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PRE 2010 DOCSCity of Fridley, Minn. BUHMING PERMIT Date: ....... .. ...................... Address...................................... N® 3525 Builder .. .... .. ........... ........ Address 0(-r. LOCATI OF BUILDING No. Street.. ....... ........... .....'�:?:{. ..................... Part�oft... ...Lot . /0 ...... Block�............ Addition or Sub- Corner Lot X ......... Inside Lot ............ Setback3�: ¢ it Sideyard . /119: `' DESCRIPTION OF BUILDING To be Used as: f /9-`a " r Front &Y Depth P'........ Height .. Sq. F't ,�Q':;:,ty Cu. ............... �.... Front ........ Depth ........ Height ........ St.q. Ft. ........ Cu. F....... . Type of Construction ................... Mgt Cost. `4R ! .. To ba Completed ................... In consideration of the issuance to me of a permit to construct b g desribed above, I agree to do the proposed work in accordance with the description above set o compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee ofi./..., 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, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 4404 ....... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wirlffg—, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these Items. City of Fridley, Minn. BUILDING PERMIT N® 4 0 91 Date: .. -.. ----- 42< .........1571_....._ ............._....---_..---- Owner: 1........_ .................... Builder ............. _........ ...._......... _............... _.......�.._....._ ._._ Address.................. -................................ -........... ----___.._............ _............... Address ............... ........... ....... ..._............. ........ ------------ - /F� : LOCATI��O�OF BUILDING No...Sf..-/.... . Street ....... ............. Part of Lot .................... _......................... -- - ..... Lot' ..._.....- Block ....-_.. ...... .................. Addition or Sub -Division .. .. f _. CornerLot .X ........................... Inside Lot ....................................... Setback ..... _.............. ....................... Sideyard............ ........ ............................ _............. _...... Sewer Elevation ................................................... .......... ...................... - .............. ..... Foundation Elevation .... DESCRIPTION OF BUILDING To be Used as: I y :Y f ra ✓�� Front Depth®..�� Height .-.1........� Sq. Ft.._.. Cu. Ft._a..Or ..._..................................................... .. Front ..................._... Depth .....- --Est. Cost ................ Height Height �...�........ Sq. Ft. ....._................. Cu. F't..................... --- Type of Construction ........................................ .. .................. To be Completed ....--------------- ............................... In consideration of the issuance to me of a permit to construct the buildingcribed above, I agree to do the proposed work in accordance with the description above set and in co anwith 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 regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. / Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City of Fridley, Minn.. N° 816 5 BUR DING PERMIT Date: 41y 9a 165 Owner: Hicks Builder Gl:i.sen Address 6700 Monroe Street N. E. Address 519 10 Street N.19, LOCATION OF BUILDING No 6700 Street 1[onroe Street N. E. Part of Lot Lot 10 _ Block 3 Addition or Sub -Division Brookview Terrace Corner Lot._ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est, Cost 00.00 _ To be Completed Storm damage repair In consideration of the issuance to me of a permit to constru the building described above I agree to do the proposed work in accordance with the description above set in compliance aII provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 0.Ci4 , permit is hereby granted to Hicks to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it to 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, maintenance, repair and moving of buildings wiord ate city limits and this permit may be revoked at any time upon violation of any df the provisions of said Allen Jensen Building Inspector NOTICE This peemh does net cover the constredioe, hufailatien for whdng, phnobtog, gas hating, sewer or water. Be sure to as the Building Inspector for separate PWMBB for thea ttaaw. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA • t OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION OF BUILDING N0. STREET PART OF LOT LOT / BLOCK _ADDITION OR SUBDIVISION," d� r CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 'T 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 —7 5 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. N° 8887 BUILDING PERMIT Date: JUNE 15, 1966 Owner: P. L. HICKS Builder GIERTSEN COMPANY Address 6700 MONROE STREET N E Address 3501 Xgnwood Avenue FRIDLEY, MINNESOTA 55432 Minneapolis, Minnesota LOCATION OF ' BUILDING No. 6700 Street MONROE STREET N E It part of Lot Lot 10 __ Block 3 Addition or Sub.Division ____ RROOME.W TERRACE Corner Lot Inside Lot -- Setback —_ Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: REPAIRS Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction E&M Est-Cost—$1,00,30-0 ..--.. 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 fort and in c onpliance with 21 provisions of cndinanoce of the city of Fridley. Lam, L'�" In consideration of the payment of a fee of $-6-,0-0—, permit is hereby granted to GTF.RTgEN COMPA19.Y_ 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 pert thereof, shall conform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city limit an um permit may be revoked at any time upon violation of any of the provisions of said ordinances. WILLIAM H. SANDIN Building Inspector NOTIC& ?Ids pan* don rot ons the anatrvWw, leataW= for VAdm phn"o, an hedins, awar or water. Be aura to as tha BuRd m Mgmftr for spm to pwaft for thea Nana. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA cl OWNER'S NAME BUILDER ADDRESS Z:� 7 ® 0ADDRES r LOCATION OF BUILDING NO. 7 0 ® STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction e -0.1 -Esti ted Cost / ® To be completed 0 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 ,., Pv / G S (Sc edule of Fee Costs can be found -on the Reverse Side). ,-4 J 53-84-8-915.51 City ®f Fridley Applim,31,2a 1w Pkwbbg end Gn RN-bg Pandt Dept. of Bldgs. Phone 960-3490 DESCRIPTION OF WORK 6700 N. E. Monroe Street Number. Kind and Location of Fixtures O I< � 1r Z ~t �R z Z Za < N 2 z_ K<<` 5 v1 sJ A yy S< (N(�� N W ► N WATER MTR. GAS ELIC. Base Ist InE tall Gras Gr 11 2nd 3rd 4th , • ' Futuro Connection Openings + New Fixture. Old Openings Coaaected with Sealer � Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.....:.... . x $1.50 Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater........... s $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU—.......... x $5.00 $ 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 Cita 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 8-9-74 „ 18, Owner Pearl Hicks - Kind of Building Frame Used as Res. To be completed about 8-16-74 Estimated Cost. $ 10-00 / Old—Nuilding Permit No. Permit No. l �� Signed By MINNRASCO Business Phune No ROUGH REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description ......Install Gas, Grill . ............$ 5.00 TOTAL FEE 5.50 C-lasa ®A' :Surcharge .50� CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 1'01'.�L Job Address �� Furnace Shell & Duct Work $12.00 $ Reclace .en t of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ Tel. City 4i�5 Fridley 71-3450 MECHANICAL ItiARti AIR: • The undersigned hereby makes application fora permit for the work herein Furnace Shell & Duct Work to 100,000 BTL' $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 53,030 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Rer_acement of Furnace 7.00 $ ).0 facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ J 19 Repairs & Alterations each add. $500.00 4.00 $ J Fridley, Minn. /� STEati: OR HOT 1tiaTi:R SYSTLM: . OWNER P /�yt l (� /< S - Boiler & :._nes uZ, to 100,030 BTU $12.00 $ KIN6 OF BUILDING iL/esrern l� each ad -4n. 53,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT 'Y OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BU RN`R- frcm 100,000 BTU to 199,999 BTU $10.00 $ � OLD - NEW BUILDING PERMIT NO. PERMIT NO. (aver 199,99: BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 1999,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. l AIR CON:)ITIJN' ' ' /� S "� �' �� S i U • L O Size No. HEA �. S2'STi�.S r $ Trade Name �,��acr� 3 See Fee Schedule VENTILATING SYSTEMS $ Capacity Sq. Ft. EDR BTU/ o HP ALTERATIONS & REPAIRS_, $ p Y State Surcharge $ .50 Total Connected Load \1<d-. a p( �/ Kind of Fuel TOTAL FEE $3,1 , �() BURNER - Trade Name Size No: R3UGH INSF. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date (.$10.00) Company FINAL INSP. ®�p� Date '��"�' ` O(- �,�/ Signed BY APPROVAL FOR PER%SIT Tel. No. XINLMtiM FEE FOR ANY HEATING PERMIT IS $7.50 HOUSE HEATING TEST RECORD ADDRESS b� ~off%®�' r APT. FLOOR�CITY SUBURB %�� OCCUPANTOWNER HEAT LOSSD TE HT P.NST. SOLD BY - 9I INSTALLED BY Electrical Work By Gas Line By _ TYPE OF HEAT GA FA '-- HW STEAM SPACE HTR. / GABS DESIGN MAKE MAKE OF BURNER _ Model Model Serial Max. BTU Rating — INPUT I&CLO 000 MAKE OF FURNACE Model UNIT HTR. OTHER CONVERSION CONTROLS ., •� S THERMOST Heat Plug ` Vent Size Valve ('y" �-+�' KIND OF LINER SIZE 1'r NONE Limit Draft Hood 8 "-' Regularor Limit Setting 0 d Filters Size441-/ Number Fan Setting 100 Chimney Location Inside s Outside Pilot Type Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing IP G Mee— Draft Test Tag L L.W. Cut Off Door Pressure Lighting Inst. ei Pressure Percent CO2 Date Tested r Input CFH> Percent 02 Company Testing © Stack Temp. ' �'® Percent CO Name of Tester ' Form 235 r,40i TV 0-56•jo HEAT LAM CALCULATIONS DEPARTMENT OF INSPECTION YUNNEAPOLM MINN. Weatherstrips A Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wa!l Ceding I Roof Floor Kind How Applied 19— Height 11 Fl -1 Room I Length Width I --%'�T— RoomiUnath Width "14,1 i- Height Windows and boors--Cracke8e and Area No. of lights Width Height No. of Lineal d. No. or vine of pane lights of crack Area 04. ft. Litioal ft. of crack Arco eq. ft. 2, Coef. Btu Infiltration P. Glass a 522c) Exp. wall Cod. Btu Infiltration Net exp. wall Infiltration � Int. wall Ceiling Glass K�� Floor Exp. wan Btu Int. wall Total Btu. Required sq. it. E.D.R. or sq4 ins. W.A. Leader erea, F1.1 Width 2-:4-�"Hei3lil Windows and Doom-Zrackafm and Area I Width Height No. Of Pane of pan* No. of lights Lineal ft—. of crack --Kr—on Eq. ft. Litioal ft. of crack Arco eq. ft. 2, Coef. Btv, Infiltration Coef., Btu Infiltration Cod. Btu Infiltration Coaf. Btu Infiltration � Glass Glass K�� Exp. wall Net exp. wall Exp. wan Btu Int. wall Ceding Net exp. wall Moor Total Btu. Floor t t Int. wall Exp. wall fl e 2, ee: Ceiling Int. VICH Floor q-ov� Ceiling '12 - Total Btu. Floor Required sq. ft. B.D.R. or sa ins. W.A. Leader area 760 Btu. Windows and Doors—Crachase and Area No. Width Height No. of of pane of pane JIUM7 Litioal ft. of crack Arco eq. ft. Lincal ft. of er..c Coef. Btv, Infiltration Coef., Btu Infiltration Glas3 Coaf. Btu Infiltration Exp- wall Not enp. wall Glass Exp. wall Net exp. wall C4ef. Btu Int. wall Ceding Ceiling Moor Total Btu. Floor Required sq. ft. E.D.R. or sq. ins. VIA 1,,--adzr av,ea Total Btu. Required cq, ft. F-DJL or eq. ins. rJA-b-neew area Window's and Doors---Cra*c-kag--e- an J-Ate'a No. Width Height No. of Lineal ft. of pane of pane lights of crack Area eq. ft. No. of lights Lincal ft. of er..c Coef. Btv, Infiltration Coef., Btu Infiltration Glas3 Eng. wall Exp- wall Not enp. wall Net exp. wall Int. wall Ceiling C4ef. Btu Floor Ceding Total Btu. . I Required sq. ft. E.D.R. or sq. ins. WJL Leader area F1.1 Room I Lenath Width Heiaht Windows and Doors—Crackage iind Area Width Height No. of Lineal ft. No. of pane of vane lights of crack Area Sq. M Holaht of pants No. of lights Lincal ft. of er..c Coef. Btv, Infiltration Eng. wall Not enp. wall Int. wall C4ef. Btu Infiltration Ceding Moor Total Btu. Required sq. ft. E.D.R. or sq. ins. VIA 1,,--adzr av,ea FU Room I Unath "IlVith ; Height Vinflov" and Door&—Crachage'ind No. Width of pane Holaht of pants No. of lights Lincal ft. of er..c C4ef. Btu Infiltration Gloss Exp. wall Net exp. wall Int. VICH Ceiling Floor 760 Btu. ffilmirvJ eq. ft. E.D.R. or eq. ins. J.A. Un&r or ,-& SuBJECr PSAMIT NO. City of Fridley 2 6 9 3 3 AT THE TOP OF THE TWINS BUILDING P E R M I T , r � RECEIPT ______ COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. ; / 7 q Ls( r 1 4�1 1 i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910-F15 7/31/98 JOB ADDRESS 6700 Monroe St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 3 1 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pearl Hicks 6700 Monroe - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING RpRidential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Rernnf house nnd garage (16 Sq) Tpar-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 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 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- STRU OR THE PERFORMANCE OJCONSRUCTION. PLAN CHECK FEE T AL FEE iGNATUREO TOR A TH i ED, ENT (DATEi S47.75 A E PR VALI D THIS 1 YO R PER IT ` NATURE OF ER OF WNE D 1 iDATEi B G iNSP lA NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY �a J ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � >p BUILDING PERMIT APPLICATION ?- ConstructionAddress: � �(% %�� /ag S 3z Legal Description: Owner Name & Address:Tel. # Contractor: G - MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IIMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. F� DECK AREA:Len Wi Hgt/Ground Sq- Ft. OTHER: %" S� r . Construction Type:Estimated Cost: 133/ '(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �3 ^ APPLICANT: c Tel. #�� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] ,W WA SUBJECT P T NO. City of Fridley 28769 AT THE TOP OF THE TWINS PERMIT 1,672-3604 BUILDING COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I 12/17/98 JOB ADDRESS 6700 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO 3 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pearl L Hicks 571-1246 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Rk REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIREO 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 I 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 $3000 $1.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITTEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $3.00 PLAN CHECK FEE TOTAL FEE $79.25 TURE0 CO R O�ORIZED AGENT iDATE, PROPERLY VA ATED THIS IS YOUR PERMIT ZHEN L O10. WN of OW RBU4DER, 40ATE, -NSA qA�E WA NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY AT [ ] SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2 BUILDING PERMIT APPLICATION ConstructionAddress: Lc -gal Description: - Owner Name & Address:, � %f �C,�� Tel. # S%/-/ 2 - Contractor: Contractor: Address MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # DESCRIPTION OF IMPROVEMENT LIVING AREA: Length fa Width =2 Height Sq. Ft. GARAGE AREA: Length ZQ Width Z Z Height g Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ -961- v� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 12- I%!," 3q2 APPLICANT: J9;'� Tel. # 0 --S9de CITY USE ONLY Permit Fee $ �'LI 75� Fee Schedule on Reverse Side Fire Surcharge $ 3 UU .001 of Permit Valuation (1/10th%) State Surcharge $ / . 5C-2 $.50/$1,000 Valuation SAC Charge $ $1000 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 $ 2-2i11", STIPULATIONS: