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PRE 2010 DOCSSUBJECT PERMIT NO. City of Fridley AT AT THE TOP OF THE TWINS BUILDING PERM r PT NO. • COMMUNITY DEVELOPMENT DIV. / r PROTECTIVE INSPECTION SEC. 1 ` � IL, CITY HALL FRIDLEY 55432 � NUMBER REV.' DATE PAGE OF APPROVED BY ----, L 612-560-3450 910-F15 9/27/73 JOB ADDRESS 5916 Oakwood Manor N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 Aud. Sub. #92 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE J.F.M. Builders, Inc. 8609 Lyndale Avenue South 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 C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 26' x 40' Dwelling and a 20' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: 7' North of Manhole (Inv. 970.10) Wye Elev. 970.03 Top of Footing: 973.03 Minimum WATER LOCATION: 10' South of Sewer Service SEPERATE ' PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 R-1 1085 & 463 25,970 Tota 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ 20,471 10.24 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $49.00275.00 �%` &,4, Ue PLAN CHECK FEE TOTAL FEE L. S7'T $334.24 Si RE OFCONTR O AUTH ZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE ' SIGNATUREOF NER O,OWN BUILDER) (DATE) APPLICATION FOR RLSIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT v w CITY OF HZIDLLY, MINNESOTA OWNER'S NAME :- J 111 )-t BUILDER: 1 /L1 IL41 [ J e r S o ADDRESS: �C, C✓ � �✓ ( /1o1 ADDRESS:_ Q . k v �, d NO:. L � STREET:, c3 (.ri �. v � � a fit-- 0 v LOT: BLOCK ; N/O — j y ADDITION:44� .- CORNER LOT: INSIDE LOT :SETBACK: SIDEYARD; Applicant attach to this form Two Certificates of Survey of Lot and proposed buildiaig location drawn on these Gertificates. DESCRIPTION OF BUILDING To Be Used As: Front: o (o Depth: U Height: Square Feet: 6 v Cubic Feet: Front: 1� 0 Depth: Height: C) IV Square Feet;` , Cubic Feet: r Type of Construction: _ Estimated Cost: r r_' To Be Completed: x z q % �z The undersigned hereby makes application for a permit for the work 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 .i11 the facts and representations stated in this application are true and c orrt-c t . DATE: �� —2 IGNATURE: (See Reverse Side For Additional Information.) �i.,� k B. H. BRADLEY �• CML ENQINEERAND SURVEYOR #r1'�,Ic'+� a� �, r 0/wks. hct 9829 -24TH AVENUE SOUTH _. MINNEAPOLIS. MINNESOTA 86100 ,w ' y �,jj clmac. �i 4► I A + V e, 724-2189 WW _•/ 77 a � o y If Its Q`+ C46 Vs r l 2 Fxceptcay _.._......, the So. 12 G' a{' 40 If) h � $ca l �' {� 30 ` pe at ., tt-e(i Ga 1•, �'�ieF�k � ce�tt�� t�iaa� fhAs r`s � cotes° ��,� �escy7a7`�o h ! '.S'Wb,+ ©, QZjaveept- the Moe-Lh 20 , s -t, a wd except i -he. 5avtb /go Feet 1-heree ,1lNf-A-Af1eyt Nlnm as sv tvey edf /it e ire a c h• /' . . All cit ,Vfac� Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE Furnace Shell & Duct Work ........................... 8. Replacement of Furnace ............................. b.0 Repairs & Alterations—up to $500.00 .................. 5.0 Repairs & Alterations each add. $500.00 ............... 2.5 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM TOTAL_ $ r $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.0 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.0 $ Each add. 200 sq. ft. EDR Steam ...................... 2.5 $ Each add. 320 sq. ft. EDR Hot Water ..... ............ 2.5 $ OIL BURNER—to 3 gal. per hour 5.0 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.0 $— GAS FITTING FEES: NO ATE TOTAL �l 1st 3 Fixtures x $1. $- Additional Fixtures x $ Gas Range to 200,000 BTU ........... x 2. 0 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ fso7/-7y,ALTERATIONS & REPAIRS TOTAL FEE $-M`64L ROUGH FINALWL Dept. of Bldgs. Phone SM -3450 0 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 Ordinanc( and ruling of the Department of Buildings, and hereby declares that all the fac- and representations stated in this application are true and correct. Owner Fridley, M!tpn-- 0 ® � � 192' 6- Kind of Building Used as 44)24�//�G f To be completed about Imo' Estimated Cost, $_ Olde Building Permit No. Permit No. S-901 DESCRIPTION OF WORK HEATING or POAir team, Hot Water, arm No Trade Name �� `�- o Size No ka 00 v Capacity L EM Sq. Ft. E.D.R— BTU Total Connected Loa {s�Kind of Fue 0/ BURNER — Trade Nam` �� Size No Capacity- 61�"Sq. Ft. E.D.R BTU (REMARKS -OVER) 4 -42 RAY ft. WMTER 14EA (TING GV 4637 CHICAGO AVE - Business Phone City of Fridley V /IPplicaltm for Me6Yy and Gac iiMt" Iaoudt OMtPTiON OF WORK Number. Kind wad Lacatioa of Fixtures ` nmamom X06 KATE TOTAL Number Fixtures ................ � -no $ I?' U 0 Puture Ffztuw oproft .... :...... _s : $1.90 t—y s v Nm Fie Obi 0 .......... MM i. w ...... Cv1c%! adn ............. i. �ML50 -Rum St WaterIfea UP to NAM BTU) Y) •••• no 3 C> G 1 New Grannd Rua Old Bidg; ........ r j3,1S° ; ri. aC Wa Watmuestar ............. s SM i G" r!T =G• FEEIL- Ktor n&Tz TOTAL 4%�3 Vixt� .................. .,.�_, _ am : REMEMEMMEM fFbdWn 6 w�...�la�f....•.....•-29.75 fix Range to 190.A1y.Baf1P ..........a. t_ state Surcharge $ 0 31MAIM a ELTER&TLCNIS-Raffiew to cats EMMEMMUMMEMENE8001 IEMEN EMEMMEMEMEMEMEMEM MEMSEEMEMEMEMEMOM MMEMEMEMEME-MEMEMI • r t ne a.o..dlow Op wbW Smut 0 + NOW Fbdum am o/aolup Coed O PARTIAL RATE SCHEDULE Pt.VMMMG rIXT= RATES: X06 KATE TOTAL Number Fixtures ................ � -no $ I?' U 0 Puture Ffztuw oproft .... :...... _s : $1.90 t—y s v Nm Fie Obi 0 .......... v f i. w ...... Cv1c%! adn ............. i. �ML50 -Rum St WaterIfea UP to NAM BTU) Y) •••• �� = a �/ 6 3 C> G 1 New Grannd Rua Old Bidg; ........ r j3,1S° ; ri. aC Wa Watmuestar ............. s SM i G" r!T =G• FEEIL- Ktor n&Tz TOTAL 4%�3 Vixt� .................. .,.�_, _ am : fFbdWn 6 w�...�la�f....•.....•-29.75 fix Range to 190.A1y.Baf1P ..........a. t_ state Surcharge $ 0 31MAIM a ELTER&TLCNIS-Raffiew to cats .►.•ae.......a.s...es... a..r..e.....a.aF TOTAL I= � •'�'aZ'r? G7 Dayt- of Bldw Phone 50-3490 Londa .fie' //ClE jj�/ ,vim -;- , City of Ykidle7. C-eck t o aocL The undersigned hereby maioes application for a permit for the work herd -1, specified, agreeing to do all work in drict accordaw* with the Qty Ordinanerr and ruling of the Department of Building, and hereby declares that aO the tad:... and representations stated is this applinfioo ane true and correct 3111110- Owner1 Kind of Bunding Used as uJ - To be, compbeted about Fatilnated Cost. 1 / OM --New. Building Prrmii BY Businew PKauoe lto@ g 15) Tr d P HODS HEATING TEST RECORD te&ADDRESS 43%r!:�n�AP.L00 CI SUBURB Lj e OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS CO. METER BADG t SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. BOTHER *GASASI s MAKE MAKE OF BURNER _ Modeles Model Serial ��� Max. BTU Rating— INPUT ating—INPUT -/dLzf" MAKE OF FURNACE CONVERSION Form 235 Model CONTROLS t9 THERMOS T T Plug , Vent Size Valve KIND OF LINER IZE 96 NONE Limit Draft Hood Regulator Limit Setting Filters Size Number Fan Setting r`�� Chimney Locution Inside Outside Pilot Type Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timings Draft Test Tog L.W. Cut Off Door Pressure Lighting Inst. Pressure Percennnt Date Tested 2 Input CFH y��Percefit'�2 ' Company Testing Stack TempPercent CO Name of Tester Form 235 APPICaftm ftv Powe plaft end C ® vea2afta. Rdf� AirndMounIg SVrsmz and D.o PARTIAL RATE SCHEDULE GRAVITY WAIM AM: >" ATZ TOTAL Furnace Shell & Duct Worts ... ... . $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 600 $ Repairs & Alterations each add. $500.00 300 $ NECIL WARN AM Furnace Shell & Duct Work to 130,000 BTU each add. 60,000 BTU . .. ...... Replacement of Furnace Repairs & Alterations—up to $500.00 Repairs & Alterations each add. $300.00 STEAM or MOT WATER SYSTEM ..$10.00 $ 3.U0 $ 6.00 3 6.00 $ 3.00 = Furnace Shell & Lines—to 400 sq. ft. F.DR Steam $10100 $. Furnace Shell & Line, --to 640 sq. ft. EDR Hot Water I0.00 $. Each add 200 sq. ft. EDR Steam R.0(I $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal, per hour 6.00 j.��, over 3 gal. per hour. -See Fee Schedule GAS BURNER Cup to M,000 BTU) 5.00 $ ave4 133.E RM Seo Fee Schedule GAS )FITTING FTES: NO RATE TOTAL 1st 3 nxtures x$ Zoo $ Additional PIxtures x .,m Gas Range to 10.000 x$ 5,0a $ r1F jw // - / - % S State Surcharge .50 See F" schodwo TOTAL F1?� City of lI$Idley: The undersigned hereby makes application for a permit for the work. here& , : specified. agreeing to do all work in strict accordance with the City Ordinaneef and ruling of the Department of Buildings, and hereby declares that all the facia and representations stated in this application are true and correct. Fridley. Minn- 4-0(-A IO ill - C)wner IALgla Kind of E Used as To be completed about,____` _ Estimated Corr, $� Ol�. Building Permit No. --- Permit No. HEATING or POWER PLAN75-Steam, Not Wates, Warm Air—No Trade Name Sire Ne_ Capacity____ _ Sq. Ft. E.D.R BTU— Total TU Total Connected Loud bind of Fuel BURNER — Trader Name � Siwe No Capacity Sq. FL E.D BM >� ( ASM!-ovaa) RAY' N. WELTER HEATIN(i signed— A019 %&.N-EAp0LA% MINiVESUTA bW, in my 560-3450 City o .7,idl e ANOKA COUNTY 6431 UNIVERSITY AVENUE NE August 1, 1974 FRIDLEY, MINNESOTA 55421 Star Electric Lower 441 - 8th Avenue N.W. New Brighton, Minn. 55112 Re: Electrical Permit Shortage Dear Sirs: The following is due for the electrical work done at 5916 Oakwood.Manor: Permit Amount $26.00 Amount Paid 16.00 AMOUNT DUE $10.00 Please remit the following within 10 days of receipt of this letter. Sincerely, LEONARD EICHMILLER Electrical Inspector LE/mh SUBJECT PERMIT NO. City of Fridley 18923 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO ______ COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/5/87 JOB ADDRESS 5916 Oakwood Manor N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 Aud. Sub. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen Shelma 59.16 Oakwood .Manor N.E. 571-7910 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Metropolitan improvement Co. 711 West lake Street, Mpls. 827-6699 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 Construct a 12" x 18' Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke alarms in existing house. { SEPARATE PERMITS REQUIRE® FOR WIRING, HEATING, PLUMBING AND SjGN& Eta. gY t�� C�%3 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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 $2.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,500 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- $50.50 STRUCTIOq OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE !� $12.63 $65.38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG INSP 0AT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/845 ADDN. [ ] R-1 AND R-2 ALTER. [ ] • Building Permit Application Construction Address: AV Legal Description: Owner Name & Address: Tel. #_ Contractor: �o G i-NiTel. # Address: / (,j L - 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 Length _ Width- Hgt/Ground Sq. Ft. OTHER: 14�rex 14 LA4.t� Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: `^J -- Estimated Cost: $ Approx. Completion Date: 'TjP)cz- Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation U DATE: APPLICANT: A//?L Tel. CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ T7 $.50/$1,000 Valuation SAC Charge $ $525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $� STIPULATIONS: t1-00007"-_4. �, r Q w B. H. BRADLEY CIVIL KNQINWM AND SURVEYOR 3829 -24TH AVENUE SOUTH MINNCAPOLM. MINNESUM 4544 724-2169 Yllis T � t � r /i. 0, alts, 6 09 Ay Ir da de A e, ea. S9i� 0� /d�0-'rl "-) 0 h Esc tpt tb M ai -16 4r /t f9 � saa 14. " - %P ® aft e ter 14'.0 c.1,. Ike+-ehy coo-te'�'ry fkgf-1iis 1s die l.o cad to., �-�` the A &P tl, t -A b, Ma, f 2 a+Ace p r- BFC. Ade Nit 1-o ACr., �tKc1 IF f` a So v'i i J?O �Qef Aet•eq� �w j4rrjVjp ►. MiKr,• as chocked ky r le lPIta Irmo-l#dc '. N yB sueJECT NO. City of Fridley IPERMIT 863, 0AT THE TOP OF THE TWINS BUILDING PERMIT P COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. Q �1 CITY HALL FRIDLEY 55432 IL NUMBER REV. DATE PAGE OF APPROVED BY ---- A -If �'� 612-571-3450 910-F15 6/5/91 JOB ADDRESS 5916 Oakwood Manor NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 Auditor's Subdivision #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen Shorma 5916 Oakwood Manor 571-7910 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. 5 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be XMXX 2nd layer but not the 3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1f300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31,00 Fire SC $1.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.95 SIGNTIREOFCONTRACT RAUTHORIZEDAGENT ATEI WHE PROP RL AT THIS IS YOUR PERMIT G INSP (p DATE ' Si NATURE OF iI NER BUILDERI DATEI NEW [ ] ADrV [ ] ALTER (7P] R-1 AND R-2 Building Permit Application Effective 1,/1/91 �-« .1 •M owner Name & Address: fo-d e4l -S)V r rn w Tel. # S-7 / -719 /0 Contractor: -e Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn an it to scale. LTVIM AREA: Length Width Height Sq. Ft. GMUM AREA: length Width Height sq. Ft. DECK AREA: length Width Hgt/Gr=ind Sc Ft. 07MM: 121 r-00 -C haves Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Ompletioai Date: Ft. Yd Setback Side Yazd Setbacks Estimated Cost: $ / 3 c Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page HATE: APPIZCAM: Tel. # S ! 79/0 Permit Fee $ / Fire Surcharge State Surcharge $ SAC Qzarge $ Driveway Escrow $ Park Fee $ Sewer main Charge $ STIPULATICNS: t. QTY USE CHLY Fee Schedule an Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engir:eerir:g Agreement Necessary [ ] Not Necessary [ ] suBjECT P N City of Fridley 3291 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY ' ---I CITY HALL FRIDLEY 55432 763-571-3450 910-F15 7/23/02 JOB ADDRESS 5916 Oakwood Manor NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 Auditor's Subdivision #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Shorma 5916 Oakwood Manor NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Greg Wills Exteriors 4246 Royce St NE, Columbia Heights, MN 55421 763-788-0529 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20037840 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION( REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage; Aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,930 $3.96 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- $153.25 Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION SC $7.93 PLAN CHECK FEE TOTAL FEE License C $5.00 $1 .14 SIGNATURE OF CON"RACTOR OR AUTHORIZED AGENT iDATE, N�7POPERL:,,,,1DATED/,TjoffSIS YOUR PERMIT _oa S-GNATURE OF OWNER,IF OWNER BUILDER, IDATE- J BLDG r,AtE NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ i SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �1140 Legal Description: Owner Name & Address: S l 4e7 s -l ✓Z /✓I Tel. # Contractor. 60'� 7 f MN LICENSE # '6C- z -D03 7�y� Address: Tel. # 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 Wdth Hgt/Gmund Sq. Ft OTHER: `77zl.FYI Construction Type: congJ Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE:'? APPLICANT: 4 Tel. # 7e;- —70'0' Gr-� I'll 100, Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY- Permit NLY- $/ _ o?S.w Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ . �ev $.50/$1,000 Valuation $ $1200 per SAC Unit $ 60 $5.00 (State Licensed Residerit al Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by*Engineedng $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 1 to, 1 1— STIPULATIONS: From: City of Fridley To: 651-490-3218 Page: 2/3 Date: 7!18/2006 9:34:04 AM i q' ,p e Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE I D (0 YOUR Ey-MAII. ADDRESS IYt SITE ADDRESS 5q (lp OCJC U )0C) 1 1 -MIGa n (:) r- $ THIS APPLICANT IS: 0 OWNER 'CONTRACTOR $ PROPERTY OWNER/ NAME: S t' $ ADDRESS: 59 1(ayLt Kp ' [a r,� 1 � IfNIfsGITY f-- k STATL�� .5/ 7 Sd' TENANT $1550 per SAC Unit (Plans to MWCC for determination) PHONE: $ CONTRACTOR NAME Cr— –FI14A nu $ $450 Conservation Plan Review STATE LICENSE #,�'05e,00 Z07 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: /Z1 F &q PcA G 7 CITYLIiV C"A Z—STATE ZIPSS/ 7 WITH APPLICATION PHONE S -a 1I FAX Jam/ V1 _ JL/f PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION 0 GARAGEISHED 0 WINDOWS L&tj V e- i� 0 BASEMENT FINISH -GOOF O DRAIN Tux D 0 DECK 0 SIDING 0 OTHER A r `� G 0 SWUAK NG POOL 1 j>-fT TYPE OF WORK: 0 NEW 0 ADDITION .Bt1AINTENANCFJREPAIR 0 REMODELING DESCRIBE WORK BEING DONE: r 2& S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING 1 FUSE ONLY NUMBER OF SQUARES d PIHOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARA E.4 0 ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vicryl IDSoflit ADDITIONS. & PORCHES SUBMIT: 0 Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures 0 Other 0 Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 S 00 OCCUPANCY TYPE Permit Fee $ 813. j See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ r9 14 1 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ 1 5e° Make checks payable to: City of Fridley 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 a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANI C e ' ��„ r. /iT „ ,. / PRRVT NAadq/ �f 1 G / G�G�i� i?iL�—DATE -7 —/9 ^I