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PRE 2010 DOCSCity of Fridley, Alinn. PERMITBUILDING Date: s5 Owner: Buil Address Address N? 7437 113 9s- 5k!�woo,0 L L LOCATION OF BUILDING NO. y i Street Part o Lot Lot _ �__ Block Sub-Diviei� Corner Lot _ Inside Lot _ _ t.� ' Setback // a Sideyard _ !� Sewer Elevation W 0 3 - 1 _ Rion Elevation 1 0 6 , u Z- -7,J,, P 0 F Fo c 7 e �a DESCRIPTION OF BUILDING FrontJ Height Sq. Ft. Ca. .. s - ffeon Az:tA- -16 Est To be Completed C - 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 21 provisions of ordinances of the city of Fridley. /1 di 1/7 ., In consideration of the payment of a fee of $epermit 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 andhthis permit may be revoked at any time upon violation of any of the provisions of said ordinances. O -N NOTICE: ibb permit does not cover the construction, h ataWan for w1flo& pinmbing, gas heating, sewer or water. Be sura to as the Buiiding Inspector far separate permits for these items. APPLICATION FOR BUILDING FSTX' IT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER rT% ADDRESSADDRESS LOCATION OF BUILDING No. /4 4 Street part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form TT46 Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIMON OF BUILDING To be used as: A� -1-u Front D.pLh '7 0 Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost l 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_ / «. r ,� / SIGNATURE ^, ' � l v r � (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT P City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT Ir R COMMUNITY DEVELOPMENT DIV. v ^� r 1 PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/28/97 JOB ADDRESS 1375 Skywood Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 Sub. of Lot 10, Aud. Sub. #94 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Johnson 1375 Skywood Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Best Built Construction 2308 Main St NW, Coon Rapids MN 55448 757-5340 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20069845 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ClX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install egress window 9 CHANGE OF USE FROM TO STIPULATIONS Egress window to comply with State Egress Code. 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 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 $515 $.50 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- $23.7.5 Fire SC $.52 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5.00 TOTAL FEE $29.77 a SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLD INSP OATE�- SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: / I Legal Description: Owner Name & Address: Contractor: Tel. # MN LICENSE # Effective 1 / 1 /97 Address: 9 e 8 �(�, -- � �J, t� d � � ���, , Tel. # 7�7- 33�Fa 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: ce).-,'.0— -) Construction Type: Driveway Curb Cut Width Needed: DATE: APPLICANT: Estimated Cost: $ S45 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ �ov Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ � , '%� Fee Schedule on Reverse Side Fire Surcharge $ , .7 ? .001 of Permit Valuation (1/10th%) State Surcharge $ , 51V $.501$1,000 Valuation SAC Charge $ $950 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: SUBJECT P IT NO. - -- City of Fridley 256 14 AT THE TOP OF THE TWINS P, BUILDING PERMIT r RECEIPT NO. i v ----� COMMUNITY DEVELOPMENT DIV.�� PROTECTIVE INSPECTION SEC. r � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/20/97 JOB ADDRESS 1375 SKYWOOD LANE NE 1 LEGAL LOT NO. 3 BLOCK TRACT OR ADDITION Subdivision of Lot 10, Aud. Sub. #94 SSEE HEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Johnson 1375 Skywood Lane NE 481-9672 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Best Built Construction 2308 Main Street NW, Coon Rapids, MN 55448 20069845 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 757-5340 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 6' x 36' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Before digging call . for all utility wCations 64-02a."— PERMITS "WA-TING.sli'aw REQUIRED Ub a LAW W110AIn 'pEQUIRED F SEPARATE PERMITS ARE REOUIREO 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 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 1 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 $968 $.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. $34.75 Fire SC ANW $.95 PLAN CHECK FEE OT TFEE License $5.0 $41.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P OP LIDAT THIS IS YO R 6PERMIT 011-1007 IV V , PLDG NSP BATE SIGNATURE OF OWNEROF OWNER BUILDERI IDATEfV Prepaid Plan Check $ Estimated Cost $ Receipt # Effective 1/1/97 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL \�0 BUILDING PERMIT APPLICATION r Construction Address Zomig Legal Owner & Address CONTRACTOR & ADDRESS Architect Reg.# Engineer BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition WlAlteration -Describe P- , Tel# Tel# %,� 1-_L:: ,,7V d Reg.# OFC. AREA: Length Width Height Sq. Ft. 'V= AREA: Length Width Height Sq. Ft. OTHER AREA: Length (, Width Height Sq. Ft. APPLICANT ; l�� �� � Tel # ��7-�.TLf Date %d c VALUATION 1�•�� g7 Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq- Ft. x $ .Cost/Sq. Ft. = Valuation $ ) _ $ �O• �� Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use_g. A� Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $].axe--E�iee3� Fire Surcharge State Surcharge SAC Charge Erosion Control Park Fee Spec. Assessments $ Driveway Escrow $_ TOTAL $ i• L' See Fee Schedule on Reverse Side, In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $950 per SAC Unit (Plans to MCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary (] Not Necessary (] .feet X $13.50/foot Ja/6 z 8.99 = 1�'2`9 ATTACK STIPULATIONS ' I I j I I I I I I I i I I i I I I i I I r ,a .r � I �a I �a I Z I I I I J I I I I rt , Building BTJILDING Permit No.: 2 -6 ID 59 Inspections RESIDENTIAL APPLICATION Received By: OW 763-572-3604 CITY OF FRIDLEYD - r� A �nn� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE 8 ` © YOUR E-MAIL ADDRESS SITE ADDRESS I 2n LV 6 03 L -Ick THIS APPLICANT IS: ❑ OWNER JRQONTRACTOR PROPERTY OWNER/ NAME: ADDR S: CITY STATE ZIP TENANT c PHON) S NAME: CONTRACTOR � ADDRESS: 3 _ k,_ -)C J esu f CITY 3\ � 4�`�� STAT)' ZIPSW SUBMIT A COPY OF PHONk(3_5 1 Z �� ^ ��� FAX C, YOUR STATE LICENSE t� STATE LICENSE #O—` EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH GOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: S -,'�_ 6 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES •HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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: SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 3,384' OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge 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 .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$- $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks vavable 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 on site; that the work will be in accordance wi the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME Q,914 ' ,4 tliS t DATA1- 1 APPROVED BY DATE