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PRE 2010 DOCS1w. I SUBJECT PER City of Fridley ®13061 AT THE TOP OF THE TNS WI PERMIT r Z BUILDING RECEIPT NO. i -___ --, COMMUNITY DEVELOPMENT DIV. LV r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "'•� � �.J 812-580-3450 810-F15 6-30-75 JOB ADDRESS 1635 MISSISSIPPI STREET N.E. FRIDLEY MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 CLARK'SDI SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE RICHARD G. JOHNSON 291 - 2ND ST. N.W. NEW BRIGHTON MINNESOTA 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. 8 USE OF BUILDING HOUSE & GARAGE 7 CLASS OF WORK XX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK CONSTRUCT HOUSE 24 x 40, & GARAGE 22 x 22 9 CHANGE QF USE FROM TO STIPULATIONS , PROVIDE HARD SURFACE DRIVEWAY PROVIDE VERIFYING SURVEY BEFORE CAPPING SOIL TEST MAY BE REQUIRED DEPENDING UPON SOIL CONDITION AND FOOTING ELEVAT' ' jean DEDLW A DRAINAGE EASEMENT OVER THE E.10' BY JULY 13, 1975 0 SEWER: EXISTING (WYE ONLY) AT 2+13 EAST OF MANHOLE AT FRIDLEY & MISS. ST. DUE TO PHONE COMPANY DAMAGE TO STREET 12' WEST OF WAYE. CITY OFFERED c Lt; W. SUPPLIES INVOLVED IN PLACING A SADDLE ON WYE AT THE WESTERLY LOCATION oTO COMBINE STREET REPAIRS & SEWER HOOK UP STREET PATCH. v WATER: 8" MAIN 10' S. OF SEWER (MUST BE TAPPED) . ca a SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. PPAM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. Fz. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 1,042 12, 504 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. - TION R THE PERFORMANCE OF CONSTRUCTION. $46.49 $325.00 PLAN CHECK FEE TOTAL FEE ° IGNATUREOFCONTRACTORORAUTHORI2EDAGENT (DATE) WH N PROPE L IS YOUR PERMIT �ATT JUNE 30, 1975 SIGNATURE OF ORUF -_n (DA E) WNE BLDG MSP DATE 1w. I APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:?ILNCZ J60WWAIBUILDER:� G914P-V 6 jd1441SOAl ADDRESS 9I � 01 �/� S 1Z Al 4). ADDRESS: a y/-g�A4o NO:. STREET: / IFS l SS e LOT: Q BLOCK: 61 -ADDITION: C 4499 0,776A.) CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: bW&J,1(t�(�, Front: -14 Depth: Height: S PL 07' Fp4cA- Square Feet: Cubic Feet: W r Front: 12P,t4 ',' K S.01�'�, Depth: �'�,,, Height: Square Feet; SPW Cubic Feet: ;011d Type of Construction: 1_ Q ArKkK Estimated Cost:_ $ 0R!A, ad To Be Completed: 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. DATE: /f 7 1� SIGNATURE:� 2 �/4 /✓ oo (See Reverse Side For Additional Information.) vf, r--ty x 1,$a/e64 46,41 Peoo1 �, l��iFyrN0 �u.2JEy .a, 6 1i,.2o ompp, , �Sor,- yrs,' May gE RCQUIM" 3 7 ®rore -j o , jri 0-00') (% -SO, L� , ��C� %OutaJr04- da AJ4 \0 . vt (3-o if,75 Ad 3zr miss , 24) q&O 41 ) = V Oa u - -- 10 LIZ _112od r. %A N A' X 8 t 4846 4-,r 4AX C3 z 17 4pr S" -O Z. 0 y 1-ULOOO 4.4q 12.2 43 x o z 3 3 Oa SO o y't V i -Ig 13co to jr Z. oRomaJim z Y, sae -- S 00 Itois CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS TO RF INSTA1 I Fn nk FerW M nnR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10,00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS , cc/ 1 % of Value of Fbdure or Appliance JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and pgrrect. ,1995 � Owner `Flal ��O Building Used As A ; Estimated Cost-- `�_ PERMIT NO. PLUMBING SIGNED BY Approved By Rough -In Date Final Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE '5-C) PLUS THE $.50 STATE SURCHARGE Bath, hit Wash Floor ch Auto. Cats F's': Gas Water Heater Stories Cksse ;Urinal Tula ShowerIciIE ;a Tray I o : _ ,� ., -"r° ram Daslm W as er A Fixtt $` ane as El R; G Basement , MLOW_ i�; Floor 1 , Floor 2 T Floor 3777, Floor 4 It- PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10,00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS , cc/ 1 % of Value of Fbdure or Appliance JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and pgrrect. ,1995 � Owner `Flal ��O Building Used As A ; Estimated Cost-- `�_ PERMIT NO. PLUMBING SIGNED BY Approved By Rough -In Date Final Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE '5-C) PLUS THE $.50 STATE SURCHARGE i �en.w. Pa�n�'ie,� f7n.....4 +;"9._._.�+... �.+.•.� r'�•...�-? .,.� �"'�.r�.�',-,� t}�.,f,Dn. n�;•�•tTnnqq �L��},+.eG'-'.,...+;r.-!,.,� C�� `I{`i ��an17'o.Jd: wtii;.a b fr.ti..C.S to-ea+A � +.•'•..i.... m„a 'ro.�'ae cs:IIaaad,3 QbC'lY ai�ma�bl aJ y. Pa v. �id� jrsd`r..J 6.s 6� �'� b=0.5d ..Y •v �.m'eaCl:Cra.i:.a eu`� a:d'...aOwl �:.i.4.1 �v: 4. tvr,..p PARTIAL RATE SCHEDULE GltAT'tTT WARN AIR: VATZ TOTAL. 7%nmzee Shell & Duct Worst $10.00 Rey!acernerst of Furnace 6_q $ P.rpat'z & Alterat.or!r up to $500.00 600 S Regain & ' !terations each add. 5500.00 3 W $ IMCX. WARM Ail'; Ft:nsace &.'sell & Duct Worts to 120,000 BTU $10 00 $ /G � est32 add. 60.000 BTU S.WJ S Reptacersent of flunace 6.00 4 Re;aira & A'tP*ations--up to $500.00 6.00 $ P.& -pairs & Alterations each add. $500.00 3.00 $ STEA24 or HOT WATER SYSTLM r -r -^.ace She!) & Lines--- to 4':o sq. ft F.DR Steers a10 nn S Furnace She:1 & Line --to 640 sq ft. EDR Not ?Tater 1000 S. Each add 22n sq. ft. EIsR Steam 30n $ Each add. 320 sq. it EDR Hot Water 3.00 $ OIL ZUPNEP—to'3 gal per hour 6.00 S over 3 gal. per hour—See Fee Schedule S- GAS BURITER (up to U9,000 BTU) 8.00 $ mer IMOCO BTU See Foe Schodule GAS FITTING rEE3: NO RATE TOTAL Ist 3 Fixtures x$ 200 S '21, OG Additional Fixtures z .?b S__. Gas Rage to 199.0 235.00 $ AIR CO=ITI012=Gr V72;r1 _LrAzG BYSTMI ALT•ZPdATTONS & REPAIRS ROUGH State Surcharge .50 See Fee Svr?�•�: 10 3 TOTAL. s ": $ City o2 Fridley: The undersigned hereby maces application for a p^r•nit for the worts herei specified agrc-csng to de all work in Strict accordance with the City Ordtxza.^^.v and rt;t:ng of the Deva. tment of tau;ldmgs. and hereby declz-rs L`sat all the fse and repre!zPntati,••ls stats -d in this application, are true and correct. Fridley. ltainn DICOwner Kird of Building To he completer) about _ Estimated Cost:, S Z r Old—Nese. Building Permit No. Permit No. OF WOnx HEATING or POWER PLA.vr__ ,&tea: -n, Yot Water, 6a Air No� Trade NameU-4pl�i �r L- Size No- Capacityll Oj 0 Q - Sq. Ft. E.D.R � C, c^° g i Total Connected Lomd 3 9' 37 S Kind of F�xl BURNER — Trs+de Namo Size No Capacity Sq. IrL E.D R BTU M MMAV22 -.owal a i w ev 10 Y ` E 41 tr i•f `A 'C7 'O .A i1 .�•+ LL V �I D sa o g YylSYM r� � ® OITY a . a SJr11N I.i0 IL V � ' ,�y M U N •z SNIWO �•�/_ 1C • w ✓ ~ 'SY•v.t V }Q�.y� QQ '11U�0/ @1 y. a•.1.0 q YI o � � t}�•IS '� n � b , • rn h �7 � '•s t)i) SJ.Ir-. fx n qq . ''• o ry ii O i O s • lu 1 �' t-fv►.�tin ri U N V lv r, r.- qq� -C; S 1 rifl'U 1 L#im w 4 � 0. N 0 U ii I •-• N � M -CJ q 't t4l IS (I a i w ev 10 Y ` E 41 tr i•f `A 'C7 'O .A i1 .�•+ LL V �I D sa o g YylSYM r� � ® OITY a . a SJr11N I.i0 IL V � ' ,�y M N •z a i w ev 10 Y ` E 41 tr i•f `A 'C7 'O .A i1 .�•+ LL V D sa o g YylSYM r� � ® OITY SJr11N I.i0 V � ' ,�y )7Nvd SY7 •z SNIWO �•�/_ 1C o g YylSYM r� � ® OITY S�IISYQ •z SNIWO �•�/_ 'SY•v.t }Q�.y� QQ '11U�0/ @1 y. a•.1.0 q YI � t}�•IS '� � b • t)i) SJ.Ir-. o SOAI O s 1 t-fv►.�tin V lv S 1 rifl'U YIIVM 4 � ii I •-• N � M Y, �• q 't SUBJECT PERMIT City of Fridley 1 AT THE TOP OF THE TWINS BUILDING PERMIT r ______ COMMUNITY DEVELOPMENT DIV I L PROTECTIVE INSPECTION SEC r � � V CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 8/13/96 JOB ADDRESS 1635 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Smith 1635 Mississippi Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Top Gun Roofing 5014 Parrish Ave NE, Rogers MN 55374 428-4559 3388 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 Reroof Ho use & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $1,815 $.91 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- $59.50 Fire SC $1.82 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEES FEE Licens SC 5.00 $67.23 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P ERLY VA IDA THIS IS YOUR PERMIT BLDG I SP I I - GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: / (� 3f / hs'5 /SS / Legal Description: Effective 3/1/96 Owner Name & Address: Tel. # Contractor: c? 1' O U � � �� MN LICENSE # Address: Al®/tq—w—S4 e OCycb2S 6:222 Tel. # A%g- 4&rg Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA:W' th Hgt/Ground Sq. Ft. OTHER: Ix Q�Cj ,� t L RPC) q C--' 9 C A�� S _ .- Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: 11 /eA79JD' _ Side Yard Setbacks Estimated Cost: $ STIPULATIONS: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / 3 APPLICANT: E L Z Tel. # • 'y �� CITY USE ONLY Permit Fee $ -C.� Fee Schedule on Reverse Side Fire Surcharge $ 1.9c2 .001 of Permit Valuation (1/10th%) State Surcharge $ / $.501$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ DCS $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: SUBJECT City of Fridley 3263 AT THE TOP OF THE TWINS BUILDING PERMIT t T NO. ___ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. - f ^ r E NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 763-571-3450 910-F15 11/18/02 JOB ADDRESS 1635 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Smith 1635 Mississippi St NE 763-571-3260 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Aluminum Supply 7701 Main St NE, Fridley, MN 55432 763-427-3833 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 7983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION Q REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace windows within_ existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspectfon 'j Will 1 u o Homeownet 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 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 $6,100 @ $3.05 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. $139.25 Fire SC $6.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTOC FEE License $5.0 53.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HENRO VALIDAT THIS IS YOOUUR/PERMIT _ L( ! SIGNATURE OF OWNEA�6 OWNER BWLDERI IDATEI BLD INS BATE NEW[ ] Effective 5/10/99 ADDN [ l CITY OF FRIDLEY ALTER [ ] SINGLE FAAHLY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: L1 Owner Name & Address: Tel. # q (n.:�5 . 59 32-W Contractor: \M cgl-c ( k k) � 3 U MN LICENSE #_n985 Address: �Y1 ��t • ��t ➢ �j n() • 65�3Z- Tel. # rl (,,3- m q?n - 5&-�.� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BOROVEM EN7 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: ( -V 1 (�(�1 Estimated Cost: $ Lu 1 OO - 00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: i 1 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ , 10 .001 of Permit Valuation (1/10th%) State Surcharge $ 3,0S- $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S-,00 $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: L SUBJECT P IT NO. City of Fridley 3 3 3 41 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. >r ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 6095 1 � NUMBER REV DATE PAGE OF APPROVED By i CITY HALL FRIDLEY 55432 763-571-3450 910-F 15 2/10/03 JOB ADDRESS 1635 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Smith 1635 Mississippi Street NE 763-571-3260 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Aluminum Supply 7701 Main St NE Fridley, MN 55432 763-427-3833 7983 d 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 O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. Cards W TO Homeowner � 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 DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $10,000 $5.00 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 TOTALEE License 5.00 $^ 1.25 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT iDATEi,,,wArN P OP ALIDATED HIS IS YOUR PE IT y: •Bl0 INSo T)A SIGNATURE OF OWNEAoF OWNER BUILDERS IDATEI L NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor: ..HAu jq n Address: f)r?)/ M N 1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF M'ROVEiIV,II+'N:'' 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: 'o—U—) Estimated Cost: $ in, (cc . 00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: , APPLICANT: d" Jl Tel. # rM - Z J Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ . STIPULATIONS: 47/ 3