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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT ® 1934 Date: "�: '� .. e .................... Owner Builder .............................................. Address •,.J-�...... e'�'� ?�r:.�^ "Address ............................................. LOCATION OF BUILDING No. ;..... Street:. ; { Part of Lot ....... ............................. .. � « r � y'�� z,+t,,.t,(�1 a Lot .... ....... Block ... .......... Addition or Sub -Division ....................................... s CornerLot ........... Inside Lot ........... Setback ........... Sideyard ............................. DESCRIPTION OF BUILDING To be Used as: _ .... Front ... Depth .. Height . # Sq. Ft. ........ Cu. Ft. ........ 6. .... ........ ........ Front ..:;�: Depth :�'`... Height Sq. Ft. Cu. Ft. Type of Construction .. ...t ...... Est. Cost . h.. " ... ..... To be Completed .:... c: .. 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 village of Fridley. In consideration of the payment of a fee of ......... permit is hereby granted to 3 . r ` .. � . ."........... . 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, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. a `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 r4 —,Building Inspector for separate permits forj'�@se items. 1 0-� City of Fridley, Minn. N° 8031 BUILDING PERMIT Date: dune 25, 1965 Owner: Dexter Larson Builder M. P.Holum Construction Address X60. Mississippi Street N. E. Address 7561 Van Buren St. N. E. LOCATION OF BUILDING No. 560 Street Mississippi Street N. E. part of Lot Lot 9 _ Block 2 Addition or Sub -Division Christie Addition Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Nell.ing Front Depth Height Sq. Ft Cu. Ft. Rabuild, Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fft. Cost $25,1900.00 To be Completed Storm damage repair 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 forth and in ce 21 provisions of 1nances of the city of Fridley. _ .0 In consideration of the payment of a fee of1S 0.00 _, permit is hereby granted to MD Holum Const.Co. r 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, Minnesotasing location, cautructtion, alteration, maintenance, repair and moving of buildings within the city limits � this permit may be revoked at any time upon violation of any of the provisions of said ordinanom NOTICE: TMs pamdt don net oswr do comtradlon, tmtdhgm for r hb& phmrbing, gas bating, ower n wrier. Be sure to an tin Building l npntsr by sspm to pormhs for tbsa h m. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMES . �,� !/'�,,� 1_ew c BUILDER /Yd A- u �"V s1, ADDRESS 9 6 /%/ 5S' ADDRESS '75-61 Ulo;�'y LOCATION OF BUILDING No._ /%/ Street /�/ u �Part of Lots_ LOTBLOCK ADDITION OR SUBDIVISIONp e r Corner Lot inside LOT -A_ Setback ;9 %6- Side -Yard SEWER ELEVATION F0ffiWATION ELEVATION 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: 9L 37 Depth Height Sq. Ft. /'���' Cu. Ft. Front Depth `Height Sq. Ft. Cu. Ft Type.•of ConstructionEstimated Cost To be cgmpldted The undersigned hereby makes application for a permit for the work herein specified, agreeing to do'all.work iii strict accordance with the.City of Fridley Ordinances and rulings of 'the bepairtment of•Buildings, and heraby declares that all'.the facts and representations stated in this application are7true and correct. DA �..P � 5 /' SIGNATURE (Schedule of Fee Costs can be found on a Reverse Side). City of Fridley AT THE TOP 011 TN[ TWIN[ W ------ COMMUNITY D[V[L+OPMENT DIV. 1 1 PROT[CTIVR MM[CT*m MT. CITY NAL.L FPUMRV DMlt rl.� �., N:-ew-s•so joo aaaress c 5'6 ® CiO�d. C fie0a PLUMBING PERMIT APPLICATION - ---- gess Phone Contractor 1 Additggs Phone Kind of Bu-irdi4g Use Completion Date Estimated Cost I (II i� Plumbing Fixture Rates: NO. RATE TOTAL ' IW — i I ----' i ! ... Number Fixtures x $2.00 $ Future Fixtures x $1.50 8 t>eve NVe i ± New Fixture=ftU Open. x $1.50 I Catch Basin x $3.25 eve I .r Water He Y 9; x $3.00 XIJ L_ _ -781N I I I I � i' � I � ri• I Groling, Run Old Bldg.;. x $3.25 saa, m •MNIVaI I� I I I I — � I '4 Elec.j ' Water Heater ' .� _ x $2.00 SNISV9I j I rZ I� Ho1V�I ,I � y I r° in Gas Fit Fees: '�. i0 C C ONIVH I I :ci I -: s a 3 o aoo Id 1st 3" xtures x $2.00 1zb ! Additional F=i�c:t�tr k� x $ _ .75 ��b>tNlaa •iNnodl I I I ITA Gas Range=7:99,000 II BTU x $5.00 f'/7 � r.. i I SAYiIl q NSVMI I I I Repairs & Alterations I fl k I I I I See j Description: Code 0 J State Surcharge .50 TOTAL FEE $�v The undersigned hereby makes application for a permit Eor the work herein specified, agreeing to do all work Ln strict accordance with the City. Ordinances and rulin if the Department of Buildings, and hereby declare that ill'the facts and representations stated in this I application are true W correct. -® ®14C ® 7J Date CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE '_tESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE TOTAL $ 20,00 $ C0 $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ /0' co State Surcharge TOTAL FEE Reinspection Fee ($15.00) $ Rough Insp. , Date Final Insp. D to Approval for Permit /poi C� 2 �? MINIMUM FEE FOR ANY HEATING PERMIT IS PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address" Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. �/�(' , 196q %r OWNER KIND OF BUILDING�_j�/�(� USED AS 'Q TO BE COMPLETED ABOUT 6 9 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. �U DESCRIPTION OF FURNACE/BURNER Lh //C HEATING or POWER PLANTS, Steam, Hot Water,rm Aiir No. Trade NameSize No. r�ca-ll • �CJ�%C)o�'�Q�v Capacity Sq. Ft. EDR BTU/�-c , HP Total Connected Load BURNER - Trade Name Kind of Fuell/A� �, J Size No. f Capacity Sq. Ft. EDR BTU HP Company, Signed By Tel. No. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has -Total heating BTU's of All other BTU's TOTAL Remarks Company _ Signed By Da to 11 U SUBJECT PERMIT NO. City of Fridley �18 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r i y I PROTECTIVE INSPECTION SEC. REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432NUMBER j 612-571-3450 1 910-F15 10/14/83 JOB ADDRESS 560 Mississippi Street NE 1 LEGAL BLOCK TRACT OR ADDITION SEE ATTACHED DESCR.2 JLOTNO9 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Janet Hommel 560 Mississippi Street NE 571-3681 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 20 x 121 Porch 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNINq Before digging call tat all utility locations 454-0002 REQUIRED BY LAUD TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $7 560 $3e 78 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT F 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- $99a00 Fire SC $7.56 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $110.34 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE OPER AI IDATED THIS IS YOUR PERMIT BL G I!0' r)ATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: d b M 15 5 t 5g 0 01 67 7` 05 L J i e y M�i '6 `' 9 2i 2 Legal Description: Z '-o —/ j- 2 S i A 6 rLl Owner Name & Address: p 1 s . J 01 n e t e� 'Tel. # / 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. DESCRIPTION OF ff"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Pore % ) al,q 16 11 Fer Corner Lot f ] Inside Lot 00 Ft. Yd Setback Side Yard. Setbacks _ Type of Construction: . fir A v n C Estimated Cost: $ Approx. Completion Date: ��� �• (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 617t = Ft x $ _ $ 7 / - �� X Tel. # :5'7/ 3/?f DATE: G C APPLICANT: w Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ i F $.50/$1,400 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 $ �� D' �! STIPULATIONS: s ©a77a -L 0 -1 SUBJECT PERf,.,IV.II-J�LO� City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 22511 � R . COMMUNITY DEVELOPMENT DIV. �� r PROTECTIVE INSPECTION SEC. � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 15/17/94 JOB ADDRESS 560 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Hommel 560 Mississippi Street NE571-3681 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L Johnson Co 525 Lowry Ave NE Minneapolis MN 55418 7RI-954R 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 O ALTERATION Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (36 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $2,700 $1.35 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 $2.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _ License SC $5.00 $63.05 NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHENOPE Y V 1DATED THIS IS YOUR PERMIT BLDG INS r) SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW ADDN [ I CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: 560 Mississippi st. N.E. Legal Description: Owner Name & Address: John Hommel - Same as above Effective 1/1/94 Tel. # 571-3681 Contractor: Milton L. Johnson Company MN LICENSE # 2083 Address: 525 Lowry Ave. N.E. Mpls . 55418 _ Tel. # 781-9548 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 Length Width Height Length Width Hgt/Ground Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Tear -off, re -roof Estimated Cost: $ Approx. Completion Date: 6/30/94 Sq. Ft. Sq. Ft. Sq. Ft. (36 sq.) (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $�_ _ $ <�p ? ° DATE: 5/17/94 APPLICANT: Tel. # 781-9548 i TOTAL $ STIPULATIONS: y e CITY USE ONLY Permit Fee $_ Lfo Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ � ,� �Via-°;' $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ p $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 Sever Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS: y e 01 SUBJECT ,!`RM171TT-NC3.� City of Fridley AT THE TOP OF THE TWINS BUILDING j� PERMIT 23417 a NO. Ir �• COMMUNITY DEVELOPMENT DIV.�H ______ r v PROTECTIVE INSPECTION SEC. a �� `Er NUMBER REV DATE vAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/31/95 JOB ADDRESS 560 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Hommel 560 Mississippi Street NE 571-3681 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 O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 24' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2.28 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,564 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 $4.56 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $72.00 PLAN CHECK FEE TOTAL FEE $78.84 CONT EDAGENT IlDAT`EE'i W E RLY ALIDATED THIS IS YOUR PERMIT TURE OW NER iiF OWNER BU�LDERi WATEi F �'. BLDG It; MATE 01 I NEW [) Effective 1/1/95 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 1 1 Construction Address: S60 m i s s i ss l D r S i ✓ Legal Description: Owner Name & Address: Jo � n/ /o rnrne 1 ,se; o rn issits n n T Tel. # 5'71 341. r/ Contractor: I'e / { 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 IMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length ;2 G' OTHER: Width Height Width Height Width �!' Hgt/Ground Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Tr e p 7e. d L k !n �r Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ Tel. # Sq. Ft. _ Sq. Ft. Sq. Ft. x'60)If, if= ly,1'6Y,4o (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: S' a a` cl S APPLICANT: yr Tel. # 5-704-F1 CITY USE ONLY Permit Fee $ . Fee Schedule on Reverse Side Fire Surcharge $ °�, It .001 of Permit Valuation (1/10th%) State Surcharge $ 2.21 $.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 $ STIPULATIONS: Car 0 o QW 5� "Mo i a � d NI a t0 <D m. ....... . ....... ........ ...... ....... n . .. ....... s? SUBJECT City of Fridley 2 7 7 6 2 AT THE TOP OF THE TWINS BUILDING PERMIT � t COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATEPAGE Oi APPROVED BY { CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/14/98 JOB ADDRESS 560 Mississippi St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 571-3681 Hommel Same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Improvement Co 4832 2$ St NE Minneapolis 55421 572-1820 4772 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 to REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (40SQ) 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 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 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 $3,428.00 $1.71 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 #ATE OR LOCAL LAW REGULATING CON- $87.25 Fire SC $3.42 STRUC ON OR THE PE ANCE OFC NSTRUCTION. 1-7 PLAN CHECK FEE Licen SC $5. TOTA EE $97.38 S N URE OF 66NtfACTOR ORAUTHO RtZEDAGENT IDATEI I E �_�f�7 MPLVA IDAT ft I I UR� i r SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI INSP GATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION A 6� ConstructionAddress: r�o Legal Description: Owner Name & Address: 4%) M ,#/l. -e- ri Tel. # 3 6 Contractor: LIILIj 4v *W _T;A PA,MN LICENSE # % 2 -- Address: df 2, E .2- Z S 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: 4a-" '4 C (162, Estimated Cost: $ 347.28 fu U (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: f—/!�-ffAAPPLICANT:W/,,��Aggili��Tel. # L%z'-I [Z0 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3. 1,9 .001 of Permit Valuation (1/10th%) State Surcharge $ �J/ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ (JO $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 Necessary16 TOTAL $ o STIPULATIONS: Building $ ///1 See Back Page for Fee Schedule BUILDING Permit NO.: Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY eSjr P 412007 SATE -- / SAC Charge YOUR ADDRESS 115;t4 go a.1066 R F�lf ..`i TIFvt- Al � l� ICT- /® 31TE ADDRESS !� 15>!� S� F�1? �E-MAAIL .r p Erosion Control THIS APPLICANT IS: ❑ OWNER ONTRACTOR $ PROPERTY OWNER! NAME:_ A $ Agreement necessary ( ) Non Necessary ( ) TENANT ADDRESS: 5 (v ® ivt r g i SS 1 "®1 f CrN—F- Lc A2 & 16� STAT�L�IP_LL3i —t— PHONE: "7 &Z,T 71— 7 t, I?)' CONTRACTOR NAME 16 1-612 e s STATE LICENSE #? D3 EXP DATE V!, SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 7 o ea 1:14 C.xD A E CITY v STAT} IP-. -7q WITH APPLICATION PHONE 1 — FAX PROPERTY TYPE IINGLE FAMILY SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISHROOF [3DRAIN TILE [3DECK ❑ SIDING ❑ OTHER ❑ SWINUw[ING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION USEMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEIWG DONE: �re9 eat SIZE OF IMPROVEMENT LENGTH WIDTH -L HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY [3 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 WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes OND LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 $ OCCUPANCY TYPE Permit Fee $ ///1 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed 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 Due $ Make checks payable to: City of Fridley Attach Stipulations 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 ' not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor requires rev' w and pproval of plans.11 /� ' SIGNATURE OF APPLIC PRINT NAME �j(� t.1 G° �7I ,%DATE �I s