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AF - 47519• � U City of Fridley, Minn. BUILDING PERMIT Date: ........._.._.��ER 15 , 1965 � Owner: Addi�ees .�� 6 is �o Builder HOMEDALE BUILDERS _.�_._..__ ._._.._..._.._......._.___._........__.____.. 3017 Lyndale Avenue Sc�uth Address_._..._____�...__.._.._____._._._...._...M�___._____.�.. . .,I Minneaps�.is, Minnesota LOCATION OF BUILDING 7600 JACKSOR ST. N.E. No. .___._._____._ Street _._.._.._...________.____.._. _.._._.____._._.._._.._. Part of Lot _._.___ �. Lot ._.._..__�____..__ Bloclt _.__._....2.___..___._ Addition or Sub-Division __._..._M�`�ODY MANOR, 4TH ADDITION Corner Lot _.____X.._.._.._ Inaide Lot .._.__.�.._..__.._._ Setba.ck ..._..._.___....._._._._ Sideyard ___._.:...._�. _.._ Sewer Elevation ..�__�__ .._.._�._...._....�........____ Foundation IIevation .._._..._��...w �. DESCRIPTION OF BUILDING To be Used as: HOUSE��_. �� F�t .._. 37 .�. Depth _.�24__ Height _._��_._. Sq. Ft, 888 �� 17, 760 �S �ARAGE_....._ Front ?�....__ Depth __._24 ._ fIeight _._ 10 .__ Sq. Ft. .�480 �, �, _4, 800 Type of Conatruction _._..E..rame ........_........._.___. Es� Cost _......�18.s5 00_.._._..___ To be Cosnpleted _.._.._._._. In cansideration o! the issuance to me of a permit to co�stru the building described above I agree to do th� proposed work in accordance with the d�scription above y�'� orth and in compliance ot o�dinanoes o! the city of FridleY• / __ /% /.�� _ In c�aideration oi the payment of a fee of �.?3 . 00..�.._._., permit is hereby granted to_..... H�MEDALE BIIILDERS to c�struct the building or addition as described above. This �ermit ia gia.nted upan the express condition that thepe rson to whom it is granted and hia agents, employees and workmen, in all work done in, around and upon safd building, or any gart thereof, shall conform in all respects to the ordi�iances o� FridleY, Minnesota regarding location, construcLon, alteration, maintenance, repair and t�►ovin8 of buildiuSs within the dty limits and this permit may be revoked a t ar�y time upom violation of aqy oi the provisians of s��d ordinancea ALLEN G, JENSEN B�� • NOTICE: iM� p�nek doa nof eowr flN conNroalloe, M�h11Mkn fa rriAnY. P�W Ya hwNno, awK � wMK. d� aar to sM tln duildinY ��P�' ��P�� P� for th�n hNns. � w �, /_,.----- . OWNER'S NAML � APPT.ZCATIOIQ 1�OR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS �DRESS ° p� LOCA'�,ZON OF UILDING _ ---NQ,_ / �� Street art of Lot •- � ' ' ..r..._.. L�T K y ADDITiON OR SUBDIVISION � �� Corner Lot Inside LOT�S�etb��ck �� $� Side�=+Yard�� _'� SL+WER ELEVATION � FOiiNDATi01`T ELEVATZOIQ � . � . . � .. . �- rr�.y� rrw*�•!rt� �..rni.�� Applicant attach to this form Two Certificates of Survey vf Lot and propoaed � building location drawn on these� Certificates. � � DE3CRIFTION•.OF BUII.DiNG � s� To be used as ;_ , ; t �,� __.:�� - . � Front 3 � eptY��-��Height�� Sq. Ft . O Cu. Ft .— f��i �� Frant ��i Depth`�.�_Heigttt % D Sq, Ft.- �� Cu. FL. � � � . ?qpe o� Coztstruction ��.� � EstimaCed Cost � �� '��-- �� To be cc�pleted � �� ;� �— � q'he undereigned hereby makes application for a permit fo� the work herein spt�c`ifted, agreeing to do all work in strict accordance with the City of Fridley Ordinances aad rulings of the Department of Buiidings, and hereby declares that ail the €ects aad representations stated in this application are true and correct. ' DA�'E / � � : SIGNAT[TRE , _ (9chedule of Fee Casts can be found on the Reverse Side). a'�'��C`� f�/ . �� + . _ � ' . • • • �- _ • • � City of Fridley, Minn. BUILDING PERMIT Date: _._._SePt•__18.:_.1969Y__.._.___._..._.......__.._ �� N° 10416 pwner: __Lloyd Smith�--��___.__�. Builder _.._...Custom Pools.,�_.:Inc._..__..._.._.._. Address ..J_�i.4.�._.,��.1��..0?�_.�.t . N.s.. ..L�......__...._...__.___..___ Address _ 909 Excelsior.. Bl_v_d..___ Sopkins , Minnesota LOCATION OF BUILDING No. _..__7600---_. Street _._.._._Jacks on _ St� N. E.._. .... Part of Lot ...._._�� _ Lot _..._._7._..___...._..._ Block _._.� 2.....�.._..._...._.._..........._. Addition or Sub-Division ....._.. Mel od� Manor 4th Addn� Corner Lot _.__..._.._._..__._.. Inside Lot Sewer Elevation Setback ._._...-_--_---•-•--_---_._ Sideyard _.__._ Foundation Elevation _.___� DESCRIPTION OF BUILDING To be Used as: Swimmi� Pool._ Frnnt _..�.�2.�_.._�. Depth .��T_�_____ Height3.�.S��.-.� Sq. F� ____.._..._........_.._....._._.._...__ Front �.__.._._.. Depth ____._.__ Height _._..__.___ Sq. Ft. _�.�..... Type of Constxuction S.��=1_.with. liner�t. Cost _._...�3600..00....._......_ To be Completed Cu. Ft _._.. Cu. F� In consideration of the issuance to me of a pernut to construct the building dea 'bed above, I agree to do th� proposed work in accordance with the description above set forth and in com an with all " ns of ordinances of the city of Fridley. �-��%!�� In comsfderation of the payment of a fee of �._..�24 . 00 _��t is hereby granted to__ Gu�t om P�o� s, Inc . ...._...._._.._......._._......_�........___.___ to construct the building or addition as described above. This pex�nit is granted upo�► the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinaaces o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin�a within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinaaces. f ��G'�'.�'�I.L �, !�w B�8 � Hank Muhich NOTICE: ihk p�emh do�s not eowr Nu eonsfrueHoe, inshllallon fs� wieiny� plumbine. Ya� h�NM�, aw�r � wN�r. !� wn to a� fh� BuiWiaB IntpKfor for ap�raN p�neHs for f6a� ffNm. ■ . --- - M APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNE�'c 'S NAME ��T,� ^� �%� i�- BUTLDER C_"/�.S �„�� o d� , ADDRESS ��Ga -��SG,(ll/I%C; i :�/T7L,,,�f' ADDRESS C%D �'t'.�'X�.(��S/�i� �?�GP�T�/yS T— ' LOCATION OF BUTLDING rro. /� a s��r ��/� GfT �S O n/ � T/�/�= � � LOT BLOCK ADDITION OR 5UBDIVISZON CORNEEt LOT INSIDE LOT SETBA.CK SIDE7ARD � ----�-�----• SENTER ELEVATION TOP OF FOOTING � Applican�t attach to this form Two Certificates of Survey o�' �ot and proposed buildin,g location drawn on these Certificates. DESCRIPTION OF BUILDING � �'o Be IIsed As• ; �,:. : . s`%i ! M /Yl � • L Front Depth � ' �� „� �� O � / � �i Square feet Cubic Feet Frpnt Depth Height � a�`7 � Square feet Cubic Feet Type of Consti^uction �;��, �,� ��/��t R Estimated Cost �6a a— To Be Completed The undersi�ned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict aceorda.nce with, the City qf Fridley Ordina,.nces and rulings of the Depaxtmen� of Bui].d�.nga, and hereby declaxes that all the fac�s and representations stated i.n this applica-�ion are true and correcta DAT�' / �/,LL', T��- �"i SiGNATURE��C>/dz,�. --c-�---�- (Schedu].e of Fee Costs can be fourid on the Reverse Side. _ `-� � �-j ,,, K � i�„ ��'` ` , �.�.�'• , ' ��am ;� �; ,�m....�... ��s,� H. � n.. � � � . .,: � � . . CUS TOM POOIS , INC 909 Ezcel�ior Blvd. Minneapolis,Minnesota 5542 6 ;�,,.ir^ / . �.�' ; !, : �- I � %' -�L as g ole oxner of the proge�ty locsat .ed :./ � ' at Y , _ � > � c �- � i_ � _.� ; ;,, ,agree to asst,ime responsib�lity to er.�t a fencc aroun�. progosed s�imming pool at the above men�ioned addra8s �rithin txenty-one (21) d.�ys of pool cpm- pletion. : I further agree to build the f�Mae to comply �vith th�e�-aode........... f� � /� � �,�- �? �,�, -�� GC ' . �t � /� � � �y ,��iL �l/ �!� G�- G�=-� G �' ,__.._ "_�� . �-_..._ liG- �� — � / ,� �� , ��r�� - � , ? G /, �� .� / ��:'�� . -' , �� c-: _ � �� •_ .w • • '1 � � sue�ecr PE T City of Fridley 2117 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T i • RECEIPT NO. � � � • COMMUNITY DEVELOPMENT DIV. r �~ � PROTECTIVE INSPECTION SEC. y�s�� /'�'1 � CITY HALL FHIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV, �""�' �'' 612-571-3450 910-F15 12/11/91 / / JOB ADDRESS �6Q0 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT Oii ADDITION SEE ATTACHED DESCR. % 2 Melody Manor 4th Addition SHEET 2 PROPERTV OWNER MAIL ADORESS ZIP PHONE Margaret Burns 7600 Jackson Street NE 7gp"2ggQ 3 CONTRACTOR MAIL ADORESS ZIP PHONE UCENSE NO. Twin City Storm Sash Co 10825 Greenb,rier Rd, Mtka, MN 55343 546^816Q 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION �1 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Repla,ce One k�indow 9 CHANGE OF USE FROM TO STIPULAT�ONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WII,L BE COMPLIEO WITH WHETHER SPECIFIED HERE�N OR NOT. THE GRANTING OF A PERMIT $�95 $"SC� OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR I.00AI LAW FEGULATING CON- $1S. QO k'ire SC $ e3g STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $15.89 SIGNATURE OF CON � RACTOR OH AUTNORIZED AGENT IDATE� EN PER A IDAT T IS IS YOUR PERMIT � > 2-11-g�. SiGNATUAEOfOWNEAi�FOWNEABUILDEAi IDATEI BLDG �NSP � qATE �W [ ) ADDN ( ] ALTER I J Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXfiS R-1 A�ND R-2 Building Permit Application �� Effective 1 / 1 /9l Lega1 Description: ' . Owner Name & Address: Z -� '7 � G' c Tel. � 78D — c�Z S94 Co�tractor: '�WI�III EaTY S; n Q �� e �u nn �uw �'el. i0t J`� 7'l0 -�/� Q ., A�.�: 10�25 CREENBRIER ROAtS Attach to this application, a Certificate of Siwey of the lot, with the proposed coastivction drawn � it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF U�PROVEMENT L�ngth Widih Height Sq. Ft. Leagth Width Height Sq. Ft. Length Width Hgt/Cround ^ Sq. Ft. ��[ l �� [] Ft. Yd Setback Side Yard Setbacks 'ijrpe of Construction: Fstimated Cost: S J�J�, d C� Approx. Completion Date: /�S �� s� • �.a� �;.►eway c� c�c w�ac� Ne�a: Fc. + 6 Ft = Ft a S = s DATE: /d -� o•- Y% APPLICANT: Tel. ��`�� -- 8"� � d •�rr � . Permit Fee S � d Q Fee Schedule an Reverse Side Fire Surcharge S .�D �.001 of Permit Valuation (1 / l Oth %) State Surcharge S . SU S.SOIS1,000 Valuation SAC Charge S 5650 per SAC Unit Driveway Fscrow S Alt. "A' or Alf. "B" Above Park Fce S Fee Determined by Eagincering Sewer Main C6arge S Agc+eement Necessaiy [] Not Necessary [] TOTAL S �� g�T STIPULATIONS: �� . CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridtey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Sheil and Duct Work, Burner - Also Repiacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ $10.00 $ $ 10.00 $ $ 10.00 $ $10.00 $ �� All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Comme rciaUl ndustrial 1% of Value of Appliance or Work State Surcharge TOTAL FEE $ $ $ .50_ _ $�_� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE RE(NSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS / (C �� Itn-C- ��G�f` �� N� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this ppiication Gre true and correct. � � -� ,199�. OWNER � c� �� v� ,1� C�' rvl c� BUILDING USED AS ESTIMATED COST � `� ��% �� PERMIT NO. �� DESCRIPTION OF FURNACE AND OR BURNER � No. of Heating Units Circle One (Steam) (tiot Water) (Warm Air) Trade Name Size No. BTU ' HP EDR Fuel Totai Connected Load Burner Trade Name Si2e No. BTU HP EDR HEATING Signed B� Approved By Rough-In Date .�: .�,� r�-c- �,- 7 `/ Final Date � � �� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CBIMNEY AND STACR VSRIFICATION The undersigned hereby verifies that the existing chimney or stack: l. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes O No O 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected Yes () No () 6. Has total heating BTU�s of All other BTU's TOTAL BTU's Remarks List Alterations Beinq Done: � �T _ >> �. 5� � � I,"�� -/r_ /; �, ( HEATING COMPANY � • ' �`V, � . 1 �, � �-�e L1 � (✓) �Y� � �- - �'iL,C.-� i.� � � E=-Z� l � � S igr�ed By � - � v�� /Z.�� Date ��.,,� � !,�- � � SUBJEC7 c�ty of Fridley � � AT THE TOP OF THE 7WINS i: •� !„' r� � BU ILDING PERMIT _ „ , � RECEIP NO. � COMMUNITY OEVELOPMEN7 DIV. � ♦ "" , r � � � PROTECTIVE INSPECTION SEC. � � eo , , � � �""1 � CITY HALL FRIDLE� 55432 NUMBEA r+EV oarE vaGE or 0.PPq vEO ev �""�"� �'' 612-571-3450 9t0-F�5 10/19/95 � � JOB ADDRESS 7600 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 7 2 Melody Manor 4 Addition - s►+eer 2 PROPERTV OWNER MAII ADORESS ZIP PHONE John Romer 7600 Jackson Street NE 784-5498 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO. Renewal by Anderson 100 4 Ave N, Ba port MN 55003 439-5150 20040630 4 ARCHITECT OR OESIGNER MAIL ADDf;ESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII A�DRESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION l�i ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Window replacement 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHOFiIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OfFSTREET PARKING ! HEREBY CER7IFY 7HA7 I HAVE READ ANp EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� �(�OO �.SO WITH WHE7HER SPECIFIED HEREIN OA NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 32.00 Fire SC �p.9O S7RUC7iON Of� THE PERFOFiMANCE OF CONSTRUC710N. � �� . PLAN CHECK fEE TOTAL FEE _,� License SC $5.00 $38.40 / Si�NaTU oF N�pACTOF�OF7CUTNOA�ZEDAGENT �OnrE� WHEN PROPERLY ALIOAT 0 7HIS IS YOUFi PERMIT /� Gl/ C2 ` /C�'Z3'-�� SiGNATUF�E OF OWNEAUF OWNEA BU�LDEF71 iDATE� Bl0 �NSP ��FTE .�' ., � NEW ADDN ALTER tl Il t� CITY OF FRIDLEY SINGLE FAMiLY AND DUPLEXES R-1 AND R-2 Building Permit Application Cffective 8/ 1 /95 Construction Address: �i� (,�� L,_. �, c��U `•� � "� Legal Descripdon: Owner Name & Address: � c� �,,� ,,.- �`'``'`" e `'�5 5' � # � � c�_ Contractor: _�� Lj� (�-� i��?� ��.� _ MN LICENSE # Z.��`-f �(o3C Address: t c�C� E-( H�` 64vt �� 1. ` yV ^v�'� Tel. #�3�- J!SU Attach to �is app 'cation, a Certificate of Survey of the LJe.f� S� �� q lot, � with the r U p oposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER- DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Cmound Sq. Ft. Sq. Ft. ,�Sq. Ft. ,- w � r • lV. � vv��-. l. � -�' _ � � -�jr•�55 w ti �C , � � �L° �' �� 'C.�'` 'R�. u Comer Lot [] Inside Lot [] F� Yd Setbacl� Side Yard Setbacks} fiype of Construction: Fstimated Cost: $`�� 1 c� O- Approx. Completion Date: / � �: �" (Cost on Back) Driveway Curb Gtit Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �L ( . `�'�_' APPLICANT: � `� �w � % Tel. � y 3 y - � �� CITY USE ONLY �'ermit Fee �ire Surcharge State Surcharge SAC Charge t�� s��n�ge Driveway Escrow Erosion Control ,P�rk Fee Sewer Main Charge TOTAL STIPULATIONS: � -�� OCU F� ��e on Reverse Side $ , �� $ � �O $ $ �.vc� $ $ $ $ � $ �- �� .001 of Permit Vaivation (1/lOth96) $.50/$1,000 Valuation $850 per SAC Unit ss.00 �sr�� ,�a x�a�a� con�o�� Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Eng'uieering Agreement Necessary [] Not Necessary [ J sue�ecr PER IT . City of Fridley 2 553 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � RECEIPT NO. ; `L_�____ COMMUNiTY DEVELOPMENT OIV. r � � PFOTEC7IVE INSPECTION SEC. 3� ' , �'��1 � CITY HALL FRIOLE� SS�.3I NUMBER REV OATE pAGE OF AiPROVED BY 1""�" �'� 612-571-3450 9�0-F�5 5/25/99 � � �oe nooaess 7600 Jackson Street NE t IEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACHED DESCR. ] 2 Melody Manor 4th Addition s►+eer 2 PROPERTY OWNER MAIL ADORESS 21P PHONE Anthony Perkins 7600 Jackson Street NE 3 CONTRACTOR ARAiL ADORESS 21P PHOME LICENSE NO TJP Construction Inc 9303 Flanders St, Blaine, MN 55449 785-6984 20073666 � ARCMITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAII ADORESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION 0 ALTERATION �1 REPAIFI O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) Tear-off; Reside House & Garage 9 CHANGEOFUSEFROM TO STIPUl.AT10NS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TYpE OF CONST. OCCUPANCY GqOUP OCCUPANCV LOAO SEPAAA7E PERMI7S ARE REQWRED fOR ELEC7RlCA�, A�UMBING. NEA7ING. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING S�. FT CU FT. AUTHpqIZED IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONS7qUCTION OR WORK IS SUSPENOED OR ABANOONED FON A PERIOD OF 120 OAVS AT ANY TIME AFT�q WpqK IS COMMENCED. NO. DWIG. UNI75 OffSTREET PARKING 1 MEREBY CERTIfV THAT I MAVE READ ANO EXAMINEO TMIS APPLICA710N 1 sre,��s GARAGES AND KNOW THE SAME TO 8E TRUE ANO CORRECT. ALL PROVISIONS Of �AWS VA�UATION UR7AX AND OROINANCES GOVERNING TMIS TVPE OF WORK WI�� BE COMPLIED WiTM WMETMER SPECIFIED HEREIN OF NOT. THE GRAN7�NG OF A PERMIT 9 548 4.77 OOES NOT PRESUME TO GIVE AUTNORITV TO VIOLATE OA CANCEI THE pERMIT PEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON- @ 1H1 . ZS Fli SC �9 . SS STRUCTION OR THE PERFOFi� O�UCTION y� PLAN CNECKFEE TOT FEE Lice C $5 $200.57 S�GN�TUAEOFCON'N�CTOpOQAUTMOQ�ZED�GENT •iE� WME PRO VALIO T THIS IS V R PERI�IT �� rL+ � S�GNATUQEOFQWNEp��FOWNEpBUiLDEfi� �O�TEi 8l G �NSD r�afE NEW [ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 AMIL BUILDING PERMIT APPLICATION Construction Address: �c�G�% Legal Description: Owner Name & Address: _� � � �� G�" . , , Tel. # Contractor: % �� pr�,r.7" ��'y� � _ MN LICENSE # �2l'JO %��,� � Address: 1�30.3 ��.�4i-� �/�' � /,�i.g�r�-e Tei. # 6/5 7� 69�1� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft. GARAGE A►REA: Length Width Height Sq. Ft. DECK AREA: Leng'ti Wi.dy� Hgt/Ground Sq. Ft. o�R: �� F' �( �` � , oZ3 � , i �R� � v /9?� �C� "'id�y "i1�S!/�� .L �/ U Construction Type: �o Estunated Cost: $. �� Driveway C�Zrb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: �� APPLICANT: Tel. #�.JZ 7�.�-��'/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 1.�� ,.SS` $ '� %�% $ $ .� DC) $ $ $ $ � ��- �7 CITY USE ONLY Fee Schedule on Reverse Side .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 ( ]! _ . . �