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PRE 2010 DOCS
Date: Owner: afz�9ad City ®f Fridley, ,.' 1PERMIT L CATIO F BUILDING No. S Part of Lot Lot _ . _ Block Addition or Sub -Division . Corner Lot . _ /Inside Lot _ _ Setback g-, �! — Sideyard Sewer Elevation �� 1 n �� _1ftundwUo Elevation 7 op ®r i©o llrl j (S - DESCRIPTION DESCRIPTION OF BUILDING Cu Frolit r ,Sq. FtCU. FLFront Dei3th —T -6t— - Heiett Sq. Ft. In consideration of the issuance to me of a permit to cb ding d bed abov agree to do the proposed work in accordance with the description above set o, in voce provisions of ordinances of the city of Fridley. j In consideration of the payment of a fee of a it is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work, done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of te 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. „ w NOTICE: Sk pennh don not carer the contraction, instatlatlon for wines, pin*kO, on headag, sewer or water. Be we to no the Bathtiao Mqm for for separate poradts for then hens. OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION OF BUILDING No.. Street Fart. of L.oi Lot. Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant -.attach to this form Two Certificates of Survey of Lot and proposed build - hg location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft.,. Front Depth Height Sq: Ft. Cu, Ft, Type of Construction Estimated Cost Tobe Completed . The undersigned'hereby'makkes`application for a permit.for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings,, and hereby declares that all the facts and representations stated in this application are true and correct. F DATE SiGNfATUItE ,4Schedule of Fee Costs can be found on the Reverse Side). 1 BUILDING PEPJUT FEE SCHEDULE Section 2. The Inspector' of Buildings shall, before issuing any perIbit for the erection of any building or structure, or for any addition to any 'exist- ing building or structure, or -for any alterations or repairs to any existing .building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wits 2.1. For any such permit for.the, erection of any fire -proof building, other .than a garages warehouse, factory or grain elevator, or,for the erection of any fire-proof'addition, for similar occupancy, to any existing building shall be at the rate of $1.40 ,for each one thousand cubic feet, or fraction thereof, in such cubical contents; 2.2`. For any.such permit for the erection of any fire -proof garage, warehouse, - factory or grain elevator, or for the erection of any fire -proof -addition,, for similar occupancy, to any existing building shall be at the rate of:$1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For 4ay such"permit for the erection of any non -fireproof building ather Th—an a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory -or g -rain elevator, or for the erection -of any non-fireproof- additi.on,-44o similar occupancy, to any existing building or for each such v._ building or addition ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00..1. - For the purpose -of computing fees for building permits, the cubical contents of any building or addition to a -uniform height throughout by multiplying the ground area covered from.a point six (6) inches below thefloor line of_the basement or cellar to`the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred.Dollars ($500,00) or fraction thereof in the cost of all -proposed work. 2.6. In no case shall the fee ..cliarged.#or-any-permit -a set forth in, Section 2 be less. than $4.-00. U y City of Fridley Application for Plumbing and Gas Pitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... 'c x $1.50 Future Fixture Opening ................ ,3 x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin .... x 3.25 Water Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old Bldg. x 3.25 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................�— x $1.50 $ �• Jib Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ / City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 fact and representations stated in this application are true and correct. Fridley, Minn- Owner inn Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No� _ r Signe By Business Phone ROUGH FINAL 42 =3, j v�1 � Q� 0 a< g 1 Z Z O F t N WATER HTR. 7.AELM ? e9 Base 1st 2nd 3rd 4th ° Future Connection Openings Connected with New Fixture, Old Openings I Sewer cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... 'c x $1.50 Future Fixture Opening ................ ,3 x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin .... x 3.25 Water Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old Bldg. x 3.25 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................�— x $1.50 $ �• Jib Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ / City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 fact and representations stated in this application are true and correct. Fridley, Minn- Owner inn Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No� _ r Signe By Business Phone ROUGH FINAL 42 City of Fridley SUBJECT 1 FR ?PO. AT THE TOP OF THE TWINS BUILDING PERMIT iE COMMUNITY DEVELOPMENT DIV. L INSPECTION SEC. (� r , PROTECTIVE � CITY HALL FRIDLEY 55432 1 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/23/86 JOB ADDRESS 5216 Taylor Street N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 1 Marion Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Aaron & Judity Engebretson 5216 Taylor Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sam Radford Custom Builders 23305 Hampton Blvd., Hampton 55031 437-8328 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 B DESCRIBE WORK Construct a 20' x 22' Addition to Dwelling and an 18' x 22' Three Season Porch with a 20' x 22' Deck 9 CHANGE OF USE FROM TO STIPULATIONS Area can not be heated unless envelope is brought up to energy standards. Max. span,,for 2' x 12' floor joists i,6 16" O.C. is 2014". if 12" O.C. is 22'5" SEPARATE PERMITS REQUIRED FOR oreg 1 WIRING, HEATING, PLUMBING AND SIGNS., rFLfP �'F Call � � �'rl t o .! utilities Q Ul GAS etc; �A 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 SQ. 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $17,200 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVI IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- NuTHE $1.28.50 None ST TION OR PERFORMANCE OF CONSTRUC ON. 6 PLAN CHECK FEE TOTALFEE ! - 61R..T..��ED..ENT t $32.13 $169.23 SIGNATURE OF CON TRA (DA E1 WHEN PROPERLY BLDG )NSP LIDATED THIS IS YOUR P RMIT DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ACDN. LX] R-1 AND R-2 I ALTER. [ ] Building Permit Application Construction Address: �� & T %�zeg Legal Description:_ S IA4 ZL FA641- L Y 12weG Owner Name s Address: zMAN AI sf:1 L)01TJ% ,CN6W%W75.p/V Tel . • # Contractor: SAM RA p Y Dle00 �r —Tel. # Address: , ©� "M97-061 131.1/0 /�%%/l��g& JZ�i�/ 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 . l Width A Height q. Ft. GARAGE AREA: Length Width A:' Length Width 2°2� Heiht Sq. g G and Sq. Ft. Ft. �, _ Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: ROC -)c" !Al Estimated Cost: $ - Approx. Completion Date: Ty_L- i®loo Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee $ +� ® Fee Schedule on Reverse Side Plan Check $ '� 'A 25% of Building Permit Fee State Surcharge $ a $.50/$1,000 Valuation.. SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ 1FOTAL $ ��ereement Necessary [ J Not Necessary [ ] -� �> � �AA� / STIPULATIONS: /rimy ill Ca Q ill i � n LA C% LA \` ot � r � w� �i •t n to v► w h _ok� � W J N v� o � � C v �. c- o c w o z EGIL WEFALO,.A A88001ATES, lM0 . CONSULTING ENGINEERS t 1104 CURRIE. AV9NUE,'►NINNEAPOLIS 3, WNNESQTA 17, SURVEYOR'S CERTIFICATE' 1 ' i ROI 1 r r r t I IRO IRON = I 1 W Z W Z F- W JI W K cc W F- F• ui Z W d' Q O J } F- 1 25' IRON t t Y , r ly'H�1{9BY, C9:jTI FY. T"AT•' TH 1 S ,, I S, A. TRUE , ANp CORRECT. PLAT OF .A I �!r '_F. • .' y$U�VRY 6F LQT IQ�•QLOCK' I fMAIll) AN. HILLS{�2Np ADOITION, CITY .r t ` . v+ �� '�. �.�• :ay :h ../ � a4 .P. � �, a�n+1....y.,j :. Ai �• •.I ,. .• ,. � . • ro • ' ► 5' I OF FRIpLEY HENNEPIN'COUNTY�`. MINNE30TAj AS SURVEYED BY,NE;, { '. .TH15 27TH DAY OF OCTOBER, ����� A: D. 1' " PPO SIGNED ���, •1 ; i. �'. LANO SURVEYOR REGISTRATION No. 1605 v SIM�f r .r• °'CC. .at 0 I -D It 12 1� .�A oil