PRE 2010 DOCSCity of Fridley
SUBJECT
PE O.
® 13774
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO
• ______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 i � CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-560-3450
910-F15
9/22/76
JOB ADDRESS 7575 McKinley Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
3
1
Bayer's Lakeside Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Henry Buhl
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Cedar Bay Builders, Inc. 1700 - 3rd Ave., N.W., New Brighton 633-8800
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
KKK= Residential
7 CLASS OF WORK
QAEW ❑ ADDITION El ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK WARNING
Construct a 57' x 38' Dwelling and a 22' x 22' Garage
oemre Gigging calf local uthit
SEPERATE PERMITSTELEPHONE -
9 CHANGE OF USEFRONEATIK PLUMBING AND'919ft" REQUIRED OY L AN
STIPULATIONS Provide a hard surface driveway. Provide c sod in the front and
side yards. Provide a verifying survey before capping. Provide 2" x 8"
rafters or approved Uzz bracing. Provide vapor barrier on ceiling.
SEWER LOCATION: (Approx. 10' Deep) 8.5' South of Manhole (Inv. 893.8.)
WYE ELEV: 893.78
TOP OF FOOTING: 896.78 'Minimum
M. Ay ® _
WATER LOCATION:10' North of sewer service.' IMPORTANT—
THE COY OI' MOM DOCS Nof CvuARANTE' "HE
OFTIFY THE
ACCURACY OF UTILITY LOCATIONS AND EUVAT GAN, IS ON R4GARDING CURB
T141S DATA 15 FOR INFOEMAWN PUjzROSES O OV
REMOVAL D REPLACEMENT
posOms uMO R SHOULD VERIFY TH@ INFOWATION PCNING9.
AT YE
ON IME WL
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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 ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
1108 + 484
26,040 Total
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
$34, 355
$17.15
WITH WHETHER SPECIFIED HEREIN OR 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-
$104.16 /?
$350.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$26.04
$497.38 40,
SIGNATUREOF ONTROrORORAUTH RIz DAGENT (DATE)
PROPERLY V LI ATED THIS IS YOUR PERMIT
BLDG )NSP DATE �-
SIGNATURE OF OWNER WNERBUI (DATE)
y ✓ 16-1
01
V
I=
GERALD T.. COYNE
300 BRUNSWICK AVE S.
GOLDEN VALLEY, MINN.
MINN. REG. NO. 4741
INDUSTRIAL — JUDICIAL
COMMERCIAL — TOPOGRAPHICAL
CITY LOTS — PLATTING
CEDAR BAY BUILDERS
LOT SURVEYS COMPANY
LAND SURVEYORS
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
5747 W. Broadway Minneapolis, Minnesota 55428 533-9922
1611Y'urgax8 i1t fifirt r
tai
low
•
Uft lay LAW
13) 2 4 -
RAYMOND A. PRASCH
6917 IDAHO AVE. 4.
BROOKLYN PARK,' MINN.
MINN. REG. NO. 6743
INVOICE No. 5424
SCALE 1"
O — DENOTES IRON
0 Denotes good Hub Set
FO Excavation Only
'---IN1P®RTAN
NOTIlPf THE FRIDLEY ENGR,
1. DIVISION REGARDfr% CUpA
( R940VA . AND REPLACMMI
AT t)RIY VAY OPENIM&
� 1
;. Cut 40F FUDW 10= Not tib U4
ACCURACY OF UMOY LO"T04 JIM REVAI M&
IM DATA 6 RM O1tY JIM
tS USMG R VWY Tim tlNOWA ►AON
ON ME sm
Lot 3, Block 1, BAYER'S LAAKESIDE 2ND ADDITIO►a ,r
We hereby certify that this is a true and correct representation of a survey of the boundaries of the above
described land and the location of all builldings and visible encroachments, if any, from or on said land.
Signed
Surveyed by u5 this 9 day of September 19 76 WT SURVEYS COMP
Z!
4
ICITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER'S NAME: Henry Buhl BUILDER: Cedar Bair Builders Inc.
ADDRESS: ADDRESS:
1700 3rd.Ave, N.W. New Brighton. Mn.
6,33 ,33 _6t4
NO: . P✓ STREET: McKinley St. N.E. Fridley
LOT: 3 BLOCY.: 1 ADDITION:
Bayers Lakeside Addition
CORNER LOT: INSIDE LOT: x SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Home Front: 57' Depth:
381 Height:
17'
Square
Feet: 1108
Cubic Feet •
Front:
L Depth:
Height:
Square
Feet;'e/6 'V
Cubic Feet:
V 46 47"�
do
Type of Construction:
Frame
Estimated
Cost: $`03y
To Be Completed: 90 days
The undersigned hereby makes application for a permit for the work herein
s ecified, agreeing to do all work in strict accordance with the City of
Dill ridley 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: SIGNATURE:ga
(See Reverse Side For Additional Information.) STI,0`G A. &*10 d ti 4
AAA 9e)ilI I
ok74.®y
),18
5A� 3��• dy
'519 z s
ox�
e «may,
i
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE
SCHEDULE
FINAL INSP.
PLUMBING FIXTURE RATES:
$3.00
N
7+
N
Number Fixtures
•(d
$3.00
U
Future Fixture Opening
KN
aN)
$ O�
Water
x
to
$
Catch Basin
x
$5.00
k
r.14
N
q
$ '5-- GO
y
p.
•�01
$
Water Softener
Heater
$7.00
N
New Ground Run Old Building
x
$5.00
N
H
x
$5.00
V
rON
a
U
Nr,
a)[
co
O
O
O
+r tl
N$4
N
.0
O
a
a
`
A wm
w
U w4
0
i0
as
lec
1st
/
1
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE
SCHEDULE
FINAL INSP.
PLUMBING FIXTURE RATES:
$3.00
RATE
TOTAL
Number Fixtures
r�NO.
/�� x
$3.00
$ x!•00
Future Fixture Opening
x
$2.00
$ O�
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$ '5-- GO
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
Job Address ;� S 7y �C
Department of Buildings
City of Fridley
Tel. #571-3450
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 rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. /0 , 19�
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST CJ
OLD NEW )UILDING PERMIT NO. PERMIT NO. ` u
t z—
ROUGH INSP.
Date
Company /���p //i��"
Signed By U (�9'+ '&1-1
Tel. No. /T'OK'
GAS FITTING FEES:
FINAL INSP.
1st 3 fixtures P x
$3.00
$ _0c)
Date
Additional Fixtures x
$1.00
$
Gas Range to 199,000 BTU x
$10.00
$
APPROVAL FOR PERMIT
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$ +
MINIMUM FEE FOR ANY PLUMBING PERMIT Is $7.50
State Surcharge
$ .50
Js
J
TOTAL FEE
$ •SO
REINSPECTION FEE
($10.00)
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
i„„IIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEAM OR HOT WATER SYSTEM:
RATE TOTAL Job Address
$12.00 $ /
7.00 $
7.00 $ Department of Buildings
4.00 $ City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
$12.00 $_1Z specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $ W
4.00 $ Fridley, Minn.
�,/� • 19
OWNER .!% j� �[/_ ! E��se�Ls�e�✓r
KIND OF BUILDING 'J�Ae2�
USED AS
TO BE CO
ESTIMATED COST �IdCG
OLDtvY rw�AILDING PERMIT NO. PERMIT NO. WSJ
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER P Tr
S, Steam, Hot Water Warm Ai.r- No. /
Trade Name Size No.
Capacity Sq. Ft. ED HP
Total Connected Load Kind of Fuel
BURNER - Trade Name S' a No. �x/
ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP
Date (.$10.00) RAY N. WELTER HEATING CO.
FINAL INSP. L - 9-
7 Company 4637 Chicago Ave Date
Signed By Mlnneap0 IS, Minnesota 55407
APPROVAL FOR PERMIT Tel. No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
Boiler & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL
BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS
BURNER- from 100,000 BTU to 199,999
BTU $10.00
$
(over 199,999 BTU see Fee Schedule)
$
GAS
FITTING FEES:
1st 3 Fixtures
x $ 3'.00
$_
Additional Fixtures
x $ 1.00
$
Gas Range to 199,000 BTU
x $10.00
$
AIR
CONDITIONING -i
$
FAN
HEATING SYSTEMS 1 See Fee Schedule
$
VENTILATING SYSTEMS$
ALTERATIONS $ REPAIRS-)
$
State
Surcharge
$ .50
TOTAL FEE
r
KIND OF BUILDING 'J�Ae2�
USED AS
TO BE CO
ESTIMATED COST �IdCG
OLDtvY rw�AILDING PERMIT NO. PERMIT NO. WSJ
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER P Tr
S, Steam, Hot Water Warm Ai.r- No. /
Trade Name Size No.
Capacity Sq. Ft. ED HP
Total Connected Load Kind of Fuel
BURNER - Trade Name S' a No. �x/
ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP
Date (.$10.00) RAY N. WELTER HEATING CO.
FINAL INSP. L - 9-
7 Company 4637 Chicago Ave Date
Signed By Mlnneap0 IS, Minnesota 55407
APPROVAL FOR PERMIT Tel. No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
SUBJECT
City of Fridley
72, 705�.8)
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.�V77
Ir
COMMUNITY DEVELOPMENT DIV.
L
1 PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/31/94
JOB ADDRESS 7575 MCKINLEY ST NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
1
1 Bayers Lakeside 2rd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
HenryBuhl 7575 McKinley St NE
786-4567
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Gates Roofing 4640 Ximines Ln N Plymouth
MN 55442
550-0043 6793
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION C]_ REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 S Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building
Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR 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 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
1
1 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
$1,575
.79
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.
$37.00
Fire SC $1.58
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
44.37
SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (OATEI
WHEN PROPEAY VALIDATED THIS IS YOUR PERMIT
-a-
/r
-f
BL G INSP
DATE
_9
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
NEW
[ )
ADDN
Fee Schedule on Reverse Side
ALTER
V
Construction Address:
Legal Description:
Owner Name
Contractor: Qz52 697'-- S
Address: (o
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
� 7 ZU e -
Effective 1/1/94
Tel. #
MN LICENSE #
Tel. #.. -Z;-Za
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length _
GARAGE AREA: Length _
DECK AREA: Length _
OTHER: --r—r— IA -
Width Height
Width Height
Sq. Ft.
Sq. Ft.
Sq. Ft,
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback. Side Yard Setbacks
Type of Construction: Estimated Cost: $
Approx. Completion Date:
(Cost on Back) = �;
Driveway Cqrb Cqt Width Needed:-ft—+-4Ft = Ft x $ _ $
DATE: o -2 APPLICANT: Tel. # do
Permit Fee
$
-3 9. U o
Fee Schedule on Reverse Side
Fire Surcharge
$
..001 of Permit Valuation (1/10th%)
State Surcharge
$ '� %
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit "
License Surcharge
$
O C>
$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:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
Commercial/I ndustrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$10.00
$10.00
$10.00
$ 25.00
State Surcharge
TOTAL FEE
Effective On January 1, 1997
JOB ADDRESS_
The undersigned hereby makes application for a permit for the work herein
TOTAL specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
$ representations stated in this application e trend correct.
$
$ .50
$ SS -e:)
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
OWNER- ?�� - j Ll
BUILDING USED AS
ESTIMATED COST--;O,=y'�� PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name_, Size No.
BTU_ � s� ��v HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPAN a
Signed By Tel No.
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks: .
List ALTERATIONS Being_ Done:
HEATING CO:
Signed By:
Date:
CEDAWEY AND STACK VERIFICATION
The
undersigned hereby verifies that the -existing chimney or
stack:
1.
Has been carefully examined
Yes ()
No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
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 c )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks: .
List ALTERATIONS Being_ Done:
HEATING CO:
Signed By:
Date:
SUBJECTIT
NO.
City of Fridley
26057
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
-ffEVXW`T NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
5/15/98
JOB ADDRESS 7575 McKinley Street
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
1
1 Bayer's Lakeside Addition 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Doris/Hank Buhl 7575 McKinley Street NE
786-4567
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Franzen Construction 4250 5 Street NE, Columbia Heights
, MN 55421
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
788-4071 2744
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside House & Garage (Vinyl)
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of same
before covering.
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 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. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$3.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTrrR S.TlkTE OR LOCAL LAW REGULATING CON-
STRUC
$112.25
Fire SC $6.00
OR THE PEIPQIRCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
/
3/
License SC $5.00
$126.25
SIGNATURE OFC N. AC OR ORAUTH IZED AGENT DATE(
WHEN PROPERLY (DATED THIS IS YOUR PERMIT
?1/1_o
OL09FINSP
^9
GATE
S,GNATURE OF OWNER OF OWNER SUILDERi IDATEI
Q
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Effective 1/1/98
Owner Name &Address: „ �� � Tel. # 0i o --2� '%
Contractor: MN LICENSE # any`/
Address: aid � --S lct Tel. # �zz
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft. '
GARAGE AREA: Length Width Height Sq. FL
DECK AREA: Len Width Hgt/Ground Sq. Ft.
OTHER:< -
r
Construction Type: UI A I �.
Estimated Cost: $ OZYO
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: - / - APPLICANT:
G Tel. #
CITY USE ONLY
Permit Fee $
Fee Schedule on Reverse Side
Fire Surcharge $ n. ()0
.001 of Permit Valuation (1/10th%)
State Surcharge $ 3.0 0
$.50/$1,000 Valuation
SAC Charge $
$1000 per SAC Unit
'License Surcharge $ 041
$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:
$ /;26--.2S