'0�► � .I� �-�4►_� . . G = 1=1ZIllLCY . ' APf'LrCP,TIOi� 1' R(ZC:SIllf=t�TlnL BUILDIi��G PCR(�IiTS , ' (1��W, iiLTL"R TIU(d5, �DllITIONS, OR RCPAIRS) octi�►��: ('��iE' �% �4/V . ACIC�XGS 5 : / /) 1do.: �� 5L-reet: LOT: HIACY.: I3UILllL•'R: �/��%�, •° � 0 �aar�JJ: T�l. l�o . 57i - 9ao3 � • 1�e1J�4�d 17�.. � _. , ��'�� _ ADDITIOP� : V � CO}2isER LOT.: I23SID� T: S.:TL'I�CY.: SID�YIIRDS: 1�p�licar.t attach 'to L-his form �oo Cerri�icates of Survey of Lot and proposed • building locaL-ian drawn on th se Certificates. . DESCi�I PTI Old OF BUI LDI i�G I To I3e Us ed As : f=A�nx� y %�v0/� Front: j>/N//�/G ,�G�IJf? Square l�ront: � Square Fc Type af Construciion: �R. fi.b Be Completed: Pxoposed Drivecaay tti•idth If � �/ / / � Depth: � (� � Heiqht: _ " t: � � Cubic Feet: , �,`f � � Depth: � Neight: t: Cubic Feet: . Estimated Cost: $ �,Q�. � —a — Alt. A Alt. B Opening Is Desired $ $ • (S�� 12�VERSE SIDE OF SHEET) The undersigned hereby makes ppl�ca�ion for a pexmit for the work lierein specifa.ed, agreeing to do all �..ork in strict accordance with the City of Fxidley Ordinances and ruling of the Denartment o� Buildings, and hereby declares that all tlze facts a�d re��rescntations stated in ihis application are true and correct. See xe crse sicie far aclditional i: -�rnation. DAT�: V�� SIGN TURE: 1r�i��f ,�� Stipulatio�is: , I .�� , �� ` - y�� s � . . 3.��1�/X `�•°� " � � . � �f , Q. �. �u R. i 14i� 3. .o� � �� . � y � ENERGY CONSERVATTO SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPIIRTMENT CITY OF FRIDLEY, MINNESOTA This sup��lement is provided o assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "(J" FACTOR IPdI'ORf'tATI DI. This information is required so the BUILDING OFFICIAL can determine that submitted plans canply with the ENERGY CONSERVATION DFSIGN CkITERIA of the STATE BUILDING COUE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure onstruction is per approved plans. ,• JOB IAC:AT I ON : l0 � l� e i�.� � �� l^ , 2 i a i- ��% � 1�V� 1 N V� , OWNE CONTRACTOR: (`� �� 2- L- nN�T' ADDRESS : /n .�(n /� A. Determine the Total Expos�ed Wall Area as fol�lows: 1. Total wall window ar 2. Total door area 3. Total sliding glass 4. Total f ireplace wall 5. Total wall framing a 6. Total net wall area 7. Total rim joist area Subtotal: Total exp 8. Total foundation win 9. Total net foundation Subtotal: Total exp GRAND TOTAL EXPOSED B. Multiply the GP,I�ND TOTAL C. Determine the Total Expo 10. Total skylight area 11. Total roof/ceiling 12. Total net insulated GRAND TOTAL EXPOSED D. Mul_tiply the GRAND TOTAL or area (average 10�) �e floor (average 90�) PHONE: s� � -�ao3 � �S � �O�ft • -�-5'��_ NON�E wall area above floor area a above grade foundation area � AREA OSED WALL AREA X .17 = Roof/Ceiling Area as follows: NO/u� ing area (10%) f/ceiling area F/CEILING AREA ROOF/CEILING AREA X .05 = 0 0 Item I Item II � � • E. Determine the "U" value of each segment (1-9) and multiply by the area as fol lows : • � . � x ��u�� _ . 2. X ��U�� - 3. X ��U�� _ " ,.r 4. X "U" _ 5. X "U" _ 6 . X "U" _ � � 7. X ��U�� - . 8. X ��U�� _ 9. X ��U�� - ADD 1-9 FOR TOTAL WALL SEGMENT = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. X "U" _ 11. X °U" _ 12. X "U" _ ADD 10-12 FOR TOTAL ROOF/CEILI G SEGMENTS = ITEM IV G. If Item III is the same as, oz less t-.han Item I, you have met the intent of State Building Code 600 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 600 (c} 1. I. Add Item I + Item II = J. Ac13 Item III + Item IV = K. If the sum of Items III an IV are less than Items I and II, you have met the intent of the Code for to 1 envelope system. The undersigned, as applicant or a building permit, hereby affirms the above info �nation has been prepared nd submitted by himself or under his direction, hereby acknowledges the inform tion to be correct and accurate; and hereby preseiits the information with required plans in support of the building permit application. By : ZG�� /'L/ . � � DATE : r� M�7QI I�II ��U s.a - t - ,-- -�- � - - - � _-- -- -- __ __ - .__i_ ._ _ _ _ ._ ' __ I , � _i� � - � 1� � - -- — -� � ,- - - t- + - , �- - � a ! � � � �i � , ' -- -- — _ __ -±--�--�--,- t- � �-- � --�- - _�---�- ._ _ t , 1 + - --�- - , j -�rp � � � ---I--�--�- -- -� _ + -- _ _ , , � �-� �-r -��- �-- � -1-� � I _I., � ' +-- {� � - f , � � � , � -- - �' � t ; , , ; ( � � � � , ,. , ,-�--+ t__- ±__� �- . _.- �-- - - � -� - t-- -�- - - - ---- ,- } yr� � r � ! y � , I t � —— ; , , , �_ , r--�- � t -:r° , t �; ; I ��,� � � i� ' < < � r , � , � � ,- r --I -� - + --� - - � � } ,� t _- �. � _ _ __ _�_I T_— _� + _ —v—� — + � �- t---- � � , I i � � t- —r--1 — a-- �— - — � I + �_ � , , � , I , , , , ; � ; � --� -;- �--� , - , -+ }- �---� -- �� , , I � � -- �- i �r-- ' ��-��- . . I I I i . � i ' I _ �- I �- - �i � ' : . I . � �- .- - __ +�--+ �—r---}--t-- ��— � , , , I � i f � i I I � -, - ---- � � -r- -,�- � t - � ' -�--�—�- �-�--r--i ---t--- � ; � : ,_ - , _ _-, '- ' y � � , , , � , I . -r _ - - ---+---,- � �--, - - - --+—+ , - , � � - - fi- �- � � - � � , � � � � '.--_, ' :.---- -- � 1 -- , _ �--_ i + _ - T r- -;---Y ,- -f- —� _ --- -.- � , � � ^ , i � j - - - - - - - ----- --- -- ' ; �. jr� � i t-- . _ _ _- . -.._-� I I -�- . I '�, __-- -___' . �. � . I ._ � ._ - ; I _ - _ -i----Y--- I - � _ _ -�-� :, -I-__�!, � I I � . . .. . ',, �'i � . . ., ', I ., '.. �, . � � I , . � � , �. � i, �, '� I ,, , ,, '�. � � I � _ _ i �--. --- __ -- -- i �- , ._ T�---� -__r_ ; - _ , � ' �-� — � - ;�- �- - -I i I �- . -' I I � � � _ -- - --,—� - —�--�-�- �� { �� ' _ � ; � I I I , � I I � _ --- I - - - - - - -1-- i - I I � � �I � I � � � I - -_ - -- -- �-- - -j- - ----� ----r- , - � -- - fi , ' I ' �� i ' � r � � I I � . �. , , . �. � i �. . ' � T � '. � .+- , �- � � --r- �-- , � -} -- --�- ---- r � �- -- -�-- . , .. „ . �_ �, �-� �, ', � � ° ,� , � � ' j � � — ,- — -� -�- -� � ; ��; � ��- ; s �;;' � � � � ' �, , � -�- ---� — — ; `� —�-- — i—��, � ' i/ � — '� �, ; � � � �� — — — �`� � — -- ---+ —r— —; --- -- — � � � i � '� �� I I i � � �� 7 '� { �-�'�-�---�' � ; �i --I ; ; , I i I ' ` +�— '..— — _ -- — — _ _..— -- �--�--� --�-- -�- ;-- �- � � ' i , I ' ' ��,�d�'! c7.�-� � � � , � � . _ _ _ -- _ __ __ _ _ - ----- - ---- --- - -- -_� _ , - - *- - -T - _�_ __��— � h�w � ;� ' I i � � , � � i o� bf_.� � �_ �� _� � � -�--, ' _ -- _-- -- --T--- - � - �� , i ; � � I I � ; : ____ _ _ ____ _ __ �_--- --'-- -- '; — ' ' , ---�- -_ _ - - -- , � � , i ' � _--- —. _ _ __ . � _ �_ - -- - - - -- � - - - , r- � � ; ; � , �, � ; � _ . _ ._ -- - --- .- -� -- -- - -- �--- _ _ . _ -� - '� , ; I ; � - � � __ _ _ _ ' ' + ; j � � ' --- - -_ _ -- - --- - - _ - - - -- - �- , � , � ,_ _ __-�_ - --- __ - . __ . __ __ T - _ � � � � i , ,- --�--rt �- - - �---}---��---r- -�- , , , , , � , , � � ;-- ; . i � , � � _. _ . --_____ __ T --'-� - , , -- __ _ __ r _ _ _r _ ___�____�_ _+__ i — fi- �- ; � � � , � , � � r _� - - -- _ _ -- .- - _ _ .- - --r- --- --- _ _ _ . --- _ _ _ _ _ _+- - +-� � � �� i , , � ! � � � � , � ; - -- • _ _ � _ _ , _ -- - ---- �----- --�- j _., - - i - ,, , � I � , , i � i , , , � __ , . F --- - ---- -- - - _ ..__ _ ,.._�-�- � --_ . ,-_--�---- - , ' i I , ; � � ' � -- — __ -- -- � �----- �—F ---- � i i � _- __ _. ,__._ _ _ ,-- , � I I �. �. . . � . j � I _- .__.-_. _.. _.-___. _.— .___ ,. . . . . . . . j I I ' j ,I _ r- ' ; I i ; i , . _ ,_. .... _._._ --� --_�.:. ---- � � ' ��. .� � ; . . � ,� i �-I .- . � I,' � ' � � ' � � I�, i �'. � ' . �, ( � � � � ,. __�- � � � I ' � � ' I � _ . . _..._ ' ' '� '� � - i ___ , .-_-� ��_- _. � - ..----� --=- . ' ' � I � i � , I � � I � � � I - - .. . . _ . .. . . , - - �I i �,.I I I i i I� �-- ----- i i ' I i I � � , i i i � i I � �� , , i , � � , ' i � i , � . . .. _. ._._ .,- ' ' ' , � --r—�I �� I � I � ! I � i I� I I � I �i � , _ `�+ � ---' _�--��- -'- --- _- '_- ± � -+-- -- -- - ----� ' _- I � � � ; � ' � _ I ' ' � �� ; , � _ fi.____ , , , , , j_ � � ; _- - -__ - -- � - _ _}_ t I T-,-_ , ----1-- � I ' � j � ' � � � �' ' � � � - , , _--+- - - _ - ----- ,r_ � I � I I I _- � I � i - �-'�-- I -- -- - j----- ; -�-� ' t -_ r � i -- -- ; �I ' ' � ' ' � - �-- , _ - --�- -�- - - --�-- i-- -- � � I __rt I � � � -� -- ��- -r--� - - - i I � � i ' � �'��- --�---�-t- �-- - -- ' � +--- • -� I� - _ __- _ _ -7- � - I � I I � � � - __ _-Y-� - - . _+ F rt , � t--- - ' __ � ___ � , , - r , + i -r-- - - - --- - -- _ __ fi- i ; , ; � - � , , ,__ �- � -; � ! ' ' i � I � � - - ��--f- �- - - - -- -� � . } �� - - � --I- -r - ,-�- r-± - ---t- -1---�--�-�- � .__ , 1-- � � i I I L.- -�----,- t T-- _ � +_ � ' i , T- -r I -- ��- - � _ _ � � � i I T- �� -rt- -�--- - � �-t I I ' I -,-t---� ' � : , � I � , ; �- - - , - --r-�-- I - �+ 1 I I I I I I �_ � , i }- --_ � fi__ � � , - - fi-- � � � � i i � ; , I � - r - �-�� -�-- - - ! t I i ' � I i ' i , � I , � � . _ _ T _-�-� -� ---*--, -- -�- _ -- - + -r--r--.