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PRE 2010 DOCSCity of Fridley, NT 9927 BUILDING PERMIT Date: Sept. 9, 1968 Owner: Harold Julien Builder Stene Address 2526 Bunker Lake Blvd. Address Same Anoka, Minnesota t -ft 61 TIFIX .f i o i. 9 z, r .,.. No. 266 Street __ Rice Creek Blvd. part of Lot Lot _ _6 Block 4 Addition or Sub -Division — Ricg Creek_Plaz North Addn. Corner Lot _ Inside Lot __._ x Setback 35 ' -- Sideyard — Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dzglliug Front ___..5Z'_ Depth 26' Height — _ 2D' Sq. Ft. _ 1'152_ Cu. Ft _.-Za,-040 Garage Front 20' Depth 22' Height lo, sq. Ft _440 _ Cu. Ft 4400 Type of Construction Frame Est. Cost _ _ `�22_.,..00—_ To be Completed SEWER XIM LOCATION - Service in the rear- Stub location is at the manhole on the northeast property line. WATER LOCATION - on Rice Creek Blvd.- 158' N. E. of Manhole 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 m ance with all ons of ordinances of the city of Fridley. 14 '/ r In consideration of the payment of a fee of $ 47 . 00 , permit is hereby granted to.- _ILa 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 tune upon violation of any of the provisions of said ordinances. r, Official Building John. Breher NOTICE: 'this permit does not cover the construction, Instalktion for wiring, plumbing, gas heating, sewer or water. Be arra to we tits Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 0005-961 LOCATION OF NO. Z (, ` STREET S LOT BLOCK ADDITION OR SUBDIVISION �` CCR.'.\M LOT INSIDE LOT SETBACK 36" SIDEYARD SEWER ELEVATION TOP OF TOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location: drawn on these Certificates. To Be Used As: jpro,YWV--`10 Front DESCRIPTION OF BUILDING S -Z - Depth z �' _ Height 2-� Square feet 13S?- Cubic Feet 2 I act e 0 .4Q-� R: Front Depth Z -- Height 10 Square feet q&10 Cubic Feet Type of Construction r Estimated Cost Z 2100 0 To Be Completed VO Ax Y 5 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 representat`a s stated in this application are true and correct. P _ �i (Schedule of Fee Costs can be found on the Reverse deo) YZI 12 9-0 x y S City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location q Gl C $d TOTAL. Number Fixtures ...................... MM Z iZii� Future Fixture Opening ................ Y o� S 6' Z �� VI GG� Z U� W 0 < `Ga W �K U' Z 0p F N WATER HTR. GAS EIEC. Base A x $3.25 $ 1 x $2.00 $ 1 GAS FITTING FEES: NO. RATE 12— l 1st- 1 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer E] Cesspool ;711,11 1,11WIN ' • A KernI�pill PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ...................... x $2.00 $—�_ Future Fixture Opening ................ x $1.50 $ S New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ d Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this a ication are true and correct. Fridley, & , 19 Owner -- Kind of Building r Used as To be completed about Estimated Cost, $ Old—New. Building Permit No 7 Permit No. Y--7fo i Signer' Business Phone ROUGH t FINAL Description ........... $ TOTAL FEE $`�/' �/ az Application for Power Plants and Heating. Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR a� Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $� each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... .5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ !2 O v Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $� Dept. of Bldgs. Phone 560-3450 Location City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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. Fridley, Minn :2 19 Owner Kind of Building Used as To be completed about V 3— (o Estimated Cost, $ 6 '� ON—New. Building Permit No. �C� Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No ZA Trade Name �L'�'�- Size No o ' 0 C, O Capacity Sq. Ft. E.D.R Total Connected Load�p Rind of Fue d- -2o BURNER —Trade Name 2i1 -�� Size No i- coo Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed "4z az Business Phone No- / � �z T Original PERMIT for Power P ants and Heating. Cool - ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be nstalle ltered—repaired Make - -- - -, Sixe C) •ss� -; Oil fired ; Coal fired ; Gas fired- �—; Gas Authorization No. Remarks Approved Final Inspection 19_ Inspector Permit O -W� 402.1 Fee $ , N. 4444 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19. a Owner 1 .���x Location c--2 6 t- ` '� Kind of Builth How Occupied' Work to be Commenced ,19 -- To be Completed ,19_ Estimated Cost, $-S ° e --e Old -New, Building Permit No. Ci C? ) -7 Permission is hereby granted to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the spec; ations set forth in the approved application for this permit on file in the office of the Inspector of Buildings. a - , Inspector of Buildings 42 2M11.67V ®ems 9. ✓9 I November 13, 1970 'a. Ildrold Julian M Bunker Lake Boulevard ka, Minnesota t. _ .tr lair. Julian: rhe followisa; defects have not been corrected as of this date at 276 Rice T eek Doule;rFard: 1. 71 -Le basement vindo-w on the South still lea lks 2. '11 -ie kitchen rtazae-;e fan is not vented to outside air or through the roof. 3. The shoo7f.';t in the bacement leaks through its base into other rooms. .n The avers, Nx. & Mrs. Die -os also claim tho roof has boon lea%in,-, and a =tee and faucets are dripping,. _ DPUXIIlAs departme:,it also checked 266 Rice Creek. Boulcvard and found tact spots tlae ceiling,, appa�:ent'iy from a leak at the fireplace fl.ashiug'. Since all the above iterow mere called to your Attention before these homes were l year old, we fool. you have a. renponsibilit-y to tlae homeowners to correct t Se itelfta. Therefore, wo. request that you correct the above conditions within dazys Should'you fail to do so, we shall tag, each code violation and note all plaints and violations on your construction recol:d for future reference for the ty of Fridley, which will be taken into consideration if you should apply for a license renewal in Fridley. We would lime to. see these conditions corrected to the satisfaction of all concerned without fua:ther action being taken by the City. If you have any questions, please feel free to cull ria at 560-3450. Sincerely, AT. )). .1-1At STAT Building Official -Inspector ADB/mh CC: City En;;inoer Chief Buildin; Inspector 1@ MMEG ASCO 53-84-S-915.51 City of Fridley Appliceilan for Plumbing andG-cs. M 'Aag, Permit Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF VIORX 266 Rice Creek Blvd. b Numer, Kind and Locr.Kon of Fixtures 1'O�A� - - Future Coaaac:ka Opaninp >Sever[] IXow Fixture. Old Openinp ccrzpool o PARTIAL RATE SCHEDULE .UTMBING 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 N Water Heater 'Up to 99.000 BTU) • • • • x $3.00 WATER 'TR. GAs i� Electric Water Heater .............. a $2.00 $ AS FITTING FEES: NO. RATE TOTAL Ist3Fixtures .................. x$2.00 $ , u _ _nEG o 7 u 7 i 7 v N se -- in t411 has Gr Lil i i Future Coaaac:ka Opaninp >Sever[] IXow Fixture. Old Openinp ccrzpool o PARTIAL RATE SCHEDULE .UTMBING 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 13.25 $ Electric Water Heater .............. a $2.00 $ AS FITTING FEES: NO. RATE TOTAL Ist3Fixtures .................. x$2.00 $ , Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ........... x 55.00 S City of Fridley: The undersigned hereby makes application for a permit for the- work her ei specified, a;reeing to do all work in strict accordance with the Citi Ordinance and riling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley, Man 5-29-75 19 Owner M. H. Gallagher Kind.of Building Frame Res. Used as - To be completed about 6-5-75 Estimated Cost, $ 10.00. Old --1 Building Permit No. Permit No. Signa gg By MINNEGASCQ -- Business Mine No ROUGH ° FINAL .LPAIRS &: ALTERATIONS—Refer to Code .50 State Surcharge Install Gas Grill 5,00 .Description ... ° ...... w ............. . ► ........... . T02AL FEE S 5.50 • Iri P TNN. SUBJECT City ®f Fridley / 21598 AT THE TOP OF THE TWINS BUILDING PERMIT i , O• COMMUNITY DEVELOPMENT DIV. L'�_�_�_ r PROTECTIVE INSPECTION SEC. of NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/7/92 JOB ADDRESS 266 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 4 Rice Creek Plaza North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE BXNXNXH Ken Farber 266 Rice Creek Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Ave NE Fridley 55432 784-7543 4840 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE El REMOVE 8 DESCRIBE WORK Reroof House (23 S uares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,219 $.61 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31.00 Fire SC $1,22 STRUCTIO14 OR THE PERFO MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE lua4 OL6�---License SC $5.00 $.37.83 SIGNATURE OF CONI FOR AUTHOR T (DATE) P ERY ALID TED THIS IS YOUR PERMIT FgWHE LDG $NSP QATE SIGNATURE OF OWNER OF OWNER BUILDER$ tDATE$ NEW [ ) Effective 3/l/92 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ge�- Legal Description: Owner Name & Address:Tel. # 45 7� Contractor: D & D Home Improvement, Inc. MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 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 Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot { J Inside Lot { ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ge—Jh- ®� Estimated Cost: $1219 Approx. Completion Date: // ! � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee $ Fire Surcharge $ / State Surcharge $ - l SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ 3 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO O -33 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD ADDRESS THERI VALVI LIMIT LIMIT FAN PILOT IGNITI PILOT PRESSURE 3m 5" //4 e PERCENT CO2 9 INPUT CFH 75 PERCENT 02 bl STACK TEMP. i / ® PERCENT CO FORM 235 (REV. 11/89) v CITY OWNER INSTALLED BY MODEL `/ ,,2 d/ Q 3 E — ;7 INPUT 7..5,_019 O_ VENT SIZE TYPE OF LINER !®_AT/Qlar - r� LINER SIZE FILTERS: SIZE Aw NUMBER WIRING / TEST TAG t/ LIGHTING INST. DATE TESTED COMPANY TESTING NAME OF TESTER �6,2 JJ CHIlVMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes N No ( ) 2. Is free from rust or deterioration Yes N No { ) 3. Has no foreign objects lodged within Yes (% No ( ) 4. Is securely supported Yes (X No .( ) 5. Meets all current Code requirements for size and total BTU's connected Yes N No ( ) 6 Has total heating BTU's of�l /�, cc 0 All other BTU's `� �� TOTAL BTU's ! ! SSW 7. Has a liner been. provided for water heater Yes () No (� 8. Has combustion air been provided for water heater Yes ( No ( ) Remarks: List ALTERATIONS Being Done: k rd 54v 4) /&�2 ee C"46��A�� Y � HEATING CO: Signed By: Date: !(3 AIR CGI`.wdDgg�ITIC�,-,II G GO. „C� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Aiso Replacement Furnace (Side.Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ *Air Conditioning — All Sizes $ 25.00 41-& All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE„ 56 I4I[NJ1 UM FEE FOR ANY HEATING/ COOLINGIVENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. I• Effective On March 1, 1996 JOB ADDRESS 466 41a'' /( A &A C/ 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 Building Division, and hereby declares that all.the facts and representations stated in this application are true and correct. ®� ,1996 OWNER BUILDING USED AS��� ESTIMATED COST 4'06 ® PERMIT NO. �� �C �♦ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_Circle One (Steam) (Hot Water)arm Air -- Trade Xame Size No p ,3 -7 BTU 'Z .r-445 HP EDR Fuel_ Total Connected Load Burner Trade Nam Size No. BTU_ HP EDR HEATING COMPANY Signed Approved By SE- D G' SICK H'El,TING & Alfa CONDITIONING CO. E910 WENTWORTH AVE. SO. Rough—In Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Final Date Jo 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHMINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SuBjE& PERMIT NO. City of Fridley ��- AT THE TOP OF THE BUILDING PERMI T 2� 6. P ` T CEIPT COMMUNITY DEVELOPMENT DIV. e PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/15/98 JOB ADDRESS 266 Rice creek I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Farber 574-1947 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Peak Roofing 11506 S Oakvale Rd Minnetonka 55305 938-8150 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 O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (25 S Tear -off 9 CHANGE OF USE FROM — TO STIPULATIONS Underlayment must comply with the State building Code. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2142 $1.07 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 $74..75 Fire A $2.14 PLAN CHECK FEE TOTAL '0 L S 5 6 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 10 Ei HE PR VALIDAT IS IS YOUR PERMIT I 14�f� �/, J iNS� rj&TTTEEE ---- S,GNATURE OF OWNER ��F OWNER BWLDERL iDATE. - a NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATION � 6 ConstructionAddress: • B" /v� �— o. � � ,��� ,� � c C� � �e � Legal Description: Owner Name & Address: /'r' r Tel. # Contractor: /7�1_ 4— "e. n f ; MN LICENSE # o?ooys 3e/ Address: (f,$ -'o 6 r, A/ S_ 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: Construction Type: le.-- 0 � � Estimated Cost: $ 5-45Q, o U (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: % APPLICANT: Tel. # CITY USE ONLY Permit Fee $ �"�. %�� Fee Schedule on Reverse Side Fire Surcharge $ .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 [ ] Not Necessary [ ] TOTAL $ . STIPULATIONS: