PRE 2010 DOCS•
City of Fridley, Minn.
BURRING PERMIT N® .7185
Date: V. '-L '5 — 6,
;!61
Owner: Builder�-
Address Address
L CA NF BUILDING
No. Street — �Part of Lot
Lot _ Block Addition or Sub -Division
Corner Lot — Inside Lot Setback r__ _ Sideyaarrdd — X=
Sewer Elevation Elevation 1l / a. 6 —
�' R 4 r— y- a-7--1Al G
DESCRIPTION OF BUILDING
T Used e
Front Depth 4 Height Sq. Ft. ca. Ft.4g(
Front Depth Height _ Sq. Ft. Cu. Ft.
Type of Construction Est. Cos ® _ `_ 'Ib 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 setforte$ and in complian � with all provisions of
ordinances of the city of Fridley. // . ��
ov C-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 anypart 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
ordinances. a , ---I
Building Inspector
Nonce:
This permit does not corer the construction, InstallNioe for wiring, plumbing, g" beating, "war or water. Be sure to we
the Building Inspector for "parata permits for thea hams.
ab
SUBJECT
ERMIT NO.
City of Fridley
30171
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
� INSPECTION SEC.
0
r � PROTECTIVE
1 �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
OF
APPROVED 8v
L 612-571-3450
910415
9/3/99
JOB ADDRESS 1574 -75th Avenue NE
1 LEGAL
LOT NO2'
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
except W.9
ft.lAuditor'sSHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Al Lambert
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Quarve Contracting Inc. 8427 Center Dr. NE Spring Lk Pk 55432 785-1472 6016
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 ❑ ADDITION ❑ ALTERATION 25X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Soffit and Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide soffit ventilation to meet 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 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
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
$3400
$1.70
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHA R
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFO ANCE OF CONSTRUCTION
$97.25
Fire $3.40
PLAN CHECK FE
TpTAL E
Lice SC $5.0
1 .35
SIGNATURE F ON7RACTOR OR AUTHORIZED AGENT (DATE.
EN 71 pP ALIDATE
I$ I O P IT
BLD -NSD
do
pAfc
SIGNATURE Of OWNER,IF OWNER BUILOERI IDATEI
-0 1 .
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 15-74
Legal Description:
L
Owner Name Address: • / Tel. # —7O �
Contra, LICENSE # 0 /�
&-7
Address:Tel. # / 0 r— 1 L/ 7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.-!..
DESCRIPTION OF EMPROVEMENT' z
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:.. T &'. Estimated Cost: $ 3.
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
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 [ ]