PRE 2010 DOCSDate:
City of Fridley, Minn.
BUILDING PERMIT
EMM Sept. 15, 1969
Owner: Owen S. Seymour Builder Miles Const. Co.
Address 101 Pilot Ave. N. E. Address 4500 Lyndal ewe . N.
qt?'*
N° 10411
LOCATION OF BUILDING
No. 101 street Pilot Avenue N. E. Part of Lot
Lot_ 33 __ Block 2 Addition or Sub -Division _Carlson's Summit Manor South Addn.
Corner Lot — Inside Lot _ Setback —_ Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Garage Front _ 1$
Depth 20'
Height 10'
Sq. Ft. 360 Cu. Ft 3600
Front
Depth
Height
Sq. Ft. Cu. Ft.
Type of Construction __ Frame
Fast Cost_
$1300.00
__ To be Completed
Surfaced Driveway required.
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. A�45
(J/►� a_j/
In consideration of the payment of a fee of $ 5.00 permit is hereby granted to Miles Coast. Co.
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.
A Building Inspector
Hank Muhich
NOTICE:
This permit don not cover the conatwctlon, ins listion for wiring, plumbing, gn heating, sewer or water. Be son to no
the Building Inspector for separate permits for these hems.
1
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER ► S NAME 4D-11-011) u,e BUILDER (��
ADDRESS / / �� LD'� X V ' A)'6— r ADDRESS Zr00 t-11 A.) F! A CE � V- A--%
LOCATION OF BUILDING
NO. A � STREET t�" � L�� X v
LOT S BLOCK L ADDITION OR SUBDIVISION 641 -'t'5 -dA -;r
CORNER. LOT N :Fk INSIDE LOT SETBACK SIDEYARD
SEWER ELEVATION TOP OF FOOTING
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:
,411ex�� Front Depth Height
Square feet Cubic Feet
Front Depth Height A
Square ffil?iQ
et Cubic Feet
Type of Construction /(� Estimated Cost
To Be Completed /►A. 5.4
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 axe true and correct. /A
DATE �%�Ib i SIGNATURE 1#11-e 6A:W"
(Schedule of Fee Costs can be found on the Reverse Side.)
Cify of Fridley
App-111=:'Ivan ftr 1"'Ir and Gm nev'::a PJB _
Dept. of Bldgs. Phone 360-3430
DESCRIPTION OF wORI{
tion
Number, Kind and Locaiien of Fixtures LO�--
Tr
O I;
UU33
j
S!5'
$
✓
x $1.50
QO
New Fixture Old Opening .....:....
O� o
V
<3
U
l�f at
w
C7lp
N
WATER NT0..
GAS
tLEC.
Base
Electric Water Heater....... .....
: $2.00
$
:;AS FITTING FEES:
NO. RATE TOTAL
lst 3 Fixtures ............ • • • .
x $2.00
$ .
Additional Fixtures .................
..-- x $ .75
$
Gas Range to 199.000 BTU ..............
x $5.00
S
1st
2nd
3rd
4th
• Future Connection Oponi:sgs I a,oxeaaca �r�xxa
e saver�
Now Fixture, Old Openinujs Ccsapool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......:.....:....
x $2.00
$
Future Fixture Opening ............
x $1.50
$ _
New Fixture Old Opening .....:....
.� _ x $1.50
$--/,.
Catch Basin ...........:........
x $3.25
$
Water Heater (Up to 99,000 BTU) ....
x $3.00
$
New Ground Run Old Bldg. ........
x $3.25
$
Electric Water Heater....... .....
: $2.00
$
:;AS FITTING FEES:
NO. RATE TOTAL
lst 3 Fixtures ............ • • • .
x $2.00
$ .
Additional Fixtures .................
..-- x $ .75
$
Gas Range to 199.000 BTU ..............
x $5.00
S
City of Fridley:
The .undersigned hereby makes application for a permit for the work here!
specified, agreeing to do all work in strict accordance with the Citi Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct'
Fridley, Minn
Owner
Kind of Building
Used as & is
To be completed about S /?
Estimated Costa $ I?
Old—New. Building Permit No. Permit
Signed
ROUGH
FINAL XA - �<Z - 7
REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge
Description............................................'�
TOTAL FEE s Q—"
Business Phone
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Mr. Arthur Quiggle
101 Pilot Avenue N.E.
Fridley, MN 55421
TELEPHONE ( 612)571.3450
Re: Intersection Vision Safety Zone Obstruction at 101 Pilot Avenue N.E.
Dear Mr. Quiggle:
In order to provide safe passage for vehicular and pedestrian traffic in
the City of Fridley, periodic inspections of street intersections are
conducted. An inspection on June 30, 1981 has determined that the sight
line for the intersection on your property is obstructed and could present
a hazard to traffic.
Section 205.154 of the City Code requires that, "On a corner lot in a
vision safety control zone, nothing shall be erected, placed, planted or
allowed to grow in such a manner as to impede vision..., the vision
safety control zone is described as follows: That area bounded by the
street right of way lines of a corner lot and a straight line joining
points on said right of way lines twenty five (25) feet from the inter-
section of said right of way lines."
Therefore, the City is requesting you, the property owner, to correct the
following problem and make the City's streets safer for travel. A
reinspection will be conducted on or about July 20, 1981 to determine
compliance. We are confident in your cooperation to correct this matter
and if any questions or problems result frcm this letter, please contact
me at 571-3450.
The inspection of your lot indicated that the following obstruction is
existing and should be corrected:
Bushes or shrubs growing into sight line - trim down or back to
be less than A feet high
Hedge growing into sight line - trim down or back to be less than
2k feet high
Tree branches growing into sight line - trim up
Fence extending into sight line - lower or remove
Sincerely,
STEVEN J. OLSON, R.S.
Environmental Off icer
I
0
It
coolry 0:-" 7;:.y
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 5.5432
TELEPHONE .( 612)571-3450
91
y/P
0
I
OBSTRUCTION
Lot Block Addition
0 vx- IV D. &-7�t p I %��
Property Oi%ner -.,%ddress
RE -CORD OF CO� MUNJ 0W I ON'
2.
rAw
GNOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 . FAX (612) 571-1287
November 4, 1993
Arthur Quiggle, III
c/o L.A. Property
P. O. Box 141163
Minneapolis, MN 55414
RE: Application for Residential Rental Property License at
101 Pilot Avenue N.E.
Dear Mr. Quiggle:
Currently, the City is holding your application to operate
residential rental property at the above referenced location.
Processing of this application cannot be completed until exterior
code violations are resolved. (I have enclosed copies of
documentation concerning these problems for your review.)
It is important that these code violations be corrected as soon as
possible so that the City may issue this license to you.
I will be reinspecting this property on or shortly after November
30, 1993, at which time full compliance is expected. Should these
violations remain at that time, I will pursue legal action in this
matter for operating residential rental property without a City
license.
Feel free to call me at 572-3595 if you have questions or wish to
discuss this further. Thanks for your cooperation.
Sincerely,
Steven Barg
Planning Assistant
SB:ls
M-93-263
r
L]
SUBJECT
P
City of Fridley
23501
AT THE TOP OF THE TWINS
BUILDING
PERMIT
NO.
Ir
• _____ COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/30/95
JOB ADDRESS 101 Pilot Avenue NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
33
2
Carlson's Summit Manor South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Kathleen Quiggle 328 5 St NE, Minneapolis, MN
379-4992
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Lloyds Home Improvement Inc 1012 42 1/2 Avenue NE, Columbia H is 55421 1798
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
788-5602
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION 0 ALTERATION 0. REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Garage (5 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the
3rd.
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
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
275
•50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$15.00
Fire SC .28
Xk -
PLAN CHECK FEE
TOTAL FEE
SIGNATUREOFCONTRACTOR ORAUTHORIZ ENT IDATEi
WHEN PROPERL VALID TED THIS IS YOUR PERMIT
BLDG INSP
riATit-
SiGNATUREOFOWNERtIF OVVNEPBURDERi iDATEi
r
L]
NEW ( ]
ADDN (]
ALTER ( ]
Construction Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
C
Effective 1/ 1/95
z:!5 3
Legal Description: —1
Owner Name & A,idress: Te . #
Contractor: -� e � �� 7 1 MN LICENSE # G�� -2
Address: (-/ L/.2 `/ 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:
Corner Lot [ ] Inside
Lot (] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
Estimated Cost: $
l •
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x
DATE: o _�
APPLICANT:
;
Tel. # S
CITY USE ONLY
Permit Fee
$ ' U D
Fee Schedule on Reverse Side
Fire Surcharge
$ o� CO-)
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$ G�
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Alcove
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary
[ ]
��
TOTAL
$
STIPULATIONS:
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
�26780
BUILDING PERMIT
PE
r
___ _ COMMUNITY DEVELOPMENT DIV.
LV
r � PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
ECEIPT NO.
NUMBERREV
910-F15
DATE
7/24/98
PAGE OF
APPROVED BY
JOB ADDRESS
101 Pilot Ave NE
1 LEGAL
DESCR.
LOT NO.
33
BLOCK
Ic
TRACT OR ADDITION SEE ATTACHED
I Carlson's Summit Manor Sourth Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Cotter 101 Pilot Ave
571-4591
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Owner
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 M REPAIR
-
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house (12 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,000
.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.
$34.75
Fire SC 1.00
PLAN CHECK FEE
TOTAL FEE
36.25
SIGNATUIRE OF CO RACTOR AUTH IZ D AGENT IDATEI
MEN PROPERLY V
ATED THIS IS YOUR PERMIT
V - - ::��_zi
SLUG SP
PATE
Si N RK.10F OWNER BUILDERI IDATEI
u
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress: ,
Legal Description: -,Z
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGEAREA:
DECK AREA:
OTHER:
Construction Type:
Effective 1/1/91"
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Tel. #,5 -
MN
,5 -
MN LICENSE #
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
Estimated Cost: $ MOO �
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ _ $
DATE: - - a APPLICANT: Tel.
STIPULATIONS:
t
CITY USE ONLY
Permit Fee
$ S�
Fee Schedule on Reverse Side
Fire Surcharge
$ 1, 60
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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 [ J Not Necessary [ ]
TOTAL
$
STIPULATIONS:
t
CITY OF FRIDLEY PENO.: 2004-01355
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISS 7/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 101 PILOT AVE NE
PIN : 263024230049
LEGAL DESC : CARLSONS SUMMIT MAN SO ADD
: LOT 33 BLOCK 2
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : RESIDING
VALUATION : $ 4,800.00
NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE
PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS
PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN
APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE
MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE
COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE; REPLACE 14 WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT BUILDING PERMIT FEE 111.25
CHRIS GOOD FIRE SURCHARGE 4.80
101 PILOT AVE NE STATE SURCHARGE, VALUE 2.40
FRIDLEY, MN 55421 TOTAL 118.45
OWNER
CHRIS GOOD
101 PILOT AVE NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating co c ' or a performance of construction.
,App icc Datei
Bldg Insp Dat
SEPARATE PERMITS REQ D FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [)
CITY OF FRIDLEY Effective 4/1/2004
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:
Legal Description:
Owner Name & Ai
Contractor.
Tel. # ^ 3 77'�l
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 Hgt/Grou`nd Sq. Ft
OTHER: �e�`% `G� �r®G✓S Ii��,`ti� l�tc�ss� �e� ���5�
fV �
e• Estimated Cost: $
Construction Type: � iI
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: g APPLICANT: Tel. #
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
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ //A Fee Schedule on Reverse Side
$ 65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$ �•y/j $.50/$1,000 Valuation
$ $1350 per SAC Unit
,$ $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 [ j
$ S- STIPULATIONS:
CITY OF FRIDLEY PERMIT NO.: 2004-01664
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/23/2004
572-3604 FAX: (763) 571-1287
ADDRESS : 101 PILOT AVE NE
PIN : 263024230049
LEGAL DESC : CARLSONS SUMMIT MAN SO ADD
: LOT 33 BLOCK 2
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REPAIR MAST.
100;100
APPLICANT
CHRIS GOOD
101 PILOT AVE NE
FRIDLEY, MN 55421
C114W,I p1.7
CHRIS GOOD
101 PILOT AVE NE
FRIDLEY, MN 55421
ELEC AMP SERVICE FEE
STATE SURCHARGE, ELEC FLAT
ELECTRIC FORM FEE
TOTAL
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp.
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
30.00
0.50
1.00
31.50