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PRE 2010 DOCSCity of Fridley, Minn. 11771 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: Novmber 1. 1972 Owner: VieTaann, T33C Builder Same Address _5901_Brook__yn Boulevard Address S9Ze LOCATION OF BUILDING No. ._.._M14 _ Street Meister Road _.N F. Part of Lot Lot _.7____ Block __....' Addition or Sub -Division Tnnchr„ck North Townhouse Adrin, Corner Lot ____._._....0 Inside Lot . X Setback Sewer Elevation To be Used as: Sideyard Foundation Elevation DESCRIPTION OF . BUILDING 1240' Townh o +1�.eFront __.201 Depth -31' Height _ Height 28'. _ Sq. Ft. 6920t Cu. Ft. _ 17,3601 Garage Front 20 t Depth 22' Height - 10' Sq. Ft. 440' CUL FL 00' Type of construction — Wood Frame — Est. cost .._. $21,417 _ To be Completed Win re , 19 7 3 Stipulations: See 5510 Meister Road N.E. 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 se and in compliancewith provisions of ordinances of the city of Fridley. 10.71 St a Surcharge ol.Z)v In consideration of the payment of a fee of $ ; permit is hereby granted to Vieweon,, Inc. 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 ordin4mew of Fridley, Minnesota regarding location, 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. r CL_ARFNCE BELISLE ^ NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas beating, sewer or water. Be sure to no the Building Inspector for separate permits for these items. 4, APPLICATION FOR RESIDENTIAL, ALTERATION% OR ADDITION BUILDING PPT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: �'°��'®� •.��• —BUILDER: ADDRESS: fftOl el-4,01slye /,f/00 � ADDRESS: NO • SS/4 STREET • ®,S'la'vs e0ae LOT 7 BLOCK: 3 ADDITION2 '*'r'zd wo''a ;r//. CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Su_ �LeX of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ,.� 7-f7voa1vowre_ Front: 20 Depth: 3/ Height: Z8 /2 40 Square Feet: G20 Cubic Feet: 17, JfPO At &ao-d Rg e Front: Z O Depth: ago Height ; o*a Square Feet; 440 Cubic Feet: 440 Type of Construction: Estimated Cost: $ 2/,4/7.Oo To Be Completed: ae,4 ®as /`? 7z The undersigned hereby makes application for a permit for the.work herrn specified, agreeing to do all work in sttict accordance with the city 99 Fridley Ozdinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applioaton are true and correct. DATE: �.r ,�'� 74 SIGNATURE • (See Reverae Side mgr Additional Information.) City of Fridley Appftodm for r6mbbis and G= RM'" Pwadt Dept. of Bldaa. Phone 580-3450 DESCRIPTION OF WORK Number, Kind and Location of FixtuYea PARTIAL RATE SCHEDUL -^d PLUMBING FIXTURE BATES: NO. RATE $200 �TOTAL ,� i11L'— 1-1111 x Future Fixture Opening .... :...... �_ • • MAl'ER NTe. x $1.50 S Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) x $3.00 s g x $3.25 � N GAS EIEC. NO. RATE TOTAL 1st 3 Fixtures ............. • • : 52.00 $ o? Additional Fixtures ............... x $ .75 or Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 Base % 1st 2nd .- 3rd 4h • Fniure Comesd m Openings wl� Sewer � • New Fixture. Old Openings PARTIAL RATE SCHEDUL -^d PLUMBING FIXTURE BATES: NO. RATE $200 �TOTAL ,� i11L'— Number Fixtures ................ x Future Fixture Opening .... :...... x $1.50 S New Fixture Old Opening .......... x $1.50 S Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) x $3.00 S - New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............. • • : 52.00 $ o? Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS t ALTERATIONS—Refer to Code Description ............. .. ... ...... . . •................ TOTAL TEE ''S City of Fridley: The undersigned hereby makes application for a permit for the work herei, specified. agreeing to do an work in strict accordance with the City Ordnance and reeling of the Department of Buildings. and hereby declares that all the tact and representations stated in this application are true and correct Fridley, Minn "Z) - lc-�2 19._ Owner —L Kind of Building Used as To be completed about - —ZI Estimated Cost. $ 4 219 1New. B lding Permit No. Permit No. ROUGH 'D Ah y/_ 9 — % Signed KEY- PLUM Business ne . MINNEAPOLIS, MINN. 55428 425-4183 53-84-S-915.51 4§�11111: � ® aso i b 'I t3� 8 a; li I� s a � cas ntc. PARTIAL RATE SCHEDULE PLvmw ce nxrwm nAm: M& RATE TVr" xmwbw M ................ m�. Mao . ... i ...... t$ 8eBea� Nm lbame ON ®parnitag .......... v a" 0�_ Catch Basin .............:...... an= a Rater Neater !Up to WAW BTU:... • ac SM E Near G"Mad Rasa ON SW ........ • x a-= a Qsebir WahrRsoOst.............. a no a Cw" Irts TE: M R&TB TOTAL 15L i rntaeeea .................. Raw S .......... e ... e —ZO." 6^ e am Raffia w mom nTu ....... 1.► 1 E is.�o ` 5.00 State Surcharge S .SO »� a a 11-8101.0, a owls, rorr�>rs� 5.50 �( s �°�►® Surcharge .500 city of FCW30: The undeviiimed herald n wkes3 tion for a pamut for the- work hem weificd, spectaac to do an work In strict setwdance, with the 01F r- and ndi®a of the Departaneat of and heeefsj declares that an the god.- and ad.and aeprewntatio®s stated in this appOcatiew are tree and eoffect MOW. mmm 7-30-73chrmer » carrell Farr Development Co. Ked of Building Frame Used as Res. To be completed about 8-6-73 estimated Cast„ t 10.00 XbQ-New. euitaing >V-..nic S �1►INN1°f3ARM at.. PARTIAL RATE SCHEDULE GRAVrrY WARM AIR: RATE TMAL- PRrnam Sleep & Duct Work .$10.00 * Replacement, of Furnace 6.00 $ Repair & Alterations—up to 3500.00 6.00— Repairs & Alterations each add. 000.00 300 N3= WARM Alllt Furnace Shell & Duct Work to 190,000 BTU each add. 60,000 BTU . .. ...... Replacement of Furnace Repairs & Alterations—up to $500.00 Repairs & Alteraftns each add. $500.00 STZ&M or HOT WATER SYSTEM ..$10.00 $t_I_ 3.0D a 6.00 $ 6.00 $-- 3.00 $— .— Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10.00 Furnace Shall & lane—to 640 sq. ft. EDR Hot Water 10.00 Each add- 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $— — _-- - OIL ZURNER—to 3 gaL per hour 6.00 over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199.0W BTU) 6,00 over 199,000 BTU Saw Fee Schedule GAS FITTING FEEt3: NO RATE TOTAL 3st 3 Fixtures xs 200 $—s-4_ Additional Fixtures x .75 a-- - Gas Range to IMAM x$ 6.(0` $ Fll/ m /9- _/L - ? V Sates Fie Bcbedttis • 1-7Z)�}y� /00TAL rm S '5� Dwpt. of Blies Pi.onD 8W -M City of Fridley: The undersigned hereby makes application for a permit for the work herein; specified, agreeing to do all work in strict accordance with tate City ce and ruling of the Department of Buildings, and hereby declares that all the teats` and representations stated in this application are true and correct. Fridley, Minn Owner-emU- Kind of Building Used as _ __-- To be completed about Estimated C'oct, $ Old—New. Building Permit No. _—_ Pormit No.�® DZSCZEMON OF WORE HEATING or POWER PIaANTS--Steam, Hot Water, Warm A1r—No- Trade Name {��i Sin Ne_ /1- .�Git/ Capacity--a.L Sq. Ft. E.D.R BTU— Total TU Total Connected Load Riad of Fuel BURNER — Trade Name gine No Coped ty Sq. 1R. F. D e BTU 53-84-s-915.51 City of Fridley pii ,ban ftr PIrmn-JbIend Gm RNI=j Pa? Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF WORK Number. Kind and Location of Fixtures C I S N 3 O o c S< 3 l9 v I N WATER "". 7' -'EIEC. Base 1st In .ta 1 as Gr 11 2nd 3rd 4th -Futuro Connection Openings + Now Fixture, Odd Openings Connected with Sewer (] Cesspool O PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............:.... x $2.00 $ Future Fixture Opening ........... x $1.50 $ New Fixture Old Opening ..... :.... x $1.50 $ Catch Basin ...........:........ x $3.25 $ Water Heater 'Up to 99,000 BTU) . • • . x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater........... x $2.00 $ 2AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU... ... ..- .... x $5.00 $ LOCRHOZ 5514 N. E. Meister Road City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and • hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 9-19-74 19_ Owner Mark Moseley Kind of Building Frame Used as Res. To be completed about 9-26-74 Estimated Cost, $ 10.00 Old- Building Permit No.t N • Signed PAIN By - - Business Phune No ROUGIR REPAIRS & ALTERATIONS—Rotor to Coda .50 State Surcharge Install. Gas Grill 5.00 Description ....... ... .. ................. TOTAL FEE $_ 5.50 Class ®A" Surcharge .50¢ SUBJECT P City of Fridley 216 0 7 AT THE TOP OF THE TWINS BUILDING PERMIT r REC T NO. � • COMMUNITY DEVELOPMENT DIV. _____ ><: - r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE Of APPROVED By CITY HALL FRIDLEV 55432 612-571-3450 910-F15 10/14/92 JOB ADDRESS 5514 Meister Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Innsbruck North Townhouse SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Builders & Remodelers 3517 Hennepin Ave S, Mpls.,55408 827-5481 1100 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JJ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Townhouse 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $6,308 $3.16 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- $90.00 Fire SC $6.31 STRUCT16N OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $104.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN ROP RL VID ED THIS ISYOUR PERMIT �+/ / LDG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI :n>wAUAwwax?Vo))i>Q.iA>:>.A ♦n>att1.o. <r .. < .. 1 ..,.,-'e r. .....1 .. 1111 .> 11 11.., i .,w.., >.xv,.......—ne,.>a> n1..—i........ 111111-1-1. ... o ... ........................,.,—.11— 111— 1,.111.. NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 5514 Meister Road Legal Description: Owner Name & Address: Contractor: Builders & Remodelers, Inc. Address: 3517 Hennepin Ave S LIVING AREA: GARAGL AREA: DECK AREA: OTHER: Tel. # MN LICENSE # 000loo Tel. # 827-5481 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Type of Construction: residing Approx. Completion Date: Nov 1, Driveway Curb Cut Width Needed: DATE: 10/9/92 Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 6308.00 1992 Ft. + 6 Ft = (Cost on Back) Ft x $ = $ APPLICANT: Tel. # 827-5481 CITY USE ONLY Permit Fee $ CG . CC Fee Schedule on Reverse Side Fire Surcharge $ 6-,31 .001 of Permit Valuation (1/10th%) State Surcharge $ 145' $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ D P $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL STIPULATIONS: <> - V LIDATED THIS IS YOUR PERMIT s-� SuBJECT #ERMIT NO. City of Fridley 22700 AT THE TOP OF THE TWINS BUILDING PERMIT ` i? RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. // �7 d6 r 11 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/13/94 JOB ADDRESS 5514 Meister Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Innsbruck North SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dicks Fire & Storm 86 781-6170 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 % B DESCRIBE WORK Reroof House & Garage (Tear -off); gutters 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Inform owners to install smoke detectors 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. ZONING SQ. FT. CU. FT. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $54.00 Fire SC $2.33. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ` License SC $5.00 $62.49 <> - V LIDATED THIS IS YOUR PERMIT s-� NEW [ ] Effective 5126M ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� Building Permit Application Construction Address: 5 514 -- Meister Rd., F r i d e l y, Mn. Legal Description: Owner Name & Address: Tel. # Contractor: R.J. Williams General Contractor MN LICENSE # 2481 Address: 864 - 19th Ave. S.E., Mpls., Mn. 55414 Tel. # 781-6170 Attach to this application, a Certificate of Surrey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length, GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF 0"ROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: house and garage roof Approx. Completion Date: gutters .Driveway Curb Cut Width Needed: Side Yard Setbacks Estimated Cost: $ 2,329.00 (Cost on Back) Ft. + 6 Ft = Ft x $ DATE: 718194 APPLICANT: R.J. Williams Gen. Contracotr Permit Fee $ CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ 33 .001 of Permit Valuation onoth%) State Surcharge $ I $.501$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ � � � $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $,� STIPULATIONS: Tel. # 781.-6170 SUBJECT IT NO. - City of Fridley 3104 5 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I I. � 1 � �•�h CITY HALL fR10LEY 53432 NUMBER REV OATS VALE Of APPROVED EIV 612-571-3450 910415 6/8'/00 JOB ADORESs5510,14,18,22,26,30,34,38 Meister Road NE 1 LEGAL -" LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. ` 1-8 3 Innsbruck North Townhouse Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp. 2301 E. 25th St., Mpls., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7; .CLASS OF WORK O NEW O ADDITION C3 ALTERATION REPAIR O MOVE O REMOVE S' DESCRIBE WORK Reroof Building 9 CHANGE OF USE FROM TO STIPULATIONS i Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be wiled To Homeowner To Post 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 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 OWLG.-UNITS OFFSTREET PARKING 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 8 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 $18 522. 9.2660 $ $ 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 PLAN CHECK FEE FEE ATOTAL $33 .03 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT i0ATEi N P PE LY A ATED IS Y UR PERMIT BL SP aaTE S.GNATURE OF OWNERaF OWNER BUILDER, IOATE* UJ :L Z �99 fir 4 �y��yqy d./ D CC. Cc 0 LL z r0 F" d Qt, FA O M m ` \ 61 C? a S r C_7 C7 Ltd] �v NI 2 QY—US N _ g LLi to LL -Lui w r O W C? a S r C_7 C7 Ltd] W 3uilding $ - a BUILDING Permit No.: - nspections $ RESIDENTIAL APPLICAT Received By:, 763-5723604CITY $ S.0\3 OF FRIDLEY a� Date Recd: )ATE , YOUR E-MAIL ADDRESS ;ITE ADDRESS 5 % l`2I T� ice- 1 �J� i HiS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: A-� ey �- IAcJ / LL _ AO F- ll - . ADDRESS: �5_ / y m/ E& pati CITY -4,--'rzt DLRL STATEAA/ZIP TENANT $ ( `�j ,4 (,o PHONE: 6� .346 — 00-5-" �1Q t e J -,)- CONTRACTOR NAME: 7D SA_ MAW 1 �iA(ST2uc 7:g-.4 STATE LICENSE # a n3 Y5 a5 75— EXP DATE f/AO 7 ADDRESS: ei 0 q v//G/ ea �/j R L (/pCITY _4Yd/pt�il[ l( STATT�AZIP .Ld V-)- 1WITH SUBMIT A COPY OF YOUR STATE LICENSE WITHAPPLICATION PHONE C! - 4Z/ -9 FAX PROPERTY TYPE ASiNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING E' OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR H*REMODELING DESCRIBE WORK BEING DONE: 9176- #eti1 2t&tD b rc-C_ SIZE OF IMPROVEMENT �Z LENGTH WIDTH � HEIGHT Sq. Ft. 1/-7 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 Yes [No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE ? SIZE OF W /LG d,_o � �� 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 $ z l%DfJ OCCUPANCY TYPE Permit Fee $ - a Plan Review $ Fire Surcharge $ Surcharge $ License Surcharge $ S.0\3 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ ( `�j ,4 (,o I hereby apply for a building pem conformance with the ordinances permit but only an application f a plan in the case of all work whi r SIGNATURE OF APPLICANT 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$21=$ $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 and I acknowledge that the information above is complete and accurate; that the work will be in codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a e work is not to start without a permit; that the work will be in accordance with the approved �' s revie and approval of plans. ��; f