PRE 2010 DOCS30 93
City of Fridley, Minn. N° 8493
BUILDING PERMIT
Builder QUnron, Inc.
Address 701 Columbia Blvd - , W Q
LOCATION OF BUILDING
No. 731-0 Street MaIncly nri ya X.R. Part of Lot
Lot ,13 _ Block h Addition or Sub -Division M41ocly Mang _ 9nd Addi ti -on
Corner Lot _ Inside Lot — X Setback 3 5 t __._ Sideyard 3,Q t & 51
Sewer Elevation , Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Single Dwelling Front 38, Depth 441_ Height 201 Sq. Ft. Is396 Cu. Ft 27,192Q
Att. image Front 2Q I Depth tel! _ Freight _ 101 __ Sq. Ft. _ _ 1190 Cu. Ft. _ 4s2c)
Type of Construction Frame F.st. Cost —3-920-500.00 To be completed 6-. th
In consideration of the issuance to me of a permit to cons building abov to do
the proposed work in accordance with the description above fo and rovisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of 33-QD , permit Is hereby granted to.-G-Glea'9 , Inc •
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
donFridley Minnesota regaround and i said building,�or any part thereof,alteration,
eraton, maintenanshall conformce pair and moving all respects to the ordinances
dings
within o� city limits and permit may be revoked at any time upon violation of any of the provisions of sadd
NOTICE:
TMs pwmb dos not em m the eondtr@cdon, hutaMon for wMh& phmbing, ga heattag, awsr or wat@r. Be sur@ to as
do Bo Mh* hapseter for sspards parmib for thea hWM
OWNER'S
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
St3;eet & 7 part of Lot
,LOT R ADDITION OR SUBDIVI ION %�'' ��✓� .� .
Corner Lot Inside LOT /-----Setback �7 - �� Side -Yard A5/ .�
SEWER ELEVATION: FOUNDATION ELEVATION,
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:
Front - Depth,. !9 L--Heighht
/ Sq. Ft. � �� Cu. Ft.` 41
/
ZJ I o -
Fr Depth -;�7,Z Height
Sq. Ft. ® Cu. Ft.
Type of Construction � � Estimated Costes -29
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 Cityof 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--.-----,
i
DA SIGNATURE -
(Schedule of Fee Costs can be found on the Reverse Side).
JUN -20-2005 15=02
IEW [ ]
,DDN [ ]
ALTER [ ]
Construction Address:
Legal Description:
Owner Name & Address
Contractor.
Address:
CITY• OF FRIDLEY P.01/-02
CITY OF FRIDLEY
6431 University Ave NE, Ridley. MN 55432 (763) S72-3604 Bldg Insp
SINGLE FAMILY AND DUPLEKES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
lU
-7 3LO Tel. # --7 Le 3
Mtn LICENSES 6 6 74
Tel.
�rjt2 l
Attach to this application, a Certificate of Survey of the
bt, vkh the proposed construction drawn on it to Vale.
DESCRIPTION OF IMPROVEMENT
LMNG AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Lento, • V rel ,dbh`
`L
OTHER: S
Sq. Ft 4
Construction Type: n HA - &A Estimated Cast S49% W
Driveway Curb Cut Waith Needed: Ft + 6 Ft = Ft x S =
DATE: l() lO t>S APPLICANT:_! Tel. # -7(e 1
Call (763) 572-36M for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number_
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ • c� S`- Fee Schedule on Reverse Side
$
65% of Permit Fee
$ g
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$
$1450 per SAC Unit
$�
$5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Aft. "B" Above
$
$450.00 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement Necessary [ ) Not Necessary [
TOTAL $9'2.'�aSTIPULATIONS: