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PRE 2010 DOCSCity ®f Fridley, Blinn. PERMITBURDING N® 7337 Date: Owner: ABuilder Address Address LOCATIOM O"UILDING No. /,-I Street Fart of Lot — Lot _ _— _ Block Addition or Sub - Corner Lot Inside Lot ✓ Setback Sideyard2- Sewer Elevation ,9 0� _ �E evation �/ �� DESCRIPTION OF BUILDING / T U Front Depth Height Sq. Ft. Cu. Ft. nt Depth Height Sq. Ft. Cu. Ft. Type of Construction ^� i�� _Est. Cost __ To be Completed lor In consideration of the issuance to me of a permit to c tract the building described above, I agree to do the proposed work in accordance with the description abov forth and in compliance with all provisions of ordinances of the city of Fridley. ll In consideration of the payment of a fee of $ . -J , permit is hereby' ted 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 within the city limits and this permit may be revoked at any timeupc iolati of any of the provisions of said ordinances. ^ / y� �l �" Building Inspector NOTICE: The perm don not cover the construction, Mstallation for whing, phnnbing, Sea healing, ewer or water. Be sure to we the SWIdIng hnpeetor for separate permits for then Nems. OWNER'S ADDRESS APPLICATION FOR BUILDING PEMIET CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision sw 4 '�A bu Corner Lot Lot Setback ��' Side -Yazd l; SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: W , I Isi Front Da_.-th Height Sq. Ft., Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Constructions 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_ j Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PERMIT NO. City of Fridley 2 0 6 4 AT THE TOP OF THE TWINS BUILDING PERMIT r o � • COMMUNITY DEVELOPMENT DIV. _ _ v PROTECTIVE INSPECTION SEC. 1 ; , , NUMBER REV DATE PAGE OF FJOB APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/23/90 ADDRESS 1323 Skywood Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Swanstrom's Court SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Myrna Bourcy 1323 Skywood Lane N.E. 571-9202 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 D NEW Ek ADDITION 0 ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct.a 3kx 16k Addn to Existing Deck; Change patio doorf Change floor on Existing deck- ec -9 9CHANGEOFUSEFROM TO STIPULATIONS Use joist hangers on floor joist at house. See notations on plan. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1 STALLS 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 $1Soo $.75 IF 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- $35.00. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 1,50 37,25 SIGNATUREOF CONTRACTOR OR AUTH DAGENT (DATE)P,WtHE�PROPER Y AL A D HIS IS YOUR PERMIT *Z1 A SiGN TUREOFO ERIIF OWN UILDERI IDATEI BLDG INSP riaTE NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 AL'T'ER [ ] Building Permit Application Construction Address: 132-3 S/�1 cy6 ct �N o Legal Description: % ®�4as ka-, r . ' Owner Name & Address: Y -^-OL FS o Tel. ®� Contractor: S Tel. # 7-7f- zo d Attach to this application, a Certificate of Survey of the lot, with the primed construction drawn on it to scale. L1VMG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK A1tEA: Lexxrth Wi Hgt/G round E��' Sq. Ft. " oma: �` f' !� ` AAAA) Corner Int Inside La Ft. Yd Setback Type of Construction: l` -A Estimated Cwt: Approx. Cmpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $. 'dth + 6' See Back Page DATE: APPLICANT: Tel. # .-r7i MY Y Permit Fee $ as, 00 Fire Surcharge $ / O �'® State Surcharge $ ,% SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TUrAL $ -39..2 is srIPUTATIONS: Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] USri Ota O GCvv� 0A/ r ,.,,rnaom+seee men �mo-,,mw,oc � anama�e 'Phone: GRemwod 3-8352 ARLEIGH C. SMITH Registered Professional Engineer and Land Stirtcyor .030 East Wayzata Boulcvard Wayzata, Ainner ora PLAY OF SURVEY �/ , a _ ems€; 'M e OF PROPERTY OF-/� � 1 describd.,,i as folic w�: R r � 6 - Scale: 1 inch -. --feet. - - Y WO DD ANtr CERTIFICATE OF LOCATION OF BUILDLING CERTIFICATE OF SURVEY 1 hereby certify that On -, F r4adfe a survey of the proposud loo tir.+n of rhe.b�43dhaag the Fr��� .w u'C:r,cr,axrf^,e and Haat td on the alcove deic,ribcd proper y and that, thea lccatimi abaa•aO. Pkat 1 � �m� , < t iA14 5ku rvey- of surd boding is cor ikIly. showh an Lh ve i p CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 66432 572-3604 Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Rate TOTAL Also Replacement Furnace $ 20.00 (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 Gas Range $10.00 Gas Dryer $10.00 *Air Conditioning — All Sizes $10.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE 12 Effective On January 1,199.5� JOB ADDRESS ~� y l � � ' / � f The undersigned hereby makes ap cation for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER_ ,9 �!� �f� 0 BUILDING USED AS ESTIMATED COST PERMIT N0. �' ✓� f v ingwaaFi. in, :1;1 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load 6600 Burner Trade Name Size No. BTU HP EDR t n MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 f� PLUS THE $.50 STATE SURCHARGE ® ° REINSPECTION FEE $30.00 `" *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY v Signed�jav Tel No. -s 7�" 7 Z C,°zl s' Approved B `Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. CMAM AND STACK YE OCATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes { } No { ) 2. Is free from rust or deterioration Yes {) No ( } 3. Has no foreign objects lodged within Yes { } No ( } 4. Is securely supported Yes (} No ( ) 5. Meets all current Code requirements for size and total BTU's connecter Yes () No { } 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( } 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: , HEATING CO: Signed By: Date: Building $ BUILDING Plan Review Permit No.- 0 0 -5 Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge Date Rec'd: 763-502-//4977 FAX SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-2010 Erosion Control $ DATE G/- l� `1e2 YOUR E-MAIL ADDRESS P.L� SITE ADDRESS L a i A� S��` ©® lazi t/ P '' n�1/ Q�z 6'v //1 F /i�'�q `�7S7 R l THIS APPLICANT IS: 0 OWNER ONTRACTOR $ . PROPERTY OWNER/ NAME: 1A 10 Q '4 , r TENANT ^ 9 ADDRESS: 3 U' l/i CITY'y STATE IP s J eya / PHONE: CONTRACTOR NAME: d SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE 3- - D AND CERTIFICATE OF ADDRESS:p� � 10'41S-4 CITY f'l�Ir f! (l lC, STATE IPS 3S' 3 INSURANCE PHONE V' f�6 3 FAX -3d;tC% — 99'3;— 596-2 PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION 0 GARAGE/SHED 0 WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW HOME CONSTRUCTION 0 ADDITION 0 MAINTENANCE/REPAIR gREMODELJNG DESCRIBE WORK BEING DONE:2 al S", � e " SIZE OF IMPROVEMENT LENefH WIDTH HEIGHT SO FT ROOFINGHOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT': 1. Existing Floor Plan GARAGES 0 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl -Soffit /� ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures 0 AluminwgQ and )SOther 33 ascia proposed project. 2. Two sets of construction plans R'INDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: r� (USING 1997 U.B.0 FEE SCHEDULE) COTAL JOB VALUATION $ IC1 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 $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ ? 166 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ . Make checks Davable to: Citv of Fridlev 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 odes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for rmit is t to start without a permit on site; that the work will be in accordance with the approved plan in the case of all w which eq es re 'e approval of plank � (�� SIGNATURE OF APPLICANT �v PRINT NAME . /.�AgRe Y Pt DATF.