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PRE 2010 DOCSSUBJECT PER City of Fridley 99 80 2 AT THE TOP OF THE TWINS BUILDING PERMIT _ P RECEIPTO. • COMMUNITY DEVELOPMENT DIV. �y------• r � � PROTECTIVE INSPECTION SEC. 3 Js7 /---I CITY HALL FRIDLEY 55432 i NUMBER REV. DATE PAGE OF APPROVED BY •-••� 1 612-571-3450 910-F15 3/10/89 JOB ADDRESS 1521 South Bavarian Pass N.E. 1 LEGALLOT NO. 37 BLOCK 1 TRACT OR ADDITION Innsbruck North Townhouses Plat SEE ATTACHED 4 DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development 5821 Cedar Lake Rd, Mpls. 55416 544-4520 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 Townhouse 7 CLASS OF WORK CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 31` x.56' Townhouse; a, 21' x 19' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Remove porch from plan because of 4 feet required between eaves. Verification of existing gypsum on exterior of exterior wall of adjacent structure. See notations on plan. WATER & SEWER LOCATION: Private line - do not have as-builts. 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 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 $$2,200 $41.10 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- $563.00 $575.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 1,179.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE PROPS LY L ED IS IS YOUR PERMIT 8LD NSP SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)1 qpT [A City of Fridley Effective 5/1/88 AMN [ ] R-1 AND R-2 ALTER [ 7 Building Permit Application Construction Address - /!5;21 4 Sex, k &7,-qor��Pcss Legal Description: _ Z -o �- 3-7 61or-k I 2nas;6ruc 7 ^4e u$ -P S Owner Name & Address: C6-cc•j A Ag-rr Lid. Tel. # 5 - Contractor: 50w.e�, GS Tel. # Address: --53,P. 1 CaAo r 4k. Inw, Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. IDESCRnV ION QF IMPRWII�iP 3 3 30 � 3 /O2 33 3 LIVING AREA: Length _. 3 Width _ / �_ Height !> Ft. CM GARAGE AREA: Length Height Sq. Ft. �I Width 151 Hei _.� _ 3 I DECR AREA: Length- 121 Width %a2' Hgt/Ground Sq. Ft. / `-I Same Corner Lot [ ] Inside Lot [XII Ft. nYd Setback Side Yard Setbacks Type of Construction: &IocJ -F'mmedC Estimated Cost: $ Approx. Completion Date: Sui\e- I Proposed Driveway Width If New Opening Is Desired: s2 a I Alt. A $ $ Alt. B Width + 6' See Back Page DATE: aj9A60k APPLIam: D ^c<\e.\7S• G,,rr Tel. # S3(0-- W(O Permit Free Stats Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL STI KILAPIONS: CA CITY USE MY Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. nA" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ I Not Necessary [ 4-° P. IE 00kAM °-3 &U, -e C*Arl PLO (9 po 40.41 "W anam-C -+1&'%k%& AW ITii M" zlfl� FEAor. W 11 tic f'z 0 .foo— � 7no'vowl.' %i LID Lr; ARTICLE VI EASEMENTS 1. Easements for Encroachment. The title of a Lot shall include an exclusive easement on and over any adjoining Lot to areas occupied by fireplaces, roof overhangs, air conditioning compressors, decks, balconies and flower boxes and the use of a� common utility installations and other appurtenances which are r� part of the original construction of any Dwelling Unit on each Lot or which are added pursuant to the provisions of Article IX hereof. 2. Easements for Repair and Maintenance. Rights and easements of enjoyment by the Owner of each Lot and the title of such Lot shall be subject to the rights of the Association and any agent, employee or independent contractor thereof, to an easement on and over said Lot for the purpose of performing any Common Areas Maintenance, Lot Maintenance and the construction, repair, replacement, and maintenance of any Common Areas or utilities and every other Owner shall have an easement on and over said Lot for the purpose of performing the maintenance required by Section 2 of Article VII *hereof on the. Lot or Dwelling Unitof such other Owner. ARTICLE VII COVENANTS OF OWNERS 1. Residential Use. Each Lot shall he used for residential purposes only, provided that any garage should be used solely for the storage of vehiples. No improvement or structure whatever, other than single family dwelling houses, together with any garage, fence, patio, or other structure acces- sory to the dwelling house and approved by the Architectural Control Committee pursuant to Article IX hereof may be erected, placed or maintained. In the event this provision is violated, the Association may, at its discretion, take steps necessary to remedy such violation and the costs incurred in connection there- with shall be treated as if it is part of the monthly assessment as described in Article IV hereof and shall be a charge on the Lot and a continuing lien on the Lot and also the personal obli- gation of the Owner of such Lot. 2. Maintenance of Unit. Each Owner shall be respon- sible for all landscaping care to his Lot (excluding lawn mowing performed by the Association) and all repairs, replacements, and maintenance to the interior of the Dwelling Unit of such Owner, to all portions of the Dwelling Unit not maintained by the Asso- ciation pursuant to Section 4(b.) of Article IV hereof, and to the Restricted Areas of his Lot. In the event such Owner shall fail to perform such landscaping or maintain the Restricted Areas in a manner satisfactory to the Board of Directors, the Association, after approval by -two-thirds (2/3) vote of the Board of DirectorE a CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping .(piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL $ 20.00 $20.00 $ 10.00 $10.00 $ 10.00 $ $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. —16' Date Approval for Permit l $ 10.00 Job Address 1521 South Bavarian Pass Department of Building% 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. April 24, 1989 OWNER D. J. Farr Homes KIND OF BUILDING Frame USED AS Residential $ TO BE COMPLETED ABOUT ESTIMATED COST $ 2900.00 $ .50 10 $ 40.50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER "NEW CONSTRUCTION JOB HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. _ ALSO INSTALLING ONE (1) Trade Name Janitro3GUI075 JANITROL CL24 2 TON AIR size No. CONDITIONER, VENT 2 BATH FAN$apacity VENT KITCHEN HOOD, VENT DRYER Total Connected Load BURNER - Trade Name Capacity MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Sq. Ft. EDR Carrier one BTU 75,000 HP Kind of Fuel nat. gas Size No. Sq. Ft. EDR BTU HP Company Dependable Heating and A/C Signed Byn Tel. No. No. 757-5040 NEAT LOSS CALCULATION 0 TEMP. DIFF. �.�. Var,r �rro Customer Name_ Type Construction City AIR CONDI i me,. Windows Dealer Name. 2619 COON PTS Walls . Straet _ Ceiling City __ COON RAPD, Al 313 Floor F1.1 , Room j Length / 0 4 Width / O Height 8 Win0ows and Doors—Crackage and Area Rooml Length Nn W'tlth H►Mht No. of Lineal ft. Area -nt rwrw nt pine L H Of Crack sq, ft. No Width Hught No. o1 I L!noel ft. Arm of pane of Pana Lt htf I of Crack p. ft. Windows and Doors—Crackage and Area No. Width of pane Height No. of of pans L " Coff.1 Btu Infiltration �;Z- 8 Coef. Btu Infiltration a — tf A,* 5 cC Glass Ceiling /OD 3 3-00 B,g //. / Exp. wall' p ea Int. wall Net exp. wall Floor Z,G, 61 3 Int, wall Net exp. wall F kxo r 3 Ceiling / �8 loo 3 3Y�D Floor Ceiling Total Btu. �F1.l F3 A} -T'/4 Room l Length 7 Width -5Height Windows and Doors—Crackage and Ar".f, No W'dth Heignt No. 01 Lined ft. Area f.. I ,= Lightt Of Creak Btu Infiltration Glass Exp, wall Net exp. wall Int. wall Ceiling 3 / 3 S Floor Total Btu. L1 I GC ITS /-%iinnwvll.nneF, /�� .W:ei►h /�� W&61tt Windows and Doors—Crackaga and Area Rooml Length Nn W'tlth H►Mht No. of Lineal ft. Area -nt rwrw nt pine L H Of Crack sq, ft. Width Windows and Doors—Crackage and Area No. Width of pane Height No. of of pans L " Coff.1 Btu Infiltration �;Z- 8 G las _ Exp. wall ao Net exp. wall Infiltration Int. wall _ Ceiling /OD 3 3-00 Flora Glass Storm Sash Ins. Int. Fl.l /�/n/ Rooml Length a kf Width Windows and Doors—Crackage and Area No. Width of pane Height No. of of pans L " Lineal /t. Of Crack Area X ft. �;Z- 8 Infiltration Exp. wall ao q Infiltration a :Z 3Ya ,q 3'7.7- 5�737' _I 3�a Coef. Btu Infiltration ✓�[� -- /;,' a/ G a Glass �;Z- 8 Infiltration Exp. wall _ 3 a Btu Infiltration Net exp. wall — 9 /V Int. wall Glass Net exp. wall Ceiling ea Int. wall n Floor I (� Total Btu. Net exp. wall F kxo r 3 / �8 Int. wall Windows and Doors—Crackage and Area 3�a n Width Height No. of Linesi ft. Area NO.of pans e/ tte Lights of Crack sq. ft. No. Width Height No, of Lineal h. Area Winne Of Pone Lights Of Crack OR. Lt- t3a -3 aa. / 9 aye �a a as �y Coall.1 Btu Infiltration Coff.1 Btu Infiltration — 147 1 1,660 Glass Net exp. wall a 3 ea Int. wall Exp. wall I (� Net exp. wall F kxo r / �8 Int. wall Ceiling fjp 5�1j Floor Total Btu. 15-2L-� FLI Room ILmWith A�- Width / Heieilit Windows and Doors—Crac*ap and Area 3�a n Width Height No. of Linesi ft. Area NO.of pans e/ tte Lights of Crack sq. ft. —a- Coall.1 Btu Infiltration Glass Exp. wall ?(I Net exp. wall /D 191, a Int. wall Ceiling F kxo r Total Btu. Total Btu. l / 3 c� (1 O _�6 �0 3s = e. — 10''80":taDIBwm mour 1- t ZSTDmm COST �l (� PLOWING FIXTUM RIOTER: �� 1"{i3i .- OLb NEI/ HOILDi[iG PBR!!IT NDr:-.���. pBT lll1. ���i �a Lk New naturm .000 Future Fixtures 014 Opening, NOW Fixture S 1.S0 S signed. By 'Al Bee r Dispenser Rio+e (!Ff Basin Catch Basin $ 5.00 S Rain Water Leader S S.00 S Hydraulic valve S 5.00 $ Snsip or Receiving Tank - S 5.00 S Mater Treating Appliance $ 7.00 $ Not Water Beater $ 5.00 Gas Range $ 10.00 S Gas Dryer $ 10.00 S Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 S ALL OTHt''S AND/OR REPAIRS AND ALTERATIONS - It of Value of Fixture or Appliance $ Reinspection F4me $ State Surcharge $ .50 • (515.00) TOTAL FEE S �y� ROIJGB INSP. Date FINAL INSP. d Date APPROVAL FOR PEN4IT MINIMU-14 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE �li��ll■�.■ = e. — 10''80":taDIBwm mour 1- t ZSTDmm COST �l (� PLOWING FIXTUM RIOTER: �� 1"{i3i .- OLb NEI/ HOILDi[iG PBR!!IT NDr:-.���. pBT lll1. ���i �a Lk New naturm .000 Future Fixtures 014 Opening, NOW Fixture S 1.S0 S signed. By 'Al Bee r Dispenser Rio+e (!Ff Basin Catch Basin $ 5.00 S Rain Water Leader S S.00 S Hydraulic valve S 5.00 $ Snsip or Receiving Tank - S 5.00 S Mater Treating Appliance $ 7.00 $ Not Water Beater $ 5.00 Gas Range $ 10.00 S Gas Dryer $ 10.00 S Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 S ALL OTHt''S AND/OR REPAIRS AND ALTERATIONS - It of Value of Fixture or Appliance $ Reinspection F4me $ State Surcharge $ .50 • (515.00) TOTAL FEE S �y� ROIJGB INSP. Date FINAL INSP. d Date APPROVAL FOR PEN4IT MINIMU-14 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Catch Basin $ 5.00 S Rain Water Leader S S.00 S Hydraulic valve S 5.00 $ Snsip or Receiving Tank - S 5.00 S Mater Treating Appliance $ 7.00 $ Not Water Beater $ 5.00 Gas Range $ 10.00 S Gas Dryer $ 10.00 S Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 S ALL OTHt''S AND/OR REPAIRS AND ALTERATIONS - It of Value of Fixture or Appliance $ Reinspection F4me $ State Surcharge $ .50 • (515.00) TOTAL FEE S �y� ROIJGB INSP. Date FINAL INSP. d Date APPROVAL FOR PEN4IT MINIMU-14 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 S ALL OTHt''S AND/OR REPAIRS AND ALTERATIONS - It of Value of Fixture or Appliance $ Reinspection F4me $ State Surcharge $ .50 • (515.00) TOTAL FEE S �y� ROIJGB INSP. Date FINAL INSP. d Date APPROVAL FOR PEN4IT MINIMU-14 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT ' City of Fridley 31192 AT THE TOP OF THE TWINS D U BUILDING I L D I A� G D E R M I T r ` 1 RECEIPT NO. ____e � COMMUNITY DEVELOPMENT p ': INSPECTION SEC.. `-%/ 4,33 r :v PROTECTIVE NUMBERREV DATE PAGE OF APPROVED By I ="'I CITY HALL FRIOLEV 55132 612-571-3450 910-F15 7/14/00 10B ADDRESS 1521 - 23 S. Bavarian Pass 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 37&38 ! Innsbruck North Townhouses Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp., 2301 E 25th St., Mpls., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [$ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Tear Off and Reroof Townhouse Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment to comply with the State Building Code® Permit Inspection Cards WIII Be mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OFC NST. 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 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 2 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 $g�829,48 $4.91 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- $181.25 Fire SC $9.83 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE EE TO)1185.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI MEN PROPS Y ALIDAT D HIS 1$ PE MIT 8l0 INSP ruff SIGNATURE OF OWNERIIF OWNER BUILOERI IDATEI 7-12-200 11:53AM FROM 6127229754 P. 13 NEW (, `a Effective 1/1/2000 ADDIS! [ J CITY OF FRIDLEY �� ` 1812 72-3604 Bldg [nap ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �l 9 Z ,C f • " Legal Description: Owner Name & Address: _ l �, A'sVyV('lL i hubyNoff g i G�'�1Uf11el. it -22 il - 5q% :2 Contractor: a Gn&k T • MN LICENSE # l;Xab01 � Address:; -30i) S-� � S" .SjUeCM d S AN S,5 Tel. # 1,2 - 17L) -70 cii 11 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. FL DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: qco r Estimated Cost: $ a 9.4 t Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ DATE., (P2 0_ APPLICANT: �Sa- A1 )I 'V' 1 Tel.# L1a-baa-71a� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge Ucense Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (612) 5723604 for Permit Fees N mailing In application Fee Schedule on Reverse Side $� .001 of Permit Valuation (1/10th% $ / $.501$1,000 Valuation $_$I 100 per SAC Unit $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ /9g. 9 CITY OF FRIDLEY PERMIT NO.: 2004-02189 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/29/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1521 S BAVARIAN PASS NE 2 PIN : 243024440107 LEGAL DESC : INNSBRUCK NO T H PLAT 4 : LOT 37 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 8,130.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. STATE LICENSED CONTRACTOR 1 APPLICANT MINNESOTA EXTERIORS INC (2877) 8600 JEFFERSON HWY P OSSEO, MN 55369-0266 (763)493-5500 OWNER OLSRUD HAROLD J & CORRINNE 1521 S BAVARIAN PASS NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg Insp. BUILDING PERMIT FEE 167.25 FIRE SURCHARGE 8.13 STATE SURCHARGE, VALUE 4.06 LICENSE SURCHARGE 5.00 TOTAL 184.44 PAID WITH CHECK # 140578 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [] ADDN, [ ] ALTER [ ] Construction Address: CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Legal Description: Owner Name & Address: Contractor. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # —57/ - -5-) ` -7 MN LICENSE # lefc 27i F Tel. # �f .3 Yl-Sfl,( � 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. Construction Type: Estimated Cost: $ f Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ D DATE: �P 6 APPLICANT: Tel. #26'�'2 � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ 1,2—!5 Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ j .001 of Permit Valuation (1/10th%) State Surcharge $o C>( $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ �5 - C`) $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ I W. C/ V STIPULATIONS: