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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERIM N? 784 Office of INSPECTOR OF BUILDINGS Owner Architect Fridley, Minn.,- Builde LOCA TON OF BUILDING No. street W-) Q-4 ad J Part of Lot Lot -4 4�1 2- Block— 4 Addition or Sub -Division DESCRIPTION OF BUILDING Front_.:=5 Depth,:!A Height— Stories Manner of Construction To be used as To be completed Estimated Cost. Permit is hereby granted to the building described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and 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. JI _-Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, this day of A_D. 19 _1-- 0 City of Fridley, Minn. BUILDING PERMIT N® 4 0 4 2 Date:(._..... _..... ..... ....... --- Owner: .... Builder �....._....................... Address..................................................... ..._._....._--- _------------- --------- Address ...................................-•- LO T O F BUILDING No....��/..gg.. J' . Street .. G ........_ ......................... �......................_...---........ Part of Lot ..... _............................ _......... Lot wt.. !..- s�... Block ..... _....... ............................. Addition or Sub -Division .......� .. ... .. -- ------....................... - ...... __..._.. CornerLot .......................... _........ Inside LotX ............................ Setback ....._.............__.... ........... Side d ...................... ........................ ............... -- r SewerElevation ..... . ............................. ...... ....... -............................ -....... -.............. Foundation Elevation .................................................... _.......................... DESCRIPTION OF BUILDING To be Used as: e 9 4.: ' ? �� -- ......................- ...... Front - Depth . h...:-... �. Height .l 1 _" Sq. Ft .�... ..._. Cu. Ft. { �7 ............................................................ Front ........................ Depth ...................._.. Height ........................ Sq. Ft......................... Cu. Ft. .......... ............. Type of Construction ..................... ..... ................................ Est. Cost............�"�. ........... To be Completed - In consideration of the issuance to me of a permit to construct the building described above, I agree to d the proposed work in accordance with the description above set forth and i complian with all provisi of ordinances of the city of Fridley. ... ... ........ ........_.-......._! In consideration of the payment of a fee of $....!Y.. ........I permit is hereby granted to ............. ...... .............. .... __........................................... ................... to construct the building or addition as described above. This permit is granted upo the express condition that the person to whom it is granted and his agents, employees and workmen, in all wor done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances f Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ..... .-....._.....__... ......_........._-------. Building Inspector NOTICE: This permit does not cover the construction, installation for wirirtg, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name M J"C WC C LC Builder Address Xjla l (S )c MjE. Address LOCATION OF BUILDING � F9 Street.Ad� /6No. nJ /� /1�� . _Part of .Lot - Lot Block -Aaaition` or Sib.Div. Corner Lot Inside Lot 'Sed Back :Y fide -Yard SEWER ELEVATION. .. FOUNDATION ELEVATION Applicant attach:to~this•fon 'Certificate of Survey of Lot and.proposed bi4.41ng location. . � ' DESCRIPTION.OF BUILDING. - To be used as: )OZe�c/,' &Ii►�;: Front ,�� . Depth.. ; 65' Height Sq. Ft.r.. Cu. Ft. Sq. Ft. Cu, Ft. Type of Construction Estimated Cost To be The undersigned...hereby makes applica#on for a permit for:the.work herein specifi , agreeing to do.':aTl work in strict accordance with the City Ordinances and ruling f the Department' „of- $uildingsand .hereby declares tba,t. X3.1. the facts and* represen tions stated in this applica.tion.,are true.. and correct.., DATE ?/ Z/& i SIGNATURE ( ' (A Schedule of.Fee costs can be found on the Reverse .Side.) 01, SUBJECT P City of Fridley 12533 AT THE TOP OF THE TWINS BUILDING PERMIT IN? � CEIPT NO. COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/10/74 JOB ADDRESS 4833 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,22 4 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael W. Cudo 4833 Main Street n.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leslie Tranby Roofing and Siding 6917 Valley Place, Crystal 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 CK ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Caulk behind channels and replace any missing or rusted drip caps SEPERATE PERMITS REQUIRED FOR WIRING, HMIN.G, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Alum. 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 R-1 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 $2,500 1.25 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 . " PLAN CHECK FEE TOTALFEE $16.25 ` SIGNATURE OF CONTRACTOR 6RAUTHORIZED ENT ID TE) WHEN PROPERLY V TED THIS IS YOUR PERMIIJ SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) BLDG )NSP DATE 01, A APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAM: �i Cf'�9Elr �- �u n r, BUILDER: ,2E.S L r E ADDRESS:_:tZ' 12 A1, ,L--'_, ADDRESS :,/_2/---,;7 NO:..Zf F 3 STREET: /Ve9 /// S7—, 121 , 4'-- LOT: �� o?oZ BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD: e 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: RES !0L 4LUSc Front : Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet;_ - Cubic Feet: Type of Construction: /o /iy 6 Estimated Cost: uta To Be Completed: ,i,/ C /, ' //'% y The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stzict 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: �/ n . / 97 �_ SIGNATURE: .(See Reverse Side For Additional Information.) 61I1 Ur rKluLtT 97 -9b -b16051 APPLICATION FOR PLUMBING AND GAS FITTING PE MIT PARTIAL RATE SCHEDULE PLUDMING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening Aj $2.00 $ Water di $2.00 $ Catch Basin x $5.00 • $ Water Heater - to 99,000 BTO a $5.00 $ 100,000 BTU to 199,000 BTO x $10.00 $ Water Softener Heater $7.00 $ New Ground Pun Old Building x $5.00 $ Electric Water Heater x 3 $ u p .S ate) a •n i A H u ai w 3 Guo. toS U w 3 ED O 33as Elec 1st ri 1 2nd' 3rd 4 th (R) - Future Connection Opening Connected with Sewer (•) a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUDMING FIXTURE RATES: NO. RATE TOTAL Number 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 BTO 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 REI11S11E^P!ri:l FEE S S S .so $ 8.00 Job Address 4833NE Main Street 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. 0-27-78—, 19 OWNER C UDO KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT ----;==7 ESTIMATED COST OLD - NEW BUILDING PERMIT N0. PERMIT NO. c,� Company 46tv-e_� Signed By MINNEGASG® Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.S0 STATE SUS City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT P tRMI 18613 r COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 CEIPT NO. NUMBERREV. 910-F15 DATE 8/22/86 PAGE OF APPROVED BY JOB ADDRESS 4833 Main Street N.E. 1 LEGAL DESCR. LOT NO. 21-22 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Plymouth. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gladys Cudo 4833 'Main Street N.E. 572-8985 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Corporation 1920 Como Avenue, St. Paul, MN 55108 645-0331 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 8 DESCRIBE WORK Construct a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. MIN .414 SEPARATE PERMITS REQUIRED FOR Before digging call local utiiitif WIRING, HEATING, PLUMBING ARID SIGNS. TELEPHONE - ELECTRIC - GAS Err,: REQUIRED BY I AVV 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ZONING SO. FT. 576 CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $7,06.7 SURTAX $3.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- R CTION OR THE PERFORMANCE OF CONSTRUCTION. $68.50 PLAN CHECK FEE TOTAL FEE dq$72.03 AIINUREOFCONTRACTORORAUTHORIZEDAGENT D EI WHEpN, PROPERLY THIS IS YOUR PERMIT (V/A,LU,,)I�D%ATED BLDG f r)AT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI J NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 4-K " C� Legal Description: 1-04-5, r 1 '� �;�. Lick n !JYn" ' Owner Npme & Address: .�.s C�1-�[� Lf5r33 raw �. s l- Y Tel. # 5��7 SSS Contractor • l 1-0 co" Tel. # Address: 19 �tCcs LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 2-y Width _2.t�_ Height M Sq. Ft. _ S%6 Length _— Width _— Hgt/Ground Sq. Ft. _— Corner Type of Approx. Lot [ ] Inside Construction: Completion Date: Lot [ ] U -9d"' Ft. Yd. Setback - 2 __ Side Yard Setback Estimated Cost: $ S CACA Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 414 APPLICANT: Tel. # (�W'o 33 I 5 r fo CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Ch $ 3-6-3 $ $ $ Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Sewer Main arge Agreement Necessary [ ] Not Necessary [ ] TOTAL $ a • /'� STIPULATIONS: �QOII�� lel SUBJECTPERMIT City of Fridley WRECKIM 18612 AT THE TOP OF THE TWINS P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ~ INSPECTION SEC. r , PROTECTIVE , I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I 8/22/86 I JOB ADDRESS 4833 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21--22 4 Plymouth. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gladys Cudo 4833 Main Street N E. 572-8985 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Corporation 1920 Como Avenue, St. Paul, MN 645-0331 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 C)j REMOVE 8 DESCRIBE WORK Wreck 14' x 2W Garage 9 CHANGE OF USE FROM TO STIPULATIONS Clean site of all debris from wrecking garage. 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 ] 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING -CON- ST UCTION OR THE PE FORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.00 SIGNATURE OF CONTRACTOR 59 -AUTHORIZED AGENT I 1 ATI WHEN PROPERLY VA I -I DATED THIS IS YOUR PERMIT s BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI Effective Aug. 1, 1981 City of Fridley wxcr Permit No. AT THE TOP Of THE TVW1 ' WRECKING PERMIT APPLICATION I �. Receipt No. rb-------CONNVNITr DEVELOPMENT DIV. r I I i 'ROTECTME /190ECTIOR 0M. ' .---` GTT MALL /RIDLEV Moa N1E1001 „j Na -000-3460 lQin-r?n REV a DATE 2115/7-41 ►ME OF -1 1 AI►Rov[D ev Rnn Job Address 4/&MrD egal' Lot No. Block No. Tr�gtor Addition es c . C� - -2, �H Property Owner(/////�� A dre/p//c/JrQry1 J� Q/y� �(��//`]Phony/e�S o— -XAA33 Contractor Address Phone Description Front Depth.2 Sq. Ft. Cu. Ft. of Bldg. f C)Height No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking To Be Completed Utilities to be Notified and date Services Disconnected Npls. Gas Co. N.S.P. Northwestern Bell Tel. Co. Engr. Dept. Cust. Bus. Ofc. Bus. Ofc. 372-4850 330-5540 332-4112 Date Date Date Wrecking Fees: $1.25 for each 1000 cubic feet or fraction For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking such structure at the rate of $6.00 for each $500.00 or fraction. MINIMUM FEE: $15.00 No State surcharge on Wrecking Permits. Approved By Water & Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. o Contractor 00 Date sue�Ecr PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i • R�4.PT f4O. COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/7/98 JOB ADDRESS 4833 Main Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 21,22 4 I Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gladys Cudo 4833 Main Street NE 572-2544 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Grussing Roofing Inc 4305 Shady Oak Rd Hopkins, MN 55343 935-0557 9212 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 p�X ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (19 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 MOT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,584 $.79 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- $51.25 Fire SC $1.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT FEE License $5.0 8.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN R BL INS! VALID E HIS IS YOUR PERMIT GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW (] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY � \ SINGLE FA ALTER [ ] MILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: I Cady S 0, � Tel. # 1-7 Owner Name �k Addre t.� S 3 � /vial <� � f" Contractor: ��(a ��o'iv��i �4y�-i'ivo► , %�-n MN LICENSE # / Address: /-% 0 S � % a d�� MPK- �I. # 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: 7— 3 0 (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft (= Ft x DATE: 7 '- 1 - 9 APPLICANT: 'U Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th%) $.50/$1,000 Valuation $850 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: - . - ., SUBJECT PERMITNO. City of Fridley _ 19573 AT THE TOP OF THE TWINS BUILDING PERMIT k � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION � 1 . � V -"-I CITY HALL FRIDLEY SS432 i NUMBER REV DATE PAGE OF APPROVED By _---� i 612-571-3450 91O415 5/27/99 108 ADDRESS 4833 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 21,22 4 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE OA Gladys Cudo 572-2544 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors Inc. 341 79th Way Fridley 55432 784-8936 20098700 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 CMc REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 S0. 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8775 $4.38 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 RUCTION $167.25 Fire SC $8.77 PLAN CHECK FEE $5.00 T AL FEE 18 0 ":z _ffLice SIGNATURE OF CON"RACTOR OR AUTHORIZED NT IOATEI F N P OPERLY o ATED IS Y�PEWIT nArE SIGNATURE OfOWNERIaOWNER BUILDER, IDATEI NEW[ ] Effective 5/10/99 .,. ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: y8 R /I 4166 ,S? /1''1_0 Legal Description: Owner Name & Address: Contractor: ap,, Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # X72- ZSy� MN LICENSE # 60 7SZa2 z Tel. # a ys fa4 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Q, ' ("^ Estimated Cost: $ 67 7_� O YP P ��+_ /-/o u9 � g r 1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: �� APPLICANT:4 Tel. #� TOTAL $ b STIPULATIONS: CITY USE ONLY Permit Fee // $ �lo o7s Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ i$.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 $ b STIPULATIONS: Building BUILDING Permit No.: InspectionsRESIDENTIAL APPLICATION Received By.: 763-572-3604 CITY OF FRIDLEY Date REM S E P 2 3 200 DATE(/ ® YOUR E-MAIL ADDRESS f WI Q i'�Gz Q �D S %��IO4a(t SITE ADDRESS ` l n V THIS APPLICANT IS: ❑ OWNER 16CONTRACTOR PROPERTY OWNER/ NAME: VE l ADDRESS: � � lv (Y1 54 &J — CITY ft( STATIYWIPy &/211 TENANT PHONE. --u CONTRACTOR NAME: rL- STATE LICENSE # O DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: R�� EXPP )e t 2V I 'J t r 7 CITY el f1i TAT13Me(ILIP-SSYL// WITH APPLICATION PHONE3-Y)Z-aft FAX IR SINGLE FAMILY/NEW CONSTRIXTION ' Li/ —LI Z SIZE PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED X WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: tqo SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 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. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS XYes ❑No TION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF �'1 •F �_! 01 G'mM —� 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 S 00_ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 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+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 requinr^es, review and approval of plans. h � SIGNATURE OF APPLICANT i'J/ � ✓� PRINT NAME �i�fi'f VI /�Q �� r�i/1DATE / //r )/% ��