PRE 2010 DOCSof Fridley
SUBJECT
I15.517
AT THE TOP OF THE TWINS
BUILDING P E R
rpCity
�q
RECEIPT
COMMUNITY DEVELOPMENT DIV,
x5-33
r PROTECTIVE INSPECTION SEC.
75-3
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10 15 79
10B ADDRESS 5211 Pierce Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
14
1
Marian Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Johnson Construction Inc. 16521 Nowthen Blvd. 753-4254
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS S EPERATE
LURED fFj,ONE LICENSE NO.
5 ENGINEER MAILADDRESSHEA� ING
Sj i� j
YY !!' vvR
P�"✓1N!®' �
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 50' x 401 Dwelling and a 221 x 241
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side
yards. Provide City with copy of verifying survey before capping.
SEWER LOCATION: (Approx. 8' Deep in Street) 16' N. of M.K. (N. Inv. 1013.5)
WYE ELEV: 1013.57 TOP OF FOOTING: 1017.20 Minimum
WATER LOCATION: Determine location in field.
DRIVEWAY DEPRESSION ESCROW: N/A
AR 4;
Services may not be extended to property line.
Before dining w61 bcai ml's
THE CITY OF FRIDLEY GOES NOT GUARANTEE TN@ Tf�EPHO�'�m�r�it�$Ti'`�'�b•[�y°AS Etc,
ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS,
THIS DATA IS FOR INFORMATION PU7:POSES ONLY ANS REQUIR -D Y 1AV01
PERSONS USING R SHOULD VERWY THE INFORMATION
ON THE SITIL
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Prams
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
Z
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
$46,350
$23.18
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
OVIS SOF ANY OT STATE OR LOCAL LAW REGULATING CON-
ST U ION OR THE O MANCE OF CONSTRUCTION.
$126.48
$425.00
PLAN CHECK FEE
TOTALFEE
$ 31.62
$606.28
SIGNA URE OF CO RACTORORAUTHORIZEDAGENT (DATE)
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
BLDG INSP OAT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
r
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
. //� k�(✓
-
(New, -Alterations, Additions, or Repairs)
OWNER: ;ll? Jg/iV So _V � � �s � BUILDER:
ADDRESS: 13 L. i 1), ADDRESS:
TEL NO: 7 S' - !z TEL NO:
r
• �� Construction Location
STREET NO: — J -STREET: — -ZL •..<..
LOT: BLOCK: ADDITION: ws jam'
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 CONSTRUCTION
Front: Depth: Y Height:
Square. Feet: Cubic Feet: 4
1p'r,F t Front: Z Z Depth: 2; Height: l
Square - Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
26 Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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 t d correct.
DATE: /O // 7 SIGNATURE:
Stipulations:
Fczo&o: `ep,,ao URB, GRawixv
-
P�� 126; 48 .
P. a 31. �'1- _ •
L*PV%'(\
:S-z\k 'RiEvet S?:
22 X
3.�fx
131e)
% I -'m-
S) X1.1 x IS c /aj-4M CA,. 4r --
K
,.4r --
x ii = IS,834 C"'- CtA
X to S28a
1317x
13 17
N , 'l l q. 3G
4(a,3`�
' ."Ov,i 31.Ll r... I z Ma.�8
9. e 31. z
vrp 4 t .36 Y, a31 ( $
5M
40
'baa . .. pp (l,{�' elt: ,Q/�.xi }�}.eo���mOy {��pmme%� .; ��yy 44
KURTH
URVEVOR
.. -7 1,
4002 JEFFERSON ST. N.E.
COLUMBIA HEIGHTS 55421. 788.9769
1, ►TftZ;JF•7 C=nTIVV THAT TMIS SUm67. P"N* OR, 1 E8:'OnT. WAS PRNPARFM BY MB OR UNDER MY DIRECT CUPECZ=IOt#
AND
"MAT 6 Abl A LY rjM013T=%XD LAND SURVC TOR I,INCZ.I THU LAWS OT THS STATCE OP MINNE9pTA. �
DA'I'S �Q'�°.��•�� � �
f,{ 1 SCALE
mlldNESOT EGISTRATION NO v=IEQOtd R/1Q9�1UM t
�. a r!
'' -/ ��♦�i7 �Ji Iy y. f F' �",d t 9Y • �4�� •rt!yh, ^SJ�7,�. �.
�.
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s it
,f ;w fit,! 'a
t} r a
re y * `, i co
1
a
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-_ Ysf` Ikrv'✓' r' 4• , •'V �.0�• .4 .. V h 4 F., •rr ;,.�h.l.
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C3l�h0R�4ilT� i�'
NOT
THE iT`(. �R6C►�.��-'Y �Cy�S ( � •;� :Il t '
l9TILirf LCy��TI�JNS
POSES �J -)!.11,y tk r+i'e t I
jl l7AT. 1s FOR iPiF®'���ATIL�+ pflM�.�fiin .BtvG rfr"dtr'i;t� R
US4t�i Yi
61IC)ULD
Loi 14, Block 1, Marian Bills, Anoka County, Minnesot-a
,
-
i
is
def (Ire digging
l s.
r
.rte �7 kt'����y�'• ty
k�q`�►' ,
N
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-Z5®�SS��j�Q �lCl
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07
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qIt MUln City testinq
® ano enomiaenn0 ImbaratorLs.tnc.
661 CROMWE Lt AVENUE lei
ST PAUL MN 55114
1 (�'-?►�' PHONE 612,645.3601
;� REPORT OF: DENSITY TESTS OF COMPACTED FILL
'• •./� ; MARION HILLS ADDITIUff
r 52ND & PIERCE ST NE June 7,-1979
: FRIDLEY, MINNESOTA DATE.,
f"
REPORTED TO: Environmental Land Forms Inc COPIES TO: 17 Fridley Building Inspector
4511 Colfax -Ave South
Minneapolis, MN 55409
Attn: Grant Guerri
LWORATORY No. 11-4190
TrST NL'1IBER:
ULU n Solt Ct ASS1rIcaTloN:
01oisture-Density Sample
Number)
LOCATION:
DEPTH BELOW FOOTING ELEVATION:
DEPTH BELOW EXISTING GRADE:
FIELD DENSITY DETERMINATION
1
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown (SP -SM) -1
Lot 12
5%
go
2
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown(SP-SM)-1
Lot 13
5
A
3
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown(SP-SM)-1
'Lot 14
N
N
4
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown(SP-SM)-1
Lot 15
611
611
Method
Density in Place By Nuclear
Density Method
"B.", ASTM:D2922-71
(.-#4 Basis)
Dry Density
(pcf) 125.5
124
128
128
Moisture Content
M 5.1
8.1
7.3
5.1
Plus 44 Material
W 6
8
8
7
LA1101tATORY MOISTURE -DENSITY RELATION OF SOIL:
Method ASTM:D698-70, Method "A" (44 Basis)
Maximum Dry Density (pcf) 121.3 121.3 121.3 121.3
Optimum Moisture -(C) 9.5 9.5 9.5 9.5
COMPACTION TEST RESULTS:
Compaction (k) 103.5 102 105 105
REMARKS: These.tests are only indicative of the compaction at the locations and
elevations shown.
AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR'
I,OR PUBLICAT10% Or STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL
Twin City Tee 'ng and Engineering Laboratory, Inc.
X
' BY
J1 LL
i
CITY OF FQ®LEY
F 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432
f TELEPHONE ( 612)571-3450
l 1r,
April 13, T179
w
s NOTICE OF PUBLIC HEARING
Notice is hereby given that the Appeals Commission of the City of Fridley
will conduct a public hearing in the City Council Chambers at 6431 University
Avenue Northeast at 7:30 P.M. on Tuesday, April 24, 1979, in regard to the
following:
A request for a variance of Chapter 205 of the -.Fridley
City Code, to allow the required 35 foot front yard
setback to be reduced to 25 feet on four building sites.
to allow construction of 'single family dwellings -at
5207,'5211, 5215 and 5241 Pierce Street N.E.
Notice is hereby give that all persons having an interest therein will be
given an opportunity to be heard at the above time and place.
VIRGINIA SCHNABEL
CHAIRWOMAN
.APPEAL,$ CQMK$§J—QN
Note: The Appeals Commi'ssi'on will have the final action on this request.
unless there are objections from surrounding neighbors, the City Staff, or
the petitioner does not agree with. the Commission's decision. If any of
these events occur, the request will continue to the City Council through
the Planning Commission with only a recommendation from the Appeals Commission.
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
The undersigned hereby makes application for a permit for the work herein
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL PATE SCHEDULE
11 specified agreeing to do all work in strict accordance with the City C --des
each add. 50,000 BTU
4.00
GRAVITY WAP.M AIR:
RATB
TOTAL
sob Address
Furnace Shell & Duct Work
*
$12.00
$
7,00
4,00
Replacement of Furnace
7,00
$
Repairs & alterations -up to s5Q0.00
7.00
$
Department of B,41clinge
Repairs & Alterations each add. $500,00
4.00
$
City of Fridley
$
PND PF BUILDING Y� �
each addn. 50,000 BTU
Tel. #571-3450
MECHANICAL ItiAPUNI AIR:
S+.INIKL:M FZ Z FOR ANY HEATING PERIOST IS $7.50 p„US ' $. 50 STATE SURMRGE
*Attached stack verification form
The undersigned hereby makes application for a permit for the work herein
rurnace Shell & Duct Work to 100,000 BTU
$12.00
$_0110
11 specified agreeing to do all work in strict accordance with the City C --des
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that ali the
*Replaceyent of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Perairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
7,00
4,00
$
$
Fridley, Minn. Q
STU-1 OR HOT T ATER SYSTEM:
MPR e) Ko dp
Boiler & Lines, up to 100,000 BTU
;12. pa
$
PND PF BUILDING Y� �
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.pA
$
PPZP AS _
each addn. 50,000 BTU
P -AA
TP PP. PW=17P 4.PQPT
OIL BURNER- to 3 gal. per hour
s
$
®�
each add. 3 gal. per hour .
}A•AA
FST}iTFP
GAS BURNER- from 100,000 BTU to lgA,Agq RTA
WAA
$
PR - ALj}PP}HG
(over 193,999 BTU see Fee S044;e)
S
GAS FITTING FEES:•
lst 3 Fixtures X
S ;AA
$,
PrSCR4FTTQN (.FF FPMACE/BURNER
A'ditional Fixtures X
$ �;AA
,R
Gas Range to 199,000 BTU IC
glQ!QA
•
EKG Ar PQYIPIi p:PANTB, Bfazp.r BRA Yi4er, 1 g4r?4 Air- too.
AIR CONDITIONING
FAN HEATING SYSTEMS'
VENTILATING SYSTEMS See Fee Schedule
$
!'rads Name f — size No.
ALTEIkTIO.NS 4 REPAIRS
g
capacity $q• 8t. BOF, BTU
State Surcharge
$ .50
Total Connected Load kind of Fuel
• TOTAL FE3.
-y
BURNER - Trade Name Size No.
ROUGH IMP. REINSPECTION FEE
Capacity Sq. Ft. EDR BTU HP
Date ($10.00)
�i
FINAL INS?. ' O ®
Company•Q
Date
;
Signed By C7` c
APPROVAL FOR PERMIT
�S% '-
Tel. No. `✓
S+.INIKL:M FZ Z FOR ANY HEATING PERIOST IS $7.50 p„US ' $. 50 STATE SURMRGE
*Attached stack verification form
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$ e�21•0®
v
_ x
$2.00
0
New Fixture, Old Opening
Water
o
+m+
.mi
x
o�
$
tq
E+
ci ro
$5.00
$
100,000 BTU to 199,000 BTU
to
$10.00
.
$'
5�5
x
Beater
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
z e
1st 3 fixtures
i
N
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State.Surcharge
$ .50
TOTAL FEE
g
REINSPECTION FEE
($10.00)
n
U
Q
G
c�
W
3
Quo.
N
w
3
t�
t�
o
3asTlec
lst
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$ e�21•0®
Future Fixture Opening
_ x
$2.00
$ r®•6-0
New 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
$7.00
$
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 & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State.Surcharge
$ .50
TOTAL FEE
REINSPECTION FEE
($10.00)
Job Address ti D I
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 roprosontations stated in this application are true and correct
Fridley. Mn. Zrl•� . 19 cctN
OWNER
KIND OF BUILDING �/ O
USED As
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD.(/NEW BUILDING PERMIT N0. PERMIT NO..
_/ Company `�� r C �C e 46,,
Signed By - -
Tel. No. d
ROUGH INSP.
Date
FINAL INSP. S-, O - g®
Date
APPROVAL FOR PERM.'T t
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pypS $,SO STATE SURCFARGE
Bob Johnson Construction Inc.
16521 Nowthen Boulevard
Anoka, MN 55303
Re: Final Inspection at 5211 Pierce Street N.E.
Dear Mr. Johnson:
A final inspection was made on June 12, 1980 of the above address and
the following items were noted which must be completed before the
structure can be finaled out;
1. Provide house numbers on structure.
2. Provide sod in the front and side yards
3. Stabilize slopes in the rear.yard.
We will expect the above items to be completed by July 3, 1980 when
a reinspection will be made to determine compliance. If you have any
questions on these items, please contact me at 571-3450.
Sincerely,
DARREL G.
Chief Building Official
DGC/mh
9f W; Y.11
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 812)571-3450
Bob Johnson Construction Inc.
16521 Nowthen Boulevard
Anoka, MN 55303
Re: Final Inspection at 5211 Pierce Street N.E. (SECOND NOTICE)
Dear Mr. Johnson:
A reinspection was made on July 3, 1980 to determine compliance with
our letter to you dated June 17, 1980. It was noted that two items
remain that must be completed before the structure can be finaled-out;
1. Provide house numbers on the structure.
2. Stabilize the slopes in the rear yard.
We will expect these two items to be completed by August 4, 1980 when
a reinspection will again be conducted to determine compliance. If
you have any questions on these items, please contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
SUBJECTNO.
City of Fridley
31889
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�`
RECEIPT NO.
! ------COMMUNITY DEVELOPMENT DIV.
p��®3604
r PROTECTIVE INSPECTION SEC.
iii
��' ��►,
NUMBERREv
PAGE OF
APPROVED BY
_ I CITY HALL FRIDLEY 55432
.j612-571-3450
910415
r6/11/01
JOB ADDRESS 5211 Pierce Street NE -
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
1
Marian Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jerry Herman 5211 Pierce Street NE
763-571-0686
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
a 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 0 ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (29 Sq) 2nd Layer
9 CHANGEOFUSEFROM TO
STIPULATIONS Roofing can be the 2nd layer but not the 3rd.
SEPARATE PERMITS ARE REOUIRED 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
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
$2,227
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
P
PLAN CHECK FEE
TOT LFEE
6.59
N PURE OF OR AUTHORIZED AGENT IDATE-
HE P O
VALIDA D THIS IS/YOUR PERMIT
l�V
r
—0-e
tQ
SSG IA URE EROF OWNER BUILDERI I ATE.
6 G SD
pA I
NEW [ ] Effective 1/1/2001
ADDN [) CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:
Contractor.
1�
anahmi
Tel. # -%(,,,`Z — S] I — 069�
MN LICENSE #
Address: "M C 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: Ghon E D/t-L P --y 1`- Jz!� C �)
Construction Type:QOU iAV G 4M� l CP Estimated Cost: $
IN
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: (fv111Z6 APPLICANT:-PA/L44 Tel. # S -7
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$c&- Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$ A / $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
"A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ 86.5