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PRE 2010 DOCSCity of Fridley, Minn. 1 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: June 15, 1972 owner: _Vern Donnay Realty, Inc. Builder Same Address __73M.—m-36th Auenue North Address Some, 533-2741 LOCATION OF BUILDING No. __..143.6..._._._. Street nahnrnA Road N.E. Part of Lot Lot 11 _ Block 2 Addition or Sub -Division eadowmoor Terrace Corner Lot __ _ _ Inside Lot X Setback 35-5' Sideyard .- 1 0 5' NybKElevation —893.96_.__ , F,6 c�fi/] 66�I `id�p! Min.—of _.3 fein t ahnVA wa1-Ar table Wye Top of Footing (Water Table - 897_1 Agprox,) DESCRIPTION OF BUILDING To be Used as: Dwelling Fxont 32Depth 24.4' Height 20' Sq. Ft. _ 777.6' Cu. Ft. x,.55 Garage_ ____ Front 14t _ Depth 99-1 Height _10' __ Sq. Ft..,3D$_ Cu. Ft. _3080.: Type of Construction Wand Frame Est. Cost $19, 580 To be Completed Ge= t _ 1972 WATER LOCATION: 10.1 ' E. of Sewer Service SEWER LOCATION: 2.6' West 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 complianwith a'll provisions of ordinances of the city of Fridley. 'Inn In consideration of the payment of a fee of $ 34.00 , 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 the provisions of said ii-dinCLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sura to we the Building inspector for separate permits for these items. City of Fridley and On Dept. of BUkFL Phos DESCRIPTION OF WORK Number. Kind and Location of Mtu I.ee �l SF D i�6 fYT 1a z z a ist 2nd 3rd PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES- NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening .... a ...... x $1.50 = New Fixture Olaf Opening .......... x $1.50 S Catch Basin ..... x $3.25 $ Water Heater 'Up to 99.000 BTU) .... x $3.00 $ New Ground Ruta Old Bldg......... x $3.25 S Electric Water heater .............. a $200 $ GAS FITTING FEES. NO. RATE TOTAL Iat 3 Fixtures x $2.00 $ Additional Fixtures ................ x $$.75 $ Gas Range to 196.000 BTU ............ x $5e.00 $ State Surcharge $ .50 REPAIRS & ALTERATIONS-4Wer to Cello _ Description ... .. . . ... .... .. .... .... . • s.a.. .y.,..�.*.r.�M TOTAL 6 City of ilridley: The undersigned hereby makes application for a permit for the work herei. specified, agreeing to do all work in strict accordance with the Qty Ordinance saed rating of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Mina 7 01�/7 —. ;1S._ Owner VgZEE✓a� Find of Building Used as 2 To be completed about Z 111-17 -r_ Estimated „ jCost. $ Oldt!je; Building Permit No. Permit No. Signed By Business Phone No ROUGH �y�� FINAL U " 1111 - n for Pourer PhM and Heating. Cooling. VentlationR RefdprObn and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GAAV3TY WARM AYR: RATE TOTAL Furnace Shell & Duct Work ......$10.00 $ Replacement of Furnace ............................. 1 6.00 $ Repairs & Alterations—tap to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AIB Furnace Shell & Duck 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. $5W00 .............. 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 ...................... 3.001$— Each .00'$Each. add. 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) .......:............ . 8.00 $—�_ over 199,000 ErM See. Fee Schedule GAS FITTING FEES: NO RATE �TOTAL 1st 3 Fixtures ...................... x$ 100 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... z$ &W $ Dept. of Bldgs. Phone 880-3450 City of Fridley: The undersigned hereby makes application for a permit for the work hereic specified, agreeing to do all work in strict accordance with the City Ordiranee: 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, 11Rina_ 19. 18i� Kind of Used as To be completed about 'WWI 11W Estimated Cost, $� Old- few Building Permit No. Permit No.e�s _ DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm No� Trade Name 4►M Size No Capacity Sq. Ft. E,.D.R TU H.P. Total Connected Load® y Fue BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee VENTILATING SYSTEM ALTERATIONS & REPAID TOTAL FEES S ROUGH - _ ..._.._ FINAIcCK 1 Y 1.001 Xenia Av. S. - 545-1611 (REMARKS -OYER) fnneapoli% Minn. 55416 C'ea '_'qeC1geus. 4 l v/'ids'-v " t3.3i6v91 y FEAT LOSS C .CULATIONS HEATING & AIR CONDITIONING CO-A/W M LJS� . `�eatherstrvs _ A Guide JKV-h- Construction No. Insulation Windows Doors Reference I Out. Wall Int. Wall Ceiling Roof Floor--] Kind How Applic. _Yes—No Yes—No I 19— I F1. J' oom l=ength Width^ Height I Fl.� Room Length 11 Width /01Heighe Windows and Doors—Crackage and Area I Windows and Doors—Crackage and Area T t� dth He�6ht of Lineal tt. Area Width Height No. of Lineal [t. Area tio. 1 of oar« o[ pane �llghen� of crae eq. No. of pane of Dane e16�ta of crack eq. tt. �_ 1 • n ® e. a Coef. Btu Infiltration Glass e a0a 0 Exp. wall Net axp. wall � Int. wall Ceiling 1 12 Floor _Total Btu. Recrired sq. ft. E.D.R. or sq. ins. W.A. Leader area . .•! Windows and Doors--Crackage and Area - 1<14 Width Height No. of Lineal ft. Area N ... I of p>ane of pane lights of erack aq. ft. jr- I1 Coef. Btu Coef.1 Btu Infiltration cl; Coef. Btu Infiltration Glass I kj 7 0 0 _ Exp. wall ?yet exp. wall JV /11.90 .� int. wall /40 Ceiling % Floor xAld aoteI Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area mi Rnnm I [ rnath Width Height Windows and Doors--Crackage and Area / 6 {'Idth Height No. of Lineal ft. Area or pane of Dane lights of crack sq. ft. jr- I1 Coef. Btu Coef.1 Btu Infiltration cl; Exp. wall l Glass —� Exp, wall t Net exp. wall /40 Int. wall Ceiling xAld F Ivor Tota! Btu. Re(,,.,ired sq. ft. LJ).K. or sq. ins. W.A. Leader area z/ Coef-1 Btu Infiltration (�2'– Glass Exp. wall ® - Net exp. wall alld Int. wall Ceiling ®a Floor Tota! Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Loader area _ r, [ {�.v m I[ rnnt6 A l Width S h H -Wt .. F - Windows and Doors---Crackage and Area Width —Weight No, of Lineal ft. Area No. of pane of pane licht.s of crack eq. ft. jr- I1 Coef. Btu Coef. Btu Infiltration cl; Exp. wall l Glass Exp. wall Cv Net exp. wall Int. wall —� Ceiling 9 Floor _ Total Btu. 1 Required sq. ft. E.D.R. or sq. ins. WA. Leader area I t .,,br{, A _0 WidthJA Height P ' "t 4 — r Windows and Doors, --Crackage and Area Width He16ht No. of Lineal ft. Area No. of pane of pane lights of crack eq. It. jr- I1 Coef. Btu Infiltration Glass 9 cl; Exp. wall l Net exp. wall Int. wall Ceiling Floor P33 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arra y I • geo. cgeLag4vLC4 HEAT LOSS CALCULATIONS HEATING & AUR CONDITIONING CO. `Weatherstrips rReference 'S' Construction No. Guide !Windows I Doors Out. Wall Int. Wall Ceiling Roof Floor Yes-1Vo Yes—No 19^ I MINNFAFOUS. MIlti'�lt . Insulation Kind How Applin..: Fl. Room Length Width Height Fl Room I Length Width Windows and Doors—Crackage and Area Windows and Doors---Crackage and Area Lineal tt. Area t�'ldth Heteht Nu. of Width Height No. of Lineal ft. Area No. of pane of pane it 6te of track sq. ft. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 0,,TTI Rnrtm F1 11 Width I Height � indoors and Dfwrs—Crackage and Area �o. of pane of pane lights of crack sV. ft. t Coef. Btu Infiltration Infiltration Class Exp. wail 7 V Net exp. wall goo Int. wall _ Exp. wall Ceiling 1 Glass Floor /( ,9 h 7 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 0,,TTI Rnrtm F1 11 Width I Height � indoors and Dfwrs—Crackage and Area Width HeightNo. of Lineal ft. Area of pane of pane lights of crack ea. ft. _ 1 2- ef. Coef. Btu Infiltration Glass Glass Coef. Btu infiltration _ Exp. wall Int. wall Glass Net exp. wall int. wall Floor Exp. wall Ceiling Net exp. wall Int. wall Floor .y /0 Ceiling T otel Btu. Required sq. ft. E.D.R:,or3sq., ins. W.A. Leader area 1~1 l Rnnr„ I I moth I/ Width / Height Windows and Doors--Crackage and Area %n, Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. it. ef. Infiltration _ Glass Exp. wall ' Coef. Btu infiltration -- Int. wall Glass Ceiling Floor Exp. wall y 91 Net exp. wall Int. wall Ceiling Fm --n 11 y 1d r _ Tata! Btu. ' �a Rec., _ ired sq. ft. E.D.R. or sq. ins. W.A. Leader ares Height Coef.( Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling —_• Floor -- Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f?......, I t AnO11% Width Height aWindows and Doors--Crackage and Area width Height No. of Lineal ft. Area No. of pane I of pane lights of crack w• ft. ef. Infiltration _ Glass Exp. wall ' Net exp. wall Net exp. wall -- Int. wall — Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ifis. WA. Leader area M I P-- I 1 �n&fh Width Height .., - — Windows and Doors--Crackage and Area Width Height No. of Lineal ft. urea No. of pane of pane tights of crack eq. ft. Coef.f Btu Infiltration _ Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Gross ht. loss Net ht. loss Glass & dr. area Wall area Ceiling area Floor area Glass & dr. ht. Ids: Wail heat loss Coiling heat loss Floor heat loss Inf4traaon City of Fridley .53-84-s-915.51 Application for Phmdg" aed Gas INN Pon* Dept. of Edge Phone NO -3M DESCRIPTION OF WORE Number. Bind aad Loeatlon of Fixtures Location 1436 N. E. Osborne Road Famn MMMmmMOMe ............... NEENNEEMENEEN00001 ItENESEEMENEEMEEMMM EMENNEEMENNEENOM MOMMMOMM MENNNEENNEENEENNO 30= PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... _ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater 'Up to 98,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures .................. —x$.75 $ Gas Range to 199.000 BTU......—....—i 1 x $5.00 $ 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ........................... , ................ ; TOTAL FEE $ 5.00 (SURCHARGE $_.50) City of Fridley: The .undersigned hereby makes application for a permit for the- work herd 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 re .'subm stated in this application are true and correct. Fridley, Wnn 10-2-72 19, Owner Vern Donnay Homes Inc. Kind of Building Frame Used as Res. To be completed about 10-9-72 Estimated Cost, $ 10.00 70=� New. Building Permit No. Permit No. % 2 Signed. ° '4 By Business Phune No ROUGH FINAL W& L cm" Surcherg® $40 Base 1st 2nd 3rd 53-84-S-915.51 City of Fridley Applicctbn for Pbmbkg and Gat R"bg Pent Dept. of Ridge. Phone 980-3440 DESCRIPTION Or WORK 1436 N. F. Osborne Road Number. Kind and Location of Fixtu"s r""N"'l W WATER VM. City of Fridley: $ I 1 it IT . 3 Q • GAs EiEG The undersigned hereby makes application for a permit for the work herei specifffed, agreeing to do all work in strict accordance with the CSt, Ordinance 4� :T�and reeling of the Department of Buildings. and hereby declares that all the fact seed representations stated in this application are true and correct PARTIAL RATE SCHEDULE PLDM18IAG FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening .......... • x $1.50 $ New Fixture Olaf Opening .......... x $1.90 $ Catch Basin .................... x $3.25 $ Water heater 'Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $200 $ GAS FITTING FEM NO. RATE TOTAL tat 3 Fixtures —X3100 $ Additional Flxttam ....... ,....... x $ .75 $ Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS & ALTERATIONB —Rater to Code _ zsrion ........ Install. Gas.Light.......... 5.00 TOTAL FEE 8 5.50 Owner FYidley. Minn 5-3-73 19._ Shari. L. Wilson Find of Building Frame Used as Re s. To be completed about 5-10—?3 Estimated Cost. $ 10.00 n Old—L Building Permit No. Permit No. �� ✓� SignedMAMM,_ By ■nrorocr_A= Business Phune No ROUGH FINAL A -•� -, �.. � _. _ . � r- � �-.- moi. -- SUBJECT T PERM20767_ City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 0 3 % O 7 4 r ; CITY HALL FRIDLEY 55432 NUMBERDATE REV. PAGE OF APPROVED BY ''j 612-571-3450 910-F15 4/18/91 JOB ADDRESS 1436 Osborne Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Mea,dowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shari Wilson 1436 Osborne Road NE 7864135 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 ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1� 700 $'85 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $39.00 Fire SC $1.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. AN CH K FEETOTA EE #l.55 SIGNA R F CONTRACTOR OR AUTHORIZED AGENT IDATEI WH N PROP LY A D IS IS YO i P��T -- / INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADEN [ ] ALTER [ ] Legal Description: Owner Name & Address: R-1 AND R-2 Building Permit Application Effective 1/1/91 Tel. # �O 1e2 7d2� s"/3 S - Contractor: O Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. L14M AREA: length Width Height Sq. Ft. GARAGE AREA: length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Grauxd Sq. Ft. Corner Lrt [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. CaMletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPZIC ` l // ��M: Tel. # / /.�-> 2'&/ — �//3 S— Permit Fee $ 00 Fire Surcharge $ 1, :70 State Surcharge— SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ To►I'AL $ �0� S aITY UBE a�aar Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 AFPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On January 1, 1998 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 1 Ctch� Auto. Gas– Gas Water Heater 6-0—ora-1—c Water Bath Wash Drink, Stories Closet Urinal Tub Shower Sink Tray Fount, fDrain Basin Washer Appl Range Fixt... Gas Elec Basement Floorl Floor 2 + Floor 3 Floor 4 - - -,-- --- I '---L-__ -- j — -- - J--- I----. -1-- ---, A --- PLUMBING FIXTURATES' New Fixtures Old Opening, New Fixwfe Set!f Dispenser Pl-w Off la,,, i'' --). 1`0 FAL TOTAL FEE 10 E'lA Fj 10 1-11:= S S I%JL Tie rs i g ned h ero h,, "na k p- s app;icat401 dor a p af ni T I i e r '- h 7, - d REjt!:ing an(,o he;-nry dec;, 8/& --f'R A/d/ MINIMUM FEE F0 ANY PLUMBiNG/GAS PERMIT IS —�T PLUS THE $.50 ATE SURCHARGE '*COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 5-)4{A) '14D TABLE 6--A. MINIMUM SIZE 9SQ INCHES. SUBJECT City of Fridley 8=0 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. -----� j : PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 l J\ 612-571-3450 910-F15 9/30 98 JOB ADDRESS 1436 Osborne Road NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 2 IMeadowmoor Terr ce Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shari Wilson 786-4135 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 18979 Gladstone - 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 Jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (18 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 1542 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 $51.25 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRAC TOR OR AUTHORIZED AGENT (DATE$ WHEN PROPERLY VAI ATED HI$ IS YO R PERMIT LOG N5� .� nArE SIGNATURE OF OWNER.4 OWNER BWLOER� iDATE� 10:04 FROM cInr OF FRIDLEY • T ADDN ALTER C] LOODusatiptkok: _- own" e & mss: CI 1W.= & M, MNGM FAMMY AM VUPLMM U-1 Arm X-2 MING PMMT &WMATON MAMMA s AM r A A lip ro" ARE 4164EI85 P.®iAM Effixtive 111196 L=B* Width Hdght Sq. Ft. !8x85". 70 = 19 Sq I 11 G U rwdmAtied Cost: Lt free schedule an Back) DdIveway Curb Cut Wiese : __I + 6 lit ®�t �c $ g $ DAMS ql /G.Ig��. It ar..ar r hnl* pw F1�ftwaaw r� S(a� /�7 Um" E a Eswm S y' �r��a V$��o �iip®Ckwuml ' main cbaw TOTAL RW RAUCKS. j sir 1. w an � 1�LYYj��y� .002 of Val (1/100 ) NEW [ J CITY OF FRIDLEY Ur �� /1/2002 ADDN j ] 6431 University Ave NE, Fridley, MN 55432 (7 ) 57 6 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: o S" S Legal Description: o t I a c -A 2 ✓%) coo eco MA w �i r ►^ra c �, Owner Name & Address: S h -OL Tel. # % 3 ?x G Z/3S Contractor. I rK W a i Ss rl rk. - S MN LICENSE # Address: 4t 34 ®�� 1e_ �� p.Tel. # ZZ3_ - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width l H UGround Sq. Ft t OTHER: —a 19z -x11= 021/12--. eb Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft +6 Ft= Ft x $ —=$ DATE: APPLICANT: �� Tel. # % 3 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 TOTAL CITY USE ONLY - Fee Schedule on Reverse Side $ .//_ .001 of Permit Valuation (1/10th%) $ P>S $.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 [ ] $ -Ap / ( STIPULATIONS: su6JEGTER City of Fridley 2689 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. >r _ ___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E l CITY HALL FRIDLEY 55432 NUMBER RE, DATE PAGE OF APPROICO 81 ---- ��"'f,•j L J` 612-571-3450 910-Ft5 6/12/02 JOB ADDRESS 1436 Osborne Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Meadowmoor Terrace Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shari Wilson 1436 Osborne Road NE 763-786-4135 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 X ADDITION O ALTERATION O REPAIR O MOVE - O REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. EK 2 WARNMIG fib SEPARATE PERIWIM Before digging call for REQUIRED FOR: all utility locations WIRING HEATING PLUMBIR AND 811rk,' 454.0002 RIFOUIRE 0Y LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,112 $1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .05 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE CCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 orFire S $2.11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK]; HECK FEE TOTAL F /)/ $86/41 SiGNA UR OF CONTRACTOR OR AUT ORIZED AGENT iDATEi P IDATED ISY PE D S-GNATURE OF OWNER .IF iDATE, BLDG 16SP - DATE Building BUILDING Permit No.: `Cj -6174 S Inspections p RESIDENTIAL APPLICATION Received By- ' 763-572-3604 o, I CITY OF FRIDLEY Da 'd: I v R"d DATE (� • z- -01 YOUR E-MAIL ADDRESS 8 Q' i C m► n ll'2s�+A- r u s e v C v m SITE ADDRESS I .36 D Sbo m e o", Frldkti m iV S5 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME:�9 i Lk), ,5 -Yi TENANT ADDRESS: '*!z&6." CITY STATE ZIP PHONE: -7 fg3 ' -1 $ Lo ' y 11 35' CONTRACTOR NAME. SUBMIT A COPY OF STATE LICENSE # o� l%3 EXP DATE 370,07 m,r �j� J YOUR STATE LICENSE ADDRESS: 51553 &i4 -L CITY ��i�-K- STATE ZIP 5SJ / 3 WITH APPLICATION PHONE qS2 . 935 . 4lo4e9 FAX 4 5 Z • 9-25 gs�y PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE Q ADDITION ❑ GARAGE/SHED DOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ;MAINTENANCIVREPAIR 0 REMODELING DESCRIBE WORK BEING DONE: rI SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT V r Sq.R. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SLING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffa ADDITIONS. & PORCHES SUBMIT: ❑ Ahuninum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGSYes ❑No LOCATION OF WINWWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF l4--* AAAA OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED UMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UAC FEE SCHEDULE) Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due VALUA' $ $ Ci 3.1 TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 6v $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable 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 d work is not to start without a perni that the work will be in accordance with the approved plan in the case of all work whic eq�ire re iew a proval of plans.r 4, 10 ,,n Building BUILDING PermitNo.:'��- InspeGtions RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE • �v YOUR E- L ADDRESS 112 m t n (1�SU S SITE ADDRESS ly3 Surcharge THIS APPLICANT IS: 0 OWNER CONTRACT R PROPERTY OWNER/ NAME; TENANT ADDRESS: %% CITY STATE ZIP $ PHONE: X63 • `7 UP • Lf135 IQ CONTRACTOR NAME. STATE LICENSE # A/733 EXP DATE 374-11,07 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: SSSS � � Lam- CITY --iiYl h4A_ STATE zIP 55313 WITH APPLICATION PHONE 9SZ • 935 ' -7Ote9 FAX 46Z • 935. gs,yy PROPERTY TYPE JjrSINGLE FAMILY/NEW CONSTRUCTION SIZE $ 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE A ADDITION 0 GARAGEISHED DOWS `` 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW 0 ADDITION 0 MAINTENANCE/REPAIR NMEMODELING DESCRIBE WORK BEING DONE: QA b b010 �0%J t4Q dAq QQe17;AQ, L-lSIZE OF UVIPROVEMENT LENGTH WIDTH HEIGHT ' ROOFING 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl OSoffrt ADDITIONS. & PORCHES SUBMIT: O Aluminum 0 Trim I. Site Plan/Survey showing the existing structures 0 Other 0 Fascia and proposed project 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS OYes �AKo LOCATION OF WINDOWSrr 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF L; vim Y00/II - �-ra - 6 � hwlse, OPENING CHANGES &QQ ,�, TYPE OF WINDOW TO BE INSTALLED �U 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 $ 507'7.00 OCCUPANCY TYPE Permit Fee $ /�5• 5 Plan Review $ Fire Surcharge $ 5.08 Surcharge $ A • 574 License Surcharge $ 3-.00 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ • Sewer Main Charge $ Total Due $ `` See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attac 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 fora rmit 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 r uir-cs r w and a p val of plans. SIGNATURE OF APPLICANT PRINT NAME __46M ( V PIS DATE I D • �D