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PRE 2010 DOCS0,-;2 &;2,3 City of Fridley, Minn.. 11.613 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Owner: _ Landyest DeveloRmmt Corporation Builder Landyont, (Inngyriint-inn Company Address _ 2828 -= Address $amg LOCATION OF BUILDING No. _ 1517 Street North Timber Ridge N.E. 'Part of Lot The N. 824.7 feet of the W' of the NE's of the NEJof Section 13 Lot _ _. Block Addition or Sub -Division ___ Corner Lot Inside Lot Setback — Sideyard Sewer Elevation _ Foundation Elevation ,5 �� DESCRIPTION OF BUILDING To be Used as: Townhouse Unit_ Front 3.81 Depth —2917 "Height 201 Sq. FL 18541 Cm FL 17.,880.1 Front . Depth Height Sq. Ft. Cu. Ft. Type of Construction _ Wood Frame Eat. Cost ._21,-187 To be Completed 3 months Stipulation: Owner agrees to negotiate an agreement whereby he will be able to connect to existing sanitary sewer, water and xx storm sewer now in place along the east side of the project or if an agreement is not possible, the owner understands that he will have to connect to the City sanitary sewer and water in 69th Avenue and provide his own approved storm sewer outfall to Rice Creek. All utility plans must be approved and proper performance bonds filed prior to there construction. Owner agrees to install a City approved curb along 69th Avenue or allow the City to install said curb in 1973 and assess the cost against the property. In consideration of the issuance to me of a permit to consftV6tJthe building described above I to do the proposed work in accordance with the description above set/fofth set/fand in compliance with ail ons of ordinances of the city of Fridley. 11.00 State Surcharge In consideration of the payment of a fee of $_ 51.25 t , permit is hereby granted to Landves t Const. Co. 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, alteratio ntenance, repair and moving of buildiM antes. city limits and this permit may be revoked at y time u n violatiop f any of the provisions of said iirdin Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PPRMIT CITY OF FRIDLEY, MINNESOTA OWNER ' S NAME : C �1/L� 1� S i �t i% eo'eP . BUILDER : 1411 l,� -S % �c7ft1S� . � U ADDRESS: o�c4-,�'���• S ADDRESS: SA/MY- -NO:. /S117 STREET: .1G/OQi1-f /llMf e )ell)16 , Al <�- . CAI * 0' iL 6 py o6 416 yy aF- Z'S cT ivy/ �3 LOT; BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEXARD:_,� 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: . 1313f11,�'0 In % CtJ�/�ic�s Front: �� Depth: / �� Height: ? C� Square Feet: Cubic Feet: �� v O ' Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: wcoi� rept )E, Estimated Cost: $ 497 To Be Completed: C/i /,; � � The undersigned hereby makes application for a permit for the worm herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: /* (See Reverse Side For Additional Information.) i o 1--6�, "-< V J3 //• C O Sw� J City of Fridley Application for Plumbing and Gas Ruing Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $ $_1 �- a Future Fixture Opening ................ x 14& New Fixture Old Opening .............. x I;@6 $ /• �O Catch Basin .... ..................... x 3.25 $ 9y o ero Water Heater (Up to BTU) ...... x S.40 $ 3,00 New Ground Run Old Bldg. ............ x 3.25 $ ��X Gni/, ✓ ZV R�iw / GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x swo $ '-3. rs-� a o Additional Fixtures .................... Y eeo Gas Range to BTU .............. � REPAIRS & ALTERATIONS—Refer to Code x A& $ 'V -5- x j- -x 1hae $ S-•oa Description ................................................$ TOTAL FEE $ �� Dept. of Bldgs. Phone SII 4-7470 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 fact and representations stated in this application are true and correct. Fridley, Minn \ �)- 'Z� (.- 19 ��--• Owner Kind of Building Used as \ To be completed about — Estimated Cost, $ Old �ew)Building Permit ROUGH FINAL 42 By —\�� Business Phone Y C Z z ? (70 WATER HTR. GAS ELEG Base 1st 1 1 2nd \ \ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $ $_1 �- a Future Fixture Opening ................ x 14& New Fixture Old Opening .............. x I;@6 $ /• �O Catch Basin .... ..................... x 3.25 $ 9y o ero Water Heater (Up to BTU) ...... x S.40 $ 3,00 New Ground Run Old Bldg. ............ x 3.25 $ ��X Gni/, ✓ ZV R�iw / GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x swo $ '-3. rs-� a o Additional Fixtures .................... Y eeo Gas Range to BTU .............. � REPAIRS & ALTERATIONS—Refer to Code x A& $ 'V -5- x j- -x 1hae $ S-•oa Description ................................................$ TOTAL FEE $ �� Dept. of Bldgs. Phone SII 4-7470 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 fact and representations stated in this application are true and correct. Fridley, Minn \ �)- 'Z� (.- 19 ��--• Owner Kind of Building Used as \ To be completed about — Estimated Cost, $ Old �ew)Building Permit ROUGH FINAL 42 By —\�� Business Phone for Power Plaints and Heatieg, Cooling, Veneilaftne Rsftiv-smioe and Air Conditioning Sp *om and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $--_ MEC& WARM AER Furnace Shell & Duct Work to 120,000 BTU ...... . ..$10.00 _U each add. 60,000 SM .................... .. 3,W i Replacement of Furnace .... &00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. M EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3,00 Each add. 320 sq. ft. EDR Hot Water 3,00 $_ OIL BURNER—to 3 gal, per hour 6,00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 8.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixturesx$ 2W $ Z U Additional Fixtures a .75 $ Gas Range to 199,000 z$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH 6 FINAL A i/ is** Fee sduwk b $ TOTAL FEE (SURCHARGt $ _.50) Dept. of Bldg& Phone M-3480 City of Fridley: v 6ni,! The undersigned hereby makes application for a permit for the work hereir 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, Owner 1 d l/i7 Kind of Building ., Used asTo be completed about ! 3 Estimated Cost, $_ _1�_�_ Co 01d ew. Building Permit No. Permit No. 5419s— OESCFMMGR OF WORK HEATING or PO PLANTS—Stearn, Hot Water, No C— - Trade Nam giz! N Z - Capacity /lU, Sq. FL E.DR BTU Hp Total Connected Load Kind Fue BURNER — Trade Namp Size No Capadty Sq. Ft E.D R- BTU EM S B3' Bum Phone (REMARKS -OVER) nd SuBJECT PERMIT NQ_ City of Fridley _4 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO � • COMMUNITY DEVELOPMENT DIV I r r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/12/95 JOB ADDRESS. 1502,1506,1510,1513,1514,1517,1518,1521,1522,1525,1526,1529 N Timber Ridge LOT 1 Ipb528,1528,1540, 15 S Timber Ri g� 1 LEGAL , ,T ATTACHED DESCR. Various SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dale Dahl Contractor 451 Maple St NE, Spring Lake Park, MN 784-6353 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouses 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 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 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 $5,400 $2.70 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. 81.00 Fire SC $5.40 PLAN CHECK FEE TOTALFEE $89.10 SIGNATU FFCOWRA ORAUTHORIZEDAGENT (DATEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BL Qgi r)ATE S-GNA URE OF Ory NERIIF OWNER BU40ER1 IDATEI nd pip SUBJECT P City of Fridley 8 7 0 6 AT THE TOP OF THE TWINS ' 1 B 1 I L D I N G PERMIT BUILDING (��2 -RECEWT NO. COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. 6f10� 1 . � NUMBEAREV DATE PAGE OF APPROVED OV i ���" �•� CITY HALL FRIDLEY 55/32 ._--� 1 612-571-3450 s1aFIs 12/3/98 JOB ADDRESS 1501,1505,1509,1513 1517 521.1525 1529 North Timber Ride N.E. 1 LEGAL LOT NO. BLOCK OR ADDITION SEE ATTACHED DescR. Part of Section 13 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO A-1 Roofing & Const. 3020 S=fr Ave N Crystal 55427 546-5939 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO e 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION x@ REPAIR O MOVE : O REMOVE 8 DESCRIBE WORK Reroof town homes 114 SO Tear -off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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. OWLG. 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 $9769 84.88 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A Y OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PERFORMANCE OF CONSTRUCTION $162.25 Fire SC $9.77. �` PLAN CHECK FEE TOTALFEE '9 176.90 SIGNATURE OFCONTRACTOR OpAUTHORIZED AGENT iDATEr op WHEN PROPERLY LIpAT 0 THIS IS YOU RMIT 4 S-GNATURE Of OWNER,IF OWNER BUILDER& r ATEi , &K, BLOA INSo g63f pip NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 qq BUILDING PERMIT APPLICATION ConstructionAddress: QI ^ r i g 0yo , f1 —b e-'t,C, 1 G ZA , ( 1�5 Legal Description: Owner Name &.Address: Contractor: Rno g Address: Tel. # MN LICENSE # Tel. #5(16— S'1 '3 q 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: ngth ---�— Width Hgt/Ground Sq. Ft. OTHER: P _ C'�t��" 1 ILA t Construction Type: D Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: �/� Tel. # Gq 6 -% TOTAL . STIPULATIONS: S 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., , $ $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 . STIPULATIONS: S CITY OF FRIDLEY INSPECTION DIVISION p 4 Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES A JOB ADDRESS 1 `� 1 I I rnbur I d RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specked agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) (e - 0-`4 - 141, Gas Piping (Needed with new furnace) $10.00 $ nf OWNER �� �r ��� p �1s l� Y1 q Gas Range Gas Dryer *Air Conditioning - All Sizes 5[ o3CY1�-i j All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work $10.00 $ $10.00 $ $ 25.00 State Surcharge $$:50 TOTAL FEE $ a5 .s 0 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION. FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS ESTIMATED COST U -0 . PERMIT NO. - '? DESCRIPTION OF FURNACE AND OR BURNER No, of Heating Units Circle One (Steam) (Hot Water) (Warm Mr) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR BLAINE NTQ. AX ELECT., INC. 13562 CENTRAL AVE. N.E. HEATI MowOKA, IVIN 55304 Signed Tel No. 4016 0 Approved ByRough-In Date Final Date FILL OUT BACKSIDE FOR STAC VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: .. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ' ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: .. CITY OF FRIDLEY INSPECTION DIVISION 1 "� 6431 University Ave NE f Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ 30.0 (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1.259/6 of Value of Appliance or Work $ State Surcharge $.50 Effective On January 1, 1998 JOB ADDRESS 15 ) -7 r)l) r+kf! 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 a corm ��- a ,1998 OWNER a,ghr7 Adalphyll—: BUILDING USED AS ESTIMATED COST PERMIT N0. 13V3 9 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Upits Circle One (St Trade Name of S BTU HP am) (Hot Wat arm z) Size No._ ?/®7� EDR Fuel Total Connected Load Burner Trade Name TOTAL FEE so BTU MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr HP Size No. EDR HEATING COMP Y /?l V ell S Signed By Tel No. Approved By Rough—In Date Final Date ' i4� *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHD4NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (b<No ( 2. Is free from rust or deterioration Yes ((XNo ( ) 3. Has no foreign objects lodged within Yes (W,9-0 ( ) 4. Is securely supported Yes ( *<o o ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (l jNo ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has liner been for heater Yes a provided water (�N ( ) 8. Has combustion air been provided for water heater Yes ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: k. O GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 23, 2001 Brad Adolphson 7091 38 St N Oakdale, MN 55128 Re: Final Inspection at 1517 North Timber Ridge NE Contractor: Blaine Heating AC Electric Inc & River City Sheet Metal Dear Mr. Adolphson: Mechanical permits were issued on October 27, 1998 and June 28, 1999 for the installation of a furnace and air conditioner at the above noted address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector''s time to check to make sure the appliances were installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspection were called for. Any questions can be addressed to myself at (763) 572-3603. DAVE/JJENSEN BuilcVrA Inspector DJ/mh CITY OF FRIDLEY PERMIT N 2004-00647 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/05/2004 r63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1517 N TIMBER RIDGE NE PIN : 133024110095 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : DECK VALUATION : $ 4,500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. REPLACE A 25' X 8' DECK STATE LICENSED CONTRACTOR 1 APPLICANT GASSEN COMPANY INC 7275 BUSH LAKE RD EDINA, MN 55439- (952)522-5575 OWNER ADOLPHSON JOHN L & LINDA 1517 N TIMBER RIDGE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl 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 provisions of any other state or local law regulating �co�n_s�ction or rformance of construction. Bldg Insp BUILDING PERMIT FEE 111.25 FIRE SURCHARGE 4.50 STATE SURCHARGE, VALUE 2.25 LICENSE SURCHARGE 5.00 TOTAL 123.00 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length 2 Width Hgt/Ground Sq. Ft. �Ll Construction Type: stimated Cost: S0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �V APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in applic ion. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ . z< ", $ 1i ts-D Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax n BUILDING PERMIT APPLICATION Construction Address Legal Description: JVW LP (L JI J '4e A— LOwner Name & Add ss: ,,I r �� "A— Tel. # Contractor: O¢} SS'`'u e'w'?A'-Lj MN LICENSE # Address: r7,c - � U5 I �t , cc P-10 �1d��. Iy� rv' Tel. # �isZ- q22 �S"7S' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length 2 Width Hgt/Ground Sq. Ft. �Ll Construction Type: stimated Cost: S0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �V APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in applic ion. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ . z< ", $ 1i ts-D Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ]