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PRE 2010 DOCSVe I City of Fridley, Minn. BUILDING PERMIT Date: ...,�..1 ............................... Owner.. .: Builder ......... �o Address . !� .. , /�% ... . �� Address ......... x N® 3193 LOCATION OF BUILDING ..4.47P... Street .. )424A -u..... 51 ................... Part of t ... ..... .. .... . Lot ....... ... Block ..... I ........... Addition or Sub -Division ..&. ... � 000, Corner Lot .......... �. Inside Lot ... A/ ........... Sideyard ... / ........a , ......... Setback I PV °. _71 i...- - f. - °- %w -� %)L. _ IA %!s ..e - DESCRIPTION OF BUILDING AbeUsed as: . ........ Front . a. Depth .P... Height ........ Sq. Ft. 6Y Cu. F't. ........ .................... Front... Depth Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ��...... Est. Cost. ®� QQ �... To be Completed .a ....... e In consideration of the issuance to me of a permit to construct the building desribed 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. ,o:.. ... . ........... ............ In consideration of the payment of a fee of $. /I �:. ., permit is hereby granted toA4-&..... . ......................... to construct the building or addition as described above. This permit is gYanted 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. r Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Mian. BUR DING PERMIT N°55'7'7 Date: Owner: I Builder oe Address Address 1�0 I OF BUILDING No. ��Street-�!fe�. '�� __ PaWoft _OP 4Lot �_ —_— Block Addition or Sub -Division -� � �� Corner Lot ---- Inside Lot _ _ Setback — Sideyard Sewer Elevation — —. Foundation Elevation DESCRIPTION OF BUILDING To,.be Used as: _ Front Depth _ Height Sq. Ft. f Cu. Ft.424 Fro tom— DepthHeight ______ Sq. Ft. Cu. Ft. Type of Construction Est.. C � _ 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. 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, city g location, construction, alteration, maintenance, repair and moving of buildings withithe this permit may be revoked at any time upon violati of any of the provisions of said ordinances. .n x /f Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Impeder for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING -10 No. StreetS�V1,.&A.-Or art of Lot Lo f Block / Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING Sq . ight+_ Ft. ,.?,:2 96, Pu. Ft. _&Z Z_ FrontDepth Leight S 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 of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correc DATE C� / SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 97-811-879001 APPLICATION FOR PL1J1'ID I NG AND GAS F I TT I NG PE W'1 I T • ' VI (1 e tj W r1 C' 1 a A �i yy.. N a 01 .� IA cp 1�1�j •% N IA q (•� .C. VI G •1 •f h C C r1 � A w vt N U� G 4 A q pN 8 P, W �UU H !� VI u as U I, M 6 C u N. a s p, N to 4j W u '' VI b, VI ,C W.Ater Hester ;as ale $ Ne+ Fixtuca, Old Opening x $2.00 $ —� Catch basin x $5,00 $ W.LLCt Itdatar - Lo 95,000 5IIJ x $5,00 $ 1UO,000 BTU to 199,000 BTU x $10.00 $ Nater S,;ftanar x $7.00 $ ►low Gtuund %in Old Builair.1 x $5.00 $ f.lecttl,: Nater Ile�tee x $5.00 $ iAS H IJING FEES; lit l tIALurts x $3,00 $ XA,11LIonal Flxturaa-----r— G►a hedge w 159,000 BTU x $1.0.00 $ tEPAII(S 4 ALTERATIONS ritsL 5100.00 each AAA - $100.00 or IrAcLion H) I'11Lute Connection Opening I Cc 1ndCLCd with Sewer ') New FixUtrn, Old Opening Water PARTIAL Rr11t SCHEDULE � 'LUMBING FIXTURE RATES; 1�0, RATE TOTAL Ituswcc Flxtutt9 x Vu Lure. FIAtura�Opening x $2,00 $ Ne+ Fixtuca, Old Opening x $2.00 $ —� Catch basin x $5,00 $ W.LLCt Itdatar - Lo 95,000 5IIJ x $5,00 $ 1UO,000 BTU to 199,000 BTU x $10.00 $ Nater S,;ftanar x $7.00 $ ►low Gtuund %in Old Builair.1 x $5.00 $ f.lecttl,: Nater Ile�tee x $5.00 $ iAS H IJING FEES; lit l tIALurts x $3,00 $ XA,11LIonal Flxturaa-----r— G►a hedge w 159,000 BTU x $1.0.00 $ tEPAII(S 4 ALTERATIONS ritsL 5100.00 each AAA - $100.00 or IrAcLion $2.00 $ SLAL4 Surcharge $ .50 TOTAL L•rc $ /o..5?) Job Address 4050 NE Main Department of BuLldinge City of Fridley Tel. 0571-3150 The undrarsigned hereby makers application for a pemt L for the work herein Specified agreting to do all work in strict accordance witi•, tht City Codes and rulings of Lhu Department of Buildings, and heretJ daclarel thaL all tho factu and ropruountatlonu Stated in this at,l,licetion ace L,ue and curroct Fridley, Ptn, 10-9-79 19 OWNER STEISKAL KIND OF IIUILDIIiG frame USED AS res. TO BE COMPLETED ALCUP 10-16-79 ESTIMATED COST l.t0.00 OLD - NEW BUILGIIK; PEIu•11T NO, Company nnlninit ^,cry Signed By Tel, Ila, ROUGH IIISP, Da to ' FINAL. IIISP, Date hPPROVAL FOR PEW -11T MINIMUM FEE F'Olt 1JIY PLUI1.6111C PEWIT IS 67.50 PLUS $,50 SV -TE SUROIA16cE Opo Fii:INSPECTION FCE t l rlikftrA SEPT 3,1993 TO:BLACKTOP PAVING SOTA RE:DRIVEWAY t EMZAINST NE FRIDLEY,MN 55421 IN JUNE I SIGNED A CONTRACT TO HAVE MY DRIVEWAY PAVED.A CREW ARRIVED ON JULY 1 AND DID THE PRELIMINARY EXCAVATING AND FILLING.ANOTHER CREW SHOWED UP ON JULY 12 TO FINISH THE JOB.THE CONTRACT CALLED FOR TILTING THE DRIVEWAY AWAY FROM THE HOUSE.FOR THE MOST PART THIS WAS DONE.HOWEVER, THE BOTTOM END OF THE DRIVEWAY WAS NOT PACKED PROPERLY AND THE WATER RAN OFF TOWARD THE HOUSE.I CALLED THE COMPANY ON JULY 13 AND TOLD THEM OF THE PROBLEM.I WAS ASSURED THAT THE PROBLEM::,VMD BE::RECTIFIEU.'SINCF;.' HEN i.Ii.[HAVE MADE SEVERAL PHONE CALLS,ALWAYS TALKING TO JUDY.SHE TOLD THAT THE CREWS WERE OUT OF TOWN,BUT SHE WOULD HAVE SOMEONE CALL ME.AS YOU CAN SEE FROM THE DATE ON THIS LETTER NEARLY TWO MONTHS HAVE ELAPSED AND NOTHING HAS BEEN DONE.THE PAVING CREW FOREMAN ASKED FOR THE CHECK WHEN THE CREW LEFT, I GAVE IT TO HIM BECAUSE THE CONTRACT CALLED FOR PAYMENT UPON COMPLETION. I WAS TOLD NOT TO DRIVE ON THE DRIVEWAY FOR AT LEAST THREE DAYS.BECAUSE WE HAD HOT WEATHER,THERE WAS NO DRIVING ON IT UNTIL THE 19th WHEN THE GARBAGE MAN CAME.HE HAS A THREE WHEELED CUSHMAN TRUCK.THE FRONT TIRE LEFT AN IMPRINT IN THE DRIVEWAY.WHEN I FIRST PARKED MY CAR ON FOLLOWING FRIDAY,ALL FOUR TIRES LEFT IMPRINTS.A FORD EXPLORER PARKED ON THE DRIVEWAY ON AUG.19th LEFT IMPRINTS. UNLESS SOMETHING IS DONE ABOUT THIS PROBLEM,I WILL BE FORCED TO GO TO SMALL CLAIMS COURT TO GET MY MONEY BACK. EOR STEISKAL COPIES TO:BLACKTOP PAVING OF MINNESOTA CITY OF FRIDLEY ENGINEER BETTER BUSINESS BUREAU on suBjEcr RMITN0. City of Fridley � �, � � 2 24482 AT THE TOP OF THE TWINS BUILDING PERMIt r COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC 407�r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'"_" �•' 612-571-3450 910-F15 8/23/96 JOB ADDRESS 4050 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Berlin Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruby Steiskal 4050 Main Street NE 788-0545 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 L7 REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace roof on garage 9 CHANGE OF USE FROM TO STIPULATIONS Submit truss specs to City 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 1 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 @ $1.46 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,910 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- $74.75 Fire SC $2.91 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $79.12 SIG URE FCONrRACTpR AA iTHORI {1DAG� T iDArEI N P RLY V ATED THIS IS YOUR PERMIT SIGN TURE OF N IIF IDATEI BATE on WWO ADDN (] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 1.� ;5 '� %Q �c7Le� Legal Description: _ _ � QEX t-► N Z o-- I� dl COCK 1 Effective 3/1/96 Owner Name & Address: Ut W -5,+-UF /fs Tel. # 7ry-- 0,5 `` '5 Contractor: art ate. 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 EUPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: rLA.,"LlI A o Comer Lot [ ] Inside Lot (l Ft. Yd Setback Side Yard Setbacks Type of Construction: _ Estimated Cost: Approx. Completion Date: /D 9'GG }*14L� f � M"!5*0W5 (Cost on Back) fAT�"A Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY `' sFee / rg Permit Fee $ �, Schedule on Reverse Side ' S Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ `� C $.50/$1,000 Valuation SAC Charge $ $900 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 $ STIPULATIONS: Building BUILDING Punic No,: Inspections RESIDENTIAL APPLICATION Received Ry: 763-572-3604 Date&M OCT CITY OF FRIDLEY DATE 09/26/09 YOURE_MAII.ADDRESS estherd@probuiltam.com SITE ADDRESS 4050 Main St NE THIS APPLICANT IS: O OWNER OCONTRACTOR PROPERTY OWNER( NAME: Dart Steiskal TENANT ADDRESS: same as site CITY STATE ZIP PHONE: CONTRACTOR NAME: I l tAmerica' SUBivIiTACOPYOF sTATELICENSE# BC -20356847 EXPDATE 03/10 YOUR STATE LICENSE 2211 11th 55109 ADDRESS: CITY North St® STATE zw WITH APPLICATION PHONE 651-770-9315 FAX 651-770-0495 PROPERTY TYPE ❑ SINGLE FAMII.YMEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 0 ROOF O DRAIN TILE O DECK O SIDING O OTHER ❑ SWIMMING POOL TYPE OF WORK: O NEW O ADDITION ❑ MAINMANCEMEPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Replacing 2 window, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft, ROOFM ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE GARAGES ❑ATTACHED GARAGE I. Existing Floor Plan SIZE: ❑ DETACHED GARAGE 2. 3. Proposed Horn, plan List ofed floor memhers to )x used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, a vinyl {awn ADDITIONS. & PORCHES SUBMIT: ❑ Abordamn ❑ Trim 1. Site PhudSurmy showing dw existing shuctom O Odum ❑ Facia and puap0.4ed pro3wt WINDOWS 2. Trap sets of constcaion pians IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 2 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) VALUATION $ llbb Permit Fee $ l.i 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 56 .0005 x Permit Valuation Minimum $SO License Surcharge $ $5.00 (State Licenced 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 Dae $ 'i Make checks Imvable to: Citv of Fridlev Attach SttoalationS 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 f t 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 whidqui r� and approval ora ts. A SIGNATURE OF APPLICANT