Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N? C5C4f,,) Date:'..'_,, r� Owner: ' Builder •�' ` — Address _ _ Address LO OAF BUILDING No. Street r�� .c`,,=/ --x-�-e" __ Part o t Lot % 0 - Block . 0z— Addition or Sub -Division Corner Lot _ Inside Lot Setback L . __ ideyard ,Sr =0,5; -`r� Sewer Elevation _» Foundation Elevation — DESCRIPTION OF BUILDING Tye Us ' A Front Depth ,eight Sq. Ft. +r Cu. Ft, - 4 Depth Hight Sq. Ft. — Cu. Ft. Type of Construction '^ _� Fst. Costs=��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 with all Provisions of prdinances of the city of Fridley. In consideration of the payment of a fee of $(A,l " — , 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 violatio any of the provisions of said ordinances. w ," "+ r� -.mac Zf Building Inspector NOTICE: This penult does not cover the construction, hutaWHon for wiring, pluml&g, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Items. ,, 4. . , s 0 4 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's. Address Address �� �r (U4 LOCATION OF BUILDING No. Street „"'), 1'1" S- - Part of Lot ao­ Lot o Block ?/ Addition or Subdivisions P GG"� Corner Lot ✓ Inside Lot Setback -31-r Side-Yard/L/,//'f z 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: CA-"- 4=+ Front epth Height Sq. Ft. Cu. Ft. — Front _��eight Sq. Ft. Cu. Ft. Type of Construction 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 of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE b - Lr, SIGNATURE— 6� (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Coding. Vehtilation..Rehigmal� no and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 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. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule Q� GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOT&L 1st 3 Fixtures ...................... x $1.50 $ ✓� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH— OUGH FINAL— FINAL Dept. Dept. of Bldgs. Phone/SSU. 4-7470 Location 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, inn. Owner Kind of Building Used as To be completed about Permit No. Permit No. l �� DESCRIPTION OF WORK HEATING or POWER PLANTS—,Stea=4 Hot /Waatter�W-a�rm Air—No/ Trade Nam�iy.e�C/UU L1/ize No- / Capacity Sq. Ft. E.D.R.v BTU H.P. Total Connected Load / _ Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Business Phone N D•S6 ' s HEAT LOSS CALCULATIOn DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V. . Construction No. Guide' ind rvs oo Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Ye No' I Ye!22!o 19_ ` / . Room I Length--' "e Width / ' Height I Fl.� Room 11 Win ows -a4- M--oors—Crackage and Area Btu Required ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. of Lineal ft. Area No. ofpane of pane lig of crac/k� sq. ft. Fl.•�,L` /te 07 V Coef.1 Btu Coef. Bty Coef. Btu Infiltration Glass Net exp. wail Exp. wall �- Glass Exp. wall Net exp. wall Q Int. wall Net exp. wall Ceiling Floor . E.D.R. or sq. ins. W.A. Leader area / Total Btu.} Required sq .D.R. or sq. ins. W.A. Leader area Int. wall Fl.1 Room I Length Width IR Heigh Ceiling Floor d'{/ Total Btu. I I I Coef. Btu Required ft. E.D.R. or sq. ins. W.A. Leader area Width Fl.•�,L` oom ( Length, Width Height / Windows and oors—Crackage and Area Width Weight No. of Lineal ft. Area No. of pa!!v of ang lights of crack sq. ft. .a / 9M, Othl / Coef.1 Btu Coef. Bty Infiltration Exp. wall Q Glass Net exp. wail Exp. wall �- /49 I'Me Net exp. wall Q Int. wall % Ceiling Floor . E.D.R. or sq. ins. W.A. Leader area / Total Btu.} Required sq .D.R. or sq. ins. W.A. Leader area Fl.1 Room I Length Width IR Heigh Windows and Doors—Crackage and Area I I I Coef. Btu Width- HeightNo. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. Width Helghi No. No. of Dane Coef.1 Btu Infiltration Glass if 4�` IV Exp. wall /Ova Int. wall Net exp. wail &62 Int. wall /49 I'Me Floor Ceiling Floor ZZY Total Btu. I Total Btu. ft. E.D.R. or sq. ins. W.A. leader area MINNEAPOLIS, MINN. Insulation How. Applied h Heigh to and Area II I I I Coef. Btu Windows and Doors—Cr+ Width Helghi No. No. of Dane Ot pane lig 413 // Net exp. wall MINNEAPOLIS, MINN. Insulation How. Applied h Heigh to and Area II I I I Coef. Btu Infiltration % 7/7�' Glass / 5� Exp. wall 413 // Net exp. wall /W /® /Ova Int. wall Int. wall Ceiling /49 I'Me Floor 7`a? Total Btu. % Required sq. . E.D.R. or sq. ins. W.A. Leader area F'I_I .f /li,R.tn l Lenath /I/ WidthHeight. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of lights of crack eq. ft. /pane Coef. Btu Coef. Btu Infiltration Glass // Glass Net exp. wall Exp. wall Int. wall Net exp. wall /49 I'Me Int. wall Ceiling Floor % Total Btu. 161 5— -5 Required sq. ft. E.D.R. or sq. ins. W4 Leader area F1.1 4,9W,-6kol/Room I Length W Widt HeishtOr Wintiows and Doors—Cracka and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Q Glass Exp. wall .� Net exp. wall /Q Int. wall Ceiling Floor Total Btu. h. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK �� Number, Kind and Location of Fixtures Location O < c Future Fixture Opening ................ z �� rc�p LL 2 V1 Q joy LL O S a~a'� U m 5 < �qqd Ly G �`z i� Sn 0 �a i� O F N WATER HTR. GAS EI-Fr- LEG Base x 3.25 $ GAS FITTING FEES: z RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 $_i, •5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures' O ...................... � x $1.50 $�O — REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work here! specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Mrin, ✓�— 19� Owner Kind of Building Used as To be completed about 6 ®-o Estimated Cost, $ e uilding Permit No� Permit No. Q Signe By Business Phone No ROUGH `� S FINAL Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 02 - O New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 $_i, •5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work here! specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Mrin, ✓�— 19� Owner Kind of Building Used as To be completed about 6 ®-o Estimated Cost, $ e uilding Permit No� Permit No. Q Signe By Business Phone No ROUGH `� S FINAL • 0 City of Fridley, Minn. BUILDING PERMIT Date: APRIL 29, 1966 4-;'-�V-47 N° 8802 Owner: LARRY WADSEN Builder ANDREW KRUTZIG BUILDERS Address 5801 - 7th St. N. E. Address 4231 North Lilac Drive Fridley, Minnesota 55421 Minneapolis, Minnesota LOCATION OF BUILDING No. 5801 get 7th Street N. E. Part of Lot Lot 10 _ Block 2 Addition or Sub -Division _ Lyndale B1drs ., 7th Addition Corner Lot _X Inside Lot Setback _ - Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Front Depth Height Sq. Ft. Type of construction REPAIRS Est. Cost _ 65 0.00 To be completed REPAIRS AFTER STORM In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above�s � in cc ordinances of the city of Fridley. ✓✓ Cu. Ft. cu. Ft. to do ns of In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to ANDREW KRUTZIG to construct the building or addition as described above. This permit is granted upon the express conditi7ttheSIho thato wm it is granted and his agents, employees and workmen, in all work done in, around aupon saiing, or any part thereof, shall conform in aII respects to the ordinanceds�gosP wit ythe olimiffi and n, construction, alteration, mup ti n of any of tmheo prgovY ions of said �t may be revoked at any time vic ordinances. ALLEN G. JENSEN NOTICE: ihb pennh don not corer the eemtrnedw, Mdagaim Por wMh& pkwbing, gn heating, ewer w orator. Bo acro to m 69 BoBdhm mveftr for aiparato permits Por thea ft"M APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S BUILDER �-Q� Ll ADDRESS 4J / - ADDRESS r LOCATION 0 UILDING N0.� , "" STREET LUT__ L� BLOCK _2— ADDITION OR SUBDI OF 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 Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction . ��1/ Ea imated Cost��j, Ate' 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. DAT /i4 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). T City of Fridley, Minn. BUILDING PERMIT per: Larry G. Wadsen Bider Same Address 5801 --7th Street N _E _ Address Same V ioaso'� LOCATION OF BUILDING No. 5801 Street ._._ 7th Street N.E. Part of Lot Lot_ 10 __Block 2Addition or Sub -Division �ndale Builders 7th Addition Corner Lot —_X Inside Lot — Setback —_ Sideyard Sewer Elevation —_ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 24' Height 10' sq. FL 576' cu. FL 5760' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost $1,850.00 __ To be Completed July 1, 1971 Provide Hardsurfaced 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 set f and in mpliance with ill provisions of ordinances of the city of Fridley. 4 �'/������ 0A �� In consideration of the payment of a fee of $ 11.00 , permit is hereby granted to Larry N Wadsen to construct the building or addition as described above. This permit is granted upon the 7re ss conditionadone around and up7dyMinnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings the dty limits aainances. Building Inspector HANK MUNICH NOTICE: lids permit does not corse the construction, installation for whing, Plumbing, gas boding, sower or water. Be sure to we the Bull" Inspector for separate permits for these hone. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: /-#0 /5y ('-' � s�.v BUILDER: ivc'lrff ADDRESS : 37,CJI -'7 22� .S7__4, e, ADDRESS: NO:. STREET: `7 ST LOT: /D BLOCK: ADDITION: L yXD)�kr- f l CORNER LOT: Ix INSIDE LOT: SETBACK: SIDEYARD:`2 --2 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: " • Depth: V - S Hei ht• Square Feet:. -'S- �%� Cubic Feet: 10 Front: Depth: Height: Square Feet; — Cubic Feet: �- Type of Construction: W60D 11111 Estimated Cost: To Be Completed: 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. DATE:' 9 SIGNATURE. (See Reverse Side For Additional Informat n.) 77 77. 7777 7-7777- r A V.- STt�rrt� _ N M ' 9. ® 1Nr,,,.' r,5 Sur ve ors age o _ SCHU`MACHER MORTGAGE CO. w or • ki �t — I I . 1% -- — _ 5$ AVE. N.E.LOT T BUIL 7"All -- --10,. -.DLOCK Z' LMID •r�.•�_. ter-.,.._ r�'rdy, mat. �A� p w r ►f . - s� gip. 0� cc.� �d �e�r,���s �c d�►r� � ���.��� � a*�� �»t. ' t� CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604: REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 0 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value'of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2002 T JOB ADDRESS 50001 7TH STP-eE7 *-*- OWNER s-E�6 WoD TOTAL BUILDING USED AS 96iIDUN W ESTIMATED COST 1731.00 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (.Hot Water) $ Trade Name FVVD Size No. BTU_ 70, OW HP EDR $ Fuel hlfrT. 6R'S Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ ,50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $2!0 -9 DATE HEATING CO Mix M�FGriAr/ rc.A r, Signedwetz—TEL #-7277- FAX # loll-- — 4714 7 Approved By Rough- In Date Final Date (37-11 -3o .SD THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CQMMQN VENT, VENT r-QKINFCTQR AND COMR1ISTION AIR V RIFI .ATIC)N When replang an _xic ingf urs ant -p, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes k) No ( ) The venting system is plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (k No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The ' com19 ®coon air is sized and installed to meet the current codes and manufacturees specifications. Yes No ( ) When mired to kmbfl a a= combustion amt will be sized and installed to meet ft reit codes and manufacturers specifications. Yes No ( ) a ME , the undersigned hereby verifies that it is a ftled assenribly and nmets the azrerd codes and manufacturers speci1icaft is. This does inckLde AGA-GAMA Category I Central Furnace Veretiry Tates for fan assisted and natura9 &M appliances. Yes No ( ) Is the comnm verd and vent conroclors sized and installed correctly after an qWbance has been removed from the moron vent and vented sepamWy as per currsM codes. Yes No ( ) AmIjance Ime and SizeComman Vent and Vent Connector Inform inn Appf ce #1 Type 1 -,,ye 'Fwir4 BTU Input 'P ,m Fan Assisted or Nat Appliance#2 Type WA-Im N -y/1. BTU Input yo.000 Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter Appliance #2 Vent Connector Height ft Length ft Diameter Appliance #3 Vent Connector Height ft Length ft Diameter in Type in Type in Type KSI/w,,17 WA-ttm- KeA--Tot HEATING CO: NVeLHA-NICA-, Signed By: SGV Date : ly I go l riL- A SUBJECT P City of Fridley 3324 AT THE TOP OF THE TWINS BUILDING PERMIT r #6 O. COMMUNITY DEVELOPMENT DIV. r 1 ______ v PROTECTIVE INSPECTION SEC. 6 ,97,15 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 11/12/02 JOB ADDRESS 5801 7 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DescR. 10 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Erick & Melynda Ondich 5801 7 Street NE 763-533-1081 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Season Builders & Remodelers 1410 Quant Avg N, Maringof st rrnix, mx 55047 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 651-433-2443 20153478 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underla-ymert must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. 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 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 $2,894 $1.45 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- $83.25 Fire SC $2.89 STRNOR THE PERFORMANCE OF CONSTRUCTION 111 PLAN CHECK FEE TOTAL FEE S , � �� Licenfie SC $5.00 1 $92.59 SIGNATUAEOFCON 7A CTORORAUTHO WEDAGENT IDATE, EN PROPERLY VALIDATED NSR THIS I$ \ R1PERIT DATE S-GNATURE OF OWNER,JF OWNER BUILDERI (DATE. A NEW O CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: le_/ C- /v,8 Owner Name & Address: f-" t y1%n 'c. Tel. # 0 �! Contractor. �1NA��� MN LICENSE# o lAddress: \ v� -� ` u �r�. N Tel. # e of gurve df the Attach to this application, a Certificat y ®� lot, with the proposed construction drawn on it to scale. , j 3 DESCRIPTION OF IMPROVEMENT /� J LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: 71 Construction TYP. �V,e— (C Estimated Cost: $ � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: I I I D APPLICANT: 0 Sj Tel. #�� Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ a. ji .001 of Permit Valuation (1/10th%) State Surcharge $ 1 VS $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ 5� o 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 $ qC9• 51 STIPULATIONS: