AF - 46169�.
� .:i`� . . � . �
BUII�DING PERMIT
Village of Fridley, Minn. N° 2797
Date 1���7."�.�?.� .....................
.....
Owner Lul!H.�r�. .�g.�.�J��!??.P..'� Builder� ........................
Addrees �..��!!':'.�C...Q'.'e!."�G�.. Address .........................................
LOCATION OF BUILDING
No. 41. W�^..... Street ........ ................�....... Part of Lot .......................
/�� �_/ t
L,ot . . . .. %� .. . . .. . Black . .�. .. . . . . . . .. . Addition or Sub-Division . /.�±!/. . Y .� . �.°.`�!!'�. . .
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'
Corner Lot ... ...... .. . I�side Lot . /�...... . Setback 3S .!��!�. SideYard%j%!�:� .. .. .... .. ... ....
DESCR[PTION OF BUILDING
To be Used as:
. /��:'F!�'!'.`!�.!�'. . . . Front lj.�. . - Depth �.� . . . 3eight �.1SN . .. . . Sq. Ft.� P�.�. . Cu. Ft. . . . .. . . .
��LR�Q�...... Front �I•� ... Depth 1�� .... Height �ISi...... Sq. F't. .u�9'f .. Cu. Ft. ........
�� "� � y�
Type of Construction�',(�s.et(.. . Est C��S.e�%� �. .... ..... To be Completed ^.� ..�I.�. A?�!�!.
i
In cons3deration of the issuance to me of a permit to mnstruct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in crompliance with all provisions of
ordinances of the village of Flidley.
. ...................................................
�. �7n tlsidaration M the ent of a fee of $./!�/�.-, permit is hernby granted t
�.�1�I'..K struct the building or addition as described above. This pemvt is granted upon
°��„ the eicpress condition tha the persan to whom it is �anted and tds agents, employees and worlanen, in all work
� � done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances oP
Fridley, bIinnesota regarding location, mnstruction, alteration, maintenance, repair and moving af buildings with-
in the village limits and this petmit may be revoked at any time upon violation of any of the pmvisions of said
ordinancea. /� / /1 _
.... Building Inspector
NOTICE:
This permit doea not cove� the cons4ruction, installation o� alteretion fo� wi�ing, plumb7ng, gas heating, �,
� sewer or watrr. Be sura to see the Building Inspector for separate permlts for these items. �,
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sue�ecl � �� � - PERMI �
City of Fridley /� 1491
'� ATTHETOPOiTMETWINS � BUILD�N�V PERMIT �•
� � �.
� � COMMUi11TV D£VELOPMENT DIV. g
r � v � PROTECTIVE INSPECTION SEC. 9j D Jy
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1
��i .-_-�i ����,', CITV HA�L.� FRIDLE� �55432 NUMBER HE¢ OATE P�GE OF NPPROVEO BY
i '• . 6t2'���' 910-F15 9/12/78 � �
ioe nooness � 5802 Hackmann Avenue NE
7 IEGAI �OTNO. BLOCK TRACTORAODITION SEEATTAGHED
oescA. i9 4 Parkview Manor SHEET
2 PROPEPTYOWNEF� MAIIADDRESS 21P PHONE
Rpbert GUrry 5802 Sacl�ann Avenue N.E.
3 CONTHACTOR - MAILADDRESS Z�P PHONE UCENSENO.
Hearttr & Home Co. 20Q4 L dale Av�ue South 871-0558
1 ARCHITECTORDESIGNER MAILAD�RESS ZIP PNONE UCENSENO.
5 ENGINEER MAILADDRESS 21V PHONE LICENSENO.
8 USE OF BUIIDING -
Re3].�IItl..dl
7 CLASSOF WOflN
�❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
%
6� DESCPIBE W6RK . �
Install free-standin £ire lace
9 CHANOEOFUSEFROM � . TO �
STIPULATIONS
� � TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOU�RED FOR ELECTRICAL, PLUM8ING, HEATING,
VENTIIATING O{2 AIR CANDITIONING.
TNIS PE(iMIT BECOMES NULL AND VOID IP WORK -0R CONSTRUCTION ZONING SQ. FT. W. FT.
AUTHORiZED IS NOT COMMENCED WITHIN 80 DAVS, OF± 1F CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANDONED FOR A PERIOD OF 12(1 OA�S AT
ANV TIME AFTER.WORK IS COMMENCED. �� NO. DWLG. UNITS OFFSTREET PARKING
1 NEREBV CERTIPV THAT I MAVE READ AND EXAMINED THIS APPUCATION L STALLS GARAGES
ANDKNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS y�LUATION SURTAX
AND OflOINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $12HZ �`.EiS
WIFN�WMETHER SPEqF1E0 HEREIN OR NOT. THE GFANTING OP A PERMR �
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE �
PROVI&ONS OF ANY OTHER STATE OR LOCAI LAW REGUUTING CON-
� STRUCTION OR TME PERFORMANCE OF CONSTHUCTION. SZZ.00
`� �� y PLANCHECKFEE TOTALFEE
�` f�oZ.�„_ J/n.d� 9 /2 $12.65
SiGNaiuREOFCON*RnCTORO � TnoRREOaGENr �o EI WHEN PROPERLV VALIDAtED THIS IS YOUR PERMIT
SIGNGTUflEO�OWNEPi1fOWNERBUILDERI iD- RTE� �� � /�^��
BLDG INSP DAiE
C1TY OF F1t1llLEY
APPLIC/17I0t� FOft RL'SIllf=NTIAL BUILDIPiG PERIIITS
(NGW, �LTL•R�TIOfdS, �DllI710(JS� OR R[P/aIRS)
_ . __ ,,_ _ _ .;,�
OWt�ER: ,�o /JC v r •� K^"� `�. flllILllE32: / I t a r 7� .: ��b�t �t CG
0
1�ddress: S�o�,z. /•/a�fc�,,,,,,. /�.�. Address: o�oa5/ L�-•,f•�� ��'�
. Tel. No.: b'il OSS & :
No.: �C���–
IAT : f �
Street:
fD�
BTACY.: � lsDDITIOP7:
C01214ER LOT: I1dSIDE IAT: S.'•;TB7fCY.: SIDEYI�RDS:
Applzcant attach to Lhis form Tvo Certiiicates of Survey of Lot and proposed
bvilding locaL'ion drawn on these Certificates.
DE5CRIPTION OF BUILDI�G
7:b Be Used As:
!��-C���--- Front: Depth: Height:
5quare Feet: CUbic Feet:
Front:
Depth:
' Sqnare Teet: GUbic Feet:
Heiqht:
�i2�-�iR1.��itJ(�, � —
7ype o£ Constsuction: �c Estimat-ed Cost: $ /� �� •�G
Rb Be Completed:
Prdposed Drive�aay 1+'idt-h I£ New Opening Is Desired
Alt. A Alt. B
S $
(SF� RCVERSE SIDE OF SHEET)
The nndersi9ned hereby makes application for a permit for the work l�erein
specified, agreeing to do all work in strict accordance with the City of
Fzidley Ordinances and rulings of the Deoartmeazt of Suildings, and hereby
declares Chat all the facts and re��resentations stated i» L-liis application
aXe true and con ect. See reverse side for ac7ditional infozmation,
DATE: 9����7� SIGNATURE: /-d n�T*- !�'/�+�1 -
5tipulations:
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City of Fridley
11T TNE TOP OF THE TWIN$
�
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.�
� ; �__._. GOMMUNAY OE�ELORMENT D��.
j � CROTECTIVE INSPEC710N SEC.
�
� � �"'1 � L�TY NALL FpIOLE� 55��2
�._..�'' '•' 61�-571-3450
108�DpRE55 5802 HackmannAvenUe NE
1 LEGAL ��TNO. BLpCK . TRAC7
BUItD1NG PERMiT
9f0•f15
DESCR. 19 q Parkview Manor
2 PPOPERTYON/NEN MAILADDpES$
Verden $ Wendy Keeler 5802 Hackmann Ave. NE
3 CONTqACTOR . MAILADOAESS
ur,r.���.i.;to H�me Tmnrovemert A400 89th AVe. N
ADDFESS
MAIL
6/29/00 I / /
1120
-N �1f00
WvEO �r
SEEATTACMED
SMEEt
ZIG PNONE
574-9797
21V VMONE LICENSE NO
Pk, 55445 763-425-2227
ZIP iNONE LICENSE NO.
20039258
❑ NEW ❑ ADDI710N ❑ ALTERATION SI REPAIR ❑ MOVE ❑ REMOVE
Window Replacement (Quantity 9)
9 CHANGEOFUSEFROM
STIPULATIONS
Provide smoke detectors in all sleeping rooms a�d on all levels of the
dwelling per Section 310.9.1.2 of the Uniform Building Code.
SEPARATE PEAMITS ANE AEOUIRED FOR ELECTRILAL. PLUMBING. XEATING.
VENi1LATING OR AIR CONDITIONING. -
�NIS PERMIT BECOMES NULL 4ND VOIO IF WORK OR CONSiRUC710N
AUTNORIZED IS NQT COMMENCED N[ITHIN BO OAYS. OA IF CONSTRUCTION
�R WOFK IS $VSPENDED OF ABANDONED iOR A PERIOD OF Ipq OAYS AT
ANY 71ME AFTEN WORN IS COMMENCED.
� MEREBY CERTIFY TMAT 1 HAVE READ AND E%AMINED iH15 APPLICATION
♦ND NNOW THE SAME TO 9E TPUE AND C�RNECT. 4�� VROYISIONSOf lAW$
ANO ORDINANCES GOYEANING TMIS TVPE OF WORK WILI BE COMPLIEO
WIiH WMETMEN SPECIFIED ME�7EIN OR NOT. TME GRANi1NG OF A PERMIT
DOES NOi GRESUME TO GIVE AUTMORITY TO VIOIRTE OA CANCEI TNt
PHOVISIONS OF ANY pTHER STATE OP LOCAL LAW REGULATING LON�
STR�CTION OR TME oERFORMANCE OF CONSTRUCTIpN
SiGN�tUREa�C�MVP�CiOnOaW*�OA4ED�GEN1 �ORE�
Permit Inspection Cards
Will Be Maited
T� Homeowner To Post
STALLS
00
LOAD
iT
$4.20
A�CMARGE
Fire SC $8.40
Oi�l F EE
�5d84.85
�' ' [ ]
ADDN ( ]
ALTER [ ]
CTTx OF FRIDLEY
BINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICA'ITON
Effective 1/1/99
R����
,I Bo''3 ��a�
ConstructionAddtess: S$C32 HQCKMan f'We /U�
I,egal Description:
OwnerName&Address:ver�ien +V�iQnC�•�/ Kee.\er Tel.#�Z(a3157�-1-�'t�Ig%
Contractor: v�l �n r1 r..� i..'+ �M -Fbm. o�rn,� MN LICENSElt � GG3q Z S FI
Address:g4c� Rq+" Ave u A�ooK\ytt PunK S5ti4 S Tel. #(76.i1 �-i25-L2Z"}-
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�R:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
I.ength
Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground _ Sq. Ft.
