The URL can be used to link to this page

AF - 47550City of Friclley, Minn. BUILDING PERMIT N� 51$ Date: ..... ..._._._�...5�.� � .� _....�...__....___.._.____ > ,. Owner: . . _ .._.. ._.�!!�l�� ._ Builder ._....__..._.. ..........._ ............._..._.......---..._......�_.__._---....-----._._._ Address ......_..._...__._.. •-..._._.__.._...._.__._...._..--------._....._------•----•._.---•---__..... Address _. .... _._....___..._. ......._--•_........_.....-•---•-•----_.._..___....____._. LOCA'G O G o• --� ----- Street .. .. '��!"��'�w'�► � �� . . ---_._ ......_.. .._.� . ._-� Part o t ........_.----�--!`---------...__._.__. � Lo .-•----.�......---•----•--..._.. Bioc _..._..._ ........._....-•--•------------------- Addition or Sub-Division ..... _. ^ ------__ _ ----.. _. .t._ Corner Lot .---.-•--.........----.._ Inside Lot ....._--------------------•--•-••------- Setback .------......_...._.......__..-•--- Sideyard Sewer Elevatian _..._....__.__._._...__.._.._.._.__.._....__.._.._...----•--•--......_ Founda.tion Elevation •-----••----------------_.._._..._...._...._.__.._...�.T.._.._. DESCRIPTION OF BUILDING e Usec� __ .._ � t__._._._....._.. DeAth _.__._.._..._ Height .._.---..__..._.. Sq. F� .._._...._._._ Cu. Ft _._.._._...._..___...____._.__........ F'ro '.�.__._._.._.. Depth _..._..... � Height .._.___._._.. Sq. F't. .._._._....____ Cu. F't. Type of Construction ��"�l�r�'_.. Ee� Coa _.�r�....�-__� To 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 set forth and in compliance with all pravisions of ordinar►ces of the city of Fridley. .� ._..._..__..._.. In consideration of the payment of a fee oP $..�'__"'.".�"�..._.., permit is hereby granted to_.__....._... .....___..•--..._.........___..._._..__......._...._.... to construct the building or addition as described above. This pexmit is granted up� the express condition that the person to whom it is granted and his agents, employees and workmen, in all wark 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 within the city limits and this pexxnit ma.y be revoked at any time upon violatio� any of the prnvisions of said ordinances. Building Inspector NOTICE: Thts pennM doss no1 eov�r 1h� eonnruefion, inst�IlNion for wfdng, plumbing, g�s hsaling, �nr or wabr. d� wr� to aM th� Building In�scfor for separaM p�rmits for fh�s� froms. � `�'° � _ �:-� - �.-s � _. � APPLICATION FOR BUII�ING PERMIT CITY 0�" FRIDIEY, MINNESO`PA `: � Owner'a Nam ' ' , Builder _ � Address Address . � LOCATION OF BUILDING r No. �' �� 3treet P�rt oY LotS #�'% ��1,�"�D, Lot Block✓f��` Addition or Subdivision Cornar Lot _,,,__w____Ineide Lot 3etback Side-Yard SF.,wER ELEVATTON FOIINDL�TION ELEI�ATION � �pplicant attach to thia form Certificate of Survey of Lot euzd proposed buildtng location. To be used as: , ; � ��/��-'�/ .�� , f, Type of To be Completed DESCRIPTION OF BUIL�ING , , Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Gu. Ft. / .�" r:. _ • • = � ��.1 � �i The underaigned hereby makes applica.tion for a permit for the work herein specifi:ed,' agraein� to do all work in strict accordance with the City Ordinances and rulirig of the Department of Buildings, and hereby declares that all the facts and rapresentationa stated i.n this application are true and aorrect. -� DA1� �r - � -- � � � � SIGNATIZRE � " r ,7 (A Schedule of Fee Costs can be found on the Reve�se Side.) � � - _ _ _ .� „ . � SUBJECT ��• City of Fridley 2 5 9 6 7� ' , AT THE TOP OF TME TWINS g � I L D I N G P E R M I T RE O. r � � � • COMMUNITY DEVELOPMENT DIV. r ; � ----- . / � 73 � � PROTECTIVE INSPECTION SEC. 1 � � � � �'�'1 � CITY NALL FRIDLEr 55432 NUMBER REV OATE PAGE OF APPROVED BY �'"'� � �'' 612-571-3450 910-F15 4/23/98 � � JOB ADDRESS � 518 Janesville Street t LEGAL �OT NO. BLOCK TRACT OR ADDITION , SEE ATTACMED oescR. 57-60 F Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chester Ewer, 1565 73rd Avenue, Fridley 55432 784-6799 3 CONTFiACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Chester Ewer (same as above) 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential . 7 CIASS OF WOfiK � NEW ❑ ADDITION ❑ ALTERATION F�7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace & repair roofing over rear addition 9 CHANGEOFUSEfROM TO STIPUI.ATIONS TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE fiE0U1RED FOR ELECTRICAL, PLUMBING, NEATING, VENTI�ATING OR AIR CONOITIONING. THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCTION ZONING Sa. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFfSTREET PARKING 1 HEFEBY CERTIFV THAT I MAVE READ AND EXAMINEO THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of LAWS VALU�TjQy, • oo SURTA�• SO AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED .iUl.) WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE pEfiMITfEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCLION OR THE PERFORMANCE OF CONSTRUCTION. �L1.00 Fire SC �.SO PIAN CHECKFEE TOTALFEE �22.00 s nruaE OF coN' w q OA AUTNOAl2ED AGENT �OATEi WHEN PROPERI LIDA ED THIS IS YOUR PERM17 � � .-Q �- �o y-��--��' SiGN4TUREOF WNEAiIF WNERBU�LDE�71 �—T iD�i.E� g� ��INS� r�t,iE NEW ADDN ALTER �] [ ] CITY OF FRIDLEY [] � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ^ BUILDING PERMIT APPLICATION � ll r � , Effective 1/1/98 �;(�� l� ConstructionAddress: ` � C� �? r U ` �-- Y' � � ` � � � Lega1 Description: �''�- <� ��'� �Q e�i� � �� d�� Owner Name & Address: �s t �e (� � 7 ��U� '' ' -c � Tel. # �� 2 Q' �/"� � � `l' -� Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale.� DESCRIPTI4N OF IMPROVEMENT LIVING AREA: I.ength Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Fi. OTI�iER: �t� I� L `�— l � � ` ` 0f/d� .%� s�>17� Tdl✓�� `I�/Z /'/�d¢ Construction Type: Estimated Cost: $ � 0�� U 0 fFee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �— a � -- �� APPLICANT: Tel. � � �'�{'�'� 7 � � 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 $ ,� j(� .001 of Permit Valuation (1/ lOth%) $ , � $.50/$1,400 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 [ J $ 2Z, �° . . ,. sue�etr P . City of Fridley 2 9 912 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � ; y��_�� COMMUNITV OEVELOPMENT DIV. /��/ � r � � PROTECTIYE INSPECTION SEC. �•�`�C� � � �'��ti � C17V NA�L FRI�LE� SSIJ2 NUMBEp NEV OATE PAGE Of A7PROVEO SV �""�� '' 612-571-3450 9t0-Ft5 7/20/99 / / lOB ADDRESS 518 Janesville Street NE t LEGAL �OT NO. BLOCK THACT OR AODITION SEE AT7ACME0 oesca. 47,58,59,6 F Riverview Hei hts SMEET 2 PAOPERTY OWNEF MAIL ADDRESS 21P PMONE Chester $ Arlene Ewer 784-6799 3 CONTRACTOfi MAIL ADORESS 21P PMONE IICENSE NO Owner 1 ApCHITECT OR DESIGNEii MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PMONE LICENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW O ADOITION � ALTERATION 7t� fiEPAIR ❑ MOVE [J REMOVE 8 DESCRIBE WORK Reroof 13 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�OAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING Oi: AIR CONDITIONING. � TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. fT CU fT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK i5 SUSPENOED OR ABANOONED fOR A PERIOD OF 120 pqYS AT ANY TIME AFTEfi WORK IS COMMENCED. NO DWIG. UN17S OffSTREET PARKING 1 MERE9Y CEATIf V TNAT I MAVE READ AND EXAMINEO TMIS APPLICA710N STAILS GARAGES ANO KNOW TME SAME TO BE TRUE ANO COFiRECT. ALL PROVISIONS Of LAWS VALUATION SURTAI( AND ORDINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMP�IEO WITM WMETMER SPEC�FIED MEREIN OR NOT. THE GRANTING OF A pEflMIT 1136 . S DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEI THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTHER STATE OA LOCAL LAW REGUTATING GON- STRUCTIO O TME" PERfORMANCE Of CONSTRUCTION Lj. . 1 PLAN CNECK FEE 70iAL F � �� S�GN• UpEO�CON7FA(;TOpOpAUTMOa�IEO�GENi �o.re, EN F VALIDAT HiS IS�yJF P MIT % � C �� S�GH�ivaE O� OwtiEa�6 pWNEpBWlOEAi �O�TEi B� w5� ��<<f NEW [ �] " ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION Construction Address: �l Legal Description: �SU� �/� �� . �� Owner Name & Address: � 11 r$�� ,-- f �� .� ��r � r� Tel. #�/,`�— j� �f � 7Y � Contractor: G� (,(� h-c r- NIN LICENSE # Address: LNING AREA: GARAGE AREA: DECK AREA: OTI�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIP'rION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground � Construction Type:�j z�� Tv�a f p stimated Cost: $_ Tel. # Sq. Ft. Sq. Ft. Sq. Ft. � � /�� ` r Driveway Curb �Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: " � ^ � APPLICANT: Tel. # � �� ' `�'' �o � � 7 Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �IJJ Fee Schedule on Reverse Side $ /. .001 of Pemut Valuation (1/lOth%) $ �_�7 $.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 [ ] $ �/70�� City of Fridley 6431 L"niversity Aae NE Frid]ev MN 55432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ Tew Cormection ❑ Existing �'� � u �2 ,•)r1 `� ��1�/1�ftiCc/ � ��,� - C�13�� [�Utility Line Repair/Relocation ❑�i'ater and Sewer Connection Date: �� J��%/C� /�Ef�r7ii2 Job Address: � I� -��'�� /� LL"�' Name of Applicant (Plumber): hame of Property Owner. Existing Structure Permit # Pemlit Type: Sewer Fee: Water Fee: '_�Ieter Fee: Repair Fee: Relocation: State Surcharge: SAC Cl�arge: Special Assessinent Fee: Total: $ �� -k _ Applicant Signature: Inspector approval: n4eter Inspection Fee for Water/Sewer Line Special Assessments Cost of Water Meter SAC Charee Water 04/04/OS �; ��. �125/hour S50 S50 S .50