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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3265 Date: .... /, i�... 7 4j .................. . Owner ....................................... Builder ..................... Address...................................... Address...6......................................... LOCATION OF BUILDING j .. No. [.. .. Street :.... .......................... Part o Lot ... I.... ..... .. ..... Addition or Sub -Division Lot ......`:..... Block .f^.......... :....:...�.:.:: .:....1.. Corner Lot ............ Inside Lot ............ Setback ..: Sideyard " DESCRIPTION OF BUILDING To Used as: .. �!.. z:.... Front. Depth h`Q _ Height ... Sq. Ft.� t:V Cu. Ft. .:'. .................... Front ..........Depth ........ Height ........ Sq. Ft. ........ Ft. ........ Type of Construction `- .Het. cost. �� �.. Comp ........ .:::::::.::. ....:�:. To be Completed .. .... `':::. . 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. Sfo In consideration of the payment of a fee of permit is hereby granted to . 4� jG-P: ......................... 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. ry Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring Ing, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. • Date: Owner: Addres City of Fridley, Minn. BUDDING PERMIT Sunl Address — N° '712'7 OF BU LDING No. -��!- Street ��- /� p Lot _ _ Block _ Addition or Sub -Division ' Corner Lot ._ Inside Lot �y -Setback I Sndeyard If Sewer Elevation _ __ — Foundation Elevation DESCRIPTION OF BUILDING T as: �t Depth tZ__ _ Height /12 Sq. Ft. Cu. Ft.'5" Front Depth Height Sq. Ft. Ca. Ft. Type of Construction P�,-�je® Est. C st _ _ _ 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 wit�Y/all provisions of ordinances of the city of Fridley. A h, In consideration of the payment of a fee of $ , 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 upon viplation of any of the provisions of sand ordinan Building Inspector • NOTICE: ihb permit don not cover the construction, tnstaMan for whdng, phunbing, gas hat►eg, sewer or water. Be sun to see the Building hmpedor for separate permits for these Rema. h OWNER'S APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS LOCATION OF,BUILDIN(; No.Street Z/l/kIze' part -of Lot Lot - Block. Addition or Subdivision. Corner Lot Inside LotSetback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this.form Two Certificates of Survey of Lot and proposed build - ins location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: .P van Front Depth � Height Sq. Ft. N., ,( Cu. Ft Front Depth Height Sq: Ft. Cu.: Ft. �� C o !,n ®ti Type of Construction mile-. Estimated Cost 101 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.Departmeut of Buildings, and hereby declares that all the facts and representations stated in this application are true and.correct. jSchedule of Fee Costs can be found on the Reverse Side). ASPHALTSl Id 0, N S,,-TMU C T 10 N CO. 1631 66th AVENUE N. E. MINNEAPOLIS 32, MINNESOTA SLI 4-1805 �:V 010, 0 0 City of Fridley, Minn. N?'`), 7637 BUMMING PERMIT Date: ChMW: Address Address LOCATION OF BUILDING f7 NO. Street Faft Of Lot cJ-, Lot Block Addition or Sub-Mvislon c,� COMW Lot - Inside Lot Setback Sideyard, Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front - Depth Might - Sq. Ft. - Cu. Ft Front - Depth - Height - Sq. Ft. - Cu. Ft Type of Construction Est Cost To be Completed In consideration of the Issuance to me of a permit to construct the building described above Ido the proposed work in accordance with the description above . set forth and in compliance with 21 = to 0'= of omdinances of the city of Frldley. n In consideration of the payment of a fee Of $ 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 Fddley. Minnesota regarding locatiou, construction, alteration, maintenance, repair and moving of b " within the city limits and this permit may be revoked at any time upon violation of any of the provisions of sald ordinances. ij � lq� 11, 11 manCEs Thb pwmb don no cove the condmdbn, haft8dim for wkbM pbu"g, gas heathy, saww or waw. Be are to m the owbung kAPWW- #W Sep"de PWRdft FW these been. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA BUIL r / IM� ffir -AWADD. LOCATION OF -BUILDING No. Street ,. Part of Lot LOT BLOCK ADDITION OR SUBDIVISIO-- Corner Lot Inside LOT Setback SideiYard G 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 Dept `Height Sq. Ft. W*' Ft. Type of Cai str'uction Estimated. Cost 4,00d To be completed The undersigned hereby makes application fora permit for the -work herein specified, agreeing t -o 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 ip this, application are -true and correct. DATE �o to SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). sueJEcr MIT City of Fridley 25739 AT THE TOP OF THE TWINS BUILDING PERMIT RE NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE T� ---1 ' CITY HALL FRIDLEY 55432 t'j NUMBER REV DATE 12/19/97 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 610 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 6 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mick Jost, 610 67th Avenue, Fridley, MN 55432 574-0346 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hendricks Roofing & Remodeling, 9737 James Ave. S. M ls. MN 881-7274 20032276 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X:] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof (tear-off) house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Underlay meet must comply with 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 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 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 $1 918.20 $.96 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- $62.25 Fire SC $1.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $70.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PROPERLY V DATED THIS IS YOUR PPER�MMIIT//}/�/ QH,,EN a BLDG NSP / /JATE r�ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER, SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Oj BUILDING PERMIT APPLICATION 'A� ConstructionAddress: ��} 6 A W v I U 1 Legal Description: S a m e Owner Name & Address:M ' �k' �, Tel. # -f� 32(e Contractor: / MN LICENSE # ® `3 Z2:7 Address: 3 ka Tel. # YS J 7 -2 -- 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: 23 &/ e) X A VU / 918-. L 0 Construction Type: �'� �!� j- Estimated Cost: $_ !�200' a'h (Fee Schedule on Back) // Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT:(7/10-114h A Tel. # un) Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 011911100 STIPULATIONS: CITY USE ONLY 2,1 S 40v $ � 2, 2-,' Fee Schedule on Reverse Side $ 2— .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $950 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 DIV. `�%� >R V Effective On January 1. 1997 6431 University Ave NE 1 i 0 o Fridley. MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INb IAutu UN tAUM rLUUM Water Bath Closet Urinal Tub Shower Wash Drink. Floor Catch Auto. Gas Gas Misc.. Water Heater Sink Tray Fount. Drain Basin Washer Apel. Range Fixt. G Elec Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: 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 NO. RATE TOTAL Water Heater — Gas** Gas Range" Gas Dryer" Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 0, S-0 State Surcharge 3 .50 JOB ADDRESS (, /:�' The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. /,0// s/ , 1 gw�-` Owner %/�i`�`��G �14177 Building Used As Estimated Cost ��- PERMIT NO. le?9y PLUMBING COMPAN,1Y�/� /�D7" v TEL N0. SIGNED BY Approved By Rough—In Date _ Final Dat (d� / v/lcpw l U1MIA.O!" FFF A ANY ptum3ING/GASPERMIT iS ij20.00 a City of Fridley SUBJECT AT THE TOP OF THE TWINS BUILDING PERMIT 28864 r ` COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r � 1 � NUMBERDATE f7l PAGE OF APPROVED BY = I "'1 CITY HALL FRIDLEY 55432 612-571-3450 9/ 0415 1/25/99 JOB ADDRESS 610 67 Avenue NE 1 LEGALLOT NO. OLD TRACT OR ADDITION SEE ATTACHED DESCR. 5 6 Rice Creek Terrace Plat 6 I SHEET 2 PROPERTY OWNERMAIL ADORES$ ZIP PHONE Michael Jost 610 67 Avenue NE 574-0346 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Golden Hatchet Roofing PO Box 553, Anoka, MN 55303 427-3047 20003158 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 O NEW ❑ ADDITION ❑ ALTERATION [R REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM 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 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 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 @ $.94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,885 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAJE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI NS OF ANY OTHER STATE OR LOCAL LA RE LATING CON- Fir SC $1.88 TRUCT N T P€RFORM OF CONSTRU ON $59.50 PIAN CHECK FEE TOT FEE _ -ZS Lice S $5. 0 67.32 SIGNkfu E O0: CON'AACTOa OR AUT«Ot+i2E0 AGENT IDATE. EN RO E Y LIDA ED HIS IS YO R PERMIT =�- 99 S.GNATURE OF OW NEA OF OWNER BUILOM tOATE, OnNS� OA tE 01 uwil ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: O & 7 IVZ7 Effective 1/1/99 11;lkl Legal Description: sIklale Owner Name & Address: _�'IiI / e'� TO �' Tel. # Contractor: ales l /FO eg /c: 6-? MN LICENSE # Address: ga, A2Y S `�/!/ 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: *1.2 A S -o - Construction Type:, e--ct/- D��/� l �� Y > D yp Gjdl Estimated Cost: $ "-C- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1,2APPLICANT:�i'1,'L�2�9 Tel. # 12 7-3057,�' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $� (� U Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] SUBJECT PER City of Fridley 288731 AT THE TOP OF THE TWINS BUILDING PERMIT rrL -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE 1 � = CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED By 612-571-3450 910-F15 1/28/99 JOB ADDRESS 610 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 6 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mick Jost 610 67 Avenue NE 574-0346 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Remling Aluminum Products Rt 1, Box 369, Ottertail, MN 56571 218-367-2838 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 WITH WHETHER SPECIFIED TME RANTING $6,400 $3.20 HEREIN OR NOT. CIF A PERMIT DOES NO ESUME TO GIVE A THORITY TO I LATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S F A OTH S TE OR LOC L AW REGULATING CON* $124.75 Fire SC $6.40 STRUCTI N O T PERFO M CE OF CON T C710N PLAN CHECK FEE IT TAL FEE 134.35 SI A OF CONTRACT R OR AUTHORIZED AGENT DATE, P LYVA IDA THIS IS YOUR PERMIT S ATURE OF OWNER-i;OWNER BUILDERl "ATEA UftOtSo - pitE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ( l0 (O 7 � a:,� Legal Description: Owner Name & Address: Contractor: Address: Tel. # �'74<- v39'6 MN LICENSE # Tel. # .21k 36���3fs Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale: DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: stimated Cost: $ &LDD (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. +16 Ft = Ft x $ = $ DATE: Zz:uAPPLICANT: �2/; 9 Tel. # 3.1 7_ 2S -3k STIPULATIONS: `/ CITY USE ONLY Permit Fee $ 10241,2s Fee Schedule on Reverse Side Fire Surcharge $ (o. 70 .001 of Permit Valuation (1/10th%) State Surcharge $ 3,20 $.50/$1,000 Valuation SAC Charge $ $1050 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 $ 12y .3 -S - STIPULATIONS: JLL-07-2005 11:56 CITY OF FRIDLEY CITY OF FRIDLEY Vir1N I) 6439 UnWTsity Ave NE, Fridley, MN 55432 kDDN I j SINtaLE FAMILY AND DUPLEXES R-1 AND R-2 ;LTER L 3 BUILDING PERMIT APPLICATION P.04/06 f2 (763 672-36D4 Bldg hop , jo y (763) 571-1287 Fax 05, o Construction Address: 6fv Legal Description: 76, S7 ®®3�d Tel. # Owner Name & Address: Contractor. /6 P® sv`r MN LICENSE # �Jy'7f3- Z�i-I�� /� �/�Cc�aSPNA LA rpAddress A,tach to this apprIMIJ0171, a Certificate of Survey of the lat, with the proposed construction drawn on it to `scale. pESCRiP'TiON OF �� p� ��o p L -s- LMNG AREA: Length 1Nidth ,^:_ Height �= Sq. Ft Width Height �_ Sq. Ft GARAGE ARL' -A: l�+g�►-----�- DECK AREA: Length6 �� Width � - Hgt(Ground 2 Y 1-4 Sq. Ft OTHER: g7 a Type: �G FC ✓SP�P�+ yla�✓ Estimated Cost: Constructior{ Cva D&eway Curb Cut width Needed: Ft + 6 Ft= Ft x DATE. -7-17-OS' APPLICANT- _ 7eL Can (763) 572.3604• for Permit Fees if ftWffing in application. Fax to 763-571-1287 If using credit card and we will call you for card number. CRY USE ONLY - Permit Fee Plan Review Fare Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ a94 P Fee Schedule on Reverse Side $ 65% of Permit Fee $ .001 of permit Valuation (1110th°lo) $ $.501$1,000 Valuation $ $1450 per SAC Unit $ z00 $5.00 (State Licensed Residential Contractors) $ Ait. "A" or Alt. "B" Above $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary C ] Not Necessary I l $ rj / STIPULATIONS: RAit- I id-- I Poste I- s�z� . ftF-4. r (20 R . = - I►La CcoA fZ size �V. S41 -&I5 SeL� iVlpjC L1„ 2✓dl J C F,OAR. le f.a.).6m ,E%tST cotj Fitz 09M. S � LE �• PEA WWI IL I �V L �COlt V114 . � ls; 14 CQ t MIN 6 M,9 -/L �, POST gODE 0 LF -D6 -SR *— &Pe® JUL-07-2005 11 56 CITY OF FRIDLEY P•06/06 Mix��.E�xc�Eaarsxc� •Few C0-JNC- ENGINEERS AND SURVEYORS • sats �ssT+Na L^t4w L^V40 a«ue wvl%, &. MVNICUPAt t"604SEMiN& 6418-56=x avEuuE N. MINNEAPOLIS TrMINN- KE 7� SG,37 corilloliedAft of A Ll A 14 I r Bui�din� (w- O � � �w •�\^. r•� � • ! . i ..r ^r \�r • 'JG r. • � fH••�.Y•Ft W H.^ � �• I WF FttcREt3Y CERTIFY T�tAT TttIS 1S A TRu£ "xs l .COt2v&Cr REPRE5EN7AT401S OF A 5t1tL`PEY bF YtsE BOrft�tDPStIES OF THE LAND P180Y£ DESGRI>3ED ANO 0; T)tE LaP.TtC'N OF ALL SUtLDINGS, IF AMY , Tt'REot4 ,ANO RLL YA$15LE EM[ROkc"mf.NT5, 1F MtY, FROM am ON SP40 LAND. vmDER ENGIN'F-f-R,NG CO." INC. onTrd TK15 ah`! flF�kY ab.t7 $B gt3 G113�oE rL9 AKv ,� yyYYOR S TOTAL P.06 MEiCK�vs'f SPRING LAKE PARK LUMBER CO. 8329 CENTRAL AVENUE N.E. MINNEAPOLIS, MINNESOTA 55432 ® TELEPHONE (763) 764-3062 I i• 1 � 1 ! � i 1 , � , II AJ1 b of I I itj I I tAlj I t I i � i �__ t__ _ ,_�.�.—f�f_�L_...-i_. _._J_ , -..-i-�i____i----i---I}--�_ I L.•�(- , 0