Construction Type:�� ,;���w R�,p\n. � mc.n..� Es�unated Cost: $ $ 1-�n0�°d
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
DATE: - � - (�DD
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$1�7.-�S'
$ � ifo
$—�
$ �
$ cSr D!J
$
c
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
_$
Tel. # 4� . Z -Z �"
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Att. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ) I3ot Necessary [ ]
TOTAL $ .B
STIP ATIONS � ///O� ��i�E' �T� �� �� ����/��
��� �� �W �� �✓��L� �� �E' �t,�JE' 7�"2.
� - �lo. p, � t-- ��'�j Ll..�, � /�97
� City of Fridley
�TTMETOPOFTMETWINS g�ILDING PERMIT
;,
�
� � _�� _ COMMUNITY �EVE�OPMENT OIV.
� y � PROTECiIVE INSPECTION SEC.
r ,
� ,
:._..� �'�';-� CITY HALL FRIDIE� 55172 MuYOEA AEV O�TE
L 612-571-3450 910-F15 7/21/00
lOB ADORE55 5802 Aackmann Avenue NE
1 LEWL �aTNO. BLOCN THACTOFAOOIT�ON
DESCR. 19 4 Parkview Manor
Y PROPERTYOWNER MAI�ADOFES$ 21
Verden(Wendy Keeler 5802 Hacl�ann Avenue NE
3 CONTRACTOR MAIL RDDRESS Z�
Same
5 ENGINEER
Residential
SSOF WORK
❑ NEW
MAIL ADDRESS
MAIL
o�GE O%
/ /
3123;
RECEIPT NO.
��a�
�IVnOVEO !r
SEEATTACHED
SHEET
PNONE
574-9797
VNONE IICENSE NO
NO
❑ AODITION �1 ALTERATION ❑ REPAIR ❑ MOVE O PEMOVE
Install 72" x 80" Patio Door
9 CHANGEOF
TO
STIPULATIONS .
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. See notations
on glan.
SEGqRATE PERMITS AFE AEOUIRED FON ELECTA�CAL. GLUMBING. NEATINC, � r� v� ��
YENTI�ATING Op AIH CONOITIONING
TMIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION zONING
AUTMORIZED IS NOT COMMENCED V�'ITNIN 80 �AYS. OA IF LONSTRUCTION
OR WpRN IS SUSPENDEO OR RBANDONE� FOR R PERIOD OF l�p DAVS AT
ANY TIME AFiER WOqK IS COMMENCED. NO OWLG
I HEAEBV CERTIFY TMAT I MAVE READ AND E%AMINEO TMIS APP�IGATION 1
AND KNOW THE SAME TO BE iFUE ANOCOFFECT. ALL PROVISION$ OF �AWS yq�U/1TION
WN M WRNETHER SPEC F ED EREIN'ON NOTOTHE GRANTING OF AOPEAMR wl fOOO
OOES NOT PRESUME TO GIYE AU�MOR�TY TO VI�IAtE OR CaNCEI TMti pERMITFEI
PROVISION$ OF 4NY OTMER STATE OR IOCA� L�W REGUUTING LON- @
STRUCTION OR TME PERFORMFNCE OF LONSTRUCTION W3H.7S
OiSON%u� OR�u1�OA�LEO�GENr �O��Ei
OGGUVANGYGROUP OCCUPANCYL04D
SO.FT LU FT
OFFSTNEET PARKING
STALLS GsRnGES
SU@RTAI(
.p . 5�
SPCCMApGE
Fire C $1.00
TOT�LF E
i $4 .25 _
NEIN [ )
ADDN [j
,�7eR I1
i� Construction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
B p�3�a 33
Effective 1/1/2000
(763) 5723604 Bldg Insp
� Owner Name & A�,ess: V�t�'�� � W er�clL KP� I Pr Te�. #�51t! - 9l9 7
Contractor. �—���w/-�� MNLICENSE#
Address: Tel. #
LNING AREA:
Attach to this application, a Certficate of Survey of the
lot, with the proposed construction drawn on it to scaie.
DESCRIPTION OF IMPROVEMENT
Length WxJth Height Sq. FL
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Lengfh Width HgUGround Sq. Ft.
� OTHER: rlo7, J($d YU'�%d �OY'
Construction Type: EsUmated Cost: $_ �(�[;(� •n(7
Driveway Curb Cut Width Needed: ,_Ft. + 6 Ft =_Ft x$ = g
� DATE: 1�q I' QO APPLICA • � Tel. # '� �
CITY USE ONLY - Call (763) 5723604 for Permk Fees if mailing in application
Permit Fee $ J� a%S Fee Schedule on Reverse Side
Fire Surcharge $ -� �.001 of Permit Valuation (1/10th%)
State Surcharge $ � c9 $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$ $1100 per SAC Unit
$ $5.00 (State Licensed Residentiai Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
Park Fee $
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
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SoB�ECT
City of Fridley
ATTMETOPOFTMEtW�NS BUILDING PERMIT
; .
•
� � _�� COMMUNITY OEVELOPMENT DIV.
� � � PPOTEClIVE INSPECTION SEC.
r ,
� i �"'1 : CITY NALL FRIOLEV $S�Ji MuuBEA
�"""� � �'' 612-571-3450 g1a-f15
lOB ADDRE55 5802 Hackmann Ave. NE
1 LEGAL �OT NO. BLOCN TRACT OR ADDITION
oescn. 19 4 Parkview Manor
2 PROPERTYOWNEF MAILAODXES$
Verden Keeler 5802 Hackmann Ave. NE
J CONTRACTOR MAILADDRE55
Osborne Enterprises 5869 Hackmann Ave. NE
� ARCM�TECTOROESIGNER MAILADDRESS
ADORE55
D�TE I MGE 0�
8/15/00 / /
31310
RECEIPT NO.
,_5"d6�
•ioROVED Br
SEEA77ACNED
SNEET
574-9797
PMONE IICENSE NO
Residential
1550F WOqK
❑ NEW ❑ ADDITION O ALTERATION OC REPAIR ❑ MOVE ❑ REMOVE
iCFIBE WOHK
Reroof House and Gara¢e 20 sa Tear-Off
pF USE FROM
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARaTE PERMITSnNE REOUIRED fOR ELEGTNILAI, PLUMBING. NEATING. ��� V� w� � ��'�
VENTILATING OR AIR CONDITIONING. -
iH15 PENMIT BECOMES NUIL 4ND VOID IF WONK OA LONSTpULTION zONING 50. FT
AUTHORIZE� IS NO� COMMENCED W�THIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OH AB�NOONED FOA A PERIOD OF 12p DAVS AT
4NY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS
1 HEREBY CEFTIFV THAi I MAVE PEAD AND E%AMINED iH15 APP�ICA710N 1 STALlS
.ONOKNOWTHESRME�OBETRIIEAN�CONNECT.ALIPROY1510N50FLAW5 yAW�T10N
ANO ORDINANCES GO�ERNING TMIS TYFE OF WORK WI�L 8E COMP�IEO
WITM WNETMER SPECIFIED FIEAEIN OR NOT. TNE GRANIING O: 11 PERMIT �S�%4H.00
DOE$ NOT GRESUME TO GIVE AUTMORITY TO VIOIRTE OF CANCEI TNE pEpM1TFEE
�ROVISIpNS OF ANY OTMER STRTE OR LOGA� lAW REGUL�TING CON�
S�TqUCTIpN OR TME PERFORMANCE OF CONSTFUCTION $63.15
.8i
'Lw �/� �/�� � Licer�s�SC $�/.�b �,u70f 77
O�COru'as�iOADe�u�«OA¢EOSGENt iD�iEi ��� �� �d�„� ,,,,,
%5
D
NEW
ADDN
ALTER
I1
I1
��
Construction Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEI(ES R-1 AND R-2
BUILDING PERMIT APPLICATION
C K lMQ v! �'! /7' ✓G� / ��_—
Efiec[ive 1/1/2000
(763) 572�3604 Bldg Insp
�n `������
'! �
Legal Descripdon:
Owner Name 8� Address: Kee ��r� �4 v�t 2 T Te�. # 763`S� y g� 4 7
Contractor. �S�or N e ��, ��.�ri�Se S MN LICENSE # a C7 ('G 43 �G
Address:�g�O� I�ttc �Cv�.,au vr .4✓e /i/E� Te�. # 76 �-SOa- G'>65'
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Gertificate of Survey of tfie
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Widfh Height Sq. Ft
Length
Lengfh
Width
Width
Height _
HgUGround
Sq. Ft.
Sq. Ft
�
� .
�-,�,�,..�a 1 �`�o
Construction Type: Estimated Cost S���, r ��
Driveway Gurb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$
on-re: �'' { S� APPUCANT�� �� (��f— Te�. # 763 �SOo?, G�6�
CITY USE ONLY - Call (763) 572-3604 for Pertnit Fees ff mailing in application
Permit Fee $ �!5 � Fee Schedule on Reverse Side
Fire Surcharge $ /- %S .OQ1 of Permit Valuation (1/10th°lo)
State Surcharge $ g% $.50!$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
$1100 per SAC Unit
$ S D b $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
Sewer Main Charge $. Agreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
� % - �'7
.. Su��Eti . - . . ..
�City of Fridley 3 i 4 9 8
•TTMETOPOFTME(WIN$ gUILDING PERMiT
� + � RECEIPT NO.
� •
� � GOMMUNITV OEVELOPMENT Oi�. ���/
r i�' ��• � PRO7ELt1YE INSVECTION SEC. . fl�
�
i----� �"'1,'% CITV MALL FRIDLEY y5��2 NUY�EM 11EV O�TE ��GE Of �vPWVEO �r
� 612-571-3454 970.F75 10/19/00 / �
10B RDpRESS 5802 Hackmann Avenue NE
t LEG�L ��TNO. BIOCN TRACTORADOITION SEEATTACMED
oescn. 19 4 Parkview Manor SNEET
3 PROPERTYOWNEp MAILADDRES$ 21G VXONE
Vern Keeler 5802 Hackmann Avenue NE 574-9797
3 CONTRACTOR MAILADDRESS 21P VHONE LICENSENO
Advance Aluminum Supply Inc 7701 Main St NE, Fridle , MN 55432 571-3440 7983
� ARCMITECTORDES�GNER MAILADDRESS ZIP PNONE UCENSENO.
5 ENGINEEA MAllA00RE55 . Z�P PMONE LIGENSENO
8 USE OF BUILDING
Residential
7 CLASSOF WORK
❑ NEW O ADDITION ❑ ALTERATION [a7 REPAIR ❑ MOVE O REMOVE
8 OESCRIeE WORK
Reside House fi Garage
9 CMANGEOFUSEFROM TO
STIPULATIONS .
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision �rould be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a�aeatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
perm�t �+�Spection Cards
Wi118WMe�iTo past
TYPEOFCO . CVP�NCYGAOUY OCCUP�NGY�pAD
SEPARATE PERMITS RRE REOUIRED FOF ELECiRICAL, PLUMBING. ME�TING.
