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PRE 2010 DOCSCity of Fridley,Minn.� 11943 . 6431 University Ave. N. E'�., Minneapolis, Minn. 55432 UPERMT Date: Dec.mper 29, 1972 Owner:. R] rJiard Miller Homes Builder - SAME Address 1600 Rice Creek Road Address SAME No. _464.4— Street Rice Cr e k Road Part of Lot Lot ._.._.._.?._ _ _ Block 1 __.._... _ Addition or Sub -Division —__11 r i.8 , 1 P Corner Lot _.__ _ _ _ Inside Lot _._. X _ Setback 35, Sideyard 10 n1nd�5' )Mi*& Elevation ....._.._ 906.42 + 3.5 Riser _ KaNU#dMMElevation 909.42_Minimum Wye Top of Footing , DESCRIPTION OF BUILDING To be Used as: Dwn 11 i n ¢ -Front 4 0 ' Depth _ 261 Height 2 0 1 Sq. Ft. _L'D_0 Cu. Ft. :2.Q.. Au G ra g..e _ ._ _._ Front 2 0 t Depth 2 2 1 Height 10 1 _ _ Sq. Ft. ._4 4 Cu. Ft L , 41.0 Type of Construction — Wo o G7 F r ame Est. Cost „,$ 3 0.. 0-. 0 0 0 — Tobe Completed June 1973_ STIPULATIONS: Provide a hard surface driveway. Provide a verifying survyy be capping. Storm sewer escrow of $270.06 is due when water meter is taken out. WATER LOCATION: To be tapped. SEWER LOCATION: "Y".123' W. 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 compliance with all provisions of ordinances of the city of Fridley. �.___z $17.1i State Surcharge In consideration of the payment of a fee of $ 5 5 . 0 0 , permit is hereby granted to Richard Miller 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 ordingnees of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bu9ldiIIgs vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector ARREL CLARK NOTICE: This permit does not cover the ,construction, installation for wiring, plumbing, gas heating, sewer or water. Be sues to we the Building Inspector for separate permits for these items. Homes APPLICATION FOR RESIDENTIAL, ALTERATION. OR ADDITION .FUILDINO P'ERMI'T CITY AF FRIDLEYj MINNRSOTA � �' `'MV41wa-9mmimm ADDRESS: ADMESS &CO gIC-9 CEL -EK 12 D� �ziDtgy s Iww BLOC; L AYDDITION, 6RKePALE CORM LOT., IN IDE LOT;1 )<,K 9SETBAGRt SS-' SIMARD; /® � AfflivAmt attach vo tUtv fv=-Vo Certificates of Su_. avex of Leat and proposed w0dus location ftmn on dwsp, Certificates, 1YESCRIPTION OF BUILDING To Be DsV4 As Awe -'d I m� � , 4®` nth: S(- ` � t: Z® ` .T' Square Feet;„ /0±0 Cub% Poet; 2-0 8W t Qa C-A-dt i'rmt;, , i� („ I!- Depth, �2P Height: I0 uaraPeet 31 0 Cubic Feet: Tyles of Constructions r2A-M6 zstimted Cost: $ 7®� To to "toted; , ®1-7 3 a ■ 1 s. fto undersigned hereby mko* application for, a perp:d.t for the work herein 8popffied, Weeiug to do all Work in stftct accordance with the "ty of $ AJ,ey Ordll:pances and zutfta pf Oe Department of ButWings, mW hereby doolarev # all the facts amd representations stated la this apyllcation axe true a4 carrect, DATR; SIGNATURE: (see Rwone side yor A44it4a ai inforr4ation. ) Viand Planning s(If/* t 1Y1 H tend Surveyinq 1 Snits Testing It9 Ane. l.9 V a. a (1191RPIL/ Ing �� Munleepal EnginverlR® Engineers Surveyors v � Certificate of Survey for -7 -,;AL;�- �/ ,410 1 r 1 be 7S Mighwoy No. 6S N. 1. Minneapolis, Minn. $$432 Telephone 784-6066 Area Code 612 f 61 A1%11 LOT 2 6W KO M BRIARDALE ilr '� a4 lran monumon �-,n La Coun��i ar.G+fi ✓I'ainCll,. t UtI MN LOStrr�grlT 1 horerjy Certify that this li'a true and'correct representation of a survey of the boundaries of the above deAfibed fond, and of the location of all buildf1 thlsrett�n, and all visible tri if any, from or on said lone! As .urveyed by rare th,D , doy of e ya.-1 A D. 19!Z. 1 SUBURBAN ENGINEERING, INC. A (� tQk Tnginee,rs. Surveyors P Liu to �i ) V /! — -11 - - C,_ ,1 t e l I 15.OG be 7S Mighwoy No. 6S N. 1. Minneapolis, Minn. $$432 Telephone 784-6066 Area Code 612 f 61 A1%11 LOT 2 6W KO M BRIARDALE ilr '� a4 lran monumon �-,n La Coun��i ar.G+fi ✓I'ainCll,. t UtI MN LOStrr�grlT 1 horerjy Certify that this li'a true and'correct representation of a survey of the boundaries of the above deAfibed fond, and of the location of all buildf1 thlsrett�n, and all visible tri if any, from or on said lone! As .urveyed by rare th,D , doy of e ya.-1 A D. 19!Z. 1 SUBURBAN ENGINEERING, INC. A (� tQk Tnginee,rs. Surveyors P Liu RICHARD MILLER INC. F.IMAGINEERS June 20, 1973 Fridley City Council City of Fridley 6431 University Avenue N.E. Fridley, Minnesota Gentlemen: I would like to request a 90 day extension on 17 building permits for the following addresses. These houses are all located in Briardale Subdivision. 1616 Rice Creek Road 1650 Briardale Road 1620 Rice Creek Road 6151 Ben4amin Street 1605 Woodside Court 6141 Benjamin Street 619 Woodside Court 6131 BenJJamin Street 629 Woodside Court 1601 61N Avenue N.E. 1603 Bri*ardale Road 1611 61st Avenue N.E. 1613-Briardale Road 1621 61st Avenue 1623 Briardale Road 1b41 NNN. EE. gist Avenue N:E: Iam requesting this extension as there was a lengthly delay in originally processing these permits and at the time I felt this would not create a problem. However, there is now a thortage of ready mix concrete and concrete blocks and many of the builders have been put on certain rations of these materials. Therefore, it appears that an extension will be necessary. I hope that you have had an opportunity to drive through Briardale. I am personally very proud of the houses we have built here and I hope that you feel they are a credit to the community. Thank you for your consideration. Si and N. Miller : cs fo 786-1600 1600 RICE CREEK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA CODE 612-SUMW 1600 RICE CREEK .ROAD/ MINNEAPOLIS, MINNESOTA 321 AREA CODE 612 /786-1600 U Z LU -J J a December 11, 1974 �� City Council Y z City of Fridley 6431 University Avenue Ne E. Fridley, Minnesota 55432 e Re: Building Permits for: 1616 Rice Creek Road, 1613 Briardale Road, 1633 Briardale Road, 1608 Briardale Road, 6181 Benjamin �- Street, 6141 Benjamin Street and 1631 61st Avenue N.E. a f Gentlemen, t Please consider this letter to be my request for the placing on the agenda for the December 16, 1974 Council Meeting of the matter of extension of the building permits I have previously secured wkth reference to the above subject properties. U� I am requesting that the City of Fridley permit me to comple`.,: the construction on the above properties based on the fact that they i were validly obtained in good faith and the fact that I have commenced construction at all properties. I feel that to charge me.an additional fee for building permits again on these same properties would be an - unfair and discriminatory practice and would not meet either the spirit or the letter of the .applicable law. We have always tried to cooperate to the fullest with the City of Fridley and I hope that you agree that 1 our work has been a credit to the community. Thank you for your courtesy, cooperation and attention. Sincerely, Richard N. Miller RNM:cs cc: Darrel G. Clark Virgil Herrick Nasim Qureshi Dick Sobiech Victor P. Seiler, Attorney 'A a !?,0'P0LITAII WW rE (01I)p OL Twin GGa_s Area January 13, 1975 Darrell Clark City of Fridley 6431 University Avenue N.E. Fridley, Minnesota 55432 Dear Mr. Clark: This is 1n reference to the seven (7) uncompleted homes in Rich- ard Miller's Briardale Addition. Based on the fact that these seven (7) uncompleted homes have been hooked up to the City's sewer system, and that the build ing permits for these homes were granted in December, 1972 and. the City has extended these permits with a state sur -charge fee only, it is our opinion that the SAC charge is not applicable. Should you desire any additional ini*ormation, please advise. Sincerely, 2 thony C. G re Comptroller ACG: j cc: Richard Miller Home 1600 Rice Creek Road Fridley, MN 55432 350 METRO IOUARE BLDG. 7TH & ROBERT I T REEV IAJnT PAUL mn 551ot 612 222.8423 560-3450 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE January 14, 1975 FRIDLEY, MINNESOTA 55432 . Richard Miller Homes. 1600 Rice Creek Road N.E. Fridley, Minnesota 55432 Re: 6141 Benjamin St., 6181 Benjamin St., 1608,Briardale Rd.., 1 13 Briardale Rd..,: 1633 Briardale Rd., 61.6 Rice Creek Rd., and 1631 - 61st Avenue Dear Mr. Miller: Please be advised that we have received a letter from the Metropolitan Sewer Board dated January 13, 1975 that advises us that they are not going to require the City of Fridley.to pay the SAC charge on the above addressed homes. We are still holding and will issue to you the permits for 1631 -61st. Avenue, 1616 Rice Creek Road, 1613 Briardale Road and 1633 Briardale Road at a -cost of $60.60 which covers the State Surcharge. If you have any questions on this matter, please feel free to call me at 560-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh SUBJECT PERMIT -NQ--_ City of Fridley ® 12850 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV.�y_ iQ r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-560-3450 910-F15 1/14/75 JOB ADDRESS 1616 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 ] Briardale Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Miller Homes 1600 Rice Creek Road N:E., Fridley 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a t x 241411 nwellinct and a 201 x t Garage 9 CHANGE QF USE FROM TO STIPULATIONS Original buildi rig permit #11,943 issued Dec. 29, 1972. Storm sewer escrow of $270.06 is due when water meter is taken out. Provide a verifying survey. Provide a hard surface driveway. Provide escape windows and a P.C. Alazm and a closer on the firedoor to garage. Chimney 24" above roof within 101. WATER LOCATION: To Be Tapped SEWER LOCATION: "Y" 123' West of Manhole EPERATE PERII'41T.S REQ1,11RE_D FOR WIRING. HEATING, PLUMBING AND SIGNS, 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 _ 900 25,200 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 $31,320 $15.66 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. Paid on Original None PLAN CHECK FEE TOTAL FEE 15.66 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEV PROP(RLY Vr�A&TDTIS YOUR PERMIT INSP DA7E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEIG. N APPLICATION FOR RESIDENTIAL, ALTERATIONS OR ADDITION BUILDINQ PERMIT CITY QF FRIDLEYe MINNUOTA Mmis BUILM:' ADDRESS ADMESem Lie e- K41 S.- Vol. ADUTIONi— �C�LOT: UUME LOT; XMCKt—S-5-"-- SIDEYARD:42 A"114sat att=]% " th" f4m M!o Certificates of ' SurvgX of LQt and proposed IntlAUS jocation drwn 4m tbese Certif JcAtes, DESCRIPTION OF WILDING TO Be U4e4 As I. _&Vth V —Height: square, Feet:: '900 Cubir. feet -4 r"r 0Front: e-91 Depth ;s Height; Square Jaet; Z',� Cubic Feet:___, Tyfo Of conetructioul moi Estimated Cost: $ To " "toted; ZI 7 5" fte underoftned hereby mkos application for. a permit for the work herein spoatfW, agreeing to do all work in stt;Lct accordance with the City of WUI,W ogdUmmc" 4U4 VUt"V pf OW Departme4 9f Bujdingo, mW hereby declare# all the facts apd representations stated in this Appliciti= awe Mm gm4 correct., DATA; /'Z- 3 1-7 GJGXATUAE'—� (&W Rwcma We For v5W 0 Oz 0,L2 - N O O .. N i N , 397dV9 'S?NI'Ii3MQ a ^' V IN Land Planning land Survoying � r r 6875 Highway No. 65 N. 1. • ( Minneapolis, Soils Testing7 e �Telephone Minn. SS432 Civil Engineering `� 784-6066 Municipal Engineering Engineers& Surveyors Area Code 612 Certificate of Survey -for Oz 0,L2 - N O O .. N i N , 397dV9 'S?NI'Ii3MQ a ^' V IN BRIARDALELOT2 o U¢nolai iron monumQn� ,Ln4a Cou4j • -------Denales Dra►nate i Wility EOWMQI)l I hereby certify that this is a True and correct representation of a survey of the boundaries of the above described land, and of the location of all buildin s, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this dny of ct .at..f f A. 0. 1972_ /t� SUBURBAN ENGINEERING, INC. COIQ incl : /�0 QQ Engineers �y �f Surveyors f 4 byf, , c.�r , G�- -�'� .Q_ O BRIARDALELOT2 o U¢nolai iron monumQn� ,Ln4a Cou4j • -------Denales Dra►nate i Wility EOWMQI)l I hereby certify that this is a True and correct representation of a survey of the boundaries of the above described land, and of the location of all buildin s, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this dny of ct .at..f f A. 0. 1972_ /t� SUBURBAN ENGINEERING, INC. COIQ incl : /�0 QQ Engineers �y �f Surveyors f 4 byf, , c.�r , G�- -�'� i+ n rF r W I 8 H IN a� .I I t� i ® K K H U rp M ® d tl rl ' y V �1 N .5 L) 0 td n to w7 °O z z 4 hLn r ` ww �v t ON m Ln Rh,L u g 00 r 04 co �i M � Lam• � � � � ! � � x ill co�ro rd W b �w z F. I to O c nc4 E C9 ca E `6 a, g3 m 06 v h Cc Cc G se f- w O u H C4 8 H IN a� .I I t� i ® K K H U to 8 H IN a� .I I t� c4 ® K K H U z4 M City of Fridley Ap-11C ezmm for r"02=wUng c3d C -M ru-;Ima i9r,='t Npt. of Bldgs. 'Phone M, 450, DESCRIPTION OF WOnX Number, Kind and Locollon of Fixtures 6-52 • Futuro Com."flou Oponings Bawer Now Fisrkurv. Old Openings Cesspool 0 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 City 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, Zey, Owner Kind of Building Used as or_ - To be completed about PARTIAL RATE SCHEDULE 'Estimated Cost, QW—New. B . uilding Permit No. PannitNo PLUMBING FIXTURE RATES: NO. RATE TOTAL e Number Fixtures .................. x $2.00 $ Q Signed j -W, Future Fixture Opening ............ x $1.50 $ By New Fixture Old Opening x $1.50 $ Business Phone No Catch Basin ....... ....... x $3.25 $ Water Heater (Up to 99,000 BTU) .... x $3.00 $ -3-oc) New Ground Run Old Bldg. X $3.25 $ ROUGH--- Electric Water Heater........... z $2.00 ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures o ....... t.. x $2.00 $ a UCS Additional Fixtures x 6 .75 $ Gas Range to 199,000 BTU.. . X $5.00 $ REPAIRS &r ALTERATIONS—Refor to Code .50 State Surcharge .Description TOTAL F= t -a2- �-SD o WATER WTR. GAS ELM Base 2nd 3rd 4th • Futuro Com."flou Oponings Bawer Now Fisrkurv. Old Openings Cesspool 0 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 City 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, Zey, Owner Kind of Building Used as or_ - To be completed about PARTIAL RATE SCHEDULE 'Estimated Cost, QW—New. B . uilding Permit No. PannitNo PLUMBING FIXTURE RATES: NO. RATE TOTAL e Number Fixtures .................. x $2.00 $ Q Signed j -W, Future Fixture Opening ............ x $1.50 $ By New Fixture Old Opening x $1.50 $ Business Phone No Catch Basin ....... ....... x $3.25 $ Water Heater (Up to 99,000 BTU) .... x $3.00 $ -3-oc) New Ground Run Old Bldg. X $3.25 $ ROUGH--- Electric Water Heater........... z $2.00 ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures o ....... t.. x $2.00 $ a UCS Additional Fixtures x 6 .75 $ Gas Range to 199,000 BTU.. . X $5.00 $ REPAIRS &r ALTERATIONS—Refor to Code .50 State Surcharge .Description TOTAL F= t -a2- �-SD 560-3450 C.t of �� �� ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 25, 1974 FRIDLEY, MINNESOTA 55421 Cert. Mail #521764 1 Second Mailing November Sr 1974. Richard Miller Homes 1600 Rice Creek Road Fridley, Minnesota 55432 Dear Mr. Miller: This office thanks you for submitting as -built plans for 1611 -61st Avenue, the same being Lot 24, Block 3, Briardale Addition. A check of our records indicates that no final inspection has been approved for this building. Our inspection report #31,790 made on February 2, 1974 shows an inspection card was posted stating, "Occupancy not permitted until inside railing on winding stairway approved, contact Inspection Department." We are putting one of the new plans in our files and returning the second copy to you with notations.on the stairway that explain Code requirements. Tie are also returning the plan you first submitted for this lot. We also at this time are giving you written notice that building permit numbers 11,950, 11,941, 11,947, 11,948, 11,943, 11,953, and 11,938 are now null and void. (1) Permit Number 11,950: was issued for 1608 Briardale Road, the same being Lot 15, Block 3, Briardale Addition. The permit was issued on December 29, 1972 and construction was held up by the City until January of 1973. To date nothing has been done that would constitute the start of construction, thereby rendering the permit void. (2) Permit Number 11,941: was issued for 6.81 Benjamin Street, the same being Lot 17, Block 3, Briardale Addition. The permit was issued on December 29, 1972 and construction was held up by the City until January of 1973. To date however nothing has been done that would constitute the commencement of construction, thereby rendering the permit void. (3) Permit Number 11,947: was issued for 6141 Benjamin Street, the same being Lot 21, Block 3, Briardale Addition. The permit was issued on December 29, 1972 and to date nothing has been done that would constitute the start of construction thereby rendering the permit null and void. (4) Permit Number 11,948: was issued for 1631 - 61st Avenue, the same being Lot 26, Block 3, Briardale Addition. The permit was issued on December 29, 1972 and to date nothing has been done that would constitute the start of construction thereby rendering the permit null and void. Richard Miller Homes October 25, 1974 Page 2 (5) Permit Number 11,943: was issued for 1616 Rice Creek Road, the same being Lot 2, Block 1, Briardale Addition. The permit has issued on December 29, 1972. Our inspection records indicate that the footings were poured on or about September 21, 1973. Since more than 120 days have elapsed since any visable construction has occurred on the home, the City has no choice but to declare the permit null and void. Since this basement has been legit open and constitutes a life hazard, you must fence the area off so that the basement is inaccessible to the public. (6) Permit Number 11,953: was issued for 1613 Briardale Road, the same being Lot 6, Block 2, Briardale Addition. The permit was issued on December 29, 1972. Our inspection records indicate that the footings were poured on or about August 13, 1973. Since more than 120 days have elapsed since any visible construction has occurred on the home, the City has no choice but to declare the permit null and void. The basement on this lot must also be fenced to prevent the probability of an unsuspecting person from walking and falling into the basement. (7) Permit Number 11,938: was issued for 1633 Briardale Road, the same being Lot 8, Block 2, Briardale Addition. The permit was issued on December 29, 1972. Our inspection records indicate that the footings were poured on or about August 8, 1973. Since more than 120 days have elapsed since any visible progress has been made on the home, the City has no choice but to declare the permit null and void. The basement on this lot must also be fenced.. We would appreciate your prompt attention to resolving these matters. If any questions or problems arise from this letter, please feel free to contact me at 560-3450. Sincerely DARREL G. C' •?K Community Development Adm. DGC/mh 560.3450 co i {� ® irt��e v ANOKA COUNTY 6431 UNIVERSITY AVENUE NE November 14, 1975 FRIDLEY, MINNESOTA 55432 Richard Miller Homes 1600 Rice Creek Road Fridley, Mn. 55432 y Re: Final Inspections at 1605 Briardale and 1616 Rice Creep Road Dear Sirs: Final inspections were made on November 13, 1975 of the above addresses.. The following items were noted and must be completed before the two structures can be finaled out: 1608 Briardale.Road 1. Install handrail on winding stair. 2. Complete firewall near front of garage. 3. Repair roof sheathing.zoaa..garage roof m 4. Provide a very fyin j survey- 1616 urvey.1616 Rice Creek Road 1. Install handrail on stair.from basement to garage. 2. Provide a verifying survey. We will expect all of the above items to be completed by December 1, 1975. If any problems arise that will prevent you from completing these items by that time, please contact us. Reinspections will be conducted on or about December 1, 1975 to determine compliance. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh • ' S3-81�_-991551i�l�' Ofidl-`I _ ' ��9�.L10�i1019 Ue�''� �ifl�;`�:i � �,,1Wt ��'`� U l�;i•� r'c-Te Dopa. of BldQz. Phone =- -3460 DESCMPT1011 0: WOr-r: L, 1616 Rica C (-, R xumb� ;s. Vii: d Tad Lc -co=lon of Fixtt ras. . r� �Mn K0. RATE Q Ix K o .� z x $2.03. — Nurr.ber Fixtures • . • • • • • • i • • • • • • • .r.+�— �� E 7:r 1 x $1.50 S -• By ntur a Fixture Opening ... • • • • • • • • , Busin��•.s Phs:.e�_N ew Fixture Old Opening....... • • • .-•------ 1;; I ins -a1.-fa—ill x$3.25 $ 2:.'. EL Catch Basin ................... • 3:d Water lfeater 'Up to 93.000 BT1Jt • • • • ---- x :3.00 S ROUGH • S.h - cc,=, t:sd �ifz • FL'`...'0 CG^r.'.z::..:-J Com: Fi , • * )4,,w Fixmro. Old Cies: scs PARTIAL, RATE SCHEDULE wAr(. WTx. City of Fridley: O 0 N cis rue, The undersigned hereby srakes.strict for a permit for tht• aorlc en Specified, a� Being to do all «crk .`.. acco:'darce with tFe Cit;t 0:'dLn: and ruling of the J)%,partrnent of Build.'nr-, and hereby declares that all the f: • and represertations state,•! to =':is applic2tion are true and c -Met' • r ridley, Man 5-19-76 1g- Owner Ronald Li.nrnan ' Kind of Building f'ram. uccraz C] Used as c.cw.2001 cl �-19-76 To be completed about Estirnat.ed Cost, $ 10.00 paroEI N,a. Old --:NM. Building Permit No. - LU:d8I110 FIXTWE RATES: K0. RATE TOTAL SiZncd x $2.03. — Nurr.ber Fixtures • . • • • • • • i • • • • • • • .r.+�— �� x $1.50 S -• By ntur a Fixture Opening ... • • • • • • • • , Busin��•.s Phs:.e�_N ew Fixture Old Opening....... • • • .-•------ X $1.50 S!__ M �ECASCO x$3.25 $ Catch Basin ................... • . Water lfeater 'Up to 93.000 BT1Jt • • • • ---- x :3.00 S ROUGH • • N.ew Ground Run Old Bldg....:... • _------- x :1.25 S�------- E:rCtr'4 Malar Y.&atar. .....:..... s $2.0.3 3 FINnL ✓- /ef° 7,�-�..,� - NO. R^+TL, TOTAL , ' 2 TTING MS. S :Z x S2.0 S - Ist 3 Fixtures .......... ...... ----- x $ .75 S ' jkdditi.;nal fixtures ............... ---- Gas R•:: ae to 193.000 BTU ........... ----r-•--- x SS.CO S -r------- , • 50 State Su.rCha: ge AL T ERATIOXS--P.afor to Code(. - J� ' TOTAL TIM City of Fridley SUBJECT PE - ®r 17 6 0 6 AT THE TOP OF THE TWINS BUILDING PERM I T r RECEI COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r I � , CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/11/84 JOB ADDRESS 1616 Rice Creek Road N.E. 1 LEGAL LOT NO. 2 BLOCK 1 TRACTOR ADDITION SEE ATTACHED Briardale Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M. Schmidtz 1616 Rice Creek Road N.E. 3 CONTRACTOR MAIL ADDRESSZIP PHONE LICENSE NO. Mi.lbrandt Construction 5835 St. Albans Court N. Sho eview. 483-3965 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 8 DESCRIBE WORK Install bow window in living room, bay window in bedroom, Addn. to Living Area (80 sq. ft. j 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved 7/10/84 by City Appeals Commission. G WA'RI SEPERATE PERMITS REQUIRED FOR WIRING. diding call loop �5 Before GAS FG. HEATING. PLUMBING AND SIGNS. TELEPHONE - By LAW REQUIRED 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 $3 050 $] e 53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE PR CANCEL THE PERMIT FEE SACCHARGE OVISIONS OF ANY OTHER STATE OR LOCAL LAW R ATING CON- $44e 50 S RUCTION OR THE PRFORMANCE OF CONST N. PLAN CHECK FEE TOTAL FEE $11.13 $57.16 S NATURE F C NTRACTOR AU O IZE A ENT - (r) WHEN PROPERLY IDATED THIS IS YOUR PERMIT BLDG INSP +-, DAT SIGNATURE OF OWNER OF OWNER BUIL DER) 1 TEI I NEW [ ] City of Fridley ADDN. �R-1 AND R-2 I ALTER. Building Permit Application Construction Address: e 4 Effective 4/1/84 Legal Description: Owner Name & Address: ` Tel. # �� Contractor: Tel' # Address:, LIVING AREA: 0k1hM AREA: -12E 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 ___ /Z Length __.cam-- Width Height_ Length Width_ Hgt/Ground Corner Lot [ ] Inside Lot Ft. Yd. Setback Type of Construction: Approx. Completion Date: 402,,�cwegl z 3,03®• � � Sq. Ft. Sq. Ft. I Sq. FtA x Side Yard Setback Estimated Cost: $ —VPT�� it0. ®0 Alt. A f o Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: '% APPLICANT: Tel. -3 CITY USE��Y Permit Fee $�_ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ , j $.50/$1,000 Valuation SAC Charge $ ®" $425 per SAC Unit Park Fee $ .000!= Fee Determined by Engineering Sewer Main Charge Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: A SuBJECT PERMIT I City of Fridley 21894 AT THE TOP OF THE TWINS B U I L ®I N P E R M I T i � RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/4/93 JOB ADDRESS 1616 Rice Creek. Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Schmitz 1616 Rice Creek. Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jansick mac. 6480. Square Drive NE, Fridley, MN 55432 574-9679 8618 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 8 DESCRIBE WORK Construct a. 16161.1 x 14k Three Season Porch. Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING lor cBefore aigBiAg '.�a�ns e11 utilityObl� Y-A11: REQUIRE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 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 $5,384 $2.69 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE r DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81.00 lore SC $5,38 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5,00 $94.07 SIGNATURE OF 00 TRACTOR OR AUTHORIZED AGENT (DATEI r. WHE RLY LIDATED THIS IS YOUR PERMIT B G INS OAT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) A NEW t ] ADDN [ ] ALTER [ ) Effective 1/1/93 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 gZ� Building Permit Application Construction Address: % �_ / �_� E C_ ,P E �/c %2c�= Legal Description: Owner Name & Address: ng le Tel. # Contractor: J t?5 i c k � /IAC MN LICENSE # 0 © o - eF6 If Address:Qu, rn # `� �— �� 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 11.P' 6, Width Height Sq. Ft GARAGE AREA: Length Width Height Sq_ Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 2 _S Comer Lot [ ] Inside Lot kj Ft. Yd Setback Side Yard Setbacks Type of Construction: Eiefism z�7- Estimated Cost: $ Approx. Completion Date: �Tu l V 15-, Lq 9 3 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: -Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow $ C9/ O'n Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side _001 of Permit Valuation (Inoth%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT NO. City of Fridley 21 219 31 AT THE TOP OF THE TWINS BUILDING PERMIT ._ PTW6. RECEf _ COMMUNITY DEVELOPMENT DIV. �0 PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/33 JOB ADDRESS 1616 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 lariardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Mary Schmitz 1616 Rice Creek. Road NE 571-•5245 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Woods Construction Co, 7728 Knollwood Dr,.Moun(i% View 55112 786^2321 8783 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (23 Squares)- 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Provide adequate attic ventilation, Roofing can be the 2nd layer but not the 3rd. Install smoke detectors as. per URC 1210.- adjacent to all sleeping areas. and in basements TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION l 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 $1,242 $,62 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31,00 lore SC $1x24 S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE d License 5C $5,00 $37.86 SIGNATURE OF CMTRACTOR OR AUTHORIZED AGENT 61 IOATEI WHfffN ROPER VALIDATED THIS IS YOUR PERMIT SIGNATURE OF. OWNER IIF OWNER BUILDER) IDATEI B OG INSP GATE NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2'20 State Surcharge Building Permit Application Construction Address: SAC Charge Legal Description: $750 per SAC Unit Owner Name & Address: Tel. # �2�9 l Contractor: j k - CoL- MN LICENSE #, (? 2 Address: -i i S (�° 1f1' W11Je ,1,0h1 _ Tel. # J Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF HAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length WiUh Height Sq. Ft. DECK AREA: )Width HgdGround Sq. Ft. OTHER: bm-6 Corner Lot. [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Type of Construction: ' � �& l / -- Approx. Completion Date: lfaal 1 (Cost on Back) Driveway Curb Cut width Needed: Ft. + 6 Ft = Ft x $ M91 DATE:/ 3 APPLICANT: �� /" Tel. # ��� Permit Fee $ 3/, on Fee Schedule on Reverse Side Fire Surcharge $ /,,2// .001 of Permit Vahiation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �' ��' STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �} JOB ADDRESS _1601(P iar l°r �d . RATE SCHEDULE Ailrjj �� ,, `_ Se_Am d �2, OWNER _hg I Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ I > 1 (Side Vent - Fill Out Back) ESTIMATED COST PERMIT: NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load bk-q(th- - X30A1YbW All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and _ representations stated in this application are'true and correct. TOTAL FEL" $ 13LMNE HTG. A, C QCT., INC 13562 CENTRAL AVE. ME MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEAT N CO `,i AI�OKA, ":91V5504 CONDITIONING PERMIT IS 25.00 PLUS THE $.50 STATE SURCHARGE SigneJk1WA"__ DATE r I5-g9 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough-In Date Final Date/ jl written permission from adjoining property owner. FILL OUT BACK SIDE FO STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: C11D4NEY 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 O No ( ) 4. Is securely supported Yes O No ( ) 5. Meets all current Code requirements ;for sizer. _. 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: SUBJEtr PE R City of Fridley 3 0 3 22 AT THE TOP OF THE TWINS BUILDING B U I L D I N G PERMIT r i � RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L------ INSPECTION SEC. 6� f � PROTECTIVE 1 -'1CITY HALL FRIDLE`1 55432 " NUMBER REV DATE PAGE OF APPROVED BY 1 '� 612-571-3450 910-F15 10/4/99 JOB ADDRESS 1616 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin $ Barbara Schmidtz 571-5245 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO North Central Bldrs. 7401 42nd Ave N New Hoe 55427 533-6168 3763 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 ) REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage - vinyl 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 `P7874 $3.94 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $153.25 Fire SC $7.87 S TI R THE PER MANCE OF STRUCTION PLAN CHECK FEE TOTAL FEE License S $5.00 $17/.06 IGNATU OF CON'RACTOR OR AUTHO iZED AGENT (DATEi ._ OPE MBLONSP' Y - LIDATE IS IS Y/O//UDR P/E/R�A'IT " L +LC/_ 4� 0411 S-GN4TURE OF OWNER ,iF OWNER BUILDERI IDATEI NEW ADDN ] _ Effective 5/10/99 [ l CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �o Construction Address: �� „� '� i� Eg�-�Li > Legal Description: Owner Name & Address: tUj,p,Q�; ,�,�ol�Ek �t�� Contractor: STN CL&- 2� i i E g �, MN LICENSE # Address:�I-= t4o pWe. � � t�.l AC4-x--- 574 I Tel. # L2l- 5 �` L � 4 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: �7,k,F-,f-- _\jt i�SyL� Estimated Cost: $ DL4 90 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ 15.9 DATE: tr-)14-1,Aci_APPLICANT: �w C &IOZ WDL. __ 'moi Tel. CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ -7.S-7 001 of Permit Valuation (1/10th%) State Surcharge $ ;*- $.50/$1,000 Valuation SAQ Charge $ $1050 per SAC Unit License Surcharge $ S:,.�Q $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: