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PRE 2010 DOCSCity of Fridley, Minn. WELDING PERMIT Date: .. f �s� S Owner ....................................... N® 3535 Builder... .. 40..0!!::i . .............. Address.......................................... LOCATION OF BUILDING No..40.3.!. Street.... .......... Part of Lot .. Lot ....4...... Block .....��........... Addition or Sub -Division �C.�. .... ... .. .... . Corner Lot ... x....... Setback . c� Sideyard t .l ......... Inside Lot .. ��' . � ................ . DESCRIPTION OF BUILDING To be Used _ ... F rontf/. >/. Depth 9Zr-..W-'. Height /)F. nq Sq. Ft. /00–Y Cu. Ft. C7 .................... Front ........ Depth ........ !. �H+eight ........ Sq. Ft. ........ Cu. Ft. ........ Wt Type of Construction ................... t. Cost./�;. k.y �=" ... To be Completed ................... In consideration of the issuance to me of a permit to con the proposed work in accordance with the description above ordinances of the city of Fridley. , desribed above, I agree to do mpliance with all provisions of _.vp.......................................... //0 In consideration of the payment of a fee of $t7l........, 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 with- in the city limits and this permit may be revoked at any time upon violation of any f the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City of Fridley, Minn. BUILDING PERMIT Date: t ..... f " r Owner:Y-)x 6—,= Builder Address — i%r ® __ _ Address 5230 r LOCATION O �UIIkDING � No. �, StreetPart of Lot — Lot_ .` _Block Addition or Sub-DivWon / Corner Lot __ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation I{ - DESCRIPTION OF BUILDING T Front Depth Height ,�... Sq. Ft. Cu. Ft. ' e .C. --- >'ront� _ Depth eight Sq. Ft. Cu. Ft { Type ofAWS—tMea r Est. Cost+�i " To beCompl ted — In consideration of the issuance to me of a permit to construct the building descri above, I agree to do the proposed work in accordance with the description above set forth and in complian a with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $'- l ,permit is hereby gran to to construct the building or addition as described above. permit is granted upon the express condition that the person to whom it is granted and his agents, employees d workmen, in all work $one in, around and upon said building, or any part thereof, shall conform in all re is to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair d moving of buildings within the city limits and this permit may be revoked at any time upon violation of;ani of the provisions of said ordinances. _• ✓1e F:..- �,y Building Inspector NOTICE This permit does not cover the construction, installation for wiring, plumbing, gas heating, the Building Inspector for separate permits for thew items. G or water. Be sure to see i No. Lot Block APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION BUILD Co • Part of Lot ,tion or Subdivision Corner Lot „Inside Lot X Setback 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 used as: �� Sq. Ft. Uu. Ft. / U Sq. Ft. Cu. Ft. Cost 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 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. DATEd—U SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) a ♦ - " .A • � f SUBJECT PER City of Fridley15 8 3 5 AT THE TOP OF THE TWINS BUILDING PERMIT,/(0- rp RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. j Lu ------- ; f PROTECTIVE INSPECTION SEC. t � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVE Y 612-571-3450 910-F15 7/17/80 JOB ADDRESS 6731 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 4 Brookview Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE R. R. Enkhaus 6731 Monroe Street N.E. 571-1652 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 l ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 16' Gara a Addition 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR MRP HEATING. PLUMBING AND SIGNS. a tilt locii utilities ELECTRIC., 4S Eft I mul`RIED 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ® ` I"Z- o2p/ $ygg- $1.41 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 8':9ig 12.80 PLAN CHECK FEE TOTAL FEE $8.98 $14.21 SIGNATURE OF C�ROR AUTHORIZED AGENT (DATE) WHEN PROPERL(Y�V'A®LI�DAT�ED�T)H IS IS YOUR PERMIT 12P � BLDG INSP DA(E ]T���� SI TU E OF OWNER IIF OWNER BUILDERI "DAYEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: ---- TEL NO: ;57FE 1 `52 BUILDER: - S� ADDRESS: — - TEL NO: Construction Location STR]ET NO: STREET: ST 6 �n� LOT: BLOCK: ADDITION: � U] w 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 AU�� T�'�D)-7) nt: � 0®� Depth: ��Height: / Squane.Feet: Cubic Feet: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: W d d b . ��� Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: R4N f $ $ 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 application are -true 'nd correct. DATE:_ 0 SIGNATUF.E Stipulations: 00 o 0 4�1 lir M'llqDEnFNGr4ERlZlNCy® ENGINEERS AND SURVEYORS 8OILS TESTlt4G LAND SURVEYING CIVIL. 8,. MUNICIPAL ENOINEERING LANA PL.AtJNINO 6418 -SGT" /AVENUE N. a� 1,11NNEAPOLIS 2i, MINN• KE 7- 3to3T Dr: byp � b E_ , ::) N c LAJ .LL3 Q!SC W - Q) d MA Lo -r 9, 4, Ecjcgvir-vv WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTNTION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL EWILDINGS, IF ANY, TNEREONi , AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LANG. MINDER ENGINEERING CO., INC. ONTED TX15 DNYOF ',+C�' I�.O.t95 ,�j ENG►NHER$ A40St7RVEYORS CITY OF •FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE Furnace Shell & Duct Work $12.00 * Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 MECHANICAL WARM AIR: 7.00 Furnace Shell & Duct Work to 100,000 BTU $12.00 each add.'50,000 BTU 4.00 *Replacement of Furnace - to 100,000 BTU 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 STEAM OR HOT WATER SYSTEM: $10.00 TOTAL Job Address 62 ,7 3 ( " Derartment of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. "4" _ a , 19 OWNER MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ d 906 G e�'� OLD - NEW BUILDING PERMIT NO./ 6 3 .J PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: o lst 3 Fixtures x $ 3.00 $ ,� . DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ / Gas Range to 199,000 BTU x $10.00 $ HEATING or PO PLANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONING$ O m FAN HEATING SYSTEMS $ Ttade Name Size No. See Fee Schedule VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ Capacity sq. Ft. EDR BTU HP State Surcharge $50 Total Connected Load Kind of Fuel TOTAL FEE $Z�W_ BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date (.$10.00) C FINAL INSP. //--f7 3y I Company Date Signed By APPROVAL FOR PERMIT Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form SUBJECT N City of Fridley 18575 ER'M-fiW*44Cr._ AT THE TOP OF THE TWINS BUILDING PERMIT 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 JOB ADDRESS 6731 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 4 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Roland Enkhaus 6731 Monroe Street N.E. 571-1652 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING .Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Existing roofing to be removed. Install new roofing with starter roll. XXXXKM ymn XXX Install additional roof vents if necessary. 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 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 $800 $.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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OT7R CTORORAUTHORIZEDAGENT IDATEI I&HEN'AROPERL VALIDATED THIS IS YOUR PERMIT 6GNTUREO / r OWNER OF OWNER BUILDER) IDATEI BLDG INSP AT NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. L ] Building Permit Application Construction Address: L2%1 Ma Al Ka E Legal Description: 6r - Owner TOwner Name & Address: '6 SRN 17 %�hilC H�4 US Tel. # �- Contractor: �G Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width _ Height _______ Sq. Ft. GARAGE AREA: Length Width __ Height Sq. Ft. DECK AREA: Length __ Width __ Hgt/Ground Sq. Ft. OTHER: K L 9JA F N (f U '56 Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: AS-.P)9AL 7- SN 1 N GG `S Estimated Cost: $ $ �� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �l �odr-'('06- o1�� ��L. FA SuBjECT City of Fridley 9 .AT THE TOP OF THE TWINS BUILDING P E R M I Tr (Z6 1COMMUNITY DEVELOPMENT DIV.. r � � PROTECTIVE INSPECTION SEC. � I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/8/99 10B ADDRESS 6731 Monroe Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 1 Brookvi ew Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rollie Enkhaus 571-1652 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gary Nordstrom Constr. 17235 Driscoll St NW Ramsey 55303 441-3787 8832 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 IV REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 2/3 S) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $2447 $1.22 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fitb SC $2.45 j PLAN CHECK FEE TO A FEE 6.�I® `c�� �l Li a SC 5 0 .92 S1604CTUVEFCON'RACTORORAUTHORIZED AGENT IDATEI HE PRO B G IN'. VALID E HIS I$ VRUR PERMIT DATE S-GNATURE OF OWNER,IF OWNER BUILDER, IDATEI FA r � 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:®�� �Nk ��as �Q"t 3®�,� Tel. # Contractor: C f,��Z_ya.S �EZa c� �(Xl CDS ��C�Lv e T, ��, �a� MN LICENSE # 4 3� Address: Tel. # `M\ - j y 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: Construction Type: 90EQo®l�- - 21 ' Estimated Cost: $ kA Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # UDR ^ 3i TOTAL $619 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $619 STIPULATIONS: 1� SUBJECT RMIT NO. City of Fridley 29821 AT THE TOP OF THE TWINS BUILDING P E R M I r � REC `v -____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r .1 PROTECTIVE 1 r = CITY HALL FRIDLEY 55432 NUMBER NEV DATE PAGE OF APPROVED BY L 612-571-3450 910415 7/6/99 JOB ADDRESS 6731 Monroe Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 9 4 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rollie Enkhaus 571-1652 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nutzmann Bros. Constr. 736 1st Ave N 651-629-n128 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 O ADDITION ❑ ALTERATION U REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 $8150 $4.07 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- STRUC ION OR THE PEERFO AN OF CONSTRUCTION $167.25 Fire SC $8.15 C/I 1 (( �� PLAN CHECK FEE TOTAL FEE � �v 1 se SC $5.00 1$184.47 SIGNATUREOFCON'RACT OR AUTHORIZED AGENT tDATEt OPERLY ALIDATED THIS IS YOUR PERMIT '11WH BLDG INSPU -4 -91 rjATE S-GNATURE OF OWNEAoF OWNER BUiLOER3 (DATE. 1� 'W . NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: AJ Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: rj Effective 1/1/98 N.. %2� Tel. # (alZ-,S2/ -/652 MN LICENSE # 2JOZ�<-el,� Ah 5 71 ?-- Tel. # 6,9 — (t�-2 8",60Y Attach to this applicaftion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. - , - " -� - Construction Type: U Estimated Cost: $ F, 1 , (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ n DATE: I -1 APPLICANT: Tel. # %'��2C�OX TOTAL $ l STIPULATIONS: CITY USE ONLY Permit Fee $ A� /,c2S Fee Schedule on Reverse Side Fire Surcharge $ e-97), A .001 of Permit Valuation (1/10th%) State Surcharge $ ®? $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ l STIPULATIONS: 3uilding $ 1�4 O BUILDING $ Permit No.: Inspections Fire Surcharge $ License Surcharge_--$ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date Rec'd: 4 )ATE lo ." 2 `% — ® YOUR E-MAIL ADDRESS 1"F744 i C.QEe' pEgokrurrnii rn 1TE ADDRESS Q075 , h2 ,9,J 1zo f �! $ �� 'HIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME: 99 rty g-ka K- 644os TENANT ADDRESS: el CITY elZ t d L_ —1 STATE ZIP PHONE:7k3 _ 57 I— L CPS -2. CONTRACTOR Nps: --M�$U I L-PoeS STATE LICENSE # Z p 3 8'S 34S EXP DATE - 2C'-OCp SUBMIT A COPY OF ADDRESS: 4 L �L "Z o -2 � hI N -CCTTY� e STA _ YOUR STATE LICENSE WITH APPLICATION PHONE ! 2 r' FAX �- — TYPE CONSTRUCTION SIZEPROPERTY ❑TWINOGLFEA=YYWCWONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ SWIMMING POOL TYPE OF WORK: ❑ N' ❑ ADDITION ❑ MAWTENANCEIREPAIR ❑ REMODELING�— :)ESCRIBE WORK BEING DONE: fZ C'W rJ >c.g_ O4= 4l®iB-]s+4 SIZE OF IMPROVEMENT LENGTH WIDTH Z— HEIGHT Sq. Ft. GOOFING ❑ HOUSE ONLY DUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 3ARAGES ❑ ATTACHED GARAGE 2, Proposed floor plan ?ROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used 'ROPOSED HEIGHT: >IDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: :1Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures D Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations N EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS DR FOR NEW OPENINGS -DESCRIBE SIZE OF JPENING 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 $ YM 0 O OCCUPANCY TYPE Permit Fee $ 1�4 O Plan Review $ Surcharge $ Fire Surcharge $ License Surcharge_--$ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ �� See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation - Minimum S.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary( ) Non Necessary( ) Make checks payable to: City of Fridley Atta THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED ch 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 work is of to start without a permit; that the work will be in accordance with the approved plan in the case of all wor is requires r ew and r laps. SIGNATURE OF APPLIC PRINT NA]v1)`�j�P�►JC��%— m AVA MRI ,,I -ItlA