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PRE 2010 DOCSCaty of Fridley, Minn. Owner: Builder Address Address O TIO BtJILDING No. Street r_° P of zA Lot _ _—__ Block Addition or Sub -Division . ��- e Corner Lot _ Inside Lot _ _ �� Setback _ _ Sideyard / Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T Used Front Depth Height � Sq. Ft Cu. Ft Front �� ._ Depth Height Sq. Ft. cu. Ft Type of ctio Est. Z::= -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 f$ and 3n com Pith 21 provisions of ordinances of the city of Fridley. t 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 reg location, construction, alteration, maintenance, repair and moving of building limits s within the city mits ands permit may be revoked at any time upon violation of any of the provisions of said ordinance. 11_1% _ /-N NOTICE: Yids pomb dem not ewer the constmcdon, hutaMen for whing, plumbing, gn heating, sewer w water. Be ane to see the Buildh* legmftr for sepm to peraft for these Nems. City of Fridley Application for Plumbing and Gas F'ittiing Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK '% , e) �> Number, Kind and Location of Fixtures Location F 3 12 ,� I a4 < 3 y H w y�j <Sn 3� c� Number Fixtures ...................... aQc Z = �n 8� ~Z �'a S ilii 3 og w 7G a Z �n CSO • P • N WATER HTR. GAS ELEC Base I x 3.25 LSI Water Heater (Up to 200,000 BTU) ...... x 2.00 $ �z O New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL _ /x 1st 1st 3 Fixtures .......................... $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Futnre Connectior: Openings New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL f) . `5— Number Fixtures ...................... x $1.50 $/� Future Fixture Opening ............ x 1.20 $ New Fixture)Sld Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ �z O New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL _ /x 1st 3 Fixtures .......................... $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $i�D 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, Owner Kind of Used as To be completea aoout Estimated Cost, $ 01 19A7 Old e �B- ding Permit ROUGH FINAL 42 2M V• Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 80,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. i Repairs & Alterations each add. $500.00 .............. --CSTEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 $ 8.00 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up t6 400,000 BTU) ....................... 5.00 $ 00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 1 �(• O ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein 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. Fridley, Minn July 5 1%3 19 — Owner Random Inc. Kind of Building'�'�e s' Used as Dwelling To be completed about /1/63 Estimated Cost, $ '2uu0 Old New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name perfection Size No HG107 Capacity Sq. Ft. E.D.R I BTU H.P. Total Connected Load36,513 Kind of Fuel Ga S BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signed u� . By ubILI .Q<z 2M Business Phone No (REMARKS -OVER) HEAT LOSS CALCULATIONS DEPARTMENT Com" BUILDINGS 7�0, D4,, MINN. WEATHERSTRIPS A.S.M.E. Guide Reference 19141=9r? TYPE OF CONSTRUCTION ' Out. Wall I Int. Wall _ _---Ceiling Roof Floor INSULATION Kind Ceiling Well Windows Doors I Le' —No No FL I1. / Y%/Z Room I Length �� ',_ nth J r Height FL I a e Room I Length / �p ' Width // -' Height WINDOWS and DOORS — CRACKAGE and AREA WINDOWS and DOORS — CRACKAGE and AREA No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. Width Height of pane of pane No. of lights Lineal ft. of crack Area sq. ft. _ e a Coef. Btu. Coef. Btu. Windows Infiltration Doors Infiltration Windows Doors Exp. Wall Exp. Wan Glass Vo, 6P -/ Glass S t Net Exp. Wall. (o Nat Exp. Wall o/ int. Wall Int. Wall i n or Floor P011hor Floor (p Total Btu. Total Btu. Required sq. ft. E. D. R. or sq. ins. W.A. Leader area Required sq. ft. E D. R. or sq. ins. W.A. Leader area F, 1,4' _ om I Length Width Height J Fl. I �� & Room I Length Width /''Height r WIND WS and DOORS — CRACKAGE and AREA WINDOWS and DOORS — CRACKAGE and AREA No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. a� co 3a Coef. Btu. Coef. Btu.T _ Infiltration Windows Doors Infiltration Windows on Doon Oro� Exp. Wall Exp. Wal Glass Glass Net Exp. Wall Net Exp. Well Int. Wall lat. Wall ei or Floor Lv C j/ Mr Floor Total Btu. Total Btu. Required sq. ft. E D. R. or sq. ins. W.A. Leader area Required sq. ft. E. D. R. or sq. ins. W.A. Leader area Length y Width > Height FI. 5ie �, Room I Length / Width / Height WINDOWS and DOORS — CRACKAGE and AREA WINDOWS and DOORS — CRACKAGE and AREA No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. Width of pane HeightNo. of pane of Lineal ft. lights of crack Area sq. ft. Coof. Btu. .,f. Btu. Itration Dooms°Ma Infiltration Doiors r Wall Exp. Wall Glass P. Wall Not Exp. Wall i II Int. Wall r Floor l> J® n or Floor Total Btu. . ft. E. D. R. or sq. ins. W.A. Leader area Required sq. ft. ED. R. or sq. ins. W.A. Leader area 56 2 r?,�� T i Mr. SUBJECT PERMIT City of Fridley 15.3.56 AT THE TOP OF THE TWINS BUILDING PERMIT R ' ' • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i i CITY HALL FRIDLEY 55432 �•� NUMBER REV. DATE PAGE OF APPROVED BV ""' 612-571-3450 910-F15 7-26-79 JOB ADDRESS 7370 Melody Dr. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 SHEET 1 Melodv Manor 2nd Additirm 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE & Mrs. David Fenniq 7370 Melody pr 7 72 3 CONTRACTOR MAIL ADDRESS ZIP PH ;F4 LICENSE NO. Four Seasons Homes,13-W 77th Ave. N.E. 571-1905 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK 21' 8" X 14' 12" Addition and 21' 8" X 16' X 18" deck 9 CHANGE OF USE FROM TO STIPULATIONS Floor joint must be 2 X 10 on 2 X 8 12" O.C. Need section through Framing detail on deck TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 104 CU. FT. 7715. 56 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT Rl 347 1388 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $9000.00 4.50 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- STRUCTI THE PERFORMANCE OF CONSTRUCTION. 54.00 PLAN CHECK FEE TOTALFEE 1X7 f 16.00 74.50 GNATUREOF-CONTRACTOR ORAUTHORIZED AGENT ATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 22 > > BLDG INSP GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: r77� ^Z e-IdJ Dom. TEL NO: 7�( � BUILDER ; ®u r . 7egsg,oS lT®,n e 5 Zii v ADDRESS: :j TEL NO: .S7/ Construction Location STREET NO: 90 STREET:/)161-0 /J�� LOT: BLOCK: ADDITION: ® %okne, e. -lele ' Corner Lot: Inside Lot: Setback: Sideyardp: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 4'a Front: �P / �' ( Depth: I Height: Square Feet: 3d Cubic Feet: P, ion .J Pe C' Front: / Depth: r Height: Square Feet: Cubic Feet: Type of Construction: e %ely e c( j s H -r Estimated Cost: $ To Be Completed: % 7 / y/ d O. p � Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: / SIGNATURE: d��:�.0 /1�..�.i��✓ Stipulations: ,�sc e--- !T*Iar r+wtf eA JX I0160�m air1%'�.�.�, yy �• ='� x Zs.39= Ira /3� A)"*s�c'� T�.�ur�. ' PE�4�� 56 " r r 5`/.o a P. a 14.66 21 June 1979 TO: FRIDLEY BUILDING INSPECTOR I, Mark Windels, of 7380 Melody Drive N.E., Fridley, MN, phone 786-7868, am in agreement with and give full permission to the proposed addition to my neighbor's house (David 0. Fennig) 7370 Melody Drive N.E., Fridley, MN, phone 786-5472• The proposed addition is to consist of a family room approxiftately 14 feet by 22 feet. (N Mark in e s 21 June 1979 01 SUBJECT R O. City of Fridley 17 8 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. LV ------ r � PROTECTIVE INSPECTION SEC. �^ 1 1 � CITY HALL FRIDLEY 55432 tJ®� NUMBERREV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 3/29/85 JOB ADDRESS 7370 Melody Drive N.E. 1 LEGAL LOT NO. 7 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Melody Manor 2nd Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Fleming 7370 Melody Drive 786-5472 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gilason Masonry Route #1, Isanti, MN 55040 444-4843 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 Cll ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement under existing dwelling 9 CHANGE OF USE FROM TO STIPULATIONS ` SEPARATE PERA41TS REQUIRED FOR Before digging cali local liAeR16 G, HEATING, (PLUMBING AND SIG TELEPHONE- E1E�Hfa "" Uhlifie; SIGNS.., _ ELECt RIC m GAS tto. [RED 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 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 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 $5,600 $2.80 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 PROV IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $56.50 T CTION OR THE PERFORMANCE OF CONSTRUCTION. P AN CHECKFEE TOTALFEE $59.30 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER ALIDATE THIS IS YOUR PERMIT TLUG INS � E SIGNATURE OF OW NER OF OWNER BUILDERI IDATEI 01 NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description: --.4 Owner Name a Addr Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/84 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 ngth Width Hgt/Ground 4z- 07 Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 7 —j 9- 9S APPLICANT: �- Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer blain Charge TOTAL STIPULATIONS: CITY USE ONLY $ ,S® Fee Schedule on Reverse Side 25% of Building Permit Fee #.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 4a&tr6r"L Land Oi AOAty *acs AfE. lad my mimm'Whim. Sails kstriy EN G I NEE R I N G, INC. Afiwwolo Gnl & A"igpel S*Imtl(40" bl— Engineers Sur ve 'ors certificate of ou:rVe)r Eos RA N OOM I Nf- 12 A rl / Z "� �'�' , , / busby WNW* fled /his K a true ord wrmcf fe reseniofaan of'a --!NWY Ok &Vft►orres �� �A'it AscrJ d 4rd, and gf'a!1' & iMiys , ixmw , and d/ risible sx vm irnenfs , ifvy, limn w an said And. As surveyed 6, or Mi -ZZ = A.o dic.3SUBURBAN 19461NEERINC7 , INC. bWMW�_s - ft Surrtyvrs 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 (UST 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 73 I-V 10�7;&/� 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. ,1997 $10.00 $ /V OWNER. $10.00 $ BUILDING USED AS $1000 $ ESTIMATED COST XF08 m ® PERMIT NO. $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER State Surcharge TOTAL FEE $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name ElO'4f) Size No. BTU aaa HP EDR $ Z�r Fuel Total Connected Load S�o� $ .50 Burner Trade Name Size No. BTU HP EDR 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. HEATING COMPANY Signed By Tel No. 4 Approved By Rough—In Date Final Date S— FILL OUT BACK SIDE FOR STACK VERIFICATION ON C4v— REPLACEMENT FURNACE 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: CEaMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O 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 ( ) 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: SUBJEdT RMIT NO. City of Fraley 30674 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER REVDATE PAGE OF APPROVED By 1 "'1 CITY HALL FRIDLEY 55432 612-571-3450 910415 2/23/00 JOB ADDRESS 7370 Melody Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Fennig 7370 Melody Drive NE 786-5472 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Inc 9060 Zachary Lane N, Maple Grove, MN 55369 425-4737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2535 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION {x] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. p®rmit wauecti fiords I neW8on filed To ®e®MAN" To post 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 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 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 $9,000 $4.50 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- Fre SC $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $167.25 PLAN CHECK FEE T TAL FEE Lic e C $ $185.75 SIGNATURE OF CONTRACTOR OR AUTHORIZE D AGENT IDATEi R PER WH P Y VALIArAdrED THI7-, e. OG iN5 ,ATE S,GNATURE OF OWNER, if OWNER BWLDERI iDATE- NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 76 Legal Description: Owner Name & Address: DA1125 iTel. # Contractor: TWIN CITY EXTERIORS CO., INC. MN LICENSE# 2535 Address: 9060 ZACHARY LANE N MAPLE GROVE, MN 55369 Tel. # 612-425-4737 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. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: S /0j&W Estimated Cost: $ q _ 0Q6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ';z / g APPLICANT: Tel. # 612-425-47* 12-425-47 37 CITY USE ONLY Permit Fee $� R.Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ S $.50/$1,000 Valuation SAC Charge $ $1050 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: