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PRE 2010 DOCSCity of Fridley, Minn. BUIIDING PERWr N® 3887 Date: .2-7:7�C2 Owner....................................... Builder a't. .,YQ............. Address ...................................... Address ............/......................... LOCATION OF BUILDING No.. 0.... Street Part of Lot ................ ........... Lot ....... Block .... .. :� ........ Addition or Sub -Division .. ...�. .� Corner Lot ............ Inside Lot .. ....... Setback Sideyard .. AQ.. f9 DESCRIPTION OF BUILDING Tole Used .. _ Front y�7 Q 4 Depth `'...� Height / "{� . Sq. Ft. /� Cu. Ft. h , e/ �!.J .... .. Front A a " Depth �� -�41t -OHeight / 0 g Sq. Ft. t. � Cu, ru. 1. if Type of Construction .......... .....To be Completed .................. Fst. Cost.p t, In consideration of the ismance to me of a permit to construct the building dearibed above, I agree to do the proposed work in accordance with the descriptlon above set fortlyand in compliance with all provisions of ordinances of the city of Fridley. ../AZT .. 7 . . ........ cow / 9"- 1 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 with- in 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: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items t• �V , 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners N Builder 2/S®o Y} Address �. ��� Address LOCA ON OF BUILDING No. / % 6 Street Part of Lot Lot ._.. Block � Addition or Sub. Div Corner Lot Inside Lot Set Back Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING -be used asr Front- Depth Height Sq. Ft. �'® �" $' .. Cu. Ft.® Front _...._.._..... Depth -Height Sq. Ft, Cu. Ft. _»__....,....- Type of Construction Estimated C* /&4W To be 'completed L The unde'rsigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinanc;es'and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Date --,A ' 4 ..---.--- Signature a /` (A Schedule of Fee Coats can be found on the Reverse Side) 0 ?_� 3 1P Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Location 7 40 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 ............................. 5.00 $ 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. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR. 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 PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: See Fee Schedule TOTAL FEE " : / _'U'n - '�' - 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 applicatio true and correct. Fridley, . in ` 19i Owner `� - 1 195— Kind of Building h-��'� �' % 195— Used as To be completed about Estimated Cost, $ !�C Old New. uilding Permit No. / G DESCRIPTION OF WORK BEATING or P97M PLANTS—Steam, QH-ot Wa Warm Air No f Trade Nam, e76L,r Size No es Capadtp Sq. Ft. E.D.R- LO 0 r &-&T) BTU H.P. Total Connected Load Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. S AY N..WELTER HEATING=. 4637 CHICAGO A . By M1NNPARMn Ir" 7_ MINNESOTA 11 POST IM -8-58 Business Phone No moi- �O Date: Owner: Address City of Fridley, Minn. BUILDING PERMIT Builder Address` LOCATION OF BUILDING N° 8220 sy No. Street Part of Lot Lot Block } Addition or Sub -Division Corner Lot _ Inside Lot Setback __._ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est. Cost _ = To be Completed 111 In consideration of the issuance to me of a permit to construct the building described above Ito to do the propoxd work in accordance with the description above set forth and in compliance with aft 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: This permit does net cover the conatrudlmr, but ibidon for whdng, plumbing, ga hath& sewer or water. Be sues to see the Building hnpsator, fee separate permits Por thea items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME I ��, ,`, (�� 7-r .t , BUILDER 4 _- iZ _ 5 Z -v ' , Z - H L 'y'c IA-) L ADDRESS ��� ���,z ADDRESS Z6 -5 / AL LOCATION OF BUILDING NO. STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost ��C�� ®a 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 at d in this application are true and correct. / -1-1 DATE_ /�' �� SIGNATURE (Schedule of Fee Costs can be found on the Reverses de). 91-8L :'87 1.1 I T ur rKiuLrj APPLICATION FOR PWMBING AND GAS FITTING PER41T Job Address 949 OVERTON DRIVE � Department of Buildings City of Fridley Tel. #571-3450 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL hls-her Fixtures x $3.00 S Future Fixture Opening •_ x $2.00 $ water Heater V v v h rUl M Catch Basin �_ x p $ water Heater - to 99,000 BTU, CI M ft "4 A x V $ Water Softener __ x $7.90 $ New Ground Run old Building x $5.00 .5 4 Electric Water Heater - -X j H � � GAS FITTING FEES: y`ja� a�R� a � a 0 as lec a %u .Gas Range to 199,000 BTU x � $ REPAIRS 8 ALTERATIONS a w First $100.00 $5.00 $ �_ each add. $100.00 or fraction $2.00 $ �_ State Surcharge $ .50 TOTAL FEE $ .00� As t 2,d r3.. ins a11 grill ' F4th (R) - Future Connection Opening F. Connected with Sewer - New Fixture, Old Opening Wates PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL hls-her Fixtures x $3.00 S Future Fixture Opening •_ x $2.00 $ Now 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 $7.90 $ New Ground Run old Building x $5.00 $ Electric Water Heater - -X $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures �_ x $1.00 $ .Gas Range to 199,000 BTU x $10.00 $ REPAIRS 8 ALTERATIONS First $100.00 $5.00 $ �_ each add. $100.00 or fraction $2.00 $ �_ State Surcharge $ .50 TOTAL FEE $ .00� REINSPECTION FEE dS)0.00) The undersigned hereby makes application fora permit for the work herc specified agreeing -to do all work in strict accordance with the City Codc and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cot Fridley, Mn. 5-12-77 , 19 OWNER HAROLD WESTON . • KIND OF BUILDING frame USED AS res TO BE COMPLETED ABOUT 5,-19-77, _ ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PEWT N0. Company MINNEGASCO Signed By MINNEGAgr-n Tel. No. ROUGH INSP. Date FIN4L INSP. Date APPROVAL FOR PERMIT + MINIMUM FEE FOR ANY pLUNBING PERMIT IS $7.$0 :lass "A" Surcharge .500 Q City of Fridley SUBJECT 15826 AT THE TOP OF THE TWINSBUILDING PERMIT <RE rp i L'_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �® ' ,`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j, 612-571-3450 910-F15 17/15/80 JOB ADDRESS 940 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Martinson Builders 8131 - 6th Street N.E. 786-1599 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 ❑ NEWx❑ ADDITION ElALTERATION ❑ REPAIR ❑ MOVE ElREMOVE 8 DESCRIBE WORK Construct a 2616" x 8' Addition to back of (brelling & garage 9 CHANGE OF USE FROM TO STIPULATIONS Wmas SEPERATE PERMITS REQUIRED FOR *19ft Saw suing can local utliltw HEATING, SND SIGNS. MEPWItE-ELECTRIC•on Er REQUIRED BY LAW 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 212 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 $6,600 $3.30 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 O TZHEP - FORMANCE OF CO STRUCTIO $42.00 NONE PLAN CHECK FEE TOTALFEE $10.50 1 $55.80 SIGNATURE OF CONTRACT ROR XOTHORIZED AGENT IDATE) 01 WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLDG INSP I OAT SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI OWNER: -ADDRESS: TEL NO: CITY OF FRIDLEY APPLICATIOtd FOR RESIDENTIAL_ BUILDING PERMITS (New, Alterations, Additions, or Repairs) , A-1111 z' BUILDER: ADDRESS:l""tel TEL NO:v� Construction Location STRESi T NO: -�� STREET: LOT: �. BLOCK: ADDITION: Corner Lot: Inside, Lot: Setback: Sideya.rds: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION `r IIf Front: - Depth: Height: Square. Feet: Cubic Feet: Depth: H eight: Square• Fee ft: Cubic Feet: a a 9 31 •� �(0 _ Estimated Cost: Type of Construction: 7b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is.Desired: $ $ SEE REVERSE SIDE OF SHEET • s • i Mie 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. DATE: SIGNATUF" : r { Stipulations: f I 00 �.� )®gp. T',, CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES 1 PARTIAL RATE SCHEDULE MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR IST WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) The undersigned hereby makes application for a permit for the work herein $12.00 $-� specified agreeing to do all work in strict accordance with the City Cades 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $� 4.00 $ Fridley, Minn. OWNER 7 "/2 $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ f S GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ AIR CONDITIONING $ �. FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REP IRS $ Surcharge $ .50 TOTAL FEE $ ROUGH INSP. REINSPECTION FEE Dated2 eo ($10.00) FINAL INSP. Date ,�J APPROVAL FOR PERMIT 11kj MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING �s ✓� USED AS TO BE COMPLETED ESTIMATED COST ,(LO OLD -4 W BUILDING>l-EERMIT NO. PERMIT NO. / J-7 DESCRIPTION OF FURNACE/BURNER L HEATING or PO R LANTS, Steam, _Hot Water, z'm Aii- N/oma. Trade Name z% Size No. Capacity Sq.�jFt. eE•DR BTU HP Total Connected Load �, A �% `� Kind of Fuel 1<72 ,!r BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Compan �- Signed By % Tel. No. . GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 S Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR IST WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) The undersigned hereby makes application for a permit for the work herein $12.00 $-� specified agreeing to do all work in strict accordance with the City Cades 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $� 4.00 $ Fridley, Minn. OWNER 7 "/2 $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ f S GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ AIR CONDITIONING $ �. FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REP IRS $ Surcharge $ .50 TOTAL FEE $ ROUGH INSP. REINSPECTION FEE Dated2 eo ($10.00) FINAL INSP. Date ,�J APPROVAL FOR PERMIT 11kj MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING �s ✓� USED AS TO BE COMPLETED ESTIMATED COST ,(LO OLD -4 W BUILDING>l-EERMIT NO. PERMIT NO. / J-7 DESCRIPTION OF FURNACE/BURNER L HEATING or PO R LANTS, Steam, _Hot Water, z'm Aii- N/oma. Trade Name z% Size No. Capacity Sq.�jFt. eE•DR BTU HP Total Connected Load �, A �% `� Kind of Fuel 1<72 ,!r BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Compan �- Signed By % Tel. No. x CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLU,\I3ING FIXTURE RATES: NO. RATE :.` -der Fiat: res x $3.00 Fazure ?ixtsre Cpenirg x $2.00 New Fixture, Old Opening x S2.00 Catch Basin x $5.00 Nater Seater - to 99,000 BTU x $5.00 100,000 BT•J to 199,000 BTU x $10.00 Water So£teaer x $7.00 New Ground Ran Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures x $3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS v ALTERATIONS First $100.00 $5.00 each add. $100.00•or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION M (514.40) Job Address 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 t1he City Codes and rulings of the Department of Buildings, and hereby declares that all the faces and•roprusontations stated in this application arc tr.:e and correct Fridley, Mn. (F — I: 199ho OWNER KIND OF BUILDING USED AS C% TO BE COMPLETED ABOUT N TOTAL Q OLD - NEW BUILDING PERP:IT NO. PERMIT NO. 938 /n a m $ ro $Company v $—� x u Signed By Plater d m w S sro+ ••c+ 0 C Date 4+ s, 0414 $ rte, Heater o y ^+ a H •- i ro N 0 rd Cr a M JI •.t 0 +7 3J N N N 0 4 O O +� N C 0 o O O is ro a o ro N roC VI U q t!1 3 Win .c ^+ w U P9 iC 3 C7 ;� .c a o as lec 1st 2nd 3rd Std: 1 I (R) _ :-ature Connection Opening Connected with Sewer (*} = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU,\I3ING FIXTURE RATES: NO. RATE :.` -der Fiat: res x $3.00 Fazure ?ixtsre Cpenirg x $2.00 New Fixture, Old Opening x S2.00 Catch Basin x $5.00 Nater Seater - to 99,000 BTU x $5.00 100,000 BT•J to 199,000 BTU x $10.00 Water So£teaer x $7.00 New Ground Ran Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures x $3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS v ALTERATIONS First $100.00 $5.00 each add. $100.00•or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION M (514.40) Job Address 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 t1he City Codes and rulings of the Department of Buildings, and hereby declares that all the faces and•roprusontations stated in this application arc tr.:e and correct Fridley, Mn. (F — I: 199ho OWNER KIND OF BUILDING USED AS C% MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR'OH%+RG' $ .50 TO BE COMPLETED ABOUT ESTIMATED COST TOTAL Q OLD - NEW BUILDING PERP:IT NO. PERMIT NO. 938 /n � $ $Company $—� Signed By $ $ Tel. No. 7- S $ ROUGH INSP. $ Date FINAL INSP. r® �ag-fid $ Date $ APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR'OH%+RG' $ .50 SUBJECT City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT r T NO. ' ' �L COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF F/ APPROVED BI CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/10/94 JOB ADDRESS 940 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 1 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lillian Westin 940 Overton Drive NE 571-6426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & D Home Improvement Inc 7401 Central Ave NE, Fridley 55432 784-7543 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 Reroof House 21 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 I 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 $.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,155 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- CONSTRUCTION $29.00 Fire SC $1.16 STRUCTI R THE PERFORMANCE OF PLAN CHECK FEE TOTALFEE -- License SC $5.00 $35.74 7---(c7ATEi IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT WHEN PROP 4Y VALIDATED THIS IS PERMIT B G INSP /YOUR { IT / GATE SIGNATUREOF OWNERIIF OWNERBUILDERI IDATEI NEW [ ] Effective 5126/93 ADDN [] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Constriction Address. Legal Description: Owner Name & Address: e.57 -M) Tel. # S- -oYIZ Contractor: 0 8 0 Home Improvement mac_. MN LICENSE # 4840 Address: 7401 Central Avenue N.E. , Fridley, MN 55432 Tel. # 84-7543 Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. LIVING AREA: Length . Width Height Sq. Ft. GARAGE ARES: Length Width Height Sq. R. DECK AREA: Length Width Hgt/Gr and Sq. R. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Suck Side Yard Setbacks Type of Construction: AUa Z .eAl d cost: �- Approx. Completion Date: vZ l s.WAyP. S (Cost on Back) Driveway Curb Cat Width Needed: Ft. + 6 Ft = Rx. $ =$ DATE: / l YU APMCAMT.� Tel. Perndt Fee $ o� 9 D D Fee Sclmdule on Reverse Side Fire Surcharge $ /, 14, .001 of Permit Valuation (1/10th%) State Surcharge $ S vv $.501$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ -S,00 .$5.00 (State Licensed Residential Cont rates) Driveway Escrow $ Alt.' "A" or Aft. "B' Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Deteamined by Engineering Sewer Main Charge $ Agreement Necessary [ l Not Necessary [ ] TOTAL $,;`�. STIPULATIONS: - SUBJECT R NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r I L PROTECTIVE INSPECTION SEC_J I -/ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/30/97 JOB ADDRESS 940 OVERTON DRIVE NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lillian Westin 940 Overton Drive NE 571-6426 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Shed - Remove existing 10' x 10' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 $1,700 $.85 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- $54.00 Fire SC $1.70 STRUCTION R THE PERFORMANCE CON TRUCTION _ PLAN CHECK FEE TOTALFEE e""l$56.55 SIGVX1 RE OF CD ACT R OR AUTHORIZED AGENT tDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT BL INSP t - GATE _ SIGNATURE OFOWNERIIFOWNER BUILDERI tOATEi NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: `/ V�) — Legal Description: Effect/ive /l/97 w Owner Name & Address: '/44A.) j(),F S f,' � �16 - jd � � �, ti D� Tel. # Contractor: C% W AJ,-5MN LICENSE# Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Tel. # Sq. Ft. Sq. Ft. So. Ft. /C a' 1-6 r S Construction Type: GJ o o p Estimated Cost: $ / ;70 y .10 y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /7/- --;Y- 5�2 APPLICANT: Tel. # S7/- C� V,;2� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ e ��i' $.50/$1,000 Valuation SAC Charge $ $950 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 1 7cessary [ ] Not Necessary [ ) TOTAL $ STIPULATIONS: Ioan .Survey • or- A This is a Irue 07d C&red IUA46W %0/7, .4(1fk hVlOdanks e&land abort &wvbedcnd4*1OCOAQ7 #fd1bVl1dAnYS, O�f 07 4wrch�7 M4 nw4, t, 6W or, 1*7 said 4d. & �r� is ma 4 yOr W7 AW Miokcad a7the prjver y a7,d 00 �Iikily i assWmd excfpf /a Ik hdier o0suthm4sye er, Aer kleml * b, *maw i( such nwl W fa qe. # dff 3hd Md4yreidnv nvnLmeai5 Ame A= p6wd fa- 4)orpm �7i �6jsbvy /01 Ars gr C"CM LL - nom„SUBURBAN EAf6l'VffR'A(Cl, INC'. SUBJECT City of Fridle y 2 8 4 9 0 AT THE TOP OF THE TWINS BUILDING P E R M I T 1-1 i � COMMUNITY DEVELOPMENT DIV. •l j I � PROTECTIVE INSPECTION SEC. �Z �C NUMBER NEv DATE PAGE OF APPROVED BY i 01 CITY HALL FRIDLEY 35432 ---.� •i L 612-571-3450 910-F15 11/2/98 JOB ADDRESS 940 Overton Drive NE 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED CESCR. 3 5 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lizan Westin 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kodiak Constr. 2607 Brighton - 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 WORN O NEW 0 ADDITION O ALTERATION REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof house and garage 22 SO Tear -off; Reside house and garage - vinyl 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 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 7885 @ $3.94 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 $137.25 Fire X $7.88 PLAN CHECK FE TOTAL F loo L S 5 5 .07 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, ENR L LI A IS IS YOUR PERMIT • S,GNATURE OF OWNERiIF OWNER BUILDERi iDATEi BLOJ9 INSP I � GATE NEW " [• ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 G�(� BUILDING PERMIT APPLICATION ConstructionAddress: 71i0 Q U e e ry et/ FA' D; �fz, Legal Description: Owner Name & Address: �, 'z- rt+J t�'� Z'o Tel. # Contractor: KV ; e11–K r_,0 -n,5 0" MN LICENSE # 0 ?6o 8 Address:. L o Y9 c2' !l (�/� „rm• A–rvo 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 Hgt/Ground Sq. Ft. OTHER: Z d r tc`�a1� Construction Type: S,`p ,,,* Estimated Cost: $ `9 �► ^ ^-�— ��� v (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Z 159 t APPLICANT: Ro ,'Pj s Tel. # CITY USE ONLY Permit Fee $� Fee Schedule on Reverse Side Fire Surcharge $ '7 ) ' .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 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 [ J TOTAL STIPULATIONS: SUBJECT City of Fridley 31276 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT i LV ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 496A r � � PROTECTIVE 1 . � NUMBER i1EV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/2/00 JOB ADDRESS 940 Overton Drive NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lilian Westin 940 Overton Drive NE 571-6426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 502-4777 20130983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace patio door and french door within existing openings 9 CHANGEOFUSEFROM 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. Permit Inspection Cards Will Be Mailed To Homeowner `i'o Post SEPARATE PERMITS ARE REpUIRED 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 1 HAVE READ AND EXAMINED THIS APPLICATION 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 $3,345 $1.67 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 TO AL FEE Licen C $5.0 $107.26 SIGNATURE OF CONTRACTOR OR AUTMORiZED AGENT iDATE. E iNSP PROP VALID T THIS IS Y UR P Mlj_.y�3 rgATE S-GNATURE OF OVVNERJF OWNER BUILDERS jDATEi NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 AD BUILDING PERMIT APPLICATION 1 1A Construction Address: Legal Description: Owner Name &Address: l,'X�0,'1u Tel. #(al�,•��-� • �4alQ Contractor:. Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: RENEWAL BY ANDERSEN MN LICENSE # 350 -73RD- AVE. NE FRIDLEY, MN 55432 ( 612) 502-4777 Survey of the LICENSE #20130983 Y on it to scale. DESCR IRN CSF UWPIKOVENIENT Length Width Height Length Width Height Length Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. J YT02. Estimated Cost: $3-..l L CO - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 0•'Jul APPLICANT: Jel. #9�a - $ Ste( •a$5 K4 lP TOTAL $ STIP TIONS: ?ft?�v /�/�� ����� �•c� !.� l CITY USE ONLY Permit Fee $ a^ Fee Schedule on Reverse Side Fire Surcharge $ 3 3y- .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 [ ] lP TOTAL $ STIP TIONS: ?ft?�v /�/�� ����� �•c� !.� l SUBJECT P City of Fridley 34003' 4003' AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. DEVELOPMENT DIV. V -------COMMUNITY PROTECTIVE INSPECTION SEC. 5,19r I NUMBER EV DATE PAGE Oi APPgOVEO Br �'� CITY MALL FRIDLEY SS432 L 763-571-3450 910-F15 10/30/03 JOB ADDRESS 940 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virginia Penke 940 Overton Drive NE 763-571-6426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO David Schweich Construction 21716 Kenrick Ave, Lakeville, MN 55044 952-469-3222 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20262622 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Re lace egress window within existing opening in basement bedroom 9 CHANGE OF USE FROM TO STIPULATIONS Install window to meet the State Egress Code. I� Isci® is noSt 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 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 $1,850 $.93 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- F STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $66.20 e SC $1.86 PLAN HECK C T AL FEE Lic se C $ /'0 $73.99 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEr HE PR VALI ED THIS ISYOUR,,JrERMIT Z SIGNATURE OF OWNER.iF OWNER BUILDER, IDATEI B 0 -NSP SIA E NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 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: _ q 40 Ove ID -,-L Legal Description: Owner Name & Address: ULn:�, ot. Pe ►n Le- cI 40 OUe rtc-y-% b,r.Tel. # -1 G 3 -5 `1 1--6LI a Contractor: nd S&,we�c,P�, CoY1S zaaCEt, MN LICENSE# �40a(.=,St .� Address: at71.6 -Ke.snrcc_ic Tel.# C15a--`-t6 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: /IV j�Xr 5I-iwr 5 )O Construction Type: -eG,c�� L - dl &jAJ _Estimated Cost: $ jJ5g 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 10- a-1 •0?> APPLICANT: i Tel. #I-0sti y 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ (0("^aa $ 1,8c $ . C6— TOTAL $ —7 3 -9 9 CITY USE ONLY - Fee Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] KC441 Lxi- a - NEW [ ] CITY OF FRIDLEY vo I 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 qqoB&Construction Address: am�c ,1 v � l._. Legal Description: Owner Nameddress• U 1/1.GLt --0Lh•�Q� Te . # 10- ZZb - 0240 Contractor: MN LICENSE # -J t 1 3 Address:636vLOM (& I vCjaan^ 5 5q 2-1 Tel. # (76308 Fi-9 LI) I 'A LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. O� Construction Type: Estimated Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = `- Ft x $ _ $ DATE: 04°1 05 APPLICANT: 5LA 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 CITY USE ONLY - $ �5 .00 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 [ ] TOTAL $ I / 83. /0 STIPULATIONS: