PRE 2010 DOCSCity of Fridley, Minn. 11730
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Owner: _ T•an Rest j]pyEal npmr_nt Carp- Builder Same
Address 2829 - +-h Au en11 P S 011th Address sSame
LOCATION OF BUILDING
No 1503 Street South TimberRidge N.E. . part of Lot
faf t of Sectio.) Addition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
- 9'nwnhnjl ca Front 301 Depth _ 26 Height _.20'Sq. Ft. _ZOO t Cu. Ft. 15.60Q
Front ._ Depth Height Sq. Ft. _ Cu. Ft.
Type of Construction Wood FSP Est Cost 000 To be Completed _6 months
Stipulation: See 1531 South Timber Ridge
In consideration of the issuance to me of a permit to constryet the building described above, I a e tp do
Ithe proposed work in accordance with the description above se rth and in compliance with all p visions of
Ordinances of the city of Fridley. d X;N
10.50 State Surcharge
In consideration of the payment of a fee of $ 46.20 , permit is hereby granted to_7 ndlvQstDm
- Corp.
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 violation of any of the provisions of sdd
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to seep
the Building Inspector for separate permits for these hems.
r
APPLICATION FOR RBSIDFNTIALA ALTERATIONS
OR ADDITION BUILDINQ PERMIT
CITY OF FRIDLDYe MINNESOTA
ONNEE ' S N BUILM s
ADDRESS s ADDRESS:
BLOCKS ADi low?
CORNER LOT; U41M LOT;� ._SETBACK; SIDEYARD: „
VL-c� Attach tq thU fmn_&o Certificates of Survey of Lot and proposed
b"JASAS location drMM on these Certificates,
DESCRIPTION OF BUILDING
" � Used iia
�d
Depth,.-
square
ep#i:
Square Feet;-Cubin et -
Front ; Depth; Height:
Square feet; Cubic Feet;
We of Constructions .,�s�0.� ;�Pjjdj�j 1,° Estimated Cost: $ -�/000 '
To Be toted;
The undersigned hereby a application for. a pest for the work herein
opealfte44 agreeing to do all work in stttet accordance with the City of
fid% O rdi. s 4n4 zutla4s of the Department, of Bu04tngs, OrA hereby
lar" all the facts and representations stated is this application
correct,
�D.
C90
`/0 DAA; f� _ ��r SIGNATURE:
(On Revwgo 01de For ,Addtf4onal information.)
�s� .,120
City of Fridley, Minn. 11743
6431 University Ave. N. E., Minneapolis, Minn. 55a2
BUHDING PERMIT
Date: Octobex 16. 1972
Owner: _L Ask Development Corp, Builder Sam
Address _.2828 _ -_ Address S ame_
k • ,:tel * 7
No. _ IN:L_ Street __ South Timbex Ridge 1J.E„ pare of Lot
Part of Section 13
]Lot _ _. ___ Block Addition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation ___ _ Foundation Elevation
To be Used as:
10 81 --al I Garage—_ Front .—fil t . Depth 41...8 Height 10' Sq. Ft 9-549._ Cu. Ft. 95,490'
Front — Depth Height Sq. Ft. Cu. Ft.
Type of Construction o o d Frame Est. Cost .$10.909 To be Completed 6 months
In consideration of the issuance to me of a permit to constriA the building described above, Ito do
the proposed work in accordance with the description above set Orth and in compliance with all rovisions Of
Ordinances of the city of Fridley.
5.46
In consideration of the payment of a fee of - 72.00 , permit is hereby granted to Landyest Dey. _Corp.
ARM
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 violation of any of the provisions of said
ordinances.
Inspector
CLARENCE BELIS
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae
the Building inspector for separate permits for these items.
F�
APPLICATION FOR RESIDENTIAL, ALTERATIONI
OR ADDITION BUILDING PERMIT
CITY OF PRIDLEY, MIWNESOTA
O4 ' $ - WILD= :
ADPRESS • ��`J ) A �/V� ! • 1 f
ass r�c�! LYES r e ! a
1(0;. �0-;3- sww
LUQ $LOC& , iI Iowl
ITER LOT: IME LOT; SIMARD:..s,•..,f....�,
Afftioa attach va tbU fo= o Certificates of Survgx of Lot and proposed
*414US location Arwa on these certificates,
I)ESCRIPTION OF BUILDING
% &/J' 'r r__
10 Be used As
> ` nth:
Sgwxwe Feet; Cubic ftet; ' /9,0
DepthHeight: /U '
square Feet; _�-e/o ' Cubic Feet: 02 X16 0 ' (,
•tF Of constructims ,-' 1 :.�, "�Aa'2, "st ted cost:
6
To
The underiptgn+ed hereby was appiicativa for, a permit for the work herein
speaifted, agreeing to do all work in attict accordance with the Ctity of
M41,M41,ey Or0wm es 4n4'cuttW of Oe Department of Bu44w., sed bereby
dsalareo all the facts and representations stated In this appllcatiou
axe true M4 correct-*
ss TP �ppppp, }}})����pT.
� RTa _ `� t•R^ e 4i Tri
fi/0-
(fte Revwoo gide For Add#bona% Information.)
A
h1
1
Applicatim for Power Ptuts mW Newheq, Cooling, Yontitotkn, Rs�eie,�rcrtion and
Air Condttiming Spteus card Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIS: RATE TOTAL
Furnace Shell & Duct Work .. $10.00 ;
Replacement of Furnace ..... .. 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $—__
MECIL WARM AER
Furnace Shell & Duct Work to 120,000 BTU ........
.. $10.00
each add 60,000 BTU ................... I
.. 3.00
;
Replacement of Furnace .. ....
6.00
$
Repairs & Alterations.—up to $500.00
6.00
$
Repairs & Alterations each add. $500.00 .... ..
3.00
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00
$.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
3.00
Each add. 320 sq, ft. EDR Hot Water
3,00
OIL BURNER—to 3 gal. per hour
over 3 gal, per hour—See Fee Schedule
GASB (up to 199,000 BTU)
over 199,000 BTU See Fee Bchsdule
GAS FITTING .
1st 3 Fixtures
Additional Fixtures
Gas Range to 199,000
ROUGH,
6.00 $ _
.. . 8.00 $_�()
NO RATE TOTAL
-x$7.00 $ -0o
- x .78 $
_ X$ 5.00
$
®v
See Foo SchedWe
TOTAL. o
'SURCHARGE $ _,50)
Dept. of Bldgs. Phone 880.3480
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
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.
Owner
Kind of Building
Used as _ . -----._..__ _ _.
& -
To be completed about _— _
Estimated Cost,
Building Permit No.
Permit No. _ J Ccs 0
DEdCRE MON OF WORK
HKATING or PO cream, Hot Wa arm Air No
Trade Name Sim
,� No; Z 3-110
Capacity ► (Q sq. Ft. F�.D.R BTU N,P.
Total Connected Load Kind of Fue
BURNER. — Trade Na ,n� Size No
(REMARKS -OVER)
�a J L.� /.Fig
1h'
CITY OF FRIDLEY
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
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
each add. 50,000 BTU
4.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
$12.00
$
each add^.. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU 9
6.00
$
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures _L x
$ 3.00
$
3• v
Additional Fixtures x.
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
AIR CONDITIONING '1! %�'��� a �- L
ib.�
$
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS & REPAIRS_ )
$
State Surcharge
$
.50
TU`1'AL
FEE
$
ti S-,
ROUGH INSP. REINSPECTION FEE
Date ($10.00)
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
)-z-33c--�?-
Job Address 0
Department of Buildings
City of Fridley
Tel. ##571-3450
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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. %/� , 19
'T
OWNER
KIND OF BUILDING
USED AS J% v f �( i' •moo G>/
TO BE COMPLETED ABOUT 3X// 7 Zi i
ESTIMATED COST L U `-' /
OLD-�UILDING PERMIT NO. PERMIT NO.. 690
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. /
Trade Name Size No. 45, /V e) g -
Capacity Sy. Ft. EDR yo "" BTU HP
Total Connected Load yJ d v Kind of Fuel
BURNER - Trade Name
Capacity
Size No.
Sq. Ft. EDk B91U IIP
n �(-Vn'3'rt4h om)any
iFr"j°( �j� G`(G�7� g•. `'e� 13�.4�tl�6.Yd_iu!SA
S( . !"To j Signed By
Itili'�`l(�IE• �0�_ ` Tel. No.
City of Fridley
'iIIHJF l 1
�
,.e'L�
�,����
AT THE TOP OF THE TWINS
r
BUILDING PERMIT ��
F COMMUNITY DEVELOOMENT DIV
_
-REGEW -N�
I ______,
r � � PROTECTIVE INSPECTION SEC
F ,
i
-- -I CITY HALL FRIDLEY 55432NUMBER
i
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910_F15
4/1/96
106 ADDRESS
See Below North Timber Ride & South Timber Ridge)
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
The N 24.7 feetif
the W J of the NE J of the NEJ of Sec 13 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS • ZIP PHONE LICENSE NO
Dahl Builders & Remodelers 451 Maple St NE. Spring Lake Park MN 55432 784-6353
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
Ll NEW U ADDITION D ALTERATION R REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Repair work
9 CHANGEOFUSEFROM TO
',NS
1501,1505,1513,1529,1530,1534,1538,1542,1546 North Timber Ridge NE
1503,1507,1508,1512,1515,1519,1523,1527,1531,1532,1536 South Timber Ridge NE
Replacing cedar trim board covering concrete block projection at base of walls.
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
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
$5,900
$2.95
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
$112.25
Fire SC $5.90
,, /�
"/_ /
PLAN CHECK FEE
TOTAL FEE
t /n"L ZI—
License SC $5.00
$126.10
SIGNATURE OF CON[RACTOR OR AUIHORI.' EU AGENT IDATEI
PPROPE Y VA-LIDATED THIS IS YOUR PERMIT
...---.. _ ---
S',GNA'URF 'll�:
JJ,,//W,,��HE/N
wv'VL' rY ' _ / 7J zu
l;f bF H.�t 1�NNER BIIII fTF R, DAiEI
B DG INSP OA FE
SUB�E�T
P
City of Fridley
7
AT THE TOP OF THE TWINS
BUILDING PERMIT
P
R
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
12/3/98
10B ADDRESS 1503 1507 1511 1515 1519 1523 152 1 South 7Limber Ridge
N,R-
i LEGALL
NO
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
Part. Of . Section 13
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
A-1 Roofing & Const. 302946-9919
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Wx REPAIR
❑ MOVE : ❑ REMOVE
8 DESCRIBE WORK
Reroof town homes(11Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
S -1,;� - 9
Wt P�vlof- lQo`. ,3 -e -I
(24 LL 1)
&-2L-)4) AS O
SEPARATE PERMITS ARE REOUIREO FOR ELEI ANCY GROUP OCCUPANCY LOAD
/�/a� �f F
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S9769
S4.88
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OT R STATE OR LOCAL LAW REGULATING CON.
STRU! Cj1$N-OR THE PE MANCE OF CONSTRUCTION 8162.25
Fire S $9.77
PLAN CHECK FEE
TOTAL FEE
8176.90SIGNATURE
OF CONTRACTOR OR AUTHORIZED AGENT IOATE, WHEN PROPERLY,,OLIDATED THIS IS YOU PERMIT
_ d
SIGNATURE OF OWNERIIF OWNER BUILDER, IDATEI BIOG ,NSR'
TIATE
NEW
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Effective 1/1/98
CITY OF FRIDLEY .10 U 6�
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address:
Contractor:` 1 C
Address: �r
Tel. #
MN LICENSE #
Tel. # —5A 6 1-5 3q
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:
r C– `O
Construction Type:
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: \2`"�7
APPLICANT:
C Tel.
CITY USE ONLY
Permit Fee
$ o�
Fee Schedule on Reverse Side
Fire Surcharge
$ 9,917
.001 of Permit Valuation (1/10th%)
State Surcharge
$_
$.50/$1,000 Valuation
SAC Charge
$
$1000 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:
M
L0 M , �
a
SUBJECT
T
City of Fridley
(_34021
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
____
r PROTECTIVE INSPECTION SEC.
1 ;
NUMBER
nEv
DATE
PAGE O:
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
11/12/03
JOB ADDRESS 1503 South Timber Ridge NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Townhouse Association
3 CONTRACTOR MAILADDRESS
ZIP PHONE LICENSE NO
BEI 405 W 60 St, Mpls., MN 55419
612-861-6243
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse 10 stall garage building
7 CLASS OF WORK
NEW 0 ADDITION 0 ALTERATION (i REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof Garage Building; EPDM plus insulation tapered
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install per manufacturer's specifications.
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
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
$12,850
$6.43
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE -AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$223.25
Fire SC $12.85
STRUCTIO OR THE PERFO MANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
w
$242.53
I' SIGN iUOF CO RACTORORAUTMORIjEDAGENT io4TEi
WHEN PROPERLY VALIDATED THIS IS YO R PE MIT
§�ON A T U R OF OW i.F OWNER B 4.DER- iDATE,
lk1
(,Alt
a
CITY OF FRIDLEY
Effective 1/1/2003
6431 University Ave NE
R-3, COMMERCIAL & INDUSTRIAL
Fridley, MN 55432
BUILDING PERMIT APPLICATION
(763) 572-3604 FAX (763)
571-1287
CONSTRUCTION ADDRESS
/JFy3
.s 7�i,��e�-- /e�`c�
Zoni ng
Legal
TWA
Owner & Address 7 �"!
�f
Tel#
( )
CONTRACTOR & ADDRESS /���-�
Tel#
(11-F-) 961--6a'13
yes L-) 4o 7-�' Sf -
/,LP/5
ter✓ �sL/�i
Architect
Reg.# Engineer Reg.#
BUILDING CONSTRUCTION
TYPE OF WORK [] New [] Addition [] Alteration -Describe'
04>1_k + famed
OFC. AREA: Length Width Height Sq. Ft.
WHSE AREA: Length Width Height Sq. Ft.
OTHER AREA: Length Width Height Sq. Ft. _
a � /
APPLICANT Tel # 1p�o? j" (01V3 Date It - /� 'D3
Sq. Ft. x $ Cost/Sq.
Sq. Ft. x $ Cost/Sq.
Sq. Ft. x $ Cost/Sq.
Building Us Construction
Air Conditioning []Yes []No Fire
Performance Bond Amount $
Permit Fee $ o� c-23 °
Fire Surcharges /$ , -3
State Surcharge/ r$
SAC Charge $
Erosion Control $
Park Fee $
VALUATION
Ft. = Valuation
Ft. = Valuation
Ft. = Valuation
_ $ /o P F s°
TOTAL VALUE
Type V- /0 Occupancy Group
Protection Provided []Yes []No
See Reverse for Schedule Received []Yes []No
._PERMIT FEES
See Fee Schedule on Reverse Side
In Excess of Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/10th %)
$.50/$1,000 Valuation (See Sched. for > $1 Million)
$1275 per SAC Unit (Plans to MWCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Spec. Assessments $ Agreement Necessary [] Not Necessary []
Curb Cut Escrow $ _ feet x $17.00/foot
TOTAL
ATTACH STIPULATIONS
�� ��
3
CITY OF FRWLEY PERMT NO.: 2004-01108
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED:
07/22/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 1503 S TIMBER RIDGE NE
PIN : 133024110119
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK
VALUATION : $ 5,700.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. REPLACE A 24.8'X 22' DECK (LESS 80 SQ FT).
STATE LICENSED CONTRACTOR 1
APPLICANT
BUILDING PERMIT FEE
FIRE SURCHARGE
125.25
5.70
GASSEN COMPANY INC
7275 BUSH LAKE RD
STATE SURCHARGE, VALUE
2.85
EDINA, MN 55439-
LICENSE SURCHARGE
5.00
(952) 522-5575
TOTAL
138.80
PAID WITH CHECK # 24678
OWNER
CLIFFORD -CRAM KIMBERLY L
1503 S TIMBER RIDGE
FRIDLEY, MN 55432
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 co ction rformance of constructi n.
Appli DateG'' 2
M
Bldg Insp Date e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
j J CITY OF FRIDLEY Effective 4/1/2004
NEW
NEWj J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ADDN
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 7� /Z t Ale—
Legal
Description: irh q�:
Owner Name & Addr j,s: Tel. #
Contractor. MN LICENSE #����
Address: _W%7-5- (3- s A (.r- I-0 f�;a,� ; in r� Tel. # TY9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG.AREA: Length Width Height Sq. Ft tas
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: ��r� Estimated Cost: $
Driveway Curb Cut Width Needed: _Ft + 6 Ft = Ft x $ _ $
DATE: 6� APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
P, rt
" Pn Review
$
=Fire Surcharge
$ 74>
State Surcharge
SAC Charge
$ ��
License Surcharge$
' 4n
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ 1&'? ®ep
d' MA WO j�
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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:
Building
$
BUILDING
See Back Page for Fee Schedule
Permit No.: �-
Inspections
763
RESIDENTIAL APPLICATION
Fire Surcharge
y:
eceive�d0B11
572-3604
.001 times the total job valuation
Surcharge
$
#U1
.0005 x Permit Valuation Minimum $.50
License Surcharge
CITY OF FRMLEY
S'ac
Date Recd:
DATE
YOUR E-MAIL ADDRESS t�(\Ca& I gapk'p
, , cosrY
SITE ADDRESS k503'5. �v
Curb Cut Escrow
THIS APPLICANT IS:
❑ OWNER kCONTRACTM
ft + 6 ft = ft x $21 = $
PROPERTY OWNER/
NAME: o W1 (_ ;
TENANT
N.
$
ADDRESS: CITY
STATE_ZIP
$
1 -1 1 �
PHONE:_ i;0 -.5 T I -?--/ 5 -
NAME: Renewal By Andersen
Agreement necessary ( ) Non Necessary ( )
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE #_ 1920 County Road "C" West
Make checks Davable to: City of Fridley Attach Stipulations
YOUR STATE LICENSE
ADDRESS: Roseville, MN 55113 r—STATE—ZIP
WITH APPLICATION
PHONE
11 SINGLE FAMILY/NE1 License #20130983
PROPERTY TYPE
❑ TWO FAMILY/NEW C 651-264-_47.77___
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE p �- (.t Sl r c,.�JS ,
yR lip
(Jpf/Y
Qp&M'
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Scl. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
Proposed floor plan
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
❑ Vinyl
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Aluminum
❑ Other
❑Sort
❑ Trim
ADDITIONS
1.
& PORCHES SUBMIT:
Site Plan/Survey showing the existing structure
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF –0>
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ANY
ALL rEES tME BALD VPI VALUA'17UN, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ JL 14l®9 — Or TIPANrV TVPIi
Permit Fee
$
e�b�1. Z $
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
5")-3
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
S'ac
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks Davable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be it
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not;
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approve(
plan in the case of all work whidi requiref3view and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME a (a SQ(\,� DATE