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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° 5 0 5 2 Address Address 'I.0 N OFWI G No. 4 I6 . . Street _ P of Lot Lot _ Block* A tion or Sub -Division Corner Lot �__A '- Inside Lot Setback - -_ _ _ Sideyard r1ZL Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T� Used Front 1 Depth Height Sq. Ft.12W Cu. FLO Front Depth Heii t 1. Ft. Cu. Ft. — Type of Construction At*,- Est. Cost � � *�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. j .� A" � .r In consideration of the payment of a fee of $ '�'"""'"F , permit is hereby granted to to construct the building or addition as described above. This permit is grantedupon 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 "dley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any timeupon olatiop.any of the provisions of said ordinances. � " Building Inspector NOTICE This pennit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be are to see the Building lospector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION LOCATION OF BUILDING No. ® c) Street Z 6- ® ® - M e. k N L E(e Part of Lot Lot Block Addition or Subdivision��eF A1.4c f &,f � Corner Lot- C1 S Inside Lot Setback 3 S Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Frontepth L ( Height Sq. Ft., z Z 3 IF Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction FRA" r- Estimated Cost 0/j/ 00 To be Completed IUA P� c A Ls z 9 d / tv 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. ^ A DATE SIGNATURE__ (A Schedule of Fee Costs can be.found on the Revero,Side.) Application for Power Plants and: Heating, Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: 4 Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 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 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ c 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 ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FFE Dept. of Bldgs. Phone SII. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are,,true and correct. Owner _ Kind of Used as To be cc Estimate 194-1 Old—New. Building Permit No. Permit No. /3 6 DESCRIPTION OF WORK HEATING or POWPR PLANTS --Steam, of Water Warm Air—No a � — 1 s - Trade Nam �' � Size No Capacity Sq. Ft. EM.R- BTU H.P. Total Connected Load Kind of Fuel c BURNER —Trade Name Size No Capacity Sq. It. E.D.R BTU H.P, (REMARKS—OVER) LdrSign e —7, cs4z 2M 7-59 Business Phone HEAT LOSSP Wtlh tr' I,'. O%Tr T%V rii 1 ea ers ips Guide WindowsI Doors Reference Out. Wall I Int. Wall I Ceiling 1__Boof I Floor Yes—No Yea --No 19 47 F1.1 Room I Length I -1Y Width ,®/ Height i f F1.1 Win ows and Doors—Crackage and Area Windows and Width Height No. of Lineal ft. Area Width No. of pane of pane lights of crack I sq. ft. No. 1 of pane Windows and Doors. I I I Coef. Btu Infiltration ,& Glass SD $® Exp. wall Infiltration / Net exp. wall Glass �S Flo Int. wall Exp. wall 9 ®2.3 /J1 Ceil.or floor 3 Total Btu. ISO ® � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceil. or floor '? Fl.1 Room I Length -4/ 7 Width Heisht Windows and Doors. Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft' s Coef. Btu Infiltration / D l® flo Glass ,T� Exp. wall Net exp. wall !off 1 4W a p lv d Int. wall Ceil. or floor � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.j Room I Length Width Height Windows and and al ft I I I I Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int, wall Ceil. or floor Total Btu. Required sq.ft.E.D.R. or aq.ins. W.A. Leader area D.56 �� �oA dYlf lfe,0W eo71■. Rush Pro co» Priwtem N EA _ r t > MIPOLIS. MINN. Insulation Kind I How Applied Room Width and Area eal ft. I Are` Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceil. or floor Total Btu. Required sq. ft. E.D.R. or. sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area I Width I Height No. of Lineal it. Area No. of Irene of Dane lights I of crack so. ft. I I I I lCoef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceil. or floor Total Btu. Required sq. ft. E.D.R. or sq. ins.W.A. Leader area F1.1 'Room I Length Width Height Windows and Doors—Crackage and Area Infiltration Glass Exp. wall Net. exp. wall Int. wall Ceil. or floor Total Btu. Required sq. ft. E.D.R. or sc ins. W.A. Leader area RM e 3 z ,•-fiEAT LOSS CALCULATIONS DVARTMENT OF BUILDINGS 2 , MINNEAPOLIS. MINN. Weatherstrips ii A.S.H.V.E. Construction No. Btu Insulation 6,9 Guide 2 79,0 Glass 5' d'D WindowsI Doors Reference Out.� Wall I Int. Wall Ceiling jjRoof I Floor Kind I How Applied No a -No 19 � Exp. wall I 2s/ Rnnrn Ad O W;,4+h 0 154, Ceil.or floor Total Btu. F1.I�®�I r Room I Length idth 12 Height : ® l.�' Room l Length/Y° Width 2/ Height �® ? F�s`��« �'°i Windows and Doors—Crackage and Area '°�9 J1' a/1 oA 7 je Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. —� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack I sq. ft. s ' 71 .9-,22,5" 5 e 3 z No. of lights Lineal ft. of crack ® Area sq. ft* Ifl3 /.2 !J Coef. Btu Infiltration 6,9 /10 2 79,0 Glass 5' d'D 2s:f Exp. wall 63 -,i ,21000 Net exp. wall 2.1,4 Jd .2/1,0 Int. wall 50 -'Idol Exp. wall 2s/ Rnnrn Ad O W;,4+h 0 154, Ceil.or floor Total Btu. 121,11 Net exp. wall kz 7,?, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area oA 7 je / FI.1j®j,,, Room I Length.,?P'r Width,/ Height AP's' Windows and Doors—Crackage and Area 71 .9-,22,5" Width No. of pane Height of pane No. of lights Lineal ft. of crack ® Area sq. ft* Ifl3 /.2 !J m_— �6 2 l® /D Coef. Btu Infiltration Mmumv Int. wall -® 63 -,i ,21000 Glass Ceil. or floor /VT /10.0/ 6 F 50 -'Idol Exp. wall / FI_I P,,,/ Rnnrn Ad O W;,4+h 0 154, /® /-f Net exp. wall oA 7 je Ceil. or floor '7f rl Int. wall 5 /d Y,0 Ceil. or floor . Total Btu. Required sq, ft. E. D.R. or sq. ins. W.A. Leader area F1.1 ' Room I Lengthl,40 Width Height j?° ndows and Doors—Crackage and Area 'Fr! d9 Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. 10 e+� Meme II JCoef. m Infiltration mm`l /.2 !J m_— /G as 3 Mm Exp. wall mm— Mm > ' e Mmumv Int. wall �q.ins. W.A. Leader area I I II JCoef. Btu Infiltration / ® /.2 !J Glass /G as 3 Coef. Exp. wall Infiltration Net exp. wall /P 3 Int. wall -® S 7a Exp. wall 1010 a Ceil. or floor /VT /10.0/ Total Btu. Int. wall Required sq. ft. E.D.R. or. sq. ins. W.A. Leader area / FI_I P,,,/ Rnnrn Ad O W;,4+h 0 Windows and Doors—Crackage and Area 12,':. 910'9 WidthHeight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area ,, A�I — AL— WidthHeight No of Lineal ft. Area No. of pane of pane lights of crack sq. ft.2 /G as 3 Coef. Btu Infiltration "/® 12410 Glass 17 -® S 7a Exp. wall 1010 a O�. D Net exp. wall / -4 Int. wall Int. wall 154, /® /-f Ceil. or floor oA 7 je Total Btu. 6 / Required sq. ft. E.D.R. or sq. ins.W.A. Leader area awvaaa i a..cug,.aa Z TV au ua®Cf a aaagan. Windows and Doors—Crackage and Area ,, A�I — AL— WidthHeight No of Lineal ft. Area No. of pane of pane lights of crack sq. ft.2 /G as 3 Coef. Coef. Btu Infiltration S 7a Glass �` a O�. D Exp. wall �f Net. exp. wall Int. wall Ceil. or floor '7f rl SS'51 Total Btu. . ri. c.L.n. or scl. ins. W./A. L.eaaer area City of Fridley, Minn. BUILDING PERMIT N® 622 Date: 1,0-17— Owner: ,0-1 — Owners ; ,✓ �`�'� Builder' Aria �4 ' Address Address L TI N ONG No. Sheet. P fLot Lot Block Addition or Sulb-ivision / JrZ Corner Lot — Inside Lot SWback : Sideyard Nei• Sewer Elevation __ _— Fo dation Elevation DESCRIPTION OF BUILDING T sed as: Front Depth Height- Sq. FL Cu. Ft.' t Depth - freight ' f Sq. Fk ` Ca. Ft. Type of Constructi Fast. Cost 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 ail provisions of ordinances of the city of Fridley. In consideration of the payment 69 a fee of$.1 ,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 asci 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. �'a 1;��'I t`'''► Building Inspector NOTICE: Uh permh don not eerar the eonfrusHon, hnhUMion for wWnV. phanbino, ga hnaHne, sower or wabr. Be sun to ne the BuffsUne hapator for operate permhs for than Neon. y APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MiiNNESOTA Ivner's Name ad=giaa, �IL2=C4 Builder, Address 'LOCATION OF BUILDING no. 00 N,C Street07. Lot Block Addition or Subdivision Corner Lot 6'`J Inside Lot SEWER Of Lot ide-Yard .� ELEVATION 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; j&1 A&Front Depth, eight le Sq. Ft, I°�, Z Cu. Ft -'U Sim Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �ya.Z, Estimated Cost15 F,,1 To be Completed The undersigned hereby.makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. C (Schedule of Fee Costs can be found on the Reverse -Side). 53 -8h -S-915.51 L H -j of %Tidloy - Dopt. of Bldcs. phone M-3450 DESCRIPTION O? d1011 6600 N. E. Mc Kinley Street__ Nuinbor. Y.iad send Locr-ion of Fimtures Locaii°a • Furua* Coa.:oc11-n Oponu ,s = Xsw Fl=tLro, Old Opoaings PARTIAL RATE SCHEDULE .�i.�CrOr C] Ccscpool C] PLUMBING FIXTURE RATES- NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 S _. New Fixture Old Opening.. ..:.... x $1.50 Catcb Basin.. o ............. o x $3.25 $T_— Water Heater 'Up to 99.000 BTU). 53.00 N. WAM b.TR. GAS tLfC. x $125 S El*ctrio Water Haatar...... ..... s $2.00 $ ZAS FITTIXG FEES: NO. RATE TOTAL o., x $2.00 $ ,Additional Fixtures................ x $ .75 $ Gas Range to 19.9.000 BTU ........... I 6 i Ea:r i 1st In to 1 Gas Grill 3:d ws • Furua* Coa.:oc11-n Oponu ,s = Xsw Fl=tLro, Old Opoaings PARTIAL RATE SCHEDULE .�i.�CrOr C] Ccscpool C] PLUMBING FIXTURE RATES- NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 S _. New Fixture Old Opening.. ..:.... x $1.50 Catcb Basin.. o ............. o x $3.25 $T_— Water Heater 'Up to 99.000 BTU). 53.00 $ New Ground Run Old Bldg....:..:. x $125 S El*ctrio Water Haatar...... ..... s $2.00 $ ZAS FITTIXG FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • • • • • • x $2.00 $ ,Additional Fixtures................ x $ .75 $ Gas Range to 19.9.000 BTU ........... x $5.00 6 City of Fridley: The undersigned hereby makes application for a permit for the arork herel specified, a„reefing to do a:1 «•ork in strict accordance with the C:t7 C.diraace and ruling of the Department of Bu':d.:ngs, and hereby declares that all the fact and representations stated in :his appL'cation are true and correct 7 -17-75 19_ Fridley, 9'.inn Owner James H. Peterson Kind of Building Frame Used as Res. To be completed about 7-24-75 Estimated Cost, $— 10.00 Old- Building Permit No Pam It No. Signe ` & ° By MINNEGASC? _. Business Phune : io ROUGH REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Install Gas Grill 5.00 .................. ' TOTAL FEE S 5.50 'A SurchargeO.ii ' City of Fridley SUBJECT PER . 14863 AT THE TOP OF THE TWINS BUILDING PERMIT r RE • COMMUNITY DEVELOPMENT DIV. 1 �y •�•••�, r � � PROTECTIVE INSPECTION SEC. y p q 1 = � 1 /'•'1 CITY HALL FRIDLEY 55432 NUMBERDATE REV. PAGE OF APPROVED BY L•'•' ,'J 612-580-3450 910-F15 8/18/78 JOB ADDRESS 660.0 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 Moore Lake Park 2nd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE James Peterson 6600 Mckinley Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Heritage Builders 409 Maple Avenue N.E. 922-1757 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 2116" x 24' Addition 9 CHANGE OF USE FROM TO `STIPULATIONS Provide truss design by Sept..l, 1978. Install smoke detector in home. W&RIVING SEPERATE PERMITS REQU RED FOR WIRW Before digging cell local utilities HEATING% PLUMBING AND SIGNS. TELEPHOM • EL[CTR',C - GAS Ute;, REQUIRED 8'1' LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Fray THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $13,170 $6.58 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- $24.78 NONE STRUCTION OR THE PERFORMANC F CONSTRUCTI PLAN CHECK FEE TOTALFEE �� �- $ 6.19 $37.55 SIGNATURE OF CONTRA R OR AUTHORIZED AG10 IDATEI WHEN PR PERLY VALIDATED. THIS IS YOUR PERMIT 1, ©m, &LiJ &-i:�—o & BLDG. INSP DATE SIGNATURE OF OWNER IF OWNER BUILDER) (DATE) ►1' I • CITY OF FRIDLEY APPLICATION FOR RESIT ENTIAL BUILDING PEIMITS !� (NEW, ALTERATIoNs, ADDITIONS-, OR REPAIRS) OVINER: Z -Ar Es r f -W 446Aj AbILDER: �Z-CRr Tom° LJ Address: 4ccva Address: 9 /�IPLt� C'` N• C� Tel. No. 9' 2:1.- Zfi` No.: &0 Street: /*-1 e110/A.*4 47 46 LOT: BLOCK: ADDITION: M 00t?G 44/4 (- CO:2NER LOT:_ INSIDE LOT: SETBACK: SIDEYARDS: X71 Applicant attach 'to this form 'Pao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: s � Depth: At Height: / 1 Square Feet: o�`�� Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: A, k® Estimated Cost: $ _ To Be Completed: J ®/ - 2P �3 ®'Ade e Alt. A Xt. B Prciposed Driveway Width If New Opening Is Desired $ $ (SEL' 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 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. See reverse side for additional information. DATE: �` % E� SIGNATURE:rov � Stipulations: 4 c o?� 79 3 7 S5� 3 s ori 7VrAlIr- pz."� HARVEY, A. CARrW;R GHT ' Tl "jL OLSON ANOKA .'COUNTY SURVEYS HENNEPIN COUNTY SURVEYS LAND SURVEYORS MINNEAPOLIS SURVEYS 6410 SHADY OAK LANE N.E, REGISTERED UNDER LAWS OF STATE OF MINNESOTA SUNSET 8-0078 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER 345 PLYMOUTH BUILDING LINCOLN 8721 INDUSTRIAL - JUDICIAL 9USiNES5 - TOPOGRAPHICAL 11CbCY0r'$ Certificate CITY LOTS - PLATTING ' B. .'. H_:rstad Co., Inc. rte, IOiD7'J z y,0 _ _ r _7NkI r k� - -- - J1741 11-1 _1 !- - -- --- -- COMBINING THE RECORDS OF J. E. HILL., CIVIL ENGINEER E5TABLISNED $a" C. F. SANDHOFF CIVIL ENGINEER ESTABLIS NE0 1908 JAMES NELSON SURVEYOR E3TwBL15MHD fY17- METROPOLITAN LAND SURVEYORS, ESTABLIBNHO t99f Invoice 194-4.3. I e)61/72 f I heroic certi."'; :fir. this is true and correct plat o a survey of: Lot 7, ,:oore Lake Part: :Econ: '_dciitzon, _`noka County, �:innesota, as surveyed by me u:L s 8th aa�l p-' Layj ] j� SIGNED " P _... -WRIGHT - G AND OLSt7N su9.IEcr IT NO.------, City of Fridley 29648 2 9 6 4 8 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. L ------ INSPECTION SEC. 7 r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY l 612-571-3450 910-F15 16/8/99 JOB ADDRESS 6600 McKinley Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 7 Moore Lake Park Second Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Madden 571-4815 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Construction 4208 83rd Ave N Brnnklyn Pk 55444 566-5225 20079950 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Xk REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (30 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WH ER SPECIFIED HEREIN OR NOT. T GRANTING OF A PERMIT $2622 $1.31 DOES NO RESUME TO GIVE AUTHORI T IOLA E OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER STATE 0 0 L LA4 REGULATING CON. STRUCTIO'fi bQ THE PERFORMANCE O 0 TRUCT ON $83.25 fFire S $2.62 PLAN CHECK FEE TOTALF " 40ATIE: licen $5. . 8 SIGNA TUBE OF CON A ROR AUTNO iZED GENT N OP ALI AT MIS IS Y R P BLO -NSP I QAtF S-GNATURE OF OWNERJF OWNER BUILDER, iDATE, APR -14-1999 NEW" •-L 1 ADDN [ ] ALTER [ ] ConstructionAddress: 11:34 FROM CITY OF FRIDLEY TO CITY OF FRI DLEY SINGLE FAMILY AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATION to 111'lC%C% 1917 Legal Description: Owner Name & Address: Contractor; Address: LIVING AREA: GARAGE AREA: DECK ARTA: M 5667183 P.01i02 N% OT 'It l Tel. # l`T�% S� _ MN LICENSE # �2 00 '7 93- 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. OTHER: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $_ — � APPLICANT: l " Tel. # S �� DATE: / `" Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE QNLY— S $ Ca --92— Fee Schedule on Reverse Side $ 001 of Permit Valuation (1/10th%) $ / 3$.50/$1,000 Valuation $ $1050 per SAC Unit $ � . �J o $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 [ ] WMM. r1HV of Grldt" Th. i-i".AR' Amlo Patin. 1/A llutw 7121 MM 1 -11 -AN Phd Building ILDING PaP=it Na.: y BU Inspections RESIDENTIAL APPLICATION ROM"d By: 763-572-3604 CITY OF FRIDLEY A Date Rev'd: 1)ATFS 4� d _ YOM FS.MAM ADD1t,k:Sffi S= ADDRESS �u G f ¢ •� �i7r _-- _ TM APPLICANT APPLICANT IS: - _ a OWNER I PPMACTOR _ TENANT ;LS 1�11-2 NAME: --0-1Y " t iL & *7'C%l� SUBMIT A COPY OF STATE LICHKSB # 9a WeEXP DATE YOUR STATE LICENSE ADDR6S So—A2..s-._1—.o .epi`. WITH AP'PLICKrION mr mr. `? 7 n 2 -• 9 X- ?- `&1.4 c- A AY Z36- C3 3ea- t3 BASIi114I3N'r MM8H DDBM TYPE OF WORKt 1 O NUW ___...._.._...... -13 MAW DBSCR B WORK BRING DOLE: NUMEm OF SQUAMS9 ©HOM & GAMOR Fie Bvrolwas O ATTAC ED GAUGE tYROPGSirB� SM: © DETACMD GARAGE PROPOSED H1;M. ..1 _. MR 13vio coono Curb Girt Escrow $ CJ Oars �� Ct Faede W IN G OPMMS *as Ma uXATIq'N OF WINMW3 Olt FOR NNW OPMONGS(DWRM SIM, OF $ OPEN O CHAN= 7k % _ � PIM Review $ Fie Bvrolwas SIVOU"s L. License Surcharge ..1 _. SAC Charge Curb Girt Escrow $ Erosion Conixol ; Perk Fee S Bower Main Chau $ THE 1997 U.B.0 FEE SCEMDULM — MN"nPAnrr DRAIN TIED OTHER BAslaufM RBMOI7B3I M SUBMIT: 1. rkw Plan 3. W. bbawW FORNBWCONSTRkIGTION C[W= DBM& AZA�PpM. .M. S : 1. Ske wo uaval+ shmius Me a *UNt M I Two Wo of c99q tl piece 3. teem Cakulatil m t AFW 65% of Building permit Fee .001 Umes tho total jolt valuatlau .0005 x Permit Valuation Minimum $.50 $5.00 (StaW Lioensed Rosidontial Caatmotors) $1550 per SAC Uni1(Flow to MWCC for determination) $+6a= Sx$21 ffi$ $450 Conservaticu Plan Review Fee Determined by l3a&eering Agrcomerd necessary ( ) Non Necessny ( ) THIS IS AN APHWATION FOR A MU NOT VALID WM P10CESSSD I hereby apply for a buildi% permit and I acknowledge that the information above is complete sad acct te; that the work will be in confa m mm with tba ordinances end codes of the City of Fridley and wiilt the 1Minatoota Construction Codes; that I mdar dmd this is not a permit but only an application for a permit and work is not to stars without a permit; that the work will be in aocordaaee with the gproved plats in the am of all wor requires review and approval of plans. SHWATIME OF APPLICANT �' e -,PMT NAME DATE ird WcloZ:2.0 90M tis~ 'int 48i TT4SM: 'ON XUd halptaj .to Alm: 14D:u