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PRE 2010 DOCS59917 City of Fridley, Man. 11415 6431 University Ave. N. E., Minneapolis, Minn. 55432 Date: May 4, 1972 Same Owner: Viewcon, Inc. Builder 5901 Brooklyn Blvd. Same Address �..._.._.._._.___._ Address LOCATION OF BUILDING No. 1555 Street ` North Oberlin Circle part of Lot Lot _ ._4 ._. Block _ ? Addition or Sub -Division Innsbruck North Corner Lot ------_.._._ Inside Lot _ _ - X Setback Sideyard Sewer Elevation _ _ _ Foundation Elevation _..._.. DESCRIPTION OF BUILDING To be Used as: 1240 Townhouse __ Front 20' Depth 31Height 28' Sq. Ft. 6 20 Cm Ft. 17060 Garage __.._ Front 201 Depth 22 Height 10' Sq. Ft. 440 Ca. Ft. 4400 Type of Construction Wood Frame Est. Cost _ 21,417.80 To be completed 1.0/1172 Stipulations: 1. Developer agrees he will supply all the materials noted in the letter written by the City Engineer dated 2/22172 by May 30, 1972. 2.Sa a as indicated on foundation permit. In consideration of the issuance to me of a permit to nstru the b above, I agree to do the proposed work in accordance with the description ab ov t orth and ' th all provisions of ordinances of the city of Fridley. 1073 State Surcharge In consideration of the payment of a fee of $ 41.00 —,permit is hereby granted to Viewcon. 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 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 buildi— : dthin the city limits and this permit may be revoked at any time upon violation of any of the provisions of 8afd r , I � ' I � III NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be suns to see the Building inspector for separate permits for these items. v .s i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : _ V�Q,L� C�- , a/ -rt 2` BUILDER: ADDRESS: -,6-90 j V ADDRESS : I r /� • NO:. /.$.�S STREET : A) X9-2 t -k) LOT: < BLOCK: ADDITION: CORNER LOT: INSIDE LOT:_ Y _SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: tsau Ln -u e Front: ;20 -Depth: Height: o7C4 � Square Feet; Cubic Feet: /1%�(g0 Front. Depth: IQ Height: /0 Square Feet; -/VO Cubic Feet: J/00 Type of Construction: L0(W)CQ---jAA-/y7 P Estimated Cost:_$ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: {)-� ��Z_- SIGNATURE• (See Reverse Side For Additional Information.) /11)0 0.20 /O.�r — 'mq �S3 1993ao ificate of Survey f®� � i �.•vv�.,v►y � � ��-. Mon Nok Tk1 Ok?L-RL-)N C1)12CL E �� Q.0 t I i �Q.G t ► . � � WI I Z b Vit, � © =1i �s � c� � • b °IIIW oil �r1 b t t 10 1 I t %,0..LSO q C� c I O 0 Zo .0 I -,L O.0 a 4 20.0 20.0 1 1 pl 's> Oits �� N X, \ 1 1 r` �� t' r ' a' •.�� C `,NII O � ,� •� �. `� C, II It 20.0 !o r; r O -�4U�- i 1400 _ U o Mon Nok Tk1 Ok?L-RL-)N C1)12CL E Application hw POwer Phuft and Heating, Cooling, Ventilation, Rehhgeralion and Air Conditioning Sydems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................ $10.00 $ Replacement of Furnace .... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ ____ MECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ... .. . ..$10.00 $--La each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace 6.00 ; Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 ; STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00Each add. 320 sq. ft. EDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour 6,00 $ — over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 6.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ Zoo $ Additional Fixtures x .76 $ Gas Range to 199,000 a$ 6.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ROUGH (SURCHARGE FINAL.-lf- Dept. of Bldgs. Phone SM -3490 City of Fridley: The undersigned hereby makes application for a permit for the work :hereir 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 ® Owner Kind of Building. J_it�� Used as _ . To be completed about !i9 Estimated Cost, $-_—�_ � ___ �y Old—New. Building Permit No. Permit No. �� 7 1D1e'BC ION OF WORK HEATING or POWER PLANTS -Steam, Not Water, Warm Air—No__L_ Trade Name— Size No_,?_ Capacity U Sq. Ft. E.D.R BTU H.P. Total Connected Load y / 3 ®2 Kind of gy=et BURNER — Trade Namp Size No Capadty Sq. Ft. E.D.R BTU MP (REMARKS -OYER) r City of Fridley Applicalion for PkwA&g and G= R"big Pwa* Dept. of Hldga. Phone 880-3450 DESCRIPTION OF WORK Number. Kind and Location of nxtures 11;11 'till l Y 11Y1111111:i1:11:11 : w cAs me PARTIAL RATE SCHEDULE PLUMBING FIXTUM R&TE3o NO. RATE TOTAL �� o0 Number Fixtures ................ x 32.00 $..4d=_ Future Fixture Opening ....:...... x $1.50 3 -. New Fixture Old Opening .......... x $1.80 = Catch Basin .................... x $3.25 i 00 Water Heater 'Up to 99.000 BTU) .... i : $3.00 $ J, New Ground Run Old Bldg......... x $3.25 S Electale Nater Heater .............. a $2.00 3 GAS FITTING FEES-. NO. RATE TOTAL 3wolat 3 Fixtures ............... , • • x $ --)-()0- Additional Fixtures .. . . • . • ... • • • . •.. -x$.76 $ Gas Flange to 199.000 BTU ............ x $5.00 6 State Surcharge $_.50 REPAIRS & ALTERATIONS—Ret•r to Cedo Description 0 0 0 0 0 . . • • . .. • O • O O O A. • . . . •... . \ . . • ... . \$ Location/ s 55 �iCj2t%� O ��rz imp irr �O City of Fridley: The undersigned hereby makes application for a permit for the work here!; 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, Mina z22a-g 19.Z„ 2 Owner Kind of Building Z//r=-Q l Used as To be completed about 9 7,1 Estimated Cost. $ Old—ew Building Permit No. Permit No. ROUGH MIAL � Signed By h Business Phone No c>a►so 53 -8b -S-915.51 City of Fridley App icatfcn for Plambbig G= r 'nj Pest' Dept. of Bldcm. Phone 560-3450 DESCRIPTION OF WORX 1555 No: Oberlin N. E. Number, Kind and Locrt+ea of Flxturas I'OC" f `- N City of Fridley: • Fur"* Connaclkn Cipaninas . New Fixture. Old OponLA s PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ... • .. • s ....... x $2.00 Future Fixture Opening ......... x $1.50 New Fixture Old Opening....... • . • x $1.50 Catch Ba siri ...........:........ x $3.25 Saisms ❑ Cc=pool Cl TOTAL S ' a 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 10-30-75 l9_ Owner Darrel A. Farr Developement Kind of Building Frame Used as Res. To be completed about 11-6-75 Estimated Cost, $ 10.00 New. Building Permit No. Permit No. Signed By Business Phone No - Water Beater !Up to 009.0M BTG) • • • • x $3.00 $ �• it New Ground Run Old Bldg......... �j ,gJ Electric WAtes Heatar............. • s $2.00 S WAT[V MTA. GAS WC. r. TING FEES: NO. RATE �- N x $2.00 O O 1Z x $ .75 $ 4 1 5.00 Gas Rsnge to 194.000 BTU ........... x 55.00 b � f ► �. REPAIRS it ALTERATIONS—R4fe1 to Code .50 State Surcharge Deacdption ...:........... :........ ,.............. TOTAL FUS ;Class ""A"' Surcharge .50�, Barr I st 1 2nd _ 3rd #th • Fur"* Connaclkn Cipaninas . New Fixture. Old OponLA s PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ... • .. • s ....... x $2.00 Future Fixture Opening ......... x $1.50 New Fixture Old Opening....... • . • x $1.50 Catch Ba siri ...........:........ x $3.25 Saisms ❑ Cc=pool Cl TOTAL S ' a 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 10-30-75 l9_ Owner Darrel A. Farr Developement Kind of Building Frame Used as Res. To be completed about 11-6-75 Estimated Cost, $ 10.00 New. Building Permit No. Permit No. Signed By Business Phone No - Water Beater !Up to 009.0M BTG) • • • • x $3.00 $ �• ROUDH New Ground Run Old Bldg......... x $.3.25 $ Electric WAtes Heatar............. • s $2.00 S FINAL r. TING FEES: NO. RATE TOTAL 1st 3 Fi.tures . , • . . . . I • I . . . . , . .. x $2.00 Additional Fixtures ..... .. ...... x $ .75 $ 1 5.00 Gas Rsnge to 194.000 BTU ........... x 55.00 b { REPAIRS it ALTERATIONS—R4fe1 to Code .50 State Surcharge Deacdption ...:........... :........ ,.............. TOTAL FUS ;Class ""A"' Surcharge .50�, CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE ro PLUMBING FIXTURE RATES: NO. /G RATE m N=ber Fixtures x $3.00 o Future Fixture Opening X C) $ Water x $2.00 $ A �, x $5.00 u 0 �� y 0 $ 4`i $4 W W C Water Softener Heater $7.00 Ai New Ground Run Old Building x m C tll E •A ro X +� s. v $4 y .O q fu N cL Date 1st 3 fixtures N $3.00 $ Additional Fixtures -.i d ro Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS 11 Ul tl1 N fA each add. $100.00 or fraction � $2.00 -.