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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