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PRE 2010 DOCSCity of Fridley, bixin. BURDING PERMIT N° 7314 Date: Owner: kJ,JLAj Builder Address Address LOCATION OP? ILDING No. Sheet ti�`�,��',.� �%�°�° Part Lot Lot _ _ ___ _ ._ Block Addition or Sub -Division Corner Lot _ i� l�Inside Lot . _ _ Setback �---� Sideyard _� d Sewer Elevation _2_ > �_F490awm Elevation s� DESCRIPTION OF BUILDING TolbeUsed Front Depth Height Sq. Ft. ZIA Cu. n Front Depth Heights Sq. F't. CU. Ft. Type of Construction ____f2 Est. Cast .� _ 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 wi provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of$ di 7 - , 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 regardinng 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. aj" Building Inspector 67 NOTICE: Ibis penuit doss sot coves the eondructioe, hwaWan for wiring, plumbing, gas heating, sewer or water. Be sere to we the Building lespecwr for separato para is for these Mama. • APPLICATION FOR BUILDING FErXET CITY OF FRIDLEY, MINNESOTA � ri ' M01- ADDRESS Ko ""% Ct--<- ADDRESS LOCATION OF AUILDING a j ® ✓� Na. Street Fart of Lot Lot_ Block 2- Addition or Subdivision Corner Lot_ Inside Lot Setback 7 - Side -Yard _ 5 - SEWER ELEVATION FOUNDATION ELEVATION e z , Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF tUILDINd Front DapLh Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost z ,�'e 0 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 Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE ' �� SIGNATURE. ,(Schedule of Fee Costs can be found on the Reverse Side). C' s A BUILDING PERT FEE SCHEDULE Section 2. The Inspector of Buildings shell, before issuing any permit for the erection of any building or structure, or for -any addition to any amist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the pa)Ment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit:' 2.1. For any such permit for the erection of any fire -proof building, other than a_garages warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar.occupaney, to any existing building shall be at the rate of $1..40 for each one thousand cubic feet, or fraction .thereof., in such cubical contents. 2.2. For any such -permit for the erection of any fire -proof garage, warehouse,- factory'or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by-Section:502 of the Minneapolis Building:Code. HOUSES 2.3'. For any such permit for the erection of any.non-fireproof building other than a garage, warehouse, factory or grain elevator, or any non-firepreof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. G_ 2.4. , For any such permit for the erecting oC al Y n,)n-ff eproof garage, warehouse,' ' factory or grain elevator, (,s, vr ezi-ion of any non -fireproof addition, for -similar occupancy, to V~o a%-Istir_g b-11. d'in; or for each such building . or. addition - ninety cern S, Z --r each one thousand cubic feet or fraction thereof, in the cubicel with a minimum of $4.00, - For the purpose of computing fees for bu- ,.d,ing permits, the cubical contents of any building or addition to a unifcra height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of.the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5: For repairs or alterations to an existing structure, the fee shall be at the rate of $3.0O.per each Five Hundred Dollars ,($500.00) or fraction thereof in the cost. of 'all proposed work. 2.6. In no case shall the fee.._charged...for.anp per mit..ao set forth in .Section 2 be less. than $4.00. Date: City of Fridley, Minn. SIGN PERWI May 25, 1965 FIRESIDE RICE BOWL Builder D-ahlen Sign Co Address 14±h.a. Stinson Blvd Address LOCATION OF BUILDING No. 1440 Street Stinson Blvd •. part of Lot Block Addition or Sub -Division Corner Lot _ Inside Lot Setback Sideyard Sewer Mevation — Foundation Elevation DESCRIPTION OF BUILDING Ni 7551. To be Used as: we Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est. Cost6QQ____ To be Completed Storm DamageS%n 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 rth in pliance with a'll provisions of ordbianoea of the city of Fridley. _ In consideration of the payment of a fee of $-&*, , permit is hereby granted tcFJ rode Ri re Bowl, Cafe 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordbmce . NOTICE: Yhb poncdt does not corer the coestructfon, hmftW= for whine, piumhfng, on heating, sewer or wafer. Be sur® to see the Betidhtg Inspeetor for separate permits for these stoma. e 1 � Location APPLICATION FOR SIGN PERMIT Fridley, Minn... FRIDLEY INSPECTOR OF B DINGS: 12" ,C ��3 / Permit No. 19 The undersigned hereby makes application for a permit for the work herein speci- fied, agreeing to do all work in strict accordance with the City Ordinances and rul- ings of the Department of Buildings, and hereby declares that all the facts and re- presentations stated in this application are true and correct. - Kind of Building Used ash Work to be completed about Estimated Cost d� 0 L--� �9 DES?0RIPT ON , How Installed: Flat on Extended out from Wall Roof Dimensions: Length ` , Height , Thickness Distance from Sidewalk�� .1-1Roof Constructed of u 7-- Iron, Wood, Iron and Wood Illuminated Wiring Application No. city of -Fridley, mi.. 114R6- 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: _ June 12, 1972 ownw: - OvelletLe, Thomas Builder Same ,Address 7400 Stinson Boulevard Address Same LOCATION OF BUILDING No., 7400 Street Stinson MIX BoulevardPart of Lot X,ot 8 Block 2 Addition or Sub -Division Dalberg Terrace Corner Lot Inside Lot Setback - Sideyard Sewer Elevation I Foundation Elevation I---�ielljigl y, To be Used as: cA rag P Front 9-21 _ Depth ____221 Height 10' _ sq. Ft. 4$4 ` cu. Ft. Front Depth Height Sq. Ft. ___ Cu. Fi. Type of Construction Wood Frame Est. Cost 2192.52 To be completed .._..,.Aug. 1972 Stipulations: Provide frost footings under garage and provide a hard surface driveway. 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 setfo d in compliance with all provisions of Ordinances of the city of Fridley. ICN 1.19 State Surcharge r In consideration of the payment of a fee of $ 10.00 ,.permit is hereby granted to Thomas Ouellette 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 .Wlthin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. F / ing pwpector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. -7- 4�4 — THE E. S. McDONOUGH CO. TELEPHONES 333-6476 742 BUILDERS EXCHANGE BLDG., MINNEAPOLIS 55402 SCALE- I INCH FEET 1953 UNIVERSITY AVENUE. ST. PAUL 55104 646.6658 OF PROPERTY OF DESCRIBED AS FOLLOWS 94 o rERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY ii I lic-re-by certify that on I hereby certify than I made asurvey of the location of the buildin,t,(--') On tilea I surveyed the property dezeribed,-,lboveand that ti.e above rbove de-,cribcd property and that the location of said plat is a correct i,-q)re.,zecuation of said survey. I ... ;3(1,*n above is correctl shown on the abovplat. 10 McDor"OU01-1. nFIGISTEREDSURVEYOR 1\10 IS'90- 11 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S� BUILDER: ADDRESS: X-1/0 ADDRESS: v g NO: 57540 STREET: `%r •a: LOT: SBL CK/: ADDITION :-D-4/6.,e,/P& 7.. e , CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: Gots` AG(?, Front: Depth: Height: Square Feet: t Cubic Feet:� U Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: L—'1-00 0 Estimated Cost: $ �� 69. ®(� To Be Completed: AU G / 19':72- F2, 5";, -- The ;,-- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � Q , � � �� � ej DATE:,:l� Cl 19 ,74--7 SIGNATURE: (See Reverse Side For Additional Information.) ` _' f BUILDING PERMIT FEI SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.$S for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $.per each five hundred dollars ($500.0_0_) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. _._ , i k� i� VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 6 k PARTIAL RATE SCHE-DULE LUM-:3I110 FIXTURE RATES: • TOTAL iii-1�t; S Number Fixtures . . . . . . . ........ 0 91i Future Fixture opening . • • • • • • • • • • ---- x $1.50— Ncw Fixture Old Opening.....:.... ._-- x $1.50 .53 ,3-81�-9915051 p1^ Iic'tic'21 fur PIUr�i � �.•i16s ��''it�l3 � . .. • Catch Basin ............. 6 ... 0 4 9 •^•,•-__._.��,.— ..._...... Water Iteater 'Up to 59.000 BTU) .... .-...----- ... Dopt. of Bldgs. F'hono &'x•3450 S_,_-.-----=- ' New Ground Run Old Bldg....:.. • •------- D!:5CRIPTIO11 0: V,'Orr. ?•:l.ctric W& r F. &a tar. .. 700 Stinson 41vd. � XuznSr-. 1:i d and LocrL+on of FlxtUras NO. R.+T TOTAL . xSUO 5 1st3Fixtures •••••••••••••••••• - City of Fridley: x S ` , t • z IF z g 1 o < .1, 7 x ` N 7 z wxrr4 writ. rAs nuc The undersigned hereby makes application for a rermit to the vorY heti with the Citl O dir.:r. M - , �,�, u < u d lu $ < << :cco-da^ce specified, a� cefng to do zU wcrk .a s rici L`,e t: N it i1 �` and ruIiaS of the Dspa:tment of Buil::.'a�, and hereby declares that alI is Lh app cation are true and eo=re<`t' Es:r and npresertations state 1:1. IiTs .-ll grill Fridley, Minn 5-15-76 19- 2nd Thomas Ovol3tti . - Owner 3rd • 1�I°3Ii1 Kind of Building - Co::.-Z&d with FL'`.::0 GC.^..-•L:'.w:'J C�f�.Cl :�. JJS7Jr❑ r - Used as t ?{tv F`i::taro• Old 0T;,a^..angs Cc:rpcol 0 --25-76 To be completed about PARTIAL RATE SCHE-DULE LUM-:3I110 FIXTURE RATES: HO. RATE TOTAL 03. S Number Fixtures . . . . . . . ........ 0 Future Fixture opening . • • • • • • • • • • ---- x $1.50— Ncw Fixture Old Opening.....:.... ._-- x $1.50 b._. -..- x $3.25 $ Catch Basin ............. 6 ... 0 4 9 Water Iteater 'Up to 59.000 BTU) .... .-...----- x $3.00 S_,_-.-----=- ' New Ground Run Old Bldg....:.. • •------- x 53.25 S ----- ?•:l.ctric W& r F. &a tar. .. s $2.0 � NO. R.+T TOTAL 21.SnTTI.NG TEES. xSUO 5 1st3Fixtures •••••••••••••••••• - x$ .75 S Ad•'Itlunal Fixtures ........... 0 0 0 0.------ Cas yL- Ze to 299.000 BTU ........... X $5.00 .1, Estimated.Z©.00 Pam Cost, S r Old—New. Building Permit No. - Sizncd y -------L .`'� By Businurs Phjae No ROUGH FINAL q PS?i:QS k .50 State Surch45e ALTER -Rifer !o Coda . . ise ;tri;. Jan................:........................� 3 ,-., f �, mac• .a': TOTAL T= SUBJECT P IT City of Fridley N_ 16 S 1'9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. j � i i1 � , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •_--� j 612-571-3450 910-F15 110/12/82 JOB ADDRESS 7400 Stinson Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Ouelette 7400 Stinson Boulevard N.E. 786-7829 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 111 x 171 Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS ® Lj r q c' -w ­,rb- ari So I(- o f ;%.") t ,:Pa/ 4 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 187 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z 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. $1.55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,100 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. $44.50 NONE PLAN CHECK FEE TOTALFEE 1.13 11 All A $57.18 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) W EN PROP R A ID T D THIS IS YOUR PERMIT R S ATURE WNER tIF OWNER BUILDER) IDATEI ...,,�8'�DG INSP DATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New. Alterations, Additions, or Repairs) OWNER: , �� � Ou AG LIC -r ar fE.. BUILDER: " ADDRESS: , 07 VO 4 41.4 a ADDRESS: TEL 110: TEL NO: • STRICT NO: 7clbu LOT: Construction Location STREET: QV" Aj SO JNJ BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this fora two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION �04VP Front: Depth: t Height.. I -SI, Square Feet:I Cubic Feet: Front: Depth: Height: Square Feet.- Cubic Feet: 00 Rype of Construction: Costs $ '® Rb Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Wie 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 Dejvxtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATUM: Stipulation s 9 µ�.s� BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or repairs.. to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of tees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUATION FEES $1.00 to 5500.00 $10.00 Minimum Fee $15.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000'or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replacement of curb and gutter only , Driveway width plus 6 feet x $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before_ proceeding with the framing. 3/60 VC O Ig X16 1'CIRN N y a M o M � qz� M n �*,�,�✓S: �, .. T '$SATS;. �..�� ah i �i; y } -� -St - 0 e SUBJECT -. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV r PROTECTIVE INSPECTION SEC I � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/22/94 JOB ADDRESS 7400 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 2 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Daml 7400 Stinson Blvd NE, Fridley 783-9837 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of Minn, Inc. 3118 Snelling Ave S M ls. MN 55406 721-6628 2179 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 O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Reside House, Fascia & Soffit & trim 9 CHANGE OF USE FROM TO STIPULATIONS Any change in bedroom window shall make window meet the minimum of 5.7 square feet of clear, openable area. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,408 $6.20 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. $144.00 Fire SC $12.41 PLAN CHECK FEE TOTAL FEE License SC $5.00 167.61 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) W NP BLDG INS RLY A ATED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 0 e NEW C ] ADDN [ ] ALTER K CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: %YO t� Legal Description: Owner Name Contractor: Address: Effective 1/1/93 1661 Tel. # 79 3 — �'XS -7 LICENSE # 0-00 a 1-77 Tel. # 7-21-642R Atfach 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. T DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ . A2, 9 Approx. Completion Date: T '- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ (Cost on Back) DATE: $ APPLICANT://� �l�pe 7 Tel. # CITY USE ONLY Permit Fee $/ z1V, " Fee Schedule on Reverse Side Fire Surcharge $ /-;2. V/ - .001 of Permit Valuation (1/10th%) State Surcharge $ 6,..20 -a $.501$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ . d-0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Ne Not Necessary [ ] TOTAL $ STIPULATIONS: