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PRE 2010 DOCS0 City of Fridley, Minn. BUILDING PERMIT N® 6532 Date: Owner: Builder Address Address LO CAT F B DIN No. street art o t Lot __ Block Addition or Sub -Division 0 r Corner Lot Inside Lot _ _ Setback _ _ _ leyard w Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used as: Front Depth ,Height ' Sq. Ft. � Cu. Ft,��O Fron _ Depth ��'� ght — Sq. FLM9 Cu. Ft. f Type of Astruction le Cost To be Completed 21,6e - In consideration of the issuance to me of a permit to c e building described above, to do the proposed work in accordance with the description above d in coe ann with ons 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 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 and moving of buildings within the city limits and this permit may be revoked at any t upon vie of any of the provisions of said ordinances. / 1 � -4 O?on Building Inspector NOTICE: Ibis permit does not ewer the construction, hutallation for whdne, plumbing, pie headng, sewer or water. Be acro to we the Building hupeetor for separate pern tr for these Mann. cv� APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 1 OWNER'S IANE ADDRESS O ADDRESS -6 U L�' LOCATION OF BUILDING No. 1 / Ci Street Part of Lot Lot '1,j -YlBlock Addition or Subdivision _4i�s&4 &,erA RA Corner Lot Inside Lot .� Setback 3 SSide Yard -- SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: � � J Front ®� Depth Height o / Sq. Ft. g 5- 3 Cu. Ft. Front Depth Height, Sq. Ft. Type of Construct To be Completed Cu. Ft. Estimated Cos t/ 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 representations stated in this application are true and correct. DATE___y -�ry S IGNATIME (scbedule 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 exist- ing 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 -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garages 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 01fireproof1° by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 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 ($0.90) 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 contents 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. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4_00. � APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICE PERMIT PARTIAL RATE SCHEDULE Dept of Bldgs. Phone .iv. e-4614 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 $ Replacement of Furnace ............................. 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 ............... 2.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $ 8.00 each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace ............................ 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 .............. 2.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ OIL BURNER --to 3 gal. per hour ........................ 4.00 $ over 3 gal. per hours—See Fee Schedule GAS BURNER .......................................... .4.00 $ 5.00 GAS PIPING (Up to 5 Fixtures) .......................... 125 $ 1.50 AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM i $ TOTAL FEE $ 14.50 REMARKS: Location 190 Longfellow St. Fridley Village of The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the Village Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley Minn- 5-15 1963— psmer Re=o Construction Co. 195— Kind of Building Fr. 195— Used as Res . To be completed about 6-15-63 Estimated Cost, $ 400.00 / Old—New. Building Permit No. �% S 3 ?� DESCRIPTION OF WORK HEATING or POWER PLANTS --,.Steam, Hot Water, Warm AU—No 1 Trade Name Westinghouse Size No CTUA-7 5g Capacity Sq. Ft. E.D R BTU 7 5 H. P. Total Connected Load 40.174 Kind of F-ueL Gas BURNER —Trade NamQ Size No Capacity Sq. Ft. E.D. BTU H. P. Signed By FRED v0Gi & Co. 1-4111001 3M-3-59 BusinesHaiKdfi U, AIR CONDIu a:w_ 3260 Gorham 3L .. we. 9.6767 St. Louis Pork, Minnesota / MO LASS CALaJLATKM DFP X11 MAP0l.IS. MM. yea& ntripa Glide Construction No. Insulation Wisdsws tie=rs Refaeaa Out. WaUInt. Wall Ceiling Roof Floor Kind How Applied 19— J FL . A&.r Room I Leftmh Z L Vidth O' Heisrbt -P6 II F11 Ream I L1euth o 1 Vi deh ,VI Hei■6t Windows and Doors--Crackw and Area j t JI �u1 lath Haight No. of Useal Area No o[ pane of /awe lights oftptck q. ft. o t - a � . 1/- Coef. bu C"L Btu hatration ,0 ez Ghm Net e><p. wag Int..wag Net up. wag Tw wag 4To !nt wag 3-- Not exp. wag 0-0 Floor IML wsall Cog' 2 " Floor Windows and letk No. of mw f1 Wi=dows and Doors—Crackap and A-m-a— Heightjp widibt me. of U Area No. of at %Mae 1 hu of crack q. ft. r d Coef. bu �fihlration Ghm Wal • y G1us 7 ®Z S Exp. wag Net e><p. wag Int..wag Net up. wag Ceiling !nt wag 3-- Ceiling S 0-0 Floor tow On. Required EDR or sq. i=s. W.A. Leader area -� FU = Roam I Lenelh OP Width 'Y FI,;,M P pnl9dowa gad D=on--Cmkage and Area Heightjp WMIk t o. of Lineal ft. Ares No. of of riawe lights of crack q. ft. 1 th sight No. of Uncal ft. Ara No. of no of lights of crack sp. tt. Coef. Btu �fihlration Ghm Wal • y Net exp. weal - / 1st. wag Net e><p. wag Int..wag Ceiling Ceiling Floor Required sq. ft. E.D.R. or sq. ins. WA Loader area / FmJmI Windaws and Doors—Crackage and Area Heightjp Width Helght rdasal t. Aro& NO. of of pan* 11;6!t., of Crack . [t. 1 th sight No. of Uncal ft. Ara No. of no of lights of crack sp. tt. Cog. Bta v b0tratioa 0 —Row Gla" - / Exp. wall s7,6 Net exp. wall Net e><p. wag Int..wag lat. wag 'd E Ceiling Ceiling 3-- Floor 9 itmJR, Total Btu. Remired sa. it. E.D.R. or sa. iris. RIA Leader area / Fl. Room I Leagth Width Heightjp W'mdows and Door=--Crackage and Area 1 th sight No. of Uncal ft. Ara No. of no of lights of crack sp. tt. Ccef. Btu , Inmtntion Glass P741- Ev. wag ' Net e><p. wag Int..wag 7,4 Ceiling Floor I otal tsu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / City of Fridley Application for Plumbing and Gas F*Hng Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number. Kind and Location of Fixtures � ;d y� � < z �Z O tF tN WATER HTR. Base p 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer E] Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. NO. RATE TOTAL x $1.50 $ x 1.20 $ X 1.00 $ N,– 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, Iffirm AMf C/ 19 ( 3 Owner Kind of Building A Ate r Used as _� l To be completed about v c, Estimated Cost, $ Oid-e Building Permit No.S 3 �Permit No. lP );�e C/ Signe 17- Bye% Business Phone No -�� :3 z Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ oZ, ® 0 New Ground Run Old Bldg . ............ x 3.25 $ ROUGH GAS FITTING FEES: � RATE TOTAL FINAL 1st 3 Fixtures .......................... x $1.50 $ ,� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ......... $ TOTAL FFA $ ��� -4010-42 2M 0 L0 IT M O W N r N a L0 d F- O W z 2 r w J 0 LL 0 F- d w F- O z LU D z w d H w z D 0 Cr w F - z LU U U T Ynfi # n NAR May 9, 1975 Mr. & Mrs. S.T. Pogreba 190 Longfellow Street -VI, Fridley, Minnesota Dear Mr. & Mrs. Pogreba, It has been brought to our attention that the existing fence encompassing your rear yard extends beyond your rear lot.line and encroaches upon the 12 foot public alley right-of-way which is established for public access. After a preliminary survey was conducted by our office, it was determined that your fence extends approximately 4 foot into the alley right-of-way which is a violation of City Ordinance No. 213.05 which states: All fences must be located entirely upon the private property of the person, firm or corporation construct- ing the same or causing the fence to be so constructed and erected, except that adjoining property owners may agree in writing that said fence shall be located on the division line of their said properties. Presently there are only two options available to solve this problem. Either the fence must be relocated to your rear property line, or a request (attachment) to have the alley vacated must be submitted to the City for processing. If the alley is vacated, half of the right-of-way that abutts your property would revert to your clear ownership, with the City retaining a utility and drainage easement upon which, fences and planting are permissable. On the attached vacation request form, a $40.00 fee is indicated for this processing. This fee is a one time charge for vacating all or part of the alley and such fee may be shared by any or all concerned property owners. Any request for the vacation should be sent to the attention of Mr. Darrel Clark, Community Development Administrator. In any event, either the fence relocation or the vacation request must be undertaken by June 2, 1975. If any further clarification is needed, please contact Mr. Clark or myself. Sincerely, 01 c;;'� 4 e490I THOMAS A. COLBERT Assistant City Engineer TAC/as Enclosure CC: Darrel Clark, Comm. Dev. Adm. SUBJECT Cityof Fridley0129 rb2 AT THE TOP OF THE TWINS BUILDING P E R M I T r � RE • ____ COMMUNITY DEVELOPMENT DIV. SEC. r 1 PROTECTIVE INSPECTION 1 , ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/25/89 JOB ADDRESS 190 Longfellow Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 43 , 44 4 1 Spring Brook Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith Seibert 190 Longfellow Street N.E. 780-1430 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 ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (17 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. On all new roofs or tear -offs a^d roplarement roofs, State Code requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches up from exterior wall line, or the use of other approved underlayment membrane. 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 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 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 $850 $.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- $23.00 S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. -�5::M P AN CHECK FEE TOTAL FEE j - $23.50 SIGNURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PERMIT G G CJ SiGNATUREOF OWNER(IF OWNER BUILDERI (DATE) BLDG INSP f1ATE NEW [ ] ADEV [ ] ALTER [ ] construction Address: 1 Qo Legal Description: R-1 AND R-2 "l d ng Permit Application Effective 5/1/88 Owner Name & Address: +� C. C�f!ber-' &-rvt as abau -) .. Tel. #~11�0 -143© Contractor: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed bion drawn on it to scale. t=CK of II VII��TI' LIVING AREA: length Width Height Sq. Ft. GRPUNM AREA: length Width Height Sq. Ft. DDCR AREA: length Width Hgt/Grm-d Sq. Ft. 07M: re , n S!Z UCAke Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Cmpletion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ & Sz Propos-.ed Driveway Width If New opening Is Desired: Ft. $ $ DATE: 5 "39 APpLICANP:Qw:Width + 6' See Back Page �, Tel. #250-1(410 Permit Fee $ c23- d0 State Surcharge $ �� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ a,3. s-2) STIPUlATIMS: _CITY USE �Y Fee schedule a on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering m teary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR : Urinal Floor.... :�� Tray Drain Auto Gas Range Water Heater Stories GasShower EI ec Basement / Floor 1 Floor 2 Floor r 3 F loor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4:00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $.7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge JOB ADDRESS I /' L17 ✓�— The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used As / Estimated Cost Z22 PEWIT NO. PLUMBING COMPANY `°Ln SIGNED BY IV Approved By Rough—in Date $ .50 .1993 N0. Final Date Im _ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 WEED NOTICE June 4, 1993 Mary Meyer 190 Longfellow Street N.E. Fridley, MN 55432 RE: Noncompliance of Fridley City Code 105 (Weeds) on the Following Property: Location: 190 Longfellow Street N.E. Legal Description: Lots 43-44, Block 4, Springbrook Park Property I.D. No.: 03-30-24-42-0035 Dear Ms. Meyer: Fridley City Code 105 (copy enclosed) states that it is unlawful to maintain land in the City upon which weeds, grass, or rank vegetation exceeds ten (10) inches in height; or other noxious growth exists as outlined in the ordinance. This was enacted to protect the health and safety of the community and its residents. A recent inspection of the above referenced property revealed conditions which are not in compliance with this ordinance. It is important that you take appropriate steps to correct this situation immediately. I will conduct a reinspection on or shortly after June 17, 1993 at which time full compliance is expected. Should this deficiency still exist, I will instruct the City's Public Works Department to abate the condition. In the event the City abates the condition, you will be served a notice in writing indicating the work performed and the costs and expenses involved. The total amount must be paid to the City within 30 days after this notice or before the following October 1, whichever is later. If this is not done, the costs and expenses shall become a lien in favor of the City; and a 15% penalty will be added to the amount due as of the date, with the total costs, expenses, and penalty thereupon to be certified to the County Auditor for entry on the tax books as tax against the land. Please call me at 572-3595 if you have questions or wish to discuss this further. Thank you for your cooperation! Sincerely, Steven Barg Weed Inspector CE -92-272 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 November 8, 1993 Owner/Occupant 190 Longfellow Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 190 Longfellow Street N.E. Dear Owner/Occupant: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 190 Longfellow Street revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Repair leaning sections of fence located along the east side of the rear yard. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about December 1, 1993, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -93-546 FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55431--(612)571-',450- FAX (612) 571-1"_'87 June 15, 1994 HUD 220 South 2nd Street Minneapolis, MN 55401 RE: First Notice of Noncompliance at 190 Longfellow Street N.E. Dear Property Owner: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 190 Longfellow Street N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Repair, replace, or remove fence sections in poor condition located along the east side of the property. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about July 6, 1994, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls cc: Resident 190 Longfellow Street N.E. Fridley, MN 55432 CE -94-304 SUBJECT PE City of Fridley 11118 AT THE TOP OF THE TWINS BUILDING PERMIT i COMMUNITY DEVELOPMENT DIV. 572-3604 j PROTECTIVE INSPECTION SEC. NUMBE-F15 R 11EV GATE PAGE Of APPROV D BY CITY HALL FRIDLEY 55432 612-571-3450 910 8/17/01 JOB ADDRESS 190 Longfellow Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 43,44 4 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anoka County Community Action Program Inc 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Merit Building Co Inc 3029 Coon Rpds Blvd #311, Coon Rapids, MN 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-323-7363 20271430 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace 8 windows - 5 enlarged for egress windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CO ST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $3,866 $1.93 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 PLAN CHECK FEE TOTAL � � Q ff1XkX4 - I -1 -U I License $5.00 09.05 SIGNATURE M CON 'RACTORORAUTHORIZED AGENT IDATEI EN P OP Y ALIDATD HIS IS YOUR PERMIT S-GNATURE OF OWNEROF OWNER BUILDERI [DATE, BLO §P E NEW [ J Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I q 0 Lc-) ack -R t I U c.,,j 45+ . AJ e Legal Description: -7(c-,3- 7g3 4-7 9 N Owner Name & Address: Atx- k.,g Ccuntc.j (0mrn. Pkt� n:1 Ph&Qrcim In(- Tel. *Jerry Hcir6rcln Contractor: Met -j'+ 81 ci C o , Inc— MN LICENSE # 8C - Zy2 3 I y30 Address: 3&7_11 Cdc��� 1�'_u�e CS Zi yd -0-.31). 55433 Tel. # i&3 -323 -731 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 9,3 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ S - y 0 $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 $ G . STIPULATIONS: 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: LQ ndu L;.J ; emm-ern-ent w/ u, nLI) Estimated Cost: $ 38(® Cy nsev-+s Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 1 APPLICANT: �C . i l Tel. # i83 -37 3 - 33 4o3 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 9,3 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ S - y 0 $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 $ G . STIPULATIONS: