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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: .... f. 7. ..�r.'.�.............. Owner ....................................... Address ...................................... N° 3995 Builder ....... c� Address ............................................. R11.... /Q LOCATION OF BUILDING No. . 4 . 11 .. l.l.rD'. /� f .................... . • Street ✓. �:'� ..... Part of Lot .... .................. . Lot .. !! 2 .. Block .................. Addition or Sub -Division ................. .. s.a. Corner Lot Inside Lot ............ Setback 4� . �: ®. �� Sideyard .�� ......... . ............ .... DESCRIPTION OF BUILDING To be Used as: .. ...... Front ........ �iDepth zv� .. Height �' d Sq. Ft./®V�Y Cu. Ft . .................... . Front :....... Depth .... ... Height........ Sq. Ft......... Cu. Ft......... Type of Construction ................... Est. Cost' ., .4,a �.�. 7. r. ®®.. To be Completed . ....... . In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with 'the description above set forth az dcoin Hance with all provisions of ordinances of the city of Fridley. 11 0'/ In consideration of the payment of a fee of $.- 6 :. d , 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 any of the provisions of said ordinances. , Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn. N° 8026 BURDING PERMIT Date: June 24, 1965 Owner: John Woodard Builder Alan Construction Co. Address 811 Overton N. E. Address 4850 ZachLsM Lane, Mp1s., Minn. LOCATION OF BUILDING No. 83.1___— Street Overton N. E. Part of Lot Lot 22 Block 5 Addition or Sub.Division Brookview Terrace, 3rd. Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation ___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Freight Sq. Ft. Cu. Ft. Type of Construction Fst. Cost $2 $ 000.00 To be Completed Storm damage repair 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 Vth a& provisions of ordinances of the city of Fridley. �y—�� In consideration of the payment of a fee of S 10.00 , permit is hereby granted to Alan Construction Co. to construct the building or addition as described above. This permit is granted upon the express condition that the pereo to whom it is granted and his agents, employees and workmen, 9n all work ,L done in, around and upon said builnding, or any pert thereof, shall conform in sII respects to the ordinances of Fridley, Minnesota ne��a�sdiYg pitoyco�oal tten� repoafir the provtsiona osa4d dty limits and this Allen Jensen Building Inspector NOTICE: Ibb pom* des se aeras tie eeedmd los, 6wdslldho for ukhM plumbing, gas hestho awes or wdw. Be sun to as the Beildleg MWedw for aopmft pwmbB for db hems. • r ti APPLICATION FOR.B 4t=: PERMIT: CITY OF FRIDLSY, SOTA OAR'S NAME John Woodard: BUILDER Alan Construction Co. ADDRESS 811 Overton. N. E. ADDRESS 4.850 Zachary Lane, Yinneapolis LOCATION OF BIP No. Stteet Part.of Lot. Lot 72— BlockAddit.ioat or Subdivision Q.�J� �� ►'- Corner Lot Inside Lot_ _,_:Aet. atk Sida-Yard SEWER ELE'VATIQN FOUNDATION ELRVATION Applicant attach.to thin form, Two Certificates of Survey of Lot.and proposed build-- ing location drawn on these Cattificates. DESCRIPTION OF BUILDING To be used as: PronC Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction- _Storm'.damaiFe repair Estimated Cost $2,000 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work it! 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. t 6` DATEJune 22, 1965 SIG�iATURE .. 'r ,_Ochedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn.. 11TH 9188 BUILDING PERMIT 3730 Date: April 14, 1967 Owner: _ John A. Woodard Builder Imperial Gar __BuI1_, exB Address 811 Overton Drive N. E. Address 12483 73rd Ave. North ,Osseo LOCATION OF BUILDING No. 811_ Street Overton Drive N - E Part of Lot Lot 22 _ Blocks--- Addition or Sub-Division . Brookview Terrace 3rd Corner Lot —_ Inside Lot x Setback 39' 611 . Sideyard _._ 5 1 Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: D. Garage Front 19' 3Depth 22' Height 9 Sq. Ft. 418 Cu, Ft 3762 Family Room Front 12' Depth 19' Height 8' Sq. Ft. — 228 Cu. Ft. 1824 3800.00 Type of Construction _._.. Frame Est. Cost _... .._._...___.�.._._ To be Completed — 5/15/67 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 incompliancewith ail provisions of ordinances of the city of Fridley. �,;�7 In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to Imperial Garages 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 regardinng location, construction, alteration, maintenance, repair and moving of buffdings within the dty limits and this permit may be revoked at any time upon violation of any of the Pm of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit doer not cover the construction, Installation for wiring, Plumbing, gas heating, rower or water. Be sun to we the Building Inspector for separate permits for these hems. v OWNER'S NAIL APPLICATION FOR BUILDING PERMIT CITY OF nwxEY, MINNESOTA ADDRESS .1L b" ter _ ADDPXSSJZ Q- 8-3 -7 3 .. —),,1 LOCATION OF BUILDING, `` N0. II STREET r+.Q�► 1 _ PART OF LOT JLe4w LOT BLOCK 45' ADDITION OR SUBDIVISION A�Rpoe U s # as itfl /?A C E CORNER LOT INSIDE LOTX SETBACK - 3df—1 V SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used Ad: DESCRIPTION OF BUILDING Front r Depth Z Z Height 47 Sq. Ft. 11116 Cu. Ft. & 747 - Depth / % Height -11 aq. rt*_ le- ft, Cu. Ft. jL8 7 a� Type of Construction Estimated Cost,'®� To Be Completed 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 /' SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PERMIT City of Fridley 12 9213 AT THE TOP OF THE TWINS BUILDING PERMIT � EIPT • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---. ,� L 612-571-3450 910-F15 9/30/87 JOB ADDRESS 811 IMI Overton Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Woodard 811 Overton Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R. P. Vogel & Co. 2601 Bloomington Avenue So.., Mpls 729-6653 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 Construct a 141 x 14' Screen Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans 1 ARKIN REQUIRED FOR local uli�iti��:• PERMITS A SIG�9S. C,�c. SEPARATE SEATING, PLUMBING getore digging Call -GAS IG ONE. ELECTRICWIRING, {,EQUIRED by 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 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 $2,700 $1'35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT D S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 STR ION OR THE PERFORMANCE OF CONSTRUCTION. r P N CHECK FEE TOTAL FEE " ��� $ 9.63 $49.48 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE I • ` t WHEN PROPERLY L ATED T IS IS YOUR PE MIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: �1ze& �6 ��� y� �'��/r`, ��' - `r`�y'3� Legal Description: •�.� Gr/�00% X01- iSc�`r✓ i Tel. ,# Owner Name & Address. 0 Contractor: ��/ ¢ I Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length 4440ft Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Zi ?Ka .S(?,►,e e ,o 19 )c 13.$x7 % W? Ir.Corner. Lot [ ] Inside Lot [ Ft. Yd. Setback, Type of Construction: Lo"l 'W" Approx. Completion Date: Side Yard Setback Estimated Cost: $ A awa Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: � APPLICANT: Tel. # CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] v • 2760 ad og 030L3 g,sd Land Planning 37DMrtsissi#20 1137dSurvey,;y mmvpnls zt. SM5Testing ENGINEERING, INC. A6,mvla cm/ 6, Munlapal siblet 46066 Ensu nny Engineers Surveyors — certificate of surge byRNE bFNZ ON _ t IronO,s •• --- c'. h rY�PoS d Aub" 1 14cku!6 Ir•erLk � (ren _ 45W -,V ToAV DSP/VE Lo zz, /3 /Oc TEPRAcC 3'=� o i riacv /lh�+edy cerfi�y 11bfThis a a b �t and ea"d rep ese#attan or# Ar✓ey q('illr ha�n&rres gr1k far a(rw"kd /arid,Od if= eflaofmn ire# baldrn9s , area►, and d/ visWe ev»odimmis , q ma , firm ar nssid /aid. As "Wyed 6 ( OW A* - *j ,� June A.D. 020. SUB URBAN ENGINEERING, INC. CJI !!,r &- 5ura , ,!h ... CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 3 11 (0 LF-LV__�) JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and -Do Also Replacement Furnace $ 30.00 $ _ representations stated in this application are true and correct. JAnu U`n'-L (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ -1 BUILDING USED Gas Dryer $ 10.00 $ c� 31 PERMIT NO. (� ESTIMATED COST *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air) 1 % of Value of Appliance or Work Trade Name o$n Di Size No. L m PL Commercial/Industrial BTU :3610 `>C) HP EDR 1.25% of Value of Appliance or Work $ Fuel f1raano��J 1�— Total Connected Load State Surcharge 50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE DEPENDABLE INDOOR AIR QUALITY, IiiG, HEATING COMPANY 2619 COON RAPIDS BOULEVARD In MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION N RAPI 55433 No. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed B Tel PLUS THE $.50 STATE SURCHARGE Ii"Ljooard- Date Final Date REINSPECTION FEE $42.00/Hr Approved By Rough -In ON 'Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION written permission from adjoining property owner. REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( "J1`No ( ) 2. Is free from rust or deterioration Yes " No ( ) 3. Has no foreign objects lodged within Yes (cy No ( ) 4. Is securely supported Yes ( No ( } 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of All other BTU's ,/CI CGU TOTAL BTU's N 7. Has a liner been provided for water heater Yes () N ( ) 8. Has combustion air been provided for water heater Yes (Pf'No ( ) .�� 1 :[ uti_ ,� AN List ALTERATIONS Being Done: HEATING CO Signed By: Date: DEPENDABLE INDOOR AIR QUALITY, INC. 2619 COON RAPIDS BOULEVARD L, Nou-,Inad. SUBJECT City of Fridley �?� AT THE TOP OF THE TWINS BUILDING P E R M I T r EIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. A6r I I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 1 910-F15 3/3/98 JOB ADDRESS 811 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Jack/Sally Woodard 811 Overton Dr NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 502-4777 20040630 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 G1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace one window 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code; in each sleeping room and on all levels adjacent to all sleeping rooms. 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 $3,065 $1.53 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. $87.25 Fire SC $3.07 PLAN CHECK FEEOTAL FEE Li e S 5.00 $96.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H P AL6G 1K,_ RL Y V L ATED THIS IS YOU Pif%i J� BATE SIGNATURE OF OWNER of OWNER BUILDERI (DATEI %NCITY OF FRIDLEY NI:W [ j ADDN [ ] ALM TEL: 612-571-1287 Mar 20.96 9:48 No.001 P.01i02 Effective 3/1/96 CITY OF FRIDLEY SINGIZ FAMMY AND DUPLIMS R-1 AND R-2 Building. Permit. Application ConstructionAddress: 11 Ov e -fir D)n Jen 5 W_�a Legal Description: Owner Name &Address: J 0.CX. c,U. V W6 a -M Tel. # 5 -7 ( • SZ{ LI -D. Contractor. PPnp aN a 1 .' AV-& ) MN LICTNSE # 0�0oLAOho r�)O. - Address: F -n d l-Zy , Y`(1 Ss Tel. # 5Da - LrI 07, ; Attach to this application, a Certificate of Survey of the a lot, with the proposed construction drawn on it to scale. DRSCREMON OF IldPROVENWM LIMG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. FL DECK ARRA: Length Width _ Hgt/Ground Sq. Ft. OTHp:R: eniQC�. �- VN tn&�w �Nr� `rl(>V`m \N 1- �-r tvev>;Y>g Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ Estimated .Cost: 10 Approx. Completion Date: (cost. on. Back) Driveway Curb Cut Width Needed': Ft. DATE: 03 oa ' q`6 APPLICANT: �L-A' -Ci19`Y USE. MLY Permit Fee $ Fcc Schedule, on Reversc Side Fire Surcharge $ .001 *of Pennit Valuation (1/10th%) . State Surcharge S f)._3 $.50/$1,IXm Valuation SAC Charge $ . $400 per SAC Unit .. i Ucense Surcharge $ c C' $5.00 (Stage Licensed Residential Contractors) .770 be -1. Driveway I3scrow $! Alt.. "A" or Alta "H" .Above�L-% Emdon Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineerir4g . Sewer Main Charge $ Agreement Necessary [ i Not Necessary [ ] TOTAL STIPULATIONS: SUBJECT ERMIT N . City of Fridley 2 6 3 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. p� < r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/27/98 JOB ADDRESS 811 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 5 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Woodard 571-5442 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Ln #11 Fridley 55432 571-3973 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 O REMOVE 8 DESCRIBE WORK Reroof house and garage (28 STear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2335 $1.17 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 $2.33 PLAN CHECK FEE TOTAL License 5.00 ;F' 83 5 SIGNATURE o`ON TOR OR AUTHORIZED AGENT IDATEI N P OP BLDG NSP ALIDATED THIJ9 IS YOUR P RMIT r U A,.`/ fIATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI d• NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION U ConstructionAddress: 9// QQMFOA-1/ 4,11yr, Fe/0641--Y Legal Description: JQ 10 1 y�O Owner Name & Address: ��RCf� G1,�X-J�?f�('°l� Tel. #,5-2 Contractor: ��/�!/U1�'I: i�� ��� MN LICENSE # Address:64� �10 Lti Tel. #, -moi 73 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: Construction Type: %° Estimated Cost: $ �33 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control CITY USE ONLY $ �� Fee Schedule on Reverse Side $ . _�)-J .001 of Permit Valuation (1/10th%) $ / $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ C ..2S STIPULATIONS: ' - SUBJECT P City of Fridley 29990 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. p�� tr ______ PROTECTIVE INSPECTION SEC. r v/ ' 1 . � NUMBER REV GATE PAGE OF APPROVED BY i ,'j CITY HALL FRIDLEY 55132 -_-•�; l 612-571-3450 910-FIS 8/4/99 JOB ADDRESS 811 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 5 �Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John & Sally Woodard 571-5442 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Ave NE Fridley 55432 502-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ZX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 7 window inserts within existing opening 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the house Permit Inspection Cards Will 0e flailed To Homeowner To Post TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 5337 $2.67 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 $125.25 PLAN CHECK FEE TO FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEiK_T�gBG T­— d'r r// 14 5z 9 A I{E P P VALII v� THIS 1 R P T r gArE S,GNATURE OF OWNEROF OWNER BUILDER, ,OATEN iNSo 0 Prepa-id Plan Check $ Estimated Cost $ Receipt # Effective 1/1/99 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL r� . BUILDING PERMIT APPLICATION o �U o Construction Address $11 ��). e..r-�o-�n �� ; UUt ; �Y ; d i'�•1 Zoning Legaa Owner & AddressZpinh �- Sa%JA LAD 0,ra cso2 c'.0yboW� Tel#_5�1•SNya O ADDRESS RENEWAL BY ANDERSEN Tel# Axchi.tect 350 -73RD AVE. NE Reg.# FRIDLEY, MN 55432 (612) 502-4777 LICENSE #20130983 N TYPE OF WORK 0 New [] .Addition Alteration -Describe 1•_ _ ....--•-- OFC. AREA: TPxig'h Width MM AREA: Length Width OTHER AREA: Length Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. APPLICANT/d�,�,�,�� Tel # t6N• Q%374 Date �•a$ •�%� VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Oo Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ CJ,337- . Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) ZORP,L VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided 0 Yes 0 No Performance Bond Amrnmt $ See Reverse for Schedule Received 0 Yes' 0 No Permit Fee $� 07 S' oiS Plan Check $ Fire Surcharge $ "j State Surcharge $ ; 7 SAC Charge $ 5s" Erosion Control $ Park Fee $ Spec. Assessments.$ Driveway Escrow $ TOTAL $ 172S See Fee Schedule on Reverse Side, In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1050 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary. 0 feet x $13.50/foot ,ATTACH STIPULATIONS 7EC' .,¢.v10 e%lv