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PRE 2010 DOCSS96� 7�? City of Fridley, Minn_ N9 9510 BUILDING PERMIT Date: October 17, 1967 Owner: Chester Maciaszek Builder _,Same Address 6380 Luincey St. N. E. Address sae LOCATION OF BUILDING No. 230 Street Longfellow St, N. E. part of Lot Lot 23,,24 _ Block - 3 Addition or Sub -Division — _S.peingWrnnk Park Corner Lot Inside Lot —. x Setback 35 , _ Sideyard 101-9-41 Sewer Elevation 85 0 _ _ X35 3 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front ---16' 26' Depth 40' Height 20' Sq. Ft. 1 i0 Cu. Ft. _2.8.,$00 Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _914.000 To be Completed In consideration of the issuance to me of a permit to co the building described above I agree to do the proposed work in accordance with the description above se o and/�In p ce with aft provisions of ordinances of the city of Fridley. (}�C% �i ULG-ti � $100.00 Sewer Connection Charnge In consideration of the payment of a fee of $----21 - 00 , permit is hereby granted to Chester Ma.xias zek to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardinglocation, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: 'fids permit doer not eever the condruellon, InsbWan for wiring, plumbing, gn boding, ower or webr. as son to no the Building Wgmfer for apmft permNs for thea hemm r l - APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY., MINNESOTA OWNER'S NAME CTA=X / N 0111- 52J5 k BUILDER 5"4 !f/a ADDRESS__ 2 V11V (:y( ADDRESS LOCATION OF BUILDING No"1 _ ,� 0 /!o ���;e /La 6V Part of Lot - Street LOT al .BLOCK 3 ADDITION OR SUBDIVISION 37AQ M& 1Y fd 0,'< PA Corner Lot Inside L Setback 3.5-1 —Side -Yard_ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth, //,0° Height A 0 Sq. Ft. __/ j2,V0 Cu. Ft._ a 6, k" Front Dept h Height Sq. Ft. Cu. Ft. Type of Construction P„/ ®®z) ~i Estimated Cost /e To be completed_ 4%� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict Accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DAi'$ L-� SIGNATUREaj� � (Schedule of Fee Costs can be found on the Reverse Side), Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and a Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldge. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDA Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 5.00 $ a over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ 'Z� r Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herein. 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 facts and representations stated in this application are true and correct. / Fridley, Minn �5 �.[�' /J .. 19 (1 Owner Kind of Building Used as To be completed about Estimated Cost, Old -16. Building Permit No. �® Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name/ AZZ Size No l ;Z e — Z f S Capacity Sq. Ft. E.D.R BTU /03 H.P. Total Connected Load %G Kind of Fue: BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. (REMARKS—OVER) Signed Nielsen Gas Heat By p A as Business Phone No 722-1961 I �w. I Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 401 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ......... .... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE $ ,L City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City 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. Mi Fridley, nn• -fid /� , /�, y1 9u1 / Owner Kind of Building Used as To be completed about Estimated Cost, $ ��� S Old -11! w. Building Permit No. Permit No. D 3 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Wafter, Warm Air—No Trade Nam-M21.e.� &'-� Size N :20 —/e -5- Capacity Sq. Ft. E.D.R BTU /®S H.P. Total Connected Load .��� f- Kind of Fuel h -e^ --o BURNER — Trade Name Size No Capacity. (REMARKS -OVER) GQjjbD42 Sq. Ft. E.D.R BTU H.P. Signe � , By �/ n Business Phone No- O �' PERFECTION HEATING COAAPAN1, 2936 FOURTH AYL SO. + TA. 3-52871 MINKAPOLIJ $, MINNESOVf lqf NEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— / Fl. d „ar Room I Length / q Width Height II % Fl.l Room I Length 1 6 Width Height Windows a Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lighhhts of crack sq. ft. Width Height No. of Lineal L . Area No. of pane of pane lights of crack sq. Lt. Z / Coef. Coef. 17 Infiltration 1 Coef. Btu Infiltration -6- -T U Glass ® /(p 4-0 ,fie ZF Glass Net exp. wall g i O to O ® Uzi Exp. wall / O a Int. wall (yr Floor Net exp. wall®y Ceiling Z /p 0 Int. wall 5 5P y b Floor Ceiling Floor 2 % 7 Total Btu. v -Z- p �� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length // Width / Height 0 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lighhhts of crack sq. ft. Coef. Coef. Btu Infiltration / ® -6- -T U Glass ;-) O /(p 4-0 8 6' Exp. wall Net exp. wall g i O to O Net exp. wall / / O a Int. wall Floor /Q Ceiling Z Floor Ceiling 5 5P y b Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1..r� Room I Length / V Width / &1Z1 Windows and Doors—Crackage and Area Width Height No. of Lineal Lt. Area No. of pane of pane liggh�ts of crack sq. ft. Coef. -Coef.1 Btu Infiltration 440 Z� 0 Glass ;-) O /(p 4-0 8 6' Exp. wall Net exp. wall i O to O Net exp. wall 1,49,9 0 p O Q Int. wall Floor /Q Ceiling Floor Z Total Btu. I ' Required sq. ft. E.D.R. or sq. ins. WA. Leader area I Windows and, Doors--Crackage and Area WidthHeight No. of Lineal ft. Area No* of pane of pane lights of crack ea. ft. Coef. Coef. Btu Infiltration 440 112-6 Glass ;-) O E --15T 9-® 0 Exp. wallr-3�4 Net exp. wall i O to O Net exp. wall ` Q// 'Z C' Int. wall Floor /Q Ceiling Z Floor Ceiling 5 2-.4/ 6 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I Ft.l Room I Length l -7 _ Width 1' Height Windows and Doors—Crackage and Area Width Height No. of Lineal Lt. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Btu Glass D �C ;-) O Exp. wall 9 Net exp. wall i O to O Int. wall Ceiling Floor /Q Int. wall Z Total Btu. 2-e Required sq ft. D.R. or sq. itis. W.A. Leader area F1.I ,�'�Room I Length i Width q Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltrations �C X96 a Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. !. v Required sq. ft. E.D.R. or sq. ins. WA. Leader arra . d , City of Fridley ./i Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location -----a) P111 - N I Number Fixtures ...................... 10 $� 12 x $1.50 Z_ 2� n Z Q 6 Z iii x $3.25 w ? U • • WATER HTR. GAS ELEC. Base a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $2.00 60 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $� Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $� Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $2.00 60 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $Z 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- Owner inn Owner -�� -,�_ ✓�/1l rem l ��v�, _ Kind of Building Used as To be completed about Estimated Cost, $ Oldew. uilding Permit No- 52 S—Z Permit No. 647 Signe s By Business Phone No ROUoH FINAL City of Fridley, Minn. BUILDING PERMIT Date: May 21, 1969 Owner: Michael NARdgm Ledford Builder Address 230 Longfellow St. N. W. Address Michael N. Ledford Same LOCATION OF BUILDING No. 230 Street _Longfellow St. N. E. Part of Lot Lot 23 & 24 Block 3 Addition or Sub -Division ._Spring Brook Park Corner Lot __ Inside Lot — _ _ Setback Sewer Elevation To be Used as: Garage Front Front Type of Construction _ Frame Sideyard Foundation Elevation DESCRIPTION OF BUILDING 20' Depth 22' Height 101 Sq. Ft. 9 10244 440 Cu. Ft. 4400 Depth Height _ _ Sq. Ft. Cu. Ft. Est. Cost $700.00 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 gel provisions of ordinances of the city of Fridley. .., . , .4 T . _ z;? n e4 ' I In consideration of the payment of a fee of $—_7 . QO —, permit is hereby granted to Michael Ledford 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 vi any of the provisions of said ordinances. r` Insgeator Clarence Belisle NOTICE: 1Ws peneh does not cover the conshucdon, installation for whine, phnnbing, gas hosting, sower or water. Be sun to no the Building Inspector for separate permits for these Item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME All L Fp ,"_0(U BUILDER i4 1k7 F ADDRESS 2Vo L o AjG FEL L o w ADDRESS SA rh r I�I III I % o LOCATION OF BUILDING NO . ) STREET LOT L f BLOCK ADDITION OR SUBDIVISION aS&A;G 81edotc PAA l CORNER LOT INSIDE LOT SETBACK IS7' SIDEYARD SEWER El"ATIQN TOP OF FOOTING Appli-cant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used, As; DESCRIPTION OF BUILDING Front .2® Depth Height 1.2 � Square feet �'S�U Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Ccl (70,0 4 C16117SA,; Estimated Cost 70 O, 0 0 To Be Completed J(4 &), /5- I I I �� 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 4ec faxes that all the facts and representations stated in this application are true and correct. DATE/_K,,_ .21, 0"',90( SIGNATURE 7Ae� (Schedule of Fee Costs can be found on the Reverse Side.) SUBJECT P "%ro:•_` City of Fridley 2 5 618 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r �.�,3 1 � NUMBER REV DATE PAGE OF APPROVED BY = � CITY HALL FRIDLEY 55432 L 612-571-3450 910415 10/21/97 JOB ADDRESS 230 Longfellow Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 23, 24 3 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Stelton 230 Longfellow 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO All American Roofin g 4112 97 Ave NE, Blaine MN 55014 786-6676 5160 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 Ej REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (17 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORKIS 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 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 $1,417 $.71 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 PERFORMAN OF CONSTRUCTION. PLAN CHECK FEE TOTAL E to -34 L $5.9/$55.63 SIGNAT R IO CONTR CTOR OR AUTHORIZED AGENT (DATE) EN ROP L VALIDATE T IS IS PERMIT Bl0 INSP OJUR ' BATE SIGNATURE OF OWNER �Ic OWNER BUILDER) IDATEI NEW ( ) ADDN ( J CITY OF FRIDLEY ALTER [ ] SINGLE FAiYIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: z 2� v Legal Description: (6 c.J -57+ ME Owner Name & Address: G q L,v 5 j e (+-o v j SA AA e Tel. # Contractor: pLLL Iq MEg (C q &Qb� + h MN LICENSE # Address: A (l z. -1 k� h N G Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Effective 1/1/97 Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: e -e &- ;"o F 'Ceqv- - 0 F F Driveway Curb Cut .Width Needed: Ft. + 6 Ft = DATE: APPLICANT: Estimated Cost: $7. tf0 (Fee Schedule on Back) Ft x $ _ $ Tel. # �'HPULA,riONS: CITY USE ONLY 'ermit Fee $ .SO Fee Schedule on Reverse Side Fire Surcharge $ 001 of Permit Valuation (1/10th%) State Surcharge $ -,71 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ 60706 $5.00 (State Licensed Residential Contractors) .)riveway 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 $ �'HPULA,riONS: SUBJECT PERMIT NO. City of Fridley 27108 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. _ 6 6 r 1 � NUMBER REV DATE PAGE OF APPROVED BY = E "1 CITY HALL FRIDLEY 55432 612-571-3450 910415 8/11/98 f' JOB ADDRESS 230 Lon fellow St NE 1 LEGAL I LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 123,24 3 1 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Stelton 230 Longfellow St 786-0322 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 tCKADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct shed 14'x10' 140 S 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $790.89 $.50 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. $29.25. $.79Fire SC PLAN CHECK FEE TOTA EE a .54 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (`(DATEI ��.-®� EN P OP BLD INSP Y A IDA DAIS I/SyJ�'R PE MIT O V w�✓ r pATE SI NATURE= WNE U WNE B ILD I IDATEi NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Effective 1/1/98 # %�r(v 10-7C9-:;4- Contractor: ., , t-- ® MN LICENSE #. Address: 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:'&'T1-4'x �e- A , _ / 920 .,A Construction Type:Estimated Cost: $-Ld / (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - & - APPLICANT: 6i e? 1 5. j -le, fp A) Tel. # 30 .leu �, le -A6 o.,,s CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ , `, .001 of Permit Valuation (1/10th%) . State Surcharge $ a $.50/$1,000 Valuation SAC Charge $ $1000 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 $ 50' - STIPULATIONS: City of Fridley SUBJECT PkA" 3 3 0 9 9 AT THE TOP OF THE TWINS P` B U I L D I N G P E R M I T r RECEIPT NO. .COMMUNITY DEVELOPMENT DIV. i i ti ----�_ , PROTECTIVE INSPECTION SEC. �p1 /J r � � c/ P' / J NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/18/02 JOB ADDRESS 230 Longfellow Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23,24 3 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Stelton 230 Longfellow Street NE 763-786-0322 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Garage (10 Sq) MUM Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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 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 $1,072 $.54 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 41.80 Fire SC $1.07 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 3.41 S -GNAT RE OFCON7AACTORORAUTMo -ZE AGEN iDATE- HE PRO �VALIDATP6 THIS I UERMI ' �� Jl7ti V DER- -DA- /X S,GNA URE OF O E OWNER Bu TE OG .,.Sp- OAtp' NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [) 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Addre Legal Description: Owner Name & Address: tV RJ Tel. # ;V,3 - 7 62� — © 3,7.7 Contractor. MN LICENSE # Address: Tel. # LIVING 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 Hgt/Ground Sq. Ft Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: APPLICANT: Tel. # ;X3 -,7U L ©3,RR Call (763) 572-3604 for Permit Fees if mailing in ap lication or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ �� 0 ® Fee Schedule on Reverse Side Fire Surcharge $ 0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1200 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 $ 43, yj STIPULATIONS: