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PRE 2010 DOCSCity of Fridley, Minn. BURDING EO37) Date: &J • • .�4te e Builder Address Address LOCAT OP UILDING No. Street r _ Part of Lot _ _._ Block Addition or Sub -Division if Corner Lot _` -- Inside Lot - Setback - , � � Sideyard r--�^- Sewer Elevation _____ r Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth Height Height Sq. Ft Cu. t Front Depth Height �Sq. Ft. ��P Cu. Type of coon Est. Cost ..._. To be Completed 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 city of Fridley. In consideration of the payment of a fee of $I -0"0100" , permit is hereby granted to to construct th' building or addition as described above. This, permit is granted upon the express condition that the person to v`vhom it is granted and his agents, employees ar}d workmen, in all work done in, aroundE ciuFridley, Milmesregwithin the city ts and this permit may be revoked at any time upon violation of any of the provisions of said ordinaacce. Building Inspector NOTICEf This permit don not corer the construction, hoM Wen for wine& p1 mbtag, ga beefing,ss or or W Mr. Be =19 to an the SWIding hupedor for apsrab permits for thea Mems. i APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEX, MINNESOTA Owner's Name!2 �Builder 9�14 _e_° Address Address__ LOCATION OF BUILDING No. Street Part of Lot Lot 7 Block f Addition or Subdivision Corner Lot 1,� Inside Lot Setback_?,4_*'Side-Yard / 0 SETRER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Front Depth 2 z1 / Height .2 o P Sq. Ft. / / Cu. Ft.� Front Depth rHeight Sq. Ft. Cu. Ft. 4 Type of Construction Estimated Cost lf!� a To be Completed �� /,r %v2 , 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 ruling of the Department of Build- ings, and hereby declares that all.the facts and representations stated in this application are true and correct. (Schedule of Fee Costs can be found on the Reverse Side). I City of Fridley Application for Plambing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Lowtio Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 Z • F • N WATER HTR. GAS ELEG $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... coaU' $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code O Description ................................................$ rn Base 1st 2nd _ 3rd _ 4th • Future Coaaection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. -x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 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 the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Used as To be c Estimated Cost, $ Old—NuW -Building Permit No Permit No. Sign ROUGH FINAL 42 2M 7-59 Business Phone Ci f Fridley tY o Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION Or WORK /(-'- Number, Kind and Location of Fixtures Low tcma L i+ � � � yr�� v�� � �^ zFz 'a� p ? lrj z sO ,15�� � (J UN' Z Ca90 • R t N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Ogenings * New Fixture, Old Openings I Connected with Sewer E] Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ,,�� Number Fixtures ...................... x $1.50 $� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $� O 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 facl and representations stated in this applicqtiohAre true and correct. Fridley, Minn_ '- , 19 Owner Kind of Building 411 Used as s To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH FINAL 42 2tA iL By--L--&-:A,- Business y ��r , Business Phone 1 Application for Power Plants and Hewing. Cooling, Ventilation, ReMgerW= oad Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ ✓ each add. 60,000 BTU ... .................. 2.00 $ _ Replacement of Furnace ............................. .P.00 $ Repairs &Alterations—up to $500.00 ... ` ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ 1 y 4 ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470/ 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 the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mann_ , 19 Owner ` �l C C.) �✓ 1 Kind of Building a Used as I To be completed about Z' Estimated Cost, $ O1d­&�e. Building Permit No. U Permit No. " DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water(,arm No Trade Name L y o x Size No-G� (J "E' - V CapacityXQ -0 vd Sq. Ft. E.D.R BTU H.P. Total Connected Load % d5r Y Kind of Fuel BURNER — Trade Name S� - Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe By ���Gy�����'�U•L HEATING AND AIR CONDITIONING INC. Jaz 71N 7-59 BMWeU 6'I W1 M RMPOUS 16, MINI. WA. f-6562. CRONSTROMS HTG. AIR COND, INC: Job Nome --`111111 13-56 - "10'11melslor Boulevard, Minneapolis 16, Minn. Y� .112D026 HEAT LOSS CALMLALTIONS Job Address— Weatherstrips A.S.H.Y.E. Construction No. I insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor Kind How Applied Nes—No -Ye—s--No 19— 1 1 R.1 Room lLength )-^- Width i z-Heistht s 11 , Fl.lRoom Length Width Height Windows a4 Doors—Crackage and Area Width Height No f Lineal fi. lights No., of pane ofpane is of crack Area a.. ft. Coef. 1 Btu Infiltration Glass Coef. Btu Infiltration Coef. Btu Infiltration Int. wall Ceiling 7 Glass Glass 0 Exp. wall Net exp. wall,' Net exp. wallf d -j Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. I � � �', 14 2-1"1 I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 1 Room I Length ..,3 Width t Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No of Lineal ft. Area No. or pans of pane lights of crack SQ. ft. Coef. 1 Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Int. wall Ceiling 7 Glass Floor 0 Exp. wall Net exp. wallf d -j Int. wall Ceiling Floor 114 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA Leader area F1.1 Room ILenath -�--'W7,ikh -a Height Windows andboors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. 1 Btu Infiltration Glass 2 Exp. wall Net exp. wall Int. wall Ceiling 7 Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area -T f Windows and Doors—Crack age and Area Width Height No. of Lineal ft. Area No. of pane of Dane to of crack sq. ft. lights Coef. Btu Infiltration Glass 2 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. I , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room lLength �;- Width Height Windows and Doors --- Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights, of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. E� Required sq. ft. E.D.R. or sq. i4s. WA. Leader area PI -1 Fbmm I L&nath Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft Area No. of pans of pane lights of crack sq. ft Coef., Btu Infiltration Glass &p. Wall Net exp. wall Int. wall Ceiling i Z Floor J Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I CRONSTROMS HTG. & AIR COND., INC. Job Name • 13.56 a . 4410 Excelsior Boulevard, Minneapolis 16, Minn. 26 BEAT LOSS CALCULATIONS Job Address A.HV. Weatherstrips S..E. Construction No. I Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes—No Yes—No 19_ Fll>, '` oom I Length X Width` Heissht-- II Fl.l Room I Unath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef. Btu Infiltration Exp. wall Glass Net exp. wall Exp. wall - Ceiling Net exp. wall' ,a P. Floor Int. wall -77 Ceiling° Floov J, Total Btu. A e- 'a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Heisdit Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors---Cra4kage and Area Width Height No. of Lineal ft. Area No. of Daae of pane tights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall - Net exp. wall Int. wax Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. Ms. W.A. Leader area R-1 Room I Len►ffdt Width Heistht Windows and Doors—Crackage and Area Width Height No. og Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling_ Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Heittht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area MEMO FROM: RICHARD N. SOBIECH Public Works Director MEMO NO. TC 82 REPORT BY: 3-27-75. DATE 3-18-75 SUBJECT: Sidewalk complaint on Mississippi Street (Janiak),,__ DATE: 3,,24 _ SIGNATURE r ❑ See attached REMARKS: At the public hearing for final assessment. roll a resident indicated a problem with ❑ Review & take appro- the sidewalk .on Mississippi Street just priate action east of McKinley Street. This is the portion L;; that was removed and replaced last year. Review & comment Please check to see if there is any pro- blem with detioration of the sidewalk. ❑ Note & discuss with me 0 o ❑ Work with _J 3 ❑ Rush, immediate action desired 'Make reports, w/background material as complete as poss- COMMENTS: ible. Make interim report if ^� necessary. 1+10 C�.�r.�► ®� ��-c��..+�►�,aa-�o� Action completed, no o a ''''� -1 3 )1%c04. OVL A►��o Z further review needed v ❑ Further action necessary ❑ See attached letter ❑ Interim report DATE: 3,,24 _ SIGNATURE r SUBJECT P RMIT NO. City of Fridley hi161.3 6 AT THE TOP OF THE TWINS BUILDING P E R M I T RECEIP COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J \ 612-571-3450 910-F15 4/27/81 JOB ADDRESS 1655 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Clark's Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Richard Janiak 1655 Mississippi Street N.E. 571-8388 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9541 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 �l ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof &felling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can he the 2nd but not 3rd roof. Install ridged g galvanized valley 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 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 $2000 $1.00 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- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $13.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR `]PERMIT BLDG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI ,(DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Al terations, Additions, or Repairs) 01d1IER: ��GflA,��� A -N t'4/C BUILDER: M L_" 1 h - Jo�lrosa'j — ,. . ADDRESS: /,d SS' �f;ss ss;P p; /��ADDRESS: Ce ,Jr.—" Ade A) � TEL NO: S7/ �3 TEL 1-40: L/ Construction Location ' STREET NO: /� S� STREET: S S i _s'r ,` LOT: 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: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic feet: - Type of Construction: Estimated Cost: $ ?"&00. W To Be Cbrapleted: _ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the tork*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 represen Cations stated in this application are true and corrqct.1 D.'�TE: �" Z1 $/ SIGNATURE: /�� Stipulations: • /'00 SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 5 � 0_ 'r ' � L. RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV rr PROTECTIVE INSPECTION SEC. // 11 1 067 r NUMBER REV DATE PAGE OF APPROVED BY ' �---t CITY HALL FRIDLEY 55432 �"" ♦'' 612-571-3450 910-F15 6/11/96 JOB ADDRESS 1655 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 7 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Janiak 1655 Mississippi Street NE 572-1448 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc 7401 Central Ave NE, Fridley MN 55432 784-7543 4840 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 ji REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (17 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 $1,402 $.70 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 F ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fre SC $1.40 STRUCTIO O THE PERFORMANCE OF CONSTRUCTION $48.50 PLAN CHECK F T ,OTPL FEE �/ Lice $5 55.60 SIG UREOFCONTRACTOROR H IZEDAGENT ID EI NA01 VAL A THIS IS YOUR P RMIT DG IN OA E SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE6 NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:& ZVI����j n �� Legal Description: Owner Name & Address: —'4 '/ Tel. Contractor: D_ & D Home Improvement, Inc MN LICENSE # 4 Ft 4 n Address: 7401 Central Ave NE Fridley, MN 55432 Tel. # 784=7543 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [I Ft. Yd Setback Side Yard Setbacks Type of Construction: 06062" 0e qt' Estimated Cost: $ C_o Approx. Completion Date: –72– - – /7 S 40A�2; ,(Cost on Back) Driveway Curb Cu Width Needed: Ft. + 6 t = Ft x $ _ $ DATE: / APPLICANT: Tel. # OW CITY USE ONLY Permit Fee $ F), Fee Schedule on Reverse Side Fire Surcharge $ /, Y D .001 of Permit Valuation (1 / 10th %) State Surcharge $ `%D $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ CSL) $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 $ G STIPULATIONS: City of Fridley SUBJECT 29499 AT THE TOP OF THE TWINS BUILDING PERMIT r R('_ECEIPT NO. `y _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �q6�5_ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910.F15 5/19/99 JOB ADDRESS 1655 Mississippi Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Janiak 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Ln NE Fridley 55432 571-3973 20097688 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 SIX REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with theState Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1714 $.86 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 $63.15 Fi re SC $1.71 PLAN CHECK FEE License SC $5.00 1 TOTAL FEE $70.72 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ,DATE, HEN ROPER DATED THIS IS YOUR PERMIT 42;' G INSP i FATE S,GNATURE OF OWNER „F OWNER BUILDER, (DATE, 0 Ll NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �- Construction Address: 9 Legal Description: &r -j"4. Owner Name & Address: R1c-#4iQ p T,14 N r41: Tel. # Contractor: �kem &&M hog w& MN LICENSE Address: GG CO �.g��lh- L1/ Tel. # S'13 q%' 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: Length Width Hgt/Ground Sq. Ft. OTHER: --� 2D sQ, - Construction Type: Estimated Cost: $ ` / / z 7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ E99 DATE: S- /j/-0/1 APPLICANT: Tel. # 7VI -JZ �6' STIPULATIONS: CITY USE ONLY Permit Fee $ �P� /�r Fee Schedule on Reverse Side Fire Surcharge $ '% 1 .001 of Permit Valuation (1/10th%) State Surcharge $ ��' $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ _ 0 O $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 $ 90, %% STIPULATIONS: