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PRE 2010 DOCSh SUBJECT PERMIT NO. --' City of Fridley ®14260 AT THE TOP OF THE TWINS BUILDINGPERMIT R M I T r D v L I V r C R'v' I RECEIPT NO. •U.COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION ���� r SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/1/77 JOB ADDRESS 1331 Meadowmoor Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lambert Peterson Inc. 1360 Osborne Road N.E., Fridley 786-2840 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 ❑ REPAIR ❑ MOVE ❑ REMOVE ; 8 DESCRIBE WORK Construct a 26' x 37' Dwelling and a 24' x 24' Garage TELEPHONE -ELECTRIC -GAS Et 9 CHANOEOFUSEFROM � ,REQUIRED BY LAN I STIPULATIONS Provide a truss design. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide,a hard surface driveway. Variance approved by Council June 20, 1977. SEWER LOCATION: (Approx. 12' Deep) 34' East of Manhole (E. Inv. 888.37) WYE ELEV: 888.51 TOP OF FOOTING: 891.51 Minimum WATER LOCATION: 11' East of Sewer Service DRIVEWAY DEPRESSION COST: N/A THR df OF FRIDWY DOES NOT GUARANTEE THL ACCtl*ACY OF UTILITY LOCATIONS AND ELEVATION'S. P -1,1S DATA NJ ICOR INFORMATION PURPOSEe6 ONLY AND YLASONS USNO R GROW VERIFY THG WFORMATION ON THE SM 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1032 + 625 26,330 Total 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 WLL BE COMPLIED $32,275 $16.14 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.- $105.32 $375.00 STRUCTIO,j OR THE PERFORMANCE CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE _An o' Ae $ 26. $522.79 SIGNATUREOG_CO TRACTOR OR AUTHORIZED AGENT (DATEI WHE RO VALIDATED THIS IS YOU P v BLDG INSP ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) h L! 1 Y UI t KIllLLY APPLICATION FOR RESIDENTIAL BUILDING PEIR14ITS (NEW, ALTERATION., ADDITIONS -i OR REPAIRS) OWNER: )d- -�e T- �P Ve,*.o v. 4 }3UILDE1Z: � Qt vi.. D P V� � �(J� ® VS. t� V � A L Address;: �� �® Oc, 6a Address: f 3 (o (} DS bc> Y Tel. No.: -,7Q6 _ Z k V 6 No.: % J Street: IVA -e � „ � vtA I/ LOT:� 3 BLOCK: ADDITION: j6n�-e go kj CORNER LOT: INSIDE LOT: i-- SETBACK: 3--- SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. (r DESCRIPTION OF BUILDING To Be Used As: o^^'P— Front: (e Depth: , Height: Square Feet: Cubic Feet: Front: � Depth: � � Height: Square Feet: Cubic Feet: Type of Construction: T 'a inn e Estimated Cost: $ To Be Completed: Ze - / °7 7 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (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 f r additional 'reformation. V�l DATE: , 7 `� SIGNATURE: Stipulations: 4 16 �� CERTIFICATE OF SURVEy JAMES L. KURTH LAND SURVEYOR 730.40TH AVENUE N.E. COLUMBIA HEIGHTS 55421 788.9769 1 H:ZRZCY CERTIFY THAT THIS SURVEY, PLAN. OR REPORT WAS PREPARED BY ME On UNDER MY OIRZCT supenvisloN AND THAT I AM A DULY RZGlZTIXnv_D LAND DURVZVOR UNDER THE LAW93 OF THE STATE OF MINNESOTA DATE 7i SCALE I"= MINNESOTA REGISTRATION NG. 5332 0= IRON MONUMENT RU� � Kfr_�[- p�;kpkrtaj 7'A N 1 i.'t6 � cJ r�l,t � �� INI z co., ACA4011, VI!C BOARD OFIAPPEALS EXHIBIT EF"NG-DA .977 irsen son 7651 Central Avenue N.E. Fridley, Mn. 55432 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Re: Final Inspection at 1331 Meadowmoor Drive N.E. Dear Mr. Peterson:" A final inspection was made on October 28, 1977 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide a verifying survey 2. Obtain a final on the electrical work 3. Obtain a final on the plumbing and heating work 4. Provide door closer on door between house and garage 5. Provide joist hangers on stair area 6. Post house numbers on structure We will expect the above items to be completed by November 15, 1977 when a reinspection will be conducted to determine compliance., If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK - -- Community Development Adm. DGC/mh CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE $3.00 $ PLUMBING FIXTURE, RITES: NO. RATE TOTAL Nu.: -Ser Fixtures x x $3.00—� $ Future Fixture Opening x $2.00 $�_ New Fixture, Old Opening x $2.00 $ N x $5.00 a N x $5.00 $ u x 0 Water Softener Water x $7.00 $ New Ground Run Old Building x $5.00 $ u q x $5.00 $ N •per. b c7 c7 c9 -.C+ y q p, Heater o n c N E+ •+ ro x i s, m W N 4 1: ro s4 a a u '� 4J .0 0 C C 3 O U •.i O L U W 0 N O U U F7 N C! to 3 —1 C0 O (s, to O W 44 N 4-r N N N N O "a3 kec 1st end 3r3 4 th (R) = F,iture Connection Opening Connected with Sewer (*) = New Fixture, old opening Water PARTIAL RATE SCHEDULE $3.00 $ PLUMBING FIXTURE, RITES: NO. RATE TOTAL Nu.: -Ser Fixtures x 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 $ 100,100 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: lst 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Rage 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 $gp s REINSPECTION FEE ($10.00) Job Address 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, r l9� V!P, OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST 00 - NEW BUILDING PERMIT NO. PERMIT NO. Compan Signed Tel. N ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT i MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTI.LATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ C • each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $-, (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lot 3 Fixtures x $ 3.00 $-- Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING S FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $ j=f ROUGH INSP. LdL@ FINAL INSP. ^/O "%dd Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) /6.16 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address / ! _ 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. Fridlev. Minn. r 19-L,--, OWNER k�✓� L'G� KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST - OLD - NEW BUILDING PE DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam, Hot Water, azm Air- o. /� Trade Name Size No. �� ��u m 116 Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel 22 --- Z _ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP company Signed By a Tel. No. -S�/S CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTO $12.00 $ ' each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler &.Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING. SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT $10.00 $ �t Q .S x $ 3.00 $ • 30.0 x $ 1.00 $ x $10.00 • $ State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address / 3 31 %lei D.�c.� 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, Minn. 19L OWNER p(4adA413�- KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST 0 10ILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name ze No. Capacity Sq. Ft6 EDR ^ BTU HP Company Signed By,�/%sA!W Tel. No. �f 7 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)571-3450 January 13, 1978 Jerome Banick 1331 Meadowmoor Drive N.E. Fridley, Mn 55432 Re: Flood Insurance Dear Mr. Banick: Based on "Flood Hazard Boundary Map H-01-05, for Fridley, MN #270013A" dated May 17, 1974, the property at 1331 Meadowmoor Drive N.E. located on Lot 23, Block 2, Meadowmoor Terrace, is not included in the flood hazard area, and therefore flood hazard insurance is not required. If you have any further questions regarding this issue, please feel free to contact me at 571-3450. Sincerely, JLB/de C-78-01 EV CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 January 16, 1992 Jerome Banick 1331 Meadowmoor Drive N.E. Fridley, MN 55432 Dear Mr. Banick: You recently spoke with Barbara Dacy, Community Development Director, regarding a potential lot split for your property. She has asked me to contact you regarding the process for the lot split. Enclosed you will find a lot split application form and a Planning Commission meeting schedule for 1992. In addition to the signed application form, which should be signed by both yourself and your neighbor, we will also need a certificate of survey showing both lots, the existing lot line, and the location of the proposed lot line, with the amount of property which will be split through the lot split procedure. You will need to hire a registered surveyor to complete the certificate of survey for the lot split. Three full size copies and one 8 1/2" x 11" copy of the certificate of survey is required for submission. You will be scheduled for an informal hearing before the Planning Commission, who will then make a recommendation to the City Council. The City Council will make the final decision regarding the lot split request. The process should take approximately 6 - 8 weeks from the date of application. If you have any questions regarding the submission requirements, and/or the process, please contact me at 572-3593. Sincerely, Michele McPherson, BLA Planning Assistant MM/dn C-92-14 SUBJECT PERMITR--�City of Fridley 2 2 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 � COMMUNITY DEVELOPMENT DIV. r I ~ PROTECTIVE INSPECTION SEC. a �� 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL---- � �'� 612-571-3450 910-F15 8/18/93 JOB ADDRESS 1331 Meadowmoor Dr NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome Banick 1331 Meadowmoor Drive NE 784-0009 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft 3118 Snelling Ave S, Mpls., MN 721-6628 2179 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 J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement, 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6, 0Q0. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3.00. PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $81,00 Fire SC $6.00 PLAN CHECK FEE TOTALFEE � License SC $5. $95.00 SIGNATU ONiRACTORO THORIZED AGENT (DATEI WHE OPE VALIDATED THIS IS YOUpt PER IT SLOG )NSP r)ATE SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: / 25 I DK, Mc?( -F, Legal Description: Ow= Name & Address. —� '�� 1`�L ���� Tel. #�G =' � Contractor: MN LICENSE # a-�O z ` Address: -306 S fJ 9-�/ /) Tel. # -7 -,?1 -66 'Z 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 [ j Inside Let. [ ] Ft. Yd Setback Type of Construction: to Approx. Completion Date: Driveway Curb Cut Width Needed: Side Yard Setbacks Estimated Coat: $ !000, (Cost on Back) Ft. + 6 Ft = Ft x $ =$ L , DATE: eA APPLICANT: 4 , Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ ����.C; $ C $ cc $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit � - CL $5.00 (State Licensed Residential Contractors) �C CJ�i Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Nay [ ] Not Necessary [ ) STIPULATIONS: ' sue�Ecr P MIT NO. City of Fridley 5 512 AT THE TOP OF THE TWINS BUILDING PERMIT ' RECEIPT NO. Tr "_____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . I NUMBER REV DATE PAGE OF APPROVED BY o' n CITY HALL FRIDLEY 55432 A 612-571-3450 910-F15 9/16/97 JOB ADDRESS 1331 Meadowmoor Dr NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 23 2 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome Banick 1331 Meadowmoor Drive NE 784-0009 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 X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 $1,918 $.96 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. $62.25 Fire SC $1.92 PLAN CHECK FEE TOTAL FEE $ 65.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V DATE THIS IS YOUR PERMIT _ �V BLD INSP 4&Z fALo GATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ j ACDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:.O a U Lp C Legal Description: Effective 1/l/97 Owner Name & Address: Tel. # orf - Gce� Contractor: JE- ho jx e ,3AjV/ck MN LICENSE # Address: -1331 InE/}a/owwaoi- D r Tel. #c�' %f y- oa Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: 11/G w y It a/ (;. L a Estimated Cost: $ /� (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: o% Q APPLICANT: Tel. # . 'TIPULATIOiNS N CITY USE ONLY Permit Fee $ 2� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 . 'TIPULATIOiNS N SUBJECT 0. City of Fridley 2 6 2 8 5 AT THE TOP OF THE TWINS BUILDING PERMIT r �• ______ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r '4111 1 . � NUMBER REV DATE PAGE OF APPROVED BY 0,•� CITY HALL FRIDLEY 55432 1 612-571-3450 910-F15 6/18/98 JOB ADDRESS 1331 Meadowmoor Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 2 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Banick 1331 Meadowmoor Drive NE 789-0009 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kuzmich Construction 9932 Ives In N, Maple Grove, MN 55369 425-5854 City 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residenital 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JD REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside; Fascia; Window Wrap (STORM DAMAGE -WEST SIDE ONLY) 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection of same. 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 1 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 $500 $.50 WITH WHETHER SPECIFIED HEREIN OR HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHO ITY T VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE R LO LCATW REGULATING CON - tUISTRUCTION $21.00 Fire SC $.50 O E FOR DN CO PLAN CHECK FEE TOT EE W-00 SIGNATURE OF CONTRAC O ORIZEDAGENT (DATE) EN OP VALIDAT HIS IS YOUR PERMIT BLO N P SATE S,GNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effecti�e 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1 131 m ©". O E_ Legal Description: C Owner Name & Address: Tel. # ��(' co© / Contractor: X e, 2 vv-, 1%c& CCS U IQ 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 E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: S T" tA^ ct, Estimated Cost: $ e�� ��c k �cj �'� des L?U (Fee Schedule on Back) Drive Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: r� VAPPLICANT- Tel. CITY USE ONLY Permit Fee $ jjb Fee Schedule on Reverse Side Fire Surcharge $ . -I-,o .001 of Permit Valuation (1/10th%) State Surcharge $ . SV $.50/$1,000 Valuation SAC Charge $ $1000 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: s-� Building BUILDING Permit No.�& a 71 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE — l — D �P YOUR E-MAIL ADDRESS SITE ADDRESS i 3 3. L. AEA) ej Ul ffl /06 f' h -Ay THIS APPLICANT IS: K OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: _rEhONC— 1,3A/L/C/c ADDRESS:/3?/ /il,&Ad o 1U AV6F0 t` CITYEA / DQE Z STATFUZIP Jr a TENANT $ PHONE: 'h3 — Q94 —60C'7 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE 9 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH lis ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ® REMODELING DESCRIBE WORK BEING DONE: lli / 100g SIZE OF IMPROVEMENT nvvruw NUMBER OF SQUARES RAI GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED LENGTH OUSE ONLY HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF HEIGHT Ft. a tl S i BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION (USING -9�A,� C FEE 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 $,�•�� $ �/ t $ /. $ 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $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 requires review and / approval of plans. -(- ) SIGNATURE OF APPLICANT �,(A/b�l� 6 04 G) PRINT NAME `J r k U kn F— 13A /11/6 k-DATE`7 r% — G tP