PRE 2010 DOCSCity ®f Fridley, Minn.. 11 3 6
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUEWING PERMIT
'Date: _ December 11, 1972
Comer: - Darrel A. Farr Development Builder Same
Address 5901 Brooklynoule-yard Address Same
LOCATION OF BUILDING
Na 1557 Street South Oberlin Circle part of Lot
x.ot - 3 Block 6 Addition or Sub -Division Innsbruck North T.H. 2nd Addn.
Corner Lot inside Lot X Setback Sideyard
fewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: 1240
W ouse Front 20' Depth 31Height 20' Sq, Ft 620' Cu. Ft 17,360'
GaN.gge Front 14 t Depth 22 ► Height 10' Sq. Ft. 308' Cu. Ft. 3,08
Type of Construction Woad Frame Est. Cost -.$20__„�$J�9.,,, 4 To be Completed ___ _July la 1973
Stipulations: Owner/contractor to be responsible for elevations and for drainage
for all structures and the City shall be held blameless. Construction must comply
with UBC 5012 C11 C2 and C3. See attached sheets, use figures 5. 9 or 10.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work m accordance with the description ab forth and in compliance •th all provisions of
ordinances of the city of Fridley.
4f ON 00
10.41 ate Surcharge
In consideration of the payment of a fee of $_5Z --00 , permit is hereby granted to Darrel A - Farr Deve1.
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
.Within the city limits and this permit may be revoked at ppon viol on of any of the ;provisions of said
Building Inspector
NOTICE:
This permit does not coyer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as
the Building Inspector for separate permits for these items.
1'-,- Ad
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING F�RMIT
CITY OF.FRIDLEY, MINNESOTA
OWNERIS NAM:
A40°e Ve&der, BUILDER:
Swa-e
ADDRESS: l
,&eaAP
i Zees . ADDRESS:
Soma ,.
No :. /SS 7 STREET: ®u p% e.&-I�r O®;9,1c/a
LOT; .3 BLOCK: epADDITION: ".vr.6Am�,4
CORNER LOT: INSIDE LOT: &" SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Surv2y of Lot and proposed
building location drag on these Certificates.
DESCRIPTION OF BUILDING
ToBeUsed As:
I� ®_;Lv o wxc Front: 2 O Depth: 3/ Height: Z 8
/240. •
Square Feet: G.Lo Cubic Feet: /73to
Front • Depth: .1® —Height-.. /0
Square Feet, 308 Cubic Feet: J080
Type of Construction: 141,0od Estimated Cost: _$ ~
O
To Be Completed:
The undersigned hereby makes application for a -permit for the.word heXe.A
specified, agreeing to do all work in sttict accordance with the City 99
Fridley 02dinances and rulings of the Department of Buildings, and besceby
declares that all the facts and representations stated in this applic4t.on
are true and correct.
(See Reverse Side For Additional. Information.)
/9 U �•C
/o•y, SC'
a
I
I
Furnace Shell & Duct Work to 120,000 BTU -$10.00 IYd
maeb add. 60,000 BTU . ......... 3.UD
Replacement of Furnace 6.00 $_
Repairs & Alterations --up to $W.00 &00 g _
Repairs & Alterations each add. $500.00 &W $— —
STEAM as HOT WATER SYSTEM
Furnace Shell & Lines—to 600 sq. ft. F.DR Steam $10.00
Furnace Shell & Line—to 660 sq. ft. EDR Hot Water 10.00
Each add. 2011 sq. ft, EDR Steam 3.00Each add. 320 sq. ft. EDR Hot Water 3.00 $--_----
OIL SURNEB—to 3 gal. per hour 6.00 $.—_—.—
over 3 gal, per hour --See Fee Schedule
GAR D (up to BTU)
am 19%= BTT see Fos •
GAS FITTING FEES.
Ist 3 Fixtures _
Additional Fiatvzw _
Gas Range to MAW_
&W $ ,4-. k-0
NO RATE TOTAL
_ x$ 200 $ --
- _ .75 $_
- X8 & $
Fridley, !limn
Kind of Building .. _ .
Used as _-- - — To be completed about
Estimated Cast, $ .--_-0. 10 _ --. --- ---
Old—New. Building Permit No. _— Permit No.
HEATING or team, Riot Water, Warm Air—NQ-
Trade Name ��if i �noi� sin P;& '?e (Z'_
capacity --,G lU
I — Sq. FL ED It BTU
—
Total Connected Load Sind of Fite
BURNER — TndeNa* Size nta-
w ,, 03-i r
�a
i
SUBJECT
-RE.
_
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT C__21363
r?
i t
COMMUNITY DEVELOPMENT DIV.
r I ` ______ PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
5/29/92
JOB ADDRESS 1557 S Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
6
Innsbruck North Townhouse 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Paul Li 1128 Amble Drive, Arden Hills 631--2666
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
David Weeks Contractor 215 E Wheelock Parkway, St Paul 55117 487-0615 PENDING
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Resi denti.•al
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Repair/rebuild existing 12k x 51 Deck
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
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
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$500
$. 5,0
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-
$ 15.00
Fire SC $.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$21.00
SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT MATEI
WHE pOPYgATHISIS YOUR PERMIT
DG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERi (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: 1 t)5 K)L Som
Legal Description: L 2 i - A -W S A Pt e CPC � � � 12 iu
Owner Name & Address:, 1_ i l �2� Asn 1_ Ac��-l:tlSTel. # 10,1-
Contractor: MN LICENSE #
Address: 2�S 5-, Tel. # ' q- (36
Attach to this application, a &r if Cate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVINGAREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length 12,1 Width Hgt/Ground to' Sq. Ft. Ccs b
OTHER:
Corner Lot [ ] Inside Lot j4 Ft. Yd Setback _
Type of Construction:
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
_ Side Yard Setbacks
Estimated Cost: $� 500
(Cost on Back)
Ft x $ = $
DATE: 21e, -2— APPLICANT: Tel. # 4 '%tj - 04g, t %
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ z1.00
,!_
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$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 [ ] Not Necessary [ )
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93
SUBJECT
ERM 0.
City of Fridley
TRECEIPT
AT THE TOP OF THE TWINS
BUILDING PERMIT22521
NO.
COMMUNITY DEVELOPMENT DIV.
r I V PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
DATE
PAGE OF
APPROVED BV
� �1 � CITY HALL FRIDLEY 55432
�""' t �'' 612-571-3450
910-F15
10B ADDRESS 1557 South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
6
1 Innsbruck North Townhouse 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE Minnea Olis HN 55414 781-6170
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 REPAIR ❑ MOVE ❑ REMOVE
x❑
8 DESCRIBE WORK
Reroof House & Garage (Tear-off); Install gutters
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
$2,172
$1.09
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-
$54.00
Fire SC $2.17,
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$62.26
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIEN
VALI ATED THIS I ,_YOUR PERMIT
BLDG WSP OA TE
SiGNATURE OF OWNER 0F OWNER BUILDER) (DA ,Q .
93
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 1557 - South Oberlin Circle
Legal Description:
Owner Name & Address:
Tel. #
Effective 1/1/94
Contractor: P i n k s F i r e a n d R t n r m MN LICENSE # 2 4 81
Address: 864 - 19th ACTe. S.E., Mpls.. Mn. __Tel. # 781-6170
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: Remove and replace roofing on house and garage.
Install gutters.
Corner Lot { ] Inside Lot { ] Ft. Yd Setback. Side Yard Setbacks
Type of Construction: roofing /gutters Estimated Cost: $ 2, 17 2.0 0
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 5/15/94 APPLICANT: Dicks Fire and Storm Tel. # 781-6170
CITY USE ONLY
Permit Fee $5q. M Fee Schedule on Reverse Side
Fire Surcharge $ s o .001 of Permit Valuation (1/10th%)
State Surcharge $ 1 - i $.50/$1,00 Valuation
SAC Charge $ $800 per SAC Unit
License Surcharge $ S-00 $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:
7
N
SUBJECT
PE NO.
Cityof Fridley
31041
AT THE TOP OF THE TWINS.
BUILDING
PERMIT
r
O
16v ......� COMMUNITY DEVELOPMENT DIV.
' PROTECTIVE INSPECTION SEC.
X69
1
1 ; '
I` 1 �•'•1 CITY HALL FRIDLEY 55432
NUMBER
-[
Rj7
DATE
VALE OF
APPROVED BY
612-571-3450
910 -FIS
6/8/00
JOBAODRESS, 1537, 41, 45, 49, 53, 57, 64 65
South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR: ,
6'
Innsbruck North Townhouse 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Innsbruck Townhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp 2301 E 25 St,
Minneapolis, -MN 55406 612-722-7129
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADORESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
i'°Townhouse Building
q..,, CLASS OF WORK
" O NEW O ADDITION O ALTERATION] REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
..Reroof Building
9- CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
,. P�rinit 1nsR�c#i®n
CSP ds
SEPARATE PERMIT
Will Be 8118d
REQUIRED FOR:
To ®��® n�i To pi1S,
WIRING HEATING AND G
SUMB
PLNS
SEPARATE. PERMITS ARE REOUIRED 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 AFTER WORK IS COMMENCED.
NO. DW, G. 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
yALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$19,160.76
$9.58
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-
$321.25
Fire SC $19.16
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
, /
I 49.99
SIGNATURE OfCON:RACTORORAUTNORiZEDAGENT iOATEi—#VUEN
YACWVALI T THIS IS YnUR P RMIT_O
0SP 6A TE
S,GNATURE OF OWNER.iF OWNER BUT1DER. iOATEs
N
�W
01
suejEtr I *
MIT
City of Fridley
32181-0AT
THE TOP OF THE TWINS
g U i L D I N '-MV T
`
..... COMMUNITY DEVELOPMENT DIV.
®
RECEIPT NO.
f
U
r PROTECTIVE INSPECTION SEC.
E
1 . �
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
L J` 612-571-3450
910-F15
9/19/01
�/7
JOB ADDRESS 1537 - 1565 South Oberlin Circle NE /� S
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 - 8
6
Innsbruck North Townhouse 2nd SHEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors 2131 111 Ave NW, Coon Rapids, MN 55433 763-757-7530
ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
8 Unit Townhouse
T CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Building; Soffit/Fascia; Window Wrap
9 CHANGE OF USE FROM 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 dEdr application guidelines. Call for inspection of wrap
before covering.
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 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
$55 192
27.60
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
9
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•
$685.75
Fire SC $55.19
STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
o/V4768.54
/go/
SIGNATURE OFCON'RACTORORAUTMORIZEDAGENT IDATEI
ENROP Y VALIDA ED THIS IS UR PERMIT
S.GNATUREOF OWNEROF OWNERBUILOERI IDATEI
• BLDG NSP T1ATE
�W
01
7
SUBJECT
i
City of Fridley
32508
AT THE TOP OF THE TWINS
BUILDING
PERMI
P
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
lqqe)
1 . .
NUMBERREV
DATE
GAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L.«_R' '•� 612-571-3450
910-F15
4/15/02
JOB ADDRESS 1557 South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
6
Innsbruck North Townhouse 2nd Addn SHEET
2 PROPERTY OWNER Prebl MAIL ADDRESS
ZIP PHONE
Lisa 1557 Obertlin Circle Sorth NE
763-571-1790
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
❑ NEW ❑ ADDITION CR ALTERATION
❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace closet in kitchen; replace sheetrock
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATEPEs
REpI RFOR:
"INC REAN�
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 C014STRUCTION
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 12Q 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 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
$•50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
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-
$2;3.51
ire $
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
.50
H
PLAN CHECK FEE TOTAL F E
_
$2 .50
-
TRACTOR OR AUTmORIZEO AGENT IOATE
EN PR PERL OATS IS IS YO ERMIT
j�SIGNATURLE2.FON
BLDG
M
GN F OWNERoF OWNER BUILDERS I ATEA
7
NEW [ ] CITY OF FRIDLEY Effective 1/1/2002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: Tel. # '&:3 67% 17?n
Contractor. — OW na42— 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: l► fl f�0 , �' �- ►rfi
Construction Type: 1°f crh0,� 64T CA61 Estimated Cost: $_
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 4 )157 APPLICANT:;&2Wk'1Tel. #7;;lR 521 l Wo
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$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 [ )
STIPULATIONS: