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PRE 2010 DOCSe_1 City of Fridley, Minn.1109 f' 916 BUILDING PERMIT - -� Date:—.1leceinber 7,_ 1970 Address 39-31 Central Auenue N.E. 1466 LOCATION OF BUILDING No. IM Street Onondaga ._ _ Part of Lot LotP-t__.o1...22_ Block Addition or Sub-Divisioa,.All d -Sub- #129 Corner Lot ._ Inside Lot —. % Setback 6 9k + _ Sideyard 10 & 7 0 5 Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING idling—_ Front 29Depth =._._14.6 _ Height 9Q___ _ Sq. Ft. 1256_ Cu. Ft 250120 Ga -s --e, Front —20 __ Depth --23•4e - Height _ 10____ Sq. Ft 470 Cu. Ft J 4v7() Type of Construction P.xatao— Est Cost _.._$$4-$.25,-0.00... To be Completed 4-1-71 Provide hard surface driveway. Verify basement location by survey. Grade elevation minimum 18" - Maximum 48" over centerline of street. In consideration of the issuance to me of a permit to the proposed work in accordance with the description abo ordinances of the city of Fridley. ag described above I agree to do compliance with a& provisions of 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 person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. — CT.AR -TCF RFT.TST.F NOTICE: This permit does not cover the Construction, installation for wiring, plumbing, gas heating, sewer or water. Be sore to an the Building Inspector for separate permit for thea Items. P f J At, IL T .71117 --"7 CARTWRIGHTd.E. C:,. 7.N C. I Ili. I cc,6;NTy ;,URVKy1i COUNTY Surtvcys S U LAND C. F. tS IC UuAvrYs coilL '--*.—Z;e��:,: 0410 'ALM STREET N. W. RKOISTERRO UNDER L.%ViS 017 STATZ OF MIN-NiGOTA GUm%rT 4-7655 LICHNGED BY ORDINANCE OF CITY OF MINNEAPOLIS x , owm&:R 902 UPPER MIDWEST BUILDING JUDICIAL HENNEPIN AT FIFTH — MINNEAPOLIS, MINN. 55401 45T.4L—H" TOPOGRAPHICAL burbe Ci;Y LOT;; — PLATTING 1\, U ON ON LR I CK SON /V 7 6 v 16 ti i LAT 0 F I 1:1 E S T 7 44,5 Lj L" i V 1 0 KA 00"N i Y, 14 Th s 2-�-i-iii Z, AY 01F 1 X70. A k HARVEY A. CARTWRIGHT a=� z(2= 09 0 IZO ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS LAND SURVEYORS MINNEAPOLIS SURVEYS 0410 PALM STREET N. W. REGISTERED UNDER LAWS OF STATE OF MINNESOTA SUNAfiT 4.7583 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNCR 902 UPPER MIDWEST BUILDING - 338-6721 INDUSTRIAL - JUDICIAL HENNEPIN AT FIFTH - MINNEAPOLIS. MINN. 55401 MUZINESS - TOPOGRAPHICAL Omrbe1®r/m; Certificate CITY LOTS - PLATTING BRONSON ER I CK SON O 1"f°'-y�'®, N ON �? r--� G COMBINING THE RECORDS OF J. E. HILL, CIVIL ENGINEER EBTABLIGNED 1088 C. F. SANDHOFF CIVIL ENGINEER ESTABLISHED 1008 JAMES NELSON SURVEYOR ESTABLISHED 9024 METROPOLITAN LAND SURVEYORS, ESTABLISHED 1981 304--65 INV@ 24142 ,ERT I FY THAT 'RUE AND CORRECT 'URVEY MADE BY 12 EXCEPT THE FEET, AUDITOR'S I NUMBER 129, 'Y9 M I NN ESOT'\ ►AY OF NOVEM'BERp SIGNED G— RWWRIGHT AND OLSON 4 • k APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAHE /�U M S 1� /-►'�� -�' —BUILDER: e� ADDRESS: ADDRESS: J Z --Z, J NO:._STREET: 04/ Qtil LOT: (i_6 •L v BLOCK: ADDITION • A U YJ CORNER LOT: INSIDE LOT: ��SETBACK: /- S /'� SIDEYARD • %® _V 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: Front: -�2 &1 Depth • '7" ' Height Square Feet: 6) Cubic Feet:. Front: '�-J Depth : `- 3 ' Height: Square Feet; OV Cubic Feet: Type of Construction:Estimated Cost: $ To Be Completed: Zj_ — The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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 : • _ 1 1 -?' o SIGNATURE: (See Reverse Side For Ad4tional Inf do �,, l Cha f City of Fridley - Appicatibn for mdSm Flit Penob DESCRIPTION OF WORE Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . _ ............. x $2.00 $ lid 0 0 Future Fixture Opening ............ x $1.50 $ "'60 New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to' 89,000 BTU) .... x $3.00 s --a,-6 New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Dr 1-1 Additional Fixtures .................. x $ .75 $ Gas Range to 198,000 BTU.. . x $5.0D $ REPAIRS & ALTERATIONS—Refer to Code Description ................. ,.......................... . TOTAL FEE $ �`� Dept. of Bldge. Phone 580-3450 lm:ton, /,/ e6 0 -41c,"e144 rift 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 ally the fact and representations stated in this application are true and correct Fridley, Minn a Z/ 18_1 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. �✓ Signed By -- - Bu aness Phune No � 5 S — tj'� 9 3 - ROUGH U e N �► C �b p� p V V • • WATER MTR. ELEC. Base / l �- Ist 1 2nd 3rd 4th • Futuro Conneetim Openings * Now Fixture. Old Opntagsw Connected with PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . _ ............. x $2.00 $ lid 0 0 Future Fixture Opening ............ x $1.50 $ "'60 New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to' 89,000 BTU) .... x $3.00 s --a,-6 New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Dr 1-1 Additional Fixtures .................. x $ .75 $ Gas Range to 198,000 BTU.. . x $5.0D $ REPAIRS & ALTERATIONS—Refer to Code Description ................. ,.......................... . TOTAL FEE $ �`� Dept. of Bldge. Phone 580-3450 lm:ton, /,/ e6 0 -41c,"e144 rift 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 ally the fact and representations stated in this application are true and correct Fridley, Minn a Z/ 18_1 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. �✓ Signed By -- - Bu aness Phune No � 5 S — tj'� 9 3 - ROUGH Applicaflon for Power Pkmft and HealingS Cooling. Ile n. Reldgeratlan and Air C®nediii®ning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: HATE 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 $ INCH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $�" each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................ 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. I0.00 $ Each add. 200 sq. ft. EDR Steam ... 3.00 ' $ Each add. 320 sq. ft. IDA Hot Water . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... . ' ... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule ..,dG GAS BURNER (up to 199,000 BTL) ..... .:................. 5.00 $ 6 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $-' Additional Fixtures ............... x .76 $ Gas Range to 199,000 .......... is 6.00 $ AIR CONDiTIQNING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS do REPAIRS FINAI. C% a %^ 7/ See Fee S�hedvls $ TOTAL FEE Dept. of Bldgs. Phone City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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 facts and representations stated in this application are true and correct. Fridley, Minn- ,- IV Owner Kind of Building Used as To be completed about Cost, $ Building Permit No. Permit DESCRIPTION OF WORK HEATING or PO=team, team, Hot Water, Warm Air—N Trade Nam Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load_ • 2:-A Kind of Fue BURNER — Trade N9*- -- Size NO - Capacity Sq. Ft. E.D.R BTU H P., (REMARKS—OVER) Signed SUBURBAN AIR CI3p�— 8419 CENTER DRIVE Business Phone Nn 53-84-5915.51 _ City of Fridley ` ApplPica&n for Phwddog and Gay Rig Famb Dept. of Bldgs. Phone 560-3490 DESCRIPTION OF WORE Number, Kind and Location of Fixtures 1466 N E Onondaga St lfi • t � iF FFF ��{1 Ca <g V N LLuu vv I N WATER MTA. G AS ELIC. Base 1st 2nd 3rd 4th • Future Connection Ooeninas Connected with Now Fixture. Old OpeningsI Cesspoola PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ 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 alk the fact and representations stated in this application are true and correct Fridley, 1Kinu -27-72 18, Owner Thomas Kallroos Kind of Building Vrnmp Used as Res, To be completed about 5-1-72 Estimated Cost, $ Old—New. Building Permit No. Penn t o. �! Signed By W KI fig EGASGO - Business Phone No Water Heater (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg...... ......... x $3.25 $ ROUGH Electric Water heater ............. : $2.00 $� GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures 7- x $2.00 $ 2.00 Additional Fixtures .................. x $ 35 $ Gas Range to 199.000 BTU ... ,.......... x $5.00 $ Install 1 Gas Grill $3.00 REPAIRS & ALTERATIONS—Refer to Coda ®sol Surcharge .500 Description ............................................ i TOTAL FEE $ -00 sueJEcr PE_ City of Fridley 19649 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. v _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ® p 1 � CITY HALL FRIDLEY 55432 It""'Jl` ,�� NUMBER REV. DATE PAGE OF APPROVED BY .� 612-571-3450 910-F15 8 26 88 JOB ADDRESS 1466 Onondaga Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 Aud. Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas'Kallroos 1466 Onondaga Street N.E. 786-8985 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 46' x 26' Third Accessory Building 9 CHANGE OF USE FROM TO STIPULATIONS Special Use Permit Approved by Council August 22, 1988. Stipulations; This accessory building is not to be used for an automobile repair business; There is to be no driveway access.frcm the accessory building to Onondaga Street;. The design of the building is to be architecturally compatible withthe house; The petitioner to..work with staff to acquire an appropriate easement for a potential future extension of 733i Avenue. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $17,200 $8.60 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- $189.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $197.60 REOFCONTRACTOROR UTH RIIZED///A//GG���ENT �I WHEN PROPERLY V LIDATED THIS IS YO/�U!R PERMIT {/ �im �SCJ BLDG INSP I r)YtF SIGNATURE OF OWNER IIF OWNE B ILDERI NEW I ] City of Fridley Effective 5/1/88 ADDN I ] R-1 AMID R-2 AMER [ ] Building Permit Application Construction Address:_ /`/ O V a A) ,O A- & �d &—f 7 Legal Description: - d- 'p, S c:i V- fsd e-', / a Owner Name &Address :1/ 0 NAS LW,4L G /? Od a / yG G o o,u p�6.9 Tel. # Zk6_ oft,�fT' C ontr actor : Tel. # Se -m `e - Address: S' A /-7 F Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. EESC MION OF IMPROVFMMTT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length G Width a Height Sq. Ft. I/ C/ G DEQC AREA: Length Width Hgt/Ground Sq. Ft. �I Corner Lot I I Inside ] Ft. Yd Setback Type of Construction: L✓ d 8 cS P v" IN yh C - Approx. Completion Date: Side Yard Setbacks Estimated Cost: 5 "1-7,Q0o) Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 5 $ Width + 6' See Back Page DATE: �' �/ �O APPLICANT:�Jt�cJ-rr-z� Tel. CITY USE C NLY Pem4ait Piee State Surcharge SAC- Charge Driveway Escrow Park Flee Sewer lain Charge TOTAL Flee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. OA" or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary I I Not Necessary I 1�"),1a) a 00 I gy,®v SIGNED CAF RIGHT AND OLSON THE HARVEY A. CARTWRIGHT COMBINING J. E. HILL CIVIL. ERECORDS OFmaimsem ANOKA COUNTY *URVaYS asTABLIS"al) taoN MUNNIMPIN COUNTY SURVEYS LAND SURVEYORS C. F. SANDHOFFF NINHMAPOLIS SURVEYS CIVIL ENGINIZUR 8410 PALM STREET N. W. REGISTERED UNDER LAWS OF STATE OF MINNESOTA 69TABLIS"do left GUNsry 4.7655 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS JAMES NELSON OWNER 902 UPPER MIDWEST BUILDING — 338-0721 SUQVKVOR INDUOTRtAL - JUDICIAL HENNEPIN AT FIFTH — MINNEAPOLIS. MINN. $5401 98TAGLJOH6D BUSINESS - TOPOGRAPHICALMETROPOLITAN LAND burbepar'is Certificate SURVEYORS. LSTABLIGMED 1901 CITY LOTS - PLATTING O N O N O r -OP BRONSON ERICKSON 304--65 --T INv, 241,42''. T. VT fu I S.F WE HERESY CERTIFY THAT 245 THIS IS A TRUE AND C01iRtOT PLAT 6V A SURVEY MADC 13Y. to US OF LOT :•22 EXCEPT THE WEST 85.00 FEETO AUDI TORI V, SURD IVIS­I.ON NumsER 1 ANOKA COUNTY, MIMIESOT'A' THIS 24TH DAY OF Noy E: 1970 P? SIGNED CAF RIGHT AND OLSON U SUBJECT ~ City of Fridley 33072 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir � ` RECEIPT NO. v _-___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 6 59�ftrj SO 1 . � NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 j 763-571-3450 910-F15 9/11/02 JOB ADDRESS 1466 Onondaga Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 22 Auditors Sub. 4129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Kallroos 1466 Onondaga Street NE 763-786-8985 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling Inc 4100 Excelsior Blvd, St Louis Park, MN 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-823-8046 1050 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 @ $1.34 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,680 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE IROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $2.68 TION TION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE S. .7 Licens SC $5.00 $92.27 SIGNATURE OFCDN'RAC.TDROR4UTHORIZEDAGENT IDATEI W EN PROPERLY VALIDATED THIS IS YOUR PERMIT S,GNATURE OF OWNEROF OWNER SUILDERI IDATEI g D INSR rTATI U NEW [] ADDN (j CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Effective 1/1/2001 (763) Owner Name & Address:iIT_ILr 111�: 12 n Tel. # � 6 —?K/9— Contractor: MN LICENSE # 64- x�OBb;g4. ,INC. Tel. # Address: 4100 FEL«aiG� $L�n, ST. LOUIS PARK, MN 5.04166, Attbpdl�gd3pplication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: R, C V- on L=±eq ZnA Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ DATE: -� �'APPLICANT: 6 �� Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ -?S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th% $ f . $.50/$1,000 Valuation $ $1150 per SAC Unit $ 5, DO $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 [ City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 - - _ - Water= and Sewer Permit Application aNew Connection Existing Date: 12 Job Address: / y ,(,_(0 DUtility Line Repair/Relocation OWater and Sewer Connection Name of Applicant (Plumber): %MQI<P-8 . Name of Property Owner:�%�? - - Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Fee: •U® Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $ YO. t D Applicant Signature: -"7Inspector approval: y Water Meter Repair — Weekend & olidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billing SAC Charge $1550 State Surcharge $ .50 Water Tap See Engineering 04/04/05 Building BUILDING , r� SING TRE 7 997 UBC ME KMULE) TOTAL J01% VALUATION $ Permit No: � InspectionsRESIDENT UL APPLICATION $ Received By: 763-572-3604 CITY OF FRIDLEX 65% of Building Permit Fee Fire Surcharge $ 763-502-4977 FAX I $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ –6 EFFECTIVE 1-1-08 SAC Charge $ _ _ $1825 per SAC Unit (Plans to MWCC for determination) DATE 1901 Q/ 9 YOURE-KAIL ADDRESS $ it + 6 ft = ft x $21= S SITE ADDRESS - rJ C $ $450 Conservation Plan Review THIS APPI•ICANT IS: 0 OWNER 'CONTRACTOR $ Fee Determined by Engineering PROPERTY OWNER/ NAME: A !rt j 160 65 Agreement necessary ( ) Non Necessary ( ) Total Due ' ADDRESS: tb �{ CI / Make checks payable to: City of Fridley Attaeb: Stipulatio ix STATIO N ZIP,AW3� TENANT qq PHONE:— HONE:NAM; NAME;• 8. CONTA�A.CTOR ADDRESS: �^ � �D'f ,VA CITY y STTATB%d ZIF ] SU13MIT A COPY OF } PHONE FAX � ~_� J 1— I o r 6 �o� 11—Mor/6 YOUR STATE LICENSE 3i3� STATE LICENSE EXP DATE PROPERTYME MSINGLE FAMMY/NEW CONSTRUCTION SIZE 17 TWO FAMILY/NEW CONSTRUCTION STOIUF.S pER1VW TYPE ❑ ADDMON 0 GARACE(SIIED NDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DBCK 0 SIDING ❑ OTHER a SWIMMING POOL TWE OF WORK: ❑ m v HOME coNsnucnoN ❑ ADDITION MAINTEI*IANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE < < CA W jig -tie, (' !G d • A I LrF+rKe$C- G.SIZE SIZEOF IMPROVEMENT LENGTH WIDTH HEIGHT W FT ROOM ❑ HOUSE ONLY SEMI REMODELING SUBMIT: NUM ER OP SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed )floor plan. PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: _ SLING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl C]So�t 13 Aluminum ❑ TrimI ADDITIONS. . & PORCHES SUBMIT : Site P1an/Survey showing the existing structures 13 Gow ❑ Fascia and proposed project 2. Two sets of construction plans wIIVDOWS L, 3. Energy Calculations IN EXISTING OPE IWG9) Yes ©No LOCATION OF WINDOWS o - J ijliltti, OR FOR NEW OPENINGS'D£SCRIBF, SIZE OF OPENING CHANGES & TYPE OF WINDOW TO PE INSTAI.I)rD NUMBER OF WINDOWS ALL FEES ARE BASED ON VA,LLUA',['XON, INCLUDING THE COST OF ILAXOR AM MATERIALS: , r� SING TRE 7 997 UBC ME KMULE) TOTAL J01% VALUATION $ ! / OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 0 .001 times the total job valuation 51trCharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ –6 . $5.00 (State Licensed Residential Contractors) SAC Charge $ _ _ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ it + 6 ft = ft x $21= S Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due ' $ / Make checks payable to: City of Fridley Attaeb: Stipulatio ix THIS 13 AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and t as wI g rite 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 ' ota C cti odes; dart I undersrand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work wi11 be i crordance ed plan in the case of all work which requiues�–rcvMw and roval of plans.I SIGNATURE OF APPIJIC NT PRINT NAME cJl I h'Z DATE"� ��al�! Q APPROVED BY DATE Form No. 28-M—QUITCLAIM DEED Minnesota Uniform Conveyancing Blanks (1978) Mitisr•Davis Co.. Minneapolis Individual (s) to Corporation or Partnership 821004 STATE DEED TAX DUE HEREON: $ -0 Date: Augsut 24, , 19 88 (reserved for recording data) FOR VALUABLE CONSIDERATION, Thnmaa Ti- T{al l rnnc and Ranr1rgR, j(,s-tel rte# H tshand and Wi fp- , Grantor (s), (marital status) hereby convey (s) and quitclaim (s) to City of Fridley, Grantee, a . Municipal Corporation under the laws of Minnesota , real property in Anoka County, Minnesota, described as follows: A street and utility easement described as follows: All that part of Lot 22, Auditor's Subdivision No. 129 that lies within an arc with a 40 -foot radius whose center point is located on the southeast corner of said Lot 22. All lying in the north half of Section 12, Township 30, Range 24, City of Fridley, ;CCMof, +Ailoka, State of Minnesota. .• IN •. ? "� • ` "l - The City of Fridley hereby accepts this A, easement for street and utility purposes. �1, .. `.;.••''ate _ � � "t (if more space is needed, continue on back) tcrget)tet;ith all hereditaments and appurtenances belonging thereto. Shirley H$apala, City Clerk titalllr Fier(' STATE OF MINNESOTA COUNTY OF ANOKA The fooreeggosnEinst__r Tegnts ILaSlc oowgeagV bea�'� me th u c day of Ault , 19 889 by Kallroo and Wife ,,Grantor (s). NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK) CLYDE V. MORAVETZ y NOTARY PUsuc - MINNESOTA ANOKA COUNTY 94Y Comm. Exp. Jan. 24,1994 THIS INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS): City of Fridley 6431 University Avenue Fridley, M 55432 i Tax Statement"s for the real property described in this instrument should be sent to (Include name and address of Grantee): City of Fridley 6431 University Avenue Fridley, MLV 55432 Foran No. 28-M—QUIT CLAIM DE-ED-..- Individual D-Individual 1s) to Corporation or Psxtnership Minnesota Uniform Conwyancins Blanks (1878) No delinquent taxes and transfer entered; Certificate of Real Estate Value ( ) filed ( ) not required Certificate of Real Estate Value No. ,19 County Auditor by Deputy STATE DEED TAX DUE HEREON: $ -� 4 Date: Augsut 24, , 19 88 taller -Davis 6. Y-xWeawh FOR VALUABLE CONSIDERATION, ThQnac T.- Wal lrm-g and Ganrira R Kai 13Xl0Qr HtLahaM anti Wi fP , Grantor (s), (marital status) hereby convey (s) and quitclaim (s) to City of Fridley, , Grantee, a Municipal Corporation under the laws of Minnesota , real property in Anoka County, Minnesota, described as follows: A street and utility easement described as follows: All that part of Lot 22, Auditor's Subdivision No. 129 that lies within an arc with a 40 -foot radius whose center point is located on the southeast corner of said Lot 22. All lying in the north half of Section 12, Township 30, Range 24, City of Fridley, County of Anoka, State of Minnesota. The City of Fridley hereby accepts this easement for street and utility purposes. (if more space is needed, continue on back) Shirley apalaty Clerk together with all hereditaments and appurtenances belonging thereto. , STATE OF MINNESOTA COUNTY OF ANOKA by The fo Sng instru> nien�ts sanq�kncow edg d b fafMmeshir 4' t _, day of August , 19 88 , L Kai S and Wife— NOTARIAL i e NOTARIAL STAMP OR SEAL (OR OTHER TITLE 08 SANK) i CLYDE V. MORAVETZ ! .d! NOTARY PUBLIC - M11ORMOTA ANOKA COUNTY aY CCIM.I. Fx,L JIM 24.1994 1 THIS INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS):, City of Fridley 6431 University Avenue Fridley, MN 55432 for (s). I Tar 8a—menti for the said psoDerty described in Mis instrument should be sent to (Include name and addsaa of Grantee): City of Fridley 6431 University Avenue Fridley, MST 55432