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PRE 2010 DOCSCity of Fridley SUBJECT F"I8 6 32 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT747 • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = � -'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 9107F15 9/8/86 JOB ADDRESS 7122 Riverwood Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Gary and Beverly Larson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. McMullen/Moselle 430 Industrial Blvd, Mpls. NN 55413 378-3981 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 Construct a 481 x 241211 Dwelling and a 241 x 241 Garage 7 717!3, rn9 of 7".) POR SpA+ K� �T7777 ►'P 9 CHANGE OF USE FROM WWR'NG, s qyi i L:i, 1' �..�%s++�++d'-� +`sin Ue 1 STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with. copy of verifying survey before capping. Submit floor and roof truss designs and energy calculations. Paid $1500.00 Park Fee. SEWER LOCATION: 1561 East of Manhole. WATER LOCATION: 101 East of Sewer Service DRIVEWAY DEPRESSION: 161+61=221 x 13.50 = 297.00 A before digging utiltPei, THE CITY OF FRIDLEY DOES NOT GUARANTEE THE 'TELEPHONE WCal! -local - Ei.�t I°iG - :. �t�. ACCURACY OF Ui I) �I"r'" LOCATICIN�S AND ELEVATIONS, ."IC THIS DATA IS FOR INFORMATION PURPOSES EQUIRE'r. ONLY,, AND PERSONS USING THIS INFORMATION SHOULD. VERIFY IT ON THE SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $100 550 $50.25 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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE .88 $594.63 + DW & PF SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ALD TED THIS IS YOUR PERMIT .I tzt D 9-SIGNATURE DATE OF OWNER OF OWNER BUILDER) (DATE) NEW [ J ADDN. [ ] City of Fridley Effective 4/1/86 R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: C ° �I;t , .. - 1_'?1kn_P'nV_' C-0, J— 4j S� Tel. # - I � �D %` CLc � Tel. # ` 3 Address: Attach to lot, with this application, a Certificate of Survey of the the proposed construction drawn on it to scale. Permit Fee DESCRIPTION OF IMPROVEMENT LIVING AREA: Length GARAGE AREA: Length o P r ss) ® Width O" Height Sq. Ft. ��Width Height Sq. Ft. DECK AREA: Length Width __ Hgt/Ground Sq. Ft. _— OTHER: State Surcharge $ Corner Lot [ ] Inside Lot [x] Ft. Yd. Setback — — Side Yard Setback Type of Construction: �F %€' Estimated Cost: $ Approx. Completion Date: $475 per SAC Unit Park Fee Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $$ See Back Pag for Explanation a® D`® APPLICANT: Tel. DATE: CITY USE ONLY Permit Fee $ 035'. Fee Schedule on Reverse Side Plan Check $ 10'6. $o, 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ �=��® ®� Fee Determined by Engineering Sewer Main Charge $ [ ] ,p ���' �• Agreement Necessary [ ] Not Necessary TOTAL $ STIPULATIONS: Op LJ1 100AUu- � k nEXTERIOR ENVELOPE AVERAGE "U" COMPUTATION `� OWNER � /� I e, � 41--( e f'1. _ SITE ADDRESS: CONTRACTOR: e 4 � t6' ll P P f!� DATE.f PHONE- 3 DETF'(MINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA , ...... .. 1 sq ft x "U" " ., & I = -,2 20, 7 2. TOTAL ROOF/CEILING AREA ..... sq ft x "U" ; 0-2,L _ Ra.2 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor ......... sq.ft a) Total wall window area: glazed ......... 2 g/. sq ft. x "U" glazed ......... sq ft x "U" - b) Total door area ........ sq ft x "U" - s c) Total sliding glass door area: glazed ........ :�Zrj sq ft x "U" glazed ........ sq ft.x."U•• d) Total fireplace wall area sq ft x "U" e) Total wall framing area (Average 10%) ......... - sq ft x "U" f) Total net wall area above floor (insulated) ...... sq ft x "U" g) Total rim joist area .... sq ft x "U" ,®p. _ 2,3 Total foundation area (exposed) ......... sq ft h) Total foundation window area ........... sq ft. x *U" i.) Total net foundation area above grade ...... sq ft. x "U" TOTAL al thcu 1) ............. If Item #3 is the same as, or less than Item #11 you have met the intent of S.B.C. Section 6006 (c) 2. If TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area..... %/'�4C1 sq ft " "U�.. = . �.... . . j) Total skylight area ... sq ft. x - k) Total roof/ceiling framing area (Average 10%) ... sq ft. x "U"''' 1) Total net insulated roof/ceiling area .... Zo sq ft. x "U" TOTAL j) thru 1) ....... If total of #4 is the same as, or less than#2, you have met the intent of S.B.C. Section 6606 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. CERTI'FI'CA'TI'ON I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. CSi,gnatuxe) (Date) CERTIFICATE OF SURVEY FOR 1'`A KURTH SURVEYING INC. IM MOV CERTIFY THAT THIS $WV1Y. ftM1.0R REPORT WAS P89PAW 4002 JEFFERSON STREET N.E. DY WE at uma tw 0=cT SuPEaYl m Am TNAT t A DULY COLUMM IIEIOHTS MINNESOTA WUI ISTMO LAW OR Tutt T AT` OF *R44969TA, i#Z-iYMWiO (y`1Cs.1�j '$(s DATE 31i1KN1A1► : NW ecow. G1�v . SCALE low MINNESOTA REGI ATION IM 1411'5 %Q4►v.scc -f-ar. -twq.5 %4-..i, O -IRON NONWACUT c'W" I OFF �p►b%%4ft-pLp,r,► t.J s artvAT�owt► t� � iia o V'4 RiVE p 0 8p 03 0" • .9 � �. "'�--. �.--,,.- .,�Eli►1.1'C�( .,�.•c�e�. 10 -z� , ' 30 ®A�f NOTICE 0 CITY ENG. tws 141 • DIV. REQUIREC FOR CURB A "• 'pa3 RE-MOVAt AND EPLACEN►IrNT K. AT DRIVEWA OPEN NGS. PIO 1{DISC ILII BW V'S�A# �Ip` O C�fv S 8`[• Ste' 2Q" � $ .10 7a.#FT(, OF FRIDLEY DOES NOT GUARANTEE THE ��-Y.f UTILITY LOCATIONS AND ELEVATIONS. .-J+tqSDATA IS FOR INFORMATION PURPOSES ONLY, j NDPERS0N S USING THIS INFORMATION SHOULD "IT ON THF SITE, Lr O .1 Z� B V.0 0 Q. K s -R1VZ-RVV0Q1D ANOKA C.O. s= - P/ �� �� Sssd� 5 7- - pla, 'Ilk ),5�1 Effective Aug. 1. 1"1 _CITY OF FRIDLEY bftlCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ' RATE SCEDIILE _ U. SIDBRTIAL Furnace Shell and Duct Work, Burner JAlao replacement furnacel Gas Piping (piping needed with am furnacel Gas Range one Dryer IRATE TOTAL .fob Address n $ 20.00 $ 10.00 s 10.00 5 10.00 • Air Conditioning- (all sizes) s 10.00 All Others/Repairs and Alterations It of Value of Appliance or Mork C0WZRC1A!jtrNDUSTR1AL 1f of Value of Appliance or Mork State Surcharge Tom Rt; Reinspection Fee ($13.00) Rouc-h Inap. Date Final Inep. / / `"Z& Date Approval for ftrillt S 20 ` Department of Buildings, 6171 university Ave. N.E., Fridley, M SS172 CCty of rridley S Tel. ®571-7150 _ $ The undersigned hereby wake/ application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Godes $ and rulinq+ of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. S rrldley. Minn. /✓ , 1l�, Wt£R S / RIND or BUILDING O�e ZZ e s✓3 eMIN'MUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS S.SO-STATE SURCHARGE -Attach stack verification tots with replacaurnt furnace Petwits !Air Cnnditioners can nest M• Placed in sfdr yard without written ln•retasion from adtnaninq nrightuor. - USED AS TO BE COMPLETED ABOUT ESTIMATED COST 10 OLD - NEN BUILDING PERMIT NO. PERMIT NO. DESCRIPTION Or PURRACE/BUMMII HEATING or POWER ►CANTS. Steam. Not Nater, Nara Air- No. Trade Have �% / size No. capacity ayy Sq: rt. en sTu N► Total Connected load. ��—� Rind of htel SUMER - Trade Name Sire No. Capacity Sq. rt. CDR BTdI HP Company ✓�fy Signed By p Te 1. No. — % 0 C17YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 November 4, 1986 McMullen/Moselle & Assoc. Inc. 430 Industrial Blvd. Minneapolis, MN 55413 Re: Final Inspection at 7122 Riverwood Drive N.E., Fridley Dear Sirs: A final inspection was conducted on October 31, 1986 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide step at door between house and garage by November 17, 1986. 2. Insulate the rim joist by November 17, 1986. 3. Provide bearing support for floor truss at basement window, on south wall near east end, by November 17, 1986. 4. Provide sod in the front and side yards by June 15, 1987. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Gary Larson lv� I CITY OF FRiDLEY CIVIC ('I.\ I I R • o431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE l6121 571-34�u November 17, 1986 Mr. Happy Moselle McMullen/Moselle & Assoc. Inc. 430 Industrial Boulevard Minneapolis, MN 55413 Re: Fireplace at 7122 Riverwood Drive N. E. , Fridley Dear Mr. Moselle: During our final reinspection of 7122 Riverwood Drive it was learned that there is a crack in the fireplace above the firebox. 7he owner states that when they have a fire in the fireplace, a crack opens up above the firebox and when it cools down, the crack closes back up. Uhe brick in this area of the fireplace is supported by an angle iron. It is known that this does expand when it gets hot, and unless there is an open space at each end of the angle iron, the expansion will force the masonry to crack. Zhis problem must be corrected as soon as possible and we will reinspect this dwelling on December 8, 1986 to determine compliance. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, i All -e Vai-Z DARREL G. CLARK Chief Building Official DGC,/mh OC: Mr. Gary Larson, 7122 Riverwood Drive N.E- rA krk CITYOF FMDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 December 1, 1986 Minneapolis Post Office Superintendent of Delivery lst & Marquette Avenue Minneapolis, MN 55402 Re: Change of Address in the City of Fridley - Effective Mmediately Dear Sirs: We are listing the following change of address in the City of Fridley; NAME: Mr. & Mrs. Gary Larson FROM: 7122 Riverwood Drive N.E., Fridley, MN 55432 TO: 7121 Riverwood Drive N.E., Fridley, MN 55432 LEGAL: Lot 3, Block 3, Riverwood Park We have notified the occupant of this change and we would appreciate you changing your records accordingly and notifying the Fridley Post Office branch. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. & Mrs. Gary Larson AL I CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 December 1, 1986 Mr. & Mrs. Gary Larson 7122 Riverwood Drive N.E. Fridley, MN 55432 Re: Change of Address in the City of Fridley - Effective Immediately Dear Mr. & Mrs. Larson: It has become necessary for the City of Fridley to change the address of your dwelling to the following: FROM: 7122 Riverwood Drive N.E., Fridley, MN 55432 TO: 7121 Riverwood Drive N.E., Fridley, MN 55432 LEGAL: Lot 3, Block 3, Riverwood Park We have notified the following companies of this change and also various departments in the Civic Center. If you have any questions on this change, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Minnesota Gas Company Northern States Power Co. Northwestern Bell Telephone Co. Minneapolis Post Office Fridley Post Office Branch Anoka County Court House Fridley Water Billing Dept. Fridley Assessing Dept. Fridley Police Dept. Fridley Fire Dept. 77 7 CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 January 12, 1987 Mr. Tim McMullen McMullen/Moselle & Assoc. Inc. 430 Industrial Boulevard Minneapolis, MN 55413 Re: Fireplace at 7121 Riverwood Drive N.E., Fridley Dear Mr. McMullen: As previously discussed in a recent telephone conversation we had, we do want a smoke test performed on the fireplace at 7121 Riverwood Drive N.E. The purpose of the test will help determine if the crack in the face brick carries on into the firebox/smoke chamber area. You or your fireplace contractor must perform the test under the supervision and surveillance of the City Inspection Department. The test is done by sealing off the front of the firebox and the top of the flue; a smoke bomb is then placed in the firebox. The homeowner would prefer this test to be made during the week of January 19, 1987. Please let us know what day would be convenient for you. If you have any questions on this matter, please contact me at 571-3450. Sincerely, D L G. CLARK Chief Building Official DGC/mh CC: Mr. Gary Larson 7121 Riverwood Drive N.E. SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir � • ______ COMMUNITY DEVELOPMENT DIV L �] -747 r PROTECTIVE INSPECTION SEC 1 ; � NUMBER REV DATEPAGE OF APPROVED By 1 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/19/94 JOB ADDRESS 7121 Riverwood Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 1 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Larson 7121 Riverwood Drive NE 571-9279 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 J ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 46' x 14' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors adjacent to all sleeping areas and in basement. XXXXXYM Variances approved 8/23/94 for 26.8% lot coverage and 1220 square feet of garage area. DRIVEWAY CURB CUT ESCORW: 10' + 3' = 13' x 13.50 = $175.50 1ARrIN G SEPARATE PERws REQUIRE0 F%Z flefore digging call for WIRING, HEATING, PLUMBING AND SIGI�g, all utility locations 454•0002 REQUIRED BY LAVA 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 BO 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 I 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 $10,857.84 $5.43 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 PrORMANCE OF CONSTRUCTION $126.00 Fire SC 10.86 I PLAN CHECK FEE TOTAL FEE S 142.29 + D SIGNATUR OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT I NATU OF W RIIFOWNER BUILDERI (DATE) BLDGOFINSP GATE NEW Effective 1/ 1 /94 ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 2Z7 ',z 0 Pal - Legal Description: eo -r a 5 C (C- 62 LC Owner Name & Address: Tel. # Contractor: MN LICENSE Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: I-Mgth 10 Width I Of P 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: Estimated Cost: ba--ro�-Cn Approx. Completion Date: /,c 61 (Cost on Back) Driveway Curb Cut Width Needed: /0 Ft. '+ jFt = /3 Ft x DATE: APPLICANT: Permit Fee $ U-60 Fire Surcharge $ IVU State Surcharge $ q3 SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # Fee Schedule on Reverse Side ..001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 VAR #94-22 Gary Larson SURVEY 0 h RIVERJrOOD DR. h S 1.7•� S 85*03'50-E > 11.7 80.00 10' DRAINAGE & 21.87 UTILITY EASEMENT Lu 24 2 lAJ � s0 9 V) bozo o�x� 3 2 24.0 2 2 IXISTINq / ! WOOD FAME a 5 SCALE: 1 " = 40' 2TINEZ CORPORATION RASP 11718 STREET qsv= . WN. 55337 890-7760 80.10 S 8753'20"E 6 7 PROPERTY DESCRIPTION LOT 3, BLOCK 3, RIVERXOOD PARK, according to the plat on reco and on file in the office of the County Recorder, Anoka County, Minnesota. I hereby —t ty that thb *are? . plan , as report vas prepared V me or i direct sapanldoa and that I sm a dna Setlstend Lend Sarreyor Hader the State at 70nneaeta _ NoAM SITE PLAN L SUBJECT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 30092 ` RECEIP • COMMUNITY DEVELOPMENT DIV. - ------ �.• j E � PROTECTIVE INSPECTION SEC. o � NUMBER REV DATE PAGE OF APPROVED Br = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/20%99 JOB ADDRESS 7121 Riverwood Terra 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 SHEET —Riverwood 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Larson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Reroof America CoXp. 95888-8440 90141410 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 9bc REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (37_Sq) Tear-off 9 CHANGEOFUSEFROM 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 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 3233 1.62 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST E OR LOCAL LAW REGULATING CON- S R�TION� N E OF CONSTRUCTION 9 .25 Fi e PLAN CHECK FE TOTAL E (11SIGNATURE rn OF N' OR OR AUTHORIZED AGENT IDAYEI EN V (DATE IS IS R P RMIT S-GNATUBE OF OWNERoF OWNER BUILOER)IDATEI BLOt INST' ' DATE NEW [ ] b Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Addre; Legal Description: Owner Name & Address: Contractor: Address: Tel. d 1,-Z— 7/ %! 2 7 19'e -ease MN LICENSE # D/ 4i/ wo, 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/GGround Sq. Ft. OTHER: i Construction Type: 4//--/J �/����,�-S-- �s Estimated Cost: $ a33 Driveway Curb Cut Width Needed: DATE: Ft. + 6 Ft = Ft x $ Tel. # Z1 --:z ZW- 74- ko TOTAL STIPULATIONS: $ Z69,IiA CITY USE ONLY Permit Fee $ g%• S� Fee Schedule on Reverse Side Fire Surcharge $ . c23 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ Z69,IiA