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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date. .. .,,.�_._ .w..._...� ..... .._.._.._ _._.__ Owner: Street . _..s . "�'" .�' °` ..�;,rp►,. �,,.�:.�.;,__�,._,.� �`�-:--.,►-� Part of Lot F ..._ _.._ r._.... Lot ...__.. -.. Block ...__...�...................... Address .+1- _.y�' a. Corner Lot ................................. Inside Lot_....... . Setback . ' ..d .............. ........ Sideyard ....._.. t':... ?............................................... ,T "'T .................. _... ! _ _ _ _ _ ......... ._:.. _ ...._.... _.......... ffff `, Sewer Elevation ................ ............................................................... _-...._...... Foundation Elevation DESCRIPTION OF BUILDING To tae Used a / '4 Front._... De th ..:: r.. F g^:... '�... Sq. Ft. i%_.. Cu. Ft. v - -. p ...1 Hei ht �.. F� ,o± *t . Depth .. rieight ..... Sq. Ft. ..,, ,.... Cu. Ft.. =... Front . .'::: .. -� .%.... Est. Cost. .. tee_ ."'...'"`"° To be Completed ............. _... _....---....._. Type of�&nstruction C&UTIO THIS PERWT DOES NOT AUTHORIZE VI10'LA7 ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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 $.....---_----, permit is hereby granted to....._....... - _. _.__._...._.._.._...._.._:._._._....... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _1�1 Iz1 `2" J o .:$wilding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. LO CATIO OF BUILDING No ,z. Street . _..s . "�'" .�' °` ..�;,rp►,. �,,.�:.�.;,__�,._,.� �`�-:--.,►-� Part of Lot F ..._ _.._ r._.... Lot ...__.. -.. Block ...__...�...................... .. Addition or Sub-Divisioth :.f.." .+�".:.:,. �: :....... Corner Lot ................................. Inside Lot_....... . Setback . ' ..d .............. ........ Sideyard ....._.. t':... ?............................................... Sewer Elevation ................ ............................................................... _-...._...... Foundation Elevation DESCRIPTION OF BUILDING To tae Used a / '4 Front._... De th ..:: r.. F g^:... '�... Sq. Ft. i%_.. Cu. Ft. v - -. p ...1 Hei ht �.. F� ,o± *t . Depth .. rieight ..... Sq. Ft. ..,, ,.... Cu. Ft.. =... Front . .'::: .. -� .%.... Est. Cost. .. tee_ ."'...'"`"° To be Completed ............. _... _....---....._. Type of�&nstruction C&UTIO THIS PERWT DOES NOT AUTHORIZE VI10'LA7 ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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 $.....---_----, permit is hereby granted to....._....... - _. _.__._...._.._.._...._.._:._._._....... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _1�1 Iz1 `2" J o .:$wilding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING -PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name - '�-� BuiI der Address Address LOCATION OF BUILDING. No. Street Part of Lot Lot _Block Addition or Sub.Div. �p Corner Lot Inside Loi Set Back -� Side -Yard I 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: _Front 4LI Depth ight ®' Sq. Ft.Cu. Ft: Front / Depth :. 2::�,. Height. f t::� Sq. Ft. Ga Ft. Type of Construction Estimated Cost To be completed The undersigned hereby Makes application -for a;petmit 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 representa- tions stated in this application are true anrrect. -a DATE S i & � . _ SIGNATURE .2r/- (A Schedule of Fee costs can be found on the Reverse Side.) Application for Power Ptants red Heating, Cooling, Yontilaftn,Rofdgoratioe and Air Conditioning Sys rad Dovicot PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL. Furnaee Shell & Duct Werk ............... $10.00 $— Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 600 $ Repairs & Alterations each add. $500.00 3.00 $__-_- MECiL WARM AM 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) ... &00 $ over 199,000 BTU See Fee scheme GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . x$ 7.00 $ Additional Fixtures x .7 $ Gas Range to 199,00 j; ®R s . x= &00 = AIR COL®ITLONII[G ovu �h4ko i FAN HEATING SYSTEM Soo Fee Selredula v ITILATLNG SYSTEM e ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH Dept. of Bldya. Phone 6604M City of Fridley: 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. ry Fridley, Minn- . 19 !� Owner :9 Kind of Building ��_ '�►'� Used as --_(„L,!_ I----1-_� To be completed about 73 Estimated Cost, $-.&5;-0-0-- 1-lark 61d New. Building Permit No, Permit No. --5-6 DEdCAIPTLON OF WORE HEATING or POWER PLANTS --,Steam, Hot Water, Warm Air—No Trade Name Size Na - Capacity Sq. Ft. ED R BTU Hp. Total Connected Iaad Kind of Feet BURNER — Trade Name Size Nn- CePadt]► Sq. Ft. E.D-R- BTU Mr. .d - - Ifir. By 7/Z) Buds Phone No. ® / 'A (11EMARRf—OYER) pl� SUBJECT - PER MIT . City of Fridley 17284 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. C 0 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/12/83 JOB ADDRESS 820 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 4 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Frank Canons 820 Rice Creek Terrace 571-1961 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Craig Tellers Const. 19360 Norfolk, Elk River 441-3828. 