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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N°5 s 01 Date: ""'to Z "`� Owner: Builder / �. Address Address �, LOCrA►TIOA Ate OF B I DING No. Street�?� Part t Lot _ Block Addition or Sub-Div�isipn rf�,,,� , Corner Lot ""� Inside Lot Setback t:t^�_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used s• zo Front DepthHeight Sq. Ft. Cu. F J67n Depth t Sq. Ft Cu. Ft F/sryType of ction Est Cost _ To be CompletedIf 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 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 time upon violation of any of the provisions of said ordinances. -.. 'Oet ? Building Inspector NOTICE: This permit does not cover the Construction, installation for wiring, plumbing, gas hearing, sewer or water. Be sure to see the Building Inspector for separate permits for then hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 4 ( A6., Builder Address] :Address // LOCATION OF BUILDING No.. Street C/ g �J �� _ _ �� Part of Lot Lot Block `4Addition or Subdivision Corner Lot Inside Lot Setback 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 Height Sq. Ft. Cu. Ft. 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 rulings of the Department of Buildings, and hereby declares that all the facts and represent ons stat d in this application are true and correct. ,,�''� DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Apptication for Plumbing and Gas Fitting Pennit DepL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 7Number, Kind and Location of Fixtures Location--, PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N RATE TOTAL Number Fixtures ...................... x $1.50 $�U 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 $ - s New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................--� x $1.50 $ , 0 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code ................................. Description ............... TOTAL FEE $� City of Fridley: I The undersigned hereby makes application for a permit for the work hereat 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: f Owner Kind of Building Used as B To be completed about Estimated Cost, $ Ol New. wilding Permit RR ROUGH FINAL 4z 2M Business Phone I 194>— 3i1 ~� �� Z 3F cu Q O�QZ (.�o Uai - 5 <3 �nq t7G �aZ (9K U0' U0 WATER HTR. GAS ELEG Base 1st , } 1 2nd 3rd — 4th ' Future Connection Openings � New Fixture, Old Openings Connected with sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N RATE TOTAL Number Fixtures ...................... x $1.50 $�U 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 $ - s New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................--� x $1.50 $ , 0 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code ................................. Description ............... TOTAL FEE $� City of Fridley: I The undersigned hereby makes application for a permit for the work hereat 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: f Owner Kind of Building Used as B To be completed about Estimated Cost, $ Ol New. wilding Permit RR ROUGH FINAL 4z 2M Business Phone I 194>— Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ Dept. of Bldgs. Phone SU 4-7470 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. Fridley, Minn Af 0 , 19 � Owner Kind of Building Used as STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. IDR Steam ..... 8.00 $ P ®� Estimated Cost, $ ,' Furnace Shell &Line—to 640 sq. ft. EDR Hit Water .. 8.00 $ — Old ew. wilding Permit No. L Permit No. o U Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $ Sr GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ S �% Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ S ROUGH FINAL HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No- ,T Trade Nam e� �`E` L�`", d��� Size No Capacity Sq. Ft. E.D.R 0 H P7 . Total Connected Load 9 Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. • Sirl"�C �--� By Q4-42 2M Business Phone No (REMARKS -OVER) &y 7 AN DZ,Q.a 0 A/ 2 05 ®a�Z�' �' D-36 79 _ . _ � t7 At Z24,6 3 HEAT LOSS CALCULATIONS /=-MENT OF BUILDINGS MINNEAPOLIS. MINN. WeatherstripsA.S.uide .E. Construction No. Insulation Guid Windows I Doors Reference I. Out. Wall I Int. Wall I Ceiling I Roof I Floor Kind I How. Auolied Yes—No Yes—No . 19— /'-, Fl.l 0 Room I Length 7-11 Width /p S Height t II /srFl.l /76 3,Pr.o Room I Length V' Width Windows and Doors—Crackage and Area I I LCtlgUlv Width Height No. of pane of pane Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. X 7' A/I Vg a /6'l 24" .��. / 36" 1 20" 1 21 Infiltration 3 Coef. Btu Infiltration 1.9 174 Exp. wall 2. z42 Glass /o 224® Int. wall 4 S 17o& Exp. wall /® sso Floor Int. wall Net exp. wall Net exp. wall 22 $ /O 2alo Int. wall Floor Ceiling Ceiling 157 ho 2®�, /® 370 Floor •� Total Btu. 1 /p. 271 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area433 --LEL — I El I P-_ . 0,.,....1 1 -.., L ..., W:a.l.0 u -:..t.. v 0 Windows and Doors—Crackage and Area I I LCtlgUlv Width Height No. of pane of pane Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. z�0 2L / 32" a o" ZL z�� , �ro D Coef.1 Btu Infiltration 3 8 /,330 Glass 2L 1.9 174 Exp. wall 2. Glass Net exp. wall 22-L /o 224® Int. wall 4 S 17o& Ceiling /® sso Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,�3 - / F1.1 A/, -y- Room I Lenath ®®L Width mi:. Heiaht R Windows and Doors—Crackage and Area I I LCtlgUlv Width Height No. of pane of pane No. of Lineal ft. Area lights of crack eq. ft. ..�.a... a / 32" a o" ZL z�� , �ro D Coef. Btu Infiltration 39 30.1 Coef.1 Btu Infiltration z 7 z ,�'�/ 2. Glass Net exp. wall ® 2 7e 1.00 Exp. wall 4 S 17o& Ceiling Net exp. wall Exp. wall Floor Int. wall Net exp. wall Net exp. wall Ceiling /o 2alo Int. wall Floor Total Btu. I ggi-p 79 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 3 Height K Windows and Doors—Crackage and Area I I LCtlgUlv Au Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ..�.a... a / 32" a o" ZL Coef. Btu Infiltration 39 30.1 Glass Al 49 z 7 z Exp. wall oil /z 9 Net exp. wall ® / q 1.00 Int. wall 4 S 17o& Ceiling /514 Exp. wall Floor Total Btu. 117 C• Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4.31� * .3 ' 7 --El 1 /Vl M 11( P..th /=' Width /'f- 4 p 14p;alIt ir• Windows and Doors—Crackage and Area I I LCtlgUlv Au Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. ..�.a... a / 32" a o" ZL Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. ssf9 Coef. Btu Infiltration Coef.1 Btu oil /z 9 Glass ds Z6-1 2.5 4 S 17o& Exp. wall /514 Exp. wall Net exp. wall Net exp. wall ,gyp$I /o 2alo Int. wall Ceiling Ceiling 157 ho 2®�, /® 20'Z,® Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area 3j- //' 1 .n .. ,.. ..-d r r • 1. .- . ,t: r1.1 / I I LCtlgUlv Au Q - ..�.a... a Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. ssf9 Coef.1 Btu Infiltration ,� ds Z6-1 Glass 23 68 /514 Exp. wall Net exp. wall / /® / 9 To Int. wall Ceiling 157 ho /6-70 f Floor Total Btu. 13S9 A Required sq. ft. E.D.R. or sq. ins. WA. Leader areaa:t ® 1O. f�jy D c .Fo ev .2 37'0�� ZE j Ds6 w �t q�/ d2 A/b 3 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Ploor Kind How. Applied Yes—No Yes—No 19- 26ZFl.1'jRoom Length /,Z' Width /p' Height g' a)MrFl.j Room Length 2L Width ,224 Height e Windows and Doors—Crackage and Area Btu Infiltration Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. 21/ 3 Exp. wall /2 z Net exp. wall 1D Coef. Btu Infiltration /9 31 G Glass ! L� 272 Exp. wall Ceiling a /t/eT 72 -cob Net exp, wall / /0 /4310 Int. wall Total Btu. Ceiling /20 / 0 /2,0® Floor Height Total Btu. I VISE Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 133-10 ZntFl.1 ,Rarv. RoomI Length Vt Width S' Height 2 Windows and Doors—Crackage, and Area Btu Infiltration Width Height No. of Lineal ft. Area No.. ofpane of pane llghts of crack eq. tt. 21/ 3 Exp. wall /2 z Net exp. wall 1D Coef.1 Btu Infiltration Ceiling 5,3 $ o 311 310 Glass Total Btu. Lif 272 Exp. wall Ceiling a /t/eT 72 -cob Net exp. wall //2. /0 //20 Int. wall Total Btu. Ceiling 6jl 16 Y 70 Floor Height Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ILY3 -' xev®Fl. A Le, Room I Length °2: a° Width �; Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Na. of vane of. llghts of crack sq. ft. Coef.1 Btu Infiltration Btu Glass 3 Exp. wall /2 z Net exp. wall 1D 2 Int. wall ! 2v Ceiling 5,3 $ o Sao Floor Total Btu. 7o Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 Ceiling a /t/eT Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane Itghts of crack 21. a I AS JL. I Coef. Btu Infiltration 3 38 /2 z Glass /S ` 49 ! 2v Exp. wall Exp. wall Net exp. wall Int. wall Net exp. wall c',z j Lt/ Ceiling a /t/eT 72 -cob Ceiling Floorae 9t a�t/7 4 SA Total Btu. ;2, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Rx / 9 R-1 Room I Length Width 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 Coef. Btu Infiltration Glass Glass a pt. Ora - ra-Exp. Exp. wall Int. wall Net exp. wall c',z j Lt/ Int. wall a /t/eT 72 -cob Ceiling ;t'e Floor J •i q., v Total Btu.Q =,,,4G9e /d% ® DgoOJ &,�O I .`f 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Height Windows and Doors --trackage and Area Width Height No. of Lineal ft. Area No. of Dane or pane tights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net eip. wall Int. wall Ceiling Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT City of Fridley (72-2787D3 AT THE TOP OF THE TWINS BUILDING PERMIT r RE EIPT NO. Y__--_-' COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r : � NUMBER REV DATE POF AGE APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/8/94 JOB ADDRESS 6597 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 2 Don's 2nd Addition I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Lancello 6597 Lucia Lane NE 571-8191 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 L. REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (10 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 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 $550.00 $ .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- 1X8 Flre SC $.55 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $17.00 PLAN CHECK FEE TOTAL FEE $18.05 S AT E OF CONTRACTOR OR AUT IzED AGENT MATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT J C/W'�f %Tf r . dL0 INSP DATE SIGN URE OF OWN OF O ER UILDERI IDATEI NEW ] ADDN [ ] ALTER [] Construction Address: Legal Description: In CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application , l e Effective 1/1/94 Owner Name & Address: �°6 Tei -#_,571-W12 Contractor: -&n -�L 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: �b — ?/�� ' aA d--��T Corner Lot [ J Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Tel. # Sq. Ft. Sq. Ft. SX -12,,, Side Yard Setbac Estimated Cost: $ - .SS (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = F $ = $ l DATE: q -APPLICANT: Tel. # l < l LkWA111b4--;W412'LWA Permit Fee $9.0 O — Fee Schedule on Reverse Side Fire Surcharge $ - SS .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $800 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 [ J Not Necessary [ ] TOTAL $ ln•D�� STIPULATIONS: r SUBJECT PE NO. City of Fridley ? 20 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/10/97 JOB ADDRESS 6597 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Lancello 6597 Lucia Lane NE 571-8191 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 8 DESCRIBE WORK Reroof Garage (8 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 @ $501 @ $ 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. PLAN CHECK FEE TOTAL FEE $24.75 OFCONTRACTORo u o 2ED AGENT (DATEiHEN PROPERLY V =TED THIS IS YOUR PERMIT ,,,�gRE s� BLDG S a PATE SiGNATU RE OF OWRIEROF 0 )ATEi NEW [ ) Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 4s'/7L4 Legal Description: Owner Name & Address: o� L' (�Tel. # 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 Il"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length o2 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground S . Ft. OTHER: Construction Type: �'�l'�� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $ DATE: APPLICANT:� Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ �- f�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 STIPULATIONS: SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMITIMORPTINO. COMMUNITY DEVELOPMENT DIV. r 1 L PROTECTIVE INSPECTION SEC. 41/00 i F � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 A .� 1 612-571-3450 910-FlS 7/22/98 JOB ADDRESS 6597 Lucia Ln 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Lancello 571-8191 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bo's Construction 2218 22nd Ave S M is 5709-5037 20100656 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 O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof 20 S Tear -off 9 CHANGE OF USE FROM TO STIPULATION S Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1668 .83 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- STRUCTIO OR THE fERFORMA CE OF CONSTRUCTION. 54.00 ire Sc $1.67 PLAN CHECK FEE TOTALFEE -2, )).9-6 License SC $5.00 1$61.50 SWLFT,Tf_URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLtYALI DATED THIS IS YOUR PERMIT &am� BL )NSP �� PATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ll ConstructionAddress: 652-7 � c c u ���' d e y MN S-SV Legal Description: Owner Name & Address: EJ L a 4 Ce) /n L 15q7 J - V f' ; 4 Lti Tel. # 1511 /- (?/ 9/ Contractor: 0 5 CO ->,541- C&n MN LICENSE # 'k/06 &5-L Address: -�)' o -e S, J/yia RAI jj� o' -t Tel. # ' 769- ? Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _ 'k 54 "4-� Construction Type: NILod t"' 1fi2a t/ -o ( Estimated Cost: $ 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:-� ���� APPLICANT: �c�` �Sts�I Tel. # -76q •-5637 CITY USE ONLY Permit Fee $ 7 Fee Schedule on Reverse Side Fire Surcharge $ o .001 of Permit Valuation (1/10th%) State Surcharge $ 6 3 $.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 $ l� sm STIPULATIONS: