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PRE 2010 DOCSCity of Fridley, Minn. DUILDING T N° 6 Date: .a Owner: Builder Address ______ _ _ Address .00ATIO OF LDING —"?- —� a _ No. Street �T^.. Part qpLot Lot __ ___ Block Addition or Sub -Division Y" Corner LotInside Lot Setback .._.._ _._.__ Sideyard Sewer Elevation _ __ _ ___ _ _ Foundation Elevation DESCRIPTION OF BUILDING To Used _CIZI 4,44"A Front +' . _ Depth Height _ Sq. Ft. Cu. From _ Depth '_ . ` He Sq. Ft. Cu. Ft. - Type of nstructiona`F Est. C - „'"`"e°ro be Completed 1 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. 001— In consideration of the payment of a fee of It- 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, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time, upon viola ti any of the provisions of said ordinances. ,.. A ... NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or.water. Be sure to see the Building Inspector for separate permits for these Hems, s APPLICATION FOR BUILDING PERM T CITY OF,FRIDLEY, MINNESOTA Owners Name Builder Address Address) LOCATION OF BUILDING No. of Lot Lot 9 Block / d- Addition or Subdivision„„ r Corner Lot Inside Lot_ Setback *3d'_ Side -Yard% % SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. �o be used as: DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. Front Depth Aeight Sq. Ft. Cu. Ft. Type of Construction % ®D` ZIA41- g4 o Estimated Cost ,� 1 A9 Q 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 tkat all the facts and representations stated in this application are true and correct.,) DATE / S�v. SIGNATURE (A Schedule f Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SU 4-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures ry�y {y F W F3 NO. Z Y =} Z Z $1.50 oi� Future Fixture Opening ................ x j �U' :� �U' 0 i.' �U' F N WATER HTR. GAS ELEG 4' tf $ �F' m $ o 2u New Ground Run Old Bldg . ............ c S < d NO. O 1st 3 Fixtures .......................... / x $1.50 $---/, - Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with El 1Sewer New Fixture, Old Openings J Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $/ 0. ',f> Future Fixture Opening ................ x 1.20 $ � U New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... ,Z x 2.00 $ cv New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures .......................... / x $1.50 $---/, - Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $� TOTAL FEE $ 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. dley, Minn- 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ ei .Q —New. Building Permit No ` 4� Permit No. Signe By Business Phone No ROUGH FINAL 42 2M Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN BEATING SYSTEM See Fee- Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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, Minn.—,� Owner Kind of Building s� Used as To be completed about is Z " Ele Estimated Cost, $ Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK J� HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No( Trade Nam Size No /� ®® Capacity®� Sq. Ft. E.D.R BTU H.P. Total Connected Load Rind of Fuel BURNER —Trade Nam Size No /04;9 p� Capacity i Sq. Ft. E.D.R BTU H.P. Signet01 (REMARKS -OVER) By`` 2M Business Phone No—,A fflj� SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT � --. 2257 r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � , CITY HALL FRIDLEY 55432 NUMBER Ri7 DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I 5/27/94 JOB ADDRESS 1331 Skywood Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 1 Swanstrom's Court SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Ericson 1331 Skywood Lane NE 574-1927 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. RLoster Kustom Design Inc. 3800 Zenith Ave N Rob522-318i 4-23-1 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 ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Finish basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $15,000 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- TRUCTION O THE P FORMANCE OF NSTRUCTION. $162.00 PLAN CHECK FEE TOTAL FEE s C, �- �j' License SC $5.00 $189.50 5 NATUR TOR OR AUTHORIZED AGENT IDATEI , OPER LI DATED THIS IS YOUR PERMIT BLDG INSP f1ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW ( ( Effective 1/1/94 ADDN CITY OF FRIDLEY ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �aovo Building Permit Application Construction Address: Legal Description: Owner Name & Address: - Tel. # ��ontractor: A115LOL /L, �. MN LICENSE # Z 3 j Address: `�60 0-9�/-j ._Tel. # Z5 -ZZ - -3/' J 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 2,(,a � 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 Setbacks Type of Construction.: Estimated Cost: $ vcV Approx. Completion Date: Ih (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATE: + APPLICANT:!: #Za Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ t p $ Fee Schedule on Reverse Side $ 1,5 , 00 .001 of Permit Valuation (1/10th%) $ 7 - 5D $.50/$1,000 Valuation $ $800 per SAC Unit $ . 0C $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary J Not Necessary [ lee 91 6 STIPULATIONS: • CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO 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 () No Type RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS /331 6&,Jj0Q L/4W �. The undersigned hereby makes application for a perm it 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. $ .50 $ Jo? S?� 5 ,199. Owner /-) / 0 /-1-f,- t > C _/( %(e __S 0 Building Used As A_t:)e Z «�U Estimated Cost PERMIT NO. PLUMBING COMPANY Wdm bloq Ch1 C, SIGNEDBY TEL N0. 5� —D 99-9 Approved By Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE State Surcharge $--.60 Burner Trade Name Size No. 15 BTU HP EDR TOTAL FEE I$ . HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE $.54 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without Elk written permission from adjoining property owner. Signed By C �� Tel No. , r Approved Rough—In Date WFlnal Date e) FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 512-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RAM SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner -- rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. Gas Piping (Needed with new furnace) $10,00 $ OWNER Gas Range $10.00 $ ' BUILDING USED AS Gas Dryer $10.00 $ �r� ESTIMATED COST PERMIT NO. *Air Conditioning — Ail Sizes $10,00 $_ All Others/Repaim & Alterations (LIST ON BACK � DESCRIPTION OF FURNA AND -08 BNER I% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $--.60 Burner Trade Name Size No. 15 BTU HP EDR TOTAL FEE I$ . HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE $.54 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without Elk written permission from adjoining property owner. Signed By C �� Tel No. , r Approved Rough—In Date WFlnal Date e) FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (>q No ( ) 2. Is free from rust or deterioration Yes&J No ( ) 3. Has no foreign objects lodged within Yes ()K,) No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yesf� No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: ,4D2--> `?� 7— $eLeA--,t HEATING COMPANY Signed By Date "� 0 SuBjECT PE ---NO:--�, City of Fridley 3 0 617 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 1/4/00 JOB ADDRESS 1331 Skywood Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 Swanstrom's Court SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ursula Andino 1331 Skywood Lane NE 574-0696 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems Inc 3770 Dunlap Ave N, Arden Hills, MN 55112 20093688 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 717-0700 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION C2 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off; Reside, Soffit/Fascia, Trim, Gutters & Shutters 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. Install soffit ventilation to meet the State Building Code. CALL FOh 01NAL INSPIkG11 ILw, Permit Inspection Cards WITHIN 10 DAYS OF WORK Will a Mailed To Homeowner To Post COMPLETION P Y TO HIF EI 1P, SEPARATE PERMITS ARE REQUIRED 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. DW4G. 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 $6.56 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,120 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 $13.12 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $237.25 PLAN CHECK FEE TOTAL EE Lice s S $5.0 $/-61.93 SIGNATURE OF CONTRACTOR OR AUTNORiZEO AGENT IDATEiENP OPER&VL110ATE T IS `S YO R PE T BLDG r o narE SIGNATURE OF OWNERdF OWNER BUILDERi iDATEi NEW[ ] Effective 5/10/99 ADDN [ l CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: LegalDescription: Owner Name & Address: Ond (Y1 o I �Uuwd �M P Tel. Contractor: ' 6 MN LICENSE #A�310 Address ! l �J c� Tel. # (q r7I ai o 760 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVENIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Typ l 4S Id- Estimated Cost: $ 4414 Driveway Cur Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: % LqCj APPLICANT: Tel. #rI 0700 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ��r.1 Fee Schedule on Reverse Side $ �''3 . I v`1 .001 of Permit Valuation (1/10th% ) $ $.50/$1,000 Valuation $ $1050 per SAC Unit $ • DO $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] - SUBJECT - City ®f Fridley 3 1 1 4 3 AT THE TOP OF THE TWINS BUILDING P E R M I o COMMUNITY DEVELOPMENT DIV. INSPECTION SEC.iC� r PROTECTIVE 1 i I ......I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 7/7/00 JOB ADDRESS 1331 Skywood IN 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 1 Swanstrom's Court SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ursula ArAino 1331 Skywood LN 574-0696 3 CONTRACTOR MAIL ADDRESS ZIP (C12)PHONE LICENSE NO Seal Guard System 3770 Dunlap Ave. No. Arden Hills M 55112 717-0700 20093688 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 O NEW O ADDITION ❑ ALTERATION MX REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK (House only) Siding/Soffit/Trim 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 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. DWLG1 UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $11,683.70 $5.84 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- $209.25 Fire SC $11.68 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE AL FEE Licen SC $5. 7$231.77 SIGNATURE OF CON"RACTOR OR AUTHORIZED AGENT [DATE, HE PROP VALI AT D THIS I UR MIT �-i�-moo S,GNATURE OF OWNER,6 OWNER BUILDER, (DATE, ,NSD QA�E NEW [) Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 572-3604 Bldg Insp BUILDING PERMIT APPLICATION \� Construction Address: W C) ar I L U, Legal Description: Owner Name & Address: I XCQ12Ir' f1Cd I n Contractor: MN CNSE# Address: Tel. # (c(A 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 HgtIGround Sq. Ft OTHER: Construction Type, djrTj 6 1_t I -Ti"1 ry-1 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft +6 Ft= Ft x $ =$ *'ATE: APPLICANTLO I I e 4�e_ �Iv CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $__P209, c4 r Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ _ $1100 per SAC Unit License Surcharge $5.00 (State Licgnsed 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 $� - STIPULATIONS: 6t7l4e__4 7 Z '0 L' SUBJECT - P N City of Fridley 3127 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. L------ r PROTECTIVE INSPECTION SEC 7 419,E e � NUMQER REV DATE PAGE OF APPROVED BY = ' o, A CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 8/3/00 JOB ADDRESS 1331 Skywood Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 8 1 Swanstrom's Court SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lacy/Ursula McNeil 1331 Skywood Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Roofing Inc 10547 Terrace Rd, Blaine, MN 55434 789-1902 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20014248 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK !] NEW 0 ADDITION 0 ALTERATION j] REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 I 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 $2,098 $1.05 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $.83.25 Fire S $2.10 PLANCHEC EE TOTAL FE 3—oa Li $5.00 $91 40 SIGNATURE OFC N'RACTOR OR AUTHORIZED AGENT IDATEI _ EN ROPER 81,011 INSP IDATED HI IS Y R PE IT a �a ` V BATE S,GNATURE OF OWNER,IF OWNER BWLDERi IDATEi NEW [ j Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION bpf 31 9-7S Construction Address: 3; /�A, �y Legal Description: Owner Name & Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # CO I y J �1 �2 Tel. # MM % -190 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 0�fsp Construction Type: Estimated Cost: $� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 00 APPLICANT: Tel. # % 91i-1?oa CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ l ®S- $.50/$1,000 Valuation SAC Charge $ $1100 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 STIPULATIONS: $ L/, 1-16