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PRE 2010 DOCSCity of Fridley, Mim. BUILDING PERMIT N°5 i 6 2 Date: '. Owner: �� _�! Builder Address Address Xe Ot � �.00�4TI . N BUILDING p 4 No. r Street )I �� %_—.�_ Part of — - Lot —_'Block/►' A tion or Sub -Division .. y Corner Lot _ Inside Lot Setback F� Sideyard __ — Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING ,�+� � a� �'y« Front E!" Depth ^G � Height Sq. Ft. �" � cu. Ft. z o Ffout,,__Depthdf Height �_ :_ Sq. Ft. Cu. Ft. Type of Construction �- Est.'_ 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 all provisions of ordinances of the city of Fridley. r . 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. .In .4.7 n -a Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be aura to we the Building Inspector for separate permits for these Items. 4 APPLICATION FOR BUILDING PERT CITY OF FRIDLEY, KJNESOTA Owners Hama! Builder Address Address LOCATION OF' BUILDING Na. Street h ✓�"� �'- Fart of Lot Lot Block. Addition or Sub,Div.�d,44LUL a Corner Lot,: �ng�:de Lot Set Back. S Side -Yard I P iT SEWER ELEVATION' FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building ---- location. DESCRIPTION OF BUILDING To be used ass_. - 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 hercip aipegiftos 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 fasts and represents`: tions stated in this application are true and correct, . (A Schedule of Fee costs can be found on the Reverse Side.) -r Application for Power Plants and. Heating. Cooling. Ventilation, AeMgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 80,000 BTU ...... .................. Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ... . ............ Repairs & Alterations each add. $500.00 ....... :...... RATE TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ F.00 Furnace Shell & Lines—to 400 sq. ft. EDR Steam_ ...... 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM %, Furnace Shell & Lines—to 400 sq. ft. EDR Steam_ ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $_ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTFdRATIONS & REPAIRS ROUGH! FINAL See Fee Schedule TOTAL FEE Dept. of B14gs. Phone SU. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work hereins 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. Owner Kind of Building Fridley, Mann- --/— 02 �K 1 196Y a Used as Z 1 o - To be completed about Estimated Cost, $ Old—New. Building Permit No.��(d a� Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Ho Water,arm ;)No- Trade gNames Size No S%,C17" Capacity Sq. Ft.E D.R�j�� BTU H.P. Total Connected Load 7 rol/� > Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe By J'29 {� /� 42 2M 7_59 Business Phone No- �� (� ` '2 2— (REMARKS—OVER) (REMARKS—OVER) / n.s 9� y N®lC HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide i ows ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yees 19— d i' ii F1.1 7 : j-/, S,s- Room I Lensth-2.1'I Width /z1/ Height .mss II / Fl.l P/� Room I Length %'; Width ,-----;,"Height Windows and Doors-Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. 8 /Z 7 /,1 '370 tv O . Btu Coef. Btu Infiltration , j �' 4 Ale Glass &/,9 Glass �!?Exp. wall ter® S0 Exp. wall 2 Net exp. wall 7 /® Net exp, wall Int. wall /Q 17-5-.0 Floor —7/ ,fp Int. wall Aq -7.5- /67 Floor Ceiling Floor /1 9 Total Btu. jJ. I e OKI Requi a .. E. . . or sq. ins. W.A. Leader area Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 8 /Z 7 /,1 Coef. Btu Coef. Btu Infiltration , j Glass 4 Ale Glass Glass �!?Exp. wall Net exp. wall S0 Exp. wall _ql 2 Net exp. wall 7 /® Net exp. wall;09 Int. wall /Q 17-5-.0 Floor ® A/ Int. wall Aq -7.5- /67 Floor Ceiling Floor /1 9 Total Btu. Require q. . E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length V'IWidth Height r' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Btu Infiltration Ar , j Glass 4 Ale Glass Exp. wall �!?Exp. wall Net exp. wall je,f Net exp. wall 7 /® Ceiling Int. wall /Q 17-5-.0 Floor CeilingFloor Aq -7.5- /67 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 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 Infiltration Infiltration , j Glass S-�® Glass Exp. wall --5' .5-0-0 Exp. wall Net exp. wall / Int. wall 7 /® Ceiling Int. wall /Q 17-5-.0 Floor Ceiling Aq -7.5- Total Btu. Required s D.R. or sq. ins. W.A. Leader area / R.MroOP hV-RoomlLenath ?,/' Width /V° Heittht ,p/ Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No* of pane of pane lights of crack eq. ft. Coef. Btu Infiltration , j & S-�® Glass --5' .5-0-0 Exp. wall 9 ff Net exp. wall 7 /® ieP® Int. wall Ceiling /67 Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area / Fl.1 _ YE Room I Length -,,-'=Width Z° Height Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lightss of crack sgq.�. ft. Coef. Btu Infiltration , j SY S-�® Glass .5-0 .5-0-0 Exp. wall 9 ff Net exp. wall 7 1 /,q ieP® Int. wall Ceiling Floor Total Btu. -.7 S -j 4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and On Fitting Permit Dept. of Bldgs. Phone SUA-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE 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-pnd correct. /' _ �J 19-4-/ Kind of Building Used as Estimated Cost, $ Old—New. Building Permit PLUMBING FIXTURE RATES: NO. RATE TOTAL U Number Fixtures ...................... x $1.50 $,e:� Future Fixture Opening ..... x 1.20 $ oZ • '7�0 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ WATER HTR. ...... /x 2.00 $ o2- ` New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ N GAS ELEG Base l I 1st 2nd _ 3rd — 4th ' Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE 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-pnd correct. /' _ �J 19-4-/ Kind of Building Used as Estimated Cost, $ Old—New. Building Permit PLUMBING FIXTURE RATES: NO. RATE TOTAL U Number Fixtures ...................... x $1.50 $,e:� Future Fixture Opening ..... x 1.20 $ oZ • '7�0 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... /x 2.00 $ o2- ` New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 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 FEE ` To be completed about ROUGH—'V - ✓2 G - br/ FINAL a z 2M 7-59 �_ Business Phone Y &-) 42� . GAS FITTI\'G FEES; lot 3 fixtures x 13100 �- Mditicn►1 fixtures r„ ..x $1,00 .Goo Ran9e to 199,000 BTU x $10.00 5 �- RE!PAIRS 8 ALTERATIONS ' first 3100.00 $5.00 1 each aed. 5100.00 or frnetlon 11,00 S,tdta Surcharge 5 .50 • TOTKL FEB $ 8.00 Job Address 1131 Tynde Drive 97-8b-441051. • •PARTIAL RATE SCHEDULE ' PLUMIRG. FIXTURE RATES. NO, u. TOTAL t�� u. 53,00 Wator IV:ure 1'!.xture Oponing �� u1 Ap •t.' ' Fridley, M.'l, i New Fixture, O1d'Oponing _� A a C M Catch 9atln • x .. a .+ •1 0 $5.,00 Heater 100;000 BTU to 199,000 BTU .. eC� 110,00 wh Water Sof tancr �- x •� y Signed Dy ' ' ' Wtw Grourd• faun Old Building ^� w ' Eleculc Nater Heater - �,• x $5,00 $ �� a Data ' N C M •.1 a MI111HUH PCE FOR AIIV PLUMBING PERMIT 15 11.50 ' 8 ++ N N N N u' a a c� 1n t"c A rah e - ,d re.' I i (A) - Future Connection Opening Connected with Suuar f•) - New Fixcure, Old Opening Natut GAS FITTI\'G FEES; lot 3 fixtures x 13100 �- Mditicn►1 fixtures r„ ..x $1,00 .Goo Ran9e to 199,000 BTU x $10.00 5 �- RE!PAIRS 8 ALTERATIONS ' first 3100.00 $5.00 1 each aed. 5100.00 or frnetlon 11,00 S,tdta Surcharge 5 .50 • TOTKL FEB $ 8.00 Job Address 1131 Tynde Drive 97-8b-441051. • •PARTIAL RATE SCHEDULE ' PLUMIRG. FIXTURE RATES. NO, RITE TOTAL 1.\1ct FLxturet �• x 53,00 the tnctu and roprgtuntationt stated in this application art IV:ure 1'!.xture Oponing �� u1 $2.00 ' Fridley, M.'l, i New Fixture, O1d'Oponing _� x $2,00 11110 OP BUILDI110 framp' Catch 9atln • x $5,00 $ ^� 1 Water Hasur to 99,000 BTU.''' x $5.,00 $ 100;000 BTU to 199,000 BTU x 110,00 9 Water Sof tancr �- x 17, p0 Signed Dy ' ' ' Wtw Grourd• faun Old Building ^� x 15.00 1 �� Eleculc Nater Heater - �,• x $5,00 $ �� GAS FITTI\'G FEES; lot 3 fixtures x 13100 �- Mditicn►1 fixtures r„ ..x $1,00 .Goo Ran9e to 199,000 BTU x $10.00 5 �- RE!PAIRS 8 ALTERATIONS ' first 3100.00 $5.00 1 each aed. 5100.00 or frnetlon 11,00 S,tdta Surcharge 5 .50 • TOTKL FEB $ 8.00 Job Address 1131 Tynde Drive 97-8b-441051. .1 � Department of Wildinge ' C1ty of Fridley I Tal, 1571-3450 ` i ,T11a undarolgnod hereby maket application for.& permit for the w apaeifled agruoing•to db all work in atrlct accordance with the C and rulings of the Dopartngnt of Duildings,'and hereby doclarat t the tnctu and roprgtuntationt stated in this application art true 5-4-78 ' Fridley, M.'l, i 01�IIFR Persons ' 11110 OP BUILDI110 framp' ' USED AS res. TO OF C014PLETED ABOUT 5-11-78, ' ' 20.00 ESTIMATCD COST OLD - IICW HUILDIIIG PERMIT HO, EfV1IT 110. // L Company fMINNEGASCO MINNEGASCO Signed Dy ' ' Tole No, pUGII INSP. ' Date , Data ' APPROVAL FOR PERMIT �Zl MI111HUH PCE FOR AIIV PLUMBING PERMIT 15 11.50 ' Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replaceant furnace) Gas Piping (piping needed with now furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) RATE TO'PAL Job Address 1",-3 / '0- $ 20.00 $ Department of Buildings, 6631 University Ave. N.E., Fridley. MN $5632 City of Fridley $ 10.00 $ Tel. 1571-3650 All Others/Repairs and Alterations 1t of value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work $ 10.00 $ The undersigned hereby makes application for a peewit tot the work herein specified agreeing to do all work in strict accordance with the City Codes $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and ootsect. $ 10.00 $ Fridley. Minn. %�' • 19Gf State Surcharge TOTAL EPEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. - 7-4- -Q Date Approval for remit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE OWNER $ KIND OF BUILDING eco® sr��d t USED AS $ To BE COMPLETED ABOUT ES IMATED COST 27- $ %$ .50 OLD NEW BUILDING PERMIT MD. PERMIT NO. DESCRIPTION OF FURMAC!/BUIMR Attach stack verification foo with replacement furnace pewits *Air Conditioners can not be placed in side yard without written pcteission teem adjoining,neighbor. HEATING or POWER PLANTS, Steae. Not Mater. Nat* Air- No. Trade Now �e� size No.`®��® Capacity sq. Ft. zDRg&jV0nTu BP Total Connected load �' re -C, e, Kind of Fuel �� BURNER - Trade Name Size No. Capacity Sq. Ft. CDR BTU HP Company Signed By Tel. Mo. STANDARD HEATING & AIR CONDITIONING CO. SERVING THE THIN CITIES SINCE 1930 HEAT LOSS CALCULATIOIN FOR DUDLEY PERSONS 4384 LK --------------------------------- t4AI'J LENGTH 39 1•110TH 25 -------------------------- ---------------------- HEIGHT 8 4JINDO14S & DOORS - CRACKAGE AND AREA -------------------------- ;JIDTH HEIGHT VO. LIP! FT AREA 110. Pf.'] E ME LIGHTS CRACK SO FT 3 48 34 1 45.5 42.2 11 35 17 1 111.8 65.5 2 36 17 1 20.7 12.2 2 35 13 1 19.3 10 2 43 21 1 24.3 17 1 36 21 1 11 7.2 3 47 35 1 45.5 42.5 1 36 80 D 19.3 90 1 32 80 D 11? . 7 17.8 IPJFILTRATIOhI ................. 316.1 COEFF BTU 128 R.FT GLASS 20 6322 .............................. 234.4 EXP WALL 50 11720 ........................... 128 h:ET EXP WALL ........................ 789.6 BELOWGRADE...... 0 13 10264.8 ................ 0 CEILIfJG............................. 5 0 975 FLOOR............................... 4 3900 0 VENTILATION...... 0 0 0 ................ 0 TOTAL BTU ................................................. 0 0 ----------------------- 32206.8 BASEMENT LENGTH 39 WIDTH 25 ------------------------------- HEIGHT 8 WIND%lS & DOORS - CRACKAGE AND AREA -------------------- 14IDTH HEIGHT NO. LIN FT AREA NO- PANE PANE LIGHTS CRACK SQ FT INFILTRATION................. COEFF BTU 128 R.FT0 0 GLASS.............................. 0 0 EXPWALL 0 0 ........................... 128 NET EXP WALL ........................ 0 BELOW GRADE...... 8 0 0 ................ 1024 CEILING 5 5120 ............................. 0 FLOOR............................... 0 0 975 VENTILATION...... 0 3 2925 ................ 0 TOTALBTU 0 0 ................................................. 8045 TOTAL BTU OF ALL ROOMS/FLOORS....................................... 40251.8 0A SUBJECT P.•,. M4T-N8--� City of Fridley 5 AT THE TOP OF THE TWINS P, BUILDING PERMIT r RINO. COMMUNITY DEVELOPMENT DIV. O r � � PROTECTIVE INSPECTION SEC. 1 � i NUMBER _[ REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910415 5/29/96 / / JOB ADDRESS 1131 Lynde Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 1 1 Lyndale Builders 6th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Lein 1131 Lynde Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary Olson Construction RR2 Box 186 Braham MN 55006 396-4248 20046602 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 0 REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $2,080 $1.04 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 $74.75 Fire SC $2.08 PLAN CHECK FEE OTAL FEE C S 1';)R\9k. I- SeAC $ 00 82.87 SIGNATURE OF CONT TOR OR AUTHORIZED AGENT IDATEI !-.C%DP LY VALI ED THIS IS YOUR PERMIT /ATE SiGNATU RE OF OWNER SIF OWNER BUILDERI IDATEI 0A NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:^ v3 i "+'®k �dZNi�L/4r roti. Legal Description: g ._.._f ACK Owner Name & Address: C -rip-,. Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: SAn, Tel. # �S�-yavk MN LICENSE # 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 Length Width Height Length Width Hgt/Ground Tel. # 396- 4a4g Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ J Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ; A&6,,z,,z7 J y,&q oz Estimated Cost: $ Approx. Completion Date: g I s� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l a $1 APPLICANT: Tel. # 39 c.- y may% — CITY USE ONLY Permit Fee $ W ")� Fee Schedule on Reverse Side Fire Surcharge $ -205 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ . 00 $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 $ c�7 STIPULATIONS: i SUBJECT PF32758 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. i PROTECTIVE INSPECTION SEC. /a 3 -7 6 1 NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910415 11/15/02 JOB ADDRESS 1131 Lynde Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Lyndale Builders 6th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Lien 1131 Lynde Drive NE 763-577-9;894 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Open Air Concepts Inc 4320 E ing Ave S, M ls. MN 55410 763-545-9250 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20 253 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK Construct a 22' x 161 Covered Patio Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Construction to comply with City Zoning Code setback requirements. SEPARATE PERMS REQUIRED FOR: WIRING HEATINi�� Before digging call fou PLUMBINu AND $I6N6 all utility locations 454.00®2 RV IAV SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. TYPE OF CONST OCCUPANCY GROUP OC UPANCY 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 P RKING 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 $3,000 $1.50 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 - $83.25 Fi SC $3.00 STR CTION OR THE PERFORMANCE OF CONSTRUCTION a PLAN CHECK FEE TO AL FEE _ ��'�� -off- Licens $5.0 $92.75 I NAruAE OF CON-aaf.TOa Op Au FRED AGENT IDATEI EN ROP Y VAL A D THIS IS YOUR PERMIT BL INSO f�AfE S-GNATUAE OF OWNER,IF OwNEp IDI IDATEI i NOU-5-2002 10:49P FROM: TO:7635711287 P:2/4 NEW [) CITY OF FRIDLEY Effective 11112002 ADDN [ j 6.431 University Ave NE, Fridley, MN 55432 (763) 572-36" Bldg Inap ALTER [ j SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Addn Legal Description: Owner Name & Address: ME" I I e -n I 1 3 I - I-V de 1.*)R. Tel. # :7(,03 S77.- 9R9y Contractor. ORJA 6I F [''oY7�'f.D'�-4 11�� MN LICENSE # m n 2.o3 2 53 _, Address:- 3 D W Ina f So �� lD Tel. # �?�—,sq5-- Cf i M Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length - ,- Width Height Sq. Ft DECK AREA: Length Width l b ` Mgt/Ground 12 � Sq. Ft --Z f; 7!- OTHER: ZOTHF-R: PA -4j -a Construction Type:_ �. K A. MP— Cj3:d U «4- Estimated Cost: $ 7.0w, 00 Driveway Curb Cut Width Needed: 4-aFt + 6 Ft = Ft x S _ $ DATE: % IJ "O?- APPLICANT: TeL # 170M ✓0r Call (763) 572.3604 for Porth Feas If mailing in application or F to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge $ 333. S— $ 3_ ar a License Surcharge Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ j STIPU _TIONS: