Loading...
PRE 2010 DOCSDate: Addres City of Fridley, Minn. BUILDING PERMIT �OCATIO F UILDING No. Street._ Pmat Lot _ Block A dation or Sub -Di -W Corner Lot _ Ir Inside Lot Setback', Sideyard Wo low W, Sewer Elevation _ Foundation Elevation `DESCRIPTION`` OF BUILDING To v , ; ,ie► Front DepthAL7Height r Sq. Ft: Cu. Ft a ' :Depth Heig „Sq. Ft Cu. Ft Type Construction Fst o be Completed .. ; ..., ry fin• i'. . 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 compliance with aft provisions of ordinances of the city of Fridley. F In consideration of the payment of a fee of permit is hereby granted to f .. to construct the building or addition' as described above. This permit is granted upon the express condition that the person to whomit 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 buildings within the city limits and this permit may be revoked at any time upon viQlatloq of any of the provisions of said ordinances. NOTICE: "b perm* dos not cover the censtwcd=, insteibt m for wkk& pi4m&bttb 0a heatiae, sewer or wsbr. Be sura to no the 5dWinB inspector for apuah permit for these Bona. K . --4 i S' -a r e OwnerIa Nam Address A5, No._�, APPLICATION FOR BUILDING PERNIT IaTY OF FRIDLEYt NIINNESOTA - I M M 0- ze-1 LOCATION OF BUILDING r a 0 Y7 of Lot; _„_Ba.ock f y Addition or Subdivisio Corner Lot _Inside Lot -Setback Si e -Yard 1� SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front SF —Depth Height , Sq. Ft. 41- 9 Cu. Ft. /4 Q- y Front _ Depth Height Sq. Ft. Type ofIna To be Completed 9-1-61 Cu. Ft. ted Cost 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. � n If ,--- / !zlo — (A Schedule of Fee Costs can be found on the Reverse Side.) THIS BUILDING SHALL NOT � �r � ������'4 6E OCCUPIED PRIOR TO ALL FINAL INSPECTIONS. Application for Power Plants and Heating. 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 ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $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 $ I ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 __4 -A _A 1 40�� 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, 19 6y Owner Kind c Used E To be Estimated Cost, $ % 7�� Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWE f Wa , Warm Air—No Trade Name 1 Size No 010 �— Capacity L Sq. Ft. E.D.R TU H.P. Total Connected Load 0—i-0 Q Kind of Fuel " BURNER — Trade Name C� Size No �1 Capacity Sq. Ft. E.D.R !% TU H.P. (REMARKS -OVER) a 42 •2M Business` ile 0b 21- 7.gX4 Sf. ! B City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK�S Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ —2, 192 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 s---,/, S- Z) Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 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, Minn. �® ®� 19 OwnerGp�'v'��� /�a 0X���7,�� Kind of Building Used as r?ey. —1-4 To be completed about Estimated Cost, $ s Old ew. - ding Permit No Permit No. `` d Signe By o i Cda Business Phone e� ROUGH /0 ^ Z FINAL Description ................................................ ° �--- p � TOTAL FEE az 2M . � WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings Connected with sews: 19 * New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ —2, 192 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 s---,/, S- Z) Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 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, Minn. �® ®� 19 OwnerGp�'v'��� /�a 0X���7,�� Kind of Building Used as r?ey. —1-4 To be completed about Estimated Cost, $ s Old ew. - ding Permit No Permit No. `` d Signe By o i Cda Business Phone e� ROUGH /0 ^ Z FINAL Description ................................................ ° �--- p � TOTAL FEE az 2M . � City of Fridley, Minn. c:;p 4 /6V BUILDING PERMIT N® 7299 Date: .9 4 P Owner: Builder 2-0 Address Address BX�- G No. Street P of Lot Lot __ Block Addition or Sub- on72 r Corner Lot _ Inside Lot e� Setback Sideyard __ _ S2 Sewer Elevation — — Foundation Elevation DESCRIPTION OF BUILDING as: Front Depth Height Sq. Ft•T-1t-4`— Cu. Ft ��C� DepthHeight Sq. Ft. Cu. Ft. 13001 Type of Con9structs Fst./.4 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 compliance with all provisions of ordinances 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 regardinglocation, construction, alteration, maintenance, repair and moving of buildings within� city limits and this permit may be revoked at any time uponolaof any of the provisions of said ordinan NOTICE: Thk penntt does not cover the construedon, lashiiatioo for vArhM pkmhlne, gas hoafiee, sewer or water. Be sure to nes the Buihling hopeetor for ssparafs psrmNs for these Nems. APPLICATION FOR BUILDING PLi,11IT. CITY OF FRIDLEY, MINNESOTA OWNER'S NAME L L a.." M a- BUILDER ��o lte � r Bak. h ADDRESS A17 — N . ADDRESS- 15-;o/8 �i° �an, eY P. ! V . E LOCATION OF BUILDING No. /.5'7 Street assissr"�,R� -pie dart of Lot Block Addition or Subdivision-c�__f � Corner Lot Inside Lot X Setback ide Yard . 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 -mss. - C o;.Front O Dapth a 2 Height d Sq. Ft. ��O Cu. Ft. V® d Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �,%e a -F,,,,e Estimated Cost �AtD 0. ® 0 ,r 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,4 DATE_ S ('Schedule of Fee Costs can be found on the Reverse Side). w City of Fridley SUBJECT PERM 13064 AT THE TOP OF THE TWINS BUILDING PERMIT Z RECEIPT NO. `L ______ COMMUNITY DEVELOPMENT DIV. �J/_ r PROTECTIVE INSPECTION SEC. �7 j7 1 /& 1 CITY HALL FRIDLEY 55432 "t l"" �.J NUMBER REV. DATE75 PAGE OF APPROVED BY 612-560-3450I 910-F15 CI_ JOB ADDRESS 157 MISSISSIPPI PLACE N.E. FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 3 1 JOHNSON'S RIVER LANE ADDITION SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE AL MATTSON, 6320 RIVERVIEW TERRACE N.E., FRIDLEY, MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. DE GARDNER CONSTRUCTION COMPANY, 5238 HUMBOLDT AVE. NORTH 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REPAIRS AFTER CAR ACCIDENT TO N.E. CORNER OF FOUR PLEX 9 CHANGE OF USE FROM TO STIPULATIONS WpRN1NG SEPERATPERMITS REQUIRED FOR wiRi call local E HEATING, PLUM" GING AND SIGNS. Before d1lo�g ELEC IE�pHONE • B LAW REQUIRED SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 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 $2,500 $1.25 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. xgxm $15.00 / PLAN CHECK FEE TOTALFEE _-�-%. $16.25 SIGNATURE OF CONTRACTOR ORA ORIZEDAGENT (DATE) HEN PROPERLY LIDATED T IS IS YOUR PERMIT JUNE 30, 1975 BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) •APPLICATION FOR RESI'DE'NTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME • � BUILDER: . BUILD. ADDRESS: 05 s2C) �i�� �'ADDRESS: 140: • -- STREET • LOT: BLOCK: / ADDITION : CORNER LOT: INSIDE LOT:V_SETBACK: SIDE -YARD: Applicant attach to this form Two Certificates .-)f Survey. -of Lot and.proposed building location %:yawn on these Certificates. DESCRIPTION OF BUILDING s To Be Used As: Front: Depth: Height: Square Feet: Cubic.Feet: • i Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:Estimated Cost:"' S -d To Be Completed: The undersigned hereby makes application fora 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. 4 DiATE:,�'_— 7 75 SIGNATURE: 04 .(See Reverse Side For Additional Information.)' City of Fridley SUBJECT 16463 AT THE TOP OF THE TWINS BUILDING P E R M I T r • _ COMMUNITY -''-- DEVELOPMENT DIV.��� r � � PROTECTIVE INSPECTION SEC. 1 i i CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. NUMBER 910-F15 REV. DATE 11/17/81 PAGE OF APPROVED BY JOB ADDRESS 157 Mississippi SS Place N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Johnson's River Lane SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Mattson Properties 10267 University Avenue N.E., Blaine 572-0104 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 4 -Plea 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Reroof Structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. 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 4 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 $2,000 $1.00 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. $32.50 PLAN CHECK FEE TOTALFEE $33.50 SIG EOF CONTR,4C?bR0 AUT ORIZED AGENT (DATE)WHEN ,,/� f PROPERLY V LIDATED THIS IS YOUR PERMIT - rr BLDG INSP �A SIGNA URE OF OWN R UILDERI ID EI LI 11 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATI94 FOR RESIDENTIAL BUILDING PERMITS (Neer, Alterations, Addi tioni, or Repairs) g 01•114ER: BUILDER: ADDRESS:/'.,21 � ( `� ADDRESS: TEL N0: TEL NO: t' Constructer Nation • STRMT NO: STREET: LOT: - BLOCK: Corner Lot: Inside Lot: X Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. Front: DESCRIPTION OF CONSTRUCTION Depth: Square.Feet: Cubic Feet: Front: H eight : Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ d v Rb 8e Oompleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Tile undersigned hereby makes application for a permit for the �vrk, 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 thw"ll the facts and representations stated in this application,true and ;eo.erect. DATE: ' 1 7Z SIGNATURE: � Is(, '' Stipulations: /'00 33. Sv SUBJECT - PERMIt City of Fridley 2 8 2 T THE TWINS BUILDING PERMIT � �F RECEIPT NO. ____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.ZRY r i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910-F15 11/2/98 JOB ADDRESS 157 Mississi i Place 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Johnson's River Lane SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE M. Nielsen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO DRI 26103 Verdin St Isanti MN 55040 444-0024 20069323 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 fck REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof 4-plex (22 Sq) tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with 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 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 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 y Fir SC $1.88 PLAN CHECK FEE TOT EE License5. .32 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE IOA TE EN!IROV ALIDA MIS IS YOUR PERMIT .F NSF' pAfE S-GNATURE OF OWNER of OWNER BU0.DERj iOATEi NEW [ ] - ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: / s- 7 /-- '-SS' ss � Legal Description: ,or— c -- Owner Name &Address: ; w c S 7 �l �/ 2,vG,��,�.. re - Tel. # Effective 1/1/98 Contractor: MN LICENSE # 9.372!3 Address: G ia� 1sc-�����• s S•°.,•-, rs oyo Tel. # (6, Z�l/-,/y-c0®2 cl 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: ZI Pax Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = ;t ated Cost: $ (Fee Schedule on Back) Ft x $ _ $ DATE: /9 F APPLICANT: Tel. # ( ( / 7 Lbw -7o e/,, j Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �✓9sa CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 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 [ ] a NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal Description: Owner Name & Address: A-14 %e s -7 / 41 -/ /f,vGT2Ao � TEi1�? Effective 1/1/98 I Contractor: MN SE # 7o o G c, 3 3 Address: 7r. aY e ✓� �h. s; i s i - o Tel. # Attach to this application, a Certificate of S;rto of the lot, with the proposed construction drawn oscale. DESCRIPTION OF LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length W Hgt/Ground Sq. Ft. OTHER: Construction Type: o ^ Estimated Cost: $ � �o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft, 6 Ft = Ft x $ = $ DATE: / !! z �i g Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chaff€ TOTAL . STIPULATIONS: $ G7,3Z CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ]