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PRE 2010 DOCS0 • City of Fridley, Minn. BUILDING PERMIT No 3663 Date: . / ...� / ..... ............. owner ..................... Builder A/,-4,1? Address...................................... Address ............................................. LOCATION OF BUILDING No. Street ... . �..! ........................ Part of Lot .... ....... Lot .t ..... Block .... (�............ Addition or Sub -Division en. .. ...��..... ...... Corner Lot ............ Inside Lot . A ........ Setback ..�..��..� � Sideyard .j� ............. DESCRIPTION OF BUILDING To be Used as: c 6 te �..—... Front . 7-. `.� Depth.�T. Height tel'. ® 5q. Ft. �� tEi�. Cu. Ft� .� .................... Front ........ Depth ......./. Height ........ Sq. Ft. ........ Cu. Ft. ........ ....... hist. Cost.. � 6 .: — To be leted ..............:... . Type of Construction ............ Camp 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 forth and in compliance with all provisions of ordinances of the city of Fridley. -X ................................................. In consideration of the payment of a fee of $.. ��.0 ., 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. _ �!(�. rf . ....... 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,.MINNESOTA Owners Name-d� Builder �f Address IV4ddress x-8.33 LOCATION OF BUILDING No. Street:Part of Lot _ Lot Block Addition or Sub. Div. Cerner Lot Inside Lot Set Back gpplicant attach`to this form Certificate of Survey of.Lot.and.proposed building location: DESCRIPTION OF BUILDING' To: be u A as r �-r Front ((6 Depth Height Sq. Ft. ' /� L� 1/ Cu. Ft. Front ,_.._.._. Depth Height Sq.'- A* Cu. Ft. _..�.._ Type of Construction JFJ2A44 EL,'- 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 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. r D�te 1 I �� 1 / Signature (A Schedule of Fee Costs can be found on the everse'Side) 01 Application for Power Plants and Heating, Coaling, Ventilation, Refrigeration and, Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 5_8A� GRAVITY WARM AIR: RATE TOTAL Location `� Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 .................. 5.00 Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. 5.00 Repairs & Alterations --up to $500.00 ................. 5.00 Repairs & Alterations each add. $500.00 .............. 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 Each add. 200 sq. ft. IDR Steam ...................... 2.50 Each add. $20 sq. ft. IDR Hot Water .................. 2.50 OIL BURNER to 3 gaL per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER. (up to 400,000 BTU) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS 8c REPAIRS TOTAL FEE -- - REMARK& 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. Fridley, AUnn.. .195,7– Owner 95 Owner452�_Z. 195— Kind of Building ,/�–�.® .195_ Used as To be completed about Estimated Cost, $ 01 Building Permit No. 3&61 DESCRIPTION OF WORN HEATING or POWER PLANTS—Steam, Hot Wa arm —No - Trade Name �r a'c� Size No ',F Capadty _ � Sq. FLED R BTU H P. Total Connected Loam Kind of Fuer Zle", BURNER — Trade Name, ize No Capacity Sq. Ft. E.D.R BTU H.P. Sign By 11 POST IM -8-58 Business Phone No- �� • City of Fridley, M wa. BUILDING PERMIT Date: & �`�. Z 7 — 4' 1'-3 Address Address ` k ®?0/6 0 N° 6482 NL oVO�BUILDING No. Street _Part of Lot Lot _ ._ Block _ _ _ _ Addition or Sub -Di o_ Corner Lot _. Inside Lot Setback Sideyard Sewer Elevation — rou&tion Elevation DESCRIPTION OF BUILDING To as: Front Depth 4.2= Height 40 _ Sq. Ft. 4�w CU. Ft. Fro DepthHeight Sq. FCu. Ft. Type of Construction - Est. �� . _ t. _ _ -4=44tf 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. ► A /-% In consideration of the payment of a fee of $IV -f- , permit is hereby granted 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 ordinaac�s. � n NOTICE: TMs peneh does not cover the construction, hmsh0atlon for whing, plumblog, gas heating, sewer or water. Be sura to see the Building hwpector for wpanft perni is for them hems. OWNER ° S ITA149 ADDRESS APPLICATION.FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 1 P ;�/^ � 7 / Q LOCATION OF BUILDING No. , J �j StreetsJ/. Part of Lot Lot Block Addition or Subdivision ' Corner Lot Inside Lot A--� Sotbac Side Yard /. SEWER ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To b used as: Front_ Depth Height J �� Sq. Ft. Cu. Ft. a��� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Co 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 fiiCclares that all the facts and representations stated in this application are ty a andppofyot. /% DATE, — 3 -- 5 STONATLTRE� (schedule of Fee Costs can be found on the Reverse Sidey. 16 • City of Fridley, Minn.. N° 8367 BUILDING PERMIT Date: AUGUST 16, 1965 Owner: FLOWS M. ROBECK Builder METRO BUILDERS, INC. Address 5841 - 5th St. N. E. Adm 2909 N'icollet Avenue Fridley 21, Minnesota Minneapolis, Minnesota s, P LOCATION OF BUILDING No. 5 841 Street �_ P t • N. E. Part of Lot Lot 13 Block 6 Addition or Sub -Division __._ Bennett Palmer Corner Lot _ Inside Lot Sewer Elevation To be Used as: Type of Construction Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front + r Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. _ Fst. Cost _ $_ _ 215 . 00•00 To be Completed • REPAIRSDUE TO STORM DAMAGE n L_J In consideration of the issuance to me of a permit the proposed work in accordance with the description E ordinaaces of the city of Fridley. construct the building described above I agree to do e set forth and in compliance with of 1 provisions of Inconsideration of the payment of a fee of It 10.00 , permit is hereby granted to METRO BUILDERS, INCORPORATED 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 pari thereof, shall conform in all respects to the ordinances of Fridley, Minnesotaarding 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 G. JENSEN Building Inspector NOTICE: Ob pens@ does not corer the construe0m, huhibMon for whhm phmbtne, an heatho awer w water. Be ana to ae the BoNNding kapeeter for apmte permha for thea hens. k APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, M NNESOTA OWNER'S NAM � ", ° BUILDER ADDRESS'`'g`d ADDRESS t - LOCATION OF BUILDING No. Street Part of Lots_ LOT ? BLOCK ADDITION ' OR SUBDIVISION Corner Lot Inside LOT Setback 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. To be used as: DESCRIPTION OF BUILDING Front Dept Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction, '_' Estimated Cost —_� To be completed tf- <" 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 applicati are tru and correct. DATE _ ..x`'SIGNATURE (Schedule of Fee Costs can be found on the Reverse S'ide). 7 4 ZOT J 4J A Amr� Nl IN- SUBJECT P City of Fridley 18189 AT THE TOP OF THE TWINS _ BUILDING PERMIT Ir?14 � • -------- COMMUNITY DEVELOPMENT DIV. CE r PROTECTIVE INSPECTION SEC. 1 � 1 CITY HALL FRIDLEY 55432 �•j NUMBER REV. DATEP AGE OF APPROVED BY 612-571-3450 910-F15 19/4/85 JOB ADDRESS 5841 - 5th. Street N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 13 6 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Floras M. Robech: 5841 - 5th Street N.E. 571-2314 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Telle Construction 3541 - 10th Avenue South, Mels. 55407 821-7672 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 Ox ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct a 121 x 14' Three Season Porch. Addition 9 CHANGE OF USE FROM TO STIPULATIONS 0:10111 � dl x4a . �NpWd3'13 d313 .211so- �g�1313 SEPARATE PERMITS REQUIRED FOR ��3-?4p. �eaoj 11 A WIRING, HEATING, PLUMBING AND SIGNS 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 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 $3,600 $1.80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE RO SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- CTION OR THE PERFMANC OF CO CTION. $44.50 PLAN CHECK FEE TOTALFEE $11.13 1 $57.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AG ENT (DATE) �",,WHEN PROPERLY VAINDATED THIS IS YOUR PE MIT ( 1 i �1�,A SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI BLDG INSP NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] FR -1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Address: 20, M5 aAETel. # t7-7).2-314- Tel. # 2D -7U M-7 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 DECK AREA: Length 2 Width LZ OTHER: i Height Sq. Ft. Hgt/Ground 7-6t Sq. Ft.11 �7r . _%.../ Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback '' ,, ll � ,e©O Type of Construction: U�A. Estimated Cost: $ �v Approx. Completion Date: iC� I b `� 3` o u Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: V APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee - Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY T3 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] — 7 EXl5TINCs 4DOsF- LINE 3's �LpcnR 2 \ 3 DECK oNEpfn 5TE.P �W11 FR�oRGH , I �pQ' �C✓y i I X to P,C DLC V- 12� 1" ZX i lb" ac . -� -- -13'8° Pa�C-�A 3/4 FLY PF-c.L ART -A 17 ALL Duey- MATUR1,kt- _ I TSP - IS" COM%. WDW IJ SUBJECT PE VIT City of of Fridley 2 2600'N 600 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. V PROTECTIVE INSPECTION SEC. l �� CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY �.J 612-571-3450 910-F15 L 6/10/94 JOB ADDRESS 5841 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 6 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Stevens 5841 6 Street NE 571-7503 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 X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK LXXX Reroof Dwelling (24 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Smoke detectors to be installed adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $19800 $.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $41.00 Fire SC $1.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $43.70 Si NATURREgfCO TRACTgr�0 AUTHORIZED AGENT MATEi N P PE VALIDATED THIS IS YOUR PERMIT '/'l�''► -10-el BLDG riATE r Si A RE OF OWNER OF OWNS ILDERi IDATE� IJ NEW [ ] Effective 1/1/94 ADDN' .[ ] CITY OF FRIDLEY ALTER. [I SINGLE FAMILY AND DUPhEXES R=1 AND R-2 Building Permit Application :per Construction Address: S Legal Description: Owner Name & Address: , _FL112 / S Tel. # S71 - 7,5" o3 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: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: i2 - C) - � Comer Lot [ ] Inside Lot N Ft. Yd Setback Side Yard Setbacks Type of Construction: �tF(V6 �R4SQ Estimated Cost: $ 14600 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Y APPLICANT: I-ZSC9-? Tel. # S7 CITY USE ONLY Permit Fee $ 111.00Fee Schedule on Reverse Side Fire Surcharge $_ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 STIPULATIONS: 7 SUBJECT IT IT NO. City of Fridley 2 6 4 9 0 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION-SEC. ��aV � /"'1 CITY HALL FRIDLEY 55432 � %'J A,#' NUMBER FEV DATE 7-8-98 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 5841 5th Street NE 1 LEGAL LOT NO. BLOCK 6 TRACT OR ADDITION SEE ATTACHED DESCR. 13 Bennett Palmer SHEET 2 PR9 ERTY OW E MAIL ADDRESS R"oteck ZIP PHONE F�oris 5841 5 Street NE 571-2314 3 CONTRACTOR ZIP PHONE LICENSE NO. rr,,��[[,,M���AILrr,,A��Dyy,D,REEeS}}S- ppt}- 77� AA4AXXx§kHSICXXX 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co 4832 2 1/2 St NE, M ls., MN 55421 572-1821 4772 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION LR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear-off and re-roof house and garage and residing (25 Sq3 Roofing & 1.5 Sq Siding, 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 I 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 $2555 $1.28 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PE IT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 74 7S Fire SC $2.55 STR TI OR THE PER RMA C OF CONSTRU ION. • PLAN CHECKFEE T AL FEE r( Lic n SC .00 $83.58 SIGNATURE FCONTRACTOP ORA HOPi2ED AGENT (DATEi � 8� EN(MP Y VALI A THIS IS Y UR PER i !7; PATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI 7 NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress : Legal Description: _ Jwner Name & Addt Contractor: V/A Address:. 44 T LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: CITY OF FRIDLEY . . SINGLE FAMILY -AND ' DUPLEXES R-1 AND R-2 5g, !$UILDING PERMIT APPLICATION,_._, q 7 4- Effective 1/1/98 %MN LICENSE # ry ( Tel. # !SZ-��l' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF DAPROVEMENT Width Height Width Height Width Estimated Cost: $ Sq. Ft. Sq. Ft. . Ft. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:7-Z W APPLICANT: Tel. # Permit Fee Fire Surcharge $ 1-7�s $ State Surcharge $ SAC Charge $ License Surcharge $ �� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 63. S3 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 [ ] PROPERTY LINE EASEMENT PROPERTY LINE EASEMENT BETWEEN 5831 & 584151" ST NE. FRIDLEY MN. EASEMENT IS TO ALLOW PROPERTY OWNER OF 58315 TH ST NE TO CONSTRUCT A CONCRETE DRIVE WAY UP TO 6 (SIX) INCHES FROM THE LOT LINE. PROPERTY OWNER OF 58415' ST NE. DATE. � , �,00 -% PROPERTY OWNER OF 5831 5TH ST NE. DATE. 4 r�r D� O D 7/-% "!' J L 58315' ST NE PROPERTY ID 23-30-24-24-0051 REAL LOT 12 BLK 6 BENNETT-PALMER ADD.