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PRE 2010 DOCSSUBJECT of Fridley 5 6 8 4AT THE TOP OF THE TWINS BUILDING PERMIT (PEMITCity EIPT NO. • COMMUNITY DEVELOPMENT DIV. 9 s5 r PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 14/28/80 JOB ADDRESS 190 Satellite Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Bills Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Thomas Christensen 190 Satellite Lane N.E. 574-0321 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK El❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Addition 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. � imG Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW 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 1 1 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 $1,000 $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, PLAN CHECK FEE TOTALFEE $1.88 192ffi $9.88 SIGN CONTRACTORO u EDA °IvT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT BLDG INSP DATE NA RE OF OWNER OF OWNER BUILDER) (DAT EI CITY OF FRIDLEY APPLICATiOiN FOR RESIDENTIAL_ BUILDING PERMITS ((deur, Alterations, Additions*, or Repairs) ADDRESS: 1��O TEL NO: S%<1- a 3 a( BUILDER: ADDRESS: /10 S,4TEe c_z4,9x TEL N0: .5"�` -c-5)32- Construction Location STREET NO: / J STREET.: rT� LOT: , BLOCK: ADDITION: -5 Yl. //,1V1," //.L � + s: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Suxv. of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Depth: / Height: Square Feet: 9'(� Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: �� op Eg'&020' Estimated Cost: $� ib Be Cbmpleted: Alto A Alto 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 correc DA'Z'E: "71_,--4- SIGNATUM: Stipulations: �G s6 97-8h-h16051 F 0 Lj)-!Ll I i-w lv 190 Satellite Lane Ilea t t: r Dtpa r U1, f-'i-, t c e Ij S c city ot vrwl tzy Tel. 11571-3456 Tho'tindoriii9ned t-uCty i%-keo f-.,r & f�,r cldled D�111;Llli�j LO dZ' a _Zrill 11 work ir. SLr.l.:t tI., Cit, and ruliAtjs Of Lbd r,,!n.-,rvrcnL of BJ11Jtr.jj, Ltat all 010 ficLa n,td rcl,vu-,.j:t.1L1Orjj StaLL),3 Ir c 4 L 1 3 C 1 o® A nd L, Yr., y, 8-8-80 014NER CHRISTENSEN I--' e C- rn j: etor. G 1, L; r, j -',ccLcd with S t Wt c KIND OF IJUII-51i:,� rams .rte t Lula, CW Cil-tr-1 Water USED AS Ves TO BE COMPLETED ju,vUr 8-15-80 ESTIMATLD COS-r 50,00 j it% RATE TOTAI.' OLD - HIM IJUILM:14 lop x $2.00 $ N L A t,1 t® C,l, Ledt JAtjLd, Old x VC2.GO ZZnipally U.ILIli x $5.00 S S1,ple.1 By lvbLur x $5.00. ,,,,j,d3j h1lu to 15 .1LO bTux 510.00 L en a C 9 17.00 --ild Kin *o1j x 55.00 ROUGIJ 111Sp. K.IeLl.ilo .L Wte.0 des L e r x 65.00 y Data FINAL ItiSp, x 43.00 5 DALu x $1.00 LQ 159, COU hJU x M. 00 5 APPRUVAL, 1,61t PLjujj*f PAI it, 4 A 1. T h KA Tl Cj.-4 5 )I Ou. ou $5.00 52.00 SLAL4 5urchArqA $ M111IMU11 I'LL 1% 11,JJ'IY $7.50 PLUS 6URDLAItCt TOTI.L 1 LL —8,00 SUBJECT PE City of Fridley 215 9 9 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. L-___-_ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. -P7 / r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 190 Satellite Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 5740321 Thomas Christensen 19.0 Satellite Lane NE 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 8 DESCRIBE WORK Construct a 2W x 101 Garage ,Additi.on 9 CHANGE OF USE FROM TO STIPULATIONS see notations on plan. Provide a hard surface driveway. SEPARATE PERMITS REQUIRE® FOR WAR 14 1 M WIRING, HEATING, PLUMBING AND SIGNS Before digging call for all Utility locations 454-0002 REQUIRE® BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4, 407 $2.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ %2.00 Fire SC $4.41 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $78.61 rVAS-IGNWEOFCONT CT RO U ORiZEDAGENT IDATEi KgHjEPRORLY VALDAT THIS IS YOUR PERMIT /O�-5;OF OATS NERBUiLDERi (DATE) NEW [) Effective 3/1/92 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: /�U 9�✓z— Legal Description: Z-<::�"%J -7 Owner Name & Address: v SAS °� �� s �✓ Tel. Contractor: 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. Q DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot { ) Type of Construction: Approx. Completion Date: Ft. Yd . Setback Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: Z—"PLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee $ d, , 0o Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Te I. # -S 0 —!; -?-- � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary I ] Not Necessary ( ] / I V UOURSAN y "011NRUNINa Main Office 5716066 •. 6875 Highway No. 65 N.E. Minneapolis, Minnesota 55432 I South Office 8906510 ®,® ("I'll & Municipal Engineering • .Sod Testing • Land Surt-eytag • Land Planning II 1101 Cliff Road 11 Burnsville, Minnesota 55337 mom Mortgage Loan Survey for r; z 4- -7 r I I j mami r l ! U L YL \1A, PLA1 I)• This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon$ and all visible encroachments, if anys from or on said land. This survey is made only in, connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed n%jwonumen s have beenploct:d for the purpose of establishing lot lines or boundary corners. Daied this f,2 -e3ay of IK A. D. 14 SUBURBAN ENGINEERING, INC. Engineers ,.! > suiviR3,( by 4 a.. . Not, Published: All Rights Reserved s