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COSvillage of Fridley, Xffmn. BUHMING PERM T N? 168 Office of INSPECTOR OF BUHMINGS Owner Architect Fridley, Minn_ Builder LOCATION OF;, BUILDING No. Q Street. -Part of Lot Block Addition or Sub -Division Front Depth_4' To be used as t I A 1V % ,,XIS TION OF BUILDING rht _. Stori a Manner of Constri To be completed 4— xW 1 4 ted Co 9 �o Permit is ,hereby granted to to, the buildingdescribed In the -above statement. This permit is granted'' upon the express iconditlio4'thatlj�e'Aerson to whom It is granted, and his agetits, employees and workmen, in &,i the work done ?a, arou4A and.rupon said building, or any part thereof, shall conform In i respects to the or,di- OF nances of Friolq, Minil., re 'action, alteration, maintenance, ri��hi moving of buildings ,garding the constr . I within the c permit may be4,voked at any time upon violation Of f oi the provisions oP,jsaid ordinances. s Inspector of Buildings. AGREEMEM AND RW0RN:?,TATMMN In consideration of the issue and delivery to me.1,0r'Ahe Inspector of Buildings of :Fridley of the above permit, I hereby agree to do the prop '.1 4- 1— * accordance with the description �qpe -. wor r- -1-a 1� above set forth and according to the provisions i4;�w,the ordinances-,of,.Fridl�ey,!;tnd, being first duly sworn, I hereby state and say that the facts stated 'by me and � ontai&d-in the aboiq permit are true as therein stated. Subscribed and sworn I to before me at Fridley, Minnesota, this day A.D. 1&L. 0 .0 PARTIAL RATE SCHEDULE PLUMBING FIBTUAE RATES: NO. RATE TOTAL NN 0 x $200 $ y` Y $ N x $1.50 $ Catch Basin ... ........ ....... x $8.25 $ Water Heater (Up to 98,000 BTM .... x $3.00 WATER HTR. New Ground Run Old Bldg. . .... .... _ x $3,25 $ ", Electric Wates Heater x $200 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures .......................... x $200 $ Additional Fixtures . .................. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ N GAS EIEC. u Base lot — — 2nd 3ad -- -- 4tli _ Fu nre Connection Openings Connected with e Now Flxtnrs, Old OpeningsBower I l El❑ PARTIAL RATE SCHEDULE PLUMBING FIBTUAE RATES: NO. RATE TOTAL Number Fixtures ...... .. .......... x $200 $ Future Fixture Opening ... ... ...... x $1.50 $ New Fixture Old Opening . ....... .. x $1.50 $ Catch Basin ... ........ ....... x $8.25 $ Water Heater (Up to 98,000 BTM .... x $3.00 $ -® New Ground Run Old Bldg. . .... .... _ x $3,25 $ ", Electric Wates Heater x $200 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures .......................... x $200 $ Additional Fixtures . .................. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS B ALTERATIONS—Refer to Code Description ........ .. TOTAL FEE $ City of Fridley: The undersigned hereby snakes 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 19L,;, Fridley, .' Owner Kind of Building Used as To be completed about Estimated Cost, $ New. Building Permit No. Permit N1®. ROUGH FINAI, ;-- � Signed By Business Phone No Original Permit for PLUMBING AND GAS RUING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Pernnt inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $ I- aO .6s DESCRIPTION OF WOKS Number, Sind and Location of Fixtures Stories E W F O a J 3 u Z .�•= 1-- m� a 7 m I- Z m ¢ m m Y Z m m m} ¢ R 3 r Y I- Z� O o a w O I N 2 Z 0¢ J K a o t 3 F t0 Z a ¢¢ a o u m M J m x n an d a C. o a W m Z ¢ a mD: WATER HTR. GAS ELEC. Basement ist 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted l-0 1 to do the plumbing and gas fitting in the building described in the statemenyhereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Inspector. Final Inspection Date Inspector. City of Fridley - SRS ,19—!�-? Owner t' Location 3 Kind of Building Used as To be Completed , I9___ - Estimated Cost Old -New. Building Permit No. Date Inspector of Buildings. ., SUBJECT PNO. City of Fridley 15967T AT THE TOP OF THE TWINS BUILDING PERM I T _ r RECEIPT NO. `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J � 612-571-3450 910415 10/8/80 JOB ADDRESS 1335 Onondaga Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 Aud. Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Berg 1335 Onondaga Street N.E. 786-0592 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stuart Construction Co. 4611 Lyndale Avenue North 529-9661 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Cover soffit & facia with aluminum- insulate and vent ceiling- repair stora e 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. LAW E � W1 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 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 $2,485 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.24 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FERM1T FEE SAC CHARGE PROVISIO14S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 TRUCTI OR THE PE ORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE ro 16.24 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (D EI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG )NSP Aft SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI ., OWNER: ADDRESS TEL NO: CITY OF FRIDLEY APPLICATIO, FOR RESIDENTIAL BUILDING PERMITS (New, Al aerations, Additions, or Repairs) BUILDER ADDRESS TEL NO: Construction Location ' STREET NO: STREET: A�' LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback:. Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOiv OF COPiS RUC IO d 1 Front: Depth: Height: Squane Feet: Cubic Feet: Front: Depth: Height: Sq re- Feet: Cubic Feet: _ Type of Construction: Estimated Cost: $02qjS• 'Lra To Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . 'Ilie undersigned hereby makes applicaticn for a permit for the vork'herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Departntent. of J3ttilclings, and hereby declares that all the facts and represen t tticiis stated in this application t .etrue ignd correct. f DATE: �- f��%q�® SIGNATURE: :;t:iFralatioits FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 WEED NOTICE June 17, 1992 Jenny Berg 1335 Onondaga Street N.E. Fridley, MN 55432 RE: Noncompliance of Fridley City Code 105 (Weeds) at the Following Property: Location: 1335 Onondaga Street N.E. Legal Description: Part of Lot 15, Auditor's Subdivision #129 Property I.D. No.: 12-30-24-13-0016 Dear Ms. Berg: Fridley City Code 105 (copy enclosed) states that it is unlawful to maintain land in the City upon which weeds, grass, or rank vegetation exceeds ten (10) inches in height; or other noxious growth exists as outlined in the ordinance. This was enacted to protect the health and safety of the community and its residents. A recent inspection of the above referenced property revealed conditions which are not in compliance with this ordinance. It is important that you take appropriate steps to correct this situation immediately. I will conduct a reinspection on or shortly after June 30, 1992, at which time full compliance is expected. Should this deficiency still exist, I will instruct the City's Public Works Department to abate the condition. In the event the City abates the condition, you will be served a notice in writing indicating the work performed and the costs and expenses involved. The total amount must be paid to the City within 30 days after this notice or before the following October 1, whichever is later. If this is not done, the costs and expenses shall become a lien in favor of the City; and a 15% penalty will be added to the amount due as of the date, with the total costs, expenses, and penalty thereupon to be certified to the County Auditor for entry on the tax books as tax against the land. Please call me at 572-3595 if you have questions or wish to discuss this further. Thank you for your cooperation! Sincerely, Steven Barg Weed Inspector CE -92-290 FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 WEED NOTICE May 27, 1994 Jenny Berg 1335 Onondaga Street N.E. Fridley, MN 55432 RE: Noncompliance of Fridley City Code 105 (Weeds) on the Following Property: Location: 1335 Onondaga Street N.E. Legal Description: Part of Auditor's Subdivision #129 Property I.D. No.: 12-30-24-13-0016 Dear Ms. Berg: Fridley City Code 105 (copy enclosed) states that it is unlawful to maintain land in the City upon which weeds, grass, or rank vegetation exceeds ten (10) inches in height; or other noxious growth exists as outlined in the ordinance. This was enacted to protect the health and safety of the community and its residents. A recent inspection of the above referenced property revealed conditions which are not in compliance with this ordinance. It is important that you take appropriate steps to correct this situation immediately. I will conduct a reinspection on or shortly after June 13, 1994, at which time full compliance is expected. Should this deficiency still exist, I will instruct the City's weed contractor to abate the condition. In the event the City abates the condition, you will be served a notice in writing indicating the work performed and the costs and expenses involved. The total amount must be paid to the City within 30 days after this notice or before the following October 1, whichever is later. If this is not done, the costs and expenses shall become a lien in favor of the City; and a 150 penalty will be added to the amount due as of the date, with the total costs, expenses, and penalty thereupon to be certified to the County Auditor for entry on the tax books as tax against the land. Please call me at 572-3595 if you have questions or wish to discuss this further. Thank you for your cooperation! Sincerely, Steven Barg Weed Inspector CE -94-244 suBjECT PER -.-- City of Fridley 1664 AT THE TOP OF THE TWINS BUILDING PERMIT Ir I RECEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ) O E I _ /'.'I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF A6P ROVED By " 612-571-34b0 910 -FIS 3/7/01 JOB ADDRESS 1335 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 15 Auditor's Subdivision #108 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jenny Berg 1335 Onondaga St NE 763-783-5983 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Harmony Homes Inc 3158 Viking Blvd NE, Wyoming, MN 55092 763-413-1100 20122134 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 p NEW p ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE p REMOVE 8 DESCRIBE WORK Replace 12 window inserts and 2 entry doors 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform 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 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 $7,674 $3.84 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- Fir $7.67 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $153.25 SC PLAN CHECK FE TOTA FEE Lice $5.A/$169.76 NATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE. N qO E LIDAT THIS FOUR RMI T� � S,GNATURE Of OWNERof OWNER BUILDER1 IDATEj BLO 4NSP/l/ O E NEW [] ADDN [] ALTER [ ] Construction Address: Legal Description: UD� Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address: y- 4 rx.1 3 S a6Ahhdti5g r� Tel. # Z63 -7S 3^ 22&3Contractor. rt --'Cjw,� L r+l c -_S _115n ` MN LICENSE# �O'1 1.3y Address:,31579, [j kT�S'�1 �I% , I�oYor.""t,4 1:2hl S5 -0S,9 Tel. # 26 3- qC 3-1A)o 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: ^1 �v��e,� �vi►o�-�s� oL Construction Type: -01 iL± iA -4t c6i-- ' Estimated Cost: $ 7-6 f' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 3 -7--6 1 APPLICANT: Tel. 3-gj7 t4u CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ %S-3- �� ^ Fee Schedule on Reverse Side Fire Surcharge $ '�� �v7 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ S-106 $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 $ 16'1' `? - STIPULATIONS: l SUBJECT - - PEkI City of Fridley 3 1 74 3 AT THE TOP OF THE TWINS BUILDING PERMIT r __-_� COMMUNITY DEVELOPMENT DIV. 572-36®4 RECEIPT NO. (� r � PROTECTIVE INSPECTION SEC. �If' CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/17/01 JOB ADDRESS 1335 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 15 Auditor's Subdivision lav SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jenny Berg 1335 Onondaga Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO L & L Contractors Inc 151 Silver Lake Rd #7, New Brighton, MN 55112 651-697-9455 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20138735 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK [3 NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage 14 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAO 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 1 HEREBY CERTIFY THAT I 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 $1,432 $.72 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- STRTION OR THE PERFORMANCE OF C NSTRUCTION $54.00 Fire SC $1.43 ` PLAN CHECK FEE TOTAL FEE - Lic se SC $ $61.15 SIGNATURE OFCO 'AACTORORAUTr10RIIEDAGENi IDATE. H VALI ED THIS IS Y R P RMIT MPROY j9LOGr-4NWnA1E a/ -;A-f�g S-GNATUAE OF OWNEROF OWNER BUILDERi tDATE1 I l NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 Legal Description: Effective 1/1/2001 (76�5�-3�t�IB yn� Iq0 e Owner Name & Address: Tel. # Contractor: L4 L G,,4fc,,-kw& -c • MN LICENSE # of f-) 3 Address: ZJ W7 Vfw /3.«4, ,nNS S/�a Tel. # ^ -(o r -f•YS-S^ 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 GARAGE AREA: Length Width DECK AREA: Length Wid� OTHER: Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. U � Construction Type: �Crac o c o Estimated Cost YN +_ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: q- I-)- o / APPLICANT: L 4 L CaJ",- s --T�c Tel. # 6f 7- Fl/ 3-s CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ % .001 of Permit Valuation (1/10th%) State Surcharge $ 17.2 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ '8610 $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 $ 6 1 ,lS STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS 1335 ONONDAGA ST NE PIN 123024130016 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GARAGE, DETACHED PERMIT NO.: 004-01656 DATE ISSUED: 09/22/2004 VALUATION : $ 16,489.00 NOTE: CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE HARD SURFACE DRIVEWAY. SEE NOTATIONS ON PLAN. CONSTRUCT A 22' X 22' DETACHED GARAGE. CONVERT AN EXISTING TUCK -UNDER GARAGE TO LIVING AREA. STATE LICENSED CONTRACTOR 1 APPLICANT FOUR SEASONS CONSTRUCTION CO INC (2 PO BOX 32033 FRIDLEY, MN 55432 (763)786-4039 OWNER BERG JENNY M 1335 ONONDAGA ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a penniptkles not a to give authority to violate or cancel e p 1ovis' f y other to or local law regulating con c ' n o p rmanc construction. Applicant Date I I_ Bldg Insp i Date, BUILDING PERMIT FEE 279.25 PLAN CHECK FEE 181.51 FIRE SURCHARGE 16.49 STATE SURCHARGE, VALUE 8.24 LICENSE SURCHARGE 5.00 TOTAL 490.49 PAID WITH CHECK # 7040 SEPARATE PERMITS REQUIRED FOR .'YORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax ��- ®i& -5076 Legal Description: Owner Name jj& Address: Tel. Contractor.,c�cpr/` , Cd C-- MN LICENSE# ;Tel. # j:;/0 mac/ 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 Q'Q1 Width Q!Q-- Height Sq. Ft zAW DECK AREA: LengthWidth Hgt/Ground Sq. Ft. OTHER: Lao A4 coIF-�^h4Pf� l 5 ` U'C t� � /S �9 Construction Type: ICuD ©Ac^6!5� e— _ Estimated G t: S Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: q- IWO 9 APPLICANT: Tel. #.j$ l! 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. 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 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ LIqC) k( 1 STIPULATIONS: INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572.3604 ADDRESS OWNER BUILDER If no corrections are listed above, approval is hereby given to proceeds. You will be in violation of the ordinance if you do not call for the proper inspections and make corrections as called for.