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AF - 47643BUILDING PERMIT Vilpage of Fridley, �'Iinn. N° ?36? Date ^��/�� ............... / , ................. Buildrr ._i'O��/r.�•u.......................... Owner ..�//�j�.�l.,.�rfC6.../�'V....... ?.ddress �i�s�....�'•'�•s'Grt"1t.-{r.•r.�-._.r�F't.J.... :\cl�ires� � ......................................... LOCATION OF BUILDING No. .�e�.IQ........ Street�.-4'l1:!'K.+(..1.:'/ ........................ Yart of Lot ....................... Lot .....l�^....... Block ..... . �i . .. ... Addition or Sub-Division . .. .,I.-f�S�....V .. ........... ... .. ... . Corner Lot ............ Inside Lot ..�i'........ Sotback .`��.. f'I/� Sid��y�rd .�A. �.�Jl�1i .............. To be Used as: .,�,�.��Xf..... ��........ Type of Construction DESCRIPTION OF BUILDING Front f-�ss Depth ��....ISeight ......... Front q1.5%.... Deptl� .%i.�fj... Height ........ Sq. Ft. //.lQ . . Ca Ft. . .. .. . . . S�. Ft. .5 kB.. Cu. Ft. ........ ..d'4n+.ea�.. Est. Cost ...,.�G'O.�i ............. To be Completed ................... In consideration of the is�avance to me of a peivnit to conshvct the building described abovq I agree to do the proposed work in accordance with the description above set torth and in compliance with all provisions of ordinances of the village of Fridley. _ � n consideCation of the payment of a fee of $. .��.�-.... Pcrmit is hereby granted to �,.{(,hG(..�d.0i�/........ �[tyfJ• •• yz ��•� to wnstruct the building dr ad dition as described above. This permit is granted upon e express condition that the person to �s�hom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thercof, shall conform in all respects to the ordinances of FridleY, Minnesota regarding Iocation, construction, alteration, maintenance, repair and moving of buildings with- in the villagc limits and this permit may be revoked at eny timc Upon violatigyZ of any of the provisions of said ordinances. � :/ j . . .1' � �'t �. �h y. � :�.!:��liJ�.. . Building Inspector - ------. . . . - -- ----. _ _ _ _ . _.. . _ . � --- +(�. �`—�. -- R�yl[N�1 This permit does not cover the construction, insta!lation or alteration for wiring, plumbing, ga5 heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. � � I1rr�t�Ai IU 97-8l,,�-$�40o f . ' � .,� � ,� N >, a q u . N rD • a b� C �+ .•� r+ � � r r a 4 G r+ M Ca +� p, iv .� .r •[-.� N h+.1 q N M NL L� P� � �►. :J �1 . 2 • a M � S G t N � ..Fi 0 .0 � U ' . o o ... � • � '� H .� 2 b g � u� ., u� 1� �n 4 A q +�1 �J �+ 0 � r'1 �a N 7 N ry � li r U� � q � q h :� A k v� a u W K� u � � . ' . .�•lsc � �i• C xlne � ��d . �. • . � �rC . . . i �N � , � . 1 _ (x) � iVtura Connection Openin9 ((•) � ltcv Flz arro, Old Opaning Connoctod With � � PARTIAL R/�TE SCHEDULE PLU�L9ING FIXTURE RATES; N0, u wacor �, Iiq4t0Y � " a� N � p SD ' LOC Sovor Nata.t RATB TOTAL h\s=.� et F Lx [tu o t ` �� x S 3. 0 0 fV:ure F!.xcure Oponing � •� �_ x $7,00 Kcv Flxcure� Old Oponing . • x 52.00 Cstth 9ae.in • `�� x $5.00 � Water Hanter - Co 99,000 81V, �� x $5.,00 100;G00 8TU to 199,000 BTU x 510.00 Nacer Sotcener • ' x 57.Q0 � ft�v Grour.d� 1a►n Old 8ui�,dinq x SS.00 Eleccslc NsCer N�ater - _� x 55,00 ..____. G.IS fITTI\'G FEES; ' ,• � , ls� � fix ture� x 33.00 3.�di[lotal fixtur�� `� x 51.00 :G.i� ftsngc to 199,000 BTU `__ x 510.00 REP�IIRS a JILTERATIONS ' rtrsc sioo.00 eac1� aCd. S10a.00 or lraction 0 , , ' State Surcharge TOTJ�L FEE $ S S S 5 S i S 5 9 ..,,_� 9 �_ 55.00 3 5��00 � S .50 � 8.00 0 �ob Addreee „�6214 Jugiter �oad ,� Department o� Uuildingn . � ' City ot Fridloy I Tol„ N57J.-�450 � Tl�e undornigned heraby make� application Lor�n porrnit tor tho worM apaciff.ed agroning•to do all work in etrict accordance with tho C1cy and rulingy o� the Dopartmont ot Duildinge, nnd haroby doclbroi thni the taat� and rnpreountationi atated in thir a�pllcation nro tcvc ar � � Fridlay, M.i, ZO-�9-77 , 1 OWNFR PAt� Q�TARNS'i'R41MT KIND OF llU1LOtNG frame - , � USED I�S res. � TO BE COMPL£TED AflOUT �.0�26-`T� r � ESTIMJITED COST ZO.00 OLD - N1:W llUIL�ZNG PEfU11T N0� � PE�hiIT N0. �J�� Comp��E» , � ��IN �r-- • MINNEc�AS�p �SCO , Signed Dy' � ' Tol� No� ROUGIi YNSP. ' Date � ' FIN1�L TNSP. �lo '� l , Dato • ' �PPROVI�L I�'OR PGRMIT 11�/j , �.' . MTI�IMUM YEB FOn AtJY ALUMIIING AERMTT I9 37.50 ,,. . ' . ' , . � 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 i � � � � i L��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE lNSPECTION SEC. � � /"'1 � C.ITY HALL FRIOLE� SS43Z NUMBER REV. DATE PAGE OF �"'"� � �� 612-571-3450 9�0-Ft5 4/29/88 / / JOB ADDRESS 6210 Jupiter Road N. E. t L@GAL ��T MO. BLOCK TRACT OR ADDITION DESCR. 12 2 $j�].Va21 Hills Plat 3 2 PqOPERTY OW NER MAIL AODRESS Gary Scholzen 6210 Jupiter Road N.E. 3 CONTRACTOR MAILADDRESS Sa.me 0 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRESS 6 USE OF BUIIDING Construct a 12' x 12' Shed 7 CLASS OF WORK ZIP P I� _ 19 d' RECEIPT NO. APPROVEO BY SEEA7TACHED SMEET PHONE 572-2034 PHONE LICENSE NO. PHONE LtCENSE NO. PHONE UCENSE NO. C� NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 12 `, Shed i�n Rear Xard 9 CHANGE OF USE FROM STIPULATIONS TO Shed must be a minimum of 3 feet frar► the North property line and a minimum distance of 5 feet from the West property line. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �� VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED 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. DWLG. UNIT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMI7 S45O. OO DOES NOT PRESUME TO E AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY , H STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE,�EFF RMANCE OF CONSTRUCTION. $ZS, OO ATURE F N'RAC OF: HOAIZED AGENT IDATEI ,�. � � ,�--� y �� GGUPANCY GROUP �OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GAfiAGES SURTAX $.50 T07AL FEE $15.50 D THI$ IS YOUR, � N�r L ] ADDN. [ ] ALTER. [ � t uetion Address• City of Fridley �� R-1 AIiD R-2 j Building Permit Application � ��n, �� 1��-n . �R i. Effeetive �/1/86 Cons r - � Legal Description: • �Q U 1 �YY�2il.�� 2n� Owner Name & Address: J��I22N �02%� �U,�► �� Tel. # 572��/ Contraetor• � Tel. # Address• LIVING AREA: �E9 AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to scale. DESCRIPTION OF IMPROYEMENT Length Width Height Length �� Width l.�- � Height � i/ Length Width Hgt/Ground Sq. Ft. Sq. Ft. _�� Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setba�;k Side Yard Setbaek � Type of Construetion: t��D�� _ Estimated Cost: $ � •dD Approx. Completion Date: — Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ � � See Back Page for Explanation DATE: / � �� APPLICAN . Tel . #��Z�Z�J � CITY IISE ONLY Permit Fee $ rr= �� Fee Schedule on Reverse Side Plan Check $ 25� of Building Permit Fee State Sureharge $ oS O $•50/$1,000 Valuation SAC Charge $ ��,�9� per SAC Unit Park Fee $ F�e :Determined by Engineering Sewer Main Charge � --- TOTAL STIPULATIONS: Agreement Necessary [ ] Not Necessary [ ] $ �� . SC� � , .. � SUBJECT N O. City of Fridley 20055 AT THE TOP Of THE TW INS g U I L D i N G P E R M 1 T � r � , R � � . � i y_ COMMUtJITY DEVELOPMENT DIV. �J r � � PROTECTIVE INSPECTION SEC. 3 3 yI/ i . � i.--. A,�/"�,,� CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE Of APpROVED BV i �� 612-571-3450 9t0-F15 8/11/89 / / JOB ADDRESS 6210 Jupiter Road N.E. 1 LEGAL l0T NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED DESCR. ].2 2 Sylvan Hills Plat 3 SHEET 2 PROPEFTY OWNER MAIL ADDRESS ZIP PHONE Gary Scholzen 621Q Jupiter Road N.E. 572--2034 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEEF MAIL ADDRESS Z�P PHONE UCENSE NO. 6 USE OF BUII.DING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct an 18` x 14� Screen Porch Addition 8 CHANGEQFUSEFROM TO STIPULATIONS See notations�on plan. w�� S�p�tt�J4�`E �'ERMlTS R�QC�ItRE�? F4�2 Befiare diggi�tg call far WI�-1�It`a, �1�ATING, PLUM�'ING AI�D SIGNS. atJ utiNty bcations . 454•0002 REQI�IR:ED �Y `�.AW� � SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITION�NG. THIS PERMIT BECQMES NUII AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION �- STA�L$ GARAGES AND KNOW THE SAME TO BE TRUE AND COARECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVEFiNING THIS TYPE OF WpRK WI�L BE COMPLIED $3,6Q0 $l,$O WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT 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- $63. QO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $64 , 8Q si� TUAEOFCONTRACTOAORAU7HORIZEDAGENT �onrE� WHEN PROPERLY V ATED THIS IS YOUR PERMIT /i � � ° iGN URE F OWNE�7�IF OWNE UILDERI ID EI B�DG INSP � nAT �+' [ ] �� [ l Donstructia� Adelress: R-1 AND F�2 Building Peimit Appiicatiari -r . ��i _ �._ � . Effective 5/1/88 �nN ��3Z L�gal Desc.�ipkian: ��2�ER% /-o�C'.� , aar,er rrame & Aaaress: �.�. A(�u �c �d �Zt N �,�,,.�L ,, �. � Z-�� O�ntractor: ^ Z�el. � • .,. � LNa1G AREA: C��^'� ' �: Attach to this applicatiaci, a Oertificate of Survey of the lat, with the pzro�osed ao�stn�ctiaci drawn on it to scale. i��R'I�I �' II�ZiDVH�T� iaTM.� � Width Heic�t Sq. Ft. �h Width / Heic�'it _� Sq. F't. � � � W� �_ �i� .t� �. �. ��Z� _ �-,.. +�., �- • � ••�, v — .� .�. v, r Oorner Lot [) Inside I�t �] Ft. Yd Setback Side Yard Setbacks �e of Gbnstn�ction: W o O,p �stimated Cbst: $�i�� Approx . C c a�letian Date : i O�- i- g Pr+oposed Driveway Width If New Openir�g Is �. $ S �ATE: �' ( l-g / Width + 6' See Back Page APPI.SCAN!': `Pel. # J�%� o�� Cl'i'Y � QaY Piermit Fee $ state surcharge $ � Q SAC Ct�arge $ Drive�ray Escrow $ Park Fee $ Sesaoer Main Q�a�ge $ Tar�w $ � 1' � �TT�: „5 F+ee Sci�edule aci Reverse Si.de $•50/$1,000 Valuatiaz $575 per SA� Unit Alt. „An Or Alt. „Bn AbOVE Fee Determined bY FSngir�eer'it�g Agre�nt Neoessary [ ] Not Neoessary a [J �dv 20�- 2�S �'� �� I 6 3 .� S� �': � �: �' �3t��''O �.,_.,,,.., _ x� °t::.:i A DIVISION OF LEAR SIEGLER, INC. 375 Fifth Ave NW, St. Paul, MN 55112 •(612) 633-9300 � � ; , ' : ' �, i ` t , � � ; s 1�-� ; � p� 1 V b d � } ^ }-f' ' • , � � 1 F . � i � �� 1 � � F � a �. �. � y � .. .. . . . - . .. . � �. � � � � . . . � r f . .; � ,i. � � �. . .y. � � +'.'� � � 't"j' � T . . .. '. . , . . . . � . . 'r 1 - �. 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I � � � o _.. -.' A DIVISION OF LEAR SIEGLER, INC. 375 Fifth Ave NW, St. Paul, MN 55112 •(612} 633-9300 � �J , Q2 � � � , . ,.;_ . ; t ._ _ �; , : w. :. ; , ,. . ., .. , . : , .,, . : ., f r i .'- _ -I 4 '. � � t � t ,>.t � i '. . �a �� ; ' t ;'` � �►�� j t ' 1 �'Y , � ' `i� `o-�l ��ll � , � t� ; � { ' � � , rf ; . � �" �. , . �_,� , 3 ; ° i ! ` }t` { f t �' i' /� I _ �� _ .a � ��I ;..j ' , �— � g � � , � (�. �.. t r i - � ` ` , { .. � 4 t t —t—.. y—s—�- �' � � ��' � i i�� _, r� :� ; z W c.�- : � ' `- { � :�t +�. � �. � + y-��.` � ,.F � #-; i 1- � ��i � i .. . � . . : �., . .. . `� .. t , �' ,�',\, .. , i fA' � +f#i�'{ ; ,-, . . ; 1 t. _;� � � t O , S �_ _'��. � � ��S � ��....._, i, �-3 �+ ' (; �ii� �r {r�� t�� „ , '� �;�� ,;� �� p►' -' � ?�;'i�� l3 '' ` ; ; �� . � ; , � ; . .�`� . ; � 4�' :j � � � i j � j � �.j { ' � � d �Ui� tr � � �.. 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Pao�.�. . �'arsr ��u�� ; - - � �� : � r _ � � �_ . _ . . � - } t �;� . ; , : . , . r �� .. ,� . � . e4� ; ti, ,. , .� . .,... . . ._rrt; i — r �0 •AGRE�MEN� _....._.........�._......�_ I, �L ��_��//f �, , owner of the property located at ��Z��lc.p '�f2_ r�F � , have no objection to the Ci ty allowing the construction of a/an ��C�� to be I ocated at ,�v�/D �✓�i�"� %��- , wi thou t the required certificate of survey that the Gity ordinarily requires for all new construction. � ,. . % /��_i � /. �' _L �. l. � � �� .i sue�ecT PER . — City of Fridley 2 0 914 1 , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T EIPT N r � � ----4 � • COMMUNITY DEVEIOPMENT DIV. � L L' � r � � PROTECTIVE INSPECTION SEC. � �,3� � � � � � � /'�'1 � CITY HALL FRIOLEV 55432 NUMBEF REV. DATE PAGE OF APPRO�ED BV �"""�"� ,�� b12-571-3450 910-F15 7/3j91 / / JOB AOORESS 6210 Jupiter Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 2 S�$ S IVdIl H111S P1at SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Scholzen 6210 Jupiter Raad NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO. Loon Builders 4816 West 110th St B,lo 881-6Q30 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEEFi MA{L ADDRESS . Z!P PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Aluminum soffit & fas�ia tters 9 CHANGE OF USE FROM TO STIPULATIONS TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PEFiMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alfi CONDITIONING. 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 OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTAEET PARKIfJG I HEFiEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROV1SiONS OF LAWS VALUATION SURTAX AND OiiDINANCES GOVERNING THIS TYPE OF WOIiK WILL BE COMPUED $3�4.�Q. $1�.�4 WITH WHETHER SPECIFIED HEREIN OR NOT. THE 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- 63. QO Fire SC $3.47 STRUCTION OP THE PERFORM CE OF CONSTRUCTION. $ , PLAN CHECK FEE TOTAL F E 8.21 SIGNA EOF ONTFAC RORAUTHORIZEDAGENT IDATE� w ERLV VA T T IS VOUR PERMIT ./ SiGNATURE OF OWNER ��F OWNEA BU�LDERi i0ATE1 P qATE 2�T [ ] � I � �'i'� [ l C�.stnyction Aaaress: 7�ga1 Desc,'r'iPkiaz: _ ��&�: ��: _� Aaare�• ¢�/� G� /D R-1 AND i�2 R,; i dir�q Permit Appiication � Effective l,/1/91 �. � ' -�o�¢ �. � - o�o Attach to this applicatian, (6 Oertificate of S1�YVey of the lat, with the p�oposed aanstxvction dra�wn an it to �cale. � � � '1:�� - • r • � r- v:,� - . � :, w -� �. - . • r•��• �_/ ..,. _ � •I" I ,I' '�• � :r I:N W1{,iul W..,�.11 Width _ �l�t sac.iya•t �� . �• i' b• �• lb• $�. �. �! �rne.r Lo�t [ J 7nside Iat [] Ft. Yd Setb�ack Side Yz�nd SetbacJts � of ��i�: �tea a�t: $ � 7D. ° ° Approx. oaaq�letiaci nate: Prq�oseci Drive�ray Width If New Openinq Is Desired: Ft. $ $ Width + 6' See ffick L1ATE: APPISCANr: '�.'1.. # (�(J�(D �� ¢TY �B Q�II�Y Permi.t Fee $ (o � . D D Fire surd�e S 3- y � State surdzarge $ / . 7 � SAC C�arge S D�iveway EscY�ow $ Park Fee $ Sew�er Main Ct�arge $ . v• y�t: � : M •_t�- � $ .�/ �S= �03 ��-� Fiee Sciyer�ule an Reverse side .00l x P�ermit valuaticn (1/loth �) $.5o/Sl,000 valuatiar, $650 peY' SAC Unit Alt. MAn OZ' Alt. MB'� AbW2 F�ee De�teYmined by �; *+�r; m Agr�t Neoe.ssarY [ ] � �xY [ ] .�., SUBJfCT • City of Fridley 27 374 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ! �` �� COMMUNITY DEVELOPMENT OIV. %� O r � L � PROTECTIVE INSPECTION SEC. _ /�� C!� � ' �""1 � CITV HALL FRIDLE� 55�32 NUMBER pEV O�TE DAGE Of APPROVED 8V �'.---�•� �'' 612-571-3450 9t0-F15 8/24(98 � � J08 ADDRESS 6210 Ju iter Road 1 LEGAL LOT NO. BLOCK TRACT Oii ADDITION SEE ATTACHED oesca. 12 2 Plat S 1 an H' sHeer 2 PROPERTY OWNER MAI� AODRESS ZIP PFIONE Gar Scholzen — 3 CONTRACTOR MAIL AODRESS 21P PMONE IICENSE NO. Owner d ARCHITECT OR DESIGNER MAIL AD�RESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AOORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res dential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIH ❑ MOVE � REMOYE 8 OESCRIBE WORK Reroof house and ara e 24 S Tear-off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR EIECTRICAL, PLUMBING. HEATING. VENTILATING OFi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OF CONSTftUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOO OF 120 DAYS AT ANY TIME AF7ER WOiiK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMiNED TNiS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOYERNING THIS TYPE OF WORK WILL BE COMPLIE� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT ZOOI 1.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT fEE SAC CHARGE PROVISIONS OF ANY OTHEFi STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �7�F. %S F re SC I,.00 PLAN CHECK FEE T TAL FEE 77.75 Si aE OF CON RACT OQ A i 2E nGENt iDATEi EN R V VALI D 7H1S IS V UR P R I 9 �� I � r S�GN4TUREOFO N Ri1cOWNEABUILD IDATEI g� INSP O�TE NEW 4 ADDN ALTER [] �` � [� ConstructionAddress: Legal Descriptian: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � _� C� � /r Effective 1/1/98 ��37� Owner Name & Address: ��}2 c�( L�e �7 f-/lJ �St1-v►ti� Tel. #,S %�—�.3� Contractor: �� % �- MN LICENSE # Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width H�t/Ground /�� 2 Od � �� rl S F� a�'`� Tel. # _ Sq. Ft. ^ Sq. Ft. _ Sq. Ft. SQ ' �i4 � � T�Cli� D t� Construction Type: R� %� p 01` Estimated Cost: $ �� r r (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x$ =$ DATE: � "� APPLICANT: Tei. # Permit Fee Fire 5urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ %� ��- $ � UC� $ /- vU $ $ $ $ $ $ $ 7 � S� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1ilOth%) $.50/$1,000 Valuation $1000 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 [ ] CtTY OF FRIDLEY INSPECTION DIYiSION Effective On January 1, 20Q0 �, 6431 University Ave NE m Fridley, MN 55432 APPLICATION FOR POWER PLANiS AND HEATING� COOLlNG� YENTILATION. w 572•3604 REF�tIGERATiON AND AiR CONDIiIONING SYSTEMS AND DEYICES a a JOBADDRESS_�a/U �u��°�er ��% RATE SCHEDULE � — owNFR �� a� v 5e.ho � z e,-� N � w � � H � N � � w � � a � m r N � � m � r � �, u�r � � m � N m m N Q1 m � m �-�1 Residential Furnace Shell and Duct Ydark, Burner - Also Reptacement Furnace (Side Vent • Fiq Out Back) Gas Piping (IVeeded with new iurnace, but not replacement) Gas Range Gas Dryer "Air Conditioning - Afl Sizes Ali'Othess/Repairs & Alte�ations (LIST ON BACK) 1% of Value of Appliance or Work Com mercia!/1 ndusVial 1.259j, af Value oi Appliance or Work Rate TOTAL $ 30.00 $ $10.00 � $10.00 $ $ 10.00 $ 25.00 State Surcharge TOTAL FEE u j, « �:.. . . ►� .._ �,_ � •� ; .► . : •,,• .► ► _ '�i �� , F _: ,,;s . REINSPECYION FEE $47.40/Hr *Air Conditioners can not be placed in a side �ard without written permission irom adjoining properly owner. BUILDING USFQ AS t�-�• ESTIMATED COST f �DOIJ-�iD PERMIT NO. _� ��C. �%� �ESCRlPTtON OF FURNACE APlD OR BURNER No. of Heating Units Circle One (Stearn) (Hot Vllater) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load 8umer Trade Name1�+��T %�ow � Size No.� �a�cQ -�C%r $ BTU,3t�,�..�Ua NP EOR .�nS�a-/( �a.s J�'ie�luce, �"� a�i $ �� , v U The undersigned hereby rnakes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division� and hereby decfares that all the iacts and representations stated in this application are true and correct. DATE `C�- GI - ao� HEATING CO �ccs�"�'� ��.s /C �+_°rs Signe a _ �/; sa# �S'o -/3/fl-G 99�-�f 3810 ��a� > Approved B Rough•In Date Final Date �� • Lf � rE� # ��1-7�dr-Sa ?'7