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PRE 2010 DOCSCity of Fridley, Minn. X9 ` 9683 yly736 BUILDING PERMIT Date: April 22, 1968 Owner: Homedale Blders . Builder _ _ Same Address 5217 Wayzata,. Blvd ; Address Same LOCATION OF BUILDING No. 7549 _met Lyric Lane _--- Part of Lot Lot 11 Block 3 Addition or Sub -Division .-- Me�odv Mano th Corner Lot _ Inside Lot _ _ x Setback 35 ' _ _ Sideyard ____ 10' Sewer Elevation ____ 878.30 881.30 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 24130 Height 20' Sq. Ft. 1032 Cu, Ft. — Front Depth _ _ Height Sq. Ft. Cu, Ft. Type of Construction _ _ Frame Est. Cost —$19, 000 _ To be Completed July 1868 SEWER LOCATION - 3.5' West of Manhole WATER LOCATION z - 7.5' East of Manhole 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 21 provisions of ordinances of the city of Fridley. i 'l — 1i In consideration of the payment of a fee of $41_:_00 , permit is hereby granted to Homedale Blders. 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 ofbuil within nthhe city limits and this permit may be revoked at any time upon violation yf the provisions ofordind Official Jan Gasterland NOTICE: This permit does not cover the construction, installation for wiring, Plumbing, gas heating, sewer or water. Be son to no the Building inspector for sopwate permits for these items. OWNERS NAME ADDRESS 91 1 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 0 BUILDER��;d ADDRESS �f LOCATION OF BUILDING NO. 7J V STREET Z PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT 411_� SETBACK'SIDE-YARD SEWER ELEVATION c TOP OF FOOTING'i e 7' Appl�n�tachJto this orm two certificates of survey of lot and proposed building location drawn on these two certificates. �d6 - %.5- i 4' .. �177 - 1 D 3 z SGRIPTION OF BUILDING i To be Used as: Type of Construction To Be Completed Front p Depth Height nnqq Sq. Ft. f/0 _ Cu. Ft. 2 V 6 ll Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost / 9c� The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley 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. LATE SIGNATURE (Scheule of Fee Costs can be found on the Reverse Side)".\ �,-j 31 0 �.�9� IOC City of Fridley Application for Plumbing and C,as -fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures W C RATE TOTAL Number Fixtures ...................... 12 Y nQZ $ iii w 7Z ? n a N WATER HTR. GAS ELEC. x $3.00 $� New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... g x $2.00 $-'� Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Base 1st 2nd 3rd 4th • Future Connection Openings Connected with * New Fixture, Old Openings Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 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 $� New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $-'� Additional Fixtures .................... x $ .75 $ 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 applic tioae t d correct. Fridley n- ! /� Aflz . 19-0 Owner Kind of Used as To be completed about T to Estimated Cost, $ Old—New. Building Permit No. ROUGH FINAL Business Phone M Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 er GRAVITY WARM AIR: RATE TOTAL Location �� G(�l�/Cs /i i/l✓� Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ City of Fridley: Repairs & Alterations—up to $500.00 .................. 6.00 $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 Repairs & Alterations each add. $500.00 ............... 3.00 $ and ruling of the Department of Buildings, and hereby declares that all the facts GAS FITTING FEES: NO RATE TOTA�,r' and representations stated in this application are true and correct. MECH. WARM AIRII''a $ % Fridley, Minn- 04141� /� 19dg/ Furnace Shell &Duct Work to 120,000 BTU ............ $10.00 $ o each add. 60,000 BTU ....................... 3.00 $ Owner��/�i�7�.E' Replacement of Furnace ............................. 6.00 $ Kind of Building ice/ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ Used as j STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR 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 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTA�,r' 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $$ ROUGH FINAL To be completed about Estimated Cost, $ �' (� . Old Ne Building Permit No. " 1 �D 0 Permit No. DESCRIPTION OF WORK HEATING or POWER—PLANTS—Steam, Hot Water, Warm Air No Trade Name l'x) 42��4-e Size No 0�� Capacity. Sq. Ft. E.D.R y`� BTU P. Total Connected Load Of' / Kind of Fue BURNER — Trade Name�Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS-O4EEW- SAY N- WELTER HEATING 00 463.7 CHICAGO AVE. By Mldbi&' OLIS <a Business Phone No —yW City of Fridley, Minn. 11071 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: June 30, 1971 Owner: Jack FIM Bider Miles Garages Address 7549 Lyric Lane _ Address 4500 Lyndale Avenue N. LOCATION OF BUILDING No. _ 7549_ Street _ Lyric Lane Part of Lot Lot Block _._..._._3__ --- Addition or Sub -Division Mel Orly Manor 4t --h Arldi ti an Corner Lot ___._.... __ Inside Lot --A-Setback — Sideyard 51 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front Z0 Depth 24 Height 10 Sq. Ft. 480 Cu, Ft, 4800 Front .— Depth Height . Sq. Ft. Ca. Ft Type of Construction _ Frame Est, Cost .$1900. To be Completed July 25, 1971 Set garage slab elevation W 1/411 per foot above existing driveway to drain to street. 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 wish 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Miles Garag 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 ordin4neea of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving . of buildings anc'ese. city limits and this permit may be revoked at any time upon violation of any of the iirdin provisions of said %I NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, Bawer or water. Be sure to ssu the Building Inspector for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: JZ2 BUILDER: ADDRESS:, ADDRESS: NO:. STREET • LOT: // BLOCK: ADDITION: CORNER LOT: INSIDE LOT:A SETBACK: SIDEYARD: ,l 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: .Z c, Depth: .12-14 Height: / h Square Feet: �c90 Cubic Feet: -1/c90 p Front: Depth: Height: Square Feet; Cubic Feet: 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 stfict 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: 2 1 SIGNATURE: �� (See Reverse Side For Additional Information.) — a t For the exclusive use of North Star Abstract & Title Guaranty, Inc. ROY J. HANSEN 13907 Spring Lake Road Land Surveyor. LAS' ® F�Y Hopkins, Minn. 55343 SND Telephone 9385678 Civil Engineer OF PROPERTY OF' rr,t 't .� �•1 -;n inti is t2^C'{ TL, f l ` nnx-!'ush '^H =nd -.0 `e LOC\Trpti „�.�,_.., • • - DESCRIBED A5 F011ONS 1,01 11 i1�(l�k• llnl l jV tnar lith Ad.-Ilt. ion, i .. �k v I--- Scale: _—_.__ __inch = 410 feet CERTIFICATE OF LOCATION' OF BUMMING CER"ftFWATE OF SURVEY I hereby certify that onJ,ation _ I9(aJ _ I hereby certify that on _ __ .. �. ___ 19____.. I made a survey of 'the locrt t, di ngts) on the above I surveyed the pmperty described above and that the above plat described property and that the location of said building(f) is is a correct representation of said survey. correctly shown on the above plat. N.S.M. Z `�� ROY J. HANSEN, REGISTERED SURVEYOR NO. 6274 SUBJECT PERMIT NO. City of Fridley 15 8 9 2 AT THE TOP OF THE TWINS BUILDING P E R M l rp , RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8 21 80 JOB ADDRESS 7549 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 3 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lloyd Larson 7549 Lyric Lane N.E. 784-7752 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 20' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. SEPERATE PERMITS REQUIRED FOR W-1R1NG, MEATING, PLUMBING AND SO. 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 240 2400 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 $2,114 $1.06 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- $9.60 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE NONE $10.66 SIGNA R FCONALTOAUTHORIZEEDDAGENT (DATE) �Px'�f., -. WHEN PROPERLY LIDATE THIS IS YOUR PERMIT 9_2 SIGNATUREOF ER OF OWNER BUILDER) IDATEI BLDG INSP F)AjrE CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, -or Repairs) OWNER: ADDRESS: S �� yy'I ,-'a-n e2 TEL NO: BUILDER: ,11 ADDRESS: TEL NO: Construction Location STREET NO: �7 STREET: �Z!^ 1, e � x_ LOT: l l BLOCK: :3 ADDITION: - I'Ie / od X A"/ cth aO - Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Amw,llront: 1� Depth: C t Height:. l ° Squaue. Feet: Cubic Feet:dC� Front: Depth: Height: 1 Square - Feet: Cubic Feet: -51� C Type of Construction: {� _� _! K/4ML, Estimated Cost: $ To Be Completed: / X 9 y Alt. A Alt. B Proposed Driveway Width If New Opening IS Desired: $ $ SEE REVERSE SIDE OF SHEET %lie undersigned hereby makes application £or a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances anc'i rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true an corr ct. DATE: ` % �L� SIGNATURE: Stipulations: �G 6 52-84-x915.51 City of Fridley Application for Plumbing and Cas Ming Permit Dept. of Bldgs. Phone 560-34M DESCRIPTION OF WORK 7549 Lyric Lane Number, Kind and Location of Fixtures Location 47 to $ — x $1.50 $ — x $1.50 $ Z o� e: Z �� Z U w < d w I0 ? • R • N WATER HTR. GAS ELEC Base 1st Enst GasRange 2nd 3rd 4th • Future Connection Openings I wnnearea wim * New Fixture, Old Openings Sewer E] Cesspool F1 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures .................... Gas Range to 199,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ x $2.00 $ NO. RATE TOTAL x $2.00 $ x$.75 $ 1 x $Soo $ 3.00 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. Fridley, Minn 8-15-48 19_ Owner Homedale Bldrs Kind of Building Used as res To be completed about 8-20-68 Estimated Cost, $ Old—New. Building Permit No. .A Pern �No. By Business Phone No ROUGH FINAL E�4 . Description ...................$ TOTAL FEE $ 3-n 42 I T. CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 April 9, 1984 Mr. Lloyd L. Larson 7549 Lyric Lane N.E. Fridley, MN 55432 Re: Concrete Obstruction In The Gutter Dear Mr. Larson: It has been confirmed by recent inspections that you have placed concrete in the gutter immediately in front of your driveway. This practice obstructs the water flow in the gutter and can cause damage to City vehicles when clearing snow from the streets. Therefore the City must require that any material be removed from the gutter. To insure that all the concrete is removed and that there is no damage to the curb, a City street maintenance crew will be removing the concrete. Any initial costs will be absorbed by the City, but if at a later date, it is found that a new obstruction exists, any new removal expenses will be the property owner's responsibility. If you feel that a problem exists when trying to enter your driveway from the street, please contact the City Engineering Department about acceptable solutions, e.g. constructing a new driveway depression. It should be noted that only the City or its authorized contractor can do curb and gutter cement work. The City is confident in your cooperation on this matter and again, if any questions or problems arise, please feel free to call on me at 571-3450. Sincerely, ST EN J. OLSON, R.S. Environmental Officer SJO/mh CC: Mr. Ralph Volkman Supt. of Public Works CITY OF FRIDLEY 6531 UNIVERSITY AVENUE N.E., FR.IDLEY, MINNESOTA 66532 TELEPHONE ( 812)571.3550 October 26, 1983 Mr. Lloyd L. Larson 7549 Lyric Lane N.E. Fridley, HN 55432 Be: Concrete Obstruction In The Gutter Dear Mr. Larson: It has been confirmed by recent inspections that you have placed concrete in the gutter immediately in front of your driveway. This practice obstructs the water flow in the gutter and can cause damage to City vehicles when clearing snow from the streets. Therefore the City must require that any material be removed from the gutter. To insure that all the concrete is removed and that there is no damage to the curb, a City street maintenance crew will be removing the concrete within the next week. Any initial costs will be absorbed by the City, but if at a later date, it is found that a new obstruction exists, any new removal expenses will be the property owner's responsibility. If you feel that a problem exists when trying to enter your driveway from the street, please contact the City Engineering Department about acceptable solutions, e.g. constructing a new driveway depression. It should be noted that only the City or its authorized contractor can do curb and ¢utter cement work. The City is confident in your cooperation on this matter and again, if any questions or problems arise, please feel free to call on me at 5T1-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh US 01, SUBJECT IT NO. City of Fridley 29888 AT THE TOP OF THE TWINS BUILDING PERMIT1. r 1 , NO. COMMUNITY DEVELOPMENT DIV. Z6i`00 v -��_ PROTECTIVE INSPECTION SEC. - I; 1 NUMBER nEv DATE PAGE OF APPROVED 9Y ..... CITY HALL FRIDLEY 55432 1 612-571-3450 910-F15 7/16/99 ,OB ADDRESS 7549 Lyric Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 3 IMelody Manor 4thSHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Nelson796-8801 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 9( REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace 9 windows 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on all levels of the house. 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 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 $1825 $31 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- AC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $66.20 Fire$1.82 PLAN CHECK FEE TOTAfFlE 11211-1 9 uAE�CON'R CTOA OA AUTHORIZED AGENT IDATEI EN P OPE A IDAT HIS IS YOUR PER V�T_-_GNATURE OF OWN R..F OWNER BUILDER. (DATE. BLD INS . t 01, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5W f C Z -m e Legal Description: Owner Name & Address: �Grl< Ay lce-4 —.5cMt Tel. # d l;t - ?X --tel Contractor: 04,rn er' 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 EMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: $ $.50/$1,000 Valuation Construction Type: $ $1050 per SAC Unit Estimated Cost: $ C.riv Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: r 5f APPLICANT: �C,, 40' 17 Tel. # / t2- - I STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 STIPULATIONS: Building PLUMBING Permit No.: 6"- Inspections RESIDENTIAL APPLICATION Received By: rnn 763-572-3604 CITY OF FRIDLEY n - I 1WW4 31 rr--, 0 DATE YOUR E-MAIL ADDRESS '14CJ CArd . CO!!N SITE ADDRESS 'TdL/ 1..x.1 GQL-DeAq THIS APPLICANT IS: )d OWNER 13CONTRACTOR PROPERTY NAME: gSTrA G at'i68 OWNER/ ADDRESS: IWM 44iAeG I.Ade CITY 4Qbz XV STATFO* ZIP, S TENANT T PHONE: 412 - -1 W& • epeza CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK l -10 PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor gslb O x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (NEw ciryucovsE) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ _ _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ _ WATER WTER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00u= $ Surcharge .50 Number of fixiures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAMES'.V._ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit NO-: - / p Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat 'd: DATE 1B ' (0.O Z YOUR E-MAIL ADDRESS 541:De n ["porke caw..., v SITE ADDRESS IM L44 (G E.A2nC . DLd THIS APPLICANT IS: / ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ . NAME: 4rµ± ,frs TENANT ADDRESS:_-7#VY!g LWIG Lille- CITY STA ZIP PHONE: &II -703 •16S Ca CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE SINGLE FAMILYMEW CONSTRUCTION SIZE ❑yyO FAMILY/NEW CONSTRUCTION STORIES PEP -AM TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑MAMENANCE/REPAIR REMODELING gj re ss , dry DESCRIBE WORK BEING DONE: AtlaaL like' SIZE OF IMPROVEMENT LENGTH WIDTH B• HEIGHT N Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural member; to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS. ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project W1aV1D0WS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATIONF WINDOW — I4& 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF A0 g6dJeXLr-A/ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ A 4 d,6 OCCUPANCY TYPE Permit Fee $ //%. as- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ "�o .0005 x Permit Valuation Minimum $.50 License Surcharge $ ./D $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. p q SIGNATURE OF APPLICANT PRINT NAME .7>tCVen FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from Ve licensing requirements. As the owner of the property at Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Name Date 6 •e* • 0 7