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PRE 2010 DOCSCity of Fridley, Minn. .11517 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: June 15. 1972 Owner: Vern Donnay Realty, Inc. Builder Sawn Address ._._..7 UO —16th Avenue N. Address Same - 533 -2741 LOCATION OF BUILDING No. _._1392. Street _.._0s.harne Rana N -R. Part of Lot Lot __7___ Block ___. 2_.._. Addition or Sub -Division Xeadowm.nor Terrace Corner Lot Inside Lot — X Setback 15 - 5 Sideyard 10 s t SSW Elevation ---&92, 80 ___ 0 9 9' Mi of.. t. above water—table _Wve Top of 'Finnting_QgAter Table —895.6 APFrax.) DESCRIPTION OF BUILDING To be Used as: Dwelling Front 32' Depth 24.4 Height 20' Sq. Ft. 77.6' Cu. FL 5-552 Garage Front 141Depth _ _2.2_1 Height 101 Sq. Ft. 308 Cu. Ft. 3080 Type of Construction WQo d Frame Est, Cost ..19, 5.8.0 To be Completed Sept . 1972 WATER LOCATION: 9' E. of Sewer Service SEWER LOCATION: 22.6' E.of Manhole Stipulation: This permit issued subject to stipulations in "Mutual Agreement" signed by Vern Donnay Realty Inc and dated June 14, 1972. 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 all provisions of ordinances of the city of Fridley. 9.79 Stsite Surc a e In consideration of the payment of a fee of $_3_L_00_, permit is hereby granted to Vern Donnay Realty Inc. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in, all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings n� city limits and this permit may be revoked at any time upon violation of any of theordinprovisions of said Inspector. CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sura to see the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING P$RMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_Morn Donnay Realty.' Inc. BUILDER: Fern Donna* Realty, Inc. ADDRESS: 7300 -36th Ave. N.s Mals., 14inn.ADDRESS: 7300 -36th Ave. N. 12p1s., 55427 14inn. 5542 NO:. 13 %,) STREET: QS 130 .a; LOT: 7 BLOCK: ADDITION: /L�®f�A� rA i9kealcE CORNER LOT: INSIDE LOT: SETBACK: 36,,5' r 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: Residence Mouse Front: 3210" Depth: 241411 Height: `� '20 Square Feet: 777.6 Cubic Feet:_14209/S �S Garam- Front: 1410" Depth: 2210" Height: ' /Q Square Feet; 308'0t9 Cubic Feet: ' 3vcqo . Sc90 -Type of Construction: Frame Estimated Cost: $ To Be Completed: SEPT . 1912 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. 12 DATE: W)eu /97a —SIGNATURE -: -- J (See Reverse Side For Additional Information.) If I LdJkl�y � 6815 AAyhwaJSCS vEr't-rl It Laky 46 I1Le /V//S 3l. Soils 7bfuq ENGINEERING, INC. AkincOu c`1wJ Afunnrpol SL/iJx f 4-06,; 111�I11QP/7,7� E n vliwE', r _5 Sur vecyors certificate of sutve for E a `.. ,� (�: ;�. e TI,,. 05BORNE RO. NORTH 75 I -�-Mpl 0 16 pdql '4e C , �+� 1392 0,. N 141Q 3 2 110.5 N 10 5' LOT 7 0 O,OZI /OTES IRON — — — DEN07ES 071VTY e DQA/NAGC,EAS&VEN7- Z07----LBL OCK L A&ADOMMOR TRRACE COON7'Y Or 41YOKA l h&vby why #W this n a ti me wd cared rePre.mnfatin o/'a surrey e* bwndorres qC* a&, r dwr;bwd Iard, &d #W /oaiw ;Call & ildmys , *rew, , and d/ rt!;I&e UArver imeoh , �.rwy, frnn ar an-wd /amd. As wrrecfed hy fW 1A i _ d&j f�B A.v /9-6?. SUBURBAN ENGINEERING, INC. 1ngwerrs fr Suraw-i SCALE / =40' - - BC z / /g -F,�:-Iez 2.ti�ti7/O rte i Sys, � �,��,��GX-� Applicaftm for Pourer Pkmft aW Cooling, VeMadon, Reldproflon and Air Con0laiming System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AM: RATis 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 $ Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ tLA 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 .. 10.00 $ Each add. 200 sq. ft. EDR Steam ............. :...... 3.00,$— .00'$Each Eachadd. 320 sq. ft. EDR Hot Water . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... . ' ....... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) .......:................ 5.00 $ • over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL Ist 3 Fixtures ...................... x$ 2.00 $� Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... gE SAO $ AIIR COIiDITIONIIIG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FiNAI. d� $ See Fee Sel'edole TOTAL FEB $—t -J jq1% Dept. of Bld�gm. Phone, 560-3480 Locaflon M91 Ohl City of Fridley: The undersigned hereby makes application for a permit for the work hereit 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 correcW AS �/,, n Fridley. Minn- i ,. 1& Iaf.� Owner Kind of Building Used as To be completed about—ftW'/&' ��,,,, ���� Estimated Cost, $tea! 07)BOluildintt Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—.Steam, Hot Wates,arm Air No— Trade Name , Size No. I Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load— Kind of BURNER — Trade Name Size No capa— Sq. Ft. E D.R BTU H.F Sel. gff- 1001 Xenia Av. S. • 545-1611• (REMARKS -OVER) UnMaP011% Minn. 55416 r _ 53-84-s-915.51 City of Fridley Application for Phmbbg and Gas Fitting remit Dept. of Ridge. Phone 9®0-3450 DESCRIPTION OF WORK 1,400 KT E. Osborne Road Number, Kind and Location of Fixtures Idea • Future Connection Openings I w��1ea` • Now Fixture, Old Openings Sow" °a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 A�MMUMMMMMMIN Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater 'Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. : $2.00 ONE GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • MENNEENEENNOM $ Additional Fixtures .................. —x$.75 $ Gas Range to 199,000 BTU.. . ... . –. .... 1 x $5.00 s 5*00 NEENEENNNEENUM0040 .000MMMENNEENEEN M1 0 • Future Connection Openings I w��1ea` • Now Fixture, Old Openings Sow" °a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater 'Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • x $2.00 $ Additional Fixtures .................. —x$.75 $ Gas Range to 199,000 BTU.. . ... . –. .... 1 x $5.00 s 5*00 REPAIRS A ALTERATIONS—Refer to Code 1CP ae i0 Description ............................................ ; TOTAL FEE s 5.00 (SURCHARGE 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 1-1-13-72 19, Owner Vern Donnay Homes Inc. Kind of Building Frame Used as Res. To be completed about 11-20-79 Estimated Cost, $ 10.00 1i}BQQew. Building Permit No Permit No.G,� �i Sign By MIMIVEGpSCO __. Business Phone No ROUGH U City of Fridley Applicc011on for Phmbbig and Gas R"f" Pwmb Dept. of Bldgs. Phone 560-3490 DESCRIPTION OF WORT[ I.�etirs 13 9 Z- a S B® R/ t R D e Number, Kind and LocaBou of Fii"W" H y Q MAM M►A. 3 ® I; F 6 9 za Rl GAS [IEC. Base 1st 2nd 3rd 4th _ I I I I I • Fulmm Cosmsel6m, Openings + Maw Fly. Old PARTIAL RATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the vrork herei:_ Specifled. agreeing to do all work in strict accordance with the Clt1 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 /! �17 Owner 1% - Kind of Building Bawer CNspuol ❑ Elsecl as PLUMBING FIXTURE RTES: NO. IRATE TOTAL Number Fixtures ................ x $200 f Future Fixture npening ......... o . x $1.50 f New Fixture Old Opening .......... x $1.50 f Catch Basin .... m .. • .......... x $3.25 f Water Beater ,Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 S Electric Water Heater .............. x $2.00 $ GAS FITTING FEES. NO. RATE TOTAL lot 3 Fixtures . • . • ..... • • .... , • • —X3100 $ Additional Tlatures ................ x $ .76 $ (las lunge to 190.000 BTU .. ,......... x $5.00 $ State Surcharge $ .50 REPAIRS & ALTERATIONI<—Rager to Cc& Description . o .. ... . .. ... n .. o .... • • ®... • ..... ... TOTAL TEE $� To be completed about I Estimated Cost, $ 9� Old Building Permit No. Permit No. Signe By Business ROUGH FDIAL 444 L SUBJECT P IT .� City of Fridley 2 7 51 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. �/ry r � PROTECTIVE INSPECTION SEC. � NUMBER NEV DATE PAGE OF APPROVED BY l /"'1•� CITY HALL FRIDLEY 55432 ---•� L 612-571-3450 910415 9/1/98 JOB ADDRESS 1392 Qsbame-Road-NE- 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 e SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bana H u en 786-0763 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Town & Country Roofing 9403 Minnesota Ln N Maple Grove 55369 545-4233 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 O ALTERATION 30 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 16.33 S ear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code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ire SC 1.46 /)T7; PLAN CHECK FEE TOTAL F LIcense 5.00 $55. 9 SIGN F CO CT R u OR1ZE GENT SOA Ei PR PERL IDATED S IS Y PERMIT ^ v f5AYE SIGNATURE OF OWNEROF OWNER BUiLDERs iDATEi ...... RUG -13-1998 08:42 FROM CITY OF FRIDLEY TO 8589320 P.01/02 L1LWUVC 1/ 1/`J6 ADDN [ l CITY OF FRIDLEY ALTS [ 1 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION /1�\ ConstructionAddress:13�06\p OrrA Legal Description: Owner Name & Address: -,An o�c Aum 1�i Wattm c o A Tel. # 711 Contractor. � / r---- MN LICENSES Address: a?j Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 1>ofFROVEMENT LIVING AREA: Length _ Width Height Sq. Ft. GARAGE AREA: Length Width „�_ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1l� . 33 'S ?d Construction Type:__ Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: VAPPLICANT: Tel, #��c fLj Permit Fee $ s 7 J SAX USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ I `— .001 of Permit Valuation (1/10th%) State Surcharge $ 7 $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $j , $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. * Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by: Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL $��-)% STIPULATIONS; SUBJECT PERMIT City of Fridley 30501 AT THE TOP OF THE TWINS BUILDING PERMIT `y COMMUNITY DEVELOPMENT DIV. Il/ l PROTECTIVE INSPECTION SEC. /0 E i 0"'1 4- CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OiAPPROVED BY 612-571-3450 910415 11/12/99 JOB ADDRESS 1392 Osborne Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 1 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bang Nguyen 795-8090 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 ❑ NEW O ADDITION ❑ ALTERATION lk REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace door and windows 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the house. 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 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 $3900 $1.95 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- STRU ION OR THE PERFORMANCE OF CONSTRUCTION $97.25 Fire SC $3.90 PLAN CHECK FEE TOTAL FEE AA-4 - ///I2 $10 10 SIGNATU E OF CON'RA R O UTHORIZ D AGENT IOAT HE PROPE (DATED IS YOUR PERMIT BAG -NSP MATE SIGNATURE OF OVVNER,IF OWNER BUILDERI MATE, NEW[* ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY 06® ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: (o i�C� �.:i C"J Tel. #TQS�� a Contractor: 01 i1,A e r MN LICENSE # Address: Attach to this application, a Certificate4of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: oe.ze d"7 wr!,�Azz-, Construction Type: ilti Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # ITY USE ONLY Permit Fee $ 17. VS- Fee Schedule on Reverse Side Fire Surcharge $ 3 q0 .001 of Permit Valuation (1/10th%) State Surcharge $ %. 9 .5- $.50/$1,000 Valuation SAC Charge $ $1050 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: $ /0-3, /0 l SUBJECT PER City of Fridley 2518 AT THE TOP OF THE TWINS BUILDING PERMIT Ir • ______ COMMUNITY DEVELOPMENT DIV. y f PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/22/02 r JOB ADDRESS 1392 Osborne Road NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Huong Phan 1392 Osborne Road NE 786-3921 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 B USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION] REPAIR 0 MOVE - 0 REMOVE 8 DESCRIBE WORK Reside front and back of house 9 CHANGEOFUSEFROM 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 OCCUPANCYLOAD 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 @ @@ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $600 .50 $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $26.55 PLAN CHECK FEE TOTALFEE 27.65 SI"TURF.Of'RACTOR OR AUTHORIZED AGENT iOATEI E PR � VALID 0 THIS IS YO PERMIT .GEA.�F O ER BU4DE i ATEi INSJV I nArE l NEW [) CITY OF FRIDLEY Effective 1/1/2002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: q ©, i 6 kj _ Legal Description: Owner Name 8 Address: /IT2LLIg- A2 Tel. # Contractor. I A l 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: Length Width Hgt/Ground Sq. Ft OTHER: S ? 1Y1011J1� DIV —I L72 ACP Construction Type: Estimated Cost: $ 6 66_ °--V Driveway Curb Cut Width Needed: Ft + 6 Ft = Rx $ _ $ DATE: l APPLICANT: Tel. # -79C7 3 q9 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 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 $ 07 / �- STIPULATIONS: l SUBJECT City of Fridley 32628 AT THE TOP OF THE TWINS BUILDING PERMIT t RE EIPT NO. _ _ COMMUNITY DEVELOPMENT DIV. v ------ r E PROTECTIVE INSPECTION SEC. U.1' 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF F/ APPROVED BY ' 612-571-3450 910-F15 5/24/02 / DOB ADDRESS 1392 Osborne Road NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Huong Phan 1392 Osborne Road NE 763-786-3921 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE - ❑ REMOVE 8 DESCRIBE WORK Partial reside of house & garage 9 CHANGEOFUSEFROM 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALIDATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $600 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO L FEE 7. CON"RACTOR OR AU THORIZED ENT iDA TEi D T IS YOUR PERMIT XSSGZNATUOF _ n 7PR!nPERLV YGNATURE Of OWNER OWNER 8ERS ATEA BLD NSP p6TE l NEW (] CITY OF FRIDLEY Effective 1/12002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I j q2: Legal Description: Owner Narr Contractor. :NSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width _ Sq. Ft Construction Type: Estimated Cost: 0_ ro Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: �- D APPLICANT: Tel. # �% ��� �GI�% 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. CITY USE ONLY - Permit Fee $ o�b .S! Fee Schedule on Reverse Side Fire Surcharge $ G,n .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,0.00 Valuation SAC Charge $ $1200 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: �7 &Y IN SuBjECT IT NO. City of Fridley 11132 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CP 1,50 1 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIOLEY 55432 �..... � ��' 763-571-3450 910-F15 5/20/03 JOB ADDRESS 1392 Osborne Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Huong Phan 1392 Osborne Road NE 259-0153 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 10' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNING" Before digging call for all utility locations 4540002 RFOUIRFO RV LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $1,242 $.62 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 TOTALFEE $49.76 SiGNAT RE OF CON-RACTOR OR AUTHORIZED A NT tDATE, WHEN PROPERLY VALIDATED THIS IS TOR PERMIT AAS.GNATURE OF OW ER BU4 Ri iOATE� LOG -NSP TE IN NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Tel. # -� S -q_ 8 Contractor. f)l�Ef== 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: Length lotWidth Hgt/Ground / Sq. Ft. OTHER: Construction Type: -7�4a?IC-, 6 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:APPLICANT: Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 9' % $ 1a $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] Lawd Planning1�1 !? 6275 Highway No. 6S N. 11. Land Swvoyhsg lY e , s Minneapolis, boils testing f'/ly-fH�F'ittIWOO Minn. 45432 Civil Engineering Telephone 784-6066 Municipal Engbseering Engineers & Surveyors Area Code 612 Mortgage Loan Survey forV.1 Q N DONWIV P� ACT YI� NC O N 05BOR N E RD. 7s � txi°moi �nq � I 'f" 192 10� lJ LOT 7 NJ m n Scale!1*11- : 40 feet =1=-=. �EhOt�S �r�►nai�e lel i �i ly n e+lserrtelit. L OT 7 13L K c MEAOOWMg0Q TERPACE f -o xr% y o� Anoka this is a true and correct representation of a survey of the boundaries of the land above described orad of the lecofiew of all buihdiags, if owy, thereon, and all visible encroachments, it any, from or on said land. This survey is wade only in connection with a mortgage loan now being placed on the property and no liability is assumed otccept to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is to slorstood and agreed ntenwmegts have been p��ced for the purpose of establishing lot lines or boundary corners. Doted this day o! uIA. D to SUBURBAN INGINEERING, INC. engineers Su. oyon by gose Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE ,�� � / � �' YOUR E-MAIL ADDRESS SITE ADDRESS i 3% � OS� �r� � THIS APPLICANT IS: ❑ OWNER ^ONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE V CA ADDRESS: / 31 a c7 J 5�>r/1'� S< PHONE: 2c'�7- '�5-c/ - 0/5 3 .")r; Permit No.: —0 (A —0 0 Received By: Date Rec'd: —b ji� %E'7 STATF,11-41P STATE LICENSE`# ©O,9 I j T 8J EXP DATE -07 ADDRESS'�Q l� rf,4-,/- J��_A CITY ���Q`7 STATE ZIP Y3� PHONE 7�a3"JYSFAX N:SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK ROOF ❑ SIDING ❑ SWIMM POOL TYPE OF WORK: u NV W L -i l'.,J lAL- ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER X2 2. -f q 5�7- f Ife-✓bob- IVfo J-- 7' LENGTH WIDTH_ ❑ HOUSE ONLY OUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. 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 $ 5 ,�? • -13 OCCUPANCY TYPE Permit Fee $ `- See Back Page for Fee Schedule Plan Review $ ---- 65% of Building Permit Fee Fire Surcharge $ ® %7 001 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 $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 TION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permitan 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 eview and approval of plans. .0 SIGNATURE OF APPLICPRINTNAME//'�1� �f ���f `�h DATE / ` r /