- --i-- � , � , , i � : � I �� i , i i � � � � !._ Y_ ,_ __.,-�� - r --- - - , I i � -�- -- - -i- . ' -t-�r---�---i � � - i - � ! I I ! ' ' � � � I � I i � � , � � � - . _ _. - ---�- - - --� -- - - ' � - � , ; '�� , � r � �� , ; � ', ; i � . -� �-- - �---�- � ' ' � � ' I i ; � ! ' ---T--- ',-� � :--+--+--y--�-�- - I �-; , , �, � ' � �-� i --- �� _�--+---,--- J- -�---f- - --- -- - - , i I � , j � , ; i � � , � � , , _ , ; � ! � , �. {_ r_.__._ �i� T- ' � i � i i i � ; , , �, I k � �� -� � - - �-- - -�---�� 1-- r-- i - � I i -I- ; _ _i - - - I �__�� i �� --�-+-- I - - I � I I � � I �--+-{- � -�-r- I I i �--�� I � I � � !I I I I i -t-- -�-�-- ' � � � t I I � � � � �- ' -- �-- i �-1 , ; ; + i ! � ; i i � 7 � - I ,-+ -.--� ---•- - - ' ' ' 1 ' ! � I - � -�---�--�-- � -�--�- �-� - -�- -- ' -- �-- � --� ' I ' � ; I i � �' � ! ; I i -';-±--{----t- -�--'; � �--T i �� i ' 'i ; ' I _� � � � � _� I i ' i I I i , i �I \ li I I ' , I � ! � I � i j _ j� � i � � � i ii ,, � '�- i . I i i I, �, , ',� ., I �-��- I I i I � �� I `�- �I I . � , . � � � I � , i - -'. . � i . � �I , � 'I �.'� . �I i i - _-- hM 4� �- �I I.S.Fl -_ 1 _._'"_' I .. __� I I �. . _ � I �. i'� i > ,, I � „ � . � � r -r_-�_ , �__--+ +.___ Y__. 1 . .� �. . � . i . � �. .. � � -. _. . - -� r-- r - -.7-._ �--_.� I ,��r !- 1 I � � � � -j- i----..._ ..- -�- -- --- -- �� . --- -. _ ._- - t---�t ��- � -- � �� { - -- 1 � j l� I � I I ?- ' i , - - -- -- � �_ _ p. _ -t - - -- - - ; -- . +_ t , - -- - -{--- -�� +'_ I � i : � �/ � F I ( � / , l I � . _.__ ._._ ____ .._... ..... _ ' t-- � _�_ .�_- '"'_ __ ' ___ .- �� - - =- -, ./� ` -- f-- — .-- � I �-� �- �--, � - � �-� _ � � 6 �� "�__ �, k " � � i I i -r-'- --�-- - .f—�_f_�-� i` i�� I i I �i I � ,- t. i ; . � � , � ; , ' +-� �� , _- r- ------ � ,— — ' ' ! ' I - � � i , � , � s - - - ; ��---+---j-- ' � , ! , , I � i , � �� ' ; .- r- -- � . I , _ . .t--�- ---r---t-�-i--� � � , � , � - ��. � I i I . � I i � I . . � , �. � :. � � i _'_' _`_�_'_'- _ _ - � . . _ _'_ - - +__-r _�-_-1 - _�T�- f � , � ,� �: - �I , � " �� .� �' I �'�� ' i � I i , . . � ; � .. � � �,.� t""�'�""� � � � % i r ��-- ----� ----i �`- -- �....-T -�--�.- :r.__-- -- . -r�-- - , -t-�-r---r r� I �T i .I . • �-� ' �. � ; . i � � � - ,I ... : . .� I . I � _. -+_._-- '--� -- � -_..- � --_ �-- I � ' I . , , , i i �. i +---t , �� --- r--f �--T-t--�-��-�� '�, A, . .. � I � I i . i '. � . ' -- --- - -- - � � �I � � � 1 i I� � i t � � � � � � ' � , ' .,, � •�;. . .�� . ' I . 'i; � . ''I . ' I�. i ' i i i � -------- . ._� � � i . '" , ; ' ! � i � _ i , ; � � � - - � --Y-- - � � � - � I � - - ' � � -- , ' ' il i ; � ', � � i -�- i � , i � � � , I , ; , 0' i '' i � � ; i -a- -- � i li , I i , i I I j , � � i i � - i I I i II i I i i � I ' I � I - - -- � , , � , , _ -,- _- ' i , / �� ; � ti i � j � -- � , � � � - �-_ -- ----- --- -- --� T--- -- , , , � , i ; , , �� , i i I _1 i ; r -: - , _ - �-- ---' --�- '� -��—�� j �Ti � i � I ; I i , i � I � - � , � ' - , , � ; i , i , i i � _ _ _ --- -- - __ -- - � �� ; .. �� ._ ; ,� �. �. � i � , ' , : .. . . �� '� . ., � -�- -- , _.. .._. --...;__ � '. . � . . � "... --- --- ---?- . ---_ ._ ___ .--- ... i .. ; , . _�._r i , . �'�, . . .� . , � � __ - _... -- --- --- .__ -s .._ . �-- � ---��- - --- , -- -+ - ,- .. -� ' �' �-� - -- ��I� -- - � _ _ _ -- _ - ---�- -- , - -- - :- .--r-, , � � ; . _ . - - --, .-____� -- --.-. -; _ _ - -_-.- --.-- , . . -_-. i , '.� Y_-� , ' .' . �� , i �' j,�y � � ; � � , �� i r _ _ , _ __ �__ .. _ r-- ' � __ � r- , -- -- - _ - -- �-- _ _ _ _ }��-; , �o � _ , _ , __ _ . __ __ _ --- �- - - _ � ___ ; - - - --r -- , , � , j / '�% ----�- �- _ _ �-- . -- -;---� --- ;I i ' ; - - - �.� -- _ _. � s,+t / . — -+---+-- � ---{ 4- � - --- ___ - ' -- T - � � ---- - _ _ _ _ _ ___,- , _--- �- —�--� � , , � , � , , , , _ -- __ ---r- - _ -------- --- -�-� _-. .- ---,- - , � i-- i , i �� : � I � � ;� � � � � � __ _ __ _ -- ---�-�-- � , , i ! ------- i , , ; ' , � I� _ . _,___ __.-- --- ---- j � . -----, � _ i � � _ . , _ ---- �— ----- ' ' � i ;, I,', j � - - _ __ T � ; � : , -. � � ' I , i � i � ' � I i , . � i , i ., --rt�. ;� __.�_. __"._�. I � g��''� - , , �' �� f�� 6 I SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � ' y____�_ COMMUNITY DEVELOP ENT DIV. r � � PROTECTIVE INSPECTIO SEC. � � � � � �"'1 � CITY HALL f RIDLEv 55432 NUMBEfi AEV. DATE �'.---'�: �.� 612-571-34 0 910-F15 9/23/86 JOB ADDRESS 6366 Dellwood Dr've N. E. 1 LEGAL �OT NO. BIOCK TRACT OR ADDITION DESCR. 4 1 Moore Lake Highlands 3rd 2 PROPERTY OWNER MAIL A DRESS Gerry� Long 6366 De lwood Drive N.E. 3 CONTRACTOR MAILA DRESS Same 4 ARCHITECT OR DESIGNER MAIL A Of;ESS 5 ENGINEER MAIL A DRESS ZIP ZIP PAGE OF � � � 18658 �� 336 APPROVED BY SEE ATTACHED SHEET PHONE 571-8468 PHONE LICENSE NO. PHONE IICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ fiEMOVE 8 DESCRIBE WORK Construct a 16.� x 11' Addi tion and a 20' x 16� Three Season Porch 9 CHANGE OFUSEFROM I TO STIPULATIONS See plans £or n tations SEPARATE P�RMITS REQ IRE� FOR �"y!RlNG, HEATING, PLUM8ING ANp SlGNS. TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRI AL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF W RK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 OA S, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXA INED THIS APP�ICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. LL PROVISIONS Of LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF W RK WILL BE COMPLIED $13,850 WITH WHETHER SPECIFIED HEREIN OF; NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO V OLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ].04. SO STRUCTION OR THE PERFORMANCE OF CONSTR CTION. � PLAN CHECK FEE $ 26.13 SIGN UR�,6F CON' ACTOA OR AUTHOAIZED AGENT �� IDATEI� WHEN PR( / 1 �V , � � SiGNATURE Of OWNERiIF EA BU�LOEA1 IDATEI AL�f iNSP W�►RHlHG Before �igging caA l��ai utiliti�s TELEPH�NE - EIECiRiC - �AS �tc. REQUlR�G �Y 1�,��'� STALLS P OCCUPANCYLOAD CU. FT. STREET PARK�NG IGARAGES TAX $6.93 ITOTA� FEE $137.56� VALIDATED THIS IS VOUR PERMIT NE'�+ � � ADb2:. C � pLTER. I J Construction Address:� Legal Description: � Owner Name 6 Address: �= l� Contractor: �,��'�-- Address• LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] Buil F�� City of Fridley �R-1 AItD R-2 � ling Permit Application Attach to this appli ation, a Certificate of Survey of the lot, �►ith the propos d construction draWn on it to scale. Length ,�Z— Length Length .��".1�� Inside Lot ��J Type of Construction: ��-= � Approx. Completion Date: [PTION OF IMPROQEMENT Width �� _ iiidth __ W�dth Height �� Height Hgt/Ground Effective 4/1/8C� �� ,��5 �'.2J Tel. � '� � �� el. � Sq. Ft. ��`_ yy�� S q . F t . _..___.___ Sq. Ft. �_ ,r,vF � - - � , � � / �'p `��) Ft. Yd. Setback h? Side Yard Setback - '��?� /oL j � Estimated Cost: � ��'� ` ' �`�� (� �u , , , �� .� Alt. A Alt B Proposed DriveWay 4Iidth If Nex Ope 'ng Is Desired: _ � �- - See Back Page for Explanation � ^ J � , �� f�� l <J ✓ :�.� Tel. � •� !� ��' D�TE: ' 3 APPLICANT: � �j L',V �� ✓Zt �'. Permit Fee �' � � Plan Check g State Surcharge � SAC Charge � Park Fee g Sewer !�lain Charge � TOTAL S:IPULATI02:S: a �� CITY OSE ONLY " �, � L) �" Fee Schedule on Reverse Side " l,3 � 25i of Building Permit Fee .�� .50/�1,000 Valuation '-" �475 per SAC Unit —' Fee Determined by Engineering � Agreea� cessary [] Not Necessary [ l ` � r . I. . % � f t '1 �1 ` �i/ i l. �.�� 1..�-_.x-L � ��,�� .� ��,�.�, =' : . . . . : . � . __ . � � . . + � , � � � � � � �� ' c� �/�''� �--�"� . � � : . � . �`�j �� L� ,. ' �/' � �✓G" f L . `C, � . . . . . . � , . /�;� �/ � � ; : : � , . : : � ,'1/' �:: �-�"�%'=`."'�' :� ,,,n,,; %^ �t.��,-�a,.r; i, :, ,�. ? (,�.✓ y . ✓vf- a•�' :� i t- .��%�. Yi✓ w .� G'Z-'�/`" �%�� rlu-G��`� � �J'?1%'��lit'`..- � � : : . : . :1 �" _ � _ : . . . . . �'�} �: . . . : ; _ ! _ ' �� ; ; . . . . . . . . . -?- ._. . ; , . . . . . . . . . . . . . i --Y-. ._ . . . . . _ . . . . . . � . . . ...1 . + _ . . I - . � . . . . � . . . . . �. 1 . { ��1 � , . . ; �; . . : � , ti �. �1 i�. � ��. 6 . : �. t � �' (V i � 1 I -� r. �`,�� -�; r �i 1 I ; .�..��-, . , r -j.jl iJC�`"ir// �,�� / �r'�� I_ �„(.b�'! ` r �.v�'r /.� ir�„� •�r1-7`,' L� n%� ��r�. : -�G . .�—� �, I r /t , � � -. __ __ ' -- -- . . . _ __ . , , . . , � . ._ _�_ _ , � . _ _ _--__� _ __ --- -- - - - _---- � � - --- _. - --- — - - - - - - - - —t- . _ _- _ . --- - ----- - q� - — - - - -- -- - � / �' X�' ,�° ��/� . .___ _ .— _�_ L.-1 �- - - — — —__ _-- --- _ -- -- . _ �9 t �sOL, s' i ------ __ - - - ---- ____._--.-- ---- --- - � ro�.•� �jod �1 S � _ r . . . _ - -- - - - ---- _ _ -__ _ . _ _-_ -�61�----- --- --- - - --- --- _ __ - ___ . ._ . _ . _. _-- -_ _ ._� . . � -�' �� . . __ __ ._ ,._.� _ ___ __ __ _ _ _ _ _____ _____ _ � . , � , , . , . �� _ ,�� ___ .�_ _ _ __ �__ � _ _ _ . _ . . � ,,, , _____ _._ __ _____ _ _ _ . ._ _ . . _ . ► . . . . . _______ __ _ ,. � _ � _ _ _ _ _ _ _ ____ _ . _ _ . . _ . __ . __ _ __ _�_ �� __ _�___ � � _ �_ _____ �_ __ __ _ _ _- _ . . . _ _ ____ � . _ . _ ._ � ��_� _ . , _ _ _�__________. �, ,� . _._ ._ _ __ ___ ; _, _ _____�____ _ � ; . . _____.____ . ___. ___ _ __ _____ ,___ _ __ � _ _ _ _� __�___T__ _ __ . . . . . __.__._�_ ________ . _ _ � � ____ � , _ _ � , _ , _ __ . . . _______ __ . ob � � . . . . . . .. -�-. .._ « -�- .._... _.- - .�_.__ �._.. �._..__ __�- }-� �. . �_'_'" . -"_"_ �-__ . . ._t.�_t� �_.�'__.w__.-."_.. . � � � i �- r � ' .. 1 I i i � � � � ' j '. ' ' _ _ ..'. ._. __� _ �_ .- . .. —_^--1_ '�-._ �� i � ' � � t . � � �_ _ �___..-.__.... � � � i ' '."__ .._ . . ♦._ -"" '_1"_—T__�— _'�—Y.—� _T -�_'-�.--_�-.�_" .... i � ! . ; s I� � ��Ti � r � i_� - - � i i• � �; I � � ' � __ j.. � , ' • � ._. � _. t -. . . }�/ l/�� / �� , Li�� j � I } i* i i . i-- — t . —1 — ; t--•�� —t— ' t'�' 7 � . : � 1 � � � � � I �—f -. _. . . -' N u .� M W N '" a v� M N C atli .� m H �,.�(� Q � ypl 0y1 C. tl1 •.1 U � RI Rf N '� � � l�t � � � 2nd 3rd 4th (R) � Pliture Connection Open n� (�) � tie+r Fixture, Old Opsning PLUMBING FIXTURE RATES: -.i AM a1 O w x � U t�q 6+ U � CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PEf:�IIT u • x � a w ro � � �t u � 3 t7 � RATE SCHEDULE N0. Mev ti:tnrar T lutur• Fi:tures � Old Optninq, t/�w Pisturs De�r Dispenser dlov Off Baain Catch Basin Rain Natar Laader Nydraulic Valve Susp or R�ceiving Tank Nat.r Treating Applianc• Hot Mater Hsater Gas Ranqe Ga' Dtyer RATE Effective A�g. 1, lytil d Water Jo� ]lddress V ��-� �+' '�/ (�'�� Heater 4 Department of �ildings � x City of Fridley � � s �eC TeI. M571-3450 xatez $ 5. 00 S 3.50 $ 1. 50 $ 4.00 S 5. 00 g 5.00 $ 5.00 S 5.00 S 5.00 S 7.00 g 5.00 S 10.00 S 10.00 TOTAL $ l�� S�� 5 S 5 S S S S S 5 S S ALL OTHERS J►tiD/OR REPl�►IRS 11ND 1�LTERATIONS 1� of Value of iizture or 1►ppliance g Reins State Surcharge $ .50- pection tee S (515.00) TOT71L PEE S�O The undersiqned hereby makes application for a permit for the wrk hezein specified agreeing to do all work in strict accord�nce with the City Codes and rulings of the Depart�ent of euildings, and hereby declares that all the fact� and representations stated in this application are true and correct Fridley. Mn. . 19 �R �'��Y L.6N� KIND OP BUILDII� /(,, (✓ � � /J (;. r�%%/ �� • US� � �/a�rC TO BE COI�I.ETED ABOUT ESTINATED COST OLD - MEF! B(lILDING PE�MIT NO. PERMIT NO. �� i i i��'� . Ii /1 - , �� ROUGH INSP. Date FINAL INSP. � �� O Date APPRdVAL FOR PERMIT '/F^ �/' PlININUM FEE FOR ANY PLUMBING PERMIT IS S10.00 PLUS THE S.50 STATE SURCNARGE SuB�ECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � . � � � ; y _�� COMMUNITY DEVELOPME T DIV. r � � PROTECTIVE INSPECTION SEC. � . , � � �"'1 � CI7Y NALL FFlOLE� 5132 NUMBER pEV D�TE �""�� '' 612-571-3450 9t0-F15 6/5/00 JOB ADDRESS 6366 Dellwood Drive NE P�GE O: � � 31014 RECEIPT NO. � �� APCnOVEO Br 1 IEGAL �OT NO. BIOCK 7AAC7 OR ADD1710N SEE A77ACHE0 DESCR. !} 1 Moore Lake Highlands 3Z'Cl . SHEET 2 PqOPERTY OWNEfi MAIt AO RESS ZIP PHONE Jerry Long 6366 Dellwo d Drive NE 571-8468 3 CONTHqC70F MAIL AO RESS ZIP PNONE LICENSE NO Steven Lee Contractor 9465 Irving Ave N, Brooklyn Park, NIN 55444 424-1198 5758 4 ARCMITECT OR DESIGNER MAIL AO RESS Z!P PHONE UCENSE NO 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK MAtI A PMONE tICENSE NO O NEW O ADDITION O ALTERATION [� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFlK Reroof House & Garage (30 S) Tear-off for Garage, 2nd layer on house �i�A�J6f,� � -'8 -OlJ � NO l�F � N,A 9 CHANGEOFUSEFROM I TO STIPULATIONS Underlayment must comply wi h the State Building Code. Roofing can be 2nd layer bu not 3rd. TYPE OF CONST. SEPARATE PEFiMITS ARE REOUIREO fOR EIECTRtCA , PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING TNIS PERMIT BECOMES NULL ANO VOIO IF WO K OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHiN 60 OAY , OR IF CONSTRUCTION OR WORK IS SUSPENDED OR A9ANDONEO fOR A ER100 OF 12p OAV$ AT ANV TIME AFTER WORK IS COMMENCEO. NO DWLG. UNITS � HEREBY CER7IFV 7HAT 1 MAVE READ AND EXAMINEO THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. A L PROVISIONS OF LAWS VA�UATION ANO OROINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMP�IEO WITM WNETNER SPEC7FlED MEAEIN OA N07. 7HE AANTING OF A PEAMl7 �2 � 622 OOES NOT PRESUME TO GIVE AUTHORITY TO VI LATE OR CANCEL ?HE pEqMIT fEE PROVISIONS OF ANV OTHER STATE OR LOCAI L W REGULATING CON- STRUCTION OR 7ME PERFORMANCE OF CONSTiiU 710N �83.2.5 � PLAN CMECK FEE � � � � � Licen C S�GN4TUQE O� CON"FA(;TOQ OA AUTMOAiZEO AGENT IDATEi uC►� DOf iD�TEi 1� OCCUPANCVGROUP IOCCUPANCVLOAD SO. fT CU fT. STA�LS $5. )FFSTREET PARKING IGAFAGES iURTAX $1.31 iAC CHARGE Fir SC $2.62 fOTA FEE 92.18 IS IS�U`�MI//T�� D IY, v ncte NEw (J ADDN [] ALTER [ ) Construction Address: Legai Description: Owner Name & Address: Contractor: � -�- Address: � � �-� LIVtNG AREA: GARAGE AREA: DECK AREA: OTHER: _ CITY OF FRIDLEY SI GLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �; � b ,�-�... // � � „� �-�- T��V� � ��U , ��. Effective 9/1/2000 (763) 572-3604 Bidg Insp 1� �� i , _ � '�� Tel. # -�7%— c�� MN LICENSE # -� 7-r� Tel. # S�,�Z y-/l 9`'�' Attach to thi application, a Certificate of Survey of the lot, with the roposed construction drawn on it to scale. DESCRIPTlON OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Wdth Hgt/Ground Sq. Ft. � L S �� Construction Type: �--�p'�- ��" �- v'-e- "�� Estimated Cost: $ �--��--'— �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ DATE: b ' �� APPLICANT: ��""'� �'�{- Tel. # J/� ��>> � � CITY USE ONLY - Call (763) 57; , Permit Fee $ ��.�, Fire Surcharge $ � State Surcharge $, /� SAC Charge $. License Surcharge $, Driveway Escrow $ Erosion Control $ Park Fee $. Sewer Main Charge $ TOTAL $ STIPULATIONS: for Permit Fees if mailing in application y� Fee Schedule on Reverse Side � .001 of Permit Valuation (1/10th%) / $.50/$1,000 Valuation _$1100 per SAC Unit - c) C� $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 [ ] � ��