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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: _ April 22,E 1968 Owner: _ Homedale Blders . Builder Same Address 5217 Wayzata Blvd. Address _ Same LOCATION OF BUILDING No. _7553 street Lyric Lane _ _ -- Part of Lot 9685' c//L/3 b Lot — 10 _ __ Block 3 Addition or Sub -Division .._._ - Meldoy Manor 4th Addn Corner Lot ._ Inside Lot X ...._._—_._ Setback _.__._35' --_ Sideyard --U& 10' Sewer Elevation _ __ 878.94 881.94 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 46' Depth 24128 Height _2W ' Sq. Ft. 112 Cu. Ft 23,040 Front Depth . _ Height Sq. Ft. — Cu. Ft. Type of Construction Frame _Est. Cost _ X20.000 _ To be Completed sLu�,y X96-8 SEWER LOCATION - 78.5' East of Manhole WATER LOCATION - 88.5' East of Manhole In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set,,forth and ,fin compliance with 21 provisions of ordinances of the city of Fridley. 'Al— -/- ' r , // i 00 Sewer In consideration of the payment of a fee of $___25 .00 , permit is hereby granted to Romedale Blders . to construct the building or addition as described above. This permit is granted upon 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. A / /! - - tet® A 1 11 T� u'1 , 4141 NOTICE: Me permit does not cover the construction, hwallatlen for wiring, plumbing, gas heating, ewer or wabr. Be sure to as the Building Inspector for separate permits for thea items. A 11.1. C AT I (Y. -I YCR OMNER'S VAME 'K ADDRESS ADD.,,ESS LOCA `100 01BUILDIiiG P. 0?�� PART OF LOT LOT BLOCK ADDITION OR SUBDIISIONI� IV COMMER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEMATION FOUNDATION ELEVIMON .Applicant attach to this foam Two Certificates of'Survey of Lot and proposed building location drawn on these Certificates. �7 ZIL DESCRIPTION OF BUILDING To Be Used Ag: Front Depth Z He I sh Sq. Ft, Cu. Ft. 50 7/o -Front Depth Height Sq. Ft. Cu. Vt. Type of Construction_Estimated Cost To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 0e, low (Schedule off"Fee Costs can be found on the Reverse Side). City of Fridley ,,► Application for Pli nmbing and Gas Ming Pemdt Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3 � —7 x $2.00 $ ii x $1.50 Z8[ New Fixture Old Opening .............. Z Z W x $3.25 w 0 ? �O • F • N WATER HTR. GAS ELEG Base a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 It IRP -0 Additional Fixtures .................... ' $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st ' 2nd 3rd 4th • Future Connection Openings I e New Fixture, Old Openings I 1 Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... —7 x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $�� New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 It IRP -0 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................... ........... TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applica*on pre 1 correct- Fridlev. NCnn (/� 4 19 Owner Kind of Used as To be ci Estimate Old—Ne ROUGH FINAL Refrigeration and Application for Power Plants and Healing, Cooling, Ventilation. Refri g Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ NECK. WARM AIR $ •! Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour --See Fee Schedule ROUGH FINAL C Dept. of Bldgs. Phone 960-3490 Z1w; City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Q' Fridley, Minn- Owner Kind of Building Afe_yz� Used as To be co Estimated Cost, $� �/ Old New uilding Permit No. 94 9' Permit No. -'�// / DESCRIPTION OF WORK HEATING or POWERTS-Steam, Hot Water, arm Air No y GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule Sq. Ft. E.D.R. BTU H.P. GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $� Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL C Dept. of Bldgs. Phone 960-3490 Z1w; City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Q' Fridley, Minn- Owner Kind of Building Afe_yz� Used as To be co Estimated Cost, $� �/ Old New uilding Permit No. 94 9' Permit No. -'�// / DESCRIPTION OF WORK HEATING or POWERTS-Steam, Hot Water, arm Air No Trade Name- Size No Capacity Sq. Ft. E.D.R. BTU H.P. C� Total Connected Load � Rind of Fue BURNER — Trade Name Com- �� Size No Capacity Sq. Ft. E D R BTU H.P. (REMARKS 0 �� Y Iii.WELTER HEATING CO. 4637 CHICAGO AVE. By r ae Business Phone No -�az 52-842915.51 City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF WORK 7553 Lyrick Lane Number, Kind and Location of Fixtures Location- Oi I $ — x $1.50 $ — x $1.50 12 i z — x $3.00 s Z 88 w ? �I O,s1� J w 0 z z �O • F • N WATER HTR. GAS ELEG Base 1st 1 2nd 3rd 4th • Future Connection Openings a New Fixture, Old Openings I Connected with Sewer � Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric water Heater _ GAS FITTING FEES: — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. l x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn8712-68 19_ Owner Homedale Bldrs Kind of Building frame Used as To be completed about Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No.�o Si edJ Business Phone No ROUGH FINAL G-� Description .............................................. $ �a TOTAL FEE -.1 as City of Fridley, Minn. BUILDING PERMIT Date: August 26, 1968 Owner: Jambs Summers Builder Address 7553 Lyric Lane Address James Summers Same N9 9901 LOCATION OF BUILDING No. 7533 _ Street Lyric Lane _ part of Lot _ Lot 10 Block 3 Addition or Sub -Division Melody Manor 3rd Corner Lot — Inside Lot _ Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING 4th To be Used as: Garage Front _._.20 Depth 22' Height 12' Sq. Ft. 440 Cu, Ft. 5280 Front Depth Height . Sq. Ft.. _ Cu. Ft. Type of Construction Frame Est. Cost __ 1400 t00 ____ To be Completed _._. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in mpliance with all provisions of ordinances of the city of Fridley. �i In consideration of the payment of a fee of $ 8.00 _ _ _, permit is hereby granted to Jiames Summers to construct the building or addition as described above. This permit is granted upon 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 ordinances of Fridley, Bllinnesota regarding location, construction, altera tenance, repair and moving of buildings ti within the city limits and this permit may be revoked at me up violation of any of the provisions of sak ordinances. Official Building JWWOMW Breher NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEE °S NAME BUILDER S A, 1P1KiE- ADDRESS 26-5-3 ADDRESS LCCA'TION OF BUILDING. NO. STREET LOT �y BLOCK TABDITION OR SUBDIUISIO!� X��o�y x�AKb{Q 44.5 COFFER. LOT INSIDE LOT ��'SETBACK SIDE"TARD SEWER EL97ATION TOP OF FOOTING Applicant attach to this fora Tw?O r'ertifi,ates of Survey of Lot and proposed buildiir-g location drawn on thes : Certificates. DES^'R.1�"1'*i ON OF BUILDING To Be Used As: Front Depth 2. Height 1 Z square feet y5b Cubic Feet —57i fl' Front Depth Square feet Cubic Feet Height Type of Constructionf,� Estimated Cost %y®o To Be Completed The undersigned hereby makes application for a permit for the pork herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 6 Alf SIGNATURE - ---� (Schedule of Fee Costs can be found on the Reverse Side.) c F rc- B °, pi-r-'--o�y4a6d No. Make Original PERMIT for Power Rants and I•Ieating. Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK Plants to be installed–altered—repaired Size_.��_; Oil fired—; Coal fired – , Gas fired ; Gas Authorization No. Remarks L/U-t f Approved by Final Inspection Date , 19_ Inspector Permit 7 _ Fee$ 7 N° 4469 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. � Owner Location ,2� �j ��— Kind of Building How Occupied , Work to be Commenced To be Completed ,19 Estimated Cost, $ '77d • °-e Old -New, Building Permit No Ll i1 �1t ° Permission is hereby granted to a to install—erect—use the material and devices described in the above statement. This permit is granted upon ttle express condition that ythe person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, a to the specifications et forth in the approved application for this permit on file in the office of the Inspector of Buildings. ,Inspector of Buildings 42 2M11.67V CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in. strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - Also Replacement Furnace 11�0� rulings of the Building Division, and hereby declares that all the facts and $ 30.00 $:?--)b representations stated in this application are true and correct. (Side Vent -Fill Out Back) Q-, - @ 1997 Gas Piping (Needed with new furnace) $ 10.00 $ C� OWNER a) -Vv Gas Range $ 10.00 $ BUILDING USED AS Q -1-4-k Gas Dryer $ 10.00 $ ESTIMATED COST ) `7" no PERMIT NO. *Air Conditioning -All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm it Trade Name Size No. Commercial/Industrial BTU -7S HP EDR 1.25% of Value of Appliance or Work $ — Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEE O 0.6 — BTU HP EDR HEATING COMPANY LZ -4m MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. '12'q 8401 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By -Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIIFSTACK VERIFICATION ON J)U-j,,-p written permission from adjoining property owner. REPLACEMENT FURNACE J.�� WC� SUBJECT of Fridley 2752 5 AT THE TOP OF THE TWINS BUILDING P E R M I T rpCity RE CEI O. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. �� ry r ; rJ�/ NUMBER REV DATE PAGE OF APPROVED BY _/�"1 CITY HALL FRIDLEY $$432 612-571-3450 910-F15 9/2/98 JOB ADDRESS 7553 L ric Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 3 Manor 4tb SHEET -IMelody 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas & Cassandra Bakepan 7RI-9765 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22-24 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $1885 .94 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 PERFORMANCE OF CONSTRUCTION. $59.50 Fire SC 1.88 PLAN CHECK FEE TOTA FEE 1 $ 6 .32 //'SIGNATURE OF CONTRACT AUTHORI •0 AGENT TE I EN ROP L ALIDA D H,1S IS U ERMIT �D Z ATURE OF OWNERIIF BUiLDER� iDA E� OG iNSP GATE NEW . _ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: 5-53 0 & L Effective l/ 1/98 ID Owner Name & Address: Tk o rv\cL� c..d`X C- &rV^ Tel. # `Z �� 5 -7(Q S- Contractor: b W t -('r MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: of �kb w-f—�- (�C�( Construction Type: Estimated Cost: $ 4,5o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 12 q6— APPLICANT: Tel. # `Z E3 Z--7 6S— CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ L-' a .001 of Permit Valuation (1/10th%) State Surcharge $ 9'/ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT City of Fridley 32984 AT THE TOP OF THE TWINS BUILDING PERMIT( r IPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. #157q r ...... � CITY HALL FRIDLEY 55432 l I.L NUMBER REV DATE PAGE OF APPROVED BY 763-571-3450 910-F15 8/13/02 JOB ADDRESS 7553 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 3 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom/Cassandra Bakeman 7553 Lyric Lane NE 763-783-5765 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advanced Exteriors Inc 7000 57 Ave STE 122, Crystal, MN 55428 763-537-5117 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20133214 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION J1 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows within existing openings; Reside House & Garage; Soffit & Fascia 9 CHANGE OF USE FROM 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 would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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. Provide soffit ventilati to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $12,000 $6.00 DOES NOT P ESUM TO GI AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROMS OF OTE STATE OR LOCAL LAW REGULATING COW S U 10 R T E ER O ANCE OF CONSTRUCTION $209.25 Fire SC $12.00 PLAN CHECK FEE TOTAL FEE PI `� Lice C $5.0 e$232.25 4TURE OF CON'RACTOR OR AU ORiZEDAGENT IOATE, PROP VALID AT THIS IS YOUR PERMIT �98 WaHE S,GNATURE Of ONERf OWNER BUI�DERi .DATE,G �NSo riAfE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN () 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -7 i I Legal Description: Owner Name & Address kj�d' i.., a- ,, Tel. # `7 %-3-- -7 0 `3-1-?& Contractor. A-� VOLVVc( cc MN LICENSE # 2C--) / 3 3 2 - Address: `I C*O ,--vim JV (1 a ci�-- k Tel. # 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 Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: Q- S I �-� U c �.� Estimated Cost: $ [a 1 (20 Q Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $. DATE:y ( < - a �)' APPLICANT: ( �,, Tel. # �ip"�i `� 37-s/ '/ Call (763) 572.3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ 9, $ /-�-0o $ 6-06 $ S'60 $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ J TOTAL $ 0�Jd, Cr STIPULATIONS: