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j. City of Fridley, Minn. BUILDING PERMIT N® 3806 Date: ........�.... .. . ...!.............. Owner .............. Builder ............. ...' ... ....:..... Address ...................................... Address ............................................. LOCATION OF BUILDING No./�... Street ..t . ✓. !!'C `.......... Part of Lot .. j� Lot .. R....... Block ... O........... Addition or Sub -Division .•`•''��. 0th:.... ..... . Corner Lot ............ Inside Lot ,X......... Setback Sideyard ��.—.�................. DESCRIPTION OF BUILDING Tb_be Used as: � �s s . .... ..... Front /..:� Depth. Height .1 sq. Al.�la I ........ ...... n De ... ... .... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft......... Type of Construction ................... Est. Cost. .1316.7 0.�A...°.. To be Completed ........... In consideration of the issuance to me of a permit to co te,,.1.1ding desribed above, I agree to do the proposed work in accordance with the description ab an compliance with all provisions of ordinances of the city of Fridley. .......��:�. In consideration of the payment of a fee of $.1..�...., 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 with- in 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 or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. tltltltly� , APPLICATION FOR BUILDING PERMIT CI'Y OF FRIDLEY, MINNESOTA Owners Name: l� T �. BuilderMV, Address.'" _�. Address _. LOCATION OF BUILDING 1 NoJ116 Street.Part. of Lot Lot !I - Block . ,Addition or Sub. Div. Corner..Lot Inside Lot, Set Back . 3-21 Applicant attach to this form; Certificate of Survey of Let and proposed building location. DESCRIPTION OF BUILDING To be used as L Front 'tom Depth He ®�f Sq. Ft. ` Cu. Ft. t Front Z�" DepthHeight y Sq. Ft. 1A Cu... Ft. em 4, ... 3( Type of, -Construction . Estimated Cost To be completedV The under.signed,.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'ef $uildings, and hereby declares that all the facts and representations Mate in this application are true and correct. -- Date Signature to Schedule of Fee Costs can be found on the Reverse Side) s BUILDING PERMIT FEE SCHEDULE Section 2� The Inspector pf Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1 For any such permit for the erection of any fireproof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fireproof additions for similar occupancy, to any existing building shall be at the rate of $1,40 for each one thousand cubic feet, or fra ction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fireproof garage,"ware- house, factory or grain elevator, or for the erection of any fireproof addition, -for similar occupancy; to any existing building shall be at the rate of $1.25 for each one thbusdnd cubic feet, classified as "fireproof" by Section 502 of the Kinnegpolis Buildinig'Code r HOUSES 2.3 For any such permitfor the eroct�ion of any non -fireproof building other iT_An a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for si<uilar ,oc,cupancy, to any existing building....:, . Permit $1,00 for each one thousand cubic feet. GAGES 2-4 For any such permit for the erection of any non -fireproof garage, warehouse, factory or;,gran elevator, or for the erection of any non- firepraaf addition, for similar occupancy, to any existing building or for each such building or -addition, Ninety Cents for each one thousand cu'aic feet or fraction.thereof, in the cubical contents thereof with a minimum of 04':,�30 . For tbs purpose of comgdting feos•for building permits the cubical - contents of any building or additign to a uniform: height throughout by multiplying the ground area, covered.,• from a point six (6) indhes below the floor 1_._no of tho, b€:semm�t or cellar to 'the •a�rerage height o£ the upper.surface or to the avcragehe�ght of the roof surface of the main gable of a pitched roof, 2.5 For ropa.irs or rlj�--orations to an existing.. structure, the