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PRE 2010 DOCSCity of Fridley, Alinn. BUILDING PERMIT N° (5=965,,-) Date: X r AddressOmer: 4�&.der oe .. =AT!0N OF PUILDING No. N . Street art of Lot Lot — _ Block Addition or -Sub-Division Corner Lot _ Inside lot' - Setback Sideyard Sewer Elevation _ __ Foundation Elevation' DESCRIPTION OF BUILDING T be Us � ..Front Depth �� Height _;fes . Sq. Ft./ -0 .Cu. Fr o t DepthHeight � Sq. Ft. Cu. Ft. Type111COnstruction Eat. Cost, 4�� —.o 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 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building oraddition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees 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, repair and moving of buildings within the city limits and this permit may be revoked at �pon violatio� of any of the provisions of said ordinances.'' Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner's Name Builder Va.1t A jti;lel XA , Address Address Zl�) /,_ LOCATION OF BUILDING No. street Part of Lot Lot _ Block,__.,3 Addition or Subdivision !^: Corner Lot Inside Lot Setback Side -Yard SEVIER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as DESCRIPTION OF BUILDING FrontDepth Height sq. Ft. cu. Ft.— Front t• Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations skated in this application are true and cor e�ct��°��� DATE a � ..,SIGNATURE,//,, Za (Schedule of Fee Costs can be found on the Reverse side). BUILDING PERMIT FEE SCHEDULE Section 2, The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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 -wits 241. For any such 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 addition, for similar occupancy, to any existing building: shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2..2.. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Xinneapolis Building Code. HOUSES 2.3. For any such permit for the erection of ing other than a garage, warehouse, factory or non -fireproof addition, for similar occupancy, Permit $1.00 for each one thousand cubic feet. 2M GES any non -fireproof build - grain elevator, or any to any existing building. 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the,floor line of the basement or cellar to the,average.height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.60 in no case shall the fee charged for any permit as set forth in SectioP .lae less tJ- $4.00. City of Fridley Application for Plumbing and Comas Ming Permit 'Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK � / Number, Kind and Location of Fixtures Location --< I ' G7 ;I Z O� s Z O OLL� Z a_ O J w O Z Z (3 0, • F • N WATER HTR. GAS ELEG Base 4 1-21 Ist 2nd 3rd 4th — • Future Connection Openings I e New Fixture, Fixt, Old Openings I 1 Connected with Sewer Cesspool PARTIAL RATE SCHEDULE i PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $•sd 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 2.00 $ `' 2 ® O New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... z x $1.50 $ 1/'-5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & 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 fact and representations stated in this application are true and correct. / Fridley, Minn C-) 19IL� Owner 7Z,1���/�'��?G . Kind of Building Used as To be completed about Estimated Cost, $ / L � f� Old—New. Building Permit No J'�Permit No. ROUGH FINAL 42 '2- Signe B Business Phone No City of Fridley, Minn. N° 10 315 BUILDING PERMIT Date: July 3, IN 1969 owner: Roger Lind Builder Same Address 5191 Lincoln Street N E Address Same LOCATION OF BUILDING No. X191_—street Lincoln Street N.E. Part of Lot Lot —8- - --Block 3 Addition or Sub.Division . Marion Hills Corner Lot . Inside Lot. _ Setback _ _ Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Remodel BasementFront r Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Fst, Cost $400.00 _ To be completed Sept. 1, 1969 In consideration of the issuance to me of a permit to construct Ae building descri bove, gree to do the proposed work in accordance with the description above set fgt and in complian th ons of ordinances of the city of Fridley. IV a In consideration of the payment of a fee of $ 5 .00,permit is hereby granted to Roger Lind 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, employees 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, repair andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Bald ordinances. NOTICE: fids pomilt does not corse the conshnction, h+staMon for wiring, phnnbing, gas hea8ag, sower or water. Be euro to we the Building Inspector for separate permits for these thms. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME Z— / BUILDER ADDRESS6I L%/�C®G./t� S%�OADDRESS LOCATIONOF BUILDING NO. STREET Z-1 Alf ® C- A -J % A � LOT D BLOCK -3 ADDITION OR SUBDIVISION22g22 CORNER LOT INSIDE LOT SETBACK SIDEYARD`____� SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF B ILDIN r To Be Used As: Front Depth Height Square feet Cubic Feet Front Depth Height Square feet Cubic Peet Type of Construction Estimated Cost l�-® O To Be Compl The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and re resentations stated in this application are true and correct. DATE � icy AAA (� 9 SIGNATURE ! ,P ✓ (Schedul(d of Fe,4�'Costs can be found on the g4verse Side.) r'� N SUBJECT P City of Fridley - 15728 AT THE TOP OF THE TWINS BUILDING PERMIT R COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/19/80 JOB ADDRESS 5191 Lincoln Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Marion Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Lind 5191 Lincoln Street N.E. 571-2249 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION CR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Deck 9 CHANGE OF USE FROM TO STIF;ULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 $494 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIGMA RE OFCONTRAC O OCUEDE tDATEt WHEN PROPERLY V (DATED THISIS YOUR PERMIT ®J �St tel/ Z_ BLDG INSP DATE GNAT EOF OWNER tI Ow E B ILDERI IDATEt N CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) INS OWNER: BUILDER: ADDRESS: X22 /ZI&6Q& AJ Sr- jv l ADDRESS: TEL NO: 171 V9 TEL NO: �^ Construction Location STREET NO: J / 9 STREET: L.�C- AI6,A/ LOT: BLOCK: ADDITION: RA/ l_d/V" Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIIIPPTION OF CONSTRUCTION Front: l0 Depth: /2,—Height: O Square. Feet: Cubic Feet: Front: Square - Feet: Depth: Height: Cubic Feet: Type of Construction: �U 8 0 Estimated Cost: $ 7 Tb Be Cbmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares tha all the facts and representations stated in this applicatione and corre a DATE: / SIGNATURE: Stipulations: Swans trom Const. Coo 140-67 Or. 2640 F. C. JACKSON LAND SURVEYOR 2 a REGISTERED UNDER LAWS Of STATE Of MINNESOT LICENSED SY ORDINANCE OF CITY Of MIINNEAPOLIS 1 MG EAST 55TH STREET PA. 4-46 1 5 r�i r � t Z. Sburbepox:6 ertifitate 4 10 Q0 N i . 3G ? /lirtr I �I HE tESY CERTIFY THAT THEA®OV Ili Il AND QOkRECT PLAT OF A SURVEY OF Lot 8,Block 3, ,r) Marion Hills. i 1, T A6 SURVEYED BY ME THIS—StYLt-_DAY OF__.YUQI_A,O•_-1��_-- SIGNED_/CKSON. R. c. J MoNm¢ OT REGISTRATION, No. 3600 f 1 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERM) _ 19289 r � COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 i � i •--. 1� � CITY HALL FRIDLEY 55432 L 612-571-3450 REC NUMBER 910-F15 REV. DATE 111/30/87 PAGE OF APPROVED BY JOB ADDRESS 5191 Lincoln Street N. E. I LEGAL DESCR, LOT NO. 8 BLOCK 3 TRACT OR ADDITION Marion Hills SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Lind 5191 Lincoln Street N. E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Barkley ftmariaixx Construction Co. 1111 -24th. Avenue N.E. Mpls. 55418 789-5633 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum siding 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED$3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION 500 SURTAX $1..75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- CTION R THE P/RF MANCE OF CONSTRUCTION. PERMIT FEE $44. 50 SAC CHARGE /j�cv� GI JJ �Y LAN CHECK FEE TOTAL FEE $46.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 0 (DATE) WHEN'PROPERLY VA ATED THIS:1S YOUR PE IT BLDG INSP ATE SIGNATURE OF OWNER IF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] F R-1 AND R -2I ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: L -,, T- Zlca.k 3 AAae-ioAflilii Tel. # Address: " i i l l z-Csj _N-iM r Ii �iLl k Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback A Type of Construction: [laws&� � � s^ � Estimated Cost: $ 3 Sao •�= Approx. Completion Date:�i Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: v APPLICANT: Tel. # -7S S $3 6 3 C E ONLY Permit Fee $�.�� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ '%S $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not, Necessary [ ] TOTAL $ 4/6 STIPULATIONS:�� - --- - v�- � s SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT �____ 140- EIPT NO. � • COMMUNITY DEVELOPMENT DIV. _ L -I PROTECTIVE INSPECTION SEC. r I Ma CITY HALL FRIDLEY 55432 NUMBER REVD ATE PAGE OF APPROVED BY L J\ 612-571-3450 9t0 -F15 5/16/94 JOB ADDRESS 5191 Lincoln Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. $ 3 Marion Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Lind 5191 Lincoln Street NE571-9949 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc 7401 Central 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Aluminum window trim 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,100 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR HE PERFORMANCE OF CONSTRUCTION. $27.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $33.65 GN RE OF CONTRACTOR OR AUTHO'M7VOAGENT IDATEI WH N P VALIDATED THIS IS YOUR PERMIT SLOG INSP GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 5/26193 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND'DUPLEXES R-1 AND R-2 4-1v1 � Building Permit Application Construction Address:J/ _ �il��/ _✓S /tle. Legal Description: Owner Name dt Address: ®/�t/O/ Tel. # Contractor: D & D Home Improvement_ Ine- MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 Attach to this application, a Certificate of Surrey of the lot, with the proposed construction drawn on it to sole. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length, Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. ;10 Cornea Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ©Ds.0�fS✓'�U6n' Approx. Completion Date: J�L/Ir/G l AW (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = 'RX $ =$ DATE:APPLICANT: Tel. # Permit Fee $ 00 CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ /, O .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ . 010. $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Aft. "Be Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 1 BUILDING DEPARTMENT City of Fridley 6431 University Avenue N.E. Fridley, Minnesota 55432 Telephone -371-3458- r �Z �V CORRECTION NOTICE SUBJECT PER City of Fridley 9 AT THE TOP OF THE TWINS BUILDING PERMIT r iiiPT NO. � • COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 1 NUMBER REV DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEV 55432 612-571-3450 910-F15 4/28/95 JOB ADDRESS 5191 Lincoln Street NE 1 LEGAL LOT NO. BLOCK TRACTORADDITION SEE ATTACHED DESCR. 8 3 1 Marion Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Lind 5191 Lincoln Street NE 571-2249 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 11 ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE JJ REMOVE 8 DESCRIBE WORK Remove existing deck; construct a 12' x 18' deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND 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 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] ISTALLS 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 tkbM $1.760 $.88 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $47.00 Fire SC $1.76 PLAN CHECK FEE TOTALFEE $49.64 IGNATU OFCONTRACTO R u IDATEI WHEN PROP Y VALIDATED THIS IS YO)OR PERMIT �oWeEDAGQCT SIGNATURE/JF OWNER I IF OWNER BUILDERI I BED1 INSP FIAT NEW [ ] Effective 1/1/95 AEON,. [ ] : CITY. *OF FRIDLEY• .ALTER [ ] SINGLE FAMILY AND'DUPLEXES R-1 AND R -Z Building Permit Application - Constr6dtiO�lAddreSS: a /� 1 !• - �i /� Legal Description: ZVT '94:9_9 3 ' XA9Z1QAJ:.}y// 6,cs =Owner Name & Address; Q� . �� j . y� : Tel. # : /. .� 9 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. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length _lam Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: - Length /- Width'. / Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: '7 ZEgqM�V 4tf,)0©,0 Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 171 60 1 YO Cost on ick)_ Driveway Curb Cut Width Needed: —Ft/+76 Ft = _ $ DATE-19ar— V—,-) d' APPLICANT: Tel. #.9-7 / — CITY USE ONLY Permit Fee $ 0-tv Fee Schedule on Reverse Side Fire Surcharge $ 1 114 .001 of Permit Valuation (1 / 10th %) State Surcharge $ <z 9 $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL $q�. &� STIPULATIONS: 0 40-67 2640 F. C. LJACKSON LAND SURVEYOR REGISTERrLd UNDEP LAWS CF STATE OF MlHt4EG0,T LICENCED DY.ORDINANCE OF CITY OF NINNI!APOLIfi 3616 CAST 55TH STREET PA, 4-46(31 4.41 i Ira I ,,Y n\ 3 � ('o t 43 AN A HE CERTIFY THAT THE'AD 7'IfS I(i" -ly Uel" RIECT PLAT OF A SURVEY OF r 15 Lot 8,-B1Ock 3s, (I Do Karion Hills o -As SURVEYED BY ME THIS --LB-01t. DAY o*f_-JTunp_ _J062— N,0­3600 t N4�C151,2 Building Job Report ADDRESS % I i OWNER BUILDER nntt DATE B'�I • _/ DESCRIPTION (.y" PERMIT NO. 1(--1-TrH f C r &6? -ID NEW (] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 672-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 5714287 Fax k3 BUILDING PERMIT APPLICATION 1(Yj Construction Address: ZIIVCoe.,�/ S A Legal Description: X Owner Name & Address: %2eo� Tela # .�7/ — 2'Z !J9 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. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: _ Estimated Cost: $ Driveway Curb Cut Width Needed:aFt. + 6 Ft = QFt x $ _ $ X . XDATE:20 0-3%-WAPPLICANT: Tel. # 22— Z - Call (763) 572-3604 for Permit Fees if mailin Z—Plication. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Iq Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] x -)( 43-7