The URL can be used to link to this page

AF - 43054SUBJECT E R� City of Fridley _� 16 6 6 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I r � � � � • • COMMUNITY DEVELOPMENT DIV. � �y-------� / r � � PROTECTIVE INSPECTION SEC. / `�f Cv � i lLl t0 6�/ i � � /"'1 � CITY HALL FRID�EY 55432 NUMBER REV. DATE PAGE OF APPROVED BV `'«'�i �.J � . 612-571-3450 910-F15 7/9/82 � � JOB ADDRESS 6452 Dellwood Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. Pt. 10 Parcel 500 Aud. Sub. #$S SHEET 2 PROPERTY OWNER MAIL ADDFiESS Z�P PHONE Neil Stuber 6452 Dellwood Drive N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Barkle Construction 1111-24th Avenue N.E. 789-5633 4 AFiCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDFESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. AZL1Ill1T1UICl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yi3 ��.00 $�.. rJS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 4[� rjO � PLAN CHECKFEE TOTALFEE $46.05 sGNaTUReOFCONTRACTORORAUTHORIZEDAGEN IDATE� WHEN PROPER VALIDATE THIS IS YOUR PERMIT oL— SiGNATUF7EOFOWNERiIFOWNERBUILDERi IDATEI BLOG iNSP D4TE CITY 0� FRIDLEY Effective Aug. 1, 1981 APPLICIITI�J fOR RCSIDL"i�TI/l� QUILDIfiG PEfL'�ITS (Ne��, Alterations, Additions, or Repairs) � r, ;-- QHit�ER: '}L� �� ADDRE55 : � � �� :�-�� /�-�' TEL N0: � I3UI LDER : C \ � no��ss: l(�� r.�„ �.�, � �� TEL t�0: � � 9` J-�� .� Construction Location STRI�.T�T NO: � c��_ STItEET: f� �� ,/1�c.v-% �1 `r/ � L07.': � � p y HLOQC: �d 11 ADDITION : � i'Li -� ; ) � Corner I,ot: Insicie Lot: SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates of Slirvey of lot and prop�sed building location drawn on certificates to scale. DESCRIPTiOi� OF C01•lSTP,UCTIOrJ � I'ront: Depth: Height: ��.. � Square Feet: Qibic Feet: Front: Depth: Neight: Squar.e Feet: C�.ibic I'eet: L�.��.�� , Type of Cor,struction : ��-- . d r n� Zb Be Ot�r,�pleted: � � �� Estimated Cost: $ ��en � o � �� Alt. A Alt. 8 proposed Drive��ay Width Yf New Opening Is Desired: $� $ . . SE� I�VERSE SZDE OF SHEET � 7'iie undessigned hereby make� application for a pez�ait fcr the t•�ork herein specified, agreeing to c3o ,all work in strict accordance r�ith the City of I'ridley Ordinances and rulings of the DeZhlrtment of Duildings, and hereby declares that all the facts and representatiens stated in this application are true and correct. D.ZT�: SIC,TtATUF�: Stirulations: � � �� v � I-� , � �� <- �� .-.� sue�ecT PE . City of Fridley o 18 3 6 5 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � RE EIPT NO. � ; y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �Q� /D � � � ' � ��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""�� `�� 612-571-3450 910-F15 4/8/86 � � 108 ADDRESS 64rJ2 Dellwood Drive N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO Auditor's Sl1I�. #S8 SHEET 2 PROPEf±TY OWNER MAIL ADDRESS ZIP PHONE Neil Stubber 6452 Dellwood Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Franzen Construction Co. 4250 - 5th Street N.E., Co. Hgts 55421 788-4071 4 AqCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MA�LADDf1ESS ZIP PHONE IICENSENO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ fiEMOVE X 8 DESCRIBE WORK Construct a 16' x 2Q' Addition to Dwelling • 9 CHANGE OF USE FROM TO S�IPULATIONS 8�+�� % PERMITS R��UIRED FOR '�E��' ' ��'` � "�� SEPARATE,P.� �►},�t�, p�ari�l��1�� P�� S�G]��. �� '��' � ��'r� , ., . . _ , � �Uf�'Ep � �� ' � ��. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO 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 OAYS AT ANY 7lME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 $�-4�200 $7.10 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- TR'CTI OR THE PERFORMANCE OF CONSTRUCTION. $�.lO. rJO None PLAN CHECK FEE TOTAL FEE � ' � $ 27.63 $145.23 SIGNATURE ON�RACTOROAP.UTH iZEDAGENT iDa7Ei � WHEN PROPERLY V DATED THIS IS YOUR PER IT < • i SiGNATUREOFOWNERUFOWNERBUILDEAi IDATEI BLOG INSP pTE 0 N�.' [ l A�Dt:. [�C] pLTER. [� ] Construction Address: Legal Description: Owner Name b Address: r City of Fridley _ � R-1 lII�D R-2 i Building Permit Application 1�,clao 0 � i Effective 4/1/8u Tel. # Contractor: �i�i.cv1�P►n �ovt��l. C,�...o. T�el. # �75c�-� Address: 1-%�50 �`� �� l�� n! ��5 1Li/C) ��y� r_-- LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drar�n on it to scale. DESCRIPTIOA OF IMPROVEMENT � Length �_ Width � Height �� Sq. Ft. �0 Length Width Height Sq. Ft. DECR AREA: Length Width Hgt/Ground _ Sq. Ft. OTHER : ____ 3.2c� �G N�1, 37 = I , . Corner Lot [] Inside Lot [�] Ft. Yd. Setback Side Yard Setback oc� Type of Construction: � '�a'� Estimated Cost: $� - Approx. Completion Date: /� a �/ /� /C1`�� , � ry�-Z�d Alt. A Alt B Proposed Drivexay Width If Neu Opening Is Desired: �� S � � See Back Page for Explanation DATE: Y� I �L I��O APPLICAA�T: Tel .� 5 7�-O`-�� CITY D E ONLY . Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Hain Charge f�TAL STIPULATIONS: y i10.�� $ a�.�3 � '� 1 U 3 3 � � � u5 .13 Fee Schedule on Reverse Side 254 of Building Permit Fee �.50/a1,000 Valuation a425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . � ' . SuBJECT • c�ty of Fridley 2 61 19 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � . � � � • COMMUNITY DEVELOPMENT OIV. � � j 4 �� , r � � PROTECTIVE INSPECTION SEC. � ,� � � /'�'1 � CITY HAIL FRIOLE� 55432 NUMBER AEV DATE vAGE Of APVROVED 8Y �.___�: `.� 612-571-3450 9t0-Ft5 6/2/98 � / 10B ADORESS 6452 Dellwood Drive NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 1� Auditor's Subdivision ��8$ SHEET 2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Deuser 6452 Dellwood Drive NE 574-9361 3 CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO. Same 4 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Gara e 25 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOfCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PIUMBING, HEATING, VEN7lLATING OA AIR CONDI710NING. THIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTNORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 DAVS AT ANY TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA��S GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING 7MIS TVPE OF WORK WILL BE COMPUEO WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT 2, �L.O�F DOES NOT PRESUME TO GIVE AUTHOFiITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �7�F.7S Fire C�Z.OH PLAN CHECKFEE TOTA� �% .$7 S�GNAT REOFC �R 7ppOfiAUTMOHiZEDAGENT lD.47E) EN ROP Y A�IDA7 IS IS YOUR PERMIT ��.,.,. ,� � � �- �--g� �---�--�_ SiGNATURE Of OWNER UF OWNER BURDER� �OATEi � BC ��NS� ��FTE NEW ADDN ALTER �) [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 A.�iD R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 � � �� i>��r�,� �i f �.{� r `� ConstructionAddress: C� �i�� P�(,( ��,� �, UG� L�3�P Legal Description: �� o-� �Q p,-.� � t TG (� "� S � �, � � � _ ___ � vv� �_� �-P _� � Owner Name & Address: Tel. # S%�/ ��3 �� Contractor: �t�-�,Q� MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft ��c�� 1-�-� v � �oJ�-c' e��C� � Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �U �S� DATE: ��n2 APPLICANT: Tel. #�`' 2/ �9.3� % Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � '� - % � �.� ' � /, � � $ $ $ $ $ $ $ � �.�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.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 [ J Not Necessary [] �,,,:.