fee shall be,at,the rate of $3.00 for each Five Hundred Dollars T6500,00); or frac'ibn thereof in the cost of all proposed workw 2fl6�xi no cases shall the fee charged for any permit as set forth in ..,:Section 2 be less than $4,.00,. �W.0 City of Fridley Application for Piennbing, and Gas IFiitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK /3 9&, j Number, Bind and Locatioa of Fixtures O w QNG = Z = w Y FZ u� ppa Z= z w w z F N WATER HTR. 3c� m'� m 3� o� a �o �m ¢3 0� 0� C�0 GAS ELEG Base l 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings Sewer El Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......... x $1.50 $ a d Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater CCTe to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................Z x $1.50 $ Additional Fixtures ....... . • x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .. .........................................$ TOTAL FEE $ j, L MASSM. - City of Fridley: n 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 ® C -k �.�a.�(d�aa�---_ ' y 19 Kind of Building oe� , 19— Used as To be completed about 4 � Estimated Cast, $ z Old ew. uilding Permit No (� Sign a l Z) �gz die& 61,55'1� -�- - Business Phone No 7;�fJ-- I % 0 � Connection Permit No . ....................................................... MAY 2 5 19-9 1 water Sewer 11 1M-8-58 Meter Deposit fn ,77 4 . .. y .. 1 1 1 1 Y �r 3 rt s tr v , ;.• r h rl v U City of Fraley SUBJECT . 1.2325 AT THE TOP OF THE TWINS ®[ R BUILDING i � r L RE COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 . � �4 i /'-'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 7 1.� 612-560-3450 910-F15 9/20/73 JOB ADDRESS 1386 Skywood Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Swanstroms Court SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ron Olson 1386 Skywood Court N.E. 3 CONTRACTOR MAIL ADDRESS 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 281 X 261 Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. SERERATE PEW.1ITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST: OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING, wood Frame 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 R'1 1728 1 7280 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 $3,297 1.65 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. $13.50 PLAN CHECK FEE TOTALFEE $15.15 SIGNATURE OF CONTRACTOR 08 AUTHORIZED AGENT (DATE) WHEN PROPERLY VALID ED THIS YQOUR PERMIT ^IS RE OF OWNER IIF OWNER BUILDER) - (DATE) BLDG. /NSP - DATE , { .. ... - t �• . -_ , _. ., + .: .. - . . y ,t M1 ... _F IS t p- .: : ,: .. - -- _ _ { - 1 F 4= - t y..11 " r ', '. ., v :' ... �. ,. y.; f.: .. .. .. e _. ., e .. . .. 'w , ... 1,. ..F 1,, b ° L,, .f(,i I,1 Y , '76af, 8 1" T%i*''% 4r i I • .: _ -. ..... - - - moi..{:. ' z, - ,.. - y __ _ I _ _ _ _cqv._ , $ 4 .,. p. .. .• + - , F ^Y . " .. :. _ ._ .. .' _ - .. _ - .. _, .- r .. - ,' ,. _ Y M ... r:. _ s'. tl '.. ,. .. , - l -. _. - :. -.. .. .._ .. - ,.. ::., _ 'I.: _ k :, ... „ .' r. :. ^ - �. r .. v _ - , - :, h , .- ,.. ..; , �,I ,. :. - F :.:_ ',. . .:. .. .. _ _ ,;1' , b - 5 - �- „ i Y} -, k, _ F .. �' - •('. t v is . :... Y' - .: 'c: -- . _ .:. s -..... - - - . 'f ., i ,. .. - - _ _ I . _ l. , I . - I % I � - - - �:. - , . I , - I - . I . �� - I -- � o . � • _ Y _ ,y'�% • V 4 .. I - b; � L-L� „ .I ,_ .. , ., -. - _ APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF I=1:IDLLY, SUNNI SOTA ,r] 81-1 9 q I OWNER'S NAME: ?w 0/,5 3/V BUILDER: 547W'e. A.DDRES S : 319 6, Sg5 O 0, ADDRESS: ----- -- NO: �J STREET • T LOT: c;?— BLOCK: ADDITION: 150 ��.p CORNER LOT: INSIDE LOT:ETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed buildixig Location drawn on these Certificates. .DESCRIPTION OF BUILDING To Be Used As: E'2.✓6-e. Front : Depth: Height : �= Square Feet: 12;260 Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: bJ ox7V Estimated Cost: --$ 3L00507 To Be Completed: "L r The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that .ill the facts and representations stated in this application are true and corrcct. DATE. �� S IGNAIIJZRE: 7'l, --•— (Sea Reverse Side For Additional Information.) eo�rz ni t � 3'Ses � ���r� , u i- BUILDINC I'k:RAIT FEF SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any .41terati.on or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to --lit: UNIFORM BUILDING CODE: Type: 1, 2 & 4 -- $2.15 for each onc, thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.55 for each one thousand cubic feet. ADDITIONAI, INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average, height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall, the fee charged for, any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTEl Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. ,A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY ,Application for a Certiiicate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. Dr. Joseph H. Galicich F. C. JACKSON LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3616 EAST 55TH STREET PA. 4-4681 • �iurbcpor'g QCcrtffuatc Or. 2520 136-31 I HEREBY CERTIFY THAT THE ABOVE 18 A TRUE AND CORRECT PLAT OF A SURVEY OF iet 2 Block 2,Swanstrom 1s Court Addition. AS SURVEYED BY ME THIS ls#r DAY of MAY A.D. 1962 /, 0 = Irpv� F. C. JACKSON. MINNESJOA FEGISTRATION. No. 3600 r � v ,tiw v A `""' -, �✓. - - ram -. .L:=e# itv - _.__._ �® -- —� _ �--_4 - f _ -y � _ l+�c>"-+.-y.,iE.._. —— _.'., .r, �_ �—�� a ✓. �.r(ye c r >.� w, n TJ 1 • 1 J SUBJECT PE City of Fridley o �a AT THE TOP OF THE TWINS BUILDING PERMITRE • COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION ���� 1 I � 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 62883 JOB ADDRESS 1386 Skywood Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Swanstrom's Court SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE John Strassburg 1386 Skywood Lane N.E. 571-1564 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. I= C. 0. Field Company 2940 Hariet Avenue South, Mpls 824-2631 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 ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ElREMOVE 8 DESCRIBE WORK 9 . Construct a 141 x 14' Addition 9 CHANGE OF USE FROM TO S:11PULATIONS SEPERATE PERMITS REWIRE® MR WIRIK". HEATING, PLUM"G "� ti,.: -SIGN& WARNING Betere di ng calf Iscal utilities TELEPHONE - ELECTRm • GAs Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 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 $7,750 $3.88 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- MX951 $50.50 NONE T UCTION OR THE PERFORMANCE OF. CONSTRUCTION. PLAN CHECK FEE TOTALFEE - �z�� $12.63 $67.01 IGNATUREOF CONTRAtTOR OR AUTHORIZE GENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT BLDG )NSP DAT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) J CITY OF FRIDLEY Effective Aug. 1, 1981 APPLIC11TIM FOR. RESIDENTIAL BUILDING PLEM-11ITS (New, Alterations, Additions, or Repairs) OWNER: t3UILDER: ADDRESS: ADDRESS: Z60 TEL N0: °il i TEL 140: _ 4R'� STRI•TT NO: � , STREET: LOT: 12 BLOCK: Construction Location -- ADDITION: �,� e .Z>Q� 10 n s Corner Lot: Inside Lot: _ Setbacks: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTRUCTION r � ' Front: Depth: 1j Height: Square Feet: Cubic Feet: Front: Depth: Height: Squar.a Feet: ' Cubic feet-. _ —Aype of Construction : Estimated Cost: 4b Be ODripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEl; P.EVF:RSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the cork herein specified, agreeing to do.all Mork in strict accordance with the City of Fridley Ordinances and rulings of the Delk-:rtment of Buildings, and hereby declares that all the facts and reuresentitiens stated in this application are true and correct. DATE: 6 " SIGNATURE: +A The Chief Building Official shall, before issuing permits for the erection of any building or -structure, or for any addition to any existing building or structure or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: $1.00 to $500.00 $10.00 (!Minimum $15.00) $501 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $19000 or fraction thereof, to and including $50,000 $509001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plan Check: 25 percent of building permit fee. Driveway Depression Escrow: Concrete curb streets only. Alternate "A":Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. e -A SUBJECT P City of Fridley d1i ?3373 AT THE TOP OF THE TWINS BUILDING PERMIT Ir • COMMUNITY DEVELOPMENT DIV. __ a. PROTECTIVE INSPECTION SEC. r ; ��� NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/16/95 JOB ADDRESS 1386 Skywood Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Swanstroms Court SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Strassburg 1386 Skywood Lane NE 571-1564 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 ❑ NEW ❑ ADDITION ❑ ALTERATION l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (25 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 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 $1,875 $.94 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- SC $1.88 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ;X $43.00 Fire PLAN CHECK FEE TOTAL FEE _1 $45.82 IGNATURE OF N. OR DR AUTHORIZED AGENT IDATEI WHEN PROP Y VALIDATED THIS IS YO R PERMIT //�� J /g, B G INSP Wor al r�A NATURE OF OWNER I WNER BUILDERI I ATEI NEW [ ] Effective 1 / 1 /95 ADDN [ ] CITY OF FRIDLEY • '. ALTER { ]. SINGLE FAMILY AND DUPLEXES R-1°:AND R-2 Building Permit Application Construction Addiress: t Legal Desctiption: Tel:.#. 6`71 Owner Name & Address:,o$nn . -za.g— Contractor:.. o .o o d��2� 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. DECK AREA: Length Width Hgt/Ground Sq. Ft. ' OTHER: - Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 7 Type of Construction: Estimated Cost: $ �ci� � Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ _ $ DATE: Z) APPLICANT: Tel. # S 71 - fs C TY USE ONLY Permit Fee $ 60 Fee Schedule on Reverse Side Fire Surcharge $ /. cO-DF .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary [ ] TOTAL STIPULATIONS: BUILDING PERMIT FEE SCIIEDULE The Cluct' Building Official shall, belore issuing permits for the erection of any building or structure, or for any aefditiorr to any existing building or structure, or for any alteration, or repair .to any existing lruilifing or structure, upon. application therefore, require the payment by the .applicant for such permit of leis •ter till; .amount. herein. bel6w set forth and in thc'ntahher- herein- provid(A to -=wit: " _0TAL VALUEr-r_ES $1 to $500 $501 .. do $2,000 $2,001 to $25,000 $25;001 to $50,000 - $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000, $1,000,001 and up $15 (Minimum. Fee is $15. plus surcharge) . $15 for first $500 plus $2.. for. each additional $100 'or • fraction thereof, to and including $1000 $45 for fist $2,000 plus $9 for each additional $1;000 or firaction thereof, to and including $25,000 $252 for fust $25,000 plus $6.50 for each additional $1000 or fraction thereof, to. and including $50,000 $414.50 for first $50,000 plus $4S0 for each additional $1,000 or. fraction thereof, to .and including $100,000 $639.50 for first $100,000 plus - $3.50 for each additional - $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the fust $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. - SUBJECT - City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 32057 RE NO. 16. COMMUNITY DEVELOPMENT DIV. fr ------ r I � PROTECTIVE INSPECTION SEC. .6724604 1 1 NUMBER qEv DATE PAGE OF APPROVED BY I- -1 CITY HALL FRIDLEY 55432 = .'' L.... " 612-571-3450 I 910-F15 8/8/01 JOB ADDRESS 1386 Skywood Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Swanstroms Court SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Strassburg, 1386 Skywood Lane, Fridley, MN 55421 763-571-1564 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Cedar Valley Exteriors, Inc., 9920 Zilla St NW, Coon Rapids MN 55433 763-755-2221 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO BC -20177285 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION M REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof (35.99 sq.) 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 ISTALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTA AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 4E COMPLIED $7,352.65 $31.67 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- $153.25 Fire SC $7.35 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $164.27 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI WWHGPROPERLY VALIDATED THIS IS YOUR PERMIT NSP gATl S,GNATURE OF OWNERJF OWNER BUILDERI IDATEI u 11 4 •f NW Effective 1/1/2000 ADEN H CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER 21 SINGLE FAMILYAND DUPLEXES R-1 AND R-2 BUILDING PERM ITAPPLICATION Construction Address: 1386 SKYWOOD LN NE Legal Description: Owner Name: John Strassburg Tel. # 7635711564 Address: 1386 Skywood Lane NE Fridley MN 55421 Contractor: Cedar Valley Exteriors Inc MN LICENSE # BC -20177285 Address: 9920 Zilla Street NW Coon Rapids MN 55433 Tel. # 7637552221 Attach to this application, a Certificate of Survey of the lot, with the l proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGEAREA: Length Width Height Sq. Ft. DECKAREA: Length Width Hgt/Ground Sq. Ft. OTHER: three trade: reroof; fascia; gutters Number of Squares: 35.99 Construction Type: reroof Estimated Cost: $ 7352.65 Permit Fee $ /.5-3. A. 7 Fee Schedule on Reverse Side Fire Surcharge $_�3S-�' .001 of Permit Valuation (1/10th %) State Surcharge $, G7 $.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 Necessary0 Not Necessary[] TOTAL $-/4/0 STIPULATIONS: /-2-il ;t t5.-60 e 145-IZ- R37_6/15 "1 s L r21 �9 Mail 720 Dubuque Ave., South San Francisco, Ca. 94080 Government Services: 888-330-1777 Fax: 877-846-5888 To: Fridley Building 6431 University Ave NE Fridley MN 55432 Phone: 7635713604 Fax: 7635711287 Email: Permit Application ID# 93851 Contractor Information Company: Cedar Valley Exteriors Inc Worker's Comp Carrier: WORKERS COMP INS Address: 9920 Zilla Street NW Worker's Comp No.: APP 121338 Exp. 04/06/2002 City: Coon Rapids State Contractor's License: BC -20177285 Exp. 03/31/2002 State / ZIP: MN 55433 License Class / Type: RESIDENTIAL BLDG Exp. Phone: 7637552221 Exp. Fax: 7637555390 Business License #: Exp. Email: Credit Card Information Credit Card Number: Visa: ❑ Expiration Date: Mastercard: ❑ Card Holder Name: Other: ❑✓ Check Project Information Homeowner Name: John Strassburg Homeowner Phone Number: 7635711564 Project Address: 1386 SKYWOOD LN NE FRIDLEY MN 55421 Valuation: 7352.65 Residential ❑ Commercial ❑ Job Description: three trade: reroof: fascia: autters Notes PaymentCheck Attachments: WC❑ SCL ❑CBL❑ CCA OAA ❑SASE ❑ Permit Type: Paper Agent Authorization: ORG. ❑ NOT. AA Type: R34-5/25 Page 1 of 1 Sandy Alvarado From: Roger Kanbar Sent: Friday, August 03, 20013:59 PM To: Sandy Alvarado Subject: Need a check for $164.27..as of Aug 1/01 there is no more $5.00 lic fee..thanks Type Date Company NetClerk 11101 City/Coun Project Address Status ervice Level Paper 07/26/2001 12:13:21 PM Ced r Valley gerio Inc 83851 Fndley 1 1386 SKYWOOD LN NE FRIDLEY MN 55421 Filed EZSubmit ON Roger Kanbar Client Relations 720 Dubuque Ave SSF, CA. 94080 Phone: (650) 616-4870 Fax: (650) 624-0404 www.NetClerk.com rkanbar@netclerk.com 8/3/01 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 kAX: (763)571-1287 ADDRESS : 1386 SKYWOOD LN NE PIN : 243024340044 LEGAL DESC : SWANSTROMS COURT ADD : LOT 2 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01378 DATE ISSUED: 08/19/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL FURNACE. # INSPECTIONS 1 APPLICANT HARRISON ELECTRIC INC 3440 KILMER LANE N PLYMOUTH, MN 55441 - OWNER STRASSBURG JOHN W & MARY C 1386 SKYWOOD LN NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application 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 does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 10060 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTUR*R TO RF INRTAI i Fn oKi FArH Fi rnnR Effective On Jan 1, 2000 ® C u_ ® n +SF ® � �R S , • • � .•f�; � � �R W�1i[-ii , S �® PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESSNIVE ,S at>t�D,�i✓ �. 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 $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00. $10.00 $10.00 $10.00 $15.00 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city. codes and rulings of the P,uilding Division, and hereby declares that all the facts and representations stated in this application are true and correct 41;%q t�0�- 20 Owner Sra55hU,t-' i3a� �S�nyvod Building Used As &E-1x�1i Com, 00 .Estimated Cost PERMIT NO. 5 PLUMBING COMPANY ©I'Z=MZ,.yy✓l iy �� C n Reinspection Fee $47.00/Hr SIGNED BY TEL NO.61Z ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By :glin Date Final Date State Surcharge $ .50 FEE R ANY PLUMBINGIGAS PERMIT US $20 00 TOTAL FEE $20-� PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6A COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is, plastic/PVC and meets all current codes and manufacturer specifications :including sizing, ' length, number of elbows and termination. Yes ( ).No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( ) No { ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliancehas been -removed from the common vent and vented separately as'per current codes. Yes( No O Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (763) 571-12N7 : 1386 SKYWOOD LN NE : 243024340044 : SWANSTROMS COURT ADD : LOT 2 BLOCK 2 HEATING RESIDENTIAL ADDITION/ALTERATION PERMIT Inc 2004-0155 DATE ISSUED: 09/07/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL FURNACE (WARM AIR, ICP, 75000 BTUS) # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 6045 APPLICANT HOME ENERGY CENTER 15200 25 AVE N #128 PLYMOUTH, MN 55447 (763) 476-1990 OWNER STRASSBURG JOHN W & MARY C 1386 SKYWOOD LN NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law ring cony�truction or the performance of construction. AUp11Can (� Date Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 55166 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. N CITY OF FRIDLEY BUILDING INSPECTION 64,. University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5714287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -AII Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater J�t' 4q q 0 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 13 P (D_ SKul13 oto LO Fee Total n. Owner 1 * n A Iv Lit'64 8AV0LSS'D (kV_ A $35.00 $ 35 ,�� Building Used As $10.00 $ ESTIMATED COST to(') iia . PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNE $10.00 $ # of Heating Units_ Circle One (Steam) (Hot Water),( rm Air Trade Name iCP 1'VMPV-1 s Size No. $25.00 $ BTU `) S, O b O HP EDR Fuel Total Connected Load Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR Burner Trade Name BTU ME Size No. . EDR --- The undersigned hereby makes application 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. $ .5 ib $ 35.50 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO Hone E,ne�rgy/ Center Signed V I�� Tel #763-476-1990 FAX # 763-476-1143 Date S• (o,0 Approved o•0 Approved by Rough -in Date Final Date I FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existina furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes(,�Nco ( Yes Yes ( No Yes ( No Yes No X Yes ( N Yes ( No ( Appliance Type and Size/Common Vent and Vent Connector Information yt Appliance #1 TypeAj►!�/Je/ BTU Input3 ®'0 Fan Assisted or Nat 4 La Appliance #2 Type BTU Input Fan Assisted or Nat pP YP p Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height 05ft Length ,[ Vft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter. in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe)