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PRE 2010 DOCSmte, i- ..................................... A940-0*4'0A Owner Builder ...................... ........... .......... - ............ ...... .................... Address . ............... ........ ............. Address I .................. .................... 0 LOCATION OF B ILDING No ... �-W.... ........ Street •........................ Part f Lo ........ Lot Block ......... Addition or aub-Division .............. ..................... Corner, Lot ............. Inside Lot ............. Setback ............. Sideyard ..................... DESCRIPTION OF BUILDING To be i1sed as: Front ........ Depth * ...... Height ......... Sq. Ft..... All ... Cu. Ft . ........ ............. Front ..... Depth Height .......... Sq. Ft. TY1*1! Construction Esta cost IR To be Complet Cu. Ft. ........ ...................... it ............ Zu lj c*nddeMt10n Of the issuance to me of a permit to construct the building describel 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 Fr!41ey.� • ................... ..... ............. • VrftOn Of th.0 payznent�of a fee of permit Is hereby granted ........ ... to construct the building or addition as described above. the express, condition that the person to whom it is granted and his agents, employe employees Is granted upon workmen, In all work done in, around and upon said building, or any part thereot,, shall conform In all respects to the ordinances of Fridley, Minnesota regarding location,, construction, alteration,. maintenance, repair and m g of buildings with - In the village Ifinift and this pormit;xnay be revoked at any e on -Of any the provisions of said ordinances. . . .. . ... .................. Building Inspector lNiOtICS; '+his permdoes not cover th& oorfstrucklon, Installation or alteration ior` wiring, pi imbing, gas heating, sewer or water. Be sure to seethe Building inspector for separate permitstor ' these It ms. L City of Fridley, Minn.. BUILDING PERMIT No .r-4505 Date: I r Owner: _... � .. Builder � Address _... .. - _ Address ,+� a _ _ _.._... __._.._..__ LOCATION OF BUILDING No. _.... Street. ....... ___................................. Part of Lot Lot ............. ........ :..............._........ Block ..... ............. .._.............-................. Addition or Sub -Division ..... _......... .................... Corner Lot ..... _.......................... Inside Lot ..... .............. _................. Setback ............................. Sideyard Sewer Elevation_..._...._.__..---•--------•--_-.--------_._.._._...._._....-------•---._..,__ Foundation Elevation DESCRIPTION OF BUILDING To Used A&V. ..... Front _. _.. Depth :: � Height ..,�.. Sq. >:'t. ✓ Cu. Ft. ................ -.............----..._........ :..... Front ...................... Depth...::_........... Height ....................... Sq. Ft. ............... ..:._.. cu. Ft. .................... --- Type of Construction ..........° f,�. .. Est Cos ..:......_...,.._--''.:.. To be Completed ----- ............................................. A+ ;r��«n_E f��-a EUrIL) ,�I`dY T. �a� F� jV :` L.a;d© CO)/Er, " RESTRICTIONS. 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 $ .:.::..:............_.........., permit is hereby granted to. .................. .... ............ ..... ......... _._. 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 within the city limits and this permit may be revoked at any time upon violatn of any of th� provisions of said ordinances. r' 'n Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, ,gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. � :3 2 6 Street Part of Lot Lot Block Addition or Sub.Div. Corner Lot Inside Lot Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be use is: - Front _,.. Depth. dt Height J ._...__ Sq. Ft. �_ Cu. Ft..1 sS';A Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost�_?S .A To be 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 representa- tions stated in this application are true and correct. DATE ZSIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) 119 x da 00,11 6DD • _ _. _ it � - -- my PT. �. •�Ms+�R.�,.r„ ................... ...... ........................ _....... .... ....................... _................. .... ........ .................................. ....... ........................................ ........................................................ fiopertj Time e ISI a '5 H U v �, 07- AI eS# vi rs, w,+ roo // 0 L-40o'av or )' eOog /IeoC ",P 5,S,, mo rte' 7- o 6--,-r 7— 40130 We &A1 r coo ou i r :F:..nt t...... . ............................... I..... .... ...... ... .......�rc�pe?e'.:�...�1e............................. ��Kqe City of Fridley, Minn. N° 8 018 BUILDING PERMIT Date: June 24, 1965 oar; Fred Olson Builder Vern Donnay Construction Co., Inc. Address 6390 Monroe Ste N. E. Address 73oo 36th Ave.No.mas., Minnesota LOCATI?N OF BUILDING No. 6390 Street Monroe St. N. . Part of Lot Lot 1 Mock 6 Addition or Sub -Division Christie Addition Corner Lot Inside Lot Setback Sideyard Sewer Mevation Foundation Mevation DESCRIPTION OF BUILDING To be Used as: dingle DW8113 ng Front __ ____ Depth Height Sq. Ft Cu. Ft Attached Garage Front Depth Height Sq. Ft Cu. Ft Type of Construction Wood Frame fit, Cost $16¢000.00 To be Completed Single Family Dwelling, Attached Garage 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 f rth and in p ce wi ons of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 25.60______, permit is hereby granted to Robert Burger, Gen. Mgre 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 art thereof, shall conform in all respects to the ordinances of Fridley, Minnesota ng location, construction, alteration, maintenance, repair sued moving of buildin�a within the city limits andel this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen - Building Inspectw NOTICE 1hh psrmh dos not CMM the eoedwdhn, MdaillOW hr Wideg, Pivn"& an hathm sewer or Wdsr. B• sore to sa d1s Building bqm ter for sspodo potstis for thew hoes. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY# MINNESOTA OWNER'S NAME _ f a �. � O L� U : BttILDER VE �<d� �l ^. ._ ter: ':B e' Cs ADDRESS_" " '' _ f, ADDRESS _ f 3 & -'- �"G�= �I ,..,.. LOCATION OF BUILDING t C4 C Street �'P��� !7 J2F, Part of Lot LOT K b ADDITION OR SUBDIVISIONCIA R I&D- ., Corner Lot Inside LOT Setback Side -yard_ Nyl NEMER ELEVATION I kOUNDATICK E LEVATION,. 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; S�, K_ Lw , 1I�;, c_'.' ,"� ' Front_ Depth,_U Height ° Sq 314�� Cu. Ft. Ft._� Front Depth�Height_ Sq. Ft. ��L Cu. Ft. Type of Construction ^��i�', Estimated Coat 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 applicationare. true and correct. (Schedule of Fee Costs can be found on the Reverse Side). ����,� ,_� �c� City of Fridley SUBJECT 161.61 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/7/81 JOB ADDRESS 6390 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Olson 6390 Monroe Street N.E. 571-2882 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construet a 12' x 12' Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS WMENS SEPERATE PERMITS REQUIRED FOR WIRING, Before digging call local utilities HEATI . PLUMBING. � TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 $2500 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTJ6E1 00 PATUR E FCO A OR HORIZEDAGENT (DATE)_ r WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT l•D � / ATURE OF OWN IIF OWNER BUILDER) IDATEIr BLDG )NSP Q tIT E CITY OF FRIDLEY APPLICA'ria-i FOft (tl:SIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: :e / ADDRESS: TEL NO: BUILDER: ADDRESS: TEL NO: Construction Location STREET -NO: 1� STREET: 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: -�, '% r�'— Depth: Iieight: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic feet: Type of Construction: Estimated Cost: $ To Be Completed: 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 %:,ork*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 applic4 DATE: � �` � SIGNATURE Stipulations: I 01, SUBJECT City of Fridley 11 19652 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT ! � COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/31/88 JOB ADDRESS 6390 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C.A. Halpin & C. Koethe 6390 Monroe Street N.E. 571-2862 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 X7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install garage passage door on side 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $150 $� rJ0 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 TOTALFEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY BLDG INSP VALIDATED THIS IS YOUR PERMIT 1 tOA/E SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) 01, NEW I ] ADDN I ] ALTER [ ] Construction Address Legal Description 03 City of Fridley Effective 5/1/88 R-1 AMID R-2 Building Permit Application �OWA�66 ►r Owner Name & Address: 0-7,4 /- Tel. -E71-M62, r l � C'ij (!l (bntr actor • . %_ L9 E-) " (61 %a P - W®Tel. # Address:_ ;30" X36 Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF INPROVEMMT LIVING AREA: Length Width Height Sq. Ft. GBMM AREA: Length Width Height S4. Ft. Oorner Lot �?9 Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE:APPLICANT: Tel.Z- CPrY USE CILY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer Dain Charge TOTAL LA4 1 1 "i .; $ 5 5 5 5 Flee Schedule on Reverse Side $.50/51,000 Valuation $550 per SPCC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] rJAW CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1297 April 6, 1990 Charles Koethe 6390 Monroe Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 6390 Monroe Street N.E. Dear Mr. Koethe: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 6390 Monroe Street N.E. revealed that not all Code requirements are presently being met. Listed below are items which do not comply with the City Code: 1. Repair (straighten and secure) or remove snow fence located in front yard. 2. Discontinue outside storage of materials located along front of house. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about April 23, 1990, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-171 CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May il, 1990 Charles Koethe 6390 Monroe Street N.E. Fridley, MN 55432 Dear Mr. Koethe: On April 6, 1990, I sent you a letter regarding two minor violations of the City Code on your property. These items were promptly corrected, and your cooperation was greatly appreciated. While conducting my final inspection last week, I observed a small area of brush and other materials. Please remove and dispose of these items or store them in an enclosed structure. A reinspection will be conducted on or about May 29, 1990, to determine compliance. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-264 SUBJECT P City of Fridley 2 5 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. I v PROTECTIVE INSPECTION SEC.ft r l��� 40 i I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY --_•� L 612-571-3450 910-Ft5 9/2/97 JOB ADDRESS 6390 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charlotte A Halpin 6390 Monroe Street NE 571-8148 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 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 SQ. 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 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 $1 378 $.69 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 TOTALFEE $47.82 SIG TUREOFCONTRACT RORAUTHORI2EDAGENT IDATEI HEN PROPERLY V ATED THIS IS YOUR PERMIT 9 r• • LDG INSP >r f)AT 4- I NA URE OF OWN R OF W R LDERI IDATEI NEW [ ) Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: j, �f'�� �/�/Qot Legal Description: Z Q % l 60 [4o 6 / V /",0 Al Owner Name & Address: C,��p /� %�f lid Tel.#c Contractor: ©uj NW 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 Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lepgth Width Hgt/Ground Sq. Ft. OTHER: Construction Type:/F Pk—, Estimated Cost: $ Driveway Curb Cut Width Needed: DATE:%9 7 APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Ft. + 6 Ft = (Fee Schedule on Back) Ft x $ _ $ / I Tel. # 5 -;71, 1 /a $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1110th%) $ $.50/$1,000 Valuation $ $950 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 4- $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building BUILDING Permit No.: Zy_ci I5 Inspections By RESIDENTIAL APPLICATION Received �'' 763-572-3604 CITY OF FRIDLEY � Date RI 0 C T 0 7 20 763-502-4977 FAX EFFECTIVE 5-19-09 0 DATE ! 0 Qq YOUR E-MAIL ADDRESS SITE ADDRESS �2S (© THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: —T(J �✓ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: &ys- SUBMIT A COPY OF STATE LICENSE # % (p Zal I k Q EXP DATE O /a YOUR STATE LICENSE AND CERTIFICATE OF /' ADDRESS: fl [ ITLI3 I1w-+ 13-f CITY,.. Lc Ilt STATE ~ZIP S S SO q INSURANCE PHONE 7 L 3 - If 43 - W51 FAX %(- 3 - ? f c- 9093 PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH b'kOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: lek SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY �� BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 HOUSE & GARAGE 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: 4IDING FOR NEW CONSTRUCTION INCLUDING DECKS, [3 Vinyl []Soffit ADDITIONS_ & PORCHES SUBMIT: 11 Aluminum 11 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 FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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) I r LIJO UUUUFANC;Y Permit Fee $ b D. C?11�0 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 $.54 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ m( 0 Make checks savable to: Citv of Fridlev 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 Obrinit 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 ich re uires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME Y4"' -C DATE Ie dT )9 Building BUILDING Permit N0201A 011 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 $ 65% of Building Permit Fee Fire Surcharge CITY OF FRIDLEY D 763-502-4977 FAX $ ® .0005 x Permit Valuation Minimum $.50 EFFECTIVE 8-19-09 $ ( // DATE /1- / 6 ` 0 1 11-16-01 YOUR E-MAIL ADDRESS ?_ -E C) C /'YID ► C5� e c� ti✓1 SITE ADDRESS $2000 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER ON//TRACTOR ft + 6 ft = ft x $22 = $ PROPERTY OWNER/ NAME: I Giles l l (Lt'i /,r $450 Conservation Plan Review TENANT ADDRESS: CITY STATE ZIP Sewer Main Charge PHONE: Agreement necessary ( ) Non Necessary ( ) CONTRACTOR' NAME: � C, n � i t r... <: n �.. � S- �....., c �.r �,,. J of ✓ ; � � - SUBMIT A COPY OF STATE LICENSE # ry fit' 1 V i EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: N 1 t i 3 S+ CITY/4 a.. La (CX STATE MA&IP S -S 3d`j INSURANCE P ONE t; - K . (L.,(L( FAX 7L^.' - d -2103 PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE ❑TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 0 OOF ❑ DRAIN TILE ❑ DECKIDING ❑ OTHER SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: - g ; 'C + vac, SIZE OF IMPROVEMENT I JC' uC LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 11 HOUSE & GARAGE 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: IN G FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ A uminum ❑ Trim I. 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 FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ 5`10 G 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 $ ( $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks Davable to: Citv of Fridlev 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 applicationAr 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 al rk w�'ch requires review and approval of pla ,s. SIGNATURE OF APPLICAN� 6 PRINT NAME1t i e )Cit-" DATE /l �N d