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PRE 2010 DOCS0 City of Fridley, Minn. WELDING PERMIT Date: ...................................... Owner....................................... Builder Address ...................................... Address ............................................. LOCATION OF BUILDING n � No. .,/. ... Street .. .. ........':`: .... Part of Lot ............................... Lot .../40 ..... Block .... � ........... Addition or Sub -Division Corner Lot . ....... Inside Lot ............ Setback �! ... Sideyard ..... . DESCRIPTION OF BUILDING N® 3511 To Used .y. .... Frost 'Y Depth :�J. Height/. �— 6 Sq. Ft.10 4 Cu. Ft.ZR R.Q9R� .................... Front ........ • .Depth... ... Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................ list. C�.007 ° .. To be Completed ............... . In consideration of the issuance to me of a permit to construct sribed above, I agree to do the proposed work in accordance with the description above set f pliancy with all provisions of ordinances of the city of Fridley. ,1(.. ................................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. T'7.,4 ..... 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. City of Fridley 53-84-5915.51 Applicafioe for PIobMg mid Gat Fhibg Penak Dept. of Bldgs. Phone 990-3490 DESCRIPTION OF WORE Number, Kind and Location of Fixtures I.eea 701 NE, 68 Ave "" m S dF V <3 v / N WATER MTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connee!!on Openings * Now Fixture, Old Openings Connected with Sewn C] Cesspool El PARTIAL RATE SCHEDULE PLVMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • • . x $3.00 $ New Ground Run Old Bldg........ . Electric Water Heater .............. GAS FITTING FEES: lot 3 Fixtures .................. Additional Fixtures ................ . Gas Range to 199,000 BTU .............. install (1) gas lite REPAIRS & ALTERATIONS—Aster to Code x $3.25 $ s $2.00 $ NO. RATE TOTAL 1 x $2.00 ; 2.00 x$.76 $ x $5.00 6 3.00 City of Fridley: The .undersigned hereby makes application for a permit for the vrosk herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that an the fact and representations stated in this application are true and correct Fridley, Minn TriI 9A- 1925� 19, Owner Je]rr3r Williams Kind of Building f Used as residence To be completed about May 10 1972 Estimated Cost, $ 10.00 Olc? New. Building Permit No. Permit No. r- Signed By---- - MININLUASM Business Phune No ROUGH FINAL /� Description ............................................ f TOTAL FEE s 5.00 s "V Surcharge .5W City of Fridley r 4T THE TOP OF THE TWINS rL-------- COMMUNITY pEV[L0PMENT OIY, t MOT[CTIV[ W§09CTWM WT. CITY MAIL FIUOLRV #M[ i�4ECT PLUMBINr, PERt1IT IgPPLICATION Jon Aaaress owner A Address Phone Con act Address Phone n of Bu' ding Use � ComhpleLtion Date ctimara nci a ' II f. W i W I I 3I�1II�'i' acNva II ' SVC 'lddvl— i 3811 IMNiva 8NI8Y8 - m jy� MHolva lO O BNIYaoI I I I I aoo,d '3 0 .z Ol saaMoa 10.E it '1N NNIaONG b `U� II1II 6AYa1 A HBvM 8)1N181 E I v l I I SNISYB _� I I I Rant I I ! 144" InvNlan l I I I 818801 I auYIN W hiD f� 01 7 1 P, Plumbing Fixture Rates: NO. RATE TOTAL j! Number Fixtures x $2.00 Future Fixtures x $1.50 �®!� New Fixture -Old Open. i x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 I Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 - Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge .50 TOTAL FEE $ !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 rulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. -Signature Date 1 P, City of Fridley r AT THE TOP OP TNS TWINE f i rL-"----COMMUNITY DEVELOPMENT O1V, PROTECTIVE 09ftCY" 09", CITY HAIL. FRIOIRY UOR 6163 iI��ECT PLUMBING PERMIT APPLICATION Job Address - -- - - - --- ner /r Address Phone Contractor Address Phone Kind of BuildingA Use „ omp TOTAL FEE $ 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 Tulin Df the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. 1 -3—,7 S iranatur Date Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures _x $2.00�a�' Future Fixtures x $1.50 New Fixture -Old Open. ?__x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge .50 TOTAL FEE $ 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 Tulin Df the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. 1 -3—,7 S iranatur Date City of Fridley SUBJECT P 13598 AT THE TOP OF THE TWINS BUILDING PERMIT i � R® E1 NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.1 CITY HALL FRIDLEY 55432 NUMBER REV. DATEP P AGE OF APPROVED BY 612-580-3450 910-F15 6/21/76 / JOB ADDRESS 701 68th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Brookview Terrace SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Jerry M�Williams 701 68th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Floyd's Home Development 4911 41st Avenue N.E. Columbia Heights 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW QA ADDITION ❑ ALTERATION f REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct a new 24 x 26 detached garage and install new steel siding on home 9 CHANGE OF USE FROM TO STIPULATIONS w4MPORTAIdT 1. Provide a hard surface driveway ,NOTIFY THE FRIDLEY EN®% DIVISION REGARDING CURS 2. Provide signed agreement from neighbor REMOVAL AND REMACEM&W #1T UMVEWAY OMI i PERMITS REQUIRED FOR WIRING? SEPERATE HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood frame 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 624 6,240 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 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. $5,000 2.50 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- 30.00 STRUC I OR THE PERFORMANCE OF CONSTRUCTION. ' PLAN FEE CHEC TOTAL FEE a-^� t/J7� $32.50 SIG14ATUAE OF CONTRACTO R UTH RIZED AGENT (DATE) . HEN P ALIDA D TI -YS IS YOU;�,P MIT i BLA5G INS DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NAND APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:�/lL . . i- - I►L�,L �� r.� ADDRESS:- ADDRESS: NO • STREET: ' LOT: 16 BLOCK: ,2— ADDITION:_ 34"-6 tl` z k_" 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: Front; Depth: Height: Square Feet: Cubic Feet: AAL..* d Front: Depth: oZ 6 Height: /0 Square Feet; to Cubic Feet: W v 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: _Q SIGNATURE: Ir (See Reverse Side For Additional Information.) /49-t 7tZC--Ae_"7- — �o.C� L� d r Miwi)ERFANGDuml G CO.,91INCO ENGINEERS AND SURVEYORS LAND SURVEYING SOILS TESTING CIVIL d. MUNICIPAL ENCINEERINO LAND PLANNING 10 (r: G418-SreT" AVENUE N. MINNEAPOLIS 2T, MINN. KE 7- SG37 U�•Qi�� � EN �''��J U-tility pt-arnaga 6asemaill I _ b 44,3 _ A= 90-0-7- ft: 0'07- 14o Proposed' iNcuse f i Ku 9-1 Iron 6 t T H AvEN,,-j E N'. E, L QT 10 , bi-oc v- WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURYEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. MINDER ENGINEERING CO., INC. ORTED THIS DNY of EN 611AtE 9- /5 AN tD Su0.Y6j YORgS • d,fes C � - '�`--:�• f�L' w� g .. � AGREEMENT 0 owner of the property located at. % O have no objection to the City allowing the construction of a to be located at % /— 84without the required certificate of survey that the City ordinarily requires for all new construction. tnes A IkLA� / Signature. 7001<'I& .)A/AS 70 A) Address -7� -- Date SUBJECT P -L" City of Fridley 2385,0' AT THE TOP OF THE TWINS PERMIT C BUILDING � RECEIPT NO. Ir • COMMUNITY DEVELOPMENT DIV. ______ PROTECTIVE INSPECTION SEC. .T NUMBER REV DATE PAGE OF APPROVED BY /'--1 CITY HALL FRIDLEY 55432 I'' 612-571-3450 910-F15 10 27/95 JOB ADDRESS 701 68 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeanette Williams 701 68 Avenue NE 571-1745 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 15 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 $1,200 $.60 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 $40.25 Fire SC $1.20 PLAN CHECK FEE TOTALFEE 42.05 SIGNATURE OF CONTRACTOR OR 'B �4ED AGENT IDATEI HEN PROPERLY ALIDATED THIS IS YOUR PERMIT �TEI 8L0, INSP MATE TEiGNATUREOF OWNERIiF OWNERB ILDE I NEW ADDN ALTER it [l Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application l Effective 8/l/95 Legal Description: _ Owner Name & Address: T -2l-4A Tel. # 5^ ?l -1-2clIS Contractor: �jc�rti. Q -6L Address: MN LICENSE # 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 GARAGE AREA: Length DECK AREA: Length OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: _ �3ATE: _ APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: V Width Height Width Height Width Hgt/Ground _ Gv % /S -- Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost $ (Cost on Back) Ft. + 6 Ft = Ft x $ =$ Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residenth Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Revi< �L � Fee Determined by Engineering Agreement Necessary [ ] Not N BIP41NE HEATING AIR CONDITIONING AND ELECTRIC.. INC. ADDRESS 7®/'_ eg tJ41,` � Z HOUSE HEATING TEST RECORD OCCUPANT t. C: L ,eryl-7 I X HEAT LOSS DATE HTG. INET. SOLD BY AJt <S Electrical Work By Z—APA�® 3r L I�ee. TYPE OF HEAT GA FAL,-'O'HW STEAM_ SPACE HTR._ GAS DESIGN MAKE 'p Model Serial L INPUT CONTROLS THERMOSTAT �La� ! -7 Heat Plug Valve fe Limit Y20L 4A.140 Limit Setting /22 Fan Setting 7% t Pilot Type Pilot Make y-� t% Pilot Model Pilot Timing L. W. Cut Off Pressure o Fad Percent CO, 407 Input CFH d ®® Percent O= Slack Temp. 37 Percent CO Form 235 APT. FLOOR CITY SUBURB Z 9 - OWNER INSTALLED BY Gas Una By ,4j.A, 9a UNIT HTR._ OTHER CONVERSION MAKE OF BURNER . Model Max. BTU Rating _ MAKE OF FURNACE Model Verd Size KIND OF LINERSIZE NONE Draft Hood Regulator Filters; Size a Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring we _q Draft Test Tag Door Pressure Data Tested Lighting Inst. Company Testing Name of Tester &fi0&w4&4 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 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 (701 (09-th A) -G RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $_e-3Q.jQ0 representations stated in this application are true and c rrect. (Side Vent — Fill Out Back) -- -- 19966 Gas Piping (Needed with new furnace) $10.00 $ OWNER JeO ne I I I l O.MS Gas Range $ 10.00 $ BUILDING USED AS ciwej Gas Dryer $10.00 $ (70 ESTIMATED COST. (tAA ' PERMIT N0, v1 �a *Air Conditioning — All Sizes $ 25.00 $�_ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air) Trade Nam r Size No. Commercial/industrial BTU f7.5 DOD HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDA TOTAL FEE5$ S . "5 BLAINE HTG. A/C & ELECT. INC. HEATIN OM 13562 C TRAL AVE.- H.E. MINIMUM FEE FOR ANY HEATINGx COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 SignedMQV� Tel No. 507— O-�oo PLUS THE $.50 STATE SURCHARGE c� REINSPECTION FEE $42.00/Hr Approved By'pi Rough—In Date Final Date Z`/C *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Dl-� CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes( ) - No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: �Kq' .p aw. HEATING CO: Signed By: Date: 01 SUBJE& PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 91 f ` EIO. PT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. / a5 f PROTECTIVE 1 . � NUMBER REV DATE PAGE OF APPROVED By L CITY HALL FRIDLEY 55432 -•--�;"'T;'� L 612-571-3450 9t0-Ft5 3/31/99 JOB ADDRESS 701 68 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeanette Williams 701 68 Avenue NE 571-1745 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improvements Inc 1012 42 1/2 Ave NE, rolumbin Rpigh r,9421 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 788-5602 1745 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION IR REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof Garage (10 Sq) Tear -off; Replace fascia: rake 9 CHANGE OF USE FROM TO STIPULATIONS 0101111111 CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 @1 O)r7 `VV @�,r3 `P 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- $37.50 FireA $1.06 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION /AJ` % ^ PLAN CHECK FEE TOTA E ` a6n, e 3 --0- `I Lice -s $5AVI 44.09 SIGNA TORE OFCON TRACTOR OR AU THORliff AGENT IOATEI HEN R V IDAT IS IS Y UR PERMI S,GNATUREOFOWNEAtIFOVVNERSUILDER� [DATE, i BLOt INSP - MATE 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION rr►,``�- ConstructionAddress: 701 - 68TH. AVE. NE Legal Description: Owner Name & Address: JEANETTE WILLIAMS Tel. # 612-571-1745 Contractor: LLOYDS HOME IMPROVEMENTS, INC. MN LICENSE #0001745 Address: 1012-42 AVE. NE COL. HGHTS, MN. 55421 Tel. # 612-788-5602 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: TEAR OFF & REROOF GARAGE ,REPLACE 36 FT. FACIA, COVER MAIN GARAGE DOOR REMOVE & REPLACE RAKE WEST SIDE APPROX. 44 ft. 7� -" 16 -- Construction Type: '°'L'�`� �� Estimated Cost: $ v'kQ 0111144:' - (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: MAR 31, 1999 APPLICANT: e i Tel. # 612-78.8-5602 Permit Fee $ 3 A-6 Fire Surcharge $ A o6 State Surcharge $ SAC Charge $ License Surcharge $ _ 6) C� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $- y . D 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 [ ]