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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® 7153 Date: r Owner: Builder Address Address LOCA0 F BUILDING No. jlrrrryry ��Street Fart of Lot Lot _ _ __ Block Addition or Sub -Division Corner Lot ._ Inside LotSetback _ _ r Sideyard Sewer Elevation ..�i�f�s �` s� ..._ Elevation -124, DESCRIPTION OF BUILDING TreUser Front _ Depth Height Sq. Ft Cu. FL3 Front Depth — Height_ Sq. Ft. Cu. Ft. Type of Construction dMA_._ Est. �� __ To be Completed In consideration of the issuance to me of a permit to construct a building described above, I agree to do the proposed work in accordance with the description above set is mp ce with all provisions of ordinances of the city of Fridley. b In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the n to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. AA le -1 NOTICE: 'ibis permit does not eover the construction, hutalldlon for wiring, Plumbing, gn heating, sewer or wrier. Be aro to see 6e nefldfoe lespector for wparaM psrailh for dies ffenn. APPLICATION FOR BUILDING PEPSO:T CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS Z, ?1- O jP0IP6 Y !f LOCATION OF BUILDING No. Streetd&1V#4,D M-JAoOK Part of Lot. 3'ec Vis" Lot, a 0 Block Addition or Subdivision Corner Lot Inside. Lot &-- Setback 3s- Side Yard L ?5` SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: _5•/���� Dkol=a1v Front A/J/ Dapth Height ? Sq. Ft. Cu'. Ft. , 2 Front Depth Height . Sq. Ft. Cu. Ft. Type of Construction It/001> Estimated Coat 1,t a-,O"O _ ------ Q, To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and.hereby declares that all the facts and representations stated'in this application are true and correct. DATE _AkLkS Z:4/ / Z, SIGNATURE �" "Z�' (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Locati-n- .�� �'- �� .l LCT -01--y :14 C2 - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ '® Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00$�• 0 New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ f Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS --Refer to Code Description ................................................$ TOTAL FEE $7Z0� 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- ® 196tl Owner dz Kind of Building Used as To be completed about Estimated Cost, $ Old New. uilding Permit No. Permit No _- ROUGH FINAL 42 Signe By Business Phone No 3 w r Z� a g Z i� - aa Z V 3< O x 3 J �U' z Sc Ute' z p • R • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ '® Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00$�• 0 New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ f Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS --Refer to Code Description ................................................$ TOTAL FEE $7Z0� 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- ® 196tl Owner dz Kind of Building Used as To be completed about Estimated Cost, $ Old New. uilding Permit No. Permit No _- ROUGH FINAL 42 Signe By Business Phone No Application for Power Plants and Heating, Coding, Ventilation, .Refrigeration and � Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. -Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location Furnace Shell & Duct Work .......................... 8.00 $—tom Replacement of Furnace ............................. 5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs &Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. KECK' WARM AIR Fridley, Minn 19 6& Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $' each add. 60,000 BTU Owner ....................... 2.00 $ - Replacement of Furnace 5.00 $ Kind of Buildin Repairs & Alterations—up to $500.00 ................. 5.00 $ $ Used as _Z4�2�_ Repairs & Alterations each add. $500.00 ....... :...... 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU........... , x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL To be completed about U �� r Estimated Cost, $- � T`� /�� Permit No. �" / v Ord__' ew. ding Permit No. , DESCRIPTION OF WORK HEATING or POWER PLANTS—.Steam, Hot Water armAir No- 0( Trade Name l /)e_� a[ Size No e_�O 6d" 'o -d 8 `Z Capacity. 10---d M Sq. Ft. E.D.R BTU H.P. Total Connected Load 42 , o CQ Rind of Fuel BURNER — Trade Name =�/�Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) .. a z 2M 7-59 Signeee0__4r_ W.4 4PEEC1110N,".FXTINd COMPANY, INC. By BusinessIPhone�a ! MINNESGTA 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 ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ....................... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ .2 e -V GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ �• �y s Additional Fixtures ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ 'AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ �� ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: 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. Fridley, AD=– Owner Owner Kind of Building e Used as To be completed about Estimated Cost, $` dNew. uilding Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS' —Steam, Hot WaterWarm Noy Trade Name ZZp4 Capacity 10'0--d Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel 401, BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe By ., <2 2M Business Phone No_,,L " 2- / 9 g ,l m h HEAT LOSS CALCULATIONSDEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E,7 Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19—. Room Length 2.2 0 Width 19 AHeight R" /' Fl.� Windows a oors—Crackage and Area Width Height No, of Lineal f . Area No. of pane of pane lights of crack sq. ft. m��� M����® Glass ° b Exp. wall Net exp. wall ® ,�2 Int. wall Ceiling Floor Total Btu. Required qq. ft. .D.R. or sq. ins. W.A. Leader area doom ( Length ,` 27�Vidth Height Windows and Doors—Crackage and Area Btu Width Height No. of Lineal ft. Area No. of pane of p/ane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /V O J Exp. wall Coef. Btu Coef. Btu Infiltration Glass 5�® C) Glass Exp. wall 16 �� Net exp. wall Net exp, wall y® _'2 ®® Co Int. wall 'fes Int. wall Ceiling 0 /.5 v2 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P _ 13___ I1 ___.L B fA XYILUL s U..:..L• Windows and Doors—Crackage and Area Btu Width Height No. of Lineal ft. Area No. of pane of p/ane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /V O J Exp. wall Coef. Btu Coef. Btu Infiltration Glass 5�® /_x An Glass 16 �� Net exp. wall Exp. wall y® _'2 ®® Co Int. wall Net exp. wall Ceiling 0 /.5 v2 Int. wall Ceiling Floor Total Btu. ired sq. ft. E.D.R. or sq. ins. W.A. Leader area M WVAPOLIS. MINN. Insulation Kind How Applied nm I l Anat6 .-=V-Width f� HeistW Windows and Doors--Crackage and Area Btu Width Height No. of Lineal ft. Area No. of pane of p/ane lights of crack sq. ft. -2- /V O J Exp. wall Coef. Btu Infiltration Btu Infiltration Glass 5�® /_x An Exp. wall 16 �� Net exp. wall 00 y® _'2 ®® Co Int. wall Net exp. wall Ceiling ® /.5 v2 Floor Total Btu. 5/ Required sq. ft.E.D.R. or sq. ins. W.A. Leader area zi-FLI _ e_/ oom I Lenath Width '7� Height P Windows and Doors—Crackage and Area Btu Infiltration ® Width Height No. of Lineal ft. Area sq. ft. No. of pane of pane lights of crack sq. /V O J Exp. wall Net exp. wall /,o Coef. Btu Infiltration Ceiling 5�® /_x An Glass Total Btu. 18 �� ,g'® Exp. wall 2 Net exp. wall r ® .rz 00.:5-40 Int. wall Ceiling Floor Total Btu. 115710 V5_ Required sq. E.D.R. or sq. his. W.A. Leader area .� Room I Length /a, ii.Widthr� Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane ilghte of crack eq. ft. v 194 116 1 —7 `-7 // Coef. Btu Infiltration ® cpa Glass 5—® Exp. wall Net exp. wall /,o Int. wall Ceiling e 2� Floor Total Btu. 18 vos— Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. BUILDING PERMIT Date: XX4 May 22, 1970 Owner: games Tiller Builder Same LOCATION OF BUILDING No. 5925 ., Street Oakwood Manor N.E. — Part of Lot Lot _._.9- 0 (Pt;__ Block Addition or Sub.Division _ Aud . Sub. No. #92 Corner Lot — Inside Lot X Setback — Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING N? 1066 To be Used as: Garage Front 24' Depth 24' Height 0 Sq. Ft. 576' CU. Ft 5760' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost __. _100,00 To be Completed Fall of 1970 Provide Hardsurfaced Driveway In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ajl provisions of ordinances of the city of Fridley. n In consideration of the payment of a fee of 11.OQ _ __ermit is hereby granted to James Tiller 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 iaround and n, regi �d�� g, or any part thereof, shall conform in all respects to the ordinances of within 'the d limits and location, construction, alteration, maintenance, repair and moving of buildings ordinances city permit may be revoked at any time upon violation of any of the provisions of said Building Inspector D. BAGS NOTICE: This permit does not corer the construction, installation for wiring, plumbing, gas beating, tower or watar. Be aro to we tie Building Inspector for separate permits for these item r r APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S . NAME : Jl-fw��S 7-/666--/2-BUILDER: ADDRESS :.30-75- 09e&)6 &V .IW,61De 4'ZIDDRESS : ii NO:. 5-1?d-,15- STREET • D,qe,&)Z:101��7 /�'g/��•P "0/4F. LOT; 2 G BLOCK: ADDITION: ?7- CORNER Z CORNER LOT: INSIDE LOT: SETBACK; SIDEYARD: 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: 4 Front: Depth: a I Height: Square Feet: SZ6-' Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:n.k, Estimated Cost: To Be Completed: 0 I,W %OLI 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 all the facts and representations stated in this application are true and correct. DATE: ' 2 , 70�5i SIGNATURE: (See Reverse Side For Additional Informat o .) Is .OF APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEvIGES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work. Burner U►lso replaoament furnace) $ 20.00 Gas Piping $ 10.00 Wiping needed with o« furnace) Gas Range $ 10.00 Gas Dryer S 10.00 Air Conditioning (all sizesl $ 10.00 All others/Repairs and Alterations 11 of Value of Appliance or Mork COMriERCIA L/INDUSTR IAL 11 of value of Appliance or Work State Surcharge TOM I= Reinspection Pee ($15.00) Rough Insp. Date (�(J Final Znap. Date Approval for Permit KINI107M PEE FOR ANY HEATING PERKIT IS SI5_00- PLUS $.50 STATE SURCNARGB -Air Conditioners can not be placed in aide yard without written permission from adjoining neighbor. $ $ $ 50 sIT,�D Job Address - r M Department of Buildings„ 6411 university Ave. N -E., Fridley, lel 55432 City of Fridley Tel. 4571-3450 The undersigned hereby makes application for a pamlt for the work herein Specified agreeing to do all .cork in strict accordanos with the CitY mdse and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application at* true asd correct. rri Fridley, Minn. ` J JC7i / 19 ONNER li L& �- RIND OF B LDING to USED AS 5 DtI� 0� ►-> TO BE OPLETFII ABOUT`� ESTIMATED COST � 00 2 OIC - NEW BUILDING PZRMIT NO. P9Rl1IT NO. DESCRIPTION OF FUANACE/BUFliER NEATING or POWER PIA M, Stem, got Yater, Yana Air- No. Trade Name Size No. Capacity s1• n• EM Bw KP ---- Total connected Load kind of Fuel BUMMER - Trade Name Size No. CGpacity Sq. Ft. EDA BTU KP company v� signed sy Tel. No. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (. ) 2. Is free from rust or deterioration Yes ( ) 3. Has no foreign objects lodged within Yes ( i 4. Is securely supported Yes ( ) 5. Meets all current Code requirements for size and Yes ( ) total BTU connected 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed B Date .A• No ( ) No ( } No ( ) No ( ) No ( ) SUBJECT PER City of Fridley 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC®(o& CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 9/3/96 JOB ADDRESS 5925 Oakwood Manor NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 20 1 Auditor's Subdivision x,492 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ren Baker 5925 Oakwood Manor 572-1119 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 p ❑ NEW ❑ ADDITION ❑ ALTERATION X R PAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS 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. DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFY THAT 1 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 @ $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 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- $62.25 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $65.25 SIGN URE OF NIRA TOR OR AUTHORIZED AGENT (DATE) WHEN PPRRO�PERLY ALIDATED THIS IS YOUR PERMIT ✓V � a IGNATURE OF OW NERIIF OWNER BUILDER) IDATEI BLCZ/1 h )ATE NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application t� *qov., ConstructionAddress: %a J�f� t'(t All Legal Description: Owner Name & Address: Tel. # Z^i Contractor: MN LICENSE # 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: LeWth Width Hgt/Ground Sq. Ft. OTHER: xl-e Ji` /� Y < c; � &e- _ e Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:�� , �(,�� Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ _ $ DATE: APPLICANT: z Tel. #S27,(// CITY USE ONLY // 6 Permit Fee $ ��- ��7 Fee Schedule on Reverse Side Fire Surcharge $ 0-06) .001 of Permit Valuation (1/10th%) State Surcharge $ /, o e) $.50/$1,000 Valuation SAC Charge $ $900 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: suejECT IT NO. City of Fridley 32946 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. E 1 � � NUMBER REV DATEPAGE OF APPROVEO BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 7/30/02 JOB ADDRESS 5925 Oakwood Manor NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 20 Auditor's Subdivision #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Baker 5925 Oakwood Manor NE 763-572-1119 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 O NEW 0 ADDITION 0 ALTERATION JJ REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGE OF USE FROM 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 1 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 $3,001 $1.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 11-1 $101.75 iDATE, EN OPER tOATED T SIS YOUR PERMIT �/�NE �ONRACITOR4UT�iORiZEDAGENT EILDPF INSP MATE S-GNATURE OF OWNER,IF OWNER SUILDERi iDATE. NEW (j CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: N t�t'TH SO, t--E� Sig M E Tel. Contractor. SAO^ E MN LICENSE # 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: Lengih rWidthh Hgt/Gmund Sq. Ft OTHER: i % on i" S )C.C.S F e�H2� ,r- , --16 Construction Type: F - 9r"Lc- �N� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: Tel.#N-3) si?--111q 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 $ 3.0® _ $ /A S o CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ /0/1 `�� STIPULATIONS: