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PRE 2010 DOCSCity of Fridley SUBJECT , pE ® 13905 AT THE TOP OF THE TWINS PERM IT Ir ' ` BUILDING CEIPT NO ______ COMMUNITY DEVELOPMENT DIV. L p. O d r PROTECTIVE INSPECTION SEC. �3-P NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L'•" ,.J 812-580-3450 910-F15 1/3/77 JOB ADDRESS 1467 Onondaga Street N.E. 1 LEGALLOT DESCR. NO. BLOCK Tract B art of IAt TRACTOR ADDITION 11) Auditor's Sub. #129 SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gar -Jac Incorporated 681 North -Highway #65, Cambridge, Mn. 55002 689-2200 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 38' x 26' Dwelling and a 20' x 21' Garage WMMG SEPERM PERMITS REQUIRED Fes.. W'1RIM. Bd m digging call local, 9 CHANGE OF USE FROM HEATING, HLEPHON• EtEMIC STIPULATIONS Provide a hard surfaced driveway. Provide a verifying survey before capping. Provide sod in the front and side Lyards. Provide City with copy of truss design. SEWER DATION; (Approx. 14' Deep) 8" VCP Sewer line on centerline of Onondage Street. No existing Wye. WATER LOCATION: MUST BE TAPPED 6" CIP 10' North of Sewer Line. Services Off Onondaga Street a"IMPORTANT- THE CITY OF FRIDW DOES NOT OUARANM - THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. NOTIFY THE FRIDLEY ENGR, TIYIS DATA IS FOR INFORMATION PURPOSES ONLY AND DIVISION REGARDING CUR13 PERSONS USING R SHOULD VERIFY TINE WCAMAAON REMOVAL AND REPLACEMENT ON 1"t Sim AT DRIVEN Y OPENIN SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1030+420 24,464 Tota 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. $32,115 $16.06 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 PROVISION91 OF ANY OTHER JSTATE OR LOCAL LAW REGULATING CON- $97.86 $375.00 STRUCTI OR THE PE ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $24.46 $513.38 f SIG L) OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHENPRO ERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP � 1 -?r7 DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) itiiitie' AS Etc, A CITY OF FRIDLEY APPLICATION FOR. RESIDENTIAL BUILDING PERM TS r (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME: f4•e!C, BUILDER: ���/1 ) �C ��NST C6 ADDRESS: / y ADDRESS: /1/d , lbw ,i 6 Sr .Cr'���c6 T TEL. NO.: NO:. I y STREET • () N 010 ,jC,14 _S_T .TA LOT: BLOCK: ADDITION: /J•_ 4/9 CORNER LOT: X INSIDE LOT: SETBACK: 3SI6+ STDEYARD: a 7 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: Front: 3R Depth: o?,� Height: Square Feet: Cubic Feet: CAfegaL Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: /Pi Estimated Cost: $ �%(�,©60. `` .*To Be Completed: Ax, V 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 ,1 are true and correct. DATE: W�..ia SIGNATURE (See Reverse Side For Additional Information.) ,. Gam. 19_� SA< . 38 ria, 38 AT AIR ------------ ` oFF 00ONP46W S'77 lol'as-r A� e 6261 =- % d o x 8= GR SIE A: F: T K R cl! 506 CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERMIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any existing water or sewer line. hr._/. „ Address Owner Plumber CHARGES TO PAID BEFORE TAP IS MAE — WHERE ASSESSMENT 4S NOT BEEN LEVIED AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: Materials Used: $ Street Patch: : $ >� e TOTAL: $ SEWER TAP: Street Patch: x : $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. VENTILATION, REFRIGERATION AND DEVICES tress/ q4 ( 02,1�,e— lent of Buildings Fridley M-3450 indersigned hereby makes application for a permit for the work herein _ed agreeing to do all work in strict accordance with the City Codes .ings of the Department of Buildings, and hereby declares that all the ind representations stated in this application are true and correct. 7 Fridle Minn. — /" 19 ? BUILDING ::O.MPLETED ABOU PED COST NEW BUILDING PERMIT NO. PERMIT NO. \fJ /06 DESCRIPTION OF FURNACE/BURNER G or POWER LANTS,St/eam, Hot Water, arm Ai No %. 7 Name Si&No ty Sq. Ft. EDR =� HP Connected Load Kind of Fuel Water - Trade Name ASSESSMENTS TO BE LEVIED: Lateral: $ Sewer Lateral: $ ty TOTAL ASSESSMENT: $ a' Clerks Signature 7v� Ld�a— Supt. of Public Works M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber Size No. Sq. Ft. EDR B'�.,i 8419 Venter Drive Company Uinpeannlis, MiPa&%G &5 42— Signed By Tel. No. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. Job Address % q L / Q� 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 �y� Q Fridley, Mn. 1. OWNER KIND OF BUILDING �✓�,Q�yy+� USED AS TO BE COMPLETED ABOUT .00 ESTIMATED COST /2Gd !% C RATE TOTAL OLD BUILDING PERMIT NO. PERMIT NO. f 0J Fixtures :— x $3.00 w re Fixture Opening Future x $2.00 m New Fixture, Old Opening x $2.00 O Catch Basin X $5.00 $ Water x $5.00 $ 5,0 A x $10.00 Sia r� N Q $ 4J p f N 9 Electric Water Heater Heater $5.00 y -1.1 [� N E •ri M f 4 $ 3,00 N b k 04 $ Gas Range to 199,000 BTU x $4:0.00 •.i W 0 b G C � N X 4-1 q C 0 3 k O .0 r.. U -+ oi 0 O C d, U State Surcharge N $ .50 $4 O N r. 11 U)) � " + rt $4 'z ro 3 Wo A W F v1 11 Ga M m U fA oro RC 3 C7 + C7 O as lec co U P to W d 1st ' 1 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. Job Address % q L / Q� 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 �y� Q Fridley, Mn. 1. OWNER KIND OF BUILDING �✓�,Q�yy+� USED AS TO BE COMPLETED ABOUT .00 ESTIMATED COST /2Gd !% C RATE TOTAL OLD BUILDING PERMIT NO. PERMIT NO. f 0J Fixtures :— x $3.00 $ :�, Lf 499- iFutuNumber re Fixture Opening Future x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 5,0 100,000 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: lst 3 fixtures % x $3.00 $ 3,00 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $4:0.00 $ REPAIRS £, ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 132,0 REINSPECTION FEE ($10.00) Company L1/C/r,-fiZ9.8��0�/ k•f-)o Signed By &r+_""K4^' Tel. No. ?-r5 ^-.7.7-i 0 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 N APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 11467 NE ONON7ACAST Department of Buildings City of Fridley Tel. 8571-3450 The undersigned hereby makes application fora permit for the work he specified agreeing -to do all work in strict accordance with the City Co and rulings of the Department of Buildings, and hereby declares that al the facts and representations stated in this application are true and cc Fridley, Mn. 7-18-77 , 19 OWNER J07N '' 2TLY ' KIND OF BUILDING frame USED AS res. 7 2'`' 0, TO BE COMPLETED ABOUT � PARTIAL RATE SCHEDULE F�� a8 ESTIMATED COST a U b w 44 R w e tP � A1L.5er Fixtures Water Heaeor $3.00 � J 1! .+ qq C '9 1 w $ __ ,ylCC�, u e� pw ,r o .01c a u x a� $ __. Water Heater - to 99,000 BTU, ►. $5.00 $ .S a ' H M Q� 8 +7 a u $ a a o as lea ROUGH INSP. �u cAo h x x $5.00 $ GAS FITTING FEES: ,' FIN;}L INSP. �i — 7 _ % • Date 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ _ APPROVAL FOR PERMIT '1st x $10.00 $ REPAIRS 6 ALTERATIONS ' First $100.00 $9.00 $ each add. $100.00 or fraction $2.00 2nd MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge. $ _ .50 TOTAL FEE $ '8.00 3rd 4th (R) w Future Connection Opening Connected with Sewer (•) - 11aw Fixture, Old Opening Water Job Address 11467 NE ONON7ACAST Department of Buildings City of Fridley Tel. 8571-3450 The undersigned hereby makes application fora permit for the work he specified agreeing -to do all work in strict accordance with the City Co and rulings of the Department of Buildings, and hereby declares that al the facts and representations stated in this application are true and cc Fridley, Mn. 7-18-77 , 19 OWNER J07N '' 2TLY ' KIND OF BUILDING frame USED AS res. 7 2'`' REYNSPFCd'?ON rEE / l•9/! Phi 1 TO BE COMPLETED ABOUT � PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD — NEW BUILDING PERMIT N0. ffAMIT NO. ! A1L.5er Fixtures x $3.00 S - LPyur � Future Fixture Opening • 3i $2.00 $ __ Company MIi UM9966C0 Now Fixture, Old Opening __ x $2.00 $ Signed By' Catch Basin, x $5.00 $ __. Water Heater - to 99,000 BTU, x $5.00 $ Tel. No. , 100;000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.90 $ New Grourd'Run Old Building x $5.00 $ ROUGH INSP. � Date . Electric Water Heater __ x $5.00 $ GAS FITTING FEES: ,' FIN;}L INSP. �i — 7 _ % • Date 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ _ APPROVAL FOR PERMIT .Gas Range to 199,000 BTU x $10.00 $ REPAIRS 6 ALTERATIONS ' First $100.00 $9.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge. $ _ .50 TOTAL FEE $ '8.00 REYNSPFCd'?ON rEE / l•9/! Phi 1 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential. Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 20.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $-Z®, rl nArLA 45� A 5 c OJ3Z+Y 7' Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial "~1% of Value of Appliance or Work State Surcharge $ .60 TOTAL FEE /$ 15' S MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 1995 JOB ADDRESS 146-7 ®/V Z) /1 D A 4 A 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 ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and corr ct. b OWNER ,J C� A-Ik l I 1�1&-r BUILDING USED AS )Z� ESTIMATED COST Z s e;vG v --o PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name.&qA?—A1 --QSize No. UA -y G BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING Signed Tel No. L ? Approved Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. CH MMY AND STACK YERIFICATI, The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes {) 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 ( ) S. 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: HEATING CO: Signed By: Date: I� SUBJECT City of Fridley2 4 9 97 AT THE TOP OF THE TWINS BUILDING P E R M I T r COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF APPROVED V i---1 CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 4/24/97 JOB ADDRESS 1467 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Tract B, t. 11 1 Aud. Sub. X6129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Westby 1467 Onondaga Street NE 784-8972 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co 9060 Zachary Ln N, Maple Grove MN 55369 425-4737 2535 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 fl REPAIR XX ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House (Steel) 9 CHANGE OF USE FROM TO STIPULATIONS 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. UR -ITS- OFFSTREET PARKING I 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 $6 OOO $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License!SC $5.00 $126.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT �� BLD INSP -�t- y DATE _ SIGNATURE OF OWNER OF OWNER BUILOERI IDATEI I� NEW [ ] Effective 1/ 1 /97 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION (� ConstructionAddress: Legal Description: Owner Name & Address: . Contract Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # /A MN>LICENSE # 42 —Tel. # (o the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11"ROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:JPZ—� �� �/<5- -�-Estimated Cost: $_ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / a?3 APPLICANT: -.e),40/2 -4-l Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $---/� $ $ moo CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] s A IT SUBJECT MIT NO. City of Fridley 2I 2 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY I ` ..---1 CITY HALL FRIDLEY 55432 '. ' 612-571-3450 910-F15 9/11/98 JOB ADDRESS 1467 Ononda a St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. TractB Pt0 11 1 Aud. Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John & Virginia Westby Same784-8972 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co495-4737 9595 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 YO REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside - storm damage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering 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 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 $500.00 $.50 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- $21.00 $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TO FEE L a SC_$ 0 $27.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HE PR P LI )A IS IS PE MIT BL INSP '0 i yz �251 BATE SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI s A IT NEW [ � Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name &Address: 6 ,I),, �.S-r Tel. # Contractor: 0a) nT i X725iP/aAe5 �� MN LICENSE # Address: JD 6a ZAkddRX Y-) A R Z �r 5Y349, Tel. # d z/737 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: 5ro,e/4 C)g.SGL.— s f ,LEstimated Cost:. $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x' $ _ $ TWIN CIT �E"EXXTERIORS CO. DATE: APPLICANT:SUITE 108 A��n ZACHARY IAA°=" -----Tel. # MAPLE GROVE, MN 55369 CITY 737 Permit Fee $ 6(j Fee Schedule on Reverse Side Fire Surcharge $ �S'b .001 of Permit Valuation (1/10th%) State Surcharge $ -6 $.50/$1,000 Valuation SAC Charge $ --- $950 per SAC Unit License Surcharge $ d D $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 $-Z22, STIPULATIONS: r