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AF - 46676��: •",: � . -z.:� ri , , �, , , � � . � ,� � i�; City of Fridley, Min.n. BUILDING PERMIT N° 3392 � � Builder . . . ' .... . . .. ............. .......... Address ................................. ........... �.��j�� LO�CATIQ�1l OF � UILDING , No. � � �. . Street �� . . I�.�. �` Part Lot � .... . ..... .... ..:.... ..�.......... �` � �,y ... .... . ;....... Lot .�PZfi'. � , t7' . . . . . . . . . . . . . . Addition or Sub-Dfvision . . : . . . . . . ,�,�, . . .1. . . . . . . . . . Corner Lot �� Inside Lot ............ Setback ........ ............ .... Sideyard ........................... DESCRIPTION OF BUILDING be Used a�: � � t% . . . . . . . . . . . . . . . . . F'rom . . / .� Depth � . �. . x t . . . . . . . . � � � � l� � � Sq. Ft. . . . . . � G�. F� . . . . . . . . . . . . . . . . . . . . . . . . . . t . . . . . . . . Degth . . . �. . . Height . � . Q . . Sq. Fk . . . . . . . . G�. Fk . . . . . . . . Type of Construclion . . . . . . . . . . . . . . . . . �St. Cust. ��,� � °�� . . . . .. . . . . .�. . . . . . . . To be C�npleted . � � ; . . . . . . � � � � � /3/ F / � � � � In consideration of Yhe issuance to me ot a permit fo construct the bwtldfng de�ibed above, I agree to do the proposed work in accordance with the description above set forth and fn compliance with all proviaions of ordinances of the dty of Fridley. � i?�. . . . . . : �: .�.. :���� : . . . �� r�j���i � In consideration of the payment of a fee of $. .... p�.. permit 9s hereby granted ta6' !`."�:! .�1. ;.�'. ..... .. ... .. .. ........... ....... to construct the building or addition as descxlbed above. This permit is ted upon the express condition that the person to whom ft is �anted and his agents, employe� and worl�en, fn all work done in, around and upon said bwllding, or az►y part tliereof, shall c�nform in all respect� to the ordinances og Fridley, Minnesota regarding location, construction� alteration, maintenanc�, r2pair and moving oP bu4ldings with- in the dty limits and this permit may be revolced at any time upon viola.tion of any of the prov3sfona oF said ordinances. l ,� � NOTICE: Thts permlt does not aove� ihe aonstruatlon, Inetalla#lon or altaratton for wl�ing, � sewar o� watar. Be au�e to see the Bulldln� Inspeotor fo� separate permifs fo� these ( � � � � � � � � N � bd � w � p co O � x r � �, M y x x � y ty �j O i �pr °x x x � � � � o '���z ���� � � '���' � � � H H � I I I 7, . � m x �a �a O : � � � � °o o a � °o � � � � � � � O ,� � � � m v�i � � mp9a, `y�'' y 'a�d �»: W � � � � � � � � � � � o � � o N k N o �� o 0 0 o � : o O • H � ' � q : : � � � � � � � � � 0 .� m m � �o 0 O r � � x °e � ��'1 I W � W °: oa � � � �' y O � � o � � m � . f�D � 1D • � • Cr • �: �. � ^z M. M O � � 0 � � � � O w w a' x ,aa. a 00 � � x� �� o �� m . M ' � �� � � � � � ro b � 07 N �' � � � � � x � � � � p l� t� p � � �y ���'�'G �� � ��°��°� � � � o � � � � � � � � $ � g ��d'' . 00 p'i w �' : `� � � a' � : • �' o . � ',� g $ : : °o � • . O � O � . . � � ::::: � ::::: � N N � � o° o o °o o° � � � � � � � � °x M O � N � � N � ca o c o 0 0 0 0 0 0 � � � � O � H G � I � � � � a c+. � � g w ° � � � � bd n � � � � � E� � w °° � g ro C �. � � i 0 o_ \ m � 1 � y � � � � � .. � � �• � n � � � R� m � � a � � � � � o � �°�� p o d �o � I � � � b � ° a � � � o, �w . . � . . � o : : Oq � . . C : . . � � � � � en o 0 0 0 0 0 0 � � � O t� E ��� � aa� � ��'! �G�� M � �� f�A � w � w �� � � � � � �,� .. d��. �b o ��°� � � a��� a ���� y �� � � � � � ���b p�`�.� e w �Wnp ��q �*m w° \ y � p'n A� � p� �E �D rd G7 p, � a �, � � � �� yt�Dh ���� �.� � ��a � �. •• �° � tr m M, � ��� 0 D � r � � � � 2 m C m d » M � � � � r� b . � 0 . I � � . � i � � � I. : � � �O � � ' � O � �� '! O O � D 0 1. d ;a �� � �' ��� O � 0.� �! � �i� � A � � 3. 0 � 70 �. � � ', d r � , � � � G � � � ES � p � � o : � : m : m : � : o . � . m �7 : � : � • � � h+ r+ v O � N in � � � � ►+ � � � � � � p ���� � � � N � o � o • o : o . . � : : x 0 p: pd pC C�7 t�+ � O Q Q M � � �, y 0 �� r � z � � z � z "x �° m � �° � � � �� �' � �r �y � � fD �p ti H �� � m � � a ; .� �e � � � � � � � � � b � o � � � ° �: '�p��•� � bi _°o : 6' : � 0 . �Q . oa o : . : : : lb : : : : : � : : : : I I I I I O N DE �Q k i4 >C W N W N F+ F+ � w °o � °o o q � t*➢ t» �n t�s -css �» �» H 0 � D —��i i � m � n 2 rn C r � o � Q `� �� � � 8 " Q � � O � � � � 0cS � �. � � I �� � � . �.+ ca p r� � M � a ¢ � � � � ��� � �� p �' � �� �� 8 ..M � � � � � � O� �7 � � � I CO I wnr�re a� URINALS enrH russ ensias SINKS wwst+ rRnrs DRINK. wui�r. s►iwRS. FLOOR ORAINS CATCH BASINS Auro H/� � APPL GAS RANGE GAS OPENINGS +� • z • � �n D � � A � ���$ H H M � W � � m � � � C�. � �kr�.�. � ��o�. � a, Cs' � �,�o � � ���� � ���� � '"' � � � �, � m �: ���-�- p��'o ��°a �'�,o �° ~ � ���w �d � ���� ���� � ��� ���� � � M � � N' � � � � � �� � M -I—+ :4 � � � Wn � �y a0 �x M p � M o �. �� w � � � � � � � � � �\ Q T r d � � � � � � M � � \ a �A Q � � a �. � V O i R i; � . I \ a � �,y ! � , � �� Caty of Fridley, Mi�nn_ BUILDING PERMIT �.: �.._�,._ ••e • • ;���.�. - _. •.. - . , . - � � : - -�:� . : � � .�.:.� • :._.._. _. . _..!.�. .� � . �. a . . .�:.: � � ,• • 1� �°�% ��' � N° 10014 LOCATION OF BUILDING No. 1301 s�t Hillwind Road part oP Lot Lot 1 _ Block Ad8i13on or Sub-Division Sheridan Acres Coraer Lot — Inside Lot Setback — Sideyard Sewer IIevation — _ Founda.tion IIevation To be Used as: RemodeJ. �t Front Type of Construction DESCRIPTION OP BUILDING Depth Height ' Sq. F't. Cv. Ft Depth Height Sq. Ft Cu. F't. F�t, Cost �,Q.Q9Y_ To be Completed ,'� da�r.s In consideratlon oP the fssusnce to me of a permft to construct the buildiug described above I agree to do the proposed work in accordance wlth the description above t Porth d 3�co plianc+e with afl provisiona of ordinances oE the dty oE Fridley. � lr.�� �� �a G�'~ � 4�' In conaideration of the payment oP a fee of $�[.g ,.g�—, permit fs hereby granted to to cronstruct the building or addition as deacribed above. This permit is granted upon the express condition that theperson to whom ft is granted and his agents, employees and worl�nnen, in all work done in, around and u�n eaid building, or any �art thereof, shall conform fn all reapects to the orrlinances of Fridley� Minnesota location, construchon, alteration, maiatenance, repair and. mov7ngq, of bt�fldiags within the dty limita and permit may be revoked at e.r�y time upon violation of any of the proi►i�lona of eaid ordinancea � , � ��-'" ' \ C'.T.ART+.'I�TC:F. R'fi!T'.TST.T+'. NOTIC� Tl� psnett dees aot aerar ths eoe�teueHoe, tnstallNioe tor wirine. plumbing, en 6�aNng, ssw�� er w�tsr. B� wro te te� fhe en(WinB lusp�etar Por s�parah pa�s Ior f6as h�ms. �� __d � APP'LICATION FOR BtTILDING PERIHIT _ CITY OF � FRIDLEY, MII�INESOTA' . .. - � OWI+�B'S NAME Ra,y Sh�ridan ,�,$UILDER D. W. Ha:rsta.a Cn� ADDRESS_ 1301 � Hil;lwind Rd. ADDRESS 7101 Hwy 6•5 1� . L. LOCATION OF'BUILDING . ' No. � Street� � Part of Lo� LOT / BLQCR ADDI�ION OR SUBbIVISION . ��„_,� ����� D �� �� . . Corner.Lot�Inaide L �Setback f Side•Yard SETaIER ELEVATION FOUNDATIOIQ EL�VATION , � � Applicant attach to this form Two Certificates of Survey of Lot and propoeed, building location drawn on these Certificates. � DLSCRIP�.'ION OF SUII.DiNG � . •- . To be'�u'sed as: ,�rick veneer, sidin� and roof. shingles � _� , Front Dept � eight , Sq. Ft. Cu. Ft. � Frant ' � � Dept � eight Sq. F�. Cu. Ft. Tqpe of Co�tstructiqn� �emodlein� � Estimated CoaC�3,000.00 To be compleCed 3� days � ° The undereigned hereby makes applicatioti for a permit for the work herein speciiied, agreeing eo do all work in strict accordaace with the.City of Fridley Ordinances and rulin�s of the�Department af Buildings, and tiereby dec�aree that sll:the facts and represenCations stated in ehi.e application are Crue.and correct. � . . `��, ��.�� � �_ DATE 9 1-7-68 SIGNATURE � ��, ���. � �-- (3ched�ule of Fee Coats can be €ound on the Reverse Side): l � . 6--�'I �..��° _ �� � . -_ . �� �, r � 3K �,y— d1 f T _ 14� _ BtTtLDING PERMIT FEE SCHEDULI� 5BrI0N 2. The Iaspector of Buildings ehallg befdre isauing any perm�t for the �rection of any building or structure, or for any addition to anq egisting build- ing or stsucture, or for any alterations or repairs to anq existiag building or structure� upon application therefore, require the payment 1iy the applicant for s�ich permit of feea to the amouut herein below aet forth and ia Che manner herein provided to•wit: � 2.1. For any auch permit�for the erection of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addit.ion, for similar occupancy, to any existing building, � shall be at the rate of $1.40 for each one thousand cubic feet, or fractiou ' thereof. in such cubical contenes. 2,2. For anq such permit for the erection of any fire-proof garage, Warehouae, factiory or graia elevator, or for the erection of any fire-proof addition, for similar accupancq, to any existing building eha11 be ae the rate of $1.25 for each oae Chousand cubic feet, class3fied as "fireproof" by Section 502 of the Minneapolis Building Cade. HOIISBS ' 2.3. For aay such permit for the erection of anq nou•fireproof building, other than a garage, warehouse, factory or grain elevator, or any non-fireproof additioa, for aimilar occupancy, to any existing building - permit $1.00 for each one tho�s�nd �ub�.s f�e�a ___ GA�RAGES 2=4. For any such permit for the erection of anq non-fireproof garage, �aarehou8e, factorq or grain elevator, or for Che erection of any non-fireproof addition, for similar occupancy, to any ezisting building or for each such building or addieion - ninetq cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the.minimum of $4.00. For`the tiurpose of camputing fees for build3ng permits, the cubica! contenta of any building or addition to a uniform height throughout by multiplying the ground area covered from a point aix (6) inches below the floor line of the basement or cellar to Che average height of the upper surface or to the average height of the raof surface of the main gable of a pitched roo£. 2`5; For repairs or alterat3ous to an existing structure, the fee shall be at the rate of $�3.00 per each Five Hundred Dollars ($500.00) or fraction thereof ia the cost of all propo�ed work. 2.6. In no case shail the fee charged £or aay permit as_set forth in Section 2 be less than $4.00. 6.� � ry� / \ / \ o i � 1�� Gv. • AM SUBJEC7 RM . . City of Fridley � 13'723 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECE . � • COMMUNITY DEVELOPMENT DIV. ���� � �y-------� r � � PROTECTIVE INSPECTION SEC. 1 . � ( � /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OP APPROVED BV �----� • •'� s�2-5so-3aso 910-F15 8/25/76 � � JOB ADDRESS 1301 Hi l lwi nd Road N. D. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � Sheridan Acres SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ray Sheridan 1301 Hillwind Road N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. SAME - 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. ,°'" 5 ENGINEER MAILADDRESS ,� ZIP PHONE LICENSENO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW �] ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK 10 x 12 Storage bui1ding � 9 CHANGEOFUSEFROM TO STIPULATIONS 1. Must be attached to permanent type foundation. SEPERATE PERM�TS REQUiRED FOt� �I1�RtNG�. HEATiNG, PLUNtBiNG AND St6�5. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. 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 �2O 9GO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 �(I,QO .'rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �� 5O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 8.U0 S NATUREO ONTR /QRORAUTHORIZEDAGENT IDA N PROPE Y V I ED T. IS YO � ERM 7 ^ � � �" ��1��%P_'�+ � �� A�Y SIGNAT REOFOWN RIIFOWNERBUILDERI ID TEI BLOG INSP ATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDTTION, OR REPAIR BUILDING PERMIT owivEx � s nar� :,�� d/� Ee'c >.D �i✓ BUILDLR :�� Sh` ��2 f 1�/��tO ADDRE S S : �3 �% ��`f /��If//✓,,a � ADDRES S : � � �l E �10 • . S TREET • LOT: i BLOCK: ADDITION: �%����Z)f� /�-�� • CORI�I�'ER LOT: INSIDE LOT: � SETBACK: SIDEYARD: Applicant attach to this form 'l�ao Certificates of Survey of Lot and proposed building location d�awn on these Certificates. DESCRIPTION OF BUILDING To �e Used As: /B, , �` YGi��e' �K� fqi�agFront : /� � Depth : �� Heigh�c : � Square Feet: %ZO Cubic Feet: �� � Front: Depth; Height: Square Feet; Cubic Feet: Type of Constru.ction: ��%'7� Estimated Cost: $'�O �� �° �� /�� To Be Completed: �GT- � � The undersigned hereby ma.kes applicati�n for a permit for the work herein specified, agreeing to do all work in stxict 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. . R �° / �1..�°� DATE : �,�.✓" ���� S IGNAT[TRE ' t¢ (See Reverse Side For Additional Information.) �� � ��-� � �o� � . ' � ,� 1 " �,c�� / J r A? it,<' � G BUILDING PL'RMIT FF;� SC�iFillUL�: 0 SECTTON 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or fox any addi.tion to any existing building or structure, or for any alteration or repairs to any existin� building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit; NEW CONSTRiJC�ION: Sa,ng],e Family Iiomes and Garages: $�.00/1000 cubic feet PLAN CIiECK: 25 percent of building permi� fee. ADDITIONAL INFORI�IATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the gxound area covered from a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface or to the average� height of the roof surface of the ma,in gable of a pitched roof. Fox xepairs or alterations to an existing structure, the fee shall be at the rate �f $3.00 pex each five hundred dollars ($500.00) or fraction thereof in the cost of all progosed woxk. Tn no case sha11 the fee charged for any pe�:mit as set forth in Section 2 be less thaii $7.50. VERIFICATION OF POUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the fiizme of application, to allow for proper review of the pxoposed structure and o= the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANC�' Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of a�ny structure for which a building permit has been issued; and said structure shall not be used or occupiad until a Certificate of Occupancy has been issued. � a, �-y �, L �_ 1 � � ,�: I . . 'T�%� ` �.. �� - � ��� �p—� g `9 � _(��g. �� �' Minnesota Well and Boring wELL OR BORING LOCA N M►MNESOTA OEPARTMENT OF HEALTH Sealing No. H � � � Camly Name WELL AND BORING SEALING RECORD M���esoca u��q�e No. Minnesota Statutes. Chapter f031 or W-senes No. ILeeve Wank d rtpl knoYml Townsh Name Township No Range No. Secdon No. FracUOn (sm. • Ig.) Dale Sealed Approximate Date Well ���� �� �, � � �r � � �' � � � � � Q� or Bonng Conslructed � � 5Q � o�a Nwrrencal Street Address or Fire Number and City of Well or Bormg Lacation ;;�,,,;3Q-�, ��a���� ��9� Oepih Before Seating 1�� N. Original Depih � it. Shanr exad locatan ot we0 rn bonng Sketch map of well or boring Siatic Water Level �Accurete m sedion grid wilh'X'. � location. showing propeAy Ilnes. roads. and buildings. ❑ Approximate N � � i � ��� -� - � - - � - -� • ------�• �Single Aquifer ❑ Muifiaquifer fl. Delow above land suAace w ET T N-- i r�ro� --►{ �{7 i 1( Wd � t�d:.! i'+�� PROPERTY OWNER'S NAME �4��� ����� Madmg Address d diflerenl Ihan propeAy address mdicated above. �. � �� � i� � i �d"j`�i r�'1',� ��a`�' �''� �7°9.°1.i.l�Rii�i.-.R.y � J�bl�� m CASING TYPE (�teel ❑ Plastic ❑ Tile ❑ Other � ��� ��� Screen from 10 fl. Open Hole from OBSTRUCTIOIWDEBRIS/FlLl ❑ Obsiruction ❑ Debns ❑ Fill Type of debns/obsiruction Obs[ruchoNDebns/Fi�l removed? ❑ Yes ❑ No PUNIP ❑ Not Present ❑ Other ro CASING GEOLOGICAL MATERIAL COLOR �RDNESS OF �0� TO ' FORMATION Diameter Depth Sei in oversize hole? Annular space indially grouted? If nat known. mdicale estimated forma6on log from rrearby well or boring. �°i �F#� ���� � � _� � �n. from � to �' � B h. ❑ Yes �No ❑ Yes ❑ No ❑ Unknown � a�/�i� ��� �� ,� � �� in. (rom to fl. ❑ Yes ❑ No ❑ Y� ❑ No ❑ Unknoxm ���Y ��F ��,� �� � � in. (rom to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unkrrown METNOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: C�°�� ���� a, i. � �. ��'i No Annular Space Exisis ��� ���� ��� �� ❑ Mnular space grouted with tremie pipe ❑ Casmg Perforation/Removal �3������ ��.� � � � � � in. from lo fl. ❑ Pertorated ❑ Remwed in. from to ft. ❑ Per(orated ❑ Removed Type o( perforator ❑ Other GROUTING MATERIAL Groutingmaterial ���J�� from �`�Td ��—tt. Ya�ds ���9� from to tt. yards ba9s RENARKS, SOURCE OF DATA, DIFFlCULTIES IN SEALING �7��s�� �" �� e ����.�°.s ���i � from to fl. yards bags �:���' ��a� �'<����,e from to H. yards ba9s UNSEALED YYELLS AND BORINGS Other unsealed well or boring on property? ❑ Yes �No ��� ��� LICENSED OR REGISTERE gCONTRACTOR CERTIFlCATION This we0 or boring was sealed in aceordance with Minrresota Rules, Chapter 4725. The information contained in Ihis repoA is true to the best of m knowled e. �'' �� ��������'s� �E ��a�' � ��� � �l �.��.� According to �RN S�ate Re�utafi�ns �L-��!�� ���' � I H Authnnz� a�3}SM l�1L�.� Name o/ Person Se� Name e Signature �������� ����� Wefl or Bo�mg Ucense or Hegistranon rvo ���� �� Date sue�ecl pE.F{Ip(� -Ng__ City of Fridley �'� %� � AT THE TOP OF THE TWINS ����..! � BU ILDING PERMIT � � RECE�PT NO. � ; L ______ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC ��.� � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE Of APPROVED Bv �"'"� � ��' 612-571-3450 9t0-F15 11/27%95 � � J08 ADDRESS 1301 Hillwind Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 Sheridan Acres SHEE7 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE I bal Ahmed 1301 Hillwind Road NE 572-8071 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASSOFWORK � NEW � ADDITION f� ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOfiK Construct 20' x 20' Gara e• 20` x 6'6" Livin Area• 20' x 10' Livin Area; Convert �c�g part of existing garage to living area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. .t 1 ������� �. Before di�gir�� cali for ail utility locations 454-0002 SEPARATE PERMITS REQUIRE� 4�OR RE(�UiRED �Y LAUU? V1iw c8���u, V�EATIRR�, �LUE��If�lG ��v� �iG�S, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTFiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AU7HORIZED IS NOT COMMENCED WITHIN 60 DAYS, Oii IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEHIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOHK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT �20�000 �lO.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC710N OR THE PERFORMANCE OF CONSTRUCTION. �L87. LS Fire SC �LO.00 PLAN CHECK FEE TOTAL FEE $317.25 S�GNATUAE OF CON'AACTOA OR AUTM0�712ED AGENT IDATEI WHEN PqOP� RLY VALIDATED THIS IS VOUR PERMIT � ��s, c�' / ���d��� SiGNATUAE OF OWNEA iiF OWNEA BUILDEA� �OATEi - DG �NS� �iFTE � � � NEW ADDN ALTER C'1 �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/ 1 /95 1 �� �/ � ConstrucdonAddress: ���� ��•f�r�.�� �� ��r, C�� �.1�� 3 Z _ Legal Description: � % � lLe,.... �.� �r.v� . Owner Name & Address: _����� Tel. #-� la � 7� �'67/ Contractor: ��v �j�� _ MN LICENSE # Address: LIVI1�iG AREA: GARAGE AREA: DECg AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it t,o scale. DESCRIPTION OF IMPROV��I�ENT I � � ���� /x/� / Length � Width � Height Length � Width _� � ' - Height L.ength V�dth HgtlGround ��� � Tel. # Sq. F� Sq. Ft. Sq. Ft. ^ - - - - • � i . - � Corner Lot [] Inside Lot (�J Ft. Yd Setback Side Yard Setbacks Type of Constiuction: ���� ���.�� Estimated Cost $ er Approx. Completioa Date: (Cost on Back) Driveway Curb Gtiut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � G � APPLICANT: '' Tel. # ��02 �� �• . ��� �ITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Maia Charge TOTAL STIPULATIONS: $ 02�% a.S � Fee Schedule on Revers� Side $ p2Q. 00 .0p1 of Penmitt Valu�trion (1/1Qth%) $ /Q . Ol� $.50/$1,OOQ Valuation $ $850 per SAC Unit $ $5.00 (State LicenSed Residential Conira.ctors) $ Al� "A" or Alt. "B" A�ve $ $450.00 Coaseivation Plan Review $ Fee Det,e�mined by Engiaeering $ _ Agreement Necessary [ ] Not Necessary [ ) $ �/%�S 7 -�Lv ; i � � � � � � �UILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structurE, or for any addition to any existing building or struc�ure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such �rmit of fees to the amaunt herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $5(?0 $501 to $2,000 $2,�1 to $25,000 $25,�1 to $50,000 $50,001 to $100,Q00 $100,001 to $500,000 $500,�1 to $1,a10,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,OOp.pins $12.50 for each additional $1,000 or fiaction thereof, to aad including $25,000 $349.75 for first $25,000 plus $9.00 for each additionat $1,000 ar fra.ction therEOf, to and including $50,000 . $574.75 for first $50,000 plus �.25 for each add.itional $1,000 or fraction the,reof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fradion thereof, to aad including $500,000 $2887.25 for the first $500,000 pins $4.25 for each additional $1,000 or fraction thereof, to and including $1,�,000 $5012.25 for the first $1,000,� plus $2.75 for each additioaa.l $1,000 or fiaction thereof � DRIVEViIAY DEPRESSION ESCROW (con� c� s�� o�y) Alteraate "A" : Removal and replaceme� of canb and gutter only - Driveway width plus 6 feet tim� $13.50. Alte,�n�ate "B" : Removal and replaceme�t of c:urb and gut�er and install a 3 foot wide apprQach with 6 inch d�ttt - Driveway width pius 6 feet tim� $15.75. VE1tIFICATION OF FOUNDATION Pe�n�ts frn' cons�uction wi11 l� issued a minimum of 24 hwirs from the time of a�pplication to allow for proper review of the proposed structure and of the consiruction site, A Ce�tific�te of Survey of the lot, showing the location of the faundation once it has it has been constiucted will be required t�fore proceeding with the fiaming. � D � n � o � Q. � Q w m 7 � A o � 3 � a �' O � �� � n -a fl. � � m m � `� �� � m a � � 0 � m ?' �F c (� � mn� -Z-� � � � °m � D� •n O �m � . � . � .'� � � � 3 � � � '71 � . � � i�i -D-1 m r� ; � � Z N� � � o -n � 7 � � � �, m � � �• n, �� J n ` � � � � 3] m Z � "O rn^ l I _-I O Z rn m � N O 0 _ � � < m a aQ � j � � � � -��. � � m 3 W O 0 x � . � 0 � u� c -. rn � � � f� o O � �s � � � � r� � � ,� � � w ��� ;� � D m A � m � � .� o � � w � o �. P`• � fA t� � 0 z :_ n A 3 IS o . � � �� 0 p�°� C� v� n a� =o =�co a-� a . m ={ �. � � � �c- O. � g � !�,' ^ i .�• � °° � � 3 m = ,, i � . 0 � m � .` Z � 't� 3 � , � � � _ � ° � a � m n � O 3 � m N �Q � m N� Z o „ 3 , v o a '�° � � � C � � � � 1 3 � � � n O 7 Q � 0 � Z cQ I D � m � � � � � v � � � 1 � . � � � ..► � ' � � . ' .•° •� � � � ., � �L � e. . � - m �- .. D. m v O � �� � rn � � � � Q i ` i ',� `y�� O I� fii � � � � ���a '� a�a ,o��m � (p A � � � N � A 3 Z m m � fD .�-► 3 9D Q. � .�-r Q � � c � c �O� �. � � moomo � � � �� m c�'i m v � - � � � � i ..� (F7 Q � � � .. � .o. O- m '. � o� c Z• � c � m v � 0 ;� , � � � -� 0 � � 'I `. i� iF � i �2m�. 0 . m � � 3 � orQ�_ oW�� � ,� Q � n. � � Q, m � � � v o �c . ���'3 m m ? o m � � � � 9 n Q 7 'a . � m 3 � ' 7 � w �,► s _1�� A. 3 1�'�moo � � � � � a�n��' � �y A @ � ., � � A � O •�~,? 0 ��r.-. �3m � m n �� O � o � ...i ib �. � � a� m � 3 fl. � 0 .� � � m � N 1 V � }� � N Q 1 � w� C O � � < � T Z � � � � �Il N � � Zz m� -o m i� � O Z v < m� �� ma �O O� Z O `. �•� . .�v � ��� �� vs -� Z z� zpZ . o �v _ �S � N� � Cy . °m�, o i m� tn _ - m � i � C o Z � � � m 0 � _ ca c :'« j � CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the exisdng 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 cucrent Code requirements for size '- and total BTU's conri� Yes () No () fi Has total heating BTL7's of � All other BTU's � . � . - - TOTAL BTU's 7. Has a liaer been provided for water heater Yes () No () 8. Has cambustion air been provided for water heater Yes () No () Remarks: Y 11 :: Y �► :,- �� �,.�- . HEATING CO: Signed By: Date: ;,�, NF'�'—t=� 1—, ��G t`1i=ihd '1 � : �� I T:� : Q4/Oir96 i�:�o � . 1c�8 �����Q � � � ��, �� � �S�E � � � �p;��;� ���� � � �� �� �, �g� ��� �R ��+� B�i .�� �,� ��s..�w ��� ��s �� � � �� �a � � � o� � � �� � � . '� � � � � ��� �w � ��� �� ����� �_� ���?` N � v J 1 � ��� ��'� N,� ti.�o :.as ���� �.. ��� yl i 3 ���i7 �11N� �m�m ,������� .�+ fC t�1 i N110 $p���m'F � � � � � � �i � .� � •�i;— �ti� ��� �i �� ��� ��� �� p�N ���� ���� �� u�N� ��tc � IyiM�� � aH � N y ���� ��� d�i1 �i� �fi�� � �nm �T �Epg� �� � �� u�74 � N�+ J ��� ��� ��� �� � `� M1 I � ; � J � � � � � i � i� mT � w� �� TEL hdi=: #t=�16 F�=r� �--- �� . �Pi2!!vr !.i{ ��R"° � J� 4 � �. � � � �� � �, � � � � D ,� � D'1 iO '�+,, N '�� C �� �� 1 v iJ � � �. t y � io ., f p I � i: i� � �� m 1 O � � � � 4 Q a l N E� - _ t����������� � ������� � �� � �� �� f �� �� ��� ����� �� � � !: �' j ������ i����� �! � ��. r�� � i�� ���� �������� ;�� !.#.�.���a�■ � � � � C � � � � � � '� , 1 . � fA � r r � � . � � � � � � � � � Y � .r. � � • •� � � � � �, � o � � 0. �N � � � � � � � � � ' HF'F'—�t1—' �� P1�Jfd 1�: �� IT�: TEL hdi i: #G�1E� F'��� �• - ._ I U4/U1/i1b ll:j�' :� � W�BOIi � ~�IQ�� � �v� o�n� � � � „� �� ! N�� � � \ � � p � � ��'R8� �� I uio�+ � � � �� I.,ih �O� � �� �o � � o� � �� � �� � �� � �Lb � ��� ■ � � � � � � 9��� =��4� � �'': a N� �� � � kS� � ��� . ouo Nd� 9D7 ���� f � N Tt 1R Y7 ��� ���.� �OW� ������� b=1��5�r6 r°-rr�p�w �� �� ��� �� ��� � . �� NMS �� 'J'►tllu� ��,�� �� ���� � �'"' �8 � w �� � �r u� �r r r u��r5 E d� P+�i�IN b��jlfj ��� M� ���� � `� �� d � M S�� ��� �.�d �� � �� � ya �i � I Y5 � � � a V �r � �� � U L1 m N i � h i LL� n, g � � �� �: J � { � O � � N a � I.a 1� T � d) � e r � y � � �---` ' � � $ C ry :'r i �,'; � � � u a � �� � � i � ���/ �t �� i` �'� 4� � �� w N � ■ � � � �� � � ��� o �i� � ��� tl � � � N B �s � '��. ',ti - r; i f '� 1 � \ '� C � .� � 0 � � Cr. N � L � � � � � � � 6 ��il s �ry N `. „' HF'F,—�_�,i—}G� r�ar�a 1�:�� I��: 44/O1!98 11t28 '� ��°t �I��� ��� � ss � ��i��� �¢� � w F�IFDKa °�� j r�id��i S 1� ��i � ~� � r1w� 1 Ul � 1 1 «�y��s�. ti d �p��P�IiB��G� N � G q ~ (7Plw7�t�e��7 J �p� ��8s��s:o � 9 m000�4� p,� �c � � �a ��aoaasa � �'� rfs�M�4P�o .a Y �Ii, 4 e� ^� � � ��06�p4sw � ���g�a°�a� � � � �� d0 � � �����b3�� ��� .. � Y O N�� i?? ���� o�� ,,:..+ .•��n '°„-_'�1 s z a �' ���� R �� � ��mi ������� �..NF4�4P p�.�HF�br � ¢ � a. � ��� � ��� � �� WtYN � �' �pW� T �D a � t �iVNi M [a� �srw i ffi u}�7V�fJ�+►v �� J y� �fiV�N�N �Y ndmd � ����� F� ' i1 rla m � �8�� �a � � � ��Q�� ��� � � ��� � ��� � � � i � N � � � � r��� � ������ � � a �� ��� T �� w � � � ;� ,!�� m� J a !� �� ui� i TEL FJi i: � !q � � � �� M1 #��1r� F'��� -�aa SP1tING LR PARK a � OI �� � w I O M i � - k� � � �y i � �� � �m $ I i, f � �1 i-'m • } � LL7 � � � 1 Ly � � � � 10 � � W � � ��� � � �� � ` � �r, � �. �� �����; �,«� � �F ��=��' . „ � � ���� � �y �� � � � � � � F. h � � Qi P �� � �� �� ������ �� ��� � �� �� � �, �' � u� � �� � � �� ���y � � � � � "�q ��� �m8� � w{� �m ,� � r � � M m �' � 1 V M1 7� � R � � e ���' �9� ��� � �f� ��� � ��� ����� ���a � ���� ����� '���� ��.' L� 1 ! 9 � � t�ooz � � m � P � � � w 0 p � � � � V G � S � � � +E O �''� � � � � � � ~ � � N N � �., ~ � M1 � � �� 1a / City of Fridley AT TME TOP OF TNE TWINS r � �• COMMUNITY OEVELOPMENT DIV. � j V'� '�� r � � PROTECTIVE INSPECTION SEC. � . � l-__.� ��"' �.� CITY NAII FRIOLE� 53132 ti 612-571-3460 JOB ADDRESS 1301 Hillwind Road NE t LEGAL �OT NO. BLOCK TRAC' sue�ecr � �U ILDING PERMIT NUMB@P REV DATE PAGE Of s�aF�s i/28/00 / / oesca. 1 Sheridan Acres 2 PROPERTY OWNER MAIL AODfiFS$ Iqbal Ahmed 1301 Hillwind Road NE 3 CONTRACTOR MAIL ADORESS Same d ARCNITECT OR DESIGNER MAIL AODRESS ZIP 3064� RE�� T NO. � �VPROVEO BY SEE ATTACMED StiEET INE 572-8071 INE LICENSE NO LICENSE NO S ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO 8 USE Of BUIIDING Residential 7 CLASS OF WOpK ❑ NEW O ADOITION �] ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Interior alterations to kitchen & bath 9 CHANOE OF USE FROM STIPULATIONS See notations on plan. �ALL �OR �1�1�L INSP'ECTIO� �VITHI� 101�A�� �� WOAK ����LL-�'I`I�II� ���'�' �'� ��M�OWNEI� TO �EREQ�TE PER��S UIRED fOR. �LUM�ING AHly�D S�G . isius. TYPE OF CONST. SEPARATE PERMITS ARE RE�UIREO FOR ELECTiiICAL, PLUMBING. NEATIN(3. VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK Oq CONSTRUCTION ZONING AUTHOpIZED IS NOT COMMENCED Y�!ITMIN 80 OAYS. OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO Of 120 OAYS AT ANY TIME AF7ER WORK IS COMMENCED NO DWLG. UNITS I MEREBY CERTIFV TMAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 ANO KNOW TNE SAME TO BE TRUE AND CORFECT. A6L PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMP�IED �lO�OOO WITM WHETMER SPECIFIEO MEREIN OF NOT. TME GRANTING OF A CERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OF CANCEL THE pEqMITfEE PROVISIONS OF Y OTHER STATE OR IOCAL lAW REGULATING CON- �151.2,5 STRUCTION OR RFORMA OF CONSTRUCTION � �LAN CNECK fEE b Si G FCON'AACTOAOp U M0�1iIE IDATEi EN P i t ' S�GNOTUAE O� OWNEAaf OWNEA BWLOEN� �DATE� N�? _ I� � STA�LS OCCUPANCVLOAD FT OFFSTREET PARKING GARAGES SUiiTAX $5.00 SAC CNARGE Fire SC $10.00 TOTA� FE $19�25 /1 V V N� Il ADDN [] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION /36 / � Effective 1/1/2000 612-572-3604 Bidg Insp ���, �� � Legal Description: Owner Name & Address: �� �L /�'1�f�. C:�� Tel. #�/Z S 7 Z�oi I Contractor: MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: 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 HgUGround Sq. Ft Construction Type: ���`�- � ^ Estimated Cost: $ � � Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = x$ _$ �[/. [�� DATE: l�" v'� APPLICANT: Tel. # CITY USE ONLY - Call (612) 572-3604 for Permit Fees if malling in application Permit Fee $��- Fee Schedule on Reverse Side Fire Surcharge $ �� •c�b ,001 of Permit Valuation (1/10th%) State Surcharge $ � �. !X� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ �� $1100 per SAC Unit $ � $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: W � � � � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addirion to any existing building or structure, or for any alteration or repair to any existing building or siructure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,Q01 to $50,000 $50,001 to $100,000 $1�,001 to $500,0(}0 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $SQO plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,(�0 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,OW $391.25 for first $25,OQ0 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,0(� $643.75 for first $50,000 plus $7.Q0 for each additional $1,000 or fraction thereof, to and including $100,IX?0 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,OOO,Q00 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 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( � �"'1 � CITY HALL FRIOLE� SS13P NUNBBA REV DATE PAGE OF ACPROVED 81I �----� • •,' 612-571-34b0 9t0-Ft5 8/1/�� � � JOB ADDRESS 1301 Hillwind Rd NE t LEGAL L.OT NO. BLOCK TRACT OR AODITION SEE ATTACNED DESCR. 1 Sheridan Acres SHEET 2 PROPERTY OWNER MAIL AODRESS 21P PHONE I. Ahmed 1301 Hillwind Rd Fridley, MN 55432 3 CONTRACTOR MAII ADORESS ZIP PHONE LICENSE NO Owner 4 ARCNITECT OR DESIGNER MAIL ADOFiESS 21P PNONE LICENSE NO. 5 ENGINEER MAII AODFESS 21P PHONE LICENSE NO B USE OF BUIIDING Residential 7 CLASS OF WORK O NEW C� ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK 7' x 6' porch - gable roof 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations, see attached plans. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCr LOAD SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK Ofi CONSTRUCTION 20NING SO. fT CU FT AUTMORIZED IS NOT COMMENCED V�!ITHIN 60 �AYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO OWLG. UNITS OfFSTREET PARKING I MEPEBY CEiiTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICA710N �. STA�LS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAW$ yp�UATION SUpTAX AND OFDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED WITH WHETMER SPECIf1ED HEREIN OR NOT. TME GFiANTING OF A PEFiMIT y�1�2O0.00 y�.6O DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEqMl7 FEE SAC CNARGE PqOVISIONS OF A OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR , E fORMANCE OF CONSTRUCTION �4�Ie9O I.T SC a�le?.O �' PLAN CHECK E TOT , FEE �' $49. 70 S�GFi8�4UABOi � � pACTOAOp4UTNOA�� GENT ID�TEi ME PiiO VALIO E THIS IS R P�iMIL � � - jd L�L/ ^ - :Is S�GN4TUAEO�OWNEQ� O �DAiE� - B�' �N ���TE NE1N [ Effecfive 1/1/2000 ADDN �, ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALT��t [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ` BUILDING PERMIT APPLICATION _ /� ,, r� �`� � C nstruction Address: � 3� Y �cSl.� /�-�.- ']` � Legal Description: Owner Name & Address: Contractor. Tel. # MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: 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 HgUGround Sq. Ft 1 -f" (�a„��c H,In,(� G�f.l. LPMv�- °� �Y+-�--1�,�' p d' Construction Type: r.� s►S�"�°� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �/' DATE: APPLICANT: ✓ Tel. # �!L .��y ��� -� _��� _.. � CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application ; $ 7e �Q Fee Schedule on Reverse Side $ � � oZ� .001 of Permit Valuation (1/10th%) $ � � $.50/$1,000 Valuation $ $1100 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 [ ] $ �-I � �71� ... BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or fdr any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the mazmer herein provid� to-wit: TOTAL VALUE $1 to $500 $501 to $2,�0 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,Q00,000 $1,Q00,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,� $391.25 for first $25,Q00 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,0� or fraction thereof, to and including $SOO,OQO $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,000,�30 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate °B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificaxe of Survey of the lot, showing the location of the foundation once it has it has been coa��acte� �vill be required before proceeding with the framing. New Houses Onlv � "`� ,._ � C_ � � ��J � > 1�, � � � KJ � � � � � � �� � �� � �, �� , a �;1 � � �. r� i � n 1I. M � � � � I n ► � n � . � -�` Cr� S �� � n � � �i � � � . �,� , i � � �� � ;� � �� � �� � �' �� , ; , �I � N � � I _ � �r � � �, � i .. ', � � a. . I i. 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J. � �� (Z � C � 8. � � � � � 0 w � � ��.�i�YE:S�.�+►�TD STACK V�RIFICATION The undersigned hereby veri�es that che existing chimney or stack: 1. Has be�n ca�efi�9ly axamtneci °�es (� i1To () 2. Is free from rust or deteriotation 3. ��s no foreiga� obj�cts lodged witl�in 4. Ys securely supnsyrte� S. 1VSeecs a�ti ctatrerat Code r�quirem�nts for sue �$nd B��al �iT43's ca�nn�cted 6 i�ias tocal he�ting �TU's of 1 ,.��� + At! othe� �TiJ's 'T�i'ATe 8�ti'� 7. �-Ias a liner been prodadeci for water heate¢� S• hlas eombustion air be�n provided �or w�ter heater R�rnarks: List _ E TIONS Beire Doe��: x���r�� co: �igned �y: 1�at�: —� Yes (�j No t ) Yes ( � No ( ) Yes (�j No ( ) X�s(�No() Yes()No() Yes ( ) 1�To ( ) ..=:s,,:. � _ CITYOF F'ItIDL�,Y FRIDLEY MUMCIPAL CENTER • 6431 UTTIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 1, 2002 Mr. Ahmed Iqbal 1301 Hillwind Rd NE Fridley, MN 55432 Re: Final Inspection at 1301 Hillwind Rd NE Contractor: Daves's Appliance Heating & Air Dear Mr. Iqbal: A mechanical permit was issued on August 25, 2000 to install a furance at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We �vill keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, �— . �z�/�� / : � �� � �- � � �� � , sue�eCT P . c�ty of Fridley 3 2 6 6 0 � AT TME TOP OF THE TWINS g u � L D I N� P E R M I T r ; � RECEIPT NO. � `v __��_ COMMUNITY DEVELORMENT DIY. r � � PROTECTIVE INSPECTION SEC. ��S � � � _ � � �"'1 � CITY NALI FRIOLE� SS1�2 NuuBflA aEV D�r� VAGE o� �6vaovEO Br �----�' �•� 612-571-345Q 910-F/5 6/5/02 / / 108 ADDRESS 1301 HILLWIND RD NE 1 LEGAL LOT NO. 9LOCK TRACT OR ADOITION SEE ATTACMED DESCR. 1 Sheridan Acres SNEET 2 PFOPERTY OWNEii MAIL AOOR�S$ 21P PHONE Iqbal Ahmed 1301 Hillwind Rd NE 763-572-8071 3 CONTqAGTOR MAII ADDRESS 21P PHONE LICENSE NO Windows America 7928 C University Ave NE, Fridley, MN 55432 763-786-8115 4 ARCNITECT OR DESIGNER MAtL AODRESS 21P PHONE UCENSE NO, 20248265 5 ENGINEER IMAIL AODRE$3 ZIP PMONE IICENSE NO B USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE -❑ REMOVE 8 DESCRIBE WOfiK Replace 13 windows within existing openings 9 CHAN(iE Of USE FROM TO STIPULATIONS � Provide smoke detec�ors in all sieep�.ng ro�ms and on a'll levels of �he dwelling per Section 310.9.1.2 of the 1997 Uniform Bu�lding Code. ��r�ni� Insp�ction �ards INill B� Mailed To Homeowner To Pos� ` TYP� OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMI7S ARE FiEQUIREO FOR EIECTRICAL. PLUMBING, FIEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANqONEO FOR A PERIOD OF 120 DAYS AT ' ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTqEET PARKING I MEREBY CERTIFY THAT I HAVE REAO ANO EXANAINED THI$ APPI.ICAiION 1 STA��S GARAGES AND KNOW TME SAME TO BE TFlUE AND CORR�CT. A�L PROVISIONS OF LAW$ yq�UATION SUiiTAX AND ORDINANCES GOVERNING THIS TYPE OF WpRK WILL �E CpMPUEO WITM WME7MER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT �$fOOO ��F.00 DOES NOT PRESUME TO GIVE AUTHOqITY TO VIOIATE OR GAMCEL 7ME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �153.25 Fire SC �B.00 STRUCTION OR THE PERfORMANCE Of CONSTRUCTION PLAN CMECK FEE TOTAL FEE :�ice $5.0 $170.25 S�GN4TUNEOFCON'AACTOpOpAUTMOp�ZEDAGENT IDATE� ME PRO VALIO D THIS IS r up aE �T - � � � r� S�GNaTUAE O� OWNEpo� OWNEA BU�lOEA� �O�TE� �OG �MS� ` r��tt N� II ADDN [ J ALTER [ ] Construction Addres: Legai Description: �����n�� CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Owner Name & Address: !'Y1 E? Tel. # 7lp �-S°%� - 8L57% Contractor. e� MN UCENSE # oz0�98a(p5 Address:� 9a� �C' /�li2i �1 �aY <fv /�-U e 1� F�r � d�,u; 1�7�C 55Sl3� Tel. # 1� 3-7�10 -�115 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certficate 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/Graund Sq. Ft Construction Type:1..� 1''Ce�Yo �;t vi���l w-i ndo� Estimated Cost: $ g� (�/�/) reP to�c e �r.�1�5 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �� APPLICANT: � ��� ��r� Tel. # `%�e3 —% g� - ��IJ�" Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge �#�te S+�rcl�a��e SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � � $ r�3ssiaJ $ �',��� � �_-� �-� � $ � 6, oD $ $ $ $ $ � y���. �S� 3� d2 � 5 CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) �.��$ i,a�.°'� °ti%t'i:L'a`ldo°3H: _. -- - - - $1200 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 [ ] STIPULATIONS: � BiJII.DING PERMIT F�E SCI�DULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2,000 �2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $SOO,OQO $500,001 to $1,000,000 $1,(�0,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each addidonal $100 or fraction thereof, to and including $2,000 $69.25 for first $2,0� plus $14.00 for each additional $1,000 ---_�_ or fraction ther��f_,�t.� a�� in�t„4���.� ��4�- $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fracdon thereof, to and including $50,000 $643.75 for first $�,000 plus $7.00 for each additional $1,000 or fraction ereof, to and including $1Q0,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fracdon thereof, to and including $S�,Q00 $3,233.75 for the first $SOO,OUO plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 fur each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW '�.^>:,��`�tp �'� 5��� �:;i�l s Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � Building Inspections 763-5�z �3��04 SITE ADDRESS _ THIS APPLICAN'f IS: PROPERTY OWNER/ CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS ❑CONTRACTOR NAIv�: STATE LICENSE EXP DATE Permit No.: Received. By:J Date Rec'd:� .TE ZIP ADDRESS: CITY STATE ZIP PI�ONE _ FAX PROPERTY TYPE O PERMIT TYPE 0 0 � TYPE OF WORK: � ❑ TWO FAMILYMEW DESCRIBE 9JORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED S1ZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other W WDOWS IId EXISTAIG OPENWGS OYes ONo OR FOR NEW OPENATGS-DESCRIBE SIZE OF OPENIlVG CHANGES & TYPE OF WW�W TO BE WSTALLED F-INISH 1 ❑ ROOF E�# ❑ SIDIlVG �� � HOUSE & GARAGE O ATTACHED GARAGE 0 DETACf�D GARAGE ❑Soffrt ❑ Trim ❑ Fascia L.�ATION OF WINDOWS NUMBER OF ❑ DRAIN TILE `�OTHER �,�-� � HEIGHT BASEMENT REMODELING SUBNIIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members w be used F� FOR NEW CONSTRUCTION INCLUDWG DECKS, ADDITIONS. & PORCHES SUBNIIT: 1. Site Plan/Survey showing the existing sVuctures and proposed project 2. Two sets of constrnction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) _ TOTAL JOB VALUATION $__ ���� �y� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due _ $ � c� c� $ ot _C`� C� $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valua.tion .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pa_yable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for t and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whicl�r�' es reyae�w�nd approval of plans. � _ SIGNATURE OF APPLICANT Page 2- Building Residential Application . , , � BUII..DING PERNIIT FEE SCHEDULE v The Chief Building Official sha11, before issuing pemuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: • - . �• � VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certificaxe of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � �� ti w_ O m 70 � rn � m m p e� p��5. � t5. �=� fi e 5� � o�� o d�e aa ao � a N A w B o e g�� �'� g �e = e o�: ���� @ 8� ti e °g B-- t� t� w X� 7. _• k v; �; [^ X X X �C `O o o N g� E � ._. 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