VENTIIATING OR AIR CONOITIONING
TNIS PERMIT BECOMES NULL AND VO10 IF WOFK Op CONSiNUCTION 20NING SO.FT W FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR IG CONSTRUCTION
OF WORI( IS SUSPENOEO OR ABANDONED FOA A PERIOD OF tZp DAY$ AT
ANY TIME AFTER WpNI( IS COMMENCED. NO DWIG. UNITS OFFSTqEET PI,RNING
I HEREBY CERTIFY TNAi 1 MAVE READ AND E%AMINED TNIS APP�IC�iION 1 STA��S G4RAGE5
AND NNOW TME SAME TO BE TRUE ANO COFRECT. ALL PROVISIONS OF ��W$ ypLUATION SURTAIf
AND ORDINnNCES GOVEHNING TMIS TYPE OF WORN WI�� BE COMP�IED $4�HOO � �Z.�LO
WITM WHETHEN SPEd�lEO MEpEIN OH NOT. THE GRANTING OF A iERM1T
DOE$ NOT PRESUME TO GIVE AUTNORITY TO VIOL�7E ON C�NCEI TME pERMITFEE SACCMARGE
PAOVISIONS OF ANY OTMEp S�ATE OR LOCAL L4W REGULATING CON-
STqUCTION OP TME GENFpRMANCE OF CONSTAVCTIpN - 5111.ZS F� 2 SC ��V.BO
G�AN CMEGKF E 7 •�FEE
Lice C $5. $123.45
S�Gw�IUAEO�CO�r'a�GlOAOA�v*wOA4ED�GENi �O�iE� 1{E RO Y WL A D TMIS IS YOl1R iEA T
/b-��`�
S�GNalpnfO�OWNEA���OWNFPBNtOEA� �O��E� Bh �ti5o ��I�f
10717/2900 04:03 7933932897 l�SI
NEW [ �
ADDN [ ] CT!'Y OF FRIDLEY
�TT� [] S]NGLE FA�.Y AND DUPI,EXFS R_i ,�1Vp R 2
�S� UIIAING PERI4IIT ApPLICA'I'ION
CahstrucdoaAddress:
L°gal Description:
Owner Name & Address:
conaactor:
LIVIIYG AREA;
GARAGE AREA:
DECB AREA;
OTHER:
PAGE 01
Ef%aive 1/1/99 '
J.E• T�i. a :5�X/- 9��
t�r �cFavsE � __�19k�
;3d—Te�. x 'iG.� - :��I/- � G�/h
Attach to this applicaaon, a Certificate of Survey of the
lot, with t� proposed construction drawn oa it to scale.
DESCK�TION OF II1�ROVEMENT
��► Width Aeight Sq. Ft.
unBdl Width Height Sq. Ft.
u� Width Hgt/Ground _ Sq. Ft.
Consaucdon Type: � �/,� � nri Fatimated Cost: $_ �8o�,��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ - a
DATE: � APPLICAIVT:
Td. N �l/n.3-'j%/—.�i(/Ul5
C17'Y i1SE O .v
Permit Fee
Fire s,ucna�rge
State Surcharge
SAC Charge
License Surcharg�
Dri�eway Escrow
Erosion Con�ol
Park Fee
Sewer Main' Charge
$ ///. �S
a -80
a a. �
$
s S�Od
$
a
$
$
Fee Schedule oa Reverse Side
.001 of Permit Valuatioa (1/lOth96)
S.SO/a1.000 valuaUOn
51050 per SAC Unit
a5.00 (State Licensed Residential Contraccors)
Alt. "A" or Ait. 'B" Above
5450.00 cooservation Plan Review
Fee Deteimiixd by Engineering
Agrtement Necessary j] Not Necessary []
TOTAL a f�'/��
STIPLfLATiONS:
�2 W� -t"e'G�Q
C1►.td,i�. ('�u.d # .
ei.�d c�ae. t,� i.,� c�.cue � c�
� � � � susnei � �� . - � � PERM17
�c�ty or Fr�a��y � 9 6 8
ATTMETOPOFTHETNliNS g�iLDIN� PERMIT
� ` , � � ^ p RECEIPT NO.
� �y""' CO/AMUNITY pEVELOPNEMT AIV. c�Jy��„��
% i
�� PROTECTIVE INSPECTION SEC- J� �r w yQa%
�
� � �-`-\ : Cf�Y H�LL FRIOLF,Y SS{37 KuMaEP � REV O�TE s�GE O� ��>�OVED �v
�'--"� � �'' 612-571-3450 gtaFtS 7/10/O1 / /
J08ADDHf55 5802 Hackmann Avenue NE - �
i LEGAL �OTNO. BLOCK � TNACIORADORION SEEATT�GNED
oESCa. 19 4 Parkview Manor SMEEi
2 PROPERTY pWNEA MAI� ADOAES$ DP VNONE
Verden Keeler 5802 Hackmann Avenue NE 763-574-9797
] CONTRACTOA MAIIADORE55 ZIV PNONE UCENSENO
Same
� ARCIIITECTONDESIGNEH MAILADDPE35 ' ZIP PNONE L�CENSENO
5 ENGINEEA MAI�ADDRE55 . . ZIP PHONE I�CENSENO
6 USE OF BUI�OING -
Residential
7 ClASSOFWOFN NEW O AOD�TION ❑ ALTERATION ❑ REPAIR ❑ MOVE � O REMOVE
�
8 OESCRIBE WORK
Gonstruct a 24' x 35' Detached Deck
9 CHANGE OF USE FROM T�
STIPULATIONS See notations on plan.
SEPARATE PERMITS ���� . ���
REQUIRED FOR: �`'f� �'�'�"�� tOf
WiRING HEATlNG � ��o� 1O"S
PLUMBING� AND SIG�IS ���UIRED 9Y `AW
TYPEOFCON57. p�CUPANCYGRWP OLCUPANCYlOAO
SEPARATE PERMITS APE REQUIREO FOA EIECYRIC�L. PIUMBING. NEATIN6.
VENTI�nTING OR AIR CONDITIONING
TMIS PENMIT BECQMES NUII �ND VOfD IF WOAN OR CONSTAUGT�ON ZONING 50. F7 W FT
AU7HORIZED IS NOT LOMMENCED WITHIN 60 DAYS. ON Ii CONSiRUCTION .
OR WORN IS SUSPENDED OR ABANDONEO FOA A PENIOU OF 12Q DAVS �7 '
ANY TIME AFTER WORK IS LOMMENCEO. ` NO. DWLG. UNITS OFFSTREET PARKING
I MEPEBY CERTIFY TNAT I HAVE PEAQ ANO EXAMINEO TNIS APPLICAi1pH 1 SiALlS G�IAAGES
AND KNOW TME S,1ME 70 BE TqUE ANO COPAECl. ALL PROVISIONS OF �AWS yA�UA7ION- SURTA!( F1T0 SC
AND QRpINANCES GOVEANINO THIS TYPE Oi WOpM Wl�l BE COMPlIEO
WITH WMETMER SPEC1flE0 MEREIN OR NO7. TME GRANTMG QF � PEPMIT �9,240 � $4.62
DOES NOT GFESUME TO G��E �U7MORITY ip wOI�TE ON WNCEL TME pERM�7FEE�� SApCMARGE
�ROVISiONS OF �NY OTMER STATE OA LOCA� LAW REGUTATING CON- @
STFUCiION OF �NE PEpfOAMANCE OF CONSTRUCTION y�181.Z.rJ �� � I.1C0RS0 .SC. $N/A
PLAN CN CN FEE 107 EE
195.11
5� •tUFfO�CON'A�Ci 4OA� �MpPi$fD�GEM! iD�10
EN QPE Y Al�OA TH15 I$ Y Up �E�
Pil�.r�i D n / �-60-01 ��
`S�H1u�E0 0�+' A���SWNfA V Ea� �O��f� � Bl �MSO � n!f
a
i e
i
_ _ �� o�
NEw � � C���.
ADDN [ ] , CITY OF FRIDLEY %J �
ALTER [] S�NGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMfT APPLfCATION
Construction Address:
Legal Description: _
i�4��CY'�
Effecbve 1/1/2001
(763) 572�3604 Bldg Ins
��I,'r�,�y
. 1-y,�..,..
W�
Owner Name & Address: d�i�d/���(p�/� (,Qll,�n�2 Tel. #
Contractor: �,�J?1�1 � MN LICENSE a
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DEGK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
Length Width Height Sq. Ft
Length
Lengih
Width Height Sq. Ft.
Width,�1EL— HgUGround,� Sq. Ft�
�`s�'IilA.i)/_ _
' ��S`� �c/ �/V S �ia y��F-�'
Constructio� Type: �n,t0�». �,1�'�� Estimated Cost: $ 9��%V
Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$
DATE: � °�� 0� APPLICANT: ����KX��/1 Tel. #
CITY USE ONLY - Call (763) 572-3604 for Pertnit Fees if mailing in application
Permit Fee $/t�t• �5 Fee Schedule on Reverse Side
Fire Surcharge $ , .001 of Permit Valuation (1/10th°/a)
State Surcharge $ 1 , $.50/$1,040 Valuation
SAC Charge $ ¢ $1150 per SAC Unit
License Surcharge $ � $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Q�AIt. "A" or Alt. "B" Above
Erosion Cont�ol $ $45o.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
$ �r /
�.;'
P,,1.1� .4 1'AK1�:Vitd�i MAIVUK
�:s.. w... . . ,
f'?t . . IMOURa�At
C. E. COULTER •`""�"°
i;F : �YfINUf . ��wMlVRVtY�
`"' � cmr wrs �
� LAND SURVEYOR y�nnhonc
�%�`' TOIOOIWXIC M�vflNO RE6lSTERED UNDER LAWS OF STATE OF MlNNE80TA �� ��������
� . � lIGBNf[G �Y 00.01NhNCt OF GTY OF MIMN[�POl.lf
d �, 8300 LYNDALE AVE. SO. MIhiNEAPOUS B. MINN.
t � .. TAYLOR 4A370 '. �
�s
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� „ �: Sttras�ar'r (Qrriffusis .
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I hsreby nartify that the above ia e true aad correct plat of a survay of:
Lot Niaeteen (19). Block Faur (4). P��'W MMiOR, Anoke Caunty. A"Snnesote.
As surveyed by me this �th dey of November 1957 A.D. y � +
gi�d � !,�. ��.y�.f� .� - --
�,, , . Minnesota Regiatration Np. 2,561y
..:r.
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�__ _ume ua�cL #2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432,
___ _:ar 13 15:28:41 2001 •
/._._::ateri=_!s in this deck will cost $3820.28 .
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��en Jun 1� _7:�9:26 2001
�:_= materials in this deak wi�_ -.: _-�: �4293. ?�
' = saved as : f : \dn\decks\6180FA5=' _ _ �:.
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_sen Jun 18 17:49:26 2001
?ilz saved as: f:\dn\decks\6180EA5F.DEK
�ect Dimensions for Deck 1
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-ion Jun 18 17:49:26 2001
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_�st Layput for Deck 1
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� Home Depot#2802, 5650 MAIN ST, NE, FRfDLEY. MN 55432 �'63) 571-9600
;inn Jun 18 1 �:49:34 2001
���: saved as: f.ldnldecks16180FA5F.DEK
:nstruction Specifications
c4 1:
;onstruction Method = Beam to Side of Post
Footing Type = In-Ground with Pier
Live Load = EC
J :ad Load = 10
--ecking Spacing = 0.125 in
!, nst Spacing = 16 in
_eam Spacing = 120 in
-^st Spacing = 53.5 in
,acking = 5/4X6 .40 Sealed Southern Pine No.
3eams = 2X12 .40 prime Southem Pine No. 2
�ists = 2X10 .40 pnme Southern Pine No. 2
=;sts = 4X4 .40 Treated Southern Pine No. 2
�eck Height = 3D in
Diagonal Bracing = No
Deck S ��1�
verhang = 12 in�"
am Overhan = 12 in
Cec a c ion actor = 360
,;�ist Deflection Factor = 360
Seam Deflection Factor = 360
°ref Decking Size =
?r�f Joist Size = 2x10
�rer Beam Size = 2x11
=raf Post Size - 4�w
ilinq 10:
R�iling Height = 36 in
3aluster Spacing = 3J5 in
Fost Spacing = 96 in
i�ir 1
�tep Width = 264 in
:iep Height = 18 in
eu ftise = 6 in
��ep Run = 11 in
2tringers = 2X12 .40 pnme Southem Pine No.
:isers = 1X6 .40 Treated Southem Pine No. 2
Treads = 5l4X6 .40 Sea{ed Southern Pine No.
itair 5:
Step Width = 48 in
S�ep Height = 30 in
Step Rise = 7:5 in
Step Run = i � !.^.
�tringers = ZX12 .40 prime Southern Pine No. 2
,isers = 1X6 .40 Treated Southern Pine No. 2
� eads = 5/4X6 .40 Sealed Southem Pine No. t
iiing 7:
�ailing Height = 36 in
'aluster Spacing = 3.75 in
!�ost Spacing = 96 in
,2ailing 8:
Railing Height = 36 in
Baluster Spacing = 3.75 in
?�st Spacing = 96 in
iiin4 9:
Railing Height = 36 in
I
-"=a Home Denat #2802, 5650 MAIN ST, i.T�, FRIDLEY :.��I 55432, (763
:�cn Jun 1? 17:49:26 2001
�='_e saved as: f:\dn\decks\61tii,r^��i .L::_'•r
:ust Layout for Deck 2
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i lie Home Depot#2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (763) 571-9600
,7on Jun 18 17:49:40 2001
iiN saved as: f:Idnldecks16180FA5F.DEK
;onstruction Speciflcations
)eck 2:
Construction Method = Beam Flush With Joist
Footing Type = Pier
Live Load = 60
flead Load = 10
i)ecking Spacing `- 0 in
ioist Spacing = 16 in
B�am Spacing = 144 m
Pnst Spacinq = 71.625 in
Oecking = 5%4X6 .40 Sealed Southern Pine No.
eeams = 2Xt2 .40 prime Southern Pine No. 2
.laists = 2X10 .40 prime Southem Pine No. 2
Posts = 4X4 .40 Treated Southern Pine No. 2
Deck Height = 12 in
Diagonal Bracing = No
Deck Skirt = No
Joist Overhang = 0 in
Beam Overhang = 0 in
Decking Deflection Factor = 360
Joist Deflection Factor = 360
Beam Deflection Factor = 360
Pref Decking Size =
Pref Joist Size = 2x10
Pref Beam Size = 2x12
Pref Post Size = 4x4
>lair 7:
Step Width = 48 in
Step Height= 12 �n
Step Rise �= 6 in
5[ep Run = 11 in
Siringe�s = 2X12 .40 prime Southern Plne No. 2
Risers = 1X6 .40 Treated Southern Pine No. 2
i reads = 5/4X6 .40 Sealed Southem Pine No. 1
tailing 4:
Railing Height = 36 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
;ailing 5:
Railing Height = 36 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
<.ailing 3:
Railing Height = 36 in
Baluster Spac��^. -� 3.75 in
Post Spaci !a - �:; in
�tailing 2:
Railing Height = 36 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
Stoir 3:
Step Width = 81 in
Step Height = 12 in
S[ep Rise = 6 in
Slep Run = 11 in
S[ringers = 2X12 .40 prime Sauthern Pine No. 2
tR
The Home Depat#2802
5650 MAIN ST NE; FRlDLEY
,763)571-9600
�Non Jun 18 17:49:24 2001
r,naterials for Deck:
�.�ty UOM SKU
'�0
�� 1
I�59
4
,8
10
�
t
' :t
q
1
?
6
6
3
4
6
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
BX
EA
EA
EA
EA
EA
EA
BX
BX
EA
EA
EA
BX
MN 55432
557285
Spec. Order 1
146660
145709
326627
326626
142050
141166
162833
162825
162825
620302
146651
'145709
831461
365287
326626
326627
326626
184933
462047
462047
164365
735002
544208
538892
538981
340721
340721
929514
735003
229016
544208
538892
.538981
734920
Use
Baluster
Baluster
Beam
Beam
Decking
H Top Rail
Joist
Joist
Post
Post
Railing Post
Railing Post
Stair Stringer
Stair Stringer
Tread
Tread
Tread
Tread
V Top Rail
V Top Rail
2x10 Joist Hanger
2x12 Joist Hanger(u
4x4 Post Foot Brack
Baluster Screw
Beam Bolt 4x4
Beam Nut
Beam Washer
Concrete Deck Block
Concrete Pier Block
Concrete Pier Block
Deck Screws
Joist Framing Nails
Rail Post-Bolt
Rail Post-Nut
Rail Post-!+!lasher
Step Screws
Materials Cost of Deck: $4292.75, plus sales tax
Price Valid Today, 6 /1 812 0 0 1
This Estimate Guaranteed for 3 day(s)
�arameters from UBC.cod parameter file.
Parameters used for Deck 1: 60 psf live load, 48 inch footing depth.
Parameters used for Deck 2: 60 psf live load, 48 inch footing depth.
=ile saved as: f:ldnldecks\6180FA5F.DEK
Varning:
This is not a final design plan. Varaiions in building codes,
;pecific architectural considerations, or site conditions may
require changes.to thi� ��s:gn. You are responsib�^ for tL^ `inal
,tructure, code ,re��f���Uun, material usage, and strur;,,�! �afety
uf this design. Se sure to check and verify the design .:�E� vou,
local architect and building inspector.
Uescription
2X2-421N. N0.1 SINGLE POINT BALUSTER
g2.inr Baluster 2x2x42 #1 3g er-Sunwo
�j� 2X12-12FT. N0.2 PRIME PT SYP .40
_ 2X12-8FT. N0.2 PRIME PT SYP .
514kSX12 PREMItlMTH6MPSONIZED
514X6X8 PREMIUM THOMPSONIZED
2X10-12FT NO2 PRIME PT SYP .40
2X10-10FT. N0.2 PRIME PT SYP .40
nX4X10 PRESSURE TREATED YIP NO. 2
nX4X8 PT Y1P NO2 .40
4X4X8 PT Y/P N0.2 .40
48 IN. PREM. DOUBLE V-GROOVE POST
2X12-10FT. NO2 PRIME PT SYP .40
2X12-8fT. N0.7_ �P.iNiE PT SYP .40
5/4X6X14 PRE�' 1 HOMPSONIZED .40 PTWR
5I4X6X �u PREMIUM THOMPSONIZED
�!^Y.6X8 °REMIUM THOMPSONIZED
�!;i:6X12 PREMIUM THOMPSONIZED
5/4X6X8 PREMIUM THOMPSONIZED
2X4X8FT. N0.2 PRIME PT SYP .40
The Company assumes absolutely no responsibility for the
�
2X70 JOIST HANGER
2X10 JOIST HANGER
4X4 ADJUSTABLE PO^ � BASE
GREEN 5L6 2 1/21N JCCKMATE DECK SCRW
CARRIAGE QOLT-'�ALV. U2 X 8
HEX NUT GALV �l2
FLAT CUT WASHER GALV 1/2
DEK-BLOCK 4
DEK-BLOCK 4
CONCRETE MIX 60L6
GREEN 5LB 31N DECKMATE DECK SCRW
1GD GALV SPIRAL PTL DECK NAII SLB BX
CARRIAGE BOLT-GALV. 112 X 8
HEX NUT GALV 112
FLAT CUT WASNE � ,=.qLV 1/2
<iREEN 1LR ,";W `.'itCKMATE DECK SCREW
,.
,�ine ^epot #2802, 5650 MAIN S':', NE, �:��JLLl', MN 55
�ul ly ?1�16:34 �G��
z saved as: f:\dr.\3eck���."'•'„`.'�n-,.;'= �
��k Dimensions fo �- 1:)e,:i. ''_
�6� �� ��, �
`%e��
-..lEi� l�il
/�-`�//�5�� � 1 �'Dl
,. „, _��%�.
2, (763
U
�X� �n�sT - ,/
Z -zX( `�x� �015�'f?f -�fr�Z
t9
�
�.��,
� � � !
' i � � � i ' ,
UV(�i � �
'(1� il' . . .
N
�
"�..� :,C,acing = lv, in. � .
�i Lp�.�:=.t Spac�ng = 96 lr- ���..: , E.ilaster ::�,•i��ir� i � �.i�., � - .�r.�.� .,.� - in., Railing Height =
i ,.'.1: . Ri.^,P - .. _ . r K1'1 -� t'i _ ..
�,._ . Rise = 6 i.�.. Run =�. � i�..
..�.�.
NEV�r I ]
ADDN [J
ALTER [ ]
Construction Address: �iY
Legai Description: � S �
� �- - DO�rI 8
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
zJv�
OvmerNameB�Address: ✓e��P,.�'� ,�e.c%r- Tel.# %d?- 5���!- 4797
Contractor. /�izT ����,�k� MNLICENSE#
Addressc !/Nr� 5 /"1.`ss�s s:,.,� - fJr ��a..af -, ./k�✓ rS3 �� Tel. # ��3 � �aT -,?S`�7 /
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to'scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length
Length
Width
rldl[:{i1
Height Sq. Ft.
HgVGround Sq. Ft
�
Construction Type: �S�// S%X �ilass �jlo�� (����''�stimated Cost: $ ��Z�� �
Driveway Curb Cut Width Needed: _Ft + 6 Ft =_Ft x$ _$
DATE: _E�e2 -O,$'— APPLICANT: /l C�'� /C ��f/e�sr�.' Tel. # 763- S'y.3 -6a/ 3
Call (763) 572-3604 for Permit Fees 'rf mailing in application. Fa�c to 763�71-1287 'rf using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$� 5•%b Fee Schedule on Reverse Side
$ 65% of Permit Fee
$ . S �] .001 of Permit Valuation (1/10th%)
$ , ,�,p $.50!$1,000 Va4uation
$ $1450 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Aft. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ � �' b � STIPULATIONS: