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PRE 2010 DOCSCity of Fridley, A inne BUILDING PERMIT iv° =4811) Date: _... _ Owner: .......... Builder ....... �<�. _._ ... . "�.'�:._. _... ..... Address_* __ x ___._ Address ........_......_ ........_ ._... __.__........._._..._ ._..._._..__._...___.._.. LOCA ION OF BUILDING No. _. _... Street-•__- ..._._....._ ............._......._.._ Part of Lot ....._.._. ,17- __....___.._..._.. Lot - s ---••------ Block ............ ...... .................. Addition or Sub -Division ..... - _...:..:. ..:.W.. .._. I CornerLot ..... .................... _..---... Inside Lot .. - ........ Setback ..... ,�,1� ...................... Sideyard...._...ze...._..__............._.....-•-------•-------- Sewer Elevation_._......._...._.._..._.._..---_..._......._...._.._.._......................... Foundation Elevation DESCRIPTION OF BUILDING To bUsed as: b Front ....; Depth ... ., .. Height V.40 Sq. Ft. e�& Cu. Ft.., 0 ............................ - ....._..: -.... Front .................... Depth .................... _... eight ..................... .. Sq. Ft. .................... _ Cu. Ft..,..._ ...... -....... �a Type of Construction ---...-•._ -- Est. Cost_:........... '. +' °"'" To be Completed ........... _..-___..... —.... ......... �� VIOLAT -.. �, ^; ; h!IZtNTS AND p rp,m i p ? . D COVto THIS PE �� ION OF ; :.tom ► 0t�5• WILD' 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 forth and in compliance with all provisions of ordinances' of the city of Fridley. In consideration of the payment of a fee of $.V..?.._...:_:._...., 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 to the ordinances of Fridley, Minnesota regarding location, construction, alteration, mainten ce, repair moving of buildings within the city limits and this permit may be revoked at any time upon elation of, any f 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 pee the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 4 CL]EMRON, INC.. Owners Name R1 team Builder GENER&L*cc�nNTHar nuc 2500 22nd Ave, N. Er Address 851 jauggi`hnn Dr_ _,. Address M nnaavo ie !8 lfiatz— OF BUILDING No. 8151 Street Overton . Part of Lot Brookview Terrace Lot 22— Block . 15 Addition -or Sub. Div. Ird . Add . Corner Lot Inside Lot x Set Back 30 Applicant attach to this form Certificate of Survey.of Lot and.proposed building location. c DESCRIPTION OF BUILDING To be used as Single Dwelling Front 1, ^._ Depth__ ,Height.,fi� Sq. Ft. 1QZL-, : Cu.. Ft', Front Depth .Height Sq. Ft. Cu: Ft....:. Type of Construction .Frame ` Estimated Cost w To be completed' S 1Z Moatba The undersigned hereby makes application for a permit for the work herein specified, agreeing to. -do all work in strict accordancewith the City Ordinances 4�dd`iruullng of the Department of'Buildingso and hereby declares that all the facts and representations stated in this alp are true and corr6ct. �.• Date Aug 3 Signet (A Schedul- ofl lib Costs can be found on the Reverse Side). Application for Power Plants and: Heating. Coding. Ventilation,Refrigerd&m and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 60,000 BTU ..... . .................. 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ Dept. of Bldgs. Phone SU. 4-7470 LOCat-on City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 arr(j true and correct. Fridley, Alii ��v� a '19L Owner ` "y Z> . �. Kind of Building /Y n Used as To be completed about /1 1Sd da Estimated Cost, $ Old New uilding Permit No. �� Permit No. .3� DESCRIPTION OF WORK HEATING or P03YER PLANTS—Steam, Hot Wa Warm Air Nv Trade Name -Size No- - o Capacity Sq. Ft. E.D.R.` O v � BTU H.P. Total Connected Load 7 % Kind of rue: BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. AIR CONDITIONING !¢ FAN HEATING SYSTEM See Fee Schedule RAY N .WELTER HEATING CO. VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE Signed 4637 CHICAGO AVE. MINNEAPOLIS 7. MINNESGTA By ROUGH c& J -,z w ,42 2M 7.59 Business Phone No - FINAL (REMARKS—OVER) City of Fridley, Minn. BUILDING PERMIT No 6477 Date: Owner; 42 Builder _JC Address Address _ LO TION BUILDING ILDING No. Street �% f P .� Lot Lot _ _ __ Block Addition or Sub- -7 Corner Lot _ Inside Lot _ _ �— Setback - �_ _ Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Cu. FrontDepth .�;i� Height Sq. F't. Cu. Ft A00 t Depth _ _ Heii� t _ . Sq. Ft. Cu. Ft. �ay'�-� Type of Construction �... Est. Cost __ 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 forth and in compliance with 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 Ob permit dose nos cover the construction, hahQation for Wi& phunbing, gas headag, sewer or water. Be oro to no the Building Inspector for separate penrdh for thea items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY MINNESOTA OWNER ° S NAME AL fe� � _ �����., BUILDER ADDRESS ]5/ �iree>©,..) ADDRESS asq�,'r' LOCATION OF BUILDING No. j_ ,- / Street_ _ ®f" Zn!!� jamee Part of Loth Lot .2k Block Addition or Subdivision A7 Z3?rl� ����wee Corner Lot Inside LotX�Setback Side -Yard SEWER ELEVATION 7 FOUNDATION ELEVATION I Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; 6 R A? 6 6: Front / Depth T Height Sq. Ft. S%3�� Cu. Ft. %s-21 Front Depth Height, Sq. Ft. Cu. Ft. Type of Construction fy ®o ® Estimated Cost �0 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. (Sebe_dule of Fee Costs can be found -on the Reverse Side). SUBJECT PERMIT NO. City of FridleyIr 13511 AT THE TOP OF THE TWINS BUILDING PERMIT • CEIPT NO ' ` v ------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �4 �•"1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/7/76 JOB ADDRESS 851 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 5 Brookview Terrace 3rd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Marvin Bodeker 851 Overton Drive 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside structure 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. Cedar 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. $700.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT •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- $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE %6.50 IGNATURE F CONTRACTOR OR AUTHORIZIDAGENT (DATE) PR PE'RLYFl VALIDATED THIS IS YOUR PERMIT jEN BLDG INSP -- DATE SIGNATURE OF WNE OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : 'Pop, o I, IV I A) 9a d -e- RR BUILDER: ADDRESS : �s/ Q (/E R I)Q Al - �� ADDRESS : NO:. 5 STREET: G d% E/.70old • • F LOT: y ADDITION: p CORNER LOT: INSIDE LOT: L% SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: S440/4U 01F- Front: Depth: Square Feet: Cubic Feet: Height: Front: Depth: Height: Square Feet; p Cubic Feet: Type of Construction: 4- P .. , . Estimated Cost:_$ 00® To Be Completed: �4 -.5 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: Z7- SIGNATURE; � / (See Reverse Side For Additional Information.) /1"�'T 0 64 0 SUBJECT PERMI City of Fridley 3 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. C / CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY ,.J 612-571-3450 910-F15 16/11/82 JOB ADDRESS 851 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen Willie 851 Overton Drive N.E. 574-9839 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 8 DESCRIBE WORK Reside House & Garage 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. Wood Frame 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 R-1 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 $500.00 $.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 PLAN CHECK FEE TOTAL FEE 15.50 / I TEI SIG URE O�CON N�� WHEN PROPERLY ATED THIS IS YOUR PERMIT i�� SIGNATURE OF 1 ATEI - BLD' INSP GATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDUMAL BUILDING PER141TS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: e5lOyey-76 r-, NE - TEL N0: 5-21rl— 2W BUILDER: AlineK ADDRESS: s&�OL TEL NO: 2VM-zz� J Construction Location • STREET NO: / STREET: e9y e � U f • //Z— LOT: BLOCK: ADDITION: 8,..�-1%' e&) 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. DESCRIPTION OF CONSTP.UCTION �ZF-7--� 4"q- - Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square -Feet.- Cubic Feet: Type of Corstruction:�5%0f,e6QY4ge,61-�,J 0�,-/ 9&se-0- //) Estimated Cost: $ 50Q--00 Rb Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ ' $ SEE REVERSE SIDE OF SHEET . Tile undersigned hereby makes application for a permit for the work' herein specified, agreeing to c3o,all wort: 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 correft. �- r DATE: ��SIGNATURE: Stipulations: 45-1 do �o J `1.5.s o SUBJECTr _. RMIT NO. City of Fridley® AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ''j 612-571-3450 910415 7/10/96 JOB ADDRESS 851 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen Blake 851 Overton Drive NE 571-0495 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 A ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Extend roof of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. MUM= Add 2" x 4" under existing 2" x 4" rafters TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 @ @@ 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $ • 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 Fire SIC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 22.00 NATURE OF NTRACTOR OR AUTHORIZED AGENT IDATEI OVHEN PROPERLYV ATED THIS IS YOUR PERMIT BLDG Mt.P DATE SiGt/ATUREPJFOVVNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: l &X:57rfov- v r, YF fe►dle Effective 3/1/96 o (Y;E:- Tel. # 5 -71 -0'1q5 - ,MN MN LICENSE # Tei. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot N Type of Construction: Approx. Completion Date: Ft. Yd Setback (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: APPLICANT: Tel. # TOTAL $ �o�► STIPULATIONS: a D7Z f'r�• CITY USE ONLY Permit Fee $ vz� 4� Fee Schedule on Reverse Side Fire Surcharge $ , $�O .001. of Permit Valuation (1 / 10th %) State Surcharge $ • �b $.50/$1,000 Valuation SAC Charge $ $900 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 $ �o�► STIPULATIONS: a D7Z f'r�• ' su6JEtT I PERM City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 27911 r • ECEIPT NO. i •V COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE 7PAZE OF APPROVED BY 01 CITY HALL FRIDLEY 55432 •� 1 612-571-3450 910-F15 9/21/98 JOB ADDRESS 851 Overton Dr NE ' 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 5 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADORE" ZIP PHONE 55432 571-0495 Steve Blake 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 ❑ NEW ❑ ADDITION ❑ ALTERATION CI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (26SQ) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 OWLG. 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 $2s 228.00 $1 • 11 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 CONSTRUCTION PLAN CHECK FEE License $5.0 ;rFEE $83.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN ROP VALI THIS I UR PERMIT q / IRI/'F SiGNAT RE OF O NERdF OWNER BUILDERI IDATEI BLOt INSP /AtE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 10' BUILDING PERMIT APPLICATION ConstructionAddress: / © (/'r- d' --f o Y /�'Y' 14 Legal Description: Owner Name & Address: ,574zt , v e j614<e g 37 / o ve r -+o n. pj. (g f,- i �/ry Tel. # 57 /— ©� y Contractor: 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 R"ROVEMENT 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. 60.F Estimated Cost: $ . -2 Z c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:aA�&,S'APPLICANT: Tel. # 57 /-o V f -5 - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY. USE ONLY 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 [ ]