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 JJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a Ti x 23" Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Providea hard surface driveway, Before digging call local utilities PCXR WIRINIG:- TELEP14NE- ELECTRIC -GAS Etc, SEPERATE PERMITS REQUIRED REQUIRED BY LAVA 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$`] �8rj8 $„93 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 PROVISION ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31.00 rRUCTPN ORJ rHE PERFO 77Z�,/� PLAN CHECK FEE TOTAL FEE ///- $31.93 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL, VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DATE pl� Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING Pc(viITS (New, Alterations. Additions$ or Repairs) OWNER: ADDRESS: D �i ' � �1- �� , TEL 90: 322 — l (-- t • STRICT NO: U STREET: (�ci c C r 5 BUILDER: ADDIESS: V'13 6 6r: FG TEL 110:% 3 �� onstruction Locatio LOQ � BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF MINIMUMS 161 %/. '1z� qIj,Front: Depth: -3 Height: Square Feet: Cubic Feet:j��-� Front: Depth: Height: Square Fent: Cubic Feet: _ ©® '.'ype of Construction: otj c%�(, to Estimated Cost: To Be (bripleted: 3 l 1 / Alt. A Alt. S Proposed Driveway Width If New Opening Is Desired: ' � $ $ SEE pzvF.R B SIDE OF SHEET 2be undersigned hereby ma)u:s application for a permit for the %:ork herein specified, agreeing to do.all work in strict accordance with the City of Tridley Ordinances and rulings of the Department. of Buildings, and hereby declares that all the facts and representations stated in this applic MTE: �d /"' SIGNATUIE: Stipulations : ,93 31. 9-3 teci-'A)s _V6, 00 LM --M naoisTanto umom .LAws OF •TATt cw wimmuOTA No. 3600 City of Fridley AT THE TOP OF THE TWINS Su BJECT el BUILDING P E R M I T Q. 3 43 PT NO. Ir COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 NUMBER 910-F15 REV DATE 6/8/95 PAGE OF APPROVED BY JOB ADDRESS 820 Rice Creek Terrace NE 1 LEGAL DESCR. LOT NO. 7 BLOCK 4 TRACT OR ADDITION 1 Brookview 3rd Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Francis Caron 820 Rice Creek Terrace NE 571-1961 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors Inc 8600 Jefferson Hwy, Osseo, MN 55369 391-5514 2877 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replacement windows & trim 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS 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. $54.00 Fire SC $2.50 PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATEI -License WHEN PROPER VALIDATED BLDQf INSP THIS IS YOUR PERMIT j2p FJAT SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER �[�}� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address Legal Description: Owner Name &. Address: Contractor: I77% Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: G Tel. # _ MN LICENSE # Tel. #3 9/ fff 7� 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 Setbacks Type of Construction: Estimated Cost: $ �� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. # TOTAL $ STIPULATIONS: CITY USE ONLY Side Permit Fee $ Fee Schedule on Reverse Fire Surcharge $ .001 of Permit Valuation (1/10th%) . State Surcharge $ Z $.50/$1,000 Valuation SAC Charge $ $850 per SAC. Unit License Surcharge $ j _ CZ�l $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: SUBJECTr IT . City ®f Fridley 2 5 3 2T® AT THE TOP OF THE TWINS BUILDING PER IT RECEI T NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/25/97 JOB ADDRESS 820 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 Brookview 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Frank Caron 820 Rice Creek Terrace NE 571-1961 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 8600 Jefferson Hwy, Osseo, MN 55369 391-5514 2871 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 CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit/Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 @ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `1'900 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- $ $.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE T TAL FEE L C $5/00 $38.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN R VAL1*jp THIS IS YOUR PERMIT _ ALUE INSI 7 y - I _ PATE _ SIGNATURE OF OWNERUF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER { ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:'� Legal Description: Owner Name & Address:. Tel. #%� Contractor: �i �G�f c—� MNLICENSE# CWOdf7l #9,// 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 11%4PROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: (Cost 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 $ 1%20 .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ 6�-O $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 PERMIT NO. city of Fridley 27335' AT THE TOP OF THE TWINS BUILDING PERMIT r O. COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. r 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910415 8/21/98 JOB ADDRESS 820 Rice Creek Terrace NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 1 Brookview 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Francis Caron971-1961 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jayson Lindsay Roofing - 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 J�x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 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 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 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 $1918 PERMI FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHOB14Y TO VIOLATE OR CANCEL THE PROVISIO SOF ANY OTHER STAT R OCAL LAW REGULATING CON- OF STRUCTI THE PERFORMAN OF O STRUCTION. $62,25 Fire $ $1.92 PLAN CHECK FEE TO L FEE License,-SC 5.0 0.13 SIGNATUR OF CONTRACTOR OR AUTHORIZED AGE IDATEI N R VALIDA D THIS IS U7zz2.- T SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 8 G INSP DATE NEW . I ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 990 12f z Effective 1/1/98 Legal Description: n Owner Name & Address: Tel. # Contractor: �. C//\/c,, MN LICENSE # 09 99- G3 Address: 1A 1'J'ysvi' , 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: 6 Construction Type: .&0-106 Estimated Cost: $ 11 WS (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x,,$, _ $ DATE: a- g / 0 9C Tel. # W9 '0J- STIPULATIONS: CITY USE ONLY / Permit Fee $ (o„� �S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 96 $.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 $ 0,13 STIPULATIONS: