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PRE 2010 DOCSVillage of Fridley, Minn. BUH DING PEBXM N° 1 3 Office of INSPE OR OF BUILDINGS Owner. ,`' /t• Architect Fridley, Minn., 6 ° , Builder LOCATION OF BUIMING DESCRIPTION OF BUILDING Front Depth Height � Stories Manner of Construction " i To be used I' - ' ' Y ` ">n To be completed kL ': ° ' � Estimated Cost -56, i. Permit is hereby granted to the building; iAir+ described in the above statement. This permit is granted upon the express condition that the apepson to whom it is granted, and his agents, employees and workmen, in all the work done in, aroundand upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley; Minn., regarding the 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. Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, day of A.D. 19 °" 1] Minnesota, Is 2-; �e'd`zf Cify of Fridley, inn N° 8766 BUILDING - PERMIT Date: APRIL 142 1966 Owner: Builder AL WMLIAMS AddressAddress 8562 East River Blvd. Minneapolis,. Minnesota LOCATION OF BUILDING No. 131 Street 5TH PLACE N -E. part of Lot Has lie- of Lot 3 Lot 4—__ Block 1 Addition or Sub -Division . CITY VTEW Corner Lot _ Inside Lot _ . 8 Setback 3 -- Sideyard 10' Sewer Elevation _ 837.75 MMOMIk Elevation 840.75 DESCRIPTION OF BUILDING To be Used as: DWELLING Front 40 Depth 26 Height 20 Sq. FL 1,040 CtL Ft. 20.80 Front Depth Height' Sq. Ft. Cu. Ft. Type of Construction FRAME Est. Cost _ 14.50 .00 _ To be Completed WATER d 122' East of Manhole SEWER - 136' East of Manhole In consideration of the issuance to me of a permit to et the b7,1n!D described above I agree to do the proposed work in accordance with the description above set 01 p ce with ail provisions of ordinances of the city of Fridley. P In consideration of the payment of a fee of2g 1.00 , permit is hereby granted to al WILLIAMS 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city Iimits and permit may be revoked at any time upon violation of any of the provisions of d ordinances. ALLEN G. JENSEN Building motor NOTICE: M ponn1t don not corer dw condroddon, bmagdion for wkhm phanbing, on boding, :war or wdor. Be eon to as the Boibling Impntor for aperde pammfa for thea ftem APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION OF BUILDIW, N0. STREETZdPART OF La 2—ZOT 1 aa LUT BLOCK % ADDITION OR SUBDIVISION l CORNER LOT INSIDE LOT '----SETBACK )\ SIDE -Y LL SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey'of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To b=sed A Front Depth Height Sq. Ft. Cu. F Front Dept h Height Sq. Ft. Cu. Ft_ Type of Construction` Estimated C �_ 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. S (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration 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 ® O 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. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ s 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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 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 FINAL Dept. of Bldgs. Phone SU 4-747700 Location /_:�?/ l d� 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. f Fridley, inn- Owner Kind of Building Used as To be completed about — Estimated Cost, $ Old New. '/lding Permit No. 766 Permit No. 4�1� ew DESCRIPTION OF WORK HEATING or Pteam, Hot Water, Warm Air—No J Trade Name (/��� r Gi�� No' _ O Capacity. Sq.. Ft. E.D. 0 �� BTU H.P. Total Connected Load a�d of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) PERFECTION HEATING COMPANY, IN.C. 2936 FOURTH AML SM i IA. 3-5287, Signe h► 0115 B' MINNESOTA X42 2M Business Phone No y — S� �✓ / DJ6 / HE.KT SS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips AS.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— Fl. Room � Length �/ Width / Height Fl.� Room Length /� Width // Height Windows and Doors—Crackage and Area Width Height No. o[ Lineal ft. Area No. of pane of pane lights of crack eq. ft. Windows an oors—Crackage and Area Width He No. of Lineal it. Area No. of pane of pane lights of crac eq. ft* Total Btu. Required,sq, ft. E. sq. ins. W.A. Bader ar-$ Room I Length 6 Width Y - Windows and Doors—Crackage and Area Net exp. wally VO 413 Width Height No. of Lineal ft. Area No. of pane oft pane lighhts� of crack sq. ft. 7i �Z Coef. Btu Infiltration 57 Coef.1 Btu 9 Glass Exp. wall xo �® a Exp. wall A 5-y g 1,24 4 1 .3 7 5--0 Exp. wall1-3a Net exp. wall 1 1.7 O Int. wall (� / ® 1610 Int. wall Ceiling / Floor S d Floor Total Btu. Required,sq, ft. E. sq. ins. W.A. Bader ar-$ Total Btu. // 7,10 Requiredsq. ft. R. or sq. ins. W.A. Leader area Fl.I ei Room I Length / z Width ff Height Window and Doors—Crackage and Area Room I Length 6 Width Y - Height K Windows and Doors—Crackage and Area Net exp. wally VO 413 Width Height No. of Lineal ft. Area No. of pane oft pane lighhts� of crack sq. ft. 1, 3 v -2— �� ® 9 7 Infiltration Floor 2�2 57 Coef.1 Btu Infiltration Z/tom® Exp. wall xo 1 3.3 Glass Net exp. Beall Oz 57/ 420 1 .3 7 5--0 Exp. wall1-3a 1 Net exp. wall (� / ® 1610 Int. wall Ceiling S d Floor Total Btu. // 7,10 Requiredsq. ft. R. or sq. ins. W.A. Leader area Fl.I ei Room I Length / z Width ff Height Window and Doors—Crackage and Area 9 " Glass . Width Height No. of Lineal ft. Area No. of panne of Dane lights of crack sq. ft. Exp. wall Net exp. wally VO 413 Int. wall Coei. Btu Infiltration Floor 2�2 57 Glass v� ZI D Z/tom® Exp. wall � Net exp. Beall Oz 57/ Dfe, 67 Int. wall Ceiling Floor Tbtal Btu. ired sq. ft. E.D.R. or sq. ins. W.A. Leader area 7- Z21 Btu Infiltration 9 " Glass . .S,?> -,?- / v b Exp. wall Net exp. wally VO 413 Int. wall Coef. Ceiling / o Floor 2�2 Total Btu. Glass Requir s . ft. E.D.R. or sq. ins. W.A. ader area Rnnm I Length / Width / / Height Windows and Doors—Crackage and Area l'zlo Glass Width Height No. of Lineal ft. Area No. of pane of pane I lights of crack eq. ft. *0 � Z Net exp. wall VO 413 Int. wall Coef. Btu Infiltration Floor 2�2 Total Btu. Glass `- ZI D Z/tom® Exp. wall Iflo Net exp. wall �' b /3F6 Int. wall Ceiling Floor Total Btu. quired sq. ft. E.D.R. or sq. itis. W.A. Leader area l.� Room I Length/® Width Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area Of pane of pane lights of crack sq. ft. Btu Infiltration�0 l'zlo Glass iy/ Exp. wall Net exp. wall VO 413 Int. wall Ceiling �� y Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Plants and Heating, Cooling, Ventilation, Re1frigeration 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. EDR 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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ .J. GAS FITTING FEES: NO RATE j TOTAL � 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $L Dept. of Bldgs. Phone SII 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, Minn- <�-7 19 Owner 'G • ��.ye-!%l�ra�c��� Kind of Building Used as To be completed about Estimated Cost, $ / Old--(5)Building Permit No. Permit Nov� (�. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water Warm No l Ps Trade Nam Size No -'10-2 Capacity Sq. Ft. E.D.R 02,11 BTU H.P. Total Connected Load�_"�;' Q"�d Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. EMM BTU H.P. (REMARKS -OVER) Signe 17 By r� <z Business Phone No- / Z 2- 560-3450 cit Of riaffe ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421 December 5, 1966 Re; 131 57th Place We the undersigned agree to remove 8' x 45' house trailer - "Palace Ranch Home" or apply for a permit to park same by Council approval by January 1, 1967. Permission granted this date by Mr. Earl Wagner, City Manager. City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING - PERMIT PERMI 6 2 61 1 � rr `L __-__- COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 � 1 i � CITY HALL FRIDLEY 55432 j 612-571-3450 o / NUMBER s� o-F� s REVDATE A E 6/16198 PAGE OF APPROVED BY JOB ADDRESS 131 57 Place NE 1 LEGAL DESCR. LOT NO. 4 BLOCK 1 TRACT OR ADDITION 1 City View Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carmen Mack 131 57 Place NE 571-0318 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. 8 USE OF BUILDING Residenital 7 CLASS OF WORK � ❑ NEW ❑ ADDITION ❑ ALTERATION pX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (12 S) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,000 SURTAX @ $•50 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. $34.75 Fire SC $1.00 PLAN CHECK FEE TOTA EE $;6:25 ?SGATUREOFCONT RACTORORAUTHORIZED �AGENT � DATE/i H PRY LOG NSP VALIDA HO IS IS YUR PE IT PATE S.GNATURE OF OWNER OF OWNER BUILDERi iDATE� I NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 31 J���-� ( S -3 Legal Description: Owner Name & Address: e(A 1rm.'r n Tel. # °/ — D J �� 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 L%4PROVEIVIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ Hgt/Ground Sq. Ft. OTHER: 7d S a, -� Construction Type: Driveway Curb Cut Width Needed: DATE: � _14_ F � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Estimated Cost: $ J (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $ APPLICANT: Tel. # 511-O J/9-9 .v CITY USE ONLY $ ��7, `�� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ S) $.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 [ ] CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 200( 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ��J — S.`1TI' i-P�cQ N • �. . RATE SCHEDULE OWNER Q P qump. ti � AC k Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS_ ,) Liffe L_Uk 61 Also Replacement Furnace $ 30.00 $ 00 (Side Vent - Fill Out Back) ESTIMATED COST D 0 .00 PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water)arm Air Gas Dryer $ 10.00 $ Trade Namei0v se, 1n -r Size No.aa3KAV n4zo_q �, BTU 22 - ooQ_ HP EDR *Air Conditioning - All Sizes a ?on Jo Sem- $ 25.00 $ 00 Fuel Wk GAS Total Connected Load 'Pw-4awr s&.1czXo L4 All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE DATE 4:.— 0 & MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CRO er City Sheet Metal, Inc. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00N.W. PLUS THE $.50 STATE SURCHARGE Signed Coon Rapids, RAN 55433 TEL # 9 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By 4Roughdn Date Final Date "r9 -y/ written permission from adjoining property owner. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS /-'/ i'°/` &_P' New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. JVv►-e- `� 2 mal Owner f � k-7 C ✓�_ )41 t (/4 Building Used As_/&V.' ' ae, Estimated Cost .5 PERMIT NO. PLUMBING COMPANY Celltr&4 ei G SIGNED BY 4 TEL N0.G6 Approved By // s iI Rough -In Date OR ANY PLUM PLUS THE $.50 STATE SURCHARGE ?V . Final Date 6-(f-0 / **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. SUBJEct IT NO"~y City of Fridley 3 i 927 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. LV ___ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � s® 572- 604 O r � PROTECTIVE ICITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/22/01 JOB ADDRESS 131 57 Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 City View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carmen Mack 131 57 Place NE 763-571-2864 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Pella Windows & Doors 15300 25 Ave N, Ste 100, Plymouth MN 55447 763-745-1400 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20165884 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 10 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Per" lospecdon Car ds W111 Wall 8e Mail d TO T ®Posh 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR A13ANOONED 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 $8,117 $4.06 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- $167.25 Fire SC $8.12 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licens $5.0 .$10.43 SIGNATURE OF CON'RACTOR OR AUTI+ORIZED AGENT IDATEI EN ROP R DATED S IS Y R R � BLD ,NSP DATE S-GNATURE OF OWNERJF OWNER BUILDER, IDATE, NEW [ ] Effective 5/10/99 ADDN [ l CI'T'Y OF FRIIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I-6% (`j .� . � -' h -f C�¢ Legal Description: Owner Name & Address: Ck kpM— r,1 MQx� Tel. # 4to3 T • ao�r� Contractor:; PELLA WINDOWS & DOORS MN LICENSE #. 15300 -25TH AVE. N. STE# 100 Address: PLYMOUYH, MN. 55447 Tel. # Attac 763/745-1400 irvey. of the lot, V► LICENSE# 20165884 ,n it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF VVIPR OVEMEINT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ - DATE: ._� �� r itO�,'`s__11► �i� L►. &I TOTAL $ U y 3 STIPULATIONS: CITY USE ONLY Permit Fee a� $ lu Fee Schedule on Reverse Side Fire Surcharge $ =► .001 of Permit Valuation (1/10th%) State Surcharge $ OSP_ $.50/$1,00 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S $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 $ U y 3 STIPULATIONS: