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PRE 2010 DOCSCity of Fridley SUBJECT W. MLPTN!O. 5 AT THE TOP OF THE TWINS BUILDING PERM I r S RE L.0 COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 = � NUMBER REV. DATE PAGE OF APPROVED BY 1 S CITY HALL FRIDLEY 55432 ,`J `----A" 612-560-3450 .910-F15 4/6/77 JOB ADDRESS 30 Osborne Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Leigh Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE S. J. Construction, Inc. 6305 East River Road N.E. 560-2970 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 I j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK � PORTANT— Construct a 24' x 38' plus 6' x 14' Dwelling and a 24' x 26' Ga NOTIFY E FRIDLEY EN SEPIERMT PERMITS 1311:01 11R9D F.0 WIR 1611r% DIVISION REGARDING CU 9 CHANGE OF USE FROM HEATING, PLUMBING AND SIGNS. t � VAL AND REPLACEM p /� AT DRIVEWAY OPENING STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide truss design. AS BUILTS NOT AVAILABLE AT THIS TIME. Both services are approx. 42' East of N.E. corner of house and 36.7' South of Hydrant. DRIVEWAY DEPRESSION: N/A TO CITY OF FRiDLEY DOES NOT GUARANTEE TIE ACCURACY OF. UTILITY LOCATIONS AND ELEvATIc:. Mfg digging call IOCRi utilities TMS LATA IS FOR WORMATION PUP.POSES ON-LY ! : . TELEPHONE - ELECTRIC - GAS Etc. pgMNS USING R SHOULD VERIFY Ttil& . WFORMAWN ON 11111 SIM REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood 1'ram�' 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 R-1 996 + 666 25, 908 To ta 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $32,730 $16.37 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P FORM CE OF CONSTRUCTION. $103.63 $375.00 PLAN CHECK FEE TOTALFEE -, I1 25.91 $520.9az-.- SIGNATOR OF ONTRACTOROR&IORIZEDAGENT (DATE) WHEN PR PPEERLY VALIDAT D THIS IS YOUR PERMIT BLDG INSP - DATfE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 'R. t6 :NT CITY OF FRIDLEY A APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)a OWNER: T, �`� n/ 5 ?' UC7--ICA I .0L- BUILDER:. S, -J Co A& re a�TicAl, IV e— Address :✓� ®J 7t�r v� R Pe ,,P Address: S at,,, Tel. No.: 1.0 7p No.Street: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE IAT: SETBACK: s SIDEYARDS: /® 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: IV S'fAix, I€63ay1 Front: 5-4- Depth: 3Height: % Square Feet: /oa20 Cubic Feet: + d' Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: F2G7/ Estimated Cost:, $ 3 Vic`?<0© To Be Completed: 7 % � /Alt. AA 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 sta (d in this application are true and correct. See reverse sid for addi al info tion. k� 'DATE: 4--4-77 SIGNATURE: Stipulations: g ?/?.*t� 'fh� QLa�^ a) `0 -2, G .3 OLA 'A6-,9/ ��•�7 SS. ear �(pr3s o•® GEMILD T. COYNE X0 BRUNSWICK AVE. S. GOLOEN VALLEY, MINN. MINN. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING LOT SURVEYS COMPANY LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF fl WN9AJPOLIS 5747 W. Broadway 533-4922 Minneapolis. Minnesota 55428 Omipff nr 1prttfirntp S. J-1 004STRUCT12Lt IAC. 0 g \5 A RAYMOND A. PUSCH 6917 IDAHO AVE. N. BROOKLYN PARK, MINN, MINN. REG. NO. 6743 INVOICE- NO. 53,71 F. & No. 161-36-.- scALE r c 301 0 — DENOTES IRON I AY 0- Denotes Wood Hub Set For Excavation Only 3W Lot 3, Block 2., LEIGH TERRACE Revised April 6. 1977 We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all buildings and v4ible encroachments, if any, from or on said land. Surveyed by us tits. ,day of. MAY I9, �l gj V-'� Signed - 6 - SURVEYS COMPANY -7 N' 3W Lot 3, Block 2., LEIGH TERRACE Revised April 6. 1977 We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all buildings and v4ible encroachments, if any, from or on said land. Surveyed by us tits. ,day of. MAY I9, �l gj V-'� Signed - 6 - SURVEYS COMPANY CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU _�_ x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: lst 3 fixtures _� x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) TOTAL .Job Address 0_ C�-15, jga5/c'^/ .1 i 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 Fridley, Mn. Lt - Z , 19-2-2 OWNER a I-' J KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - N e� BUILDING PERMIT NO. / / �j cj S PERMIT NO. v Company a c, Q a Signed By /•� �c Tel. No. ROUGH INSP. Date FINAL INSP. / G - % % Date APPROVAL FOR PERMIT ,a MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE >, m ro U w Water y H ej V p, w Heater N O O ++ Ol Q N O O O i� N -P N N o to u M A � y � a W to w u 3 � � c� as lec 1st 2nd 3rd 4th (R) Future Connection Opening Connected with Sewer (*) New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU _�_ x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: lst 3 fixtures _� x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) TOTAL .Job Address 0_ C�-15, jga5/c'^/ .1 i 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 Fridley, Mn. Lt - Z , 19-2-2 OWNER a I-' J KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - N e� BUILDING PERMIT NO. / / �j cj S PERMIT NO. v Company a c, Q a Signed By /•� �c Tel. No. ROUGH INSP. Date FINAL INSP. / G - % % Date APPROVAL FOR PERMIT ,a MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 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: RATETAL ,lob Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 // $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct.. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ dley, Mi g19'LY STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST 1,�9 PERMIT NO. 2 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD NEW BUILD PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ 2 , Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING FAN HEATING SYSTEMS VENTILATING SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT Oey4 SL See c e $ $ $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE DESCRIPTION OF FURNACE/BURNER BEATING or POWER PI,41M, Steam, Hot Water, Warm Air- No. % Trade Nam Size No. /r Capacity Sq. Ft. EDR BTU HPC Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU GOn"MWMA , 84-19 Center Drive Company 2 Signed By Tel. No. 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 June 20, 1977 Mr. John Doyle S.J. Construction, Inc. 6305 East River Road N.E. Fridley, Mn. 55432 Re: Final Inspection at 30 Osborne Way N.E. Dear Mr. Doyle: A final inspection was made on June 16, 1977 of 30 Osborne Way N.E. and the following items were noted which must be completed before the structure can be finaled out: 1. Post the address on structure by July 15, 1977. 2. Provide sod in the front and side yards by July 15, 1977. 3. Provide a hard surface driveway by July 15, 1977. 4. Complete vapor barrier in basement by July 15, 1977,_ 5. Adjust service door on garage by July 15, 1977. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions about the items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh t- < Cr? t tJ t !-4 C9 s Cl •F tl W C_1 j --- co Q) V) t^ 6- .i n t•- !Y i.'! t: * r v E-+ H 00 C1 O �rJ G:sO !17 G CO d O p 1 i p C:1 C: V rl Cy Ul FE int r I :ri N 49 U N cl al o � � N � a ,sa•, .5: .y, +l O f{ ;s 65 U \J ? Ui`aJ Is z N 'o V Y UI p w ft Ul E. -LI U O G p O 3 A Oto RJ p U to !a Gt 3 4-)4 N N T-6 {HHS W •�-I �l }t rJ ai J c W U C/} I C. U U r_> �I $4 U P419 to 10 Pi U A C4 `� O W cu V 7 1- m U m c• rt 1 W w Et � N 4-) rt m u 7 U 1 43 U � i Z H 2C1 •rl rUd r Rt � t�4 •rf�7 Y� y� '.• W C1 }}t .K U i G) r•S C� !' D t -i E-+ P rd °. 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Gt W = r{ w t: E qHE i •r`'1 rt V.1 .,I t" .a n7 t'i �., ! �C [^ Y W ft ,..( to Ol O O fP,F-J' O L:.. t� U x HLrl fa W 0 O C) H Cl U] C-Yt G7 E -t G� C, to L} i=l F� Flt 0 to S• v} m ii H 7i di C� 4a t7 '. L- {� City of Fridley SUBJECT o 15 8 9 6 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI `-------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. rJ 7 { "—i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/22/80 JOB ADDRESS 30 Osborne Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Leigh% Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Harald Overvig 30 Osborne Way N.E. 788-5602 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyds Home Improvement 1012 - 4231 Avenue N.E. 788-5602 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 X 8 DESCRIBE WORK Construct a 12' x 26' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. WARNW; alto's digging cell low utilities TELtp"(NE - ELECTRIC • ms Etc, FOR I�� SEPERATE PER REQV REQUIRED BY LAW HEATING, PLUMBING AND SIGH 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 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 $2/748 $1.37 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- $12.48 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE L/RIE�®�, o(D $13.85 SIGNA URE OF CO TRACTOR RAUTHORI �GENr ro E, WHEN PROPERL V/1^^//ALI DATED THIS IS YOUR PERMIITT .JC W BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDER)_ (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: BUILDER: - ADDRESS: DjajiLte ADDRESS: %Q TEL NO: 0 � �'S � 3 � TEL NO: Construction Location STREET NO: ® STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 0.�w'a-'c y � `)130•Front: Depth: 0(' Height: Scivare. Feet_ '+'— Cubic Feet: /a 0 Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: �.-�1 �ZCt _ e e\- 9 Estimated Cost: $ `lb Be Completed: 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. DATE: P---�.,(I SIGNATURE: Stipulations: ,/C� , 44(5 1.3;� I SUBJECT P City of Fridley o 16399 AT THE TOP OF THE TWINS BUILDING D [ D � A I � r LR'v' RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L 1 r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 9/22/81 JOB ADDRESS 30 Osborne Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Leigh. Terrace SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Harold Overvig 30 Osborne Way N.E. 571-4978 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 X 8 DESCRIBE WORK Finish basement 9 CHANGE OF USE FROM TO STIPULATIONS Use treated bottom plates. Provide combustion air to utility roam area. Products of combustion fire alarm must be installed. SEPERATE PERMIT'S REQUIRED �IRI�,A� H-EATING, PLUMBING ® AND SIGNS. vi �e�® 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 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,750 $1.88 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. $44.50 PLAN CHECK FEE TOTAL FEE $46.38 SIG,ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERV VALIDATED THIS IS YOUR PERMIT BLDG INSP DA JE IGNATURE OF OWNER IF OWNER BUILDERI (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OW14ER: ADDRESS: TEL NO: STRICT NO: &C"' STREET: BUILDER: ADDRESS: TEL NO: Construction Location LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square -Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: . �Lc ��d��-w: Estimated Cost: $ 3 Zb Be Cbmpleted: -� 2 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE nVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the %:nrk* 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 re true and correct. DATE: �`a � �' �� SIGNATURE: Stipulations: USC CCIO%arno" ?at 6 09 r Ird OWL - ~C SUBJECTPER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 28656, REC � COMMUNITY DEVELOPMENT DIV.zq S r PROTECTIVE INSPECTION SEC. o(f i ,•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 9t0-Ft5 11/25/98 1013 ADDRESS 30 Osborne Wav NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Leigh Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Peddywart 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 Rx ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction of a 10' x 12' deck a 8' x 12' deck and a 6' x 6' hot tub base 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. There must be a minimum of 15 feet between the deck edge and the rear lot line. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. TYPE OFCONST 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 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 $2323 $1.16 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 $74.75 Fire SC $2.32 PLAN CHECK FEE TOTAL FEE SIG TUBEOF O TRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL AO, PERMIT LID TED THIS IS Y S.G REOF wNE WN 8 IDATEI BL G INSv r)A TE NEW [• J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: '�Q L—A'( Legal Description: Owner Name & Address: Qun <o7s,+}wq2( Abu✓F Tel. # Contractor: 56aF 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. A-2 zZ OTHER: $ Alt. "A" or Alt. "B" Above HOrTLI(5 64�6 $ $450.00 Conservation Plan Review lZa s fc 3( Sewer Main Charge Construction Type: Tn�,4x-(--y F<Ac `C�-oyL aJ cttiL- Estimated Cost: $ 23 STIPULATIONS: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /J - `(- c(b APPLICANT: Tel. # Z CITY USE ONLY Permit Fee $ _ J � 1� Fee Schedule on Reverse Side Fire Surcharge $ 2, 3Z .001 of Permit Valuation (1/10th%) State Surcharge $ 1116 $.50/$1,000 Valuation SAC Charge $ $1000 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 [ J Not Necessary [ ] TOTAL 23 STIPULATIONS: r \�� 7 � 14, IA 131 al l SuSiECT PE IT NO. 11 City of Fridley 9 3 7 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 ..J NUMBER REV DATE 7PAGE OF APPROVED By 612-571-3450 910415 5/3/99 F 10B ADDRESS 30 Osborne Way NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Leigh Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Peddywart 30 Osborne Way NE 502-0627 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 [ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 36' x 12' Addition to Deck(Permit issued 11/25/98 for original deck) 9 CHANGE OF USE FROM TO STIPULATIONS CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. Myl A8 (1321M).1N. Zo-tsti 90049001 411p lie 411113 BUJ22ip a o1ag 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 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 $986 $ .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- FirA SC $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $34.75 .97 PLAN CHECK FEE TOT EFIEE 6.22 SIGNATUi FCON'fACT R TNOpILEDAGENT IDATEI � HEN ROP ALIDA D HIS I��SPER`M1L7f//7/C/1 &' S-GN4TU OF WN qF NE UILOER I '2AG INSP DATE l NEW [ ] Effective 1 / 1 /99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATION �P ConstructionAddress: "30 0 5 601, f L' -A, 3— d� Legal Description: Owner Name & Address: &r)����rGl4 A �u�� Tela #-C z -C,(, 27 Contractor: SF c MN LICENSE # Address: 9 O je-- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF U"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt//Ground Sq. Ft. OTEER: ,04 Construction Type: Estimated Cost: $ sy (Fee Schedule on Back) .Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - i APPLICANT: IQ®`� �q�' 1 — Tel. #_a j 7 - So 2 - ab z Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ZZ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ]