PRE 2010 DOCSSUBJECT
PE
City of Fridley
14o
"`19256
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Y_____ COMMUNITY DEVELOPMENT DIV.
S
r 1 - PROTECTIVE INSPECTION SEC.o'l(
��
1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
J 612-571-3450
910-F15
10/28/871
1
JOB ADDRESS 5216 Pierce Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
4
Horizon Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wallace Strand 5216 Pierce Street N.E.
571-1709
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 l ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 12' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
Use treated wood. Guardrail to be a minimum
36" high with
maximum, open space of 6 inches.
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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1. 00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,000
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.
$32..50
PLAN CHECK FEE
TOTALFEE
$ 8.13
$41.63
SIGNATURE OF CONTRACTO OR UTM ORIZEDAGENT (DATE)
��
EN PROPERLY DATED THIS IS YOUR PERMIT
T
`♦
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
BLDG INSP
nA E
NEW [ ]
City of Fridley
Effective 4/1/86
ADDN. [ ]
R-1 AND R-2
ALTER. [ 7
Building Permit Application
Construction Address:
Legal Description:
c C - 7/1- A AJJ
Tel. # -5--7
Owner Name & Address:
Contractor:
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 Width Height
Sq.
Ft.
GARAGE AREA:
Length Width Height
Sq.
Ft.
DECK AREA:
Length Width i�L Hgt/Ground
Sq.
Ft.
1C
OTHER:
7'!
Corner Lot [ ]
Inside Lot [v] Ft. Yd. Setback Side Yard
Setback
Type of Construction: t,J&Pp 'F'Q Estimated
Cost: $
?b0(1
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
)ATE. 7
• /U -kl6 % APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ ��� Fee Schedule on Reverse Side
Plan Check $ 13 25$ of Building Permit Fee
State Surcharge $ e ® C9 $.50/$1,000 Valuation
SAC Charge $ $ 525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ J
TOTAL $
( 144.L3STIPULATIONS:
OS fz --Tag aT= ck--�o C�'o
0
City of Fridley
sueJEtr ����®�
a
RMIT NO.
32226
AT THE TOP OF THE TWINS
g U I L D 1 I4G PERMIT
` -_-_ COMMUNITY DEVELOPMENT DIV.`oj¢
I fr �
SEC.
b"
r PROTECTIVE INSPECTION
,
1 ,
NUMPEp
REV
DATE
PAGE OF
APPROVED BY
;
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/8/01
JOB ADDRESS 5216 Pierce Street NE
I LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
4
Horizon Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Clinton Pearson 5216 Pierce Street NE 763-574-0221
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 G2 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
$1.13
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,251
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-
Fire Sc $2.25
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$83.25
PLAN CHECK FEE
FEE
T:786.63
--'7 /
,
S,Gywpy—:CON TR CT OR AUT ORIZ AGENT iOATEj
HE FPROP L ALIDVW THIS IS YOUR PERMIT
p
ATURE OF OYVNERi1F O F IL R� i TEi
OG iNso •tnatE
r
7
NEW [ J
ADDN [ J CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: jQ D Tel. #
Contractor.
Address:
Effective 1/1/2001
,(763) 572-3604 Bldg Insp
MN LICENSE #
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: Lenath Width Hgt/Ground S . Ft
OTHER: ,—
�� v r .
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x
DATE: J L APPLICA — Tel.
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ 3--� S Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ Z, $.50/$1,000 Valuation
SAC Charge $ $1150 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 $ 8 (o
STIPULATIONS:
..
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