-I w :5 rd VI ro k • f N ro •.i 7 W o O x O .i 1j M ro ro o ro ro a ro .0 +' lec V) , 4 U O M W N 3 A k, (A W U 0 d 3 C7 C7 0 as lst o 2ndJ. J t< 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. /G RATE TOTAL N=ber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: Date 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address S' S� [DGtl-- _- Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. , 19 OWNER FINAL INSP. A - Z 7 �® Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 KIND OF BUILDING /G AS USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. f� V Company Signed By /r Tel. No. ROUGH INSP. Date FINAL INSP. A - Z 7 �® Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING P E R M I T PERMIT NO. r ' ' • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 ti----11' 1'j 612-571-3450 R �% // NUMBER 7REV 910415 DATE 9/1/94 1 PAGE OF APPROV-EEDD``-BBYY JOB ADDRESS 1555 North Oberlin Circle NE 1 LEGAL DESCR. LOT NO. 4 BLOCK 2 TRACT OR ADDITION Innsbruck North SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tabor & Sons Inc 3716 St Francis Blvd, Anoka, MN 55303 789-1902 20014248 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Gutters 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 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $145 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $15.00 Fire SC $.15 PLAN CHECK FEE TOTALFEE cf/ e/ License SC $5.00 $20.65 SIGNATURE OV CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER BLD INSP VAL,IDA ED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW ADDN ALTER {j [ ] CITY OF FRIDLEY { SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Constructi n Address: •'1555 - Ro r t h Ober 1• in Circle Legal Des ription: Effective 1/1/94 -35b7 Owner Name & Address: Tel. # • Contractor: * Tabor and Sons, INc. MN LICENSE # pending Address: .:,.3716. - St. Francis $1vd..'-Ahoka..5530.3Tel. #.• .7.8..9•,=19.42. 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: g u t t e r s Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 14 5 .0 0 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 9/1/94 APPLICANT: Tabor and. Sons, INc . Tel. # 789-1902 CITE USE ONLY Permit Fee $ IS, 00 Fee Schedule on Reverse Side Fire Surcharge $ / L — .001 of Permit Valuation (1/ 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $$00 per SAC Unit License Surcharge $ U $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ J TOTAL STIPULATIONS: (( . 01 �p,'c FA SUBJECT 3t�)� City of Fridley 7038 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI NO. ; COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE '36(09 IL` ; CITY HALL FRIDLEY 55432 A NUMBER REV DATE PAGE OF APPROVED BY L .__• .� 612-571-3450 910415 6/8/00 JOB ADDRESS 1555.59.6 67 No. Oberlin Circle 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 1-4 2 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp. 2301 E. 25th St., Mp1s., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To. Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 4 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 $8,642,56 $4.32 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 $167.25 Fire SC $8.64 PLAN CHECK FEE 0TALF E Licens 5.00 $ 5.21 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P PERLY A DATED T IS ISYOAPERMIT �D S-GNATURE OF OWNER.IF OWNER BUILDER, IDATEI L G(So f)A It FA NEW Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY 612-572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 00 BUILDING PERMIT APPLICATION Construction Address: � � � N Legal Description: Owner Name & Address: Contractor. ssac; Gf,-hOrnel. # (05 (- as Ll - 511% -�l MN LICENSE # LY)l�0 �a3 (u S.5 o, Tel. # (et;? --722-7.29 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: R O - h Estimated Cost: $ to C4 Z Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: b11100APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (612) 572-3604 for Permit Fees if mailing In application ee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ / $1100 per SAC Unit $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: ao4 5 - 6� X33 NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address:Kiri Legal Description: Owner Name & Address:/Sk/ 4L ® G2ae�'e v_s c -, oiyc—, Tel. # Contractor: MN LICENSE#!3,---.Zo.7J- L5 Address: 4RQe Tel. # 7,C 3.70- /6 Z, 3 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: 0® a e Construction Type: <P® — ,f- estimated Cost: $ Z40".5- - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7 G SAPPLICANT: Tel. # X-T,6YZ -/E� 3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 If using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ $ aoo,'74 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: