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PRE 2010 DOCSCity of Fridley SUBJECT 0. PE'R ����� AT THE TOP OF THE TWINS BUILDING P E R M I T R IPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. -� 1 , i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/1/77 JOB ADDRESS 1326 - 1328 Osborne Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 Z Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lambert Peterson Inc. 1360 Osborne Road N.E., Fridley 786-2840 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK OX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK a 44' x 26' Double Bungalow and a 26' x 24' Garage WARNING Before digging oea u NITS RE UOMD E(W WIRIT1G. E sEPERM, T' IR EMONE - E TRIC • GA 9 CHANGE OF USE FROM HEATING, PLUMBING AND tIGNS. REQUIRE© BY l STIPULATIONS Variance granted by Council on June 20, 1977. Increase garage to 600 square feet minimum.. Provide truss design. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide a hard surface driveway. SEWER LOCATION: (Approx. 10' Deep) 33' East of Manhole (Inv. 891.46) WYE ELEV: 891.59 TOP OF FOOTING: 895.09 Minimum WATER LOCATION: 10' East of Sewer Service DRIVEWAY DEPRESSION COST: N/A THE -4ft pp VgMW (DOES NOT OVAL TME A,CCUeACY Of VMW WCATtONS AND UrATIONIS Tt o,S DATA IS FOR R'ffOR "jj0N FURpO� JORLY AND PElMSONS USING tT SHOULD VLRIFY Till flftMAWN ON THE SITE 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 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 9 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 $40,090 $20.05 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $75'50.00 STRUCTION THE PERFO ANCEqF CONSTRUCTION. $122.82 ,$272 PLAN CHECK FEE TOTALFEE �/77 - $30 $923.57 SIGNATURE OF CONQIAETORO AUTHOR) EDAGENT /DATE) i WH PR L - ALIDATED THIS IS YOLjA P FtMIT �L �.. DG )NS DA E SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) lities Etc. M L11Y OF fIMLLY APPLICATION FOR RESIDENTIAL. BUILDING PERMITS (NEW, ALTERATI ns, ADDITIONS, OR REPAIRS) oMLR:wL�� Address: 3 V �S O G t- Yt -� Q N Address : lj (sy �s d G Y Tel. No. X26 -/ata No.: Street: �S O r n �Q LOT: 3 BLOCK:y ADDITION: )1n .,Q A C) V0 -v%,%, 0 U CORNER LOT: INSIDE LOT: L ----SETBACK: 357 SIDEYARDS: t 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: Iq Front: 4141 Depth: Height: Square Feet: %Z� Cubic Feet: d� Front: 02— Depth: Height: 1 Square Feet: Cubic Feet: elo Type of Construction: r i, . Estimated Cost: 2 `3 To Be Completed:/ — 7 40 day 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 declares that all the facts and representations stated in this application are true and correct. See reverse side for additional ation. DATE: SIGNATURE: Mom CgA& AW i O a f� Hca;! Stipulations: zed g4o.L4 /tJlv�t���uti-n, �d CERTOFRICATE OF SURVEY 211 JAMIES L. KURTH LAMB SURVEYOR 4002 JEFFERSON ST. N.E. COLUMBIA HEIGHTS 55421 788-9769 k HaRMOY CERTIFY THAT THIS SURVEY. PLAN. OR REPORT WA3 PREPARED OY ME OR UNDER MY DIRECT OUPIERVISION AND THAT I AM A DULY RUGIOTERIM LAND OURVaVOR UNDER THE LAWO OF THE STATE OF MINNESOTA. DATE -7 SCALE I"= :$ 7)0' MINNES07A REGISTRATION NO. 5332 O=IRON MONUMENT No -FE , No N, S-Q-Rm" IACD Zoo NS -PLj�Ej> r Dewe - G�r 211/7 Y100TO q�.93 1p-T� 2 eyy -.24 le -.04-V 04 ye7l �- 133 C� 1/G H> c/e 305 ;:�d Y /ZZ -.S2 3®, 70 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE _ x $3.00 x $2.00 x $2.00 0 x $5.00 x U x $10.00 m $7.00 Water N x m 'Q sma 4 .ci m a w w bg' Heater 0 ro °a g ro ro 1 m M v1Z U :3 m e°ro�1 00 N 3 A 6. 7r w U Wa. 'rr U £ (7 O QP- pC. 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE _ x $3.00 x $2.00 x $2.00 0 x $5.00 x $5.00 x $10.00 x $7.00 x $5.0.0 x $5.00 x •$3.00 x $1.00 x $1'0.00 $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) Job Address Department of Buildings s 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 i // _ �rey. Mn. �� a� �p . 192—Z KIND OF BUILDING i• USED AS TO BE COMPLETED ABOUT 7;;' ESTIMATED COST NEW BUILDING PERMIT NO. PERMIT NO. Company --rd --- Signed By .' ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT_�2LL9 MINIMUM FEE FOR ANY PLUMBING PERMIT IS V.S0 PLUS $.50 STATE SURCHARGE 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 $ 12.PO each add. 50,000 BTU 4.00 $1,49-0 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 each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU 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 Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ x $ 3.00 $ x $ 1.00 $ x $10.00 S State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. APPROVAL FOR PERMIT , MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address/ 0 G� 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. _�9 Fridley, Minn. le A/ , 197 i OWNER RIND OF BUILDING USED AS G TO BE COMPLETED ABOUT -mss ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air -,No. Trade Name Size No. Capacity Sq. Ft. EDR BTU ffO C eC HP Total Connected Load Kind of Fuel yfGf.� BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP A Company Signed By Tel. No. x,71- 7 %// APPLICATION FOR POWERPLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $12.00 .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ 7.00 GRAVITY WARM AIR: RATE TOTAL Job Address / 3,2,6 Furnace Shell & Duct Work $12.00 $ TO BE COMPLETED ABOUT Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley , Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 - $ each add. 50,000 BTU 4.00 $ Replacesent of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ SIEkki OR HOT WATER SYST --�1: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour The undersigned hereby makes application for a permit for the work hereln 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 app ication are true and correct. Fridley, Minn. 17 �? , 192-r $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199+999 BTUA $10.00 $90,� (over 199,999 BTU see Fee Schedule) S GAS FITTING FEES: 1st 3 Fixtures _ x $ 3.00 $ 4p , G G Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING —$ FAINHEATINGSYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $k! n:1 -G ROUGH INSP. Date FnZAL INSP. Date p APPROVAL FOR PERMIT / 46/5 REINSPECTION FEE ($10.00) MINIMUS FEE FOR ANIf HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ESTIMATED COST OLD NEW UILDING PERtdIT NO. ` T S / PERMIT NO. - DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name A Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By • Tel. NO.��� OWNER12/ $12.00 $ KIND OF BUILDING 4.00 $ 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199+999 BTUA $10.00 $90,� (over 199,999 BTU see Fee Schedule) S GAS FITTING FEES: 1st 3 Fixtures _ x $ 3.00 $ 4p , G G Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING —$ FAINHEATINGSYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $k! n:1 -G ROUGH INSP. Date FnZAL INSP. Date p APPROVAL FOR PERMIT / 46/5 REINSPECTION FEE ($10.00) MINIMUS FEE FOR ANIf HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE ESTIMATED COST OLD NEW UILDING PERtdIT NO. ` T S / PERMIT NO. - DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name A Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By • Tel. NO.��� 6431 UNIVERSI-TY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Mr. Mike Flannery 21 - 104th Avenue N.W. Coon Rapids, MN- 55433 Dear Mr. Flannery: October 17, 1980 RE: 1980-81 License Application for the Residential Rental Property located at 1326-28 Osborne Road 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 leiter, the City has not received 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 Ord SUBJECT City of Fridley d�2 4 � � 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir? COMMUNITY DEVELOPMENT DIV. V PROTECTIVE INSPECTION SEC _3_07 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 8/20/96 JOB ADDRESS 1326-1328 Osborne Road NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rhaled Hassan 1328 Osborne Road NE 783-8466 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 Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof Building (2 Layer) 27 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 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, 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I 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 $.84 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,674 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 SC $1.67 STRUCTION OR THE PERFORM CE OF CONSTRUCTION $54.00 PLAN CHECK FEE TOTALFEE $56.51 sidpq_ATuFOFC NT A TOR OR AUTHORIZED AGENT (DATEj N ERLY V IDATED THIS IS�r,IR PE M�� .-o'/BLOG NSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI Ord NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3`79 Building Permit Application ConstructionAddress: 3 02 g S b6 r' I?A) j ®s G 'u � ( v � Legal Description: X% Owner Name & Address: `C-8 Oct-- S Q V�) Tel. # 78 3 Contractor= MN LICENSE # jf -Zso - /6€ -vyo -7y/ Address: Attach to this application, a Certificate of Survey of the lot, with the -proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: r '11D Lo 11 IX 5 4. Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ STIPULATIONS: • (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ee-OAF,� APPLICANT: ;jG:� Tel. # `T8-3 -'qm CITY USE ONLY Permit Fee $ S'�/ Fee Schedule on Reverse Side Fire Surcharge$ / C .001 of Permit Valuation (1/10th%) State Surcharge $- $.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: SUBJECT IT NO. City of Fridley � �. 9 �, 2 24962 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 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/14/97 JOB ADDRESS 1326 - 1328 OSBORNE ROAD NE 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rhaled Hassan 1326-1328 Osborne Road NE 783-8466 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 1328 Osborne Road NE 783-8466 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Double 7 CLASS OF WORK R ❑ NEW x ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct two 8' x 10' Deck (one for each unit) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAINNG Dome digging ball tot all utility locations 454.02 REQUIRED BY LAW SEPARATE 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 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 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 $1,419 $.71 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- $48 •50 W Fire SC $1.42 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $50.63 S GNATUkE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PRO VALID T D THIS IS YOPR PER IT v JkDG INSP r i ��ATE F OWNER BUILDERI I A EI NEW [ ] Effectivl/1/97 ADDN [ ] CITY OF FRIDLEY e ALTERSINGLE FAMILY AND DUPLEXES R-1* AND R-2 V [l BUILDING PERMIT APPLICATION 4622 ConstructionAddress: os besAa, Legal Description: Owner Name & Address: K IAOLt- cC s.5 cc K\ Tel. # `7 Contractor: MN LICENSE y & Address: 1 Z S 10 vie. 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: ' GU Length Width lo Hgt/Ground Sq. Ft. OTHER: , '7CA W XC2 - It L t..� COO: -X8.87 l , 40 Construction Type • (AjU; � Estimated Cost: $ CJ o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ .$ DATE: APPLICANT: Tel. # -7 95 CITY USE ONLY Permit Fee $ . So Fee Schedule on Reverse Side Fire Surcharge $ /.% .001 of Permit Valuation (1/10th%) State Surcharge $ • %1 $.50/$1,000 Valuation SAC Charge $ $950 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: Building BUILDING PermitNo.: C� % Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 o CITY OF FRIDLEY Date Rec'd: DATE `L 1V-0-5-- YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: WNER ❑CONTRACTOR PROPERTY OWNER/ NAME:r-11� el 61e u TENANT p . r / ADDRESS: %772A D v✓ - CrIY-�' . Up o G _ , u �STATE&IP .h `1135 PHONE: 95a- CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX 0 OGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE 2TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: r(- — KQ 6 'F SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES-� ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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 $ _ _ OCCUPANCY TYPE Permit Feeil �� $ See Back Page for Fee Schedule Plan Review /�%Uf-S�dl�✓t $ 65% of Building Permit Fee Surcharge q!!f / $- , - (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ "-„ `,�; .001 x Permit Valuation (1/10%) License Surcharge $ z' $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ 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 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 re uires reviewrd approval of plans. SIGNATURE OF APPLICANT ��`� PRINT NAME /Y fp DATE ITS 5 Building PLUMBING Permit No. - Inspections RESIDENTIAL APPLICATION Received By: D 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 10 /,a N YOUR E-MAIL ADDRESS SITE ADDRESS 13 :k S 0 S 8 0 2 a).e THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: A E r r JF w OWNER/ ��i l 9 �- SS �/ a ADDRESS: i/ -5 t AJ C ' 3 CITY 1A AIA16A Pa L I -9 STATBU�ZIP TENANT PHONE: % 3 . S '� �! — 9 8' 3 a NAME: Terry Overacker Plbg Inc CONTRACTOR SUBMIT A COPY OF STATE LIC] 1628 County Hwy 10 YOUR STATE ADDRESS: Spring Lake Park, MN 55432 STATE ZIP LICENSE WITH APPLICATION PHONE _ (763) 572-8880 WSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE TYPE OF WORK: ❑ NEW REPLACEMENT / DETAILED DESCRIPTION OF WORK 1 J PER MS 1-6B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labo Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PRO}EC�9MHERE:•LABOREXs EEEDS $500, FEES -ARE BASED ON $%G0 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (Iiv11 ICAT OT NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ WATER PIPING _ _FLOOR —SHOWER —BATHTUB —GAS PIPING (New myucEat) _ SWIMMING POOL —WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK_ WATER CLOSET _.BACKFLOW PREV. ($15) _ _ —DISHWASHER _ LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER µ3111;gi?RG?. , IzI $0 710%m Pt3E t?I�IC'fi$:1 $i:> Permit Fee $ 3 S .0 Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 APPLICANT PRINT NAME �A f'.1 1C J "� DATE ' d / P—Y / d G City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977