The URL can be used to link to this page

AF - 47697; U � City of Fridley, Minn. BUILDING PERMIT �te: . .�� .� .�. �. :'. : �� . . .. . . . . . Owner....................................... Address...................................... � N° 3502 Builder . .. .... .�......... ........... Address.... ........................................ LO�CATION OF BUILD[NG � No. ��!� . . . . Street . „� . . . . . . . . . . . �!:� . . Part of Lot . . . . . . . . . . . . . . . . . . . . . Lot . . . .-J: . . . . . . Biock . . . .� . . . . . . . . . . . Addition or Sub-Division /J.!'��a� � . . . . . . . . . . �1......... Setback �d��.. Sideyard .!. Q. � ¢.• �. Corner Lot ............ Inside Lot . ............... DESCRIPTION OF BUILDING To be Used as: � .� . . ! . . Front �� ."l. NDepth � �:•�o .Height �.�'.6 � Sq. Ft. �!�4�,� C�. F't. °.�.� � a � .................... Front ........ Depth .. .. Height ..... Sq. Ft. ........ (.ii. Ft. ........ T`ype of Construction . . . . . . . . . . . . . . . . . . . �� .� G. !. . � . . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of Yhe issuance to me of a permit to construct th 'bed above, I agree to do the proposed work in accordance with the description above set fo 'ance with all provisiar�s of ordinances of the city of Fridley. � �o In consideration of the payment of a fee o! $.�� .., 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 I�is agents, employees and worinnen, in all work done in, around and upon said building, or any part t]iereof, shall conform in all respects to the ordinanoes of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ' � yF .'�. . . .,a . . . . . Builrling Inapector NOTICE: This permit does not cover the constru�tlon, installation or alteration for wlrtnp, plumbin�, yas heatin�, sewer or water. Be sure to see the Buildiny Inapector for separate permits for these itema 'r • � City of Fridley, Minn. BUILDING PERMIT Date: ._..___June _'�, 1968 _ �� a��' 7 ��s� Owner: _._.�e. n�W .. Ammend �._...___ Builder _�_ Same _.._..._......_...._.._..___.__.. � Address _.__. '��_..K�x►na.s.�.oxt.-.�.....__..._..__...._..._.._____._ Address ___.__Same...___...��..._.�...._.�_ LOCATION OF BUILDING No. ___--�..r.�J_.__._. Street _.._...K�aas�mxi...�.�.______._.._.._...__...__----.._. Part of Lot _..�.�...._ 2 .. .. l Brookview Terrace Lot ._. 4__._._.._.�..._ Block _._......._.._..._.._---•-------_ Additaon or Sub-Drvisian ..____.._..�___.__ ..._..._.._. Corner Lot _.__.._.._..._..._ Inside Lot ._.. X_....._._----------_ Setback _._..__.__.._.._�._._._ Sideyard �._._._.._.. Sewer Elevatia� ..._._.._..._.._._._.._—_._.._._._..____._....._..__.._ Foundation IIevation DESCRtPTION OF BUILDING To be vsea as: _ Ca.ra�.� __.__...___ F�ont _._2? �_ Depth _ 2.�� — Height __. �?' Sq. F� .�t`.28 G1. FL _.._.�6 _._._.._..__........_._......._..._..._... Front _._.___�_ Depth �_.�__ Height ._._...r.__ Sq. Ft. _.._ CU. Fk z�e of constxuction _.__..._Frame._..._._..._.___. Fst. cost __.-----�1590.00 ..... To be Ca�pleted .,._.. 90 Days � In consideration of the issuance to me of a permit to cons e building described above I agree to do the propoaed work in accordance with the description above orth aad in compliance a�l pra�viatons oR ordinanoes of the city of F�idley. /�, � // Ea co�sideratfon of the payment of a fee of �.__.�.��_.___.., permit is hereby Sranted to��ene W. .��g,�..._...._.._�._....�._. to construct the building or addition as described above. Thispe rmit is granted upoai the express condition that the person to whom it is granted and his agents, employees and workmen, in all worlc. dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanoee a� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of b�ildinga within the city limits and this permit may be revoked at aqy time upaa violation of aay of the provisions of said ordinances. _ IC' �1'1�1' �'�'� �°�`�`�` � .� � �.. • • NOTICE: 7his p�rmh do�s not eowr th� eonsteueMoe, inthllaHen fer wieL��, plumbin�. Yu h�aNn�, »w�r � waf�r. !� wr� te a� th� BuiWiag In�pafor for s�p�rat� p�rmifs for f6�a ihm�. .. ,�. ;t %: ,;.::; r:� � . APPLICATIQN F'OA BUILDiNG PERI�IT CITSt OF F'RZDLEY, M�I�30TA . , , ' , �� . /�N! M e�tJ � r -� OWNER'S NAME.�.U.(�EN.r : M.�� _...$U�I:bER �J : ..r..�-_..... ADDR�SS 7J`�d il � N n� �9 S Ta 1,��/�i ✓��.DDRESS� _��cl '_ sJJ'To � . . . . .. � . . . .. . LOGATiON. :0�',_BUILDIidf� ' ` : ..� N0.��0 S1'REET , ,�`�...�-�..��,��.�.�' --- . _ LOT��_ BLOCR _ � _____ADDITI01� OR SiJBDXYiSit�i �i(�GO�i�icuJ %2,�tce, CORP�R LOT . :INSIDE LOT!�SETBACK ` �� . ��DEXA�D�„�,;,� . - - , , . ,� . SEWF:•R $I�EVATION �,n n „� TaP 'OP, ROOTZNG Applicent attach ta. this form 1�ro Certificates of Snxvey of€� 3�ot 'aat�,-,�oPosed buildiag.location drawn on tt�ese Certificates. : To Be �sed As: DESCRIPTION OF BiJILDING �. ��1�.�� F�cmC,..,,,_ `L "L D�Pth� � %� � lia#gki��Z— � �,�:�� - � - ��, . � � . Squa�;e feee ZS Cubic Feet �0 3��• � -Front - •Depth � - -- 8a�ltt . � Squsre feet Cubic � t , r, o a :- Tppe of Conatructiou ��-+� �ez. Estimated CosC � �`� d 0�-- To Be Completed �GT��!'�" The undersigned hereby makea appiication for a permit for the work hereia specified, agreeing to do all wark in strict accordaace with the City of Fridley Ordinances aad rulings of the Department of Buildings, and herebq declares that all the facts and representa ons stated in this applicatirnn are true and correct. DATE ��G� _ ,_SIGNAT G�(/!_..._ _ �Schedule of Fee Costs caa be found on t Reverse Side). �� '�� • . .. • Buiiding a�,�� Inspections 763-572-3604 763-502-4977 FAX DAT'E � ' � SITE ADDRESS Y THIS APPLICANT IS: PROPERTY OWNER! TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNQT TYPE -� � MECHANICAL J� RESIDENTIAL APPLICATION CITY OF FRIDLEY EPFECTIVE 2-19-09 ❑ OWNER COMPANY NAME:_ CONTACT PERSON: STATE LICENSE # PHONE TYPE OF WORK: �� r�w YOUR E-MA1L ADDRESS �: �" i-[" J`7 � I G —! � FAMILY Q TWO FAMILY �EPLACEMENT DETAILED DESCRIPT'ION OF WORK crrv � �rr� ..,�c. E P DATE __ i��1�� s�- �� !.1 C�i,, 1z1 FAX % Iii��Z��.(� � .J 0 TOWNHOUSE O ALTERATIpN/REMODEL Permit • - - - . : 3�, . . << �-•�� . , �� ATE ZIP F'EES ARE BASED ON S10.@9 YER FIJCTUR XCE ERE NOTED. FIXTLfRES: 1NBi TE T L MI BER OF Fr4 E Equipma►t Instal�ed MFG: MODEL: �,��U�� SIZEB'PtJ MFG: MODEL: MFG: � MODEL: A/C SZ5.00 FIREPLACE (GAS) 515.00 _ATR TO AIR EXCHANGEER S15 FIREPLACE (WOOb) 535.00 _BOILER 535.00 FURNACE S35_00 CHIMAIEY LITIER 510.00 AS DRYFR i16.00 _DtJCT WORK 510.00 GAS PIPING 510.00 SIZE/B'fU SIZ�JB7U GAS RANGFJOVQJ S10.E14 NEW GAS GRILL S10.00 _GAS UN17' F!'CR St0.0U POOL HEA'fER 535.00 �VENTILATOR Si5.00 TH[S 1S AN APPLICATION FOR A PERMIT-NOT VAL(D UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wil! 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 a permit and work is not to start without a permit; that the work will be in accordance with the approved ptan in the case of a work which requires review and approvaI of plans. SIGNATURE OF APPLICANT P��WVLE�,�pRINT NAME.T� ( V��L4JI.L� .� DATE City of Fridley Building Inspections D�n�xtment 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � Building BUILDING Pe�it Ivo.� � i.�� Z � �''� I,�spections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date xec'� 6 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 0 1 O YOUR E-MAIL ADDRESS C ZA �� -i G1 �1 C� �' C= Q �►` SITE ADDRESS '% Ci � �< e nna stz� � � �% t THIS APPLICANT IS: � OWNER ❑CONTRACTOR PROPERTYOWNER/ NAME: qt� �' ; o� Cz.aA�G�p TENANT pDDRESS: 7SO �C(�11C1 S'� p( NE CITY �� I'e`� STATEmN ZIP SS�3Z PHONE: V�I'�SIS'%UCOZ �— CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE �J SINGLE FAMILY/Pi�E+llz CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION � MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORKBEING DONE: 1� aCe bc.�sern�rfi W��C�OW W e- te-SS w� Gw SIZE OF IMPROVEMENT W��'�(7 W Z�I X �{�I LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BpSEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. $c PORCHES SUBMIT: ❑ Vinyl ❑Soffit ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS y 3: EnergyCalculations IN EXISTING OPENINGS �.Yes ❑No LOCATION OF WINDOWS ��m��t y� �� / FOR WINDOWS – PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TOBE INSTALLED @�fC SS NUMBER OF WINDOWS � ALL FEES ARE BASED ON ALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due (USING THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE $ 3�,'75 $ �-!� $ , qZ $ ,s DO $ r�(ti � $ �� $ h l S �. $ �(�. '� $ ✓�l� 7. $ h (°+ -r $ �I See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) �VVlake checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for p rmit and work is not to rt without a permit on site; that the work will be in accordance with the approved plan in the case of all w `�hic requires review a pproval of pla s�� Z� p� 0 DATE �`� �q Z6 D SIGNATURE OF APPLICANT � PRINT ME �� r _ APPROVAL INSPECTOR SIGNATURE _ r �� , ,. /. / �;- ;, / f ;' ,, =� " C �� L.�1��:�9 �'��,�� / � �,.- t Z$`� �,� �� ,� a ; .�--,, , ^��,.` �� , r .Z y, �' ,� .�.�" �""�`1 2Y6- � ° _ .____ �� ,' . ,4 ----- _ �ZO ZR `� K � � zIy r� /,. r .�c.�e:� ' Cr / irr lxh � �G" q�--- ti::CtCJ,�, Y'�'�Y")C�%C�".�, ��.�°'t.;?c��c�<�''�=��z�� .r„..... ' �--U�c�CK � ._.. � ,�,,,,,,�'