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PRE 2010 DOCSI� SUBJECT PERMIT Nn --- City of FridleyPe. AT AT THE TOP OF THE TWINS BUILDING PERMIT � t COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. 1 � 6a6p(°y J'% // 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 9'I -0-F15 6/26/73 � 1 JOB ADDRESS 1682 Osboram Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, Z 1 I Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curtis Anderson IM 1682 Osborne Road N.E. 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 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION EX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof Dwelling 9 CHANGE QF 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 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 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 $260.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .SO 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.- $5.00 STRUCTIQW OR TH PERFO NCE OF CON UCTION. ` A ®73 PLAN CHECK FEE TOTALFEE 5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V LIDA D THIS ISsYOUR PERMIT ' s SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) BLDG INSP DATE I� APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAMEC _ t , �ILDER: ADDRESS : �'Cj � S�LOIX ADDRESS: NO:. -116R,? -T STREET: <f�50iZ'AJ LOT:— BLOCK: ADDITION- CORNER LOT; le INSIDE LOT: 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: /dam" 7 Front • Depth • Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:Estimated Cost: $ To Be Completed: V_ V 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: SIGNATURE: (See Reverse Side For Additional Information.) /� 4 =--M PERMIT for Power Plants and Pleating. Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants U)0- -� QC 2to be installed—altered—repaired Make , Size 4L �� Oil fired—, Coal fired ; Gas fired ; Gas Authorization No. Remarks Approved Final Inspection 19_ Inspector S 3/7 Permit N° 4795 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Min n1. , 19 �1 `� Owner �LQL.2d,,, J Location I&Pa Kind of Building. 1A&,n( How Occupied Work to be Commenced—Z—,19_ To be Completed ,19--21 Estimated Cost, $ QUA_ 920 Old- ew, Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to hom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein ntioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the Spec *a ' ns et forth in the approved application for this permit on file in the office j'ice o f the Inspector of Buildings. n l 42 2M 11-67 v Inspector of Buildings F� SUBJECT ERM City of Fridley 1-6 15 816 AT THE TOP OF THE TWINS BUILDING PERM T rp RECEIPT NO. v ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 ,.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 17/8/80 / JOB ADDRESS 1682 Osborne Read N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. ] 1 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Weisen 1682 Osborne Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Economic Builders Inc. 13820 Holyoke Lane, Apple Valley, MN 55124 341-3067 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 0 MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside house & new cedar soffits/Garage Door 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 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 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 $9,500 $4.75 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- $57.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $61.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PRnOPERLY VALIDATED THIS IS YOUR PERMIT 0 BLDG INSP~ ATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) F� CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: k4l� ADDRESS: lo 0_44'� 6l \ TEL NO: BUILDER: ADDRESS: TEL NO: -_�C) 607 Construction Location STREET NO: °2— STREET: l� LOT: BLOCK: ADDITION: Corner Lot: V Inside. Lot: Setback,: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to.scale. DESCRIPTION OF CONSTRUCTION Front: Square. Feet: Depth: Height: Cubic Feet: Fr, nt; Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: To Be Wmpleted: Alt. A Alt. B Proposed Driveway width If New Opening Is.Desired: $ $ SEE REVERSE SIDE OF SHEET Whe 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 11 b}���;corrtec all the facts and representations stated in this application a e t ue DATE 2"`� ) A < S IGNATU ISE : - Stipula SUBJECT MIT City of Fridley 18123 AT THE TOP OF THE TWINS BUILDING PERM,, r � EIPT NO • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /7�'s CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/22/85 JOB ADDRESS 1682 Osborne Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] ] Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Weisen 1682 Osborne Road N.E. 784-8434 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK O% NEW ❑ ADDITION 11ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x 24' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Appeals approved side yard variance to 9 feet on 5/29/84. Extension granted to July, 1985 for building per John Flora. Provide a hard surface driveway. Remove garage door from existing garage and apply for alteration building permit to convert existing garage to living area before Final Inspection on this garage. SE5ARATE PERMITS Rto'( )qb rpn. WIRING, HEATING, PLUMBING AND SIGNS. 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 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 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 $7,021.44 $3.51 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. $68.50 PLAN CHECK FEE TOTAL FEE $72. Ql SI AT EOFCONTRACTORO PRIZED AGENT DATE) rWHEN PROPERLY V LIDATED THIS IS YOUR PERMIT C BLDG INSP DAT i NA URE OF WN II ER BUILDER) 1 ATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ 7 R-1 AND R-2 I ALTER. [ ] Building Permit Application Construction Address: � Legal Description: L o + 1 o < 1 S 2- � Owner Name & Address: E)jja ^ se_n � -� .aC n C Tel. # Contractor:QLA_)M P,_C Tel. # Address: S A me - 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 cQ411ft—)� Width a2q- DECK AREA: OTHER: Corner Lot �4 Length Width Inside Lot [ ] Ft. Yd. Setback Type of Construction: 'W oc;'-A FIaunm4 Approx. Completion Date: flub _?yn `,At -0"' Height Height_ Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setback Estimated Cost: $ - �'f9 P) 7 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �C J Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge 0if#i_iP APPLICAN Tel. CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �f L)41&,4,UC 7/Z) 9 , t -/D LRS or- L ps3o R Nt ' � D ).s7rlk)G Ac -Th BE, Ni olmi I me)vS E :_ zyxzy I � r<_�= Fr, s; SE T ,bac 9S SOL) o [, CE REPv -sLP'rs F � VW(?q/jGE I 4 .- FGItITMlO,�1Ff CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 July 21, 1986 Mr. Duane Weisen 1682 Osborne Road N.E. Fridley, MN 55432 Re: 1682 Osborne Read N.E. Dear Mr.,Weisen: You were issued a building permit on July 22, 1985 to construct a detached garage at your address. A stipulation on that building permit was that the present attached garage be converted to living area and the garage door be removed prior to the final inspection on the new detached garage. We will expect you to apply for the building permit to cover the conversion of the attached garage by August 1, 1986. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, D nl,Q NRK Chief Building Official DGC/mh ENC: Building Permit Copy SUBJECT PE City of Fridley 2 0 4 8 AT THE TOP OF THE TWINS BUILDING PERMIT _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. 7p NUMBER REV, GATE PAGE OF APPROVED BY i ; CITY HALL FRIDLEY 55432 L 612-571-3450 910415_ 7/26/90 JOB ADDRESS 1682 Osborne Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Weis.en 1682 Osborne Road N.E. 784-8434 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 Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 22' x 18k Addition and a 2411 x 8" Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on deck., WARNING On all new roofs or tear -offs and replacement roofs, Before digging tali for State Code requires that 2 layers of 15 Ib. felt, all utility locations mopped together, be installed to a point 24 inches 454-0002 up from exterior wall line, or the use of other REQUIRED BY LAW approved underlayment membrane. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $25,650 $12.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 271.33 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IRATE) WHE PROPERLVVA;;rED//HIS IS YOUR PERMIT BLDG INSF' DATE � SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI Construction Address: ) l t Legal Description:`' R-1 AND R-2 Building Permit Application e'o E Zo a Effective 1/1/90 Owner Name & Address: 'Duptu E tA9E,1-s6v O5&kk)6 80.. Tel. #7%q- 3 Contractor: ' Q LjQ F R,' Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DDESCREMON OF UMM AMM: length Z 2� Width % p Height e Sq. Ft. g G GARAGE AREA: Length Width Height Sq. Ft. DEM AREA: length firth 2 Width �_ Hgt/crow and Z' Sq. Ft. OTHER: Corner Int X] Inside Lot [ ] Ft. Yd Setback 450 Side e Type of Construction: 616", Estimated Cost: 56®0 Approx. Cmpletion Date: lZ 30 g® a - Proposed Driveway Width If New Opening is ired: Ft. $ $ W'dth + 6' See Back Page DATE: O APPLICANT: �'y'� Tel. CI'T'Y USE h=Y ' Permit Fee $ e " � Fee Schedule on: eveYs;� JSide 't ,,ytta F State Surcharge $ $.50/$1,000 Valuation SAC Ciarge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above r Park Fee $ __ Fee Determined by Efigineering Sewer Main Charge Agreement Necessary'.[,:] Not Necessary [ ] STIPULATIONS: Lrl AGLe DZSC(U Pl-/O�) 71' ly� Ni DR-ni 767Y 1400SE 1 Lc G. I L DEF. N E R vii W*li.r-.9- #J 03e�;� NE cA� Nnk rNr--AST mgei r i,t•1NE11POLls LL Aj Q 1' _ i=t•J.--�[�CsIT1Of O cY -j 1t (h�5E30RN E ROAD I 100.10 F3►.a,T 1 I S t reRet on they Mes t (Pleasant '11 ow DrSvA ) is new black—topped ' l I Csbar:,rt Road is nf) • ,0."WEen+� being Arsded an'."•. ,, surfaced z the:,n.i{a C0 13" ! 1=1t•y HI Der. r 24Otw, a -V P1 ans f -r a' t 1mprcwe- - . 1 _Q 14) ! ; month ar1-1 atilitiAs ! lam. 1�; Gi_•i " A^1 j 8k°C� +2i:i� df_ne }.y Cdomstock and Davis. W WILLQt+jt . . � - pro �•� > � � i lk mac• I 30, I . AI AK favn J ' N C. , ''-'� o , . w ' l • 24"OAK :l r o , a I z , �: • ` i SUBJECT ERMIT No. -- City of Fridley 33553 AT THE TOP OF THE TWINS ? BUILDING PERMIT r : RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r NUMBER REV OATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 5/27/03 JOB ADDRESS 1682 Osborne Rd NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Weisen 1682 Osborne Road NE 763-784-8434 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 Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 24' & 5' x 8' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS Deck already constructed. See notations on plan. WARNIN(; Before digging call for all utility locations 4540002 �A 9LA 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 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 $4,073 $2.04 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- STRUCTION OR THE PERFORMANCE OF CONST UCTION PLAN CHECK FEE TAL FEE 74, 117.36 SIG T RE OF NTRACTOR OR AUT ED GENT DATE I H N P;7PPRLY VALID ED THIS IS YOUR PERMIT oa % 4 X45 ��✓' 3 .CzS1 E0 O NER�IFOWN ILDERI IDATEI DG IN o r)ATE • ` i NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: )Az asBo�Qe Ro Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 5714 287 Fax Legal Description: I x ,bi Owner Name & Address: T)UAI E W E I SK 4j Tel. # `7 6:3-7�5��- Contractor: SGLf 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 IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length / Width Z Hgt/Ground 3Sq. Ft. 3 z� OTHER: S106 DE CK J IL6-,A-; s-.9 �� 67-3, Construction Type: Lo Cob GE oa Estimated Cost: $ ��" • 1� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: Z ���� APPLICANT: 1) L) IS/ 15160,J Tel. # -71�� `r? 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 $ 05— Fee Schedule on Reverse Side Fire Surcharge $ e % .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ STIPULATIONS-