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PRE 2010 DOCSCity of Fridley SUBJECT PERM) 14569 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT IV COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 o / , `� CITY HALL FRIDLEY 55432 J NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 1/24/7$ / JOB ADDRESS 1270-72 Norton Avenue 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Norton Avenue Hcmnesites SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Buzzell Builders 8325 Sunnyside Road 786-7232 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 Double Bungalow & Garage 7 CLASS OF WORK X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Double BuricialaWwith garages. (46' x 26' Double & a 28' x 24' Garage) 9 CHANGE OF USE FROM To STIPULATIONS �. Need section -through drawing of party wall before issuing permit. 2. Builder agrees to contact city Engineering Department and escrow money for 28' ft. of depressed curbing by March 1, 1978. Curbing must be replaced by city contractor. Curb back only may be removed for winter access. 3. Provide caaftstion air to the furnace. Services and lines to be provided under a private contract as approved by the City. No As-Builts available - contract has not been ompleted. Driveway depression cogt 2Mlicable, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 2,018 32,440 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION two 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 $47,145.00 $23.57 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 ON OR THE PERFORMANCE OF CONSTRUCTION. $129.76 $800.00 PLAN CHECK FEE TOTAL FEE ��24 78 $32.44 ,A�DTHIS $985.77 SIGNATURE ONTRACTORORAUTHO GE (DATE) EN P OPE LY VA IS YOUR PERMIT 1/24/78 BLDG INSP DATE SIGNATURE OF OWN ER IIF OWNER BUILDER) IDATEI 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 9kez,-z_,6f z 941 BUILDER: ercee "mer -,. Address: Address: Tel. No.: 2Z 3 t No. -"7;, Street: /y()2 TON LOT: BLOCK: / ADDITION: A)Qe7/6)lJ �Llgc . �G11(_cSr 7-d CORNER LOT: INSIDE LOT: z� SETBACK: I SIDEYARDS: 1,�5 "c( 17 " 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: buem,C. _ Front: Depth: Height: `Zo Square Feet: 13V& Cubic Feet: . 7 ZC Front: �grd Depth: 54Q,2'( Height: Square Feet: et, 7 2�- Cubic Feet: �p, _ (. Type of Construction: Estimated Cost: $ To Be Completed: #;/r �1g 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 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 G r, eclares that all the facts and representations stated in this application re true and correct. See reverse side for additional information. DATE: �� ® SIGNATURE: / SA/t1,ipuAlat�i�onsj/:y�^ Z. 91010 do °' y �f'�, 1,270 —7Z lone mo 116 'X o -F6' - 1196 x (9' = 6 x 2t - /-,r6 / 3 Y6 -2e',,°®2 y t = to %e- , - i e �ae -- //?& x/,.6. _ 29Zq, /8 - ,3�GX��,�L .2 *2 C rv,/�A:7 CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERDUT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any existing water or sewer line. r..+ ,9 Address CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY H) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. Materials Used: Street Patch:: TOTAL: $A --;2,e,5 10 SEWER TAP: Street Patch: x : $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water ASSESSMENTS TO BE LEVIEK Lateral: $ Sewer Lateral: $ TOTAL ASSESSMENT: $, Clerks �4 aada=0 a &..a Supt. of Public Works M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber 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 TOTAL 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: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ i each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x Additional Fixtures x Gas Range to 199,000 BTU x AIR CONDITIONING 7 FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS $10.00 $ 10.00 $ $10.00 $ oW —.0 10 $ $ 3.00 $ �. $ 1.00 $ $10.00 $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date C$10.00) FINAL INSP. Date APPROVAL FOR PERMIT 3&9 $ MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address 4Z70 /9,7a hlOWo^ d it e- , Department of Buildings 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. �S ^ , 1979' OWNER RIND OF BUILDING 6L)b © km to USED AS S /-dein c Lo TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. %tom DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. D,r✓�� '7 Trade Name -3''� Size No. C7' //1L 6Q Capacity .50 J Sq. Ft. EDR BTU SP — Total Connected Load /. �. ✓ Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP Company SC/)D v f b ULh Air %C- ® V-6 + Signed By �/I� Tel. No. 27q — COl D® POFVWJ� 0@9 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)671-3460 August 25, 1978 Mr. Charles Buzzell Jr. Buzzell Builders 8325 Sunnyside Road ;/�11 Mounds View, MN 55432 Re: Final Inspection at 1270-1272 Norton Avenue N.E. Dear Mr. Buzzell: A final inspection was made on August 24, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Replace fire alarm in east unit by September 8, 1978. 2. Obtain a plumbing final by September 8, 1978. 3. Provide sod in the front and side yards by September 30, 1978. We will expect the above work to be completed by the scheduled dates when reinspection will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh Lill Ur ritiL'LLj _ APPLICATION FOR PLUMBING AND GAS FITTING PER1ir. RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures. $. 5.00 3 Future Fixtures S 3.50 S Old Opening, New Fixture $ 1.50 $ x Y 4.00- Mate[ a $ . $ e $ 5.00 ?F w 0 o M ti a 6. $ 5.00 Heater Sump or Receiving Tank $ 5.00 S Mater Treating Appliance S 7.00 S 9 $ Cc 4, S Zas Ranga S 10.00 $ .:as Dryer S 101.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Appliance C 90 S State Surcharge $ . SO w Y S ° Sa.+aY U a w` 0 oV let 2nd '— 3rd 4th (R) - Future Connection Opening Connected with Serer (•) - New Fixture, Old Opening Mates RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures. $. 5.00 3 Future Fixtures S 3.50 S Old Opening, New Fixture $ 1.50 $ Beer Dispenser - — S 4.00- $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 S Rain Wttar Leader S 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 S Mater Treating Appliance S 7.00 S Not Mater lisater $ 5.00 S Zas Ranga S 10.00 $ .:as Dryer S 101.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance ReineF.ection Fee S . State Surcharge $ . SO ($15.00) TOTAL PEE S ° Job Addresst A/ iE Department of Buildings City of Fridley Tel. 1571-3450 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, -roil hereby declares that all the facts and representations__31ated 1n this application are true-and-zvrrect Pridley, Mn. O _, f19� OWNER KIND OP BUILDING USED AS 70 BE COMPLETED ABOUT_ ESTIMATED C^..ST OLD - NEW BUILDING PERMIT NO. PERIMIT NO. i Company Signed By y Tel. No. kuU-h INSP. Date FINAL INSP. Da to . AFYhCNAL FOR PEFISIT 6# "ae, Z -Z?� p !11:41!1114 FEE FOR AMY PLUMBING PERMIT IS $10.00 PLUS THE $.50 SThTE SURCIIAkGE STY - Funao ' 8431 UNIVERSITY AVENUE N.E., SRI®LEY, MINNESOTA 55432 TELEPHONE 812)571-3450 1, October 17, 1980 a' Mr. Keith Kromer 16940 - 24th Avenue N. Wayzata, MN 55391 Dear Mr. Kromer: RE: 1980-81 License Application for the Residential Rental Property located at 1270-72 Norton Avenue N.E., Fridley, MN At the end of July, 1980 you were mailed an application to license your residential rental property. As of the date of this letter, the City has not reccived the application and appropriate fee. Therefore, we are again mailing out the enclosed application which must be completed, signed and returned with the license fee plus the 50% late penalty no later than 11-3-80. Your prompt attention to this matter is appreciated. Very truly yours, STEVEN J. OLSON, R.S. Environmental Officer SJO/kw Enclosure (1) 0069A/0807A CIIYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 July 21, 1986 Resident 1272 Norton Ave. Fridley, NN 55432 RE: Non -Compliance of the Fridley City Code at 1270 - 1272 Norton Ave. Dear Resident: On July 18, 1986 it was oonf irmed by an on-site inspection that the property at 1270 - 1272 Norton Ave. does not meet the minium standards necessary to maintain a pleasant and prosperous suburban environment. While major code requirements are satisfied, the following item does not comply with the performance standards of the City Code: 1. Truck topper stored in f ront yard. Please ref rain f ram using the f ront yard area for storage. I understand that there may have been some extenuating circumstanoes for this to have occurred, however, your quick action to correct this situation would be a great improvement for your property and the entire community as well. An inspection will be conducted on or about August 1, 1986 to determine ccmplianoe. If you have any questions or concerns, please feel free to contact me at the Fridley Civic Center, 571-3450. Sincerely, Richard W. Wiersma Code Enforcement mullmn C-86-319 C. C. Philip P.ustad Susan Williar�s 5568 W. Danube Rd. Fridley, NN 55432 el- W71-17-17-7 CINOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 7, 1986 Resident Fridley, NN 55432 RE: Non -Compliance of the Fridley City Code at 1272 Norton Avenue. Dear Resident: On August 1, 1986 it was confirmed by an on-site inspection that the property at 1272 Norton Avenue does not meet the minimum standards necessary to maintain a pleasant and prosperous suburban environment. While major code requirements are satisfied, the following item does not comply with the performance standards of the City Code: 1. Purple Dodge Barracuda with expired license BVC 264. Please store the car in an enclosed garage or license it. I understand that there may have been some extenuating circumstances for this to have occurred, however, your quick action to correct this situation would be a great improvement for your property and the entire community as well. An inspection will be conducted on or about August 18, 1986 to determine oampl ianoe. If you have any questions or concerns, please feel free to contact me at the Fridley Civic Center, 571-345D. Sincerely, Richard W. Wiersma Code Enforcement AN/lEn C-86-355 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD I _q � ST. PAUL. MINNESOTA 55101 1 ODate b F N onin Authority Street Address City 0 State Zip Code r� f-ei A� DHS -2722 (9-85) PZ -02722-02 RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject:P l Type of License: Name of Day Care Home AppLTicant Family Day Care I �;, 7 c) n �� J �' , Group Family Day Care Street Address FY-n N Licensed Capacity a City State Zip Code Phone No. Y a ( - p2 y U This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing Worker Street Address 1 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT '• COWWY OF ANOKA MunTHOUSIL FOURTH FLOOR ^NOKA. MINNESOTA 55309 Name of Agency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER CITYOF FRI®LEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 16, 1990 Mr. Richard Pace Cilligan of Anoka 2501 - 4th Avenue North Anoka, MN 55303 Re: Corrections at 1270 Norton Avenue N.E. and 7941 Riverview Terrace N.E., Fridley, M1J Dear Mr. Pace: I called your office in regard to the two softener units that were installed withaut air gaps at the above noted addresses. As of April 13, 1990 the correcticas had not been cczpleted. Would you, at your earliest convenienee, have the corrections ccmpleted and call for final reinspection. Please feel free to contact me at 572-3603 if you have any question regarding this matter. shx erely, WILE'Y Mechanical/ a ' Inspector CW/mh- SUBJECT City of Fridley 6 3 6 6 AT THE TOP OF THE TWINS BUILDING P E R M I T I ` RECEIPT NO. ------COMMUNITY DEVELOPMENT DIV. 1 ~ PROTECTIVE INSPECTION SEC. n r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �.__.11.' �•� 612-571-3450 910-F15 6/26/98 JOB ADDRESS 1272 Norton Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Norton Avenue Homesites SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathryn Erjavec (218) 744-2506 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lake State Remodelers Inc 6000 Bass Lake Rd, Crystal, MN 55428 533-1544 ' 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20047291 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Duplex (28 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 @ $2,335 $1.16 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- Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. -SC PLAN CHECK FEE TOTAL E " I;icens $5.0 3.24 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI EN,RO BL09FINSP ALIDATE T IS IS YOUR PERMIT r f TE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 'NEW ( ] Effective 1/1/97 ADDN ( ► CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (p BUILDING PERMIT APPLICATION d(o����� ConstructionAddress: la? r7o?- A,/VY m ALE. 1A) Legal Description: Owner Name & Address: Contractor: 6j(!/ Address: 1� dS Tel. # r'?l17yz/a5o MN LICENSE #�QO �{�o? 9 / ]Si1'/°8Tel. #-63B—)5 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Width Height idth Hgt/Ground _ Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: �— ��� �QQ Estimated Cost: $. (Fee Schedule on Back) Driveway Curb Cut Width Needed: FL. 6 Ft = Ft x $ = $ DATE: �/�5 APPLICANT: 1 �� Tel. # Permit Fee \Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL sTfPUI_ATIONS: CITY USE ONLY Fee Schedule on Reverse Side $ 33 .001 of Permit Valuation anoth%) $ f /(- $.50/$1,000 Valuation $ $950 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 [ $ g��;q ' - SUBJECT City of Fridley 2 9 951 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RE COMMUNITY DEVELOPMENT DIV. L•_�_�__ r PROTECTIVE INSPECTION SEC. y l (D NUAABER NEv DATE PAGE O: APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910416 7/28/99 JOB ADDRESS 1270 - 72 Norton Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Norton Avenue Homesites SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathryn Erjavec 3495 Ely Lake Dr. Eveleth MN 55734 218-744-2506 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co. Inc. 9060 Zachary Ln N Ma le Grove 55425-4737 2S35 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 AM REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside - Storm Damage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Permit Inspection Cards Will Be Mailed To To Post 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3000 $1.50 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 $83.25 Fire S03. 00 PLAN CHECK FEE OOTAL FE Licen SC 5.00 9 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEr N QP DATED T IS VR T SIGNATURE OF OWNERIIF OWNER BUILOE AI IDATEI 6L(-)y INSP Z GATE NEV [ ] ADDN [ J ALTER [ J ConstructionAddress: Legal Description: Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Contractor: TWIN CITY EXTERIORS CO. , INC. Address: 9060 ZACHARY LANE N MAPLE GROVE, MN 55369 Effective 1 / 1 /99 Px- k, m� Tel. # MN LICENSE # 2535 Tel. # 612-425-4737 Attach to this application, a Certificate of .Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: As,46,� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL APPLICANT: CITY USE ONLY Tel. #612-425-4737 $ 9A Q2,Fee Schedule on Reverse Side $�� .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1050 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS:! �, � 7 ` STATE OF MINNESOTA COMPLAINT C04NT'POFANOKA The undersigned, being duly sworn, states as follows: at (Location) 12' % --7 z / VC N COUNTY COURT 522 4 A(�, 5 CIVIL CRIMINAL OtVIS10N O. On the _ day of19& at S M. of (Address.) Ri" _s l+., 1*74 ..., ST-41.?Z, Birth Date did then and there commit the following offense: in violation of Local Ord. No. State Statute No. in such case made a provided. Court address. �< "� `�"tom" The undersigned further states that he has just and reasonable grounds to { • ?-�; r �; believe, and does believe, that the person named above committed the offense herein set forth, contrary to law. Date Time:— �� �� �M�P.M. Court Phone: 4f1-4760, Ext. 1384 j promise to contact the above Traffic Violations Bureau before, or appear at, the time and place indicated above and understand if I fail to do so a warrant for my arrest may. be J issued. Si na a of Complainant /J Signature Badge No. and Department Date Ordinance No. f,73 -10- 61apter 220, Residential Maintenance Code shf-I-PION 27.0.10 PROVISIONS AND IMAINTEIWICE Oi• ,'i -`SIC SFR'%!ICES A14D UTILITIES•- R-4 I. Plunib?.nl;, fleatirg and Electrical Service: Every owner of a mobile home park shall be responsible for the provisior and maintenance, of plumbing, heating, and electrical service to each r.:obile home. All utilities shall be constructed, instalZud ansa r••aintai.ned in accordance: xith the _17nw oj' .0c. Stint A_r Minnesora, thf, reco=-�enciations of the State Health Department, and the ordinances and requirer:.ents of the City of Fridley. 2 Every public hall end stairway in every r.,obile park comriweity building shall be adequately lighted by natural oz electric light at all times so as to provide effective illumination in all parts thereof. SECTION 220.11 LICENSING OF RENTAL UNITS To allow for a system:tic enforcement Df this ordinance upon rental dwellings, no person cn or following the sixtieth day efter the enactment of this ordinance shall operate a rental dwelling without first having obtained a license to do so from tine City of Fridley, as hereinafter provided. At the discretion of the City Inspector, all initial licenses iss4ad within 180 days of the enactment of this ordinance may be for a period of less than one year for the purpose of providing staggered licensing, in all oth.cr instances, each such operating license shall be issued annually and shnli e:,pire on the anniversary date of issu- ance. License rLnewa.ls shall be filed at '_east 60 days prior to th, license ex- piration date. If an impairment should occur in an owner -occupied dwelling that threatens the health, safety, and welfare of the occupants or adjacent property owners/renters, and if the impairment is a violation of Section 220.08, the City of Fridley is empowered to exercise the enforcement- of this ordinance. No operating license shall be issued or renewad unless the rental dwelling and its premises conform to the ordinances of Fridley and the laws of the State of Minnesota. 220.111 License Fees The annual license fee and expiration date shall be as provi.dcd in Chapter 11 of the Fridley City Code. 220.112 Owner or Agent- to Apply License application or renewal shall be made by the owner of rental units or his legally.constituted anent. Application forms may be acquired frox, and subsequently filed bath the City lnspector. 220.113 Resident Aficnt Required No operating license shall be issued or rencured for a non-resident o,.,nem of rental dwelling units (one who does not reside in any of the following Minnesota counties; ii-mtcnin, Ramsey. Anoka, Carvsr, Dakota, Scott, or Washington) unless such o,:•rc:r designates.ir, writing to the City Inspectox the name of his re,.JI t agent (o:;c who does reside in any of the following counties; liermnpin�i>f;"r �F e, Carver, Dakota, Scott, or Washington) who is responsible for maintenance and e:pl•:eep an who is legally constituted and eng>or:aped to receive service of n=otice of violation of the provisions of the City.ordinances, to receive orders .tnd to institute remedial action to effect such orc:ers and to accept all service or process pursuant to lnb:. 1'be Cit%• Inapec•tor shall be notified it: e:riti.^•v of any change of reside•tt agent. This requirement may be*waived if, in the City Inspector's determinatio:r, the owner not living in one of the above specified counties, is nonetheless sufficiently accessible for the purposes of this chapter.