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PRE 2010 DOCSCity Of Fridley, Minn. BUILDING PERMIT Date: ......9- .d ....-. ..- e.. . owner ....................................... Address ...................................... N® 3415 Builder ..... .. zee.l. ........... Address ............................................. L� LOCATION OF BUILDING No. .. ?... street. �1✓4;'� .. fir, . Part of Lot ... ......... . Lot ...... .. .... Block ... �3 ........... Addition or Sub -Division A -A -e . 40 ... -f o F or Corner Lot ............ Inside Lot A.......... Setback Sideyard .. � � � .�.............. . DESCRIPTION OF BUILDING ;Zue-sv�--, ... Front '. 3." Depth RIC . 7'(0 Height . / 9 :®® Sq. Ft. /104.. ( Cu. Ft. 0.7 P0.,P?,6- .................... Front ........ Depth ......... Height ........ Sq. Ft......... Cm Ft. ........ Type of Construction ................... Bst. Cost,/. . :1!1�..... To be Completed ................... In consideration of the issuance to, me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set for and in�ee�np a e with all provisions of ordinances of the city of Fridley. j /tel/ �✓%..-.. �.�,.`. �....................... � . 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .. ...... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City of Fridley, Mime s s ■ e BUILDING PERMIT N° 5465 Date: Owner: Builder- Address uilderAddress _ _ _ _ _ __ _ __._ Address OCA N OF BUILDING _J _ - _ ._ ._ Part t Shee A - �. - 9 Lot r _ _Block _ __ ddition or SUb-Di Corner Lot __ _ _.._ Inside Lot _ _ _ _.' tback Z* .:. *! ideyard __ _ _. Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Us as• nt Depth Height, . Sq. Ft. Cu. Ft. c ' n Depth'Height Sq. Ft. _ _ Cu. Ft. _. Type of Construction __ iC ;- Est. Cost7e"- -- To 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. t 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 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 viola any of the provisions of said � ordinances. .. A.. � Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas nesting, sewer or water. Be sure to we the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner> , Builder Address Address LOCATION OF BUILDING No.4Street r�-�� Part of Lat Lot a Block Addition or Subdivision Corner Lot _,___.,,,Inside Lot +Setback Side -Yard SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING 0 0 e Sq. Ft. Cu. Ft. T ® 0 "--A+ � nem+�, t� � Woi :k+ Sq. Ft. Cu. Ft. Type of Construction,Estimated Cost (Yf To be Completed 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. (A Schedule of Fee Costs can be found on the Reverse Side.) City ®f Fridley, Minn. N° 8164 'BURDITS PERMIT Date: July 9s 1965 oma: Orval Johnson Builder Vyrum Constr. Bros. Address 604.Rice Creek Terrace Address 8815 Mississ%i,,+ Blvd. N. E. Mnls., 33 LOCATION OF BUILDING No.60_ street Rice Creek Terrace part of Lot Lot 5 �_ Block 3' Addition or Sub -Division Rice Creek Terrace Plat 7 Corner Lot Inside Lot __ Setback __ _ Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: One 7F—OBUy Dwell . Front — 52 Depth 25, n Height 20 Sq. Ft 1026 eu. Ft 26 ��0 Front Depth Height Sq. Ft. Cu. Ft Type of Construction Est. Cost — $17 P 500.90 - To be Completed New House, basement existing 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 abovesed forth and in compliance with ill provisions of ordinances of the city of Fridley. I _ n In consideration of the payment of a fee of $ 27.00 permit is hereby granted to Myrum Bros. Conste 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. Allen Jensen Building Inspector NOTICE Uh peewit don not eoner the construction, haftWon for whdeg, plumbing, gas hating, :ewer er wafer. Be sues to ass tho BWMb* fmpnfor for separate PMWft for thus ftnM APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ,. BUILDER ADDRESS�� ADDRESS LOCATION OF BUILDING NO, STREET �t�. � ��� PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION i-�-��� z' ,� swo _ CORNER LOT INSIDE LOT_�(_SETBACK -7 SIDE._YARD SEWER ELEVATION FOUNDATION ELEVATION 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: Front DepthWgL,6 ,.Height Sq. Ft.Cu. Ft. Front Depth Height` Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed 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 BuildipgA, and hereby, declares that all the facts and representations stated in this application are true and correct. 01 (Schedule of Fee Costs can be found on the Reverse Side).. SUBJECT PERMFT #NQ,_4 City of Fridley 23233�) AT THE TOP OF THE TWINS BUILDINGr PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED B 612-571-3450 910-F15 3/16/95 JOB ADDRESS 604 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 5 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Renee Johnson 604 Rice Creek Terrace NE 571-6828 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 X B DESCRIBE WORK Reroof House (16 Squares) 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 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $880.00 0 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 $23.00 Fire PLAN CHECK FEE TOTALFEE SIG RE OF CONTRACTOR RA�UUTHOORRIZEEDDAGENT IDATEi A` WHEN -SA 0 RLY ALIDATE .JHIS IS YOUR PERMIT SIGNATURE OF OWNS R0 WNER BURDERi (DATEi BLOGa�" DATE NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: (00 y-/� 2,'� ' �fA ce Legal Description: �l�a►�� Tel. Owner Name & Address: �lOd� SDey Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length Length n A/- „_._. Width Width Width . 16 Scxws Tel. # Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. '�2' n ( CI Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 00 Type of Construction: Estimated Cost: $ ac 30- Approx. Completion Date: _ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3' I � - 9 S APPLICANT: Tel. #� CITY USE ONLY Permit Fee $, 00 Fee Schedule on Reverse Side Fire Surcharge $ c�jC� .001 of Permit Valuation (1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $850 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 $ �' Cl) STIPULATIONS: M SUBJECT P City of Fridley 2 AT THE TOP OF THE TWINS BUILDING PERMIT L -------COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/26/96 JOB ADDRESS 604 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 3 Rice CReek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE REnee Johnson 604 Rice Creek Terrace NE 571-6828 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Home Products 3770 W Broadway, Robbinsdale MN 55422 521-9211 2332 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 �l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Ventilation to be installed to 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 1 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 @ $.74 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `1 '1,'4'71 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- $48.50 Fire SC $1.47 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F E TAL FEE ®d L e e SC 5.00 17 $55.71 SIGNATURE OF CONTRACTOR OR AUTH RIZED AGENT (DATEI ENP RLY LI c ED THIS IS YOUR PERMIT SIGNATURE OF OWNEROF OWNER BUILDER) IDATEI SLOG I P BATE M NEW t l ADDN [ ] CITY OF FRIDLEY ALTERO SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: (/, kice— 0 Ll - . C-kee,l\ Legal Description: Owner Name & Address: Contractor: Address: 5`77 o - Effective 1/1/93 Tei. #_ 577/- C,92,7 MN LICENSE #233,2 Tel. # _ Z /- 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: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: j'a �1 � � e : .Estimated Cost: V-0/. e Approx. Completion Date: 7-/tr - '?� Driveway Curb Cut Width Needed: Ft. DATE: d� APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: (Cost on Back) +6Ft= Ft $ =$ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) Tel. $.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 [ l SUBJECT City ®f Fridley 2624 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 tr PROTECTIVE INSPECTION SEC. I `/%� �//•- NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/15/98 JOB ADDRESS 604 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Renee Johnson 604 Rice Creek Terrace NE 571-6828 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 ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off; Reside three sides of house & garage; Replace sottit & fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Install building wrap and call for inspection of same. Install soffit ventilation to meet the State Building Code. Provide smoke detectors to meet the State Building Code - in all sleeping rooms and on all levels of the dwelling. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,968 $2.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $112.25 Fire SC $5.97 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL/1E $/X1.20 NA URE OF CONTRAAROR ZHORIZEDLAGENT. /ID�ATjE(I� ENrROPWYKALIDATED BL INSP IMIS IS YOUI PEfR/M/yT BATE SIGNATURE OF OWN IF OWNER BUIL DERi (DATE I NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT ipl'f �b ConstructionAddress: � _ /zzA6-, F Legal Description: Owner Name & Address: �}� s fy/�� )�o�l Tel. #' Z/- Contractor: ccvk7'Ee MN LICENSE# Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. AP � OTHER: �s rnnI- A3i fsF -aart< �6�sre ,�3-r[S�S l ��� =/)A n a 9�Construction Type: Sr"�� Estimated Cost: $ (Fee Schedule ac) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: C 1 S APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 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 [ ] 0i 1 SUBJECT PER City of Fridley 2331 AT THE TOP OF THE TWINS BUILDING PERMI `L ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY i _ '���'� CITY HALL FRIDLEY 55432 __-• L J\ 612-571-3450 s 110/20/98 JOB ADDRESS 604 RX) AxIm Rice creek Terrace NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR, 5 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Renee Johnson 571-6828 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 9199 Central Ave NE Blaine 55434 717-0700 20093688 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 O NEW O ADDITION O ALTERATION (Rx REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 6268 $3.13 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 $124.75 Fire sC $6.26 PLAN CHECK FEE TOT L FEE Lice C 5J 9.14 SIGN A TUBE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI E PR VALID TE HIS IS Y/O`U,R P MIT SL G INSF' MVV/ nAtE S,GNATURE OF OWNERIIF OWNER BUILDERI IDATEI 1 -•-�•• ` , r.�recnve uu5►2S ADDNI - - .'_Cr -ZF FMI" - ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: s-0 Legal Description: ' f Owner Name & Address: k e���c Phil 1�L11 Tel. # /3- 1-L11 �o j Contractor: SeOd C --7a ard. Sy -de m s MN LICENSE # o�aoq 3l0 �� Address: g I q9 C. -ni Ya- I AVf- NE, "B 1 CL i n t, 55I 3L) Tel. # rll rl- O r W 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: 'S L �� Estimated Cost: $ � q LEl (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: $ C) Tel. # 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 [ /.39- lel S YS7� L V1( �zn "�OtfgiggTeStorms' * SGS October 15, 1998 City of Fridley 6431 University Ave. N.E. Fridley, MN 55432 Attn: Ron Dear Ron: Here is the additional permit fees for 860 66th Ave., 604 Rice Creek Terrace, and 6949 Hickory. I had to do separate checks for each so our records will be accurate. They do total $58.90. Thank you, %1AAA AAUADK41- Sherri Gerardy Administrative Manager Enclosures Phone: (612) 717-0700 Fax: (612) 717-4166 9199 Central Avenue NE * Minneapolis, Minnesota 55434 Lic.#20093688, Bonded and Insured