The URL can be used to link to this page

AF - 45037� � �� City of Fridley, Minn. BUILDING PERMIT N� 6 510 � ._ Date: _��"...�_.� ..`_.�._�.__..___._.__.._.._....._..._.__ � D,�% 1 Owner: ..�� .�:L�dG�lC.�..� .__, Builder .._ .__.. .............. ...... �... Address...__._.__...._......._._.__._...._..._._..___.._._._...__..._..__...._..._......._.._ Address _...__...._..._.._......._. _._. __. _. _ ...... .......__._---•.__._._._.._.._.__.._. • CAT O OF BUILDING No. . ,`..�� ..--- Street ..._ . . .. ... _. _ ....--. .�� l.......... P Lot .--�--...----_...._......._.... __.___..t.._.._.._....� Lot .•-••-.�� .._......__ Block _..._ .................��1....�. Additi or Sub-Divisio _.....-- •:_•. �._.. _.._. ._ . .�'/�C I ,,,,,.,/ � Corner Lot ..__...__..._._.._ Inside Lot ....._...:.._ ........................._ Setback ... ...�-•--.._........... Sideyard ..�5?._..�-_._......_....._..�.....�... Sewer Elevation __._.._._._.._.__.._...._._..._._.._.______._......_....._.._._ Foundation Elevation DESCRIPTION OF BUILDING To Used ' _ . _:.... ._.. Front _��_.. Depth ...�.SE�_. Height ....�rt�.._..C..�_.. Sq. F� L.__� _.� Cu. Ftdi.� _.7. � � .. . ... ..._._ Fro t ...,�=5�.•°•-_ Depth .....y� Hei �ht ._ �.�_.. Sq. Ft. -- •�,�i Cu. F� ....._.._. � � Type of onstruction _��_'1.�.�.. .�...__.. Est. Cost .... ._. . .........._........ To be Completed ....._...__..__..__..._..______ ��-�a � In consideration of the issuance to me of a permit to construct th g d above, agree to do th� pmposed work in accordance with the description above set forth com ' ce with provisions of ordinances of the city of Fridley. .l�..._._..._._. In consfderation 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, einployees 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, repa.ir and moving of buildings within the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said oPd3IIAIICEB. /1 _ w /^'1 Bi1�dlA$ �OT � NOTICE: '�his p�rmit dws net eowr th� eons�rueHon, fn�1a11Nien fe� wiriny. P��9. Oas h�Nina, »wK er wat�r. 6� wn fo sM th� Buildiag Intp�eeor for s�p�rat� p�rmils for fh�a h�ms. . + OWNEIt' S NAl� A.PP'LICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ,� ADDRESS ` ,ADDRESS / . �.'i42OE.CJ iTt �vZv �? � c7,r� o�, T' LOCATION OF BUILDING �� s 7c�SL (�� 9 �� No. 7�/ � Street � f?C�t/ �� Part of Lot � Lot_ � 3 Block � Addition or Subdfvieion .Q�v �-�tu , / Corner Lot Inside Lot � Setback �-Sr Side Yard � Z SEWSR BLEVATION FOUNDATION II,EVATION Applicant attach to this forni Two Certificates of Survey of Lot and proposed build- ing location drawa oa these Certificatea. DESCRIPTION OF BUILDING To be used as; �� L�l�j� Front`�� r,Depth �� Seight Sq. Ft. Cu. l�t. �-¢�� Front �j Depth � � Height Sq. Pt. Cu. Ft. � Type of Construetion /�2�.zs�� Estimated Cost / p,�Q�" 2o be Completed % ��%� �� ----� The undersigned hezeby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridle inances and rulings of the Department of Buildings, and hereby declares that the acte d representations stated in this application are t�ue and cor ct. DATE �� /`� �� SIGNATURE — (GChedule of Fee Co�ts can be #ound on the Reverse Side). � . � � • . . , , � ,_ - City of Fridley Application for P'lumbing and Gas Fitting Permi� Depl. of Bldgs. Phone $ 4-7470 DESCRIPTION OF WORK ,1 � / Number, Kind and Loeatian of Fixiures, ,�J`� Locatio ;�I � I��I � I?I��lo� 31g� s�1�3 Base / /. /• lst 2nd ' � 3rd 4th _L_. • Future Conaqc3foa Ope:►iags * New F3xture, Old Opsa9ngs ��I�$I��WATE� l� Z�"' F N GAS EIEC. PARTIAL RATE SCHEDULE / Sewer � Cesspool r'j PLIIMBING £IXTURE RATES: NO. RATE TOTAi. Number Fixtures . . . . . . . . . . . . . . . . . . . . . . � x $1.50 $ �S� � 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 2Aa $ � �'� New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GA3 FITTING FEE$: NO. RATE TOTAL lst 3 Fixtures .......................... �� x$1.50 $ �� d � Additional Fixtures . . .. . .. ............. x .50 $ � Gas Range to 200,000 BTLT . ... .. ........ x 2.00 � REPAIRS 8c ALTERATIONS—Refer to Code ' Description ................................................$ , TOTAL FEE $� � City of Fridley: � /' The undersigned hereby makes application for a permit for the work 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 all the faci and representations stated in this application are true and correct. „ Fridley, Mynn. � "� � � , 19_ Owner '—L_ Kind of Btulding � Used as � To be completed about � Estimated Cost, $ Old ew Building Permit No. � � / � Pe:mit No. � � � v Signe � � a By Business Phone No. �-� –� ��-�� ROUGH � ' � � ' � � FINAL az 2M CITY QF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 RAT� SCHEnULE, Residentiai �4PPUCATIOfV FOFt PaWER PLANTS AND HEATI��G, COOU�JG, VEN7ILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS ANO DEVI�E5 Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furn�ce} Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 30.00 $ $ 10,00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ Ali Others/Repairs & Alterations (LIST ON BACI� 1% of Value of Appiiance or Work C"�'7�� v� v"-�`�( � /�� Commor I/In ustri�fl «i 1,25% of Value of Appliance or Work Effective On March 1, 1996 JOB �4DDFIESu � �� q �� , � The undersignod hereby makes applicatian for a pErmit for tlie work herein specified agr�ain� t� do all work in strict accordance with the City Codes and rulings of the Building �ivision, and hereby declares that all the facts and representations stat�d in this application are true and correct, __ � � —�o� � ,1996 OWNEFI � Q''� � Kc.�,�. S� ,�2/ -U 5'6$' BUILDING U�ED Au ,�r�,•-� �t�� ESTIMATED COST _� �c� � v PERMIT N0. :��`� �� ! ► •► � : •: _: $ No, of Heating Units �� Circle Ono (Steam) (Hat Water) (Vy�t Trad�r Name�,�� _ Size No, ?� V? S' O BTU �TTltY�L HP , EDR $ Fuel � �'Rq-„�" Total Connected Load State Surcharge �� Burnor Trade Name Size Nn. BTU HP EDR TOTAL FEE � �� - �� r-' � HEA7ING CGMPANY ��a�� MINIMUM FEE FOR ANY HEtiTING�COOLIWGLi/ENTILATION /� !'�� REFRIGERATION/AIR CONDITIONIIVG PERMIT IS �25 QO Signed �y tJ �/'J��i!-�L� Tel No. C733�-�O�f>_ PLUS THE $.50 STATE SURCHARGE � REINSPECTION FEE $42.00/Hr Approvad By Rough-In Date Finai Date /�� '�Air Conditioners can not be placed in a �ide yard without FILL OUT E3ACK SID FOR STACK VERIFIGATION ON /�� written permission from adjoining property owner, REPLACEMENT FURNACE . .. . � ��. '. '� b � . Effective Date January 1, 1991 CITY OF FRIDLEY APPLiCATION FOR POWkR PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND , A1R CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDErTUL RATE TO'tAL Fuznace Shell and Duct Work, Burner (1►lso raplacaNnt furnace) $ 20. 00 $,r�` .� � Gas Pipinq $ 10.00 S (piping n�odsd vith naw furnace) Gaa Range S 10.00 S Gas Dryer S 10.00 S ! Air�Cnnditioninq (all sizesl S 10.00 $ I�'� All Others/Repairs and Alterations 1e of Value of Appliance or Work S COMMERCIAL/INDUSTRIAL li of Value of Appliance or Work S State Surcharge S .50 TOT71L iEE S � O ` � REINSPECTION FEE $30.00. $ Rouqh Insp. .� L) � � � Date Final Insp. � �� ( ` < � Date Approval for Permit -�/��--- MINIMUM FEE FOR ANY HEATING/COOLING/Vf:NTING PERMIT IS S15.00 PLU9 THE S.50 STATE SURCHARCE iAir Concli tioners can not be placed in side yard vithout �written pezmission fz� adjoining neighbor. i Job Address �� / Wa _. . _. ..__.... ..__... _ � _ -- __. _ _._ _ .____ _._ . ____ r Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 The undersigned hereby makes applica[ion for a permit for th� vork herein specified agreeing to do all wc�rk in strict accordance with th� City Codes and rulings of the Department of Buildings, and hereby declaras that all the facts and representations stated in this application ar� true and correct. � � ° Y/ � 19� OWNER �V \ � � � ��-1 Ir ( G �� V�1 t N � KIND OF BUILDING r rU/� USED 1►S TO BE CO ESTIHATED COST � � Q �Q �"" OLp - NEMI BUILDING PERMIT NO. PERMIT NO. �� l� � DESCRIPTIrJN OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air No. Trade Name �-- e.Y1`nU" s i:e No . /�l �� CiL 3 G-�ej Capacity ��j �\ Sq. Ft. EDR BTU UP Total Connected Load Kind of Fuel �o �`�' BURNER - Trade Name Size No. CapaCity Sq. Ft. EDR BTU HP company �f.1Csy H�� AlA C�IDRI� 3260 GORNAM AVE. �..% � C��+ , , „ � Siyned By cr 1n11 �(1�1 �4� ` �.N Y � � � Tel. No. __ _ Fill out back side for stack �erification on replacement furnaces � � �, CHIMNEY AND STACK VERIFICATION - - � � v The undersigned hereby verifies that the existing chimney or stack; = _. 1. Has been careful ly examined Yes (;!� No. (: ) _ 2. Is free from rust or deterioration Yes (`,.� `No O - 3. Has no foreign objects lodged within Yes (c,j� No .( ) 4. Is securely supported Yes (� �lo (� 5. Meets a11 current CQde requirerr.ents for size and �� total BTU�connected Yes (l.� No (. ) - 6. Has Total heat�ng BTU's of %S�� , Al l other BTU' s � �� TOTAL ��Od� Rema rk s /�E�'litY/i�„� %,c�D �.r�r,c�s %� � s%��-�G � �G�r.vrfr� G�rl� Tfl z� G�� , Com pa ny U�/�vT "W� 2��n�.� Signed By Da te � /6- 1% HOUSE HEATING TEST ADDRESS ` �`� � �`� �"`` � APT. — OCCUPANT � GU � � �� Q �^ OWNER . �� "� �'��^ � �i RECORD _FLOOR CITY � �� SUBURB ��i D i HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY � �� Electrical Work By Gas Line By ��' TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSIO�t MAKE � i'�- MAKE OF BURNER Modsl —' Model Ssrial � Max. BTU Rating INPUT �S �. MAKE OF FURNACE Model CONTR0�5 THERMOSTAT S t � ��Plug Valve L i mi t r'�^ Limit Setting � Fan Setting Pilot Type � r �� T Venf Size L� KIND OF LIN R SIZE NONE Droh Hood ' � � � RegulaTOr � � Fi Iters $ize Number � Chimney Locotion Inside Outside � -� Chimnsy Cons4ruction !�y �` l�- l Pilot Make t�� Pilot Model r Smoke Bomb W�►��9 Pilot Timing �'� iZ- � Droft ��Test Tay L.W. Cut Off �-- Door Pressuro Lightiny I.nst. Pressure -� Pereant COZ �� Date Tssted �� Input CFH �^'� Peresnt OZ Company Testing "'� Stack Temp. f�� Parcent CO `3 Name of Tes4er Form 235 SUBJECT . �• City of Fridley 216 3 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T � � RECEIPT NO. � � COMMUNITY DEVELOPMENT OIV. �� • y PROTECTIVE INSPECT�ON SEC. � � -_-. � r , �; � � /"'1 � CITV HALL FRIOLE� 55432 NUMBER REV. DATE PAGE Of APPROVED 8� �"""�� ,'' 612-571-3450 9t0-F15 11/4/92 / / J06 ADDRESS 7819 Alden Way NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 23 6 Pearson's Craigway Estates 2nd Addn. SHEET 2 PROPERTYOWNEF MAILADDRESS 21F PHONE Tom Stevenson 7819 Alden Way NE 571-4568 3 CONTRACTOR ' MAIL ADDRESS Z�P PHONE UCENSE NO. Allstar Constxuctipn 3315 N Hwy 100, l�pls., MN 55422 5�3R5325 3247 4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroo� House (_18 Sq,uares), Tear^of� 9 CHANGE QF USE FROM TO STIPULATIONS Underla�ment must cqmply with the State Building Code, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE fiEQUIREO FOR ELEC7RICAL, PLUMBING, kEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION �' STALLS GARAGES ANO KNOW THE SAME TO BE 7RUE AND CORRECT. ALL PROVISIONS OF LAWS VALt1A710N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPUED $954 $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS Of ANY 07HEA STATE OR LOCAL LAW fiEGULATING CON- 2$ �00 Fire SC y�. 9S S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE /l-y-�j.Z License SC $5.00 $31�45 S�GNATUAEO CON'RACTOF70AAU7HORIZEDAGENT IDATE� WHEN PROP Y VA�IDATED THIS IS YOUFi PERMIT -�;: �. ��- ti- qZ S�GNATURE OF OWNEAi�F OWNER BL'!LDERt �OATEi LDG ��SP �i°TE NEW ( ) ADDN ( ] ALTER [ j Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Appli�ation '7��9 ,�1 � � �� C��y Etfective 3/1/92 Legal Description: Owner Name & Address :'�G�/i St � �/G � S o n � Y� S� l� r n c., �� Tel .#,S 7[- y 5"b � Contractor: ��l ...Sf�ij'' ��'J C �`i �� e� ,` s r� , MN LICENSE # �°2,�% Address: � .�- �o� � � ,' Tel. # 5�� - S 3aSJ l �� °�'� �r�� Attach to this applicati ,� i o urvey af the lot, with the proposed construcdon drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTIUN OF IMPROVEMENT Length Width Height Length Width Height Le Width Hgt/Ground � /,� �^�<� � ��[,LS�� i2�S � / �' Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot ( J Ft. Yd Setback Side Yard Setbacks .� Type of Construction: �--� � l a� y'� /'d o•-� Estimated Cost: $��-- s`� Approx. Completion Date: i�- �i - `=i � (Cost on Back) Driveway Curb Cut Width Needed: Ft. .. 6 Ft = Ft x$ _$ �o��..� l�� SsXI-u.c� DATE: / l- W-�i a APPLICANT: �� ,��.�-a , TeI. #�i 3� Sr3� S— Permit Fee $ �--� � Q Fire Surcharge $ - �� State Surcharge $ � SAC Charge � License Surcharge $ � - D b Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: � , `J��- $ �• 7� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit V aIuadon (1 / l Oth %) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ J Not Necessary (] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE ,,,J Fridley, MN 55432 APPUCATION FOR PLUMBING AND GAS FITTING PERMIT � �"� � 572-3604 � MARK PJUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR �� Water Bath Wash Drink. Floor Catch Auto. Gas Gas Misc. Water Heater Stories Closet Urinal Tub Shower Sink Tray Fount. Drain Basin Washer Appl. Range Fixt. Gas Elec Basemen Floor 1 _ Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. F,ATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Biow Ofi Basin Catch Basin Rain Water Leader .�_ Sump/Receiving Tank Water Treating Appliance . Water Neater -Electric Water Heater - Gas _� Gas Range .__ Gas Dryer __ Back Flow Preventer Required ()Yes () No TYPB --- � 7.00 $ 4.00 S 5.00 S 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 �10.00 �10.00 $10.00 a5.00 Relnspection Fee �30.00 ALL OTHERS ANDIOR REPAIRS AND !�LTERATIONS t�/o of Value of Fixture or Appliance 1� State Surcharge S .50 JOB ADD The undersigned hereby makes applicatlon for a permit for the work herein specified agreeing to do all work in st�ict accordance with the clry codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ��,�,�,/� <>�V'"" `� _, 199� Owner �'�Y-n °I-- �� n �� i�12 n�,�l , _ Building Used As�'rm �? Estimated Cost 5�0 .� d _ PERMIT NO. :1 I C%G,�� PLIIMBING COMPANY�i�^n 5� A �� , �►A YY1�l�1C�.��YtiC`_ , �� SIGNED BY � TEL N0.��3�bLQ r"JS Approved By Rough- n Date Final Date �� i�� MI�JIMUM FEE FOR ANY PLUlABING/GAS PERMIT IS 515.00 TOTAL FEE � �5.5d PLUS THE 5.50 STATE SURCI IARGE sue�ecr PERMIT NO. City of Fridley n�� AT THE TOP OF THE TWINS g U I L D I N G P E R M i T L+� -� �� r � � � � COMMUNITY DEVELOPMENT DIV. , ; ..-------. ��-v 3 r � PROTECTIVE INSPECTION SEC. � ' - � ' �-'�1 � CITV HALL FRIDLE� SS43Z NUMBER AEV OATE PAGE Of APPROVEO BY �"""�"� �� 612-571-3450 910-F15 11/27/95 � � JOB A�DRESS 7819 Alden Wa NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 6 Pearson's Crai WS Estates Zlld SHEET 2 PROPERTV OWNER MAIL ADORESS 2�P PHONE Tom Stevenson 7819 Alden Wa NE 646-6166 3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO JTW Com an 13415 54 Ave N Pl outh MN 55442 559-5580 20007140 4 ARCHITECT OR DESIGNEF MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C$ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Re lace window with atio door and 2 windows 9 CHANGE OF USE FROM TO STIPULATIONS �SEPARATE P'�� '��° `°�Ffl FOR WIFtI��, N��'�Tl;��, ;'�_.�:�r��'�i�►�iG AND SIGNS. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERM�TS ARE REQUIFEO FOF EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WIIL 8E COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3 � OOO � 1. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OA CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74 • 75 Fire SC �3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCT�ON. PLAN CHECK FEE T07AL FEE License SC $5.00 $84.25 SIGNAIUAEOFCON�RACTOAO�7AUTHORIZEOAGENT ionrEr WHEN PFiOPERL VALIDATED THIS IS YOUR PEFMIT � L �/. �� S�GNATURE OF OWNER�iF OWNER BU�IDERI �DATEI B� G'�NS� fjATE NEW ADDN ALTER [) ll �l Construcdon Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Build.ing Permit Application � � L��. Effective 8/ 1 /95 Legal Descripdon: _ �> ,,J Owner Name & Address: n i�.� \; L U� iii � c L�� - 7.�,' � l,��tt�• �� Tel. # r y� -�/�v % ,-� Contractor: � � %�L1 ( � �.,1 r � „�; �; �� _ MN ICENSE # 2 �� '7 j �_ .� 7—'-" , S_,�yy Address:�_� � � � ._ S 'Li "� .C%s � • /�'� �L_ � ,� ; ; � -� � ,�,' Tel. # ,j _.S_.,1, _ S--s� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks � Type of Construction: ��-�s�' Estimated Cost: $ ,3 �> > �� Approx. Completioa Date: � r��-� /, /� � G �T-- (Cost n Back) Driveway Curb t W'dth Needed: Ft + 6�;� F $ _$ DATE: �% 2' �,�' APPLICANT: � .��, Tel. # _�� 5`5� �_- S-S�" � CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ' � 7 S' � � . DD $ /� S% $ � ��av $ $ $ $ � $_ ,�� -� • � � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth96) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licenseci Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Consetvation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary ( ] , � �� 1 �"� s�e�ecT PE MIT NO. • City of Fridley � �. ;� �� AT THE TOP OF THE TWINS g � I L D I N G P E R M I T , ` r ' ' RECEIPT NO. � � � COMMUNITY OEVELOPMENT OIV. - � �y--^---� r � � PROTECTIVE INSPEC710N SEC. � j�ff i � � � / V � � /��1 � CITY HALL FRIDLE`/ SS43Z NUMBER REV DATE PAGE OF APPqOVED 8Y �""'�"� �'' 612-571-3450 9�0-F�5 7/29/96 � � 10B ADDRESS 7819 Alden Way NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 6 Pearson's Craigway Est. 2nd Add. SMEET 2 PfiOPERTY OWNER MAt� ADDRESS ZIP PHONE Tom & Karla Stevenson, 7819 Alden Way NE, Fridley, MN 55432 571-4568 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. JTW Company, 13415 - 54thAve N., Plymouth, MN 55442 559-5580 20007140 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDHESS Z�p PMONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK Cl NEW �J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct addition and deck. 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans. SEPARATE PERMITS REQ �N� �Np S1GNS�. �1►IF�ING� H�TLN� ��11MB TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY�OAO SEPARATE PEAMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINC�, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTEfi WORK IS COMMENCED. N0. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE FEAD AND EXAMINED THIS APPLICATION STALLS GAI;AGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAI( AND ORDINANCES GOVERNING 7HIS 7YPE OF WOAK WILL 8E COMPLIEO 26,940.32 Fire SC �26.g�F WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF NY OTHEF TATE OR LOCAL LAW REGULATING cor,- �367. 7S � 13. �F] StateSC STRUCTI N OR E FO M NCE OP CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $413.16 sG E CON�RACTORORAUTH0�7�ZEDAGENT IDATEi HEN PROPEF VAUD TED THIS IS VOUR PERMIT . � S�GNaTURE OF OWNEa�iF OWNER BUiLOERi iOATE� � BLOG �NSP �TE NEW ADDN ALTER [l L��]' Ll ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application / � Effective 3/1/96 l n �� I Legal Description: G-� Z�. j3,_ ��; �E.6 R� a�✓ r�i�i�/G Gv�Y �,�S ?- Z�c,/i i 11 �7 .��/o�� ?�! Owner Name & Address: � � � ,��,C�G,¢ ��`,�r/�NSo�d -7�/g�GGD�'N�r✓,��el. # �7/ - �S"G�_�'�` Contractor: �� ,��,y �/ y MN LICENSE # 2 do o 7/ y�d Address:_��/�' S�r1 �i�d- /G� _ �G �'/yI » �'/a�. lYl,�v��iTel. # �"'S'� - S�� O Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. - DESCRIPTION OF IMPROVEMENT �� '`J, `�' � ,�� LIVING AREA: Length 2 v � Width /�� Height � Sq. Ft. �!�'�p(�� GARAGE AREA: Length Width Height Sq. Ft. = 2�i �� DECK AREA: Length �/ Width /.lv Hg#/Ground 5' �� Sq. Ft. 3 3 G�' �', �% OTHER: =� �,' . �` � � � �`�, 32 Corner Lot [] Inside Lot [v� Ft. Yd Setback % l l io N t� �v . Side Yard Setbacks �/S �-�/� G_S � T e of Construction: �' YP �",E'ti iyl �� 1,�L dG Ic Estimated Cost: $ � o� ovo Approx. Completion Date: pG7 //��i G (Cost on ack) Driveway Curb t 'dth Needed: Ft. x$�v �� _$ DATE: %�' �� APPLICANT: . Tel. # S�I - S�-�o Permit Fee Fire Surcharge State Surcharge SAC Charge � �e� �� $ ��ti� � 1 �>> Y"� $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit License Surcharge $ ;j , � -k'� $5.00 (State Licensed Residential Contractors) Drivewav Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee Sewer Main Charge TOTAL STIPULATION5: $ $ $ � �, �� Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . � ' t