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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N? 3474 Date: ..�....'� ... ® ... -. ............. Builder .... X ..................................... Address ........ Address ............................................. LOCATION OF BUILDING No. 11� .5/4. Street ...61)SZ1XzVA;-Zx... Part of Lot ................... Lot .... Block ...... / ........... Addition or Sub -Division Sideya 4' Corner Lot ............ Inside Lot ..... Setback .. . . . ............. DESCRIPTION OF BUILDING T I be' U as:, 0 " Height / '0 V—... Sq. Ft AW/ Cu. Ft. J® Q .1d%.. Depth ................ �i Front . . Front IY:%.P Depth Height Sq. Ft. CIL Ft.5.� d -O T: .................... Type of Construction . i'� 4s—n.k . ..... lift. cost. I. .... To be Completed In consideration of the Issuance to me of a permit to construct the building dearibed 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. .t 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 with - In the city limits and this permit may be revoked at any time upon violation of ani f the provisions of said ordinances. t.11 ....... Building Inspector NOTICE: This permit does not cover the construcUon, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate perthlb; for these Items. Q P� City of Fridley Apprication for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Dept of Bldgs. Phone SU 4-7 Number, Sand and Location of Fixtures Location 4 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x 12 =Y F- zZ ya ppZ �Z O2 J C9 O Z�QZ !2a F N WATER HTR. GAS ELEG x 2.00 $ ) New Ground Run Old Bldg . ............ x 3.25 $ O Base - 1st TT 2nd 3rd 4th Future Connection Openings Connected with New Fixture, Old Openings Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ o�A Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ......—�� x 2.00 $ ) New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL X $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application true and correct. Fridley, H inn- 0, - 19 Owner Kind of Building e Used as To To be completed about Estimated Cost, Old New uilding Permit No / Sign By Business Phone N 9— 919— Connection Permit No . ....................................................... MAR 2 3 159 "?Water Sewer Description ................................................$ TOTAL FIM49� Q0,11 1M-8-58 Meter Deposit City of Fridley Application for Pitembing and Gas Fitting Penult Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................... ...........$ TOTAL FEE $�,,••, '� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and orrect. Fridley, 1Vlinn E' 64 4ri�' Owner 1 - 19 Kind of Used as -1-o oe completea aoout Estimated Cost, $ Old—New. Building Permit No 11 POST 1M-12-58 By " `-- Business Phone M 7, PEW-. -a %� 7 p w Z f 8G �U' WATER HTR. ? 63 0Sa �O R N GAS ELEC. ra Base 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings Sewer I Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................... ...........$ TOTAL FEE $�,,••, '� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and orrect. Fridley, 1Vlinn E' 64 4ri�' Owner 1 - 19 Kind of Used as -1-o oe completea aoout Estimated Cost, $ Old—New. Building Permit No 11 POST 1M-12-58 By " `-- Business Phone M 7, PEW-. -a %� 7 City of Fridley SUBJECT PERMI ®130'71 AT THE TOP OF THE TWINS BUILDING PERMIT I RECEIPT `L _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � SEC. 1 = � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L•"• ,`� 612-560-3450 910-F15 7-2-75 JOB ADDRESS 1646 OSBORNE ROAD N.E. FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 1 SPRING LAKE PARK LAKESIDE SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE VIRGEL MISKA, 1646 OSBORN ROAD N.E., FRIDLEY, MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. FELSON CONSTRUCTION COMPANY, 7200 CAMDEN -AVENUE NORTH MINNEAPOLIS 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REPAIR DAMAGES DUE TO STORM 9 CHANGE OF USE FROM TO STIPULATIONS ARH��G OR 'W E 1 utilities Ott u IN%-- dlggin� caul IoCa EtC. g'10te BY 'Op em 11%E� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 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 $1,000 ,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. $6.00 PLAN CHECK FEE TOTAL FEE 7-0? SGNATUREOFCONTRACTO UTHORIZEDAGEN (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) l •APPLICATION FOR RESIDENTIAL, ALTL'RATION, OR ADDITION•BUILDING PERMIT F CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER• ADDRESS :�91.r� ADDRESS: NO:. STREET • ('),4J"Vvt 1A LOT: �� BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: v SIDE -YARD: Applicant attach to this form. 'n,7o Certificates .-if Survey .of Lot and. proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING ont • Depth • Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: ,$4L©® To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: — 2 7 SIGNATURE: (See reverse Side For Addi 1 Information.)' 50? �, i pn�.P9t�a.�C,.4... t"nay...enq E r n..:� ..Rii'8,..aR^:A`^'7..c� f�/'s,..z.itb:.e.�p�-'-.'.riV°..o,Jr.-,s+..+..w.p�,�q,i.9�.]" 1 ..svac liLi h v'���: ii.,y_.�.c< _a;3 `'-:' :f'% Cov;:u�x1r._ .. :�i.a � �:.G�a✓� w'gp.r..-i Cu'at�f•� `. �'?1� vP. i'�'. ..t <R, a:9��:di/:::�u �l�r`a��S+ PARTIAL RATE SCHEDULE GRA V IT t' WARM AM: PAS TOTAL Furnace Shell & Duct Work ... ... . ..... .. $10.00 Replacement of Furnace 6.00 Repairs & Alterations—up to :..500.00 600 'Repairs & Alterations each add. 3500.00 300 $ >33I'CIL WAIi.R.4 Alm %orrice Shell & Duct Work to 120,000 BTU .. .. ..$1000 ; emrh add.. 60,t100 BTU . ......... 30) � Replacement of Furnace 6.00 $ ,Repairs & Alterations.—up to ;500.00 6,00 $ Repairs & Alterations each add. F,500.00 3.00 3 STEAM or HOT WATEM SYSTEM Furnace Shell & Lines—to 400 sq. ft. KDR Steam 510.00 $ Furnace Shell & Line- -to 640 sq. ft. EDR Hot Water 10.00 $, Each add 201 sq. ft. EDR Steam Each add. 320 sq...ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal, per hour 6.00 S•.__ _.e over 3 gal. per hour—See Fee Schedule ,.,) %J GkS BUM uNER (up to 1.M,030 BTM 5.00 $ osa: 199,000 BTU So* Fee Schodule GAS FETING No RAE TOTAL 1st 3 F%xtures `Xs 100 2 Additional Fixtures x Gas Range to 1M.MD x$ &M $ — StateSurcharge vo .50 AIR GO-IDITIC?7;i':0 FAN� .°t �v: r � T Sc a Fee 2c! e S CJ 74 TOTAL i� •� cit, MMM Dept. of 01doa. phorwz MO-= City OfFridley: The undersigned hereby makes application for a permit for the work hers specified. agreeing to do all work in strict accordance with the City Ordinzr:cer and ruling of the Department of Buildings, and hereby declsr2: that all tsze fees and representations stated in this application are tri:e and correct. Owner Kind of Used as To be completed about, Estimated Cost; $ Old New. Building Permit No. _—_ P®reit No. MALTING or POWER D'iA2 7 —,SFdtemp, Not Water, Warm Air—No / Trade Name :4�� Sire No -Capacity—_-- Sq. rL E.D.R' J� c 0 BT1J X -p Total Connected Loads 3 �� l,d of r.^wL_ BURNER — Trade Name Size No — Capacity Sq. Ft F -D R BTU EML a S S'a v 8- T HEAT LOSS CALCULATIONS r DEPARTMENT OF INSPECTION MiIVNEApO.I , MihQV. Weatherstrips Guide Construction No. Insulation Windows Doors Reference Out. WallInt. Wall Ceiling Roof Floor Kind How Applied Yes--NoI es—No 19_ F1.1 Room I Length 4VI Width Height Windows and Doors--Crackage and Area Windows and Doors--Crackage and Area Width Height No. Of Lineal ft. Area No. o[ pane of pane llghle of crack I sq. ft. Wldlh Height No: or Lineal ft. Area No. of pane of pane Ilghto of crack sq -.JL.— f. Coef. Btu Infiltration & Class y Exp. wall ` °' e 2 0 Net exp. wall Int. wall i •1 a NP ��/ e1 Coef. Ceiling Floor 1 66 Or 'Total Btu. - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room Length Width Height Windows and Doors– Zrackage and Area Exp. wall Width Height No. of Lineal Arm Nee o[ pane of pane Ilghte of crack Be. ft. Net exp. wall Yd 5§1 Int. wall Coef. :Btu Infiltration Floor Glass Exp. wall Total Btu. Net exp. wall Int. wall Required sq. ft. E.D.R. or sq. ins. WA. Leader area Ceiling FIA Room I Length Width Floor _TOW Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room ( Length Width Height Windows and Doors—Crackage and Area Width HeightNo. of TAneal ft. Area No. of pane o[ pane 19 hta of crack sq. ft. 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 FI.1 Room I Length Width Height Windows and Doors--Crackage and Area Wldlh Height No: or Lineal ft. Area No. of pane of pane Ilghto of crack sq -.JL.— f. l-�YB 1"p 44 & Exp. wall i •1 a NP ��/ e1 Coef. Btu Infiltration,'- Glass - P Exp. wall Net exp. wall Yd 5§1 Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area FIA Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack eq. ft. f. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area R.1 Rmm 1 Lenath Width Heirlit Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. at pane of pane tights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor -1 otal Btu. Required sq. ft. E.D.R. or sq. ins, WA. Leader area City of Fridley AT THE TOP OF THE TWINS suslEcr BUILDING PERMIT PE NO. 14895 S • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-560-3450 R A_01RC119.1, NUMBER 910-F15 REV. DATE 9/5/78 PAGE OF APPROVED BY JOB ADDRESS 1646 Osborne Rd. 1 LEGAL DESCR. LOT NO. 17 BLOCK 1 TRACT OR ADDITION Spr. Lk. Pk. SEE ATTACHED Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Miska Same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gene Egan 8924 Van Buren NE 784-3953 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Home 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 49 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Aluminum Siding & Trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 $3,100 1.65 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 TION OR THE PERFORMANCE OF CONSTRUCTION. 21 5�/f 7e, PLAN CHECK FEE TOTAL FEE 22.65 SIGNAT E OF CONTRACTOR OR APHORIZED AGENT (DATE)W P ERLY VALIDATED THIS IS YOUR PERMIT pI ayE, t� �L1 BLDG. INSP DAT SIGNATURE OF OWNER (IF OWNER BUILDER) MATEI CITY OF FRIDLEY APPLICATION FOR RESIDE=NTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: . BUILDER: Address: le . / 12! AOS Ai, Address: 0 A146 No.6 LOT: CORNER LOT: Tel. No. Street: BIALY.: ADDITION : I14SI.DE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Tv;o Certificates of Survey of Lot and proposed building location drawn on these Certificates. i DESCRIPTION OF BUILDING , To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: 'Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction L^ 4M S/�/�i /x/%4'1 Estimated Cost: $ �/ ®fav To Be Completed: -sr=- — 1� 7�r Alt. .� Alt. B Proposed Driveway Width If Nein 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 information. DATE: %' .S- %� SIGNATURE: - Stipulations: �l�iw� 02 /• o� 9 01 SUBJECT P 0. City of Fridley o 19181 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 16 RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. y r 1 PROTECTIVE INSPECTION SEC. eX& -3 -3 1 ; I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/18/87 JOB ADDRESS 1646 Osborne Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Miska 1646 Osborne Road N.E. 786-3605 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S & S Construction 1586 Osborne Road N.E., Fridley 55432 784-9793 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 Cil ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221.x 161 Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Change existing door between house & garage to an approved fire door. r ;� �F SEpAR ArE 13l SI,�j pr,? Before �('. digging calf local utilities GAS Etc. /��A SR���/ TELEPHONE - ELECTRIC - . pL g� pl REQUIRE �f LAW AND SIGIV S. 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 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 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 $5,054 $2.53 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- $56.50 STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION. . n &7-vn PLAN CHECK FEE TOTAL FEE i"��� $59.03 SIGNATUR FCONTRACTORORAUTHORIZEDAGENT IDATEI W N PROPE - V I TE THIS IS YOUR PERMIT ,g SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI BLDG INSP f1ATE 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [)4 R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: ogLi a Legal Description: ���'z-` �i� zc 'A�y-��0�• Owner Name & Address: Tel. /� c�v� Contractor: Tel. # '7 Address: 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 l'y Sq. Ft. 3 S2 Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot >oG /Flt. Yd. Setback q -a -AQ Type of Construction: GI-)Cui to')) Approx. Completion Date: �0—1 R-21 *%y 17Y- Side Yard Setback v -2 Estimated Cost: $ 15-0-5-V AMA Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation Alt. A Alt B DATE: APPLICANT: G1lLiiA Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ..� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ $ 59. 3 ,;3s -,6o 03 002- [�St G0'&�L t/ SUBJECT IT NO. City of Fridley 30788- AT THE TOP OF THE TWINS BUILDING PERMIT r? `v ------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. A� -7 G[1 r PROTECTIVE 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF AVPROVED By 612-571-3450 910415 4/5/00 JOB ADDRESS 1646 Osborne Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 17 1 1 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen Carlson 1646 Osborne Rd NE 717-9665 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 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 SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,923 $.96 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 - $69.25 Fire SC $1.92 CTION OR THE PERFORMANCE OF CONSTRUCTION SUCTION PLAN CHECK FEE TOiFEE� $72.13 SIGNATURE OF CON'RAC OR OR A THORiZED AGENT DATE, PROPERLY VALIDATED THIS IS YOUR PERMIT DG NSo nATE S-GNATU ER,IF OWNER BWLDERi iDATE,/;HE, t/ NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: IL' Effective 1/1/2000 (763) 572-3604 Bldg Insp v IIca3� t Legal Description: Owner Name & Address: J. Tel. # n3 - 7/'%— &Z� Contractor:MN LICENSE # 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 Length Width Hgt/Ground .` Construction Type: Estimated Cost: $ Sq. Ft Sq. Ft 17- WIN Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ Y DATE: - ^—d 0 APPLICANT: ��� j� 0AA&074-j Tel. #16-3 '�/7— 9W6� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ ��j, �S Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ ��, $.50/$1,000 Valuation SAC Charge $ $1100 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: - . I