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City of Fridley, M=. 117213 6431 University Ave. N. E., Minneapolis, Minn. 55432 Date: October 16, 1972 Owner: Landvest Development Corp. Builder -Sam Address 2828 5th Avenue South Address Same No.. _. 1531. Street —South Timber_Ridge N. E - Part Of Lot The N. 824.7 feet of the Wk of the NE'� of the of Section 13 Lot _ _. __ _ ___ _ Plock __ _ _�____ Addition or Sub -Di on —_ Comer Lot _....____ Inside Lot Setback Sideyard Sewer Elevation _ _ __ _ Foundation Elevation To be Used as: Townh-ouse ._.__ Front __38_ Depth 2917P� Height -201 Sq. Ft. 1854' Cu. Ft. 171880' Front .— Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. cos 221,187 To be Completed 6 months Stipulations: Submit soil boring data and confirmation on footing design for units #33, #34 and #35. Submit and get approval on pond and pump design and complete prior to occupancy of Phase II units. Dedicate park land adjacent to Rice Creek on final plat. Agrees to submit sound test on at least three units prior to occupancy. The City is not responsible for sewer or footing elevations. In consideration of the issuance to me of a permit to cons the building described above gree to do the proposed work in accordance with the description above Orth and in compliance with rovisions of ordinances of the city of Fridley. _z In consideration ofthe payment of a fee of $ 51 - 2-5 , permit is hereby granted toL.andyest ilav _ 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 ordinonce8 of Fridley, Minnesota regarding location, constructio=NCE , repair and moving of bui,d Ia }yithin the city limits and this permit may be revoti o any of the provisions of Said ordinances. Building Inspector E NOTICE: This permit does not cover the construction, installation for miring, plumbing, Bas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. y t APPLICATION FOR RESIDENTIAL, ALTERATION, OR, ADDITION BUILDING PERMIT CITY OF FR.IDLEY e MINNESOTA lie; 4 442& , WT; BLOCK A=ITI0A1: 4*MQR LOT: INSIN LOT: s SETBACK: SIDEYARD: tin t etc# to this f+p=_,Uo, Certificates of Suryof Lot and proposed ballAfts locatien dram on #*ese Certificates, DESCRIPTION OF BUILDING To Be Dined. As: Square Feet; �c�� �' Cubic f'vet;. - �2 rout; Depth: Height: square Feet " Cubic Feet;.- Tyfa of CoustructiQui 1��0�' �n rC � Estimated Cost: $ TM �gt4V 8 .m.,wsewenwn.�'iG. ice. A The uud pigned hereby makes application for, a permit for the work herein apealftod, agreed to do alb work in sttict accordance with the City of FvWey ovd0ances and rut4w Pf Oe Department of BulWtngs, and 'hereby doolaxes OkAt all the facts and representations stated Im this a Iication exe true a A corrects iiATi ; f® f C� - 2 61MATURE: ( lteve=a Side For ,AddWanal Information.,) Sj 0 f �TYPICAL SLAB DETAIL C;0 s 6 x 10!-0 W 0 vire mesh Grade 2-! 4 Re"Bars c -� f : 45° —•etti I!" mini 8" Min. The above is a substitute design for frost footings, hwever, itis not yet accepted by the State as an amendment to the Uniform Building Code, Section 2903,a. T4erefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for foundation failure or structural damage caused by foundation failure. R 1 i W tness Lpert- Owne ldzz5 -/-.;p z /110 Datt Address (oN rr3perty%Legal Desc. V i kl e � APplic for Power Plants and Hewhig, Cooling, Vemileen,, Itefdgeration and Air CO Ing Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations ---up to $800.00 6.00 $ Repairs & Alterations each add. $800.00 3.00 $—__ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $t� each add. 60,000 BTU .................... .. 3.00 $ Replacement of Furnace .. .... 6.00 $ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $800.00 .... 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 8.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $_ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GASB (up to IW,0W BTU) ... 1i.00 over 199,000 BTU See Fee Schedule GAS FIT'T'ING NO RATE TOTAL 1st 3 Fixtures x$ x.00 $-V, 0 0 Additional Fixtures x .76 $ Gas Range to 199,000 ROUGH. FINAL ff - /Q - 2 1 'SURCHARGE $_050) 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 Ordinance, 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, Mint_ � Owner Kind of Building . �Ng 7— Z e Used as / �v To be completed about _ / % % 3 Estimated Cost, $___..QQ _ Building Permit No. Permit No. S-6 8 12 BURNER — Trade Name Size No Capacity Sq. Ft. EM.R BTU (REMARKS—OVER) SUBJECT P City ®f Fridley 20405 AT THE TOP OF THE TWINS BUILDING PERMIT r EIPT N0. __�___ COMMUNITY DEVELOPMENT DIV. �° 4 -I PROTECTIVE INSPECTION SEC. NUMBER REV. DATE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 6/6/90 FPAGE / / JOB ADDRESS 1531 South Timber Ridge NAE, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Season Construction Co. P.0, Bbx 32033, Fridley, MN 55432 786-4039 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XO REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Repair front step/deck CO' x W1 9 CHANGE OF USE FROM TO STIPULATIONS 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 $250 $150 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15,50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI " HEN PROPE RLYA�ALI DATED THIS IS YOUR PERMIT .(/`/� ATE - BLDG INSP OF OWNER OF OWNER BUILDER) IDATEI SIGNATURE NEW [ ] Effective 1/1/90 ADEN [ ] R-1 AND R-2 ALTER Building Permit Application Construction Address: Iegal Description: WMl� � ti'='!r Owner Name & Address: Tel. # Contractor: `oar S nsJ (i .. �� , Tel. # ?S -(,-,VO 3 � Andress: t2W�— LIVIM AREA: GaRAGE AMM: DECK AREA: oTHM: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Width Width Height Height Hgt/Gmund Sq. Ft. Sq. Ft. Sq. Ft. Corner lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ W' + 6' See Back Page DATE:®-� -�JJ� APPLICANT Tel. # 2� �L93 CITY USE ONLY Permit Fee $ `car co State Surcharge $ ,-S-0 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ $ /,E5 ., -a STIPULATIONS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] k City of Fridley SUBJECT `' 4 Q 41 AT THE TOP OF THE TWINS BUILDING PERMIT r _ E+T-IT6. � • _ COMMUNITY DEVELOPMENT DIV. iL....... , INSPECTION SEC. r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J� 612-571-3450 910-F15 4/1/96 JOB ADDRESS See Below North Timber Ride & South Timber Ridge) 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. The N 24.7 feet IJf the W $ .of the NE J of the NE$ 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Repair work 9 CHANGEOFUSEFROM TO STIPULATIONS 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 1 HAVE READ AND EXAMINED THIS APPLICATION 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 $2.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,900 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. OQ?zz —%� PLAN CHECK FEETOTAL License SC $5.00 FEE $126.10 SIGNATUFTEOFCON:RACTORORAUTHORIZEDAGENT fDATEI WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT 8 DG INSP PAIL S,GNATURE OF OWNER,UF OWNER BUILDER, (DATEI SUBJECT P City of Fridley 2 $ % 0 8 AT THE TOP OF THE TWINS BUILDING PERMIT i? �• COMMUNITY DEVELOPMENT DIV. n r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 551y2 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 9,604, 12/3/98 JOB ADDRESS 1503.1507.1511,151 . 5 1519 1 23 1 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DE I Part of Section -13 SHEET 2 PROPERTY OWNER MAIL ADORES£ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO A-1 Roofing & Const. 30 - 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 O NEW ❑ ADDITION O ALTERATION 5dx REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof town. homes 11Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 80 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 yALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED r 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 TME PROVISIONS OF ANY OT STATE OR LOCAL LAW REGULATING CON- STRUC R THEPE MANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 1 A WHEN PROPERLY (DATED THIS IS YOU PERMIT SIGNATURE OFCON'RACTORORAUTNORIZEDAGENT IOATEI IA 1 -Ar BLDG INSo MATE S,GNATURE O. OWNEROF OWNER BUIIDERr (DATE, NEW ` t ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY jug ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 d BUILDING PERMIT APPLICATION l ConstructionAddress: e" Q -r (' t L t Z7 f Legal Description: Owner Name & Address: Tel. # Contractor:` CC, MN LICENSE # Address: ` n e 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: f`0- �O� VL-� Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: \2'"�7 APPLICANT: '61- L Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer 'Main Charge $ TOTAL . STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] CITY OF FRIDLEY PERMIT O.: 2004-01315 6431 UNIVERSITY AVENUE NE-----� �u FRIDLEY, MN 55432 DATE ISSUED: 08/19/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1531 S TIMBER RIDGE NE PIN : 133024110112 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : DECK VALUATION : $ 1,023.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 10' X 8' DECK. APPLICANT BUILDING PERMIT FEE 41.80 GASSEN COMPANY INC FIRE SURCHARGE 1.02 7275 BUSH LAKE RD STATE SURCHARGE, VALUE 0.51 EDINA, MN 55439- TOTAL 43.33 (952) 522-5575 PAID WITH CHECK # 24679 OWNER MANNING RENEE M 1531 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 orcancel provisions of an ther state or local law regulating co ction or the ance construction, /` Applicant ate 7 Of Bldg Ins / Da SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. [ ] CITY OF FRIDLEY Effective 4/1/2004 NEW ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Ar �- �Lo /3Ar Construction Address: Legal Description: //,#1 � Owner Name & Address: Tel. # Contractor: �a/L t` CP�1j dr!- MN LICENSE#��'� � ___, Address: �� 7 z 5 h _ i� L7 �'�� y,�_ 4 , &1 r Tel. # (r"='�� � .S Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNGAREA: Length 0 Width Height � Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: 1�7 �� '�' Estimated Cost: $ IN3 Driveway Curb Cut Width Needed,-_"'-Pt-+6 Ft = Ft x $ _ $ DATE: 0 AP LICANT: �� Tel. Call (763) 572-3604 for Permit Fees if mailing in appy ation. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ [ 30 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 [ ] r' TOTAL $- STIPULATIONS: Building PLUMBING Permit No.: PQ Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Rec'd:' DATE to- 16 ` ®� YOUR E-MAIL ADDRESS p SITEADDRESS 1531 `�i m� ( L[ qt THIS APPLICANT IS: ❑`O�WN�ER °UONTRACTOR PROPERTY NAME: �XX-1 S Vl OWNER/ ADDRESS: '171y -A MN --,e CITY l STATF ZIPS 5y 3.) TENANT �- 0 - PHONE: (0(U� 1_t�B S 4 CONTRACTOR NAME: - STATE LI fS EXP DATE O b SUBMIT A COPT' OF YOUR STATE ® .42#jeUjorkS ADDRESS: CITY STATE ZIP LICENSE WITH PHONE AX 10C3% --N� -�7 - -JA Q APPLICATION �,CGL Qn w M"fia3 ❑ TOWNHOUSE PERMIT TYPE jPLACEMENT i TYPE OF WORK: ❑ NEW DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKILAV FLOOR DRAINS _ SHOWER _WATER PIPING _ GAS PIPING axED cnrLjcFvA _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ WASHER KITCHEN SINK _ WATER CLOSET _BACKFLOW PREV. ($15) —CLOTHES _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER F, FEE PROJECT-$, ? . < 6099VAO Permit Fee $ 00 Number of fixtures @ $10.0 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $r`i .66 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. ry� ®�M PRINT NAME Vf S SIGNATURE OF APPLICANT I City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.: - o s3� Inspections OCCUPANCY TYPE RESIDENTIAL APPLICATION Received By: 763-572-3604 See Back Page for Fee Schedule CITY OF FRIDLEY Date MMA P 20 DATE �C3/4 % YOUR E-MAIL ADDRESS /7 Y-0 SITE ADDRESS ®�.�✓/ //iJ`!:6® e—A& THIS APPLICANT IS: JF ❑ OWNER CONTRACTOR PROPERTY OWNER! NAME: ADDRESSAb &x 32,607 CITY �� STAT)a' ✓Z TENANT License Surcharge PHONE:_®Z CONTRACTOR NAME: �iz S'6 Bh G�s:�U SAC Charge STATE LICENSE # EXP DATE 31311,0 e SUBMIT A COPY OF T Lu. STATE S YOUR STATE LICENSE ADDRESS: X07 J✓'c" �O.S�Ii � 0e,0 CITYf`n&a WITHAPPLICATION PHONE rSo�� �i,9 FAX SSA— ZZ - 200 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE Sewer Main Charge 'DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK ❑ NEW ❑ ADDITION a. S _ ❑ MAWTENANCEdUTAIR ❑ REMODELING DESCRIBE WORK BEINGDQNE: C wl'- - SIZE OF IMPROVEMENT LENGTH — WIDTH HEIGHT Sq. Ft's O ROOM ❑ HOUSE ONLY " NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES [3 ATTACHED GARAGE 2• Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FORNEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3• Energy eons IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & �J a () TYPE OF WINDOW TO BE INSTALLED a NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) .TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 153 .001 times the total job valuation Surcharge $ OU .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ 3 a. S _ Make checks payable to: City of Fridley Attach Stl relations THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whiirSsr view and approval of plans. SIGNATURE OF APPLICANT 7 I LL',' �'.. t • �. � ;:t tl l' ;j �t[ �.L, t�Jt 1� 3i� t 0 Q { 'd A 21 46 o 't W ' From: 9529222004 Page: 1/3 Date: 6/18/2008 3:57:55 PM Building BUILDING Permit No.: ' 15 $ Q ._ . See Back Page for Fee Schedule Inspections RESIDENTIAL APPLICATION Receiver! By 763-572-3604 CITY OF FRIDLEY D dJ-U_N9-700 763-502-4977 FAX .001 times the total job valuation EFFECTIVE 1.1-08 DATE iP 17 16Y YOURE•MAILADDRFSS �'r'"�foIMO1tffS�N.GOM SITE ADDRESS 44� IiiAj •t,r 'l�!!wc _ a0 6t,�ui THIS APPLICANT IS: DOWNER RrCONTRACTOR PROPERTY OWNER/ NAME: 71 At to ex r -e- A- Xd- 3 "Fy�` 1 J'�y' " !r'rf' Lei �S TENANT ADDRESS: Sa+44'7101W 'tgn$CITY rre� P y STATE/n�ZIP Curb Cut Escrow PHONE: (g re) wL,1- S-5 7,r CONTRACTOR NAME: Iv r5mAwm A ADDRESS: -20-75 19vS1 WdL CITY `iol&q- STATE+ ZIP SUSivIIT A COPY OF PHONE �1 S�" ;s3 "�13�5� FAX %fz - T2Z - adV41 YOUR STATE LICENSE STATE LICENSE # -"00 Sy 5 -1 EXP DATE PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE Agreement necessary ( ) Non Necessary ( ) 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION D GARAGEISHED 0 WINDOWS 0 BASEMENT FINISH 0 ROOF O DRAIN TILE 0 DECK R SIDING 0 OTHER © SWIMMING POOL TYPE OF WORK: Q NEW HOME CONS`rRUCTTON 17 ADDITION '4miNTENANCE/REPAIR O REMODELING -00.41 DESCRIBE WORK BEING DONE: 1 450- ! 1' ,A I &S - GvdacP Rfn. 4 0 - SIZE OF IMPROVEMENT SIZE LENGTH WIDTH HEIGHT SQ FT BOOFINC 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES D HOUSE & GARAGE t Existing Floor plan fi6 O ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SWING D Vinyl DSoffit @DDITTONS & PORCHES SUBMIT• 1. Site Plan/Swvey showing the existing structures 013 _- ff AAtr!! j g iX4. ` t Trim 0 f and proposed project. v i� Fascia 2. Two sets of construction plans wIN 3. Energy Calculations E)M MG OPENINGS DYes DNo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1947 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ G o . 41) OCCUPANCY TYPE Permit Fee $ Q ._ . See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ -b. .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ a Make checks a able to: _City of Fridle Attach Sti ulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and Construction Codes that i understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the li 1>e in a� rdti a with thethe ap oo d pian in the case of all work which requires iew and apf�Prov of plans. SIGNATURE OF APPLICANT Gil _PRINT NAME 1't C t" 1 DATEtfill-6t APPROVED BY DATE TQ*410L= ASSOCIATION LIGHTING It rrarsQee 00 From: 9529222004 Page: 2/3 Date: 6/18/2008 3:57:55 PM 65TH AVENUE.N E V509 1912; ZS 1517 �.. 1521 IMS 15Cti �• �� f 1502 ' 92 1516 1538 .15Q6 d Ia, 38 1534 El 1590 22 34 26 30 1514 l - i518 ;'•.--- 156 151 i 1S't5 157 t 1507 ' 1$1s 1iW7 '�3 1503 3 �� U rL U r f1 z