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PRE 2010 DOCSCity of Fridley, Mina.. 11.2 29 6431UniversityAve. N. E., Minneapolis, Minn. 55432 BUILDING PERM T Date: October 2$, 1971 Owner; John R. Estling Builder Same Address _6440_.Ri3ZPryieW TPorranP N -F. Address Ramp LOCATION OF BUILDING No.. 6440___ Street Riverview Terrace N.E. parr of Lot Lot..._. 1 _ Block _._..1 Addition or Sub -Division Veit' s Addition Corner Lot ___.._._... _ Inside Lot _ R Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Re -Roof N rn i a P ___._: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ,$ R i g 1_ ems_ Est. Cost $567-00 To be Completed Nmz - 2R. 1971 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'll pr&ddons of ordinances of the city of Fridley. n _ ,I /-?), . A n 47' In consideration of the payment of a fee of permit is hereby granted to Mrs • Estling 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 ordinkmew of Fridley, Minnesota regarding location, construction, 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. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. ` APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S NAME ADDRESS: 1 `7 % 2..02L 2 lc laa�c CLADDRESS` SZu `Z �' < T) NO: C-) STREET •' �j` `c ��' .�. LOT: BLOCK: ADDITION : CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; Applicant attach to this form Two Certificates of Sum of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front; —Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: G Estimated Cost; _ ' 'b -Z) To Be Completed;�T ' The undersigned hereby makes application for a Permit for the work herein specified, agreeing to do all work in ettict 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: y �1 - �`� SIGNATURE: (See Reverse Side For Additional Information.) 61 6_6 ©S P -P /-2 jam' --e `V, a y - A r 11 SUBJECT ITNO. City of Fridley ®12145 AT THE TOP OFTHE TWINS BUILDING PERMIT N I `L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 { � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY s"" �'� ,`� 612-560-3450 910-F15 5/29/73 JOB ADDRESS 6440 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] Veits Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Estling 6440 Riverview Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Certified Construction Co. 2700 Rryant Avenue North 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 Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS F®lp" '���ir:11bG1 PERMITS REQUIRED S p ?'ATE AN® SIGNS. ��pTIN 1 pjtjMS1NG 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 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 2,600.00 1.30 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- $18.00 STRUCTION O E PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $19.30 kjLWHEN PROPERLY ALIDATED THIS IS YOUR PERMIT G rSIGNATURE CONTRACTOR OR AU ZED AGENT ATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG.'NSP DATE A Z. t,' APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : ✓ , BUILDER: ADDRESS: DRESS• �( c NO:. STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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-, Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 'esj4Estimated Cost: $ _Ogmr2, To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stkict 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. ATE SIGNATURE (See Reverse Side For Additional Information.) City of Fridley SUBJECT PERMITN ® 3015 AT THE TOP OF THE TWINS PERMIT • r BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV.�� r � PROTECTIVE INSPECTION SEC. � 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/13/75 JOB ADDRESS 6440 Riverview Terrace N.E. 1 LEGALLOT NO. l BLOCK 1 TRACTOR ADDITION SEE ATTACHED Veit's Addition DESCR, SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE John R. Estling 6440 Riverview Terrace N.E. 3 CONTRACTOR MAILADDRESS 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 ❑ NEW Cxi ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 101' x 20' redwood deck 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 Z 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. $250.00 . SO 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- 5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 NATURE OF CO AC OR AUTHORIZED AGENT (DATE) N PROPERLY V LI TED THIS IS YOU5 P MIT BLDG. INSP DAT SIGNATURE-OF O^EFTOF UMWER BUILDER) t (DAT J -----� •APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAAfE • ' ` ' t BUILDER • ADDRESS:�DDRESS :�_�, NO � STREET: �, �(" 2Ji ��� �"' �' .� °�' '' LOT: L_ BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK.: SIDEYAR.D : Applicant attach to this fora Tao Certificates -f Survey .of Lot. and -propose.' building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: L�L)-L-- Front : Depth : Ili 6 Height - o Square Feet: Cubic.Feet: Front: Depth: Height :r .Square Feet; jj Cubic Feet: Type of Construction: "No Estimated Cost: To Be Completed: o9 1 -- 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: 7 SIGNATURE (See Reverse Side For Additional Information.)' 0 SUBJECT PER City of Fridley r� f!'- AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT N.O. ' COMMUNITY DEVELOPMENT DIV. y r i PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 ,.J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/12/79 JOB ADDRESS 6440 Riverview Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Veits Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Estling 6440 Riverview Terrace N.E. 574-9222 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Russ Soderstrom 6438 Riverview Terrace N.E. 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 t 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Proposed garage can not be attached to house unless frost footings are provided. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMSNG AND sIGNSa Before TELEP11 jn callIocaJ uNIIk ELECTRIC. AS Ek LA 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 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 $564 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 A�GENT (DATE) SlGi7TUREOFCONTRACTOR OAUTHORIZED WHEN PROPERLY V ATED THIS IS YOUR PERMIT I BLDCC, 4NSP O TE IG TURE OF OWNER 0F OWNER BUILDERI IDATEI 0 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) ' OWNER: Z BUILDER: ADDRESS: ADDRESS: TEL NO: Z,2TEL NO: Construction Location STREET NO: STREET: LOT: T 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: Depth: Height: Squane.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: �- Estimated Cost: $ c� lb Be Completed: 4- . - 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: SIGNATURE:. Stipulations: �QoPOSP..SP �7A�2�� �� �:� ��•1� A.)0V fir. T 'ill LIovSC' CAJLCSS - �'n.os, Oar. 7 SUBJECT PER City of Fridley 17988 AT THE TOP OF THE TWINS BUILDING PERMIT r EIPT N � • COMMUNITY DEVELOPMENT DIV, r PROTECTIVE INSPECTION SEC. y �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/17/85 JOB ADDRESS 6440 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 Viets Addition SHEET 2 PROPERTY OWNERMAIL ADDRESS ZIP PHONE John Estling 6440 Riverview-Terrace N.E. 5749222. 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 ❑x NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 24" x 241 Garage on Existing Slab 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. SEPARATE PERMITS REQ`U]RED FOR WRING, HEATING, PLUMBING AND SIGN& 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 CON TRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONc TRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 123 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 $6f450 $3.23 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA ING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.50 PL N CHECK FEE TOTAL FEE $65.73 SIGN RE OFCONTR OR OR AUTHORIZED AGENT IDA EI HEN PROPERLY V TED THI IS YOUR PERMIT S' NAT E OF OW ERII O NER BUILD IDA EI BLDG INSP ATE 7 NEW [ "7 ADDN. [ ] ALTER. [ ] Construction Addri Legal Description Owner Name a Addr, Contractor: c City of Fridley Effective 4/1/84 R-1 AND R-2 Building Permit Application .A A, 1 - Address:��n 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: Estimated Cost: $ Approx. Completion Date: r _ A aI,`�/'S,.4 �CLvm �iZ�. �p`ZAlt. �A�C� Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: - `� + -�� APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 6�" Fee Schedule on Reverse Side $ -'� 25% of Building Permit Fee $ ��'L-� $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ®r SUBJECT MIT NO. City ®f Fridley 27052 Al THE TOP OF THE TWINS �y I B U I D I PERMIT f L� L 414 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i NUMBER REV DATE PAGE Of APPROVED BY = CITY HALL FRIDLEY 55432 ti.__.Jl.� �•� 612-571-3450 910415 8/7/98 JOB ADDRESS 6440 Riverview Terrace I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Veits Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jon Estling 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO T -Schulz Const 10587 Ginseng Ln N Hanover 55341 498-8463 6173 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 CXX REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (11 Sq) Tear -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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1800 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC THE PERFORMANCE OF UCTION. 134.75 .92 Fire SC PLAN CHECK FEE TO L FEE 4 5.00 c nse 1.17 SIGNATURE CONTRACTORORA ORIZEDAGENT IDATEI HE R VALI THISIS�XQU��MIT B G INSP 25a p DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI ®r NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ®6N BUILDING PERMIT APPLICATIO ConstructionAddress: X16 Rr'ue,- c4',, /�1� A -mac -e Legal Description: Owner Name & Address: /i ` Tel. # Contractor:— �e (®'iA L U r ,`o ,v� MN LICENSE # Address: to S-� i / _Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF EMPROVEMENT !( Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ - DATE: ' °- 7 -'79 APPLICANT: Tel. # CITY USE ONLY i Permit Fee $9Z,- 5 Fee Schedule on Reverse Side Fire Surcharge $ - .001 of Permit Valuation (1/10th%) _ State Surcharge $ $.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 [ ] Not Necessary [ ] TOTAL $ I / r 0431 University Ave IVE Fridley, MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR ._UcVuv.. .:ti �..n , .L PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range" Gas Dryer'" Back Flow Preventer Required ( )Yes () Nc Type NO. RATE TOTAL JOB ADDRESS (0q 4 0 RCg e- d d iw 3 $ 7.00 611.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $7.00 ,200 $7.00 $10.00 Owner ���� �5z 0 I tcn $ 7.00 $10.00 Building Used AseScet $10.00 $10.00 Estimated Cost 00 PERMIT NO. $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance �.®o State Surcharge .50 PLUMBING COMPANY—<;rn � I SIGNED BY TEL N0. '7 5`7 1 —_j25q FAX # Approved By - Rough -In Date - --- ------ -- TOTAL FEE PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE N.01" Building BUILDING Permit No.: p® -D Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 ' CITY OF FRIDLEY Date Rec'd: DATE ® YOUR E-MAIL ADDRESS SITE ADDRESS (0 10 1 is r 1./0 EW -re 0 P -Aa L THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: JOAW,)" C TENANT ADDRESS: 67'`110 vkk- T➢` o;, CITY 676t4v STATE Lip AZ. PHONE: CONTRACTOR NAME: STATE LICENSE # ML EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION pH FAX PROPERTY TYPE ❑E FAMIL /NEW CONSTRUCTION SIZE ❑ TW /NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ROTHER ❑ SWD&VING POOL TYPE OF WORK: ❑ NEW DITION ❑ MAINTENANC MEPAIR REMODELING DESCRIBE WORK BEING DONE: A-0 /-S / �,' g pard, 00 A.1 _ 1 �) .6,Alcr SIZE OF IMPROVEMENT 1 C'. `e LENGTH �� WIDTH g �A n 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 'Msoffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminu -SU ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ,V 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: `7 a g6,L Jb (tJSINGJUE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S — OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge 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 (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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; that the work will be in accordance with the approved plan in the case of all w ich require review and approval of plans. SIGNATURE OF APPLICANT / PRINT NAME 6h I+r ATL=�4`i DATE �" �� SURVEYORS �. � . -��_ .. } . , . �---•—yam'; - - 2SZ5 HARRIET AVE. MINNEAPOLIS, MINNESOTA 4E TIFICAT r OF, SURVEY For " Art-hur Veit.': went. " x c Ira^ .� � 6:t^�t�4� yr E� ,. ^ rC � • � Mi• CJ .Z3 _ 9.• ( 44jIron �. IrC ` R. /gsr Scale, 1" - 50' '7 Vii, r Description's Lot 1, Block'! 1, VE IT �S ADDITION. We hereby certify that this isa true and correct representation of a survey of the boundaries of the land above descI !bed and of the location of al I bu i l di ng4 If any, thereon, and all visible encr(achments, if any, from or on said land. }aced this 3a_ th „day of Y i9 EGAN, Frl_ELD & NOwAK 66 i urvevors� i i Ie No.l. 23� Book No. 1872 _ I �:. by J