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PRE 2010 DOCSDate: Sept. 12, 1969 wyf yo City of Fridley, Minn. rNo 10405 BUILDING PERMIT LOCATION OF BUILDING No. 9 53— Street Mi c s i a s i nn i _ — Part of Lot Lot SH — Block Addition or Sub -Division 2nd Ray- A u d _ Sub- 423 Corner Lot _ Inside Lot Sewer Elevation Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 26' Depth 24' Height _10' sq. Ft. ---64 cu. Ft. 62 40 Front Depth Height Sq. Ft. Cu. Ft. Type of construction _..__F'r$me Est. Cost _ 0 0 To be Completed Must have frost footings being in the side yard. Must have a surfaced drivewgy 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 ah provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of .0 0 _, permit is hereby granted to Be r a a fid,_ the XVa n d erye t to construct the builduig or addition as described above. This permit is granted upon 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 thereof, shall conform in all respects to the ordinances oP 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 oP said ordinances. Clarence Rol i_al_e NOTICE: Tide perk dost not cover the cowdraddon, hwtaWon for wiring, plumbing, on heating, sewer or wahr. Be sun to see the Building hwisomr for separate peradts for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME FeAV,s1i M,41P&-e �� S?� BUILDER ADDRESS `l s3 r s s s s �;�®/' �-� ADDRESS LOCATION OF BUILDING NO. STREET LOT BLOCK ADDITION OR SUBDIVISION fff f - If&:"/' -r&6' .21 CORNER LOT INSIDE LOT SETBACK SIMARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front a d Depth A y Height /O Square feet � Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction"" P Estimated Cost To Be Completed rt/od. — 6 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 deolares that all the facts and representations stated in this application are true and correct. DATE %— /a -4(17 SIGNATURE (Schedule of Fee Costs can be found on theevers.e Side . r e y d ow /? moo' IN L, tA 1 1 1.2 Zb- v IN L, tA 1 �1IIdwlty 6-6863 Alldway 9-5072 BRidgeport 6611 THE, E. B. MCDONOUGH CO. DONALD 0. WE, BER & PAUL J. CRANE 1953 University Avenue Associate Engineers 406 National Building St. Paul 4, Minnesota Minneapolis 2, Minnesota Exclusively(CertifUr for Farmers ica lot � rmer4cchanica Sa;in gs nk o czeapolis 31 jerebp certifp that on Au s t 11 19 55 . -3 mabe a ourbep of tje propertp Iocateb at 953 tdinsissinni St,Fridley. Nunn. Kid) to begcribrb no fotlobug: Anoka Co. Lot 8 H (811) in Second Revision Auditor's Subdivision No. 21, Anoka County, ldinnesota, except that part taken for roads. Cncroac jmento _ xx 31 founb that the follobjing Guilbing(g) – house and garage traebjftbitt the propertp Iimito no get forth in the abobe legal begcription. E. B, McDonough, Re gistered.Stizveyor, No. 1990 Donald 0. Weber, i 11 No. 665 Paul J. Crane sy No. 4449 John J. Ryan "pr No. 4459 .+L2�unrbcr 3'.nl lropertp--- Form 133-R 631 E-55 The Leslie Schuldt Co. dam¢— Bernard_Joeeph Vnndervest Fee $10.0-) City of Fridley, Minn. BUILDING PERMIT Date: VebiniarV? ti, 971 Owner: Vanderuest Builder Address 253 Mississippi Street Address Patio Roof Builders 4779 Osseo Road SY96 y N10'_'109- 4779 .10 LOCATION OF BUILDING No. 953 Street Mississippi Street Fait of Lot Lot _._..BIi____ __ Block Addition or Sub -Division _ 2nd Rev. Aud . Sub. No. 21 Corner Lot — Inside Lot Setback __ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: porch Front 19 Depth 9 Height 10' Sq. Ft. 191Cu. Ft. 1910' Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction Rdwd & Aluminum Est, Cost � 1 500.00 To be Completed April 1, 1971 In consideration of the issuance to me of a pe o cons ct the the proposed work in accordance with the descrip ; n above forth ordinances of the city of Fridley. / above, I agree to do oth all provisions of In consideration of the payment of a fee of•00 , permit is hereby granted to Patio Roof Builders 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 andmoving 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. HANK MUNICH NOTICE: This permit does not cover the construction, hata&Mon for wiring, piunhing, has heating, sewer or water. Be ours to we the Buihiing Inspector for separate permits for these sterns. "` t APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_ 11h 410Q [/C S T. BUILDER: ;9W/G) ' Gt f 'ex4w-s ADDRESS: �Zs I / � of ADDRESS: -%>F e ny"!5-ci "ef , /641 r P NO:. STREET: S / LOT:' --:15(-co-24 BLOCK: ADDITION �` ebb S to 4e,% -Y c f CORNER LOT: C INSIDE LOT:SETBACK: n ,� SIDEYARD: A r 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: P®k r/ Front • Depth • Height: Square Feet; 1Y1 Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: F-Dct'®&D 1%f{/M,ui/fEstimated Cost:_$ To Be Completed: T ' The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: SIGMA .t! (See Reirerse Side For Additional I rmati .) r �-NCQ Power Rzmh mad . ® vaOa. 0"'Upp'-s-sim Air nala's Bowles PARTIAL RATE SCHEDULE G"VrTY WAM4 AM: RATZ TOT&L Furnace Shell & Duct Work ... ... .$10.00 I Replacement of Furnace 6,00 $ Repairs & Alterations—up to $500.00 6.00 Repairs & Alterations each add. $500.00 300 $ uzc*L WAnm AIR gt rnace Shell & Duct Work to 120,000 BTU .410.00 $ each add. 60,000 BTU . ......... 3.U0 8 Replacement of Furnace 6.00 $ • D tl Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3,00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. F.DR Steam $10.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 $. Each add 200 sq. ft. EDR Steam ann $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal per hour 6.00 $, over 3 gal. per hour --See Fee Schedule GAS BURNER (UP to I%= BTU) 8.00 MW 11393,000 BTU See Fera Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures x .96 Gas Range to IM.00 x$ 8.00• $ .-:v v , l.'1w State Surcharge .50 S" roe sebodwie TOYAB. Dept. of Bidea10-um City of Mdley: The undersigned hereby makes application for a permit for the work here specified, agreeing to do all work in strict accordance with the City Ordinaneer and ruling of the Department of Buildings, and hereby declares that all the fad and representations stated in this application are true and correct. Owner Kind of Building . Used as To be completed about,"— Estimated Cosr, $ Building Permit No. _ Permit No. / (O 09 , .*N" ,,, L.; HEATING or POWER PLAN7IS-- Steam, Not Water �No Trade Name�j /�,,� Size No_�S�/01���r' `v Capacity Sq. Ft E.D.R- Zo `�: e--" BTij Hp Total Connected Load r-ind of Fuel BURNER — Trade Name Size No Capalci Sq. Yt. E.D R- BTU No (MMAMm--oVOl SUBJECT PERM City of Fridley 15.3 2� AT THE TOP OF THE TWINS B U I L D I N G P E R M r RECEIPT NO. ------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/12/79 JOB ADDRESS 953 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I 8H Aud. Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Brandt 953 Mississippi Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof structure 9 CHANGE QF 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 400 $.50 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. $7.50 PLAN CHECK FEE TOTAL FEE $ 8.00 GNATURE OF CONTRACTOR R AUTH RIZED AGENT IDATEI WH N PR P Y WIDVtD THIS IS YOUR T SIGNATURE OF OWNER IIF NER BUILDERI IDATEI BLDG INSP nAT CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: geed 1' t � c ADDRESS: BUILDER: ADDRESS: TEL NO: ' TEL NO: STREET NO: LOT: Construction Location r + / STREET: BLOCK: ADDITION: Corner Lot: Inside Lot:_ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. Front: DESCRIPTION OF CONSTRUCTION Depth: Height: 'rf �tVa OF I-` Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: ' Estimated Cost: $ mod To Be ODmpleted: 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 applicatigZ._are true and correct. DATE: 9 — I I'f") SIGNATURE Stipulations: of b+" t SUBJECT P City of Fridley 15358 AT THE TOP OF THE TWINS BUILDING P E R M I f cEIPT NO ' ` L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ` "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/27/79 JOB ADDRESS 953 Mississippi St. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 H2nd Rev. Aud Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fredrick. Brant 953 Mississippi Fridley 55432 571-5377 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Metro Aluminum & Siding 4244 Madison St. N.E. 786-7766 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS, ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 9 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install Aluminum siding and soffits. 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. 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 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 $2800.00 $1.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $18.00 PLAN CHECK FEE TOTAL FEE $19.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WH N PR E L LI TED THIS IS YOUR PERMIT BLOG INSP BATE SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:ADDRESS: TEL NO: --.7'% — � 7 7 BUILDER: / l�P� & ° ADDRESS: TEL NO: Construction Location (� STREET NO: y STREET: LOT:y °� BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: ----'tom Squane.Feet: Front: DLpth: Height: Cubic Feet: Depth: Height: Square Feet: Cubic Feet: 4A.1— Estimated Cost: $ Type of Construction:. To Be Oompleted: r ' Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEST 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. n DATE:., -27 SIGNATURE: Stipulations: Ar ad _ r' -,_.q SUBJECT City of Fridley ri 6 0 4 5 AT THE TOP OF THE TWINS BUILDING P E R M r ECEIPT NO. >v ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY A/--1 ,.j 612-571-3450 910-F15 1/14/81 JOB ADDRESS 953 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8$ Aud. Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Brandt 953 Mississippi Street N.E. 571-7188 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 a ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE JORK Install a wood burning stove/chimney in garage 9 CHANGE OF USE FROM TO STIPULATIONS Stove must be 16" off floor. 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 $250 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA/TTEEI WHEN PROPERLY VA (DATED THIS IS YOUR PERMIT ®®�j� (y7 `\ BLDG (NSP A E I NATURE OF O E IIF OWNER B DER, IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEIU41TS (New, Alterations, Additions, or Repairs) OWNER: rr ed- J3 Pg- u-, t ADDRESS: TEL h0: f�77I --% R .Construction Location STIUMT NO: / STREET: LOT: BLOCK: ADDITION: L.aC.I _ao BUILDER: d1'1 ADDRESS: TEL NO: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 7�C. Front: 17 jo_k"�. rL Square. Feet_ cFront: Square -Feet: Depth: Height: Cubic Feet: Depth: Height: Cubic reet: Type of Construction: Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVERSE SIDE OF SHEET Rile 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 its this application are true and correct. DATE: / - ) -,-/ - 8 / SIGNATURE: Stipulations : 1%I � 4 POW, '7, j rye ^� April 22, 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Mr. Ronald Miller 5705 Jackson Street N.E. Fridley, Mn 55432 Re: Residential Rental Property Located at 953 Mississippi Street N.E. Fridley, MN 7.", Dear Mr. Miller: Enclosed you will find the City's application form for a license to operate residential rental property for the time period from September 1, 1982 to August 31, 1983• Section 220.11, of the Fridley Housing Maintenance Code, states that, "To allow for a systematic enforcement of this ordinance upon rental dwellings, no person on or following the sixtieth day after the enactment of this ordinance shall operate a rental dwelling without first having obtained a license to do so from the City of Fridley... No operating license shall be issued or renewed unless the rental dwelling and its premises conform to the ordinances of Fridley and the laws of the State of Minnesota." Therefore, you are required to complete the enclosed application, sign it and return it with the appropriate fee to the City offices no later than 1.983. If there are any questions or problems, please feel free to call on me at 5T1-3450. t, Sincerely, r S EN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 CITY OF FRI®LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)S71-3450 Mr. Ronald Miller 5705 Jackson Street N.E. Fridley, MN 55432 Re: Residential Rental Property Located at 953 Mississippi Street N.E., Fridley, MN 55432 (SECOND NOTICE) Dear Mr. Miller: Enclosed please find this department's letter dated April 22, 1983 which brought to your attention the need to apply for and receive a license to operate residential rental property at the above listed address. As of this date, no application has been received. Therefore, the City must again require that you complete the enclosed license application form, sign it and return it With the appropriate fee and 'late fee, no later than May 16, 1983. If there are any questions or problems, please feel free to call on me at 571-3450. Failure to correct this violation may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 2 NEW [ ] City of Fridley Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address Legal Description:_ Owner Name & Address ODntractor: Address: M Tel. # % Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPPION OF IMPROVEME21P TLMNG AREA; Length Width Height Sq. Ft. GARAGE AREA: Length Width might Sq. Ft. ' DECK AREA: Length Width Hgt/Ground Sq. Ft. LEM5:. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: �zZ_A Alt. B Proposed Driveway Width If New Opening Is Desired: � �� $ -� �-� $ Width + 6' See Back Page CITY USE ONLY Permit Fee $ Flee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $550 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer blain Charge $ Agreement Necessary [ ] Not Necessary [ ] TIAL $ STIPULMONS: ^..I. r,.:... T% -.A %.._.. N,. ia-'RA Miller -Davis Co., Minneapolis ladividual to Corporation - -'--'- ' -- -- - - Minnesota Uniform Conveyancing blanks 625448 Tbis; 3inbenture. Made thio....29th ..........................day of ............. .Septembe-r..................... ., 1983....., between... ... F.ersAn......fee... owner...................................................................................................... and Ronald DAand Diane Miller, Husband and Wife, Contract Purchasers MII.i-lit ofthe County of ......... Anoka ........................................................... and state of. ... _..... Minnesota ....................................................... part. e.s. of the forst part, and .........C:1 ty.... of..F.ridl.ey......................................................................................................................... . ............................................................................................................................................................ .... ...19rp Ikl@k1... f MinneSOta............. .......................... I party of the second part, a%orpora under the laws o the State o f ..................... Witneggetb, That the said parti.es.•• of the first part, in consideration of the sum of Dolj.Ar..... ($1....oD.)... and ... other ....valuable... cons .iderati•onm r• r...M..R.w.w.w.w•w•w.w.w.w.w.w.w.w.w.wDOLL.gRS, to...........................................................in hand paid by the said party of the second part, the receipt whereof is hereby acknowledged, do............ hereby Grant, Bargain, Quitclaim, and Cone,,; unto the said party of the second part, its successors and assigns, Forever, all the tract...... or parcel..... of land lying and being in the County of ............ Anoka .........................................................and State of Minnesota, described as follows, to -wit: A 10 foot Bikeway -Walkway easement over the South 10 feet of Lot 8H, Second Revised Auditor's Subdivision No. 21 The City of Fridley hereby accepts this easement for Bikeway -Walkway purposes. NO STATE DEED TAX REQUIRED L SIDNEY . INMAN - CITY CLERK To Oabe anb to Rpolb the &alnc, Together with all the hereditainents and appurtenances there- unto belonging or in anywise appertaining, to the said party of the second part, its succe.,sors and assigns, Forever. Gln reotitnonp Wbemf, The said part_ ies. of the first part have .... hereunto set their ._ hand .S. the day and year first abore written. sp1 i,W ra X - Fee Owner 1 . Ir Contract Purchase - Contract_.Purchase Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: Date Rec'd: DATE I/,)/ I/11/; S See Back Page for Fee Schedule YOUR E-MAIL ADDRESS SITE ADDRESS CJ C' Sr THIS APPLICANT IS: CONTRACTOR ❑ OWNER OtONTRACTOR PROPERTY OWNER/ NAME: go "i 11'\ 1LUISP, See Back Page for Fee Schedule ADDRESS: 951 N CITY �STATI3"1P TENANT Fire Surcharge PHONE: .001 times the total job valuation CONTRACTOR NAME: %C'i �L-��i �.k iLR i Gp_1 .0005 x Permit Valuation Minimum $.50 STATE LICENSE # &C 403 �� 4.3 EXP DATE V l o i _ 'S^5�3 SUBMIT A COPY OF�t YOUR STATE LICENSE ADDRESS: 1 l 1 �m hhm",w y /yW CITY 1��As"1SC� STATF/''N'ZIP WITH APPLICATION PHONE - )� N FAX EirSINGLE FAMILY/NEW CONSTRUCTION 161, 441 - 16`f� SIZE PROPERTY TYPE Erosion Control ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Sewer Main Charge ❑ BASEMENT FINISH IR ROOF ❑ DRAIN TILE Total Due ❑ DECK CYSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR SMEMODELING DESCRIBE WORK BEING DONE: New SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING r� ❑ HOUSE ONLY NUMBER OF SQUARES )0 WHOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2• Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, E? 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 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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 $ 0j &/)JyJ OCCUPANCY TYPE Permit Fee 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 $ 610,0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ 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 APPLIC-Aq"ION FOR A PERMrr-NOT VALID UNTIL PROCESSED I hereby apply for a building pet 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 permitwork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi equires reeve and approval of plans. �,i K.n C' i I (A:1C 1��7G DATE SIGNATURE OF APPLICANT 7 PRINT NAME Building BUILDING SING THAb997 U.B.0 FEE SCHEDULE) Permit No.:)�"a Inspections OCCUPANCY TYPE RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $ 65% of Building Permit Fee Fire Surcharge $ L .001 times the total job valuation Surcharge CITY OF FRIDLEY , .0005 x Permit Valuation Minimum $.50 Date Rec'd: 763-502-497^^7 FAX/ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-2010 ft + 6 ft = ft x $24 = $ Erosion Control DATE 1y oC / YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS 5 3 S SW 11 Sewer Main Charge THIS APPLICANT IS: ❑ OWNER IRICONTRACTOR Total Due PROPERTY OWNER/ NAME: T; ►1 v\ y :'e:, '-N e S TENANT ADDRESS: 1-5 CITY f- ,r ,Cls 3r STATEi'j&ZIP S"s '%a � PHONE:_ f 6' t S CONTRACTOR NAME: 'r ' SUBNHT A COPY OF STATE LICENSE # EXP DATE � �- YOUR STATE LICENSE v2 1 AND CERTIFICATE OF ADDRESS: >�G� S�G� T� z zSd$ I 'S y� CITY STATEP1 n ZIP INSURANCE PHONE FAX t' PROPERTY TYPE GZSINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES / PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED )KLWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR M -"REMODELING DESCRIBE WORK BEING DONE: 41— i i'' '„/ a i'� / ar/ '02 SIZE OF IMPROVEMENT Cl LENGTH WIDTH HEIGHT S FT ROOFING NUMBER OF SQUARES O HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I . Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING 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 3. Energy Calculations IN EXISTING OPENINGS �'es ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZ�y,QF . A MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & ` 'L I j TYPE OF WINDOW TO BE INSTALLED Ll --8f rqrfi0C NUMBER OF WINDOWS f` ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THAb997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ L .001 times the total job valuation Surcharge $ , .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach Stiaulations 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 on site; that the work will be in accordance with the approved plan in the case of all work which re es revigAd approval of plans. SIGNATURE OF APPLICANT PRINT NAMEaef,,e -i ee 1 DATE