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PRE 2010 DOCSCity ®f Fridley, Mian., BUILDING PERMIT N° 6590 Date: Owner: '/ �� Builder Address Address LO I OFJLDI G NO. I Street ^ :Wart of t Lot _. _Block Addition or Sub -Division Corner Lot — Inside Lot Setback �� / Sideyard _ _ res Sewer Elevation Foundation Elevation / DESCRIPTION OF BUILDING v aB: Front _4 Depth Height Sq. Ft Yl e) cu. r Depth �' weight Sq. Ft. Cu. Ft. Type of Clcoon Fst.�C 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 SVt forth and in ce 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 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit maybe revoked at any time upon violatio8.of any of the provisions of said ordinances. � �a 1 Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, cower or water. Be suns to see the Sulhlhhg Inspector for aparato pwmhs for thea home. City of Fridley Application for Plumbing and Cras Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 3— Number, Kind and Location of Fixtures Location y c i v �j w z �O • F t N WATER HTR. GAS ELEC. Base r 1st 1 1 l 2nd 3rd 4th _ • Future Connection Openings e New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $�9. 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 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL let 3 Fixtures ..........................� x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range -to =,0M BTU... ...: -.. - -x -4-.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 ano correct. . 25 -lam' e3 Fridley, Minn Owner Kind of Building Used as r To be completed about 19_ Estimated Cost, $ Old—New. Building Permit No 44 Permit No. �- Signed' By Business Phone No ROUGH FINAL 42 2M SUBJECT PER City of Fridley 0 18175 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC.d��s 1 � � "1 CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910415 8/26/85 JOB ADDRESS 290 Longfellow Street N.E. 1 LEGALLOT NO. BLOCK E. 95.5' f Lots 211, TRACT OR ADDITION 13, Block 3, Spring Brook Park SEE ATTACHED DESCR. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHO Erast Winiarczyk 290 Longfellow Street N -E- 786-0029 3 CONTRACTOR MAIL ADDRESS ZIPON LICENSE NO, Chris's Construction 240 Longfellow Street N.E. 784-P7H145 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 3J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. WAKNIN SEPARATE P Before digging call local Utilities WIRING) HEAT GATS RE FOR QUIRE® TELEPHONE - ELECTRIC - GAS Etc. PL UMBI�� RREQUIRED BY LAW 4 N, Sler �M 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 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 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 6 436.32 $3.22 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- $62.50 TRUCTION OR THE ERFORMANCE F CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $65.72 SIG ATUREOFCONT AUTHOR1Z DAGENT (DATE) e WHEN PROPER ALIDATED THIS IS YOUR PERMIT BLD INf)ATE -)&koS , SIGNATURE OF OWNER OF OWNER BUILDER) )DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ R-1 AND R-2 ALTER. I ] Building Permit Application Construction Address: e;�of dL�/l%E���eCO Legal Description: �• 9S� �-f a -F L a f pz._/�? . 3 6vock 3 S�iOrv/ &®®k Allk Owner Name & Address: C05t / Tel. # 24F6 0 15 - Contractor: h r ; S 'S C_ a a < Y6 Tel. # � Address: ':P ':P 6/7 g Te //a W_ 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 Length a ` Width L✓ Length Width Height 0 Height_ Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot ['�j" Ft. Yd. Setback Side Yard Setb�c Z Type of Construction: .6 ,9M I` Estimated Cost: $ Approx. Completion Date: �nJD O �, 6L, - Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL See Back Page for Explanation APPLICANT: (I- i^�i`4 _PS CC Tel. # CITY USE ONLY $ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �� Z $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ;.-D , ajAt 9 CA U . F �f 107 ° Vll voles QVQ Ilb � e o•�Z + CA 03 �- Cb EX N N t '- -••05'56•.._ -•'A �` � v c 6u; 9�nJ � fa,��uoJ W 0 133815 M0113A 9NOrl 0 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA $5101 Date reet Address S City State Zip Code DHS -2722 (9-85) PZ -02722-02 RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject:pe of License: ame f Day Care Home Applica FA Idamily Day Care Street Addr Group Family Day Care /� Licensed Capacity 1 -City State Zip Code Phone No. %��-- This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, JVA9 W1 i LicensingWorker Street Address 30 days after receipt of this letter, we dayP$1�' to., bei:. Clpliance with SERVICES D_rARTf-.1ENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR ANOKA, MINNESOTA 55303 Name of Agency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER V U SUBJECT P RMI City of Fridley 212 3 5 AT THE TOP OF THE TWINS BUILDING PERMIT i • REC COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC.�� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-115 3/25/92 JOB ADDRESS 290 Longfellow. Street. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E 95.51 o Lots 1,2, Block 3, Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Erast/Jacqueline Winiarczyk 290 Longfellow Street NE 786-0015 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 REPAIR ❑ MOVE ❑ 'REMOVE 6 DESCRIBE WORK Reroof Dwelling (Tear -off) 23 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Roofing must comply with. State.underlayment code, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 7- 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 $1,27-9 $061 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 31.00 Fire SC $1,22 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.83 SIGNATURE OF CONTRACTOR OR AUTHORIZEGENT? IDATEI WH N PROP RL iLl AT THIS IS YOUR PERMIT Y 4,_ATURE Zoe- OG INSP DATE OF OW NER IIF OWNER BUILDER IDATEI V U NEW (] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: rM Lnrr f / I d(A) -) ! /U t_-, Legal Description: Owner Name & Address: 9 JaC 21 lie I i lel e, Lo ( Y) i dL4Te1. v-7 j 5 Contractor: G W iULP-- MN LICENSE # Address: ice. ML a OWL 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: Z 3 Corner Lot [ ] Inside Lot [ ] Ft. Yd . Setback _ Type of Construction: G C. ttLL 0 Approx. Completion Date: 12w , Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: -�JU Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee $ 31.00 Sewer Main Charge $ TOTAL STIPULATIONS: $ ,3�2-&3 Side Yard Setbacks _ Estimated Cost: $ i aI9 (Cost on Back) Ft x $ = $ CITY USE ONLY Tel. # -00 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per *SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] Building BUILDING Permit No.: ftke ,I Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Dat W Va. DATE I Z •Q 3- DOUR -MAILl in t r1(i SSU ., �"(,l S C V C O m SITE ADDRESS /ADDRESS OG. I / Y C THIS APPLICANT IS: OWNER CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: " ` ' CITY STATE—ZIP PHONE: ID3 ' I • (� IOS CONTRACTOR NAME. SUBMIT A COPY OF STATE LICENSE # EXP DATE -319115b mw YOUR STATE LICENSE ADDRESS: SS�b CITY ZME-4 - STATE ZIP 5531,3 WITH APPLICATION PHONE qSZ - 935 • -74AP 9 FAX -?6Z-,?-R5- 9571f4/ PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE Q ADDITION ❑ GARAGE/SHED ROWS ❑ BASEMENT FINISH ❑ ROOF DRAINTILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 0NEW 13ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: PROPOSED HEIGHT:3. ❑ DETACHED GARAGE 2. Proposed floor plan List of structural members to be used SIDING q Dower FOR NEW CONSTRUCTION INCLUDING DECKS, 13 Vinyl ❑Soffit //// /1nA �I' ADDITIONS. & PORCHES SUBMIT: ❑ Alumirnkin ❑ Trim I (% 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS Yes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF All OPENING CHANGES & , t0 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE TOTAL JOB VALUATION S 48,5 9mv .B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ a710 Plan Review $ Fire Surcharge $ Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion -Control $ Park Fee $ Sewer Main Charge $ Total Due $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks oavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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 a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which equiresFT and p oval of plans. - /j SIGNATURE OF APPLICANT PRINT NAME DATE /Ci% •t/,3 0