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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date:." Owner: ' Address N4 :52j9) Builder Addres LO 10 OF BUILDING - No. Street ° — Part�of _ t t — Lot _ _ ___ Block Addition or SubFpivisio�fa Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Vsed � d� Front l'Depth Height Sq. FL Cu. Ft. Cep Depth JV t t„i rte” f Type of Construction s.�-�. -v' FEei.Cwt , °�._.-�_"'To Sq. Ft. be Completed .._._. Cu. Ft. 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 revoked at any time upon violation. oI tl " of the provisions of said ordinances. tl Building Inspector NOTICE: This pormit does not cover the construction, installation for whIng, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRTDLEY, KMNESOTA Owners Name Builder Address Address � LOCATION OF BUILDING No. Street Part of Lot Lot Block. r Addition or Sub.Div. / ,e Corner Lot_�,Inside Lot 1/ Set Back 3 J Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. I DATE (_ SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley App9cation for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SU 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures d7 p� z O? J (� z� R • N WATER HTR. GAS ELEG +� 3 �R ? 3� o 4' o $� <3 �°d �� go Base 1st / 2nd _ 3rd 4th ' Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL b u Number Fixtures ...................... x $1.50 $� 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 $ 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 applications true al3ad correct. ey, Mina17 .— / 19 OvirnerC�f �.'-2 4 Kind of Building --- Used as 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 --11 Description................................................ $ U TOTAL FEE $— To be completed about N Estimated Cost, $ Old—New. Building Permit No Permit o. Sign By •✓ Business Phone No �-L �1® ROUGH FINAL da 2M 7-59 Application for Power Plants and Heating. Cooling. Ventilation..Refrigeralion 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 ............ &00 $ — y. 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 $ 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 See Fee Schedule ,VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE a S� ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: 01s A f 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. Owner Kind of Building r� Used as To be completed about// i Estimated Cost, $ CC2 O�— Old—New. Building Permit No. Permit No./ DESCRIPTION OF WORK HEATING or POVM PLANTS—Steam, Hot Water, Air o�/� Trade Na Size No 6:A loo P Capacity. Sq. Ft. EM.R �� a ®� BTU H.P. Total Connected Load Rind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe By =42 sM r_sy Business Phone No- Win ows a Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq.ft. IM6 7 a ' ���►/ �t/i�/� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDIN .MILAN• Weatherstrips ® A.S.H.V.E. Btu Construction No. Insulation 16 / j -P Guide &If J� Glass n ows ors I Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Y Y o 19_ -m.7 11 s!_ Net exp. wall / Fl. ,.;.ems Room I Length -V® 4�idth/-2 r Height �.',, II Fl.l Room I Length y'_ Width Height ° Win ows a Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq.ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. oG --V :. -e7l-® / ;2O /fa A Coef. ge, I —7-0-o ® Coef. Btu Infiltration .52,5� 16 / j -P Glass &If J� Glass mac? //0-0 Exp. wall -?,I Int. wall �f�® Exp. wall ems. -5-6.0 Net exp. wall /a?/ /d /./� Net exp. wall Ceiling Inc. wall / /®F%f / 0 /1`5-0 Int. wall Ceiling — /0 166-0 Ceiling -- Floor /7,0 / 5,a Total Btu. / 6 1 Required sq. ft.E.D.R. or sq. ins. W.A. Leader area F1.1 ewe Room I Length 9'9- Width //' Height Windows an ours—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq.ft. Width Height No. of Lineal ft. Area No. ofpaneof pane lightsof crack sq. ft. X -70 62Z // Coef. Coef.1 Coef.1 Coef. Btu Infiltration / .52,5� 16 / j -P Glass Glass Exp. wall mac? //0-0 Exp. wall -?,I Int. wall 10 -5-6.0 Net exp. wall /a?/ /d /./� ® Ceiling Inc. wall / /®F%f Floor Ceiling — /0 166-0 Floor -- Total Btu. 5` Required s . f E".. or sq. ins. W.A. Leader area F1.1 I- Room I Lenath/5/ 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. ��.� 4 X -70 62Z // Coef. Coef.1 Coef.1 Btu Infiltration / / Glass 16 / j -P Glass S1 C --U Exp. wall O Exp. wag Net exp. wall Int. wall 10 -5-6.0 Net exp. wall9 /a?/ /d /./� ® Ceiling Int. wall / /®F%f Floor Ceiling — /® 166-0 Floor — Total Btu. 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 panes of pane lights of crack sq. ft. Coef. Coef.1 Btu Infiltration 15Y / _:iV Glass O `9kno .5-0 S1 C --U Exp. wall exp. wall /�- ® Net exp. wall Int. wall 10 -5-6.0 Int. wall /a?/ /d /./� Floor Ceiling ® / /®F%f Floor — Total Btu. Io?® Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI_I-Q _ D Room I Length //' Width //' Height !, 'l Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panes lights of crack A. ft. Coef. Btu Infiltration 15Y //// Glass / O `9kno Exp. wall o? 1-116Net exp. wall /�- ® /� 5'7`0 Int. wall Ceiling /a?/ /d /./� Floor % j ® = ze Total Btu. I, Required sq. ft. E.D.R. or sq. iris. W.A. Leader area / FIJ :2 A"- 1/ Rnnm I Lenath/.� _`/' Width/-.-) Height /f'/ 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 15Y 1/2, Glass fly Exp. wall 2 aq/ Net exp. wall /® p Int. wall Ceiling Floor ® O �B Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area lYS6 � s HEAT' LOSS CALCULATIONS DEPARTMENT OF BUILDINGS . IL -MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19- 0 F1.1 ,4 A J Room I Lenath IA" Width Height p' II f� Fl.l � a• oom I Lensrth oVA 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. Width Height No. of Lineal f . Area No. of pane of pane llghts of crack sq. ft. fg �y 1/4Z Coef. Btu � Coef.1 Coef. Btu Infiltration Btu Infiltration Glass Int. wall Glass Ceiling Exp. wall Floor Glass Exp. wall Net exp. wall Net exp. wall Exp. wall — /® 4 Int. wall Floor Ceiling /- Floor ® �� Total Btu. • f� / �. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl -1 J1 Room I Length /,!:�;Width ..6-1 Heistht 4� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. fg �y 1/4Z Coef. Btu � Coef.1 Btu Infiltration Infiltration Btu Infiltration Glass Int. wall — Ceiling Exp. wall Floor Glass Exp. wall Net exp. wall Int. wall Exp. wall — Ceiling Int. wall Floor Ceiling /- Total Btu. Required s . . . or sq. ins. W.A. Leader area F1.1 n Room ILenath n:7R- Width �.�'Heiaht Windowss'and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. fg �y 1/4Z Coef. Btu � Coef.1 Btu Infiltration Btu Infiltration Int. wall Glass Ceiling &Z Floor Glass Exp. wall .� Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Floor ® �� Total Btu. -:v- / A 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. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. fg �y 1/4Z Coef. Btu � / , .� Coef. Btu Infiltration Int. wall Ceiling &Z Floor Glass Exp. wall Net exp. wall Int. wall Ceiling Floor fy�i Total Btu. ®7' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room j 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 Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I Room I Lenath Width Heistht 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 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT P , City of Fridley 1349 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 ; i NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �•"' �.J 612-560-3450 910-F15 5 6 6 JOB ADDRESS 1151 Lynde Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 1 Lyndale Builders 6th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arnold Ervasti 1151 Lynde Drive N.E. 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Enclosing existing entrance and opening new entrance downstairs 9 CHANGE OF USE FROM TO STIPULATIONS Subject to Building Inspector's approval. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 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. $1,500 $.75 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- $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.75 GNA URE OF CONTRWO50 AUTHORIZED NT (DATE) WHEN PROPERL VALIDATED THIS IS YOUR PERMIT �s / { 7 - h - 7,-(m � SIGNATUREOFOWNERII NERBUILDERI (DATE) BLDG iNSP DATE ✓ APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :A� ,�/Q� 0 _��/C�,i 6 BUILDER: _Z�'�/i /V ADDRESS : /�S/ %y`,��1 �j,�' ,�'_ ADDRESS :"rn orc 1q6 NO:.. /457 STREET • L �J AJ DL 6e -WL, LOT: _3 BLOCK: / ADDITION: LV,JQA� -ut-oaS (o;4 CORNER LOT: INSIDE LOT:ETBACK: SIDEYARD: Annlii+ant attach .to t1!is form ngn Certi.ficates of Survey of Lot and propos :!d building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: & cQ LoS 1116 EX i4,—Ft AJ 6 &2oq ov C� MEW EA1:.e,4Auc.� /30UJ.11 Srq < <es SPS `T Front: Depth: Height:_ Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: Lula(.., Type of Construction: �P �-/%'® �� � Estimated Cost: To Be Completed: %V The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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. DATE: - —5'-- 6 - :7SIGNATURE: (See Reverse Side For Additional Information.) mss' 01 SUBJECT PE IT NO. City of Fridl y o 1774 9 AT THE TOP OF THE TWINS BUILDING PERMIT r REC O. Ulu _ COMMUNITY DEVE OPMENT DIV. / r PROTECTIVE INSPECTION SEC. L,� 3 / --I CITY HALL FRID EY 55432 NUMBER REV. DATE PAGE OF APPROVED BY , L J` 612-571--3450 910-F15 10/2/84 JOB ADDRESS 1151 Lynde Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Lyndale Builders 6th. Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Arnold Ervasti 1151 ::,ynde Drive.N.E. 571-1617 3 CONTRACTOR M IL ADDRESS ZIP PHONE LICENSE NO. D & D Home. Improvement Inc 7401 Central Avenue N.E., RK Fridley 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER M ILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 9 CHANGE OF USE FROM TO STIPULATIONS Roof Can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELE TRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID It 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 XAMINED THIS APPLICATION Z ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE F WORK WILL BE COMPLIED $2/842 $1'42 WITH WHETHER SPECIFIED HEREIN OR NOT. HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY O VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROV SSIO OF ANY OTHER STATE OR LO AL LAW REGULATING CON- TCTI NOR THE PERFORMANCE OF CONSTRUCTION. $38.50 LAN CHECK FEE TOTAL FEE $39.92 SIGNATURE OF CONTRACTOR OR AUTHORIZEDENT DATE( WHEN PROPERLY VAL TED T:LOUR PERMIT /,r) =. SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI BLDG INSP F)AT 01 NEW [ ] City of Fridley Effective 4/1/84 IADDN. I ] R-1 AND R-2 ALTER. [ ] ]Building Permit Application .. Construction Address: Legal Description: - y Name & Address: : Z(1 L����5II Tel. # _ %��� Contractor: � � �'�/�+� 'vim Tel. # - �� Address • Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. lDESCRIPTION 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 Eorner Lot [ ] Inside Lo [ ] Ft. Yd( .-Setback Side Yard Setback it- ct on: e OAF -L Estimated Cost: $ !ype of Cons r etion: /- lJ _ pprox. Completion Date: Alt. A Alt B roposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation TE: j® APPLICANT: Tel. # - CITY USE ONLY Permit Fee $ 3(f__.5-0 Fee Schedule on Reverse Side Plan Check $ 2% of Building Permit Fee State Surcharge $ / G/Z $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ 3 z Agreement Necessary I ] Not Necessary [ ] TOTAL $ IPULA SUBJECT City of Fridley33278 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. i LV COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 ; � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 11/26/02 10B ADDRESS 1151 Lynde Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Lyndale Builders 6th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jon/Wendy Erickson 1151 Lynde Drive NE 763-571-4921 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 Ck NEW ❑ ADDITION (j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 23' x 18' Detached Deck; install a patio door 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1..2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 $4,921 $2.47 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. $111.25 Fire SC $4.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $118.64 SjG AT RE OF N'RA R OR AUTH iZED AGENT iDATEi \ WHEN PROPERLY VALIDATED THIS IS YOUR ((P��E1MiTT 1` (0 lV� N E OF OVYNE21irwap BUS DERi I OLOG INSP TSA TE NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I Legal Description: Owner Nan Contractor. Dk� VC Effective 1/1/2002 (763) 572-3604 BI g Insp D`' Tel. # -AP �-S(1-'f'�I Address: 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 P GARAGE AREA: Length Width ) Height Sq. Ft DECK AREA: Length Width Hgt/Ground -7:,3" Sq. Ft 3A I OTHER: r - - , - j dof * i o r�o -Z�i 6aP Construction Type: Estimated Cost: $ de& * i'sw �?/ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ (Dec ki DATE: I PLICANT: Tel. # 7&3 -371--4U Call (763) 572.3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 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 TOTAL $ fla. a. 0 STIPULATIONS: