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PRE 2010 DOCSCity of Fridley, 1Vlim. BUIIDING PERMIT Date:` Owner: d __ Builder Address _ _ _ Address N° 510 LOCATI BUILDING Street"? ._ P Lot w Lot Addition or Sub -Division Corner Lot .__._..._ Inside Lot .._.__..... :.... Setback ,._.._ Sideyard ......... Sewer Elevation Elevation Foundation Elevation . DESCRIPTION OF BUILDING To'W Used A' Front Depth Height Sq. Ft. Cu. Ft. 4ZA,fit 19 o Depth - eight Sq. Ft. _.._.._ Cu. Ft. _ Typc of Constructiott —imp2i Est. cost""""_`_'moo 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 "o any of the peons of said 9rdinances. — _ 'A ,� Building Inspector NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 40 - APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner a Name Builder No. LOCATION OF BUILDING Part of Lot Lot Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard H,C iii - 4,1, SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: I I � �e„a Front /-/ > Denth 2 Height_ Type of To be Completed Sq. Ft. L%6-> Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. ted Cost l2. 0- 0 C2 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 are true and correct. DATES � '� �/' e � � SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side. Mr SUBJECT PER T-NU7---`' City of FridleyFe -14-3-92- AT THE TOP OF SHE TWINS 'BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 41 ,'� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/21/77 JOB ADDRESS 6700 Plaza Curve N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Rice Creek Plaza. South SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE James A. Magill 6700 Plaza Curve N.E. 3 CONTRACTOR MAILADDRESS 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 X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 11Elp X 6 DESCRIBE WORK Install free standing fireplace (Heati-lator Model 123-36) 9 CHANGE OF USE FROM TO STIPULATIONS ICBG #1141 given to owner SEPERA'f E PERMITS REQUTAED FOR WIRINGS HEATING-, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $950.00 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. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN VALIDA ED THIS IS YOUR PERMIT zl ;ZILY - S- BLDG 1NSP DAT IGNATURE OF OWNER (IF OWNER BUI R) - ATE)'. Mr CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEkMITS . OEW, ALTERATIONS,..ADDITIONS, OR•REPAIRS) OW14ER: BUILDER: Address: 6%orp. h42 -A COR,-A'T Address: Tel. No. No.: Street: (9L14 2/c) C v � \ s LOT: Z 2- BLOCK: �_ ADDITION: �7 i C 4 C 12 C - t I< PA2,4 S < CORNER LOT: I/ INSIDE LOT: SETBACK: SIDEYARDS: 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: t EAr I LA -7(-O Z j/C�c� �l AaUm N Front: Square Feet: _ Depth: Height: Cubic Feet: ° Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: � Estimated Cost: $ :�70 © � To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: <�/Z i /2 7 SIGNATURE: L� Stipulations: City of Fridley SUBJECT PER NO ® 17 6 3 9 AT THE TOP OF THE TWINS BUILDING PERMIT ' ' • ____ COMMUNITY DEVELOPMENT DIV. - r PROTECTIVE INSPECTION SEC. --'1 CITY HALL FRIDLEY 55432 612-571-3450 IP NUMBER 910-" 5 REV. DATE [_;�7GE OF / APPROVED BY JOB ADDRESS 6700 Plaza Curve N.E. 1 LEGAL DESCR. LOT NO. 22 BLOCK 3 TRACTOR ADDITION SEE ATTACHED Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Stoltz 6700 Plaza Curve N.E. 572-1128_ 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ronald D. Paradee 2875 Jackson Street, St, Paul, MN 55117 484-3784 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 Dwelli 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE G NTING OF A PERMIT VALUATION $954 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY T OLA OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST TE OR C L LA GULATING CON- TRUCTIO PERFOR , C 0 CT /� $1 PLAN CHECKK FEE FEE TOTAL FEE $18.00: SIGNATURE OF CONTRAC R OR AUTHORIZED AGENT I EI WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT SIGNATURE OF OWNER tIF OWNER BUILDERI (DATE) BLDG !NSP ATE NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2_ ALTER. [ ] Building Permit Application Construction Address: 67P® r AZA " k VE Legal Description: %�{� Owner Name a Address: A PI Contractor Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 6700 f4ffA G14 Tel . # $72 "112-Y Ieba Tel. # 'V?Ab . , IS A 4,4 Mk S5117 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. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Se �f Estimated Cost: $ �® tback ® � Type of Construction: � Approx. Completion Date: I'D Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ See Back Page for Explanation DATE:.2 4, 54 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge vue STIPULATIONS: APPLICANT: Tel. CITY USE ONLY 60 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit ' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . 0o 1r"Yl�l j cl 3 -Fto 5 i cl e� I 1 qp r Q 1 ��� prope,�-rt�r i ;% 17, l'190 ' SUBJECT x City of Fridley =-,,28735 AT THE TOP OF THE TWINS BUILDING PERMIT r?CEtPT-NG—.-- `RE • COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. NUMBER REY DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ----�= �.• 612-571-3450 910-F15 112/9/98 JOB ADDRESS 6700 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Kristy Zuroski972-1767 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Steven R Lee Contr. 9465 Jryf]3g Ave 'RrnnklW-n Park 55444 424-119R 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 Xc REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (16 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 1371 .69 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 $45.75 Fire SC $1.37 PLAN CHECK FEE TOTAL FEE 1$52,81 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATEO THIS IS Y0j PERMIT s SSGNATURE OF OWNERoF OWNER BUILDERI IDATE, 13LCA INSR gAfE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: % % ®10 P1 CL C cr Legal Description: - - - Owner Name & Address: Contractor: f%�--f - � h� -..vbf/e Tel. # 2� MN LICENSE # Address: v % �-v�e 6>�-. Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Length Width Lohgth Width r Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: - - ®'6_A.�' Estimated Cost: $ 2 dx+- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: % %- `/� APPLICANT: er-1-t- Tel. # YAYi /1 I/ - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ q S7 $ 4"i $ . Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: 60 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 [ ] SUBJECT P City of Fridley 3 0510 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � ------ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.�� E 1 � _ 1 CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY ' 612-571-3450 910-F15 11/15/99 JOB ADDRESS 6700 Plaza Curve NE 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR. 22 [BLOCK 3 iRice-Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kristy Zuroski 572-1767 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X2 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 7 windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the house. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 $2500 $1.25 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 83.25 Fire SC $2.50 PLAN CHECK FEE TOTA EE 0 SIGNAT E F CONTRACTOR OR AUTHORIZED AGENT $DATE, EN R V LI T THIS ISSY U PER IT BL ,NSA GATE S,GN RE OF O dF OWNER BUILDER, IDATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUELDING PERMIT APPLICATION Construction Address: 61 () Legal Description: h'lT 27- (3L'(- ? f Rise- cy-efl Owner Name &Address: 1(v,'qFzr zvir.c 6z0Az�, Cad'A Mr- Tel. # S71-176-7 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 IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: SPrd �` p e„ Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / 1 / S APPLICANT: ::I, ' 4 (�r L j Tel. # CITY USE ONLY Permit Fee $ 6,5 o4 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 0, 1^ $.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 [ ] TOTAL STIPULATIONS: SUBJECT I City ®f Fridley 3 19 0 1 AT THE TOP OF THE TWINS BUILDING PERMIT P ` COMMUNITY DIV. 57 -V RECEIPT NO. INSPECTIONSEC. �PROTECTIVE I i CITY HALL FRIDLEY 55032 NUMBER REV DATE PAGE OF APPROVED BY -_--� ��"'T,•� L 612-571-3450 910-F15 6/13/01 JOB ADDRESS 6700 Plaza Curve NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kristy Zuroski 6700 Plaza Curve NE 763-572-1767 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace front window; Reside house; Install soffit & fascia 9 CHANGE OF USE FROM 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. Caulk and flash all exterior openings. Underlayment must meet the State Building Code. Per Section 1402, 1997 Uniform Building 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. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @@ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW $83.25 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $3.00 PLAN CHECK F TOTFEE Z/l SIGNA F CONTRACTOR OR AUTHORIZED AGENT IDATEI HEPR P L .VALIDA THIS ISY R/P2EITA EOF ER IF WNER BUILDERI IDATEI BL G INSP - - OAT[ 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: 170 � let Zq Cli/A Legal Description: Owner Name & Address: Ky- 2-t)Tel. # Contractor: we- Cx'V&-"— MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 2YA 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 Length Width S �( Height Sq. Ft. Hgt/Gr(ound Sq. Ft. >p'Ff T a 4�ytc c-1 Construction Type: _ Estimated Cost: $ ®o® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 6-[3-0I APPLICANT: t'mdso-y Tel.#-063'SW/76°% 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 $ �S� Fee Schedule on Reverse Side $ 3 oO .001 of Permit Valuation (1/10th%) $ /. S O $.50/$1,000 Valuation $ $1150 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 [ ]