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PRE 2010 DOCS,21�) %o City of Fridley, Minn.. BUILDING PERMIT N® .6674 LOq'ATIO O_BU�ILDING No. ��� Street Part t Lot ___ Slock 000'Addition or Sub -Division . 4::=� .0 f/ -'P> Corner Lot _ Inside L - Loot _. �' Setback Sideyard ..._._.__ _(�_ _ Sewer Elevation __ __ -- _... Foundation Elevation DESCRIPTION OF BUILDING T#71. A _ Front Depth :A� Height _.....t_ Sq. Ft. jt,9X Cu. Ft. 2&0 -FrOrIVY-- DepthHeight -_ Sq. Ft. Cu. Ft. Type of Construction Est.. 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 liance with rovGons of ordinano of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to 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, maintenan pair and moving of buildings within the city limits and this permit may be revoked at any time upon lati of any of the provisions of said ordinances. n A . Building Inspector NOTICE: %b parch den not seer dhs construction, hwtapation for whring, plw*ing, gas has&& sewer or water. Be son to we the Boildbg h>s)neter for separate permits for thea Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMELlJQwi �� N BUILDER Vfl lU Xt-4 W ADDRESS t080 jAAr4XjCvtl t,p 1C_r-- ADDRESS 8® iAA9-1 GO LO TF 2R LOCATION OF BUILDING No. Street Part of Lot Lot _Block t�Addition or Subdivision Corner Lot Inside Lot ✓ Setback Side�-Yardv SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Maxc..Nwo 6A &4,F_ Front I % Depth Z Height V Sq. Ft. 8''( Cu. Ft. Front Depth Height, Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 1-7357 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 u6 I �6 -3 (Sehedule of Fee Costs can be found on the Reverse Side). CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 PLUMBING FIXTURE RATES: Effective On January 1, 1997 NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** J $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. .1997 Owner Building Used Estimated Cost UV PERMIT NO. ✓'f/✓ �� PLUMBING COMPANY—Al-07-� �0'( &'0a &14/1 SIGNED BY ��v�. TEL N0. 6 ,�Yl� t /Of) 5-3-3,03 -9 Approved By Rough—in Date Final Date PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER MC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Residential 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/Industrial 1,25% of Value of Appliance or Work Effective On January 1, 1997 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein Rate 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 $ 30.00 $ ' representations stated in this application are true and correct. C� / ,1997 $10.00 $ OWNER a Cl m IQ Altt) $10.00 $ BUILDING USED AS $10.00 $ ESTIMATED COST 99 PERMIT N0. $ 25,00 $ �� :- �� • DESCRIPTION OF FURNACE AND OR BURNER $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name c5e&� Size No. BTU __Z� HP EDR $ Fuel Total Connected Load State Surcharge TOTAL FEE NG/COOUNG/VENTI LA 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. $ .50 Burner Trade Name BTU HP �J HEATING COMPANY Signed By r Approved By Rough—In Date Final Date FILL OUT BACK SIDE E STACK VERIFICATION ON REPLACEMENT FURNACE Size No. EDR HEATING CO: Signed By: Date: CEUNNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O No ( ) 2. Is fire from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged witbin Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes O No ( ) 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: City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT tERIT 185,28 i � • COMMUNITY DEVELOPMENT O r � � PROTECTIVE INSPECTION SEC.. 1 = � CITY HALL FRIDLEY 55432 L 612-571-3450 NUMBER 910-F15 REV. DATE 7/7/86 PAGE OF APPROVED BY JOB ADDRESS 680 Marigold Terrace N.E. 1 LEGALLOT DESCR. NO. 13 BLOCK 4 TRACT OR ADDITION Donnay's SEE ATTACHED Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ludwig/faith Bann 680 Marigold Terrace N.E. 571-6703 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 141 Detached Gazebo 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $800 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PERMIT FEE $15.00 SAC CHARGE PLAN CHECK FEE „ _AA> TOTAL FEE I SIG AT EOFCONTRACTORO,i THORIZEDAGENT (DATE) G�%%t 1 �' WHEN PROPERL ALIDATED THIS IS YOUR P RMIT Ah a WOT SIGNATURE OF OWNER IIF OWRER BUILDER) (DATE(-EFLOG )NSP NEW ADDN. ] ALTER. [ ] Construction Address: Legal Description:—_ Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley R-1 AND R-2 Building Permit Application Effective ` N� Tel. #?l--lv2o 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 i ._ Hgt/Ground l� Sq. Ft. Corner -Lot [ ] Inside Lot [ Ft. Yd. Setback Side Yard Setback �� Estimated Cost: $ Type of Construction: � Approx. Completion Date: lCS Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT: Tel. STIPULATIONS: 6u rd IO,0 4 .. p.� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ _ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ [ ] Agreement Necessary [ ] Not Necessary TOTAL $ STIPULATIONS: 6u rd IO,0 4 .. p.� 01 SUBJECT PErl. City of Fridley o772 ATTHE TOP OF THE TWINS BUILDING R M I T PERMIT RECEI . • _ COMMUNITY DEVELOPMENT DIV. r � L -____ I PROTECTIVE INSPECTION SEC. y CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 2/22,186 JOB ADDRESS 680 Marigold Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 4 DDnnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ludwig Bann 680 Marigold Terrace N.E. 571-6703 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E., Fridley 784-7543 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 19'6" x 9'6" Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install two fire alarms in existing house; one in hall by bedrooms and one in basement. 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 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 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 $8,200 $4. lO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.50 S UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE Yr z $18.63 $97.23 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)/ HEN PROPERLY VALIDATED THIS IS YOUR PPyERMITTp Z;'c� BLDG )NSP /� oC� C1'6 ftp E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 NEW L ] City of Fridley Effective 4/1/86 ADDN. �] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address:,4 _L'4gof%� t=l-- Legal Description: Owner Name & Address: bd ° i� BOM Tel. # �r%�- � � -S Contractor: Inc __z - � C ' Tel . 4 ��Y' 75Y-;' Address: %�i0/ ePs7fry �l/e, i�y �'dl�01� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 11 LIVING AREA: Length / % 6 Width _Ct 16 Height C-/ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. , DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: � � •� � �� s Corner Lot [ ] I s de Lot Ft. Yd. Aetback Side Yard Setback Type of Construction: A/alp Estimated Cost: $ �� V`7 Z�v Approx. Completion Date: j Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: l 2 `! O - 6b APPLICANT: 25 -e- ��j Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ zX.� $ At-- $ Mso Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS• a � • 0. -'0g Q; I Ft.. D & D HOME IMPROVEMENT INC. 7401 Central Avenue N.E. Phone 784-7543 Fridley, MN 95432 Mr. & Mrs. Bann Wire electrical outlets to code Run electrical supply to Gazebo Oak Casings and baseboards Re -use knotty pine paneling from den on patio door wall Finished flooring with $24/yd installed allowance Haul away all scrap on completion. Price includes all license, permits, and taxes. Bid does not include any staining or painting, or finish landscaping - sod. Proper grade will be maintained. Page 2 of 2 D & D HOME IMPROVEMENT INC. 7401 Central Avenue N.E. v:. Phone 784-7543 Fridley, MN 65432 October 31, 1986 Mr. & Mrs. Bann 680 Marigold Terrace ` Fridley, MN 55432 This is a proposal to construct a 9h'kl9h' room addition on rear of house at above location. Remodeling to include the following; Concrete foundation to frost depth -42" 2x8 floor joists 16" on center 7/16" Rated waferboard subflooring 2x6 exterior walls • 25/32" insulative sheathing 225 lb. fiberglass 3 -Tab shingles to match house as close as possible Smooth plywood soffit and 2 member facia to match house Combed sidewall shakes siding 2 -Triple Andersen casement windows with high performance glass 1 -Double Andersen casement window with high performance glass 1 -Andersen 6' Sliding Patio door with high performance glass 1-Therma-Tru metal entry door between new room and existing garage. Underlayment to meet flooring needs R-19 insulation in walls with 4mil Poly Vapor barrier R-38 insulation in ceiling with 4mil Poly Vapor barrier Sheetrock walls and ceiling, tape smooth, and spray textured ceiling New Oak kitchen cabinets extending into new room with new countertops and full backsplash including wall areas behind stove and refrigerator Page 1 of 2 SUBJECT -ERM City of Fridley 8.92 AT THE TOP OF THE TWINS BUILDING PERMIT r R . ` --,.-_ COMMUNITY DEVELOPMENT DIV. V r � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-34501,, 910-F15 5/6/87 JOB ADDRESS 680 Marigol d Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 4 Donnay°Is Lakeview- Manor SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Ludwig/Ruth Bann 680 Marigold Terrace N.E. 571-•6703. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAme 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res identia 1 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10 x 10 and a 251 x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations: on plan �y WQRi+G Before digging call Local tELEPHQ>1i ptpl . ELECTRIC . GAS Ek. REQUIRED BY LAW 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 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 I HEREBY CERTIFY THAT (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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $21400 $1.20 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. $38.50 PLAN CHECK FEE TOTALFEE $9.63 $49.33 N TUR CONTR CT ORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT P 7 A �' SIGNATURE O OW ER B IL E (DATE) BLDG INSP f1A E NEW ADDN. [ L ] ] City of Fridley Effective 4/1/86 R-1 AND R-2 ALTER. L ] • Building Permit Application Construction Address: u Legal Description: Owner Name &Address: L Tel. Contractor: �t' i Tel. # _ Q,3 Address: LIVING AREA: GARAGE AREA: X DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length Length ! ® / b Width Width Width / Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. _ �® OTHER: 1011 d- rrc�QS6Q %a Corner Lot ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:-A-r� - Estimated Cost: $ ,_t� - ell ri Approx. Completion Date: T Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation P� DATE: APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 1 0,-4 Fee Schedule on Reverse Side $ IGI 25% of Building Permit Fee $ au $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �T plo v SUBJECT PE City of Fridley 25 X29 AT THE TOP OF THE TWINS BUILDING PERMIT �• RECEIPT NO. _____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 764 r CITY HALL FRIDLEY 55432 ,'� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/22/97 JOB ADDRESS 680 Marigold Terrace NE T LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 4 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ludwig Bann 680 Marigold Terrace NE 571-6703 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S, Mpls.,MN 55406 721-6628 2179 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 jJ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Siding; soffit/fascia; trim; windows 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. Install ventilation in soffit to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ 20,700 $10.35 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- /7 � S Fire SC $20.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. /q. / PLAN CHECK FEE TOTALFEE License SC $5.00 $335.80 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLD INSP qAT S.GNATURE OF OWNER IIF OWNER BUILDERI IDATEI NIsw I ADDN II ALT13it 1rj� Construction Address: Legal Description: Owner Name & Address: Contractor: LIVING ARCA: GARAGE AREA: DECK AREA: OTHER: Lilective 1/1/94 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ay?10 Building Permit Application qa rizM Tel. 11 (7/-(a7C)3 — MN LICENSE l/ Tel. # R - — of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sy. Ft.- Sq. t.Sq. Ft. Corner Lot I I Inside Lot f Ft. Yd Setback Side Yard Setbacks Type of Construction: M' ,fir -Tr n _ Estimated Cost: $ (91), 74n 00 Approx. Completion Date: Enol- (Cost on Back) Driveway Curb Cut Width Needed: Ft. + G F = Ft x $ DATE: -��_ APPLICANT: `� Tel. # '%?I-CaCa � CITY 11SE O1- Y Permit Fee $ &OR %� Fire Surcharge $_ rd State Surcharge $_ld •3.� _ SAC Charge $� License Surcharge $ _ "!�.700 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Chary;e $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/ 10th l ) $.50/$1,000 Valuation $800 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 I I Not Necessary I I TOTAL $ &- ?0 STIPULATIONS:.Z,;V1.,4z/�,gTfy/��(,�_ 1-o-�� Ta City of Fridley From Duane Fox Data August 20, 2004 Re: Building Permit # 33820 I am asking for an extension for my building permit # 33820. 1 will need 3 months to complete my project I have not completed the exterior siding or the brick work. I have installed the brick ledge and in the process of ordering the brick. I have ordered the siding material and will start the week of August 23, 200. Duane Fox 690 Marigold Terr. Ne. Fridley MN, 55432. 4