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PRE 2010 DOCSVillage of Fridley, 311nn. 'BUILDING PERM" N° 140 Office of INSPECTOR OF BUIIMINGS Owner`' Architect Fridley, Minn., �°6 19 Builder �" LOCATION OF BUILDING No. • street Part of Lot Lot Block Addition or sub -Division CA-_� , !d DESCRIPTION OF BUILDING Front Depth Height `� stories Manner of Construction n+: T To be used as To be completed 0 pstimated Cost fil "A , i . r%r• 114 ' ._a s i _ t A. Permit is hereby granted to -1 I W .A e the bufldiif LL described in the above statement. This permit is granted upon the express condition that the Wrson to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shqu conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. e"_Inspector of .Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby > agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. a— Subscribed and sworn to before me at Fridley, Minnesota, th' day of°'t 3°�"` A.D. 19 Village of Fridley,, Minn. BUILDING PERM" 11To 412 Office of WSPECTOR OF BUMDnvG OwnerWF - Architect Fridley, Minn. LOCATION ®F B�DIl�TG No -4 4 Street $ Part of Lot Lot Block Addition or Sub-Divisfon Front Depth Height Storiesj_ Manner of Constructions To be meed as o o� a co pleted Estix�ated Cost Permit is hereby granted to to `► al 'WAW W the Wild` described in. a above statement. This permit is granted upon the expr cenditio the per*oOo whom i granted, and his agents, employees and workmen, in all the work done in, around and upon said ding, or y part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon' Violatio of any of the provisions of said ordinances. �_ �l, �'� 1p � 1 ��ector of Buildings. In consideration of the issue and delivery to me by the Inopector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, dayA.D. 19 . 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 A Mr. & Mrs. Steven Hank A 6630 Lucia Lane Fridley, PST 55432 Dear Mr. & Mrs. Hank: July 19, 1977 Subject: Driveway Damage at 6640 Lucia Lane TELEPHONE ( 812)571-3450 On Thursday, July 7, 1977, a concrete driveway was poured at the above referenced address as part of our street construction project. As you are aware, when the crew finished pouring the driveway and left for the day at 4:30 p.m., one of your children rode their tricycle across the driveway prior to its setting up and obtaining the strength necessary for any type of travel across it. On July 8, 1977, our crews tried to repair the damage done to the drive- way. At this point, we are hoping that the repair will be successful, therefore, this letter is to inform you that if our attempt to repair the driveway is not successful, removal and replacement will be required. If this beecmes necessary, please be advised that the City will be obli- gated to try to recover the costs due to the damage caused by your child. We suggest that you check to see if this type of damage might be covered under your homeowners insurance policy. Ile will be contacting you in the future, updating you on the status of any work that might be required. If you have any questions regarding the information, please contact me. TAC/grs i Sincerely, CITY OF FRIDLEY Vhor4vasAA'.Colbert, I.E. Assistant City Engineer N? 51'7'7 Original Permit for PLUMBING AND GAS FITT G 5 3 ° 6 �-- N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for r'� Permit�, ®a permit., f inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this DESCRIPTION OF WORK II Number. Sind and Location of Fixtures Permission is hereby granted Y to do the plumbing and gas fitting in the building described in the statement hereto attar d, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date nspector. -QM042 1M -6.69•V Owner /i rLJL ✓L ! L Locationi. I4� Kind of Building � AZYA4--') Used as. AA)zi&'t4 To be Completed ,192 Estimated Cost Old -New. Building Permit No. Inspector of Buildings. 3 U 7 m ►. 4 m t� ; F � O D LL w N Km ° LL D m 1- U m 1%J K J � 2 li a 6 O Q W zo Qm O C WATER HTR.Stories GAS ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted Y to do the plumbing and gas fitting in the building described in the statement hereto attar d, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date nspector. -QM042 1M -6.69•V Owner /i rLJL ✓L ! L Locationi. I4� Kind of Building � AZYA4--') Used as. AA)zi&'t4 To be Completed ,192 Estimated Cost Old -New. Building Permit No. Inspector of Buildings. Original PERMIT for Power Plants and Heating. Cool. ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. Of ting Plants to be installed--altered—repaired Make , Size Oil fired_; Coal fired --L- Gas fired—; Gas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector s 3o(�a— permit N® 4'791 Fee $ E d Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., 19.a Owner Location Kind of Building � How Occupied Work to be Commenced—, 19 To be Completed ,19102 Estimated Cost, $ X71. 06 (gNew, Building Permit Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon thl express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications t forth in the approved application for this permit on file in the office of the Inspector of Buildings. V_ Inspector of Buildings az sM1147v City of Fridley Applicaflm for Plumblhg and Gay NO" Pomil Dept. of Bldgs. Phone 980-3490 DESCRIPTION OF WORK k Number. Kind and Location of Fixtures L� • Future Connection OpeningsI ••••.� ...r sown Now ❑ * NeFixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: -NO. ATE TOTAL 1- Number Fixtures ....... .. • • • ... x $ $ N ma Future Fixture Opening ............ M $ ME New Fixture Old Opening .......... . x $1.50 III Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) • • • • x $3.00 $--i New Ground Run Old Bldg......... x $3.25 $ Electric Water heater... ......... s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • • • • x $2.00 $ Additional Fixtures .............. ■■■■■ $ MEMMMMIMMNNIM Gas Range to 199,000 BTU ............ x $5.00 $ so ME MMENEEMEMEMENEMEM . • Future Connection OpeningsI ••••.� ...r sown Now ❑ * NeFixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: -NO. ATE TOTAL 1- Number Fixtures ....... .. • • • ... x $ $ 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 $--i New Ground Run Old Bldg......... x $3.25 $ Electric Water heater... ......... s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • • • • x $2.00 $ Additional Fixtures .............. x $ .76 $ Gas Range to 199,000 BTU ............ x $5.00 $ 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 �6� Fridley. Minn -� 19&) Owner Kind of Building Used as-� To be completed about Estimated Cost, $ _ Old—New. Building Permit No. Permit No. Signed By z Business Phune No ROUOh v �` FINAL �►fsPDca�on for Pourer Phots and Heating. Cooling. VenNatton. RefdgWNW a and �— Air CondManing Systems and Devices' PARTIAL RATE SCHEDULE Ilept. ofBldq. Mom WD -M GRAVITY WARM AIR: RATE TOTAL Locsdo= Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ................ :............ 6.00 $ Repairs & Alterations—up to $800.00 ' .............. .. 6.00 $ Repairs & Alterations each add. $800.00 ............... 3.00 $ CH. 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 & Famines—to 400 sq. ft. FDR Steam .... . $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. ZDR 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 W.000 BTU) . ............. .......... 6.04 $ over 189,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures ................. x .76 $ Gas Range to 198,000 AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS do REPAIRS ROUGH FINAL ........... $ See Fee Seindnte TOTAL FEE i-� City of Fridley: The undersigned hereby makes application for a permit for the work hereft specified, agreeing to do alt . 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. Fridtey, Minn- R `�� 1� Owner Kind of Used as r g zk' � - - - - To be completed about 3 Z9" s Estimated Cost, $ l� Old New. Building Permit No. Permit Pio. DESCRIPTION OF WORK HEATING or POWER PLNNTS—Steam, Hot Water, Warm Air—N Trade Name �� �/L� '. �s Size Ilio- .i��/ Capacity. Sq. Ft E.13.11BTU H.P. Total Connected Load �� Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft ILD -R- BTU HP: M"RKS—oveai 3 Hy - Business Phone CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE y PLUMBING FIXTURE RATES: NO. RATE my TOTAL Number Fixtures_ x o $ k N x Water $ H x $2.00 $ H r. fd N Q $ a Water Heater - to 99,000 BTU x $5.00 $ Heater y 4J $10.00 $ M Water Softener x $7.00 A� N N $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: •� ?�' A c� 30 x ccHo U •� O Additional Fixtures x N $ H a) N 4j 0 C •.� .0 1� NroC REPAIRS & ALTERATIONS N •rI O O O 11 N .L1 N U) $ each add. $100.00 or fraction $2.00 y rdPc 'i p State Surcharge c i 3 A W y W U oroC 3 (ro7 .N{ £ a O 3as lec P4 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures_ x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 ETU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $�5 � REINSPECTION FEE ($10.00) Job Address C 3 0 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct j� Fridley, Mn. , 19 OWNER KIND OF BUILDING USED AS n TO BE COMPLETED ABOUT 9 - 3y 7L - ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company 4:,t:41L- Sig'ned By Tel. No. ROUGH INSP. Date FINAL INSP. r -3 - I Date APPROVAL FOR PERMIT q� / 5 '` � MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 sus�Ecr PE City of Fridley 9 5284 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i 1 1 CITY HALL FRIDLEY 55432 ,.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/25/79 JOB ADDRESS 6630 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6C Aud. Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Hank 6630 Lucia Lane N.E. 574-1658 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 x 8 DESCRIBE WORK Construct a 161 x 201 Addition to House 9 CHANGE OF USE FROM TO r STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRIK W�N HEATING, Pi.UM81WG AND SIGNS. 1�rp.wl AS n� cop 10 40 REQ Aft— a AVy 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 OFFSTREST 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 $8,100 $4.05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $51.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $12.75 $67;80 SIGNArUEOFCONTRACTORORAITH RIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �d 710Lr - BLDG INSP BATE SIG AT RE OF OWNER OF OWNER UILDERI (DATEI CITY OF FRIDLEY , APPLICATION FOR MISIDE1,11•IAL BUILDING PERMITS (NE -W, -JILTEMATIO(JS, ADDITIONS, Oil REPAIRS) OWt2ER:.�..e Address: ._e 0 c; BUILDER: u ems► Address: CLv cD Tel. No. S 7 C1 _ K9 No.. U(p 3 a Street: t(',. L A;- LOT: n� }3IACY.: ADDITION: CORNER LOT: 114SIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot- and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: to Depth: .� a ' Height: AJJAt6^ �---- Square Feet: )-O Cubic -Feet: , L -t Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ �O To Be Completed: Alt. A Alt. B Prdposed 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 Fxidley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and repro sentations stated in this application are true and correct. See reverse side Arjadditional ii)formytion. DATE: `) — S-0 — I "1 SIGNATURE .stipulations: ® XaS39 v a 810 0 T)( D �, EXTERIOR ENVELOPE AVERAGE "U'r COMPMATIONS ��- (to be submitted with building permit upplicaLio s) � or two family dwelling Contractor All -other construction Site Address ` Date Phone Other LINEAL FT. OF EXPOSED WALL X FT. ABOVE GRADE TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: DetailFe •A-P�c� -Arm reference from attached , sheets 173 tj IU "U"VALUE SQ. FT. . OSS x x A . 0 -x X 1� X X X x x X X X WINDOWS: Make & type mat y cwtm, mir f' _ � `1"� X � rr n X u u X n rr X (U) (A) a �-2 DOORS: �` like & type ue • ITP r �T;�! D _ r-z'S x 4 D s - - � � � C2 rr rr " rrX = -- r 0 -7 x i _ f- rr rr x TOTALS S S - Sq.Ft.'—(U) (A) TOTAL (U) (A) VALUES DIVIDED BY �% 0 _ ` AVG. "U" TOTAL WALL AREA ROOF/CEILING: TOTAL AREA: ® sq. ft. Detail IL reference F–r Pk Act 1A 1_ (01 X _3 Z from .X attached X = sheets X s TOTALS -3'--? CSq. Ft. - ® (U) (A) TOTAL (U) (A) VALUES DIVIDED BY AVG "U" TOTAL ROOF/CEILING AREA AVERAGE "U" 1 & 2 Family Walls .17 All other walls .22 Vented Ceilings e?1i All other ceilings 7 r U VALUi; CAi,CULATIONS ra _.._. _ ,r R VALUE ` Inside air film : Interior wall Insulation Sheathing oZ- Ob ' Siding • b"i �, '. Outside air! film 17 fi 1 R TOTAL r P Inside air film .68 Interior wall 4" studa: R - 4.38(Franf.ig) Sheathing Z, Siding ,b�• 4; _ � Outside air film R TOTAL Inside 'air film R = ..68 r ,. Interior wall Insulation Sheathing a Exterior wall covering " Vi� _ Exterior air film R= " 17°� R .TOTAL • 2j t� ER1�6`14i Fi k a;r Interior air film: R :i, 8 .........._ In8ulation 1' inch soft wood. R = 1:8 (RiYn; Sheathing a° Exterior wall covering Exterior air film R R TOTAL Interior air film R Insulation %" r Lk Foundation ..__...Exterior air f ilm . R� • 7.k" �• �' 077 t � a ;i.�T Y --._ Exposed 111ock ` " s Grude R: z®Sly-!Lo 7 2- SUBJECT PER - City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I r I PROTECTIVE INSPECTION SEC. 35q 1 � I . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/8/93 JOB ADDRESS 6630 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6C Auditor's Sub,. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven/Karen Hank 6630 Lucia Lane NE 574-1658 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 j7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 46' x 301 Garage Addition; Remove existing 14' x 20' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. WANG Before digging call for all utility locations 454-0002 REQUIRED By LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 1 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 $15 2OO $7.60 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- $171.00 Fire SC $15.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE //) / A / zl//,�' $193.80 SIGNAT HE OF NTRACTO UTH IZEDAGENT ATE%cJ WHEN P LY LIDATED THIS IS YOUR/PERMIT V V ! J A9 BLI56 iNSP DATE SIGNATURE OF OWNER dF WNERBUILDER� ATEs NEW [ ] 'ti Effective 5/26/93 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: b&-iD Z CIA Legal Description: 1-0- ` G. e �/�J �L Owner Name & Address: <;TE11,---¢ * Tel. # - Contractor: MN LICENSE # Address: - _ - - _ _Tel. # Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. E:- DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length q(,' Width o ` Height Sq. Ft. 'J�g_i DECK AREA: Length Width Hgt/Gr and Sq. Ft. OTHER:J / Corner Lot [ ] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks .T r Type of Construction: iap&aa ADP i-ri 0 Estimated Cast: $ ,eacr 1S. 2L D Approx. Completion Date: S'Ja1 y a (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: '9-3-23 APPLICANT: Tel. # ' f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 0 Fee Schedule on Reverse Side $ /.5.,:20 .001 of Permit Valuation (1/10th`Yo) $ $.50/$1,000 Valuation $ $750 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ j Not Necessary [ j $ STIPULATIONS: 01 SUBJECT P _• City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 22422 i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � i � ,•"1 CITY HALL FRIDLEY 55432 " NUMBER REV DATE PAGE OF APPROVED By !""' �'' 612-571-3450 910-F15 4/13/94 JOB ADDRESS 6630 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6C Auditor's Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Hank 6630 Lucia Lane NE574-1654 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 USEOFBUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair wall; install 9 CHANGE OF USE FROM TO STIPULATIONS provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. See notations on plan. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SA CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $8.00. STRUCTION$99.00 OR E PERFORMANCE OF ONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $116.00 SIGNA EOF ONTRACTORO THO ZEDAGENT DAT P ALID TED THIS IS YOUR PERMI ZEN1 INSP OATE SIGNATURE OF OWNER OF WNER.UILDERI IDATEI 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: &6-30 I—ae /'4 /—/j Legal Description:, j 'Z�� / Effective 1/ 1/94 -� 3Q a Owner Name & Address: Tel. # 5-7y16 ,af- C2 Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ) Inside Lot Type of Construction: Approx. Completion Date: MN LICENSE # Tel. # 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. _ "g, 611 Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ &000, cam) Driveway Curb Cut Width Needed: DATE: APPLICANT: Permit Fee $ Fire Surcharge $ --6.= State Surcharge $ ;4-00 SAC Charge $ License Surcharge $ S• Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS • (Cost on Back) Ft. + 6 Ft = Ft x $ Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 [ ]