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PRE 2010 DOCSCity of Fridley SUBJECT PERMIT 14242` AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT NO. COMMUNITY DEVELOPMENT DIV. L 3-� r � PROTECTIVE INSPECTION SEC. p L� O 7 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 7/26/77 JOB ADDRESS 7512 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Ahlstrom Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cedar Bay Builders 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. D. W. Construction 8804 Lexington Avenue 784-0938 4 ARCHITECT OR DESIGNER MAILADDRESS 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 42' x 24' Dwellin and a 20' x 241 Garage 6 FOR 9 CHANGE OF USE FROM HEA11 PLUMBING AND SO& WIRING, STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Submit design for basement girder before capping. Install windows,or exhaust fan in utility area. SEWER LOCATION (Approx. 8.5' Deep In Street) 155' North of Manhole (N. Inv. 891 WYE ELEV: 892.13 TOP OF FOOTING: 895.13 Minimum WATER LOCATION: 10' North of Sewer Service DRIVEWAY DEPRESSION COST: "Alt. A" 16+6' x $11.75 = $258.50 WARNING of ACCURACY p� Before dining call Total utiliti T;•:,s oATA is. FoUm Me �R�►ttON TELEPHONE -ELECTRIC -'GAS D USING 9 rt1A,PpSFS ONLY AIVD ON THF 51j s� � �`�' REQUIRED BY 1A THE o RMA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1008 + 480 23,280 'Iota ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION j 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $41,890 $20.95 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- STf;UCTION OR THE PERFORMANCE OF CONSTRUCTION. $93.12 $375.00 PLAN CHECK FEE TOTAL FEE o .28 512.3 SIGNATUREOF RACTOR OR AUTAORIZEDA (DATE) H,�,E11N PROPS Y/VYA�,JDATED IS YOUR PERMIT C BLDG INSP THIS DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 7-5 51) 97-84-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEPMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Itimber Fixtures I:"X $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x a Catch Basin Water C) Water Heater- to 99,000 BTU hcn $5.00 100,000 BTU to 199,000 BTO x $10.00 u x $7.00 m x wN x $5.00 !cater 1st 3 fixtures x '$3.00 Additional Fixtures x $1.00 � 4 $10.00 R.1 u First $100.00 v $5.00 each add. $100.00 or fraction $2.00 l f a W11 S 49 ) ai M� viOidti a tG� a w uw 34N Q ua o .as lec pa n 1st d er 2nd 3:-d a c� (,t) d Future Connection Opening Connected with Sewer (6) - New Fixture, old opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Itimber Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater- to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTO x $10.00 Water Softener x $7.00 New Ground Pun Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS & ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REIN,IPE!_T20`t FES TOTAL S $ .50 $ 8.00 .yob Address 7512 WE McKinley Department of Buildings City of Fridley Tel. 11571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 5-19-78 19 OW14ER HOLLOM KIND OF BUILDING frame USED AS T.pq _ r TO BE COMPLETED ABOUT ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. /(p Company Oak Signed By MINK nASCO Tel. No. ROUGH INS?. Date FINALINSP. -®s Date APPROVAL FOR PERMIT i MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLOS $.50 STATE SORQil1= CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS• (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: _ &zxx 34 BUILDER: P, AO,00S FL& / B ?o Address:,0 0 -e c=•` Address: d q/ �O;J V Yl�1? 6 �' S�71 el . No.: d `6 S G33 - 800 Street: LOT: BLOCK: CORNER LOT: INSIDE LOT: SETBACK: -3 5-- SIDEYARDS: 2 A Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. zc%J re -/ DESCRIPTION OF BUILDING To a sed As: Front: "� Depth: 5!� Height: ZO Square Feet: /�� Cubic Feet: '.41S _ Front: f_ Depth: Height: a Square eet: �� Cubic Feet: Type of Construction: To Be Completed: Estimated Cost: - - 'i�/ 89D. Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired 16 $ v $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of 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. D E: SIGNATURE: tipulations: 31 4 9�3 i ,�i e�x�lc, a.3.,zs ywt� ora, 95 15AX-11 40-0 ��o0 B3 0 GERALD T. COYNE 300 .BRUNSWICK AVE S. GOLDEN VALLEY, MINN. MINN. REG. NO. 4741 ` INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING D.W. CONSTRUCTIf N COMPANY o - Denotes Wood Hub Set For Excavation Only ENt'' V4011�� oR G v ®�MO�p1. Ay oQE �, I I I LOT SURVEYS COMPANY LAND SURVEYORS MUSTERED UNDER I.At•6 OF NrATR OF IMTNZB&rA LICENSED BY ORDINANCE OF Mff OF I@TNBAFOLIB 5747 W. Broadway Minneapolis, Minnesota 55428 533-9922 O1trV pro Irreim o. Com, , le ve ►� OW NO GUAMMO 00 #CGRACV CIFclay. All WS TA G FOR� �pAMA11QN rmsom 1lS+ ONmeSn faces 1�v�li -- RAYMOND A. ►RASCH 6917 IDAHO AVE N. BROOKLYN PARK, MINN. MINN. REG. NO. 6743 moics No. 5906 F a No 170-16 WAI1; 1" a 30' 0 — DENOTES IRON WARNING , , 11E.EW=-610S EtC- WEQWRED BYLAW 7 Lot 2, Block 1, AhL9tftM Addition, Anoka County, Minnesota We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all builldings and visible encroachments, if any, from or on said land. signed �- Surveyed by us this 9th - day of June 19 77 LOI SURVEYS COMPANY TIF _ _o6-0 7- INO �/, �� 014 . " ;;�e t4 �/, �� 014 . " ;;�e CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE M PLUMBING FIXTURE RATES: NO. W TOTAL too %a2 x $3.00 X d Water al $ uJ Aa x $2.00 H C� M o $5.00 $ W W x $5.00 Heater d r1 EE++ to Water Softener E -A M M $ N54 $5.00 $ Electric Water Heater x O $ GAS FITTING FEES: 1st 3 fixtures p C� •$3.00 $ 0 v Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU 0 -Ci 1J N ,!� C. n •.i O O O 2 N 3 N N N 0 .0 U a y S a w y w U to 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer M = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures %a2 x $3.00 $ �%.00 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ "S'.0 0 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures / x •$3.00 $ 0 v Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE REINSPECTION FEE ($10.00) Job Address 6, Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn.19= OWNER U KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST !!�� OLD NEW 8 ILDING PERMIT NO. PERMIT NO. /,3,x23 ROUGH INSP. Date Company - Signed By U Tel. No. FINAL INSP. Date APPROVAL FOR PERMIT _21W MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7S7/�j GRAVITY WARM AIR: RATE TOTAL Job Address `L �L / Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $_ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ - / Repairs & Alterations each add. $500.00 4.00 $ Fr• ley, Minn. STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING // each addn. 50,000 BTU 4.00 $ ` Boiler only up to 100,000 BTU 7.00 $ USED AS !� each addn. 50,000 BTU 6.00 $ / /2 TO BE COMPLETED ABOUT 9 ' OIL BURNER- to 3 gal. per hour $10.00 $� each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD UILDING PERMIT NO. PERMIT NO. ![(} (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x Additional Fixtures x $ 3.00 $ 1.00 $ $ DESCRIPTION OF FURNACE/BURNER Gas Range to 199,000 BTU x $10.00• $ HEATING or PO LANTS,, team,,Hot Water,arm Ai No. AIR CONDITIONING $T Trade Name' Size No. HEATING SYSTEMS $ rade See Fee schedule VENTILATING SYSTEMS sq. Ft. EDR BTU HP 41A. ALTERATIONS $ REPAIRS $ Capacity State Surcharge $ .50 Total Connected Load 6 Kind of Fuel IJ TOTAL FEE $ ('.�^' /' / /� BURNER - Trade Name , Size No. �((� �- ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR HP Date ($10.00) Company a moi. FINAL INSP. Date Signed By ®� APPROVAL FOR PERMIT Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURC�iARGE CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 14 N _04 D p0 r vii E-4 3 a w° O b[i p w ra p H v t` b a S c5 tiN v Water Heater as lec 1st 2nd 3rd 4th (R) = Future Connection Opening (*) = New Fixture, Old Opening Connected with Sewer Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction RATE x $3.00 x $2.00 X $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 TOTAL Job Address .5' J2 / a 1 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct f�!' .a OWNER Lj KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. R Company U Signed By Tel. No.�7 ROUGH INSP. Date FINAL INSP. Date x $1.00 x $10.00 APPROVAL FOR PERMIT $ $5.00 $ $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas _L Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 _� Z $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE Is` 50 m JOB ADDRESS_ 7-5-/2- The undersigned hereby' makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application.are truo and correct. J G- 1,y /,7 ,1995 Owner J P r r !�fio ,10./�n- ' Building Used As O'er -e r Estimated Cost �: Y�' PERMIT NO PLUMBING COMPANY SIGNED BY TEL 10. 7f6 ; 2c, Approved By Rough' in Date ' ' Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 11 suaJECTR NO. City of Fridley 23536 AT THE TOP OF THE TWINS BUILDING PERMIT f • -------COMMUNITY DEVELOPMENT DIV I v r PROTECTIVE INSPECTION SEC NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/13/95 JOB ADDRESS 7512 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Ahlstrom Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Hollom 7512 McKinley Street NE 786-2071 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE 11�� 8 DESCRIBE WORK Reroof Dwelling (23 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 $1,265 .63 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 $31.00 Fire SC $1.27 PLAN CHECK FEE TOTAL FEE 32.90 SIGNATU RE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDATED THIS ISS PERMIT "BL IN;P /YYfP'UR q NATE EFrOWNER I IF OWNER BUILDERI IDATEi 11 NEW [ ] Effective 1/1/95 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -✓ ` .3 s Building Permit Application Construction Address: i- �.Z t Legal Description: t Owner Name & Address: P r rTel. # 7''c a o - Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground _ OTHER: ' a 3 cjv s 1 , �`T% .001 of Permit Valuation (1 / 10th %) _2 3 Seva.reS. J Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. TOTAL $ 3 -jA STIPULATIONS: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: �./ 2ZZZ,� Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1 , �`T% .001 of Permit Valuation (1 / 10th %) State Surcharge $ , % 3 $.50/$1,000 Valuation SAC Charge $ $850 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 $ 3 -jA STIPULATIONS: ' SUBJECT City of Fridley rl 2 0 9 9` THE TOP OF THE TWINS BUILDING PERMIT 1?AT f ` IPT NO. DEVELOPMENT DIV. v -------PROTECTIVE ®®� j - PROTECTIVE INSPECTION SEC. E 1 � � NumSEtE pEv DATE 8/24/01 PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 1 612-571-3450 910415 JOB ADDRESS 7512 MCKinley Street 1 LEGAL LOT NO. 2 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Ahlstrom Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADORES$ Jerry & Barb Hollom, 7512 McKinley Street, Fridley, MN 55432 761NE/86-2071 3 CONTRACTOR MAIL ADDRESS 21763-786 763-786MIS LICENSE NO Windows America. of MN, 7928 University Ave, Fridley, 20248265 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 X3 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace storm door, and windows 9 CHANGE OF USE FROM TO STIPULATIONS 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. Caulking & flashing for all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,334.00 $3.16 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- Fire SC $6.33 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $139.25 PLAN CHECK FEE OTAL FEE Lice a Fee $/o0 $153.74 SIGNATURE OF CON'RACTOA OR AUTHORIZED AGENT IOATEI HE PR E LY VALID 39 D THIS IS YOUR PERMIT � � r SSGNATURE OF OWNER OF OWNER BUILDERI IDATEI BILM INS] QA E APR -24-2000 15:34 FROM CITY OF FRIDLEY TO 7868125 P.02/03 NEW t Effective fllr= ADON f i CITY OF FRIDLEY (763) 572-W04 Bldg Imp ALTER l i SINM E FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: %S/2 1944i?LeV fr 'Z, Legal Description: Owner Name & Address: F2 Cy. 64,e6 d L &eX7 Tel. a Contractor: GJ•i li/S 444c4211 � MN LICENSE# A�62 41' e2G S_ Address: 792E Lt?;y Jae. ,t/£ - f orf d Ce t$ M3 Z Tei. p 7G3 - Attach to this application, a Certificate of Survey of tie lot, with the proposed construction drawn on it to sc *. LPANG AREA. LwVth l-..�. Wit He4ht Sq. Ft GARAGE. AREA: Length WkIth HOOM Sq. Ft DECK AREA: Lenga h width HgVGrourid Sq. Ft OTHER: /O t-1 hg l- re*rpf, -F- wiride?�J!'epLace - �.LD�/n �Q�op/' Construction Type: L�° ACBcemfn'� ' Estimated Cost: $ G 3 3 OD Driveway Curb Cut Width Needed: Ft ¢ e Ft = Ft x $ _ $ DATE:NT: TeI. g M USE ONLY - can (M) 672-3614 for Permit Fe" 0 m" in appm Permit Fee t 3q . 2 S Fee Schedule on Reverse Side Fire Surcharge s_—k. 3-3 .001 of Permit valuatio►n (1/10th ) State Surcharge s, 3-1(p $.scal,000 Valuation SAC Charge $1100 per SAC Unit License Surcharge $ $5.00 (State Lit ensed Residential Contradors) Driveway Escrow $ Alt. "A" or Alt. "8" Above Erosion Control $ $450.00 Conservation Plan Review Parte Fee $ Fee Determined by Engineering Sewer Main C $ reernent Neoessary j ] Not Necmary TOTAL STIPULATIONS: ;Fzove 3l f/� 9i / r � �� fes[ � . rr �+'s ��O�P'-" ��►4e�',/J��/` � / Air %� From: unknown Page: 2/4 Date: 7/30/200712:36:41 P r-rorn: � Iryor rnoiey IU. roovgi/woo rdyts, wv Ud►a. rr.xycvur to '.91 nevi Building $ BUILDING Permit No. Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date 0 DATE YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS Sewer Main Charge Total Dae $ -�- $ THIS APPLICANT IS: ❑ OWM DCONTRACTOR PROPERTY OWNER) NAIvffi: f TENANT ADDRBS.S:7S/ ZC k S-'- CITY � I STA _ 32 l CONTRACTOR NAME:SUBMIT STATE LICENSE # EXP DATE _ q m (y W i fE Zl t7CITY r ,*. y�TATE A COPY OF YOUR STATE LICENSE WITH APPLICATION ADDRESS: PH NE 1- 5 t --1M-1-4—&T PROPERTY TYPE S>NGI,E FAMIILYINEW CONSTRUCTION 9IZ II TWO FAMILYlNFsW CONSTRUCTION STORIES PERbUT TYPE O ADDITION O GARAGWSHFA O W01DOWS O BASEMENT FINISH O ROOF O [N TILE O DECK O SIDING �R Jr Y t�ta S h- i'o-gf0s O SWUOMG POOL TYPE OF WORK: ❑NEW ❑ DITION r iv O MAl1V rWANCFlR0AIA MODELfING fie DESCRIBE WORK BEING DONE: Ad -A t &,h U' �Qiaoor SIZE CFIMPROVEMSNT LENGTH HEIGHT Sq. Ft. ROOF 0,HOUSE ONLY �W(JIDTH a s'0.� HOUSE GARAGE A004" E&0M MREMODELINGBURNT; NUMBEROFSQUARES GARAGES U D ATTACHED GARAGE 2. Pmpose Floa Plan 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural membri to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vlnyl OSoflit ADDITIONS. & PO CEM SUBM:T: O AI>sminam O Trim 1. Site Plauftrwy showing the existing stracluns O Other ❑ Fang and proposed project. 2. Two sets of mnaans ructioa PIM 3. Energy Calculations IN WASTING OPMQNGS OYes M40 LOCATION OF WINDOWS OR FOIANEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUM9SR OF WINDOWS ALL ISS ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MAI%R1AL S- ATAL JOB VALUATION S -?(USING THE IM U B.0 FEE OCCIC PA14CY TYPE Plan Review $ Fire Surcharge $ � 3 Surcharge $ License Surcharge $�i /Tib c SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge Total Dae $ -�- $ THIS Is I hereby apply far a building permit ancy conformance whit the ordinaacea and ' as permit but only an application for a it plan in the case of all work w�yequ SIGNATURE OF See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+61= ftx$21 =$_ $450 Conservation Plan Review Fee Determined by Engineering �ant necessary ( ) Non Necessary ( ) haelcs oavable to: City of Fridley Attach PIO POR A PERMIT NOT VALID UNTIL PROCESSED that the information above is complete and accurate; that the work Wil[ be in if Fridley and with the Minnesota Construction Codes; that I understand this is not a not to start without a permit; that the work will be in accordance with the approved vel oPplans. )7 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 7512 MCKINLEY ST NE PIN : 123024110004 LEGAL DESC : AHLSTROM ADD : LOT 2 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING PERMIT =2004-01121 DATE ISSUED: 07/15/2004 VALUATION : $ 9,900.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE; SOFFIT & FASCIA APPLICANT HOLLOM GERALD K & BARBARA L 7512 MCKINLEY ST NE FRIDLEY, MN 55432 OWNER HOLLOM GERALD K & BARBARA L 7512 MCKINLEY ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to viol ancel the provisions of any other state or local law reg4lating c tion orth a 'ormance of constru tion. Applicant Dat1,510 V Bldg Insp_ BUILDING PERMIT FEE 181.25 FIRE SURCHARGE 9.90 STATE SURCHARGE, VALUE 4.95 TOTAL 196.10 PAID WITH CHECK # 9570 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: -/.2 H c I f", le V S M Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Tel. # ? C- 3 7.16 02v7 / Contractor. 6no7LeA/ MN LICENSE # 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. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: P 7 44 e u 77e rS Construction Type: V r h V / Estimated Cost: $'uo Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE:z"S U / APPLICANT: J e r �� l �� Tel. # 786 g2v7 � Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 If using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side $ 65% of Permit Fee $�, .001 of Permit Valuation (1/10th%) $- $.50/$1,000 Valuation $ $1350 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 [ ] $ /` < STIPULATIONS: