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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT io S 4 Date: --� Owner: "' Builder Address Address — LOC_ TION BUILDING No. _ ,,- Street ��_ P Lot Lot _ _ Block, Addition or Sub-Divisi _ �F Corner Lot Inside Lot _ _ Setback `-'---__ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used � Frontit 4 Depth Height ; Sq. Ft.' Cu. Ft DepthHeight �� Sq. Ft Cu. Ft. Type of Construction �� Est._CogJTo be Completed In consideration ,of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. Inconsideration of the payment of a fee of $a jj`*_ , 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, constru on, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. -10% , A Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, "war or water. Be sura to we the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner's Name Builder Address LOCATION OF BUILDING No. ��/ Street Part f Lot Lot Block t -,X Addition or Subdivisionop"� Corner Lot Inside Lot Setback -3 J,-/ Ode -Yard /0 SEWER ELEVATION FOUNDATION ELEV. Applicant attach to this form Certificate of Survey of Lot andprjoposed building location. To be used as: Sq. Ft. DESCRIPTION OF BUILDING Depth_ _ _ Hei ht—/!e Cu. !Ft. Front Depth He Sq. Ft. Cu. jFt. Type of Construction Estimated 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in th s a plication are true and correct. DATE:;2/ �v i SIGNATURE -" (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures 7 x $1.50 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 TOTAL $ 10.50 $ $ 2.00 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL PKE $-14.00 Location 9AI Overton Drive 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 correct. is 61 Fridley, Minn May 23 Owner Paul Schwartz Const. Co. Kind of Building Frame Used as Dwe l l To be completed about Sept. 1,1961 Estimated Cost, $ 800.00 s� f� Old—New. Building Permit No Permit No. Signed STAND PLUMBING & APPLIANCE CO By 9 - Business Phone No. � 8 3589 ROUGH FINAL ax 2M 7-59 j z Z w F N WATER HTR. GAS ELEC. 0 Base l 1 l 1st 1 1 1 1 1Dipoal 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer)C] New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures 7 x $1.50 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 TOTAL $ 10.50 $ $ 2.00 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL PKE $-14.00 Location 9AI Overton Drive 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 correct. is 61 Fridley, Minn May 23 Owner Paul Schwartz Const. Co. Kind of Building Frame Used as Dwe l l To be completed about Sept. 1,1961 Estimated Cost, $ 800.00 s� f� Old—New. Building Permit No Permit No. Signed STAND PLUMBING & APPLIANCE CO By 9 - Business Phone No. � 8 3589 ROUGH FINAL ax 2M 7-59 Application for Power Plants andHung. Coding. VentiWon..Reh igeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SV. 4-7470 GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00 each add. 60,000 BTU 2.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ............. $ .......... 5.00 5.00 GAS FITTING FEES: NO RATE 1 TC�.TAL 1st 3 Fixtures ...................... x $1.50 $ �ttJJ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $$ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 14-50 ROUGH Plan #R-1 On File FINAL Location 941 Overton Dr. 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 correct. Fridley, miinn 5-25-61 , 19 — Owner Feel Snhw to GGnstmetien Company — Kind of Building Fro Used as Rea. To be completed about 6-25--61 Estimated Cost, $ •00 Old—New. Building Permit No. 'r Permit No._z DESCRIPTION OF WORT[ HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name .!!. @�1011Be Size NoMA-100 Capacity. Total Connected .Sq. Ft. E.D.R 100–M BTU H.P. 459631 Kind of Fuel Gas BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU S.P. (REMARKS—OVER) Signed FRED VONT & =; . . By HEATING & AIR CONDITIONING �Qg..42 ZM 7_59 Business Ply St. Louis Pork, Minnesota City of Fridley, Minn. N? 7660 BUILDING PERMIT Date: June 2. 1965 Owner: Don Brimer Builder Cobb Inc z Address 941 Overton Drive N. E. Address P. Q., Box 2647 Neer BnJ711tan LOCATION OF BUILDING No. A41 Street Overton Drive N. Be Part of Lot Lot 16 Block 44; Addition or Sub -Division Srookyiew Terrace 2nd. Add., Corner Lot — Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation To be Used as: Front Front Type of Construction Storm Damage Repair DESCRIPTION OF BUILDING Depth Height Sq. Ft. Cu. Ft. Depth Leight Sq. Ft. cu. Ft. — Fast. Cost QOTo be Completed In consideration of the issuance to me of a permit to construct the the proposed work in accordance with the description above set ordinances of the city of Fridley. above I with a'11 ; In consideration of the payment of a fee of $ 10.00 , permit is here, granted to Cobb Inc. to construct the building or addition as described above. This permit is granted upon thepresstion&trtyJEsperson to whom it is granted and his agents, eanployees and workmen, is all work ::Ld d dipermit may be revoked at any tia�►ee upon violation of any of the provisions of said Allen Jensen Building Inspector NOTICE: fhb permit den eel nrw the condrudien, tnda0dim for wiring, plumbing, an headeg, sewer or water. Be sore to we the Building mar fur Separate p -Aft for these items. APPLICATION FOR14vING I PERMIT CITY OF FRIDLEY=SOTA OWNER'S NAME BUILDER ADDRESS . %�� jca�j?�.i�< ADDRESS 5/j1-` LOCATION OF BUILDING No, Stilet Part of Lot. Lot BlockAdditio»r or Subdivision _��i _ �s���J. .n1 cCr� �� Corner Lot Inside Lot __.:$etas k Side -Yard SEWER ELEVATIQN FOUNDATION ELEVATION Applicant attach to this form, Two Certificates of.Survey of Lot and proposed build— ing location drAwn on these Wtificates. 7 DESCRIPTION OF BUILDING To be used as: f/ pront Depth Height ._ 3q. Ft. Cu. Ft.. _ftont Depth Height S.q. Ft. Cu. Ft. Type of Construction �_Estimated Cost �beEs;o�mpleted The undersign& hereby makes application for a permit for the -work herein specified, agreeing to do all work iii strict accordance with the City of Fridley Ordinances and, rulings Of the Departmentof Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. _tSchedule.of Fee Costs cen be found on the Reverse Side). Date: City of Fridley, Minn. BUILDING PERMIT 17 October 19 66 k Owner: _Donovan Brimer Builder Western Const. Co. Address 941 Overton Drive NE _ Address 3017 Lyndale South No. __241 Lot — 16 Corner Lot -- Sewer Elevation To be Used as: Street . Block LOCATION OF BUILDING Overton Drive NE Part of Lot 4 Inside Lot Addition or Sub-Divisio — Setback — 6W3 9056 Brookview Terrane 2nd Add. Sideyard Foundation Elevation DESCRIPTION OF BUILDING Attached garage Front 21 Depth 24 Height —10 Sq. Ft.5�Cu. Ft. 5,040 Porch Front 21 Depth 10 Height — Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost `°3p U __ To be Completed 90 days Approved: See page 5 & 6, October 3, 1966 Council Minutes. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with a'A provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 7.00 , permit is hereby granted to Donovan $rimer to construct the building or addition as described above. This permit is granted upon the eyundEd ess condition that the person to whom it is granted and his agents, employees and workmen, in all work done aroupon said building, or any part thereof, shall conform in all respects to the ordinances of Fridl,MinnesregardiYg location, construction, alteration, maintenance, repair and moving of buildings within the city ts and this permit may be revoked at any time upon violation of any of the provisions of said ordinances CLARENCE BELISLE Building Inspector NOTICE: Uls permit don not cover the construction, huftWon for wiring, phnnhhrg, gas heding, sewer or water. Be arra to no the Building Inspector for separate pormits for than hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA �BUILDER NAME > ( ADDRESS '1! %��c - z4 -c _z_ ADDRESS Ldd�,;!tie' LOCATION OF BUILDING NO, STREET PART OF LOT LOT C, BLOCK ADDITION OR SUBDIVISION ? h 0,J k i9 A -CJ P +�- CORNER LOT INSIDE LOT SETBACK 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 as; DESCRIPTION OF BUILDING Front' / Depth Height- s Sq. Ft. Cu. Ft. ,> "},r_ Front w' Depth _Height Sq. Ft. Cu. Ft. Type of Construction d- �a_���< 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. r DATE-�'�i,'� �� SIGNATURE �!L�� `�1"�s✓�� (S�hedule of Fee Costs can be found on the Reverse Side). D AJ h e. hereb oj a survey qr1he boundaries cP /be abate dcxr;hed land, and _q cerfily' lba� 6i� 1.5 a free Gndwrradre -escniofi�n o /;,Ijorl o'all 1hercon, risible ei; mchnenIs , �rony " Porn W Sad Oftd A surveyed byme flus _doh SUB UP SAIV LrNC71NEEI?IN6 INC. by D-•:.�'.. F'�a��-•r;C^'� ls�rss.., �.s...p F. D o�y. .+svi:a .... ... $'v:.•:t Fi 4;�ns �..:,i .s ..-.�"� ay�..:o�� v..�:+..,9 Uf 6....�..d.:.w z.;:�a.::� �,-:.ic.�,�.vr:-e :r�L PARTIAL RATE SCHEDULE GRAVITY WARM AM: HA Y m TV.?ALL llhu'nzce Shell & D91ct Work ... ... ..... .. $10.00 � Replacement of nrnace 6.00 Repairs & Alterations—up to 00.00 600 S 'Repairs & Alterations each add. S500.00 3'OU $ &MCI3. Wimal Ai FLrnace Shell & L`uct Work to 1648000 BTU .. S10 00 g en -ch add.. CO.004 BTU . ......... 3.W $ Replace—nent of Furnace 6.00 ,Repairs & Alterations,—up to $S00.00 6.04 $ TL—Airs & Alteratior..s each add. M.00 3.00 STZA;$ or NOT LUTE. SYSTEM Ftirrace Shell & Lines—to 400 sq. tt. F.DR Stearn SI0.00 S Furnace Shell & Line- -to 640 sq. ft. EDR Hot Water 10.00 $, Each add 200 sq. ft. EDR Steam 3.00 R 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 lFee Schedule GAZ BU3 NER (up to IM,000 BTU) S.ta g o -3r !M3,000 BTU Soe reo Schedule GPS FITTING FEES. No RATE" 'T'O'TAL 1st 3 Fixtures _ xS 100 S Additional Fixtures xt .75 Gas Range to 1M.CM 0 b.Co S _ �,+�([��'� '��@+meq ,T� State Surc:haer[e AIR i /]� .50 FAN Fee Set. ..:yon' V ru T M AL+�v"`Ti.tl��♦t V'iiii •Ydr?' 'Lw' p g g 7_0T L I- VM - Dapt. 031 l-3pa. Phone rte", -UM Pro City of medley: The undersigned hereby .makes application for a permit for the work here -e. specified. agreeing to do all work in strict accordance with the City Ordixancev and ruling of the Department of Buildings, and hereby decl=:s that all the f: er and representations stated in this application are tr-.e and correct. Pridley, Minn 1@ Owner . %M 1 1 ` Kind of Building✓� To be completed about_ , `O Estimated Cost, $ IMmom" OLNew. Building Permit No. _ __ Pozmit No. � oU HEA77NG or POWER P1,M `1' at%am, Hot Wates, Warm kis—lam Trade Name S►,EZ No -Capacity------ Sq. n E.D.R BTU- Sp Total Connected Load mfr.§ of ru' 'I BURNER — Trade Nmuae Size hro Capicity Sq. FL E.D as B`a°v • �1 jqe�d W ta�ec+ras�-otraa) 2 65' 1./-6f SUBJECT P City of Fridley 19233 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT `L _ COMMUNITY DEVELOPMENT DIV. �� r PROTECTIVE INSPECTION SEC. 1 � i 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE RAGE OF APPROVED BY 612-571-3450 910-F15 10/7/87 JOB ADDRESS 941 Overton Drive N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 4 1 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wicht 941 Overton Drive N.E. 571-8635 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E., Fridley 784-7543 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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 $1 100 $, 55 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- $19.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PAN CHECK FEE TOTAL FEE $19.55 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY AL1 ATED THI IS YOUR PER T SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG )NSP NEW [ ] City of Fridley Effective 14/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 7 I ® �e A) Legal Description: tCh� Tel. # Owner Name & Address: -7 Contractor: /Ml !/Yl �IeU U� Tel. # / %�_' 75 Address: i4oi C�N+P-61l 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: Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: Rt5k F1 Estimated Cost: $ 4 '�'��'� ar-�' Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: �� ' - APPLICANT: — 0-1& Tel . CITY USE ONLY Permit Fee $ i— Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ S $.50/$1,000 Valuation SAC Charge $ _ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ g �� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 0 New Fixtures $ 7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 , 1998 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As `� J�� Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. ed es () No Back Flow PreventerM6!� Type 7&5 $15.00 PLUMBING COM Y 'W& J Reinspection Fee $42.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5°h of Value of Fixture or Appliance Approved By jz Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS $20.00 SV TOTAL FEE $ '20., PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT City of Fridley FT2571 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE I . � CITY HALL FRIDLEY 55432 NUMBERnEv DATE PAGE IF APPROVED BY 612-571-3450 910-F15 5/8/02 10B ADDRESS 941 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 16 4 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Wicht 941 Overton Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Fridley Roofing 830 W Main St ;+105, Anoka, MN 55303 763-780-6210 20269030 a 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 0 NEW O ADDITION O ALTERATION Ck REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $1,29 WITH WHETHER SPECIFIED HEREIN OR NOT. THE'GRANTING OF A PERMIT $2,573 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- $83.25 Fire SC $2.57 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHEC TOTAL FEE 1Tic se C $5. $92.11 1GNATURE OFC NTRACTOR OR AUTHORIZED AGENT f JbATEi E PRO Y VALI D, THIS IS YQJWR PERMIT _ B OG IN50 l S r(i//SiIJ_ /TATE S-GNATURE OF OWNEROF OWNER BUILDERI [DATE, NEW [ ] CITY OF FRIDLEY Effective 1/12002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572.3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 00 e'- -V 6 r\ Or- , -X Legal Description: L_ \ Owner Name & Address: P-0 b e r 4- o fc k I Tel. # \ Contractor. F/-" o MN LICENSE # X,2 & 10.30 Address: 150 W SA 0- t 0 S— Tel. # Q) X0--6dal 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT C{S� LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: S9 Construction Type: CC Estimated Cost: $ -v-3&-6r 2 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: Aj�o APPLICANT: Tel.# �P%-otlD Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 7631571-1287 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 CITY USE ONLY - $ 8 3. c;�S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit _ $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by*Engineedng Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 92z. '// STIPULATIONS: Building BUILDING Permit No.` 70164 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:-7 7. 763-502-4977 FAX EFFECTIVE 1-1-08 DATE T 09 YOUR E-MAIL ADDRESS rAej+- WI'ic* a IAa5)y5 o Cry P1 SITE ADDRE S DrIvt MEI_ P't ey MN -95432- -1541 THIS APPLICANT IS: XOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: Rh�er+ rAIAA hi m' q �y�`^ c 4 TENANT ADDRESS: /4I O"n Dr IVC CITY STATE�ZIP J PHONE: — 71 8(a -„5 NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE )W SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING )(OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ REMODELING )If MAINTENANCEIREPA�IR�� p DESCRIBE WORK BEING DONE: Revsye am 0��,�w'V I cP IXnniS lo mcageevon6ce.s 15 it SIZE OF IMPROVEMENT LENGTH IDT HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Aluminum (Other 0 ❑ Trim ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: INN (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ I50 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ g .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ P Make checks payable 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 and work is not to start without a permit on site; that the wor 11 be in accor ith the p ed p n the case of all work which requires review and approval of plans. SIGNATURE OF APPLIC T //yY�� PRINT NAME R1Jb� 0 j DATE 7 ... • mire rve'Ave _151901 Building $ BUILDING $ p 1 -- Permit No.: Inspections Surcharge RESIDENTIAL APPLICATION License Surcharge Received By: 763-572-3604 $ CITY OF FRIDLEY $ Date Rec'W d DATE 1,t) UGC- I d YOUR E-MAIL ADDRESS 1�50.'c�c�@ Q(��IT-DC• CnYY4 SITE ADDRESS 241 0\)4 4iDtN Q(�Lw o (V Total Due $ THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: A0NDG(4! UO't O ADDRESS: " CITY STATE ZIP TENANT PHONE: NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE #_ 1920 County Road "C° West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 t STATE ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEI 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW C ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:13NEW 13ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:'R laCQ 10 (A A vvi,_ f� AA- Z�1 Un:A 4Ai fi Q i ' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 19, 000 — OCCUPANCY TYPE Permit Fee $ Plan Review $ p 1 -- Fire Surcharge $ / O o Surcharge $ 9. e -'ID License Surcharge 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 Davable to: Citv of Fridlev 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 conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application f r a permit an ork is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work whi requires re a and approval of plans. J�o/� SIGNATURE OF APPLICANT NT NAME/1 lt]�(�,R 1/�Sd1f�`� DATE