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AF - 47270� M � � � � ro r o�� . M : x : � . � . m • M : o . � . m r7 . � . �� � c � A N � �� � pe � a � � p� � � m � � n �" W 7i � � � � � �°a � a � '�9 � � � � Pd � ����� � �� ��� ���.y: `° �� o. � � � � � �d Q' p � 5d �. : � �: �� � a ° � � : ru Q � � � �QQ : � � . . . � `� . . . . : : : : Gd : : : : : : : : � : : : : � � � e 0 iC yC p4 • a id D! k k it DE • � Efl {fl HJ � W W 1��+ i,-�+ N g�����g��og� ss t�a sn � vi ss� t�a r�s 'ts tn � y W � y ' o� Q � Q �' � � O Q x D —_�-1 r � � m � 2 m C r m � � � p. p W Gl � ,' P. � � Stories � �� WA�R @ a°�5 � b% URtNALS � enrN o �� � � �,s��s � � I SINKS � � , W,� rw�rs � m 8� � ❑ 8 � �. a � ° � � � � � fZD �p � � � y � � a � bd � o a � � � �• ° � g � � � I � .`' II ♦ ��/ tl DRINK. FOUNT. sr+was. FLOOR DRAINS U7Gi BASINS �o W� GAS MPL GAS RANGE GAS OPENINGS 9 � z • � vDi D A m � f' 9 n ��b � aa� � ��� � a �� � m ���o. � � � �CD ai '� O fD P� � ��o�c � � O y \ R� Q� �' iy � �a � ��y � y � W b � �� � �y o`� �° p � �' o � � o � � Q, o ti ���m ro a� �� o��" �`��y ���� �� � w Q r+ ►7 �p9 Cr �' A � re � 3^�� � � �d r`C n � ro w0 R� � � d M � � va � � � �� Oi � � n � � � � � � d � b � :+ � ». l7�0 � � ' x � 0 m � � �w \ °� � ,� � � 1 � City of Fridley, Minn. BUILDING PERMIT Da�; October 17 1967 Owaer: Ells Ka.ri B�d� Clemron.-Tnc . � ���� 1�T� 9J OJ Address Address 701 Columbia Blvd. LOCATION OF BUILDING No. 7330 S�t Jackson. St. N. E. � � Part of Lot Lot _._.._?�__ Block 4 Addition or 5ub-Divfsian ____.Melody Ma.nor 3rd Corner Lot __ Ins3de Lot _._.. X Setback �� �—_ Sideyard .��Z� - 7 5' Sewer Elevation � 870,�5 _ 873 95 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: Dwelling Front r.?$� Depth ..._� � Height —�.� Sq. Ft �Q.._ C:u. F't �1.Q090 Gara�e Front 2e� Depth _.._z4' i�ei�ht .��Q.' Sq. F't. T.�2.Q. Cu. FL _.._.._..4�00 Typ� of Construct�ton _____..�.�ame ��, �_.. 522,.QQ2_..__ To be Completed SEWER LOCATION - 132' South of Manhole W�TER LOCATION - 122' South of Ma.nhole In conaideration of the issuance to me of a permft to cons e building the proposed work in acc�rdance wlth the description above,-s� forth and in orSinanc�a oP the dty oE FrYdley. �/` � c.� � $100.00 Sewer onnei a� � �0 provisions of In consfderation of the payment oP a fee of $ 36 . 00 , p�t is hereby granted to Gl�ofi, .Z17,� • to construct the building or addition as descrlbed above. Thia t ia grant�ed upon the express condition that theperson to whom it ia grented and his agenta, employees an worl�en, in all work daae in, around and upon said building, or anypart thereof, shall conform in all respecta to the orclinances of Frldley, Minnesota regardiag location, construct�on, alteration, maintenance, repair and moving of buildinga within the dty ]imits and this perm�tt may be revoked at any time u�n violation of any of the provisiona oP said ordinanc�. . 1{� � � _�.-- K ' NOTICE: ilds pemdt doas ao� eovsr t6s eoestrneHoe, testallation he wUtee, Plumbiee, pas heaHng, �r�r er watsr. B� wn to � fhe Buildlee Inspeeta� for �parata �rmNs Po� tltam i�ms. APPLICATION FOR BUILDING PERM[T CITY OF FRIDLEY, N1�NNESOTA OWNER' S NAME �.; � j� ; Iri.�3 i� BUILDER � L�,�� � I�I I I�� , ADDRES S ADDRES S � � ,� �C? �.Cj,b� �$ @ � � t Y � NO LOCATION OF BUILDIBTG � � ���. ���' �� � PART OF LOT LOT_ �% BLOCR �} ADDI1'ION OR SDBDSVISION 1`Ot�L�D�i' l`9�hlOi �� CORNER LOT '. INSIDE LOx�_SEIBAGK ,.� ,� � SIDE-YARD � � ! .� -� SE R ELEVATION ��_ �� FODNDATION ELEVATIOP � P ��� .�� /��' � A � Applicant attach o this�form �to Certificates of Survey of Lot and propo�ed building location drawn on thes Certificates. �� l�� � � � � .� � � DESCRIPTION OF BIIILDING To be used as; . � , _ � u.� Q I Z P�1 � Front�_Depth y�' t Heigh� � m Sq. Ft. �? �� � Cu. Ft. � � `� � ` � �� � � �, i � , �'� ��� 4�'� Front 2� Depth �—�r Height�� �,.. . �;� � �� P � Sq. Ft. '�f 7,� � Cu. Ft. �� ,�, �,��,.,.. Type of Conetruction Eatimated Coat 2. 2.Q � C� �— To be completed The undersigned hereby makea application for a permit for the work here3n specified, agreeing to do all work in strict accordance with the City of Fridley Ordinancea and rulinga of the Department of Buildings,-and hereby declares that a11 the facts and representations stated in this application are true and correct. DATE �p � ,� � � SIGN�TURE (Schedule of Fee Costs can be found on the Revers e). , �� . I'' � � �°'� ; � _ �� i� ��- � _ /L/�i.�.��� �-,,� ��� �� ���� �� , � � ��� � - ,� �� r �. " �- �. `�-..i�.-- � '�- Fv ,� � .� � -� Fl :� ��;,� ���„t,�._Y,',_,,•.��, � . .,� � y,; _ �-=' "�> BiJILDIIVG PERI"RT FEE S�EDULE SECTIOR 2. The Inspecto� of Buildings shall, before issaing aay permit for the erect3oa of any building or'striicture� or`ior any addition ta any existing building or structure, or for any �lteratiana or repaira to any esiatin.g building, ar etructure, upon application therefore, require the payment by the applicant_for:such pera�it of fees Co the amount.hereia_below �et fort.h and in the manner hereia provided to-witz 2, ;1_ For any auch permit for the erection.of any fire-proof building, other than a garage, warehouae, factory or grain elevator, ot� for the erection of any fire-proof addition, for similar occupancy, to any eaiating building, ahall be at the rate of $1.40 for each one.thousand cuhic feet,_or fractinn thereof, ia such cubical contenta. 2.2 For any such permit for the erectio� of any fire-proof garage, warehousa,-€actory or grain elevator, or--�or the erection of any fire�proof addition, for similar occupancy, to any esiating building shall be at the rate of $1.25 fdr each one thousan�.cubic €eet, classified ag�"fireproof" by Section 502 of the MinneapoliQ Building�Code. -� . ,{. flOIISES � 2.3. For any such permit for ehe erectioa of any aoa-fireproof : building other than a garage, warehouso, factory or �rain elevator, or , any non-fireproof addition, for similar occupancy, to aay esisting buij.ding - permit $1.00 for each one thousand cubic feet, GARAGES 2,4. For any such permit �o� ��o erection of aay non-fireproof garage, warehouae, factory or grain elevator, or for the erection of any non-fire-proof addition, for similar occupancq, to aay eststing building ar for eact► such building or addition - ninety centa (�0.90) for each one thous.and cubic feet or fractian thereof, in the cub�ical�contents thereof with the minimum of $4.00. For the pur�so�e b£ computing feea.fqr building permits, the cuBical contents of any building.or addition.to a uniform height throughout by multiplying the ground area covered f�am•a��point six (b) inches below the floor line of the basement or cellar to the average he�ght of the upper surface or to the average height of the roof surface of the main gable of a pit.ched raaf. 2.5. For repaira or alterations to an exisCing structure_, the fe� ahall be at the rate of $3.00 per each Five Hundred Dollars.($500.00).or freciian thereof in the cost of all�proposed work. 2.6. In no case 9ha11 the fee charged for any permit as aet forth in Saction 2 be lesa than $4.00.. . , � , . .. . _ STORM REPAIR DAMAGE FEES; • - � Reaidential: Estimated Cost of work up to �� �!�, ^7 �- �5 e^.+� • Estimated Cost of work o•-e;.- y:•s�::::. �:;:� .� ;;;, -•':0 Co�ercial; Estimatec�^oat of ��:�,���- u; • t � "'= . , ; ;t�� .. ^' rr�,� -. . � � ,� , . �� f ;-a•, E�imated „ost of- 6;��r:EC ov:;r �.:��:'i°o ��! - $`����J " z.�, .. i� , _ , . � ._. ,r��, :.,.' ' .. ..� c :�, 4J;� � � � . � � � � ` . . � � ��r.��t� � lY� r_ '} . � .. . - . . ' ._.4„y�':;i �� ����� � �� [�rd.ie�"�ria� ALrrIIq�EA�3t, s; �� : ENG�1I�t�ER1N�►, �NC. �°� r :� Qvr� fr �aiap�/ , , St�rei�/�iG � � �.�qy+�+q r . . . -r-�'- �le.�p 1%�PlE4�'S-., �" sly/'K�J(/Qt'S .-�-�--, , , , -1 �; , , �+�ar�t��z�e a� ��ae�e f.�r �.' 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N � ,}-�- � '� m ca $' ro ° �. � � � � � J^� � � �� � � ro e �, 0 � � � � � � � � �. �. � � � R° R° � � � � ��o �'�� w � �° � R° �o �� �° �� � � � �o $ � Cf . �'f �+"'i a� � : �� o a � : C •• cn � O : ' CI � . . � � ' o � : : : � � ca eo a� w o °o � � °o 0 � � � � � � y m a w y a � M °� � � � � I� '° � �� � ��� � �c �,, �. � � � l �, � m � � b � b � S .. � �.��� � y � ` c��� �y � � o � � � � � � R° �' ���� � �� n y � e�l ���° De' w � � � a,�„. . c,� . . C�7� Q . . o Q . , o . . $ : : : � �w o� o0 o y °o °o o° °o L'1 � � � O � ��� A a. A. � �c '�ptl� � 'rw* � O � � .b M 1� (�A OQ .Yi �f po�a. � rb �p d � y �d O fD '.�1� �"• y �m' °� �� �� � ��°� � �, � cs' p �� � � ��o� y ���. b ��'� � ��� p �' `r km7. mo �A.np C7' ►�i '� ►! � � � m a��� o���* � � � M S' A� i: �� � G(] 8 �7 ��'! ��DG' � �. w p '��' � � .+� .� D � i � � T N n _ m C T d � � m � x 0 m � � � �. is � � 7 O � � � � O � D p 3 d 0 -�w � W � • � �� 0 � 0.� � � A� � � � �i � 70 � � � � d �� . C � , HOUSE HEATING TEST RECORD ADDRESS • �' APT. OR -�} SUBURB � OCCU PANT OWNE F��^� �c�i�.c�r HEAT LOSS DATE HTG. INST. GAS C0. METER BADG SOLD BY INSTALLED BY Eleetrieal Work By Gaa Lins By TYPE OF HEAT GA FA �W STEAM SPACE HTR. UNIT HTR. OTHER GA,S'DES � CONVERSION MAKE as;� ��� MAKE OF BURNER Model �.�:. l��f��D(/L� Model Seriai ������-" °��� Max. BTU Rating INPUT ��.��°% MAKE OF FURNACE Modsl CONTROLS �; THERMOSTAT �� Heat Plug Vent Size Valve � KIND OF LINE IZE � NONE Limit � Draft Hood Regularor Limtt Sstting �� Filters Size Number Fan Setting ���% ��� Chimney Loeation Inside �� Outaida Pilot Type CJ�imney Co�strudion Pilot Make /� Pilot Model =�' �-��� Smoke Bomb Wiri�g �/"� Pilot Timing �,� - Draft �/�-- Test Tay ` L.W. Cut Off �� c� S�� ��oor Prossuro_ �^ Ltghtiny Inst. � Prsssure P c�e t CO Date Tssted ^�' Input CFH ��J� efo6nf�0� �E�'�� �Company Testing Staek Temp. �� Percent CO ��� Name of Tsster Form 235 � 6 C I T Y 0 F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 �Tilliams Electric Co. 2312 Central Ave. N. E. Minneapolis, Minn@sota t`�ugust 5, 1968 RE: PF/RMIT SHORTAGE �/���9-vaEt .,..... e« � wT r. � Gentlemen: Your permit for the above captioned address was short the following: &6+1. $3 . 00 Drqer 3.00 Dieposal 1.00 $7.00 We would appreciate it if you would kindly give this matter your prefer�ed attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. LE :bks Yours very truly, LEONARD EICHMILLER Electrical Inspector City of Fridley � . � �i qr . . � m �� Q d � dre � � � � � � i � � � � 8 � J � � �� e.i ly "� q,, � C�a � � � .'B i� � � � » � � � � � � � � � & � � �' �° � � " � � � •�� .. � � � � � -~� O � • i � � a �' � � � . � O . • •' � � o '� � o IP9 c�.. �n a 6 en .W � m . . � � : '. � . e • • • • � M �O � • • o� � � • o ��� � . . . . � o 0 � ♦ : a a e � � � � � � . e � e e o •� � � • . . a . • � � . • s . �, : . .. m . o , �� � . . . . o . ; : : . . . . . . o s :� 1Q .@ . � r o 0 �• � w w ~ � � � � x a� � ; � !� P� !� ,�'a � �.; :: r � � % 8 ay 8.�8 � � 8� $ �u � � � v, « « M �. « « i �* � � W .�j ! •�yi (.� � O l"" I F" �✓ ,•, r. � }• � �� � � � � � �. � � P � —! ia� � � m C � m � � � g a � p o � � � �. a � ~ m � o g � p � ln � ji i i 1� � �1 ad I■`.I.��.�, t ���T � i ��y, � , _ ��'�. � ' '. '����;�� — �� :. i������ : �!..:�, � � � � � � � � � � � w � m � rn � � � �� sib� wwve rwe►v� B�BId[. 3►np�. �L�ON �Rd01di �A4a �� � �� � � ons � � o�eweuas o. a. w � � � ��� � �� � �� C��� o A o �� F �� �� ~ $ o µ � �� � 6� � �M�.�. � ��°� � b ��� � � N O 6� o � � �, � N���� ���p q � �. a � � ���.�. ��� �i ��� v � i � � . a� � � � 3 :' � Pe � � � �d �� � � � � � � �� �� �� � � � � , . � n � � � 0' � m '� � � $ � ,�w w �0 � � � w � � � w � � . O I--' � SUBJECT PERM - City of Fridley 1 917 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � ECEIPT N0. � `L __�_�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �r°A ' 4� / 1 . � �l � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV l•�«� � ,•� 812-560-3450 910-F15 4/25/75 � � J08 ADDRESS �330 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2], 4 Melody Manor 3rd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE is Kari 7330 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USEOFBUILDING Residentia.l 7 CLASS OF WORK ❑ NEW ❑ ADDITION C}� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Insta.11 fireplace 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FL� �R�� h�'�+TI�'�, F�L�.����i��l�; AN�i 51�°��. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. COIICT@'te THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OH 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 1 HAVE REAO AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2SO.00 .SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERPORMANCE OF CONSTRUCTION. � �S`S.00 .� � PLAN CHECK FEE TOTAL FEE •�iti�� ��( _����. �--� `�7 � � $5.50 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI W►� N PROPERLY VALIDATED THIS IS YOUR PERMIT -�z��,� " �c�.�e., C',�r�� � �s— �.�a , - SIG� TURE OF OWNER IIF OWNER BUILDERI IOATEI BLDG. INSP DAT APpLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � OWNER'S NAME:"_� �L'u� BUILDER• ADDRESS :_ ���`�- fJ �,������-�•n. ADDRESS : .�� ;o �'a-�-.�� NO s ,,,���� � S TREET :_ _ �� � ' � LOT : �/ BLOCK: � ADDITION : r1�f1/�L'�% GORNER LOT: INSTDE LOT: SETBACK: SIDEYAI2D: Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As: ° Front: Depth: Height; Square Feet: Cubic Feet: Front: Depth• Height• Square Feet; Cubic Feet: Type of Construction: ��°���"Cf? Estimated Cost: $�, .�O � 8�% To Be Completed: � �-� ��� The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in str`ict accordance with the City of Fridley Qrdinances and xulings of the Department of Buildings, and hereby declaxes that all the facts and representations stated i.n this application a�-e true and correct. . DATE : � � S'� � � SIGNATURE : -� ����''�� (See Reverse Side For Additional Information.) ��� � T ��� .� � �� -Q� �, ��> � � S� . p, � �» ..�.�._,.. � i BUI�DING P�RMIT FEE SCHEDULE SECTION 2. The Inspectox of Buildings shall, bPfoxe issuing permits for the erection of any building or structure, or for any addition to any exis�ing building or structure, or for any alteration or repaixs to any existing building or stxucture, upon application thexefore, require the payment by the applicant for such permit of fees to the amount herein below seC forth and in the manner herein provided to-wit: UNIFORM BUTLDTNG CODE: Type 1, 2& 4-$2.15 fox each one thousand cubic feet, or fraction thexeof, in such cubical contentso Type 3& 5-$1.85 fox each one thousand cubic feete ADDITIONAL INFORAIATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by xnultiplying the ground area covexed from a point six (6) inches below the floor line of the basemen� ox the cellar to the average heights of the upper surface or �o the averager height of the roof surface of the ma.in gable of a pitched roof. For repaixs or alterations to an exist3ng structure, the fee shall be a� the rate of $3.00 per each five hundxed dollars ($500000) or fraction thereof in the cost of all proposed work. Tn no case sha11 the fee charged for any permit as set forth in Section 2 be less than $5.00. . VERIFICATION OF FOUNDATION NOT�: Pexmits for constru.ction will be issued� a minimum of 24 hours fxom the ti.me of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location Qi the foundation, once it has been constructed, will be xequired before proceedin� with the fxaming. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy sha11 be ma.de ten (10) days pxior to the use or occupancy of any structure for which a building permit has beer� issued; and said structure shall not be used or occupied until a�'ertifica�e of Occupancy has been issued. v_z .�" . . .� ::_ R � �� � sue�eCT PE c�ty of Fridley 2 8 5 6 5 ;,�?��T����F TME TWINS g � i L D I N� P E R M I T � ; � _ COMMUNITY DEVELOPMENT OIV. �� � .-y r � � PROTECTIVE INSPECTION SEC. �'`� 1 � � . , �-__. A � ���,'� CITY MALL FRIOLEr ��,$ NU4BHp NEV OATE PAGE OR AVPROVEO BY �� 612-571-3450 910-F1B 11/12/98 � � J08 ADDRESS 7330 Jackson Street NE 1 LEGAL �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACNEO �ESCR. 21 4 Melod Manor 3rd SMEET 2 PFOPERTY OWNEA MAIL AODRES$ ZIP PHONE � Kari 784-7274 3 CONTiiACTOR MAIL ADORESS 315-4516 Z�P PHONE LICENSE NO Am. I3ome Im rovements 8823 Zealand Ave N Ba G Brookl Pk 55445 20090017 1 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE UCENSE NO 5 ENGINEER MAII ADDRESS , ZIP PFIONE IICENSE NO 8 USE OF BUILDING 7 CIASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Partial reside house 9 CHANf3E OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIREO FOfl EIECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTI�ATING OR AIF CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WOHK OR CONSTRUCTION ZONING S0. FT CU FT. AUTMORI2ED IS NOT COMMENCED WITHIN 80 OAVS, OR If CONSTRUCTION OR WORK IS SUSPENDEO OR ABANOONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED TMIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COqRECT. ALL PROVISIONS Of �AWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WI�L BE COMPLIEO WITH WMETMER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT 855 �. SO DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL TM& pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGULA7ING CON- STRUCTIpN OR 7HE PERFORMANCE OF CONSTRUCTION 3L. OO F 0 SC �. HS � _ P�AN CNECK FEE T T L f EE ' � `- Licen C . 0 8.35 �GN4TUAEO�CON'RACTOpOpAUTMOA�ZED4GENT �O�iEi EN R P ALI T THIS IS VOUR PEpMIT - - ,�l.l�- � S�GN4TUqEOFOWNfA���OWNEpBU�LOH:�� IOAIE� BLO �hS� � q�JE � NEW ` � [ ] ADDN [ ) ALTER ['�I /- CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� /1 r; � .C� 6�`.' � � �� ✓� .3�3�� � �, � � �'� � ConstructionAddress: � �, ,S'u Legal Description: >' e!� � I-� �l� s Owner Name & Address: ; Y /� �. ;s > Tel. # � � y - 7 �- 7 � Contractor: �• ��e��.,� �,...,� ,�'�,� MN LICENSE # .� /, Address: ��u j /tae � ��( /?�►���,fi� �� /S� yt' Tel. # ��,� - �S/� Attach to this application, a Certificate of Survey of the ��� z'� �/„�� lo�,,, w� h th� prqposed cg�struction drawn on it to scale. �1t �tJ N �P:IPT C� ��� p�� ��',l�s' DESC ION OF IMPROVEMENT LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Ixngth �Z � t �-1 Width Height Width Height �idth Hgt/Ground �Srf.�c -Y�'�'� � Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: .�'/� � � ��f� � p � _ �- Estimated Cost: $ �-� ..� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �� DATE: �// i z f �'� APPLICANT: � Tel. # �l� � �'�s /� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY $ .�� �� Fee Schedule on Reverse Side $ . �S .001 of Permit Valuation (1/lOth%) $ �-� $.50/$1,000 Valuation $ $1000 per SAC Unit $ � - C� (r $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 [ ] TOTAL $ �v ° � �� STIPULATIONS: ^ •�uiuz��z� a� �tnn �utpaa�oad a.�o�aq pa.zmba.z aq iitnn pa��nusuo� uaaq s�q �t s�q li a�uo uoi��puno3 a� 3o uoi���oj a� �uinnoqs `�oi a� 30 �fanans �o a���t,�i�a� d •a�is uoi��n.��suo� a� 3o pu� ainl�nps pasodoid ac� �o nnainai aado.�d .�o� nnoii� o� uoi���tidd� �o aun� a� u�o.�� sinoq �z �o cunuiiuiui � pansst aq Iitm uot��n.�suo� .zo� s�iuuad l�iOIZ�Ql�if103 �O I�iOI,L��IaII?I�A 'SL'Si$ sauz�� �aa� 9 snid q�pinn ��maniaQ - t�dap q�ui 9�tnn u��o.�dd� apinn �oo� �� ii�suT pu� .za�n� pu� q.�n� �o �uauia��ida� pu� i�nouxag :„g„ a��ua�id 'OS'£I$ samt� �aa� 9 snid �lpinn ��nnanuQ - �Cluo .�a��n� pu� qin� �o �uau�a��jda.� pue j�nocuag :,,d„ a��ua�iy (�IuO s�aai�S ain� a�aa�uo�) AAO?I�S� I�iOISS�d�Q 1i�'M�AI?IQ 3oaiau� uoia��i� io 000` I$ i�uoi�ipp� u��a .�03 SL'Z$ Snld 000`000`i$ �s�� a� io3 SZ'ZiOS$ 000`000`i$ $uipni�ut pu� o� `�oaia� uoi���i� io 000`i$ ieuoi�tpp� q��a �o� SZ'�$ Snld 000`OOS$ �si� a� �o� SZ'L88Z$ 000`OOS$ $uTpni�ac pu� o� `�oa.�a� uoi���i3 ao 000`I$ i�uot�ipp� u��a .�03 00'S$ Snid 000`OOI$1s�3 io� SZ'L88$ 000`OOI$ $uiPni�ui pu� ol `�oasa� uot���i3 �o ppp`I$ I�uoi�ipp� q��a so3 SZ'9$ Snid 000`OS$ �s.�g .�03 SL'tiLS$ 000`OS$ $u�pni�ui pu� o� °�oa�au� uoi����� .�o 000`I$ I�ot�tpp� u��a io� 00'6$ Snld 000`SZ$ �s�� �03 SL'6�£$ 000`SZ$ $u►pni�ui pu� o� `�oaia� uoi����� so 000`i$ I�oliipp� u��a io� OS'ZI$ Snld 000`Z$ asi� jo� SZ'Z9$ 000`Z$ �utpnj�ui pu� o� `�oa.za� uoq��i� .�0 00'[$ i�uot�ipp� q�ea �03 SL'Z$ Snid OOS$ �sig jo3 IZ$ (a�.��u�1ns snjd iZ$ si aa3 Lunu�iuiy�) jZ$ 5��3 dn pu� I00`000` I$ 000`000` I$ o� I00`OOS$ 000`OOS$ o� I00`OOi$ 000`OOi$ o� iQ0`OS$ 000`OS$ o� t00`SZ$ 000`SZ$ o� i00`Z$ 000`Z$ oi IOS$ OOS$ o� i$ i anzdn �ioi :ainn-o� papinoid uia.�au iauu�ui a� ut pu� �o� las nnolaq uta.�au �unoui� aq� o� saa� �o �iuuad u�ns io3 �u��Tidd� au� �Cq �uauz��d aq� a.�mba� `a.�o3a.�at� uoT���iidd� uodn `a.�n��tu�s .�o �uipimq �ui�sixa �Cue o� .�iedai io uoT��saai� �fu� io3 .�o `ain��ru�s ao �uTpimq �ut�sixa �u� o� uoi�ipp� ,�u� .�o� .zo `a�n��n.��s ao �uipimq �ue 3o uoil�a�a aq� .�03 s�iuriad �umssi a.�o�aq `ii�us i�i���p $uipimg �atu� a� �'If1Q�H�S ��3 J.IL1i2I�d �11IIQ'IICIg