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PRE 2010 DOCSy City of Fridley, Minn. BUILDING PERMIT N® 3487 Date: ......... ..... .. ....... Owner. Builder ....... .............................. Address .. . ... xe Address ............................................. LOCATION OF BUILDING No. ............ Street .4AZPart Lot ..... .......... .... Lot ...... Block .../............. Addition or Sub -Division ... ............. .. . Corner Lot ............ Inside Lot .. ....... Setback ............ Side ........................... DESCRIPTION OF BUILDING To be ed as: /t�y .. .... ..... Front .16:-.®� `� DepthTs;.—... Height Sq. Ft. AJ .:� : Ca. Ft. .................... Front ........ Depth .... ... Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... 11tst. ..... To be Completed .................. . o In consideration of the issuance to me of a permit to construct the building dearibed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee oi�..::" �..., permit 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 Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .... .......... ..:'.J ........... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. . APPLICATION FOR PLUMBING AND GAS SITTING "'g -WIT .97-84-879001 ' PARTIAL RATE SCHEDULE . • PLUJlBING FIXTURE RATES; NO. a "c TOTAL a X u $ u x Water v v x a •�' $ m h b N Q n W '+ G+ ^_ 100;000 'BTU to 199,000 BTU Heater•w $10.00 u .Mr x M .� F •a 'K WLI $5.00 ,lC� M Cm U 0 .0 11r. U $ -GAS FITTING FEES; D J 0 ' +• ,1M� ' N C N Additional Fixtures D S ++ In a� vl x IA H .� �aflk0cl c; r u' a a a x a vii w $2.00 a x State Surcharge t� o TOTAL FEE ti. $ 10. O 1 Is , ect r & 2�d • 3rd I.. (R) - Future Connection Opening Connected with Sewor 11 (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE . • PLUJlBING FIXTURE RATES; NO. RATE TOTAL 1%%=ber Fixturet X $3.00 $ Future ri-xture Opening x $2.00 $ New Fixture, old opening . x $2.00 $ Catch Basin. x $5.00 $ Water Heater - to 99,000 BTU, x 55..00 $ �� ^_ 100;000 'BTU to 199,000 BTU x $10.00 S �� Water Softener x $7.Q0 $ �� New Ground lain Old Building _x $5.00 $ Electric Water Heater - x $5.00 $ -GAS FITTING FEES; lit 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ .Can Ranga to 199,000 BTU x $10.00 $ REPAIRS d ALTERATIONS ' first $100.00 $5.00 S each add. $100.00 or fraction $2.00 S State Surcharge $ .50 TOTAL FEE $ 10. O Job Address Zg. Department of Buildings City of Fridley I Tel. 0571-3450 The undersigned hereby makes application for A permit for the work specified agreoing•to do all work in strict accordance with the City and rulings o! the Department of Buildings, and hereby declaras that the facts and representations stated in this application are true ar. Fridley, Ki. 9-2-77 , 19 OWNFR KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT _._,9-9-77 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT N0, PERl+IT N0.� Company Signed By' Tel, No. ROUGH INSP. Date FINhL INSP. C% Dato APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT 19 $7.50 Community Development Department D PLANNING DIVISION City of Fridley DATE: December 7, 1994 TO: Scott Hickok, Planning Coordinator FROM: Kurt Schneider, Planning Inter4� SUBJECT: 5719 West Moore Lake Drive Garage Verification. Upon my observation of the garage at 5719 W. Moore Lake Drive the following conditions should be noted: ♦ According to a 1958 building permit, the garage dimensions are 16 feet by 22 feet. ♦ The SE corner of the garage appears to be situated extremely close to the adjacent properties fence line. ♦ There is no record of a setback variance for the current structure, based on my visual inspection a variance may be necessary pending future structural modifications. There is no expansion room to the south of the current garage, however, it would be possible to enlarge the current garage to a standard size by attaching it to the house. As noted, the structures proximity to the neighboring lot line is questionable and could possibly require a variance if this structural modification occurs. (q \184" Vee. cOMMENTE CA, Art B\\F. J D GI 1-10 PC'nOHSaASKS 2 3 O oCDAd AbM04VVOAQ-tr 16M e 0 7 G n O g ' Ile ,0 I Ae, I&- - 12 0 0 � •� 13 a 14 i5 16 17 16 ,S 2G 2, 22 23 24 25 2E 27 26 /to — 12-, 7t�"k"— &I L4,S Spurt' /49" D. C-- 2s-60 -4oD — WtA,-�,eD �M�-EYS 1�1Jll�eelZY C1A{�-<'OIkT�LE� 'P�n.t� Gor.tE' 8�-t�d.d�LS �1SS`- b SSSS A93 - Sada J -rkwo-Z- t (p1�•-5S9•S4Ro k6coj w,u,� � w+� 1� 4-1 CDr-zr t- eioz. �1loS' (06ao 7 -to /r vco 4�0 p57ID 1 u IT'D @€fl 5v-- 'D��urca� : STS --TS U7� �`'L� 2de-V 16—tc4t-hW4 St�cc- 8-9, Lls'" // K4o 7D7*7-- CPW-: '/V 1-71;7D /!v/ 1gr0 ,$ r 7-9 SS -PL.Aq- BY -rt�wt /a1 ®V® FRIDL.EY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 17, 1995 Dundee Nursery 16800 Hwy. #55 Plymouth, MN 55446 Arteka Natural Grain 15195 Martin Drive Eden Prairie, MN 55344 ® Anoka Rum River Tree Farm 5616 - 101 st Ave. North Brooklyn Park, MN 55443 To Whom It May Concern: Please provide a written quote for the supply and installation of the following plant materials: 2 - 2-1/2" Caliper Royal Red Maples 10 - 7 to 9 foot Black Hulls Spruce or approved alternate Please provide written quotes by September 8, 1995. The City of Fridley Housing & Redevelopment Authority would like to install the above plant materials by September 29, 1995. Plant locations will be staked in the field by City staff. Please provide in writing your written guaranty regarding the plant materials. Your written quote should include watering the plant materials for the first two months after installation. If you have any questions regarding this letter, please contact me at 572-3593. Sincerely, Michele McPherson Planning Assistant MM:da cc: Barbara Dacy C-95-212 ARTEKA NATURAL GREEN CORP. 15195 Martin Drive Eden Prairie, Minnesota 55344-2036 (612) 934-2000 • FAX (612) 934-2247 RECEIVED SEP ®7 0 � U aQ' Michele Attn: Page 1 of PRII(OPWAIL McPherson Pages SUBMITTED TO: Fridley Municipal Center DATE 9/06/95 DATE OF PLANS STREET 6431 University Ave. N.E. JOB NAME City of Fridley CITY, STATE, ZIP CODE Fridley, MN 55432 JOB LOCATION Fridley, MN 55432 PHONE 571-3450 FAX 571-1287 ARCHITECT SPECIFICATIONS: Section: Landscape - Supply and Installation 2 Royal Red Maple; 2.5" BB 10 Black Hills Spruce; 7'-9' Total: $ 6,900,00 Notes: 1. Includes watering the plant materials for the first two months after installation. 2. One year plant guarantee. CABids95WridleyM.Bid We ose to furnish material and labor in accordance with above specifications, for the sum of: 9 -ix thousand nine hundred $ 6,900.00 dollars ($ ). Payment to betn6e as follows: 1-1/2% carrying charge on all accounts past 30 days/no retainers unless specified. Authorized Note: This proposal may be with- 30 Signature drawn by us if not accepted within days. A=Wta Ce of f1'oposaf — The above prices, spec- fications, terms and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Date of Acceptance: Payment will be made as outlined above. (See reverse side for terms and conditions.) Signature Terms and Conditions All material is guaranteed only as stated on reverse side of this page. All deviations from the above specifications involving extra costs will be executed only upon written change order and will become an extra charge over and above the bid proposal. All agreements are contingent upon strikes, accidents, or delays beyond our control. If not specified within contract documents, all labor and materials are guaranteed for one full year from date of installation. This guarantee does not cover damage due to vandalism or improper maintenance of materials. Guarantees are honored only if your account is paid in full. Any person or company supplying labor or materials for this improvement to your property may file a lien against your property if that person or company is not paid for the contributions. Under Minnesota law, you have the right to pay persons who supplied labor or material for this improvement directly and deduct this amount from our contract price, or withhold the amounts due them from us until 120 days after completion of the improvement unless we give you a lien waiver signed by persons who supplied any labor or material for the improvement and who gave you timely notice. FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 29, 1995 Pine Cone Nursery 9900 Foley Blvd. NW Coon Rapids, MN 55433 Noble Nursery 8659 Central Ave. NE Blaine, MN 55434 To Whom It May Concern: Please provide a written quote for the supply and installation of the following plant materials: 2 - 2-112" Caliper Royal Red Maples 10 - 7 to 9 foot Black Hills Spruce or approved alternate Please provide written quotes by October 5, 1995. The City of Fridley Housing & Redevelopment Authority would like to install the above plant materials by October 15, 1995. Plant locations will be staked in the field by City staff. Please provide in writing your written guaranty regarding the plant materials. Your written quote should include watering the plant materials for the first two months after installation. If you have any questions regarding this letter, please contact me at 572-3593. Sincerely, Michele McPherson Planning Assistant MM je cc: Barbara Dacy C-95-245 nursery 10/0211165 14:04 6127546175 NOBLE NURSERY PAGE 01 be IIII IIIIIIlIu Utl llilllll lllllllll F a ® COMM • RES THIS ESTIMATE IS FOR COMPLETING THE JOB AS DESCRIBED GO PRICE ABOVE. IT IS RASED ON OuR EVALUATION AND DOES NOT IN- CLUDE MATERIALPRICE INCREASES ORADDITIONAL LABORANd MATERIALS WHICH MAY BE REOUIRED SHOULD UNFORESEEN TAX BAN. .,.. -------4 _ ,,- � - PROBLEMS OR ADVERSE WEATHER CONDITIONS ARISE AFTER THE WORK HAS STARTED. 113 DOWN _. BALMACE q . �•• _ Accaptad 8y Signmut®-- TOTAL COST -.•_--•- FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 - FAX (612) 571-1287 October 20, 1995 Noble Landscape & Garden Center Leo Vanderbrook 8659 Central Avenue N.E. Blaine, MN 55434 Dear Mr. VanderBrook: Thank you for submitting your quote regarding the installation of Maple and Blackhill Spruce trees for the City of Fridley. I am pleased to inform you that we will be awarding the project to your company. I will contact you shortly regarding the timing of the installation. If you have any questions regarding this project, please feel free to contact me at 572-3593. Sincerely, Miichele McPherson Planning Assistant MMre C-95-2681noblegc.ltr FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 October 20, 1995 Arteka Natural Green Scott Shanesy, Vice President 15195 Martin Drive Eden Prairie, MN 55344-2036 Dear Mr. Shanesy: Thank you for submitting your quote regarding installation of Maple and Black Hill Spruce for the City of Fridley. We received two quotes for that project. Your quote, however, exceeded our budgeted amount for the project. The project will be awarded to Noble Landscape & Garden Center. Again, thank you for submitting your quote. If we have projects of a similar nature in the future, we will keep your company in mind. Sincerely, Michele McPherson Planning Assistant Mme C-95-267/artekang.itr [� Community Development Department I� PLANNING DIVISION City of Fridley TO: Barbara Dacy, Community Development Director FROM: Michele McPherson, Planning Assistant DATE: October 26, 1995 SUBJECT: Plantings at 5719 West Moore Lake Drive I have received two bids for the plantings at 5719 West Moore Lake Drive. They are as follows: 1. Arteka Natural Grain $6,900.00 2. Noble Nursery $2,500.00 I have authorized Noble Nursery to plant the requested materials. Mr. Leo Vandebrook contacted me on Monday, October 23rd regarding the installation of the requested plant materials. It is after the Nurseryman's Association recommended planting date of September 15th. He recommended that we defer planting until after April 15, 1996. I agreed with his recommendation. I will be writing a letter to the adjacent property owner whom we met with in August regarding this project. Kurth Surveying will locate the lot line this fall so that we can install the requested plant materials next spring. If you have any questions regarding this issue, please contact me at ext. 593. MWJe M-95-551/planting.mem FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 November 1, 1995 Rob Bisson 5719 West Moore Lake Drive Fridley, MN 55432 Dear Mr. Bisson: This letter is to inform you regarding the status of the plantings adjacent to your easterly property line. While the City anticipated being able to complete the plantings this fall, due to time constraints and other work tasks, this work has been postponed until April, 1996. The City does have in place a contract with Noble Nursery for the purchase and installation of ten 7 to 9 foot Black Hill Spruce and two 2-112 inch Caliper Royal Red Maples. I will be contacting you in April to review the field locations of these plant materials prior to their installation. Again, I apologize for not being able to complete this project this year. If you have any questions or concerns, please contact me at 572-3593. Sincerely, Michele McPherson Planning Assistant MMle C-95-284 SUBJECT PE - City of Fridley 26591 AT THE TOP OF THE TWINS BUILDING PERMIT P 1 7 r L • ______ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. B /�� 7 1 . r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 7/13/98 J08 ADDRESS 5719 West Moore Lake Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 1 Donna Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert J. Bisson 5719 West Moore Lake Drive Fridley, MN 55432 574-0940 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 QI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct Deck ' x 16') 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations on building plans. Oefore digging tali Sac all utility locations 451.0002 REQUIRED BY LA1f�:; 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,700 $1.44 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. $74.75 Fire SC $2.87 /J PLAN CHECK FEE TOTAL FEE 1 $79.06 SIGN U OF ONTRACT R OR AUTHORIZED AGENT IDATEI WHEN PROP Y VALIDATED THIS IS YOUR PERMIT BL G l SP DATE S,GlqATURE OF OWNE IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY =AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATION ConstructionAddress: .5719 des—, lftoae 1,An-c, Aa %arc Legal Description: �% l Owner Name & Address: 10 L6 4 Tel. # Contractor: MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length - Width / b ' Hgt/Ground 2CL Sq. Ft. 320. 7 OTHER: Construction Type: Estimated Cost: $ /700 _ (Fee Schedule. on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ Y�% C DATE: -7-/3-96- APPLICANT: ��— Tel. # f��1�lU CITY USE ONLY Permit Fee $ I Fee Schedule on Reverse Side Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: .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 [ ] CERTIFICATE OF FORc,rc y o f- HEREBY CERTIFY THAT THIS SURVEY. PLAN OR REPORT YAS PREPARED BY MY OR LWER MY DIRECT SURVERVISION IM ND IMT S I AM A DULY EREGISTERED I�SLLAND SURVEYOR UNDER iT INNE OTA REGISTRATION NO.zozio SURVEY KURTH SURVEYING, INC, 4001 JEFFERSON ST. N.E. COLUMBIA HEIGHTS. MN. 53411 (611) 700-0700 FAX (011) 700-7001 DATE 10 -3 -015 SCAL 1' - 220- 0 IRON MONUMENT F ov H V (P)- FLAT W-iT WW CMS z MCPlboe o b.' AP4c (r �oQc-, ILI as I kof Q4' 5C \hlo' Cc IL po qe, 't, c 6 I 7 L l) �[G`\ cz�y L—o'T 20� Q�tAc.K 1 poNNt��I 1 5 �.AK%�It �'�•� MAN,a1Z Pe�'�lotyJ 10.Kot`A COuKl-`k d11�1, n i yc,•z.�-30-zy � �-I6 i The Home Depot #2802, 5650 MAIN ST., N.E., FRIDLEY, MN 554 Mon Jul 13 16:06:50 1998 File saved as: c:\cgdesign\decks\5740940b.DER Deck Dimensions for Deck 1 I M, Spacing == i6 in. o. c. .:;. post Spacing = 96 in. ( c., Pal.uster. ',pricing = 3 in.; Toe Spacing = 3 in., Ra:ilinq H i. The -Home Depot #2802, 5650 MAIN ST., N.E., FRIDLEY, MN 55432", Mon Jul 13 16:12:43 1998 Thamaterials in this deck will cost $1737.18 F:L-Le saved as: c:'\cq(:i.esign\decks\574:0940b.DEK 31) 'View Ili II JU/ q" i n UIL, RAI SuBjecr RMIT NO. City of Fridley 3 2 42 0 AT THE TOP OF THE TWINS BUILDING PERMIT RE COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r ! CITY HALL FRIDLEY 53432 "'� NUMBER REV DATE 2/8/02 PAGE OF APPROVED BY 612-571-3450 9t0-F1g JOB ADDRESS 5719 West Moore Lake Dr NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, g 19 1 Donnay Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADORE" ZIP PHONE Gordon Hines, 5719 West Moore Lake Dr., Fridley, MN 55432 763-533-8710 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exterior, 349 79th Way, Fridley, MN 55432 763-784-8936 00978700 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW Q ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reside house and garage 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 to 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 the application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE dF 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 BO 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 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 $3,000.00 $1..50 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- $83.25 $3.00 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE FEE $5.00 cense TOTL SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT HE PROP VALIOAT THIS IS YOUR PERMIT 8 G-N5o - OA TE SIGNATURE OFOWNERdF OWNER BUILDER- -GATE- RAI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -�-%/ 9 al A%G ,; &KA?", Legal Description: /� Owner Name & Address:( 4r'1--:7d1-V Tel. # 76 02/0 Contractor. ��vT/ �`%�' Cr�� MN LICENSE # 0 D P -7 9,7e 6 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: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft= Ft x $ .=$ DATE: �J � 0oZAPPLICANT: Tel. # 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 ,4 $ 6j, CZT 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[ ] TOTAL $ Q,,- STIPULATIONS: FA SUBJECT P City of Fridley 2 3374 AT THE TOP OF THE TWINS BUILDING PERMIT r WC T NO. `COMMUNITY DEVELOPMENT DIV. v------ INSPECTION SEC. r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910.FlS 5/3/99 JOB ADDRESS 5719 West Moore Lake Dr NE 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Bisson 5719 West Moore Lake Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE, Fridley, MN 55432 571-3220 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] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 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 @ 94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,885 $ . DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OVISIONS DF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @5950 W Fire C $1.88 S UCTI OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT�t FEE Li a SC $ .00 $67.32 (VIGNATUR OF CON'RACTOR OR AUTMORIZEO AGENT IRATE, HE �MPROMLAIV 1 T THIS IS RMI S,GNATURE OF OWNER dF OWNER BUILDER. IDATEI aB OG .NSF' MATE FA NEW [ ] Effective 1/ 1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 07 / 9 k), Ap 1pr e z 6�/ r C//1- Legal Description: Owner Name & Address: Contractor: % r ,--v Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: '1S.S ®,t Tel: # MN LICENSE # roe �'' ,�': . �p �, � � . Tel. # �/ v `7/` ,tLp g Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground 'S Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��` $104.coe " 97,0!a r Estimated Cost: $ / CE T,V,�) r 9 FF (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ( 3 — P � APPLICANT: �� vvll/—= Tel. # 6 / d Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $9. so $ /,38_ 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 $1050 per SAC Wit $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 [ ] Building BUILDING Permit No.: In5pect'ions RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL ADDRESS /0 4 c d 0 o' 0 , ?& e A-;,t.i ,7 - C®'�'► SITE ADDRESS _,S 2 / 2 to %�aP� r / oaf THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: 0 'dopyt-„n e TENANT ADDRESS: g kACITY STAT IP S3y - PHONE: _ / ca S -� 3• %�� CONTRACTOR NAME: 1-0 Ive STATE LICENSE # C ” )-0)-2 13 >V E®XP DATE 3 �% SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITVC! 6 /QdSTATWIP WITH APPLICATION PHONE '� �l0 FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ZKWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEWDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:! /y, , U1, a aAo SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes Dko LOCATION OF WINDOWS3. Energy Calculations 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 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ®® OCCUPANCY TYPE Permit Fee $ a :�;O See Back Page for Fee Schedule Plan Review $ 1,5 ` O(D 65% of Building Permit Fee Surcharge $ , 5 y (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ ,AJO .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control g $ $450 Conservation Plan Review Park FeeFee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev 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 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 allrk ch requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE '3�k 0� A� ��e� �atihF�2�n P"u- Ll OF- fm 17. (, ( REVIEWED 0 CODE CO LIANCE _ 1 n n t Vt ~ 1 fi tT` V. 7i From: unknown Page: 1/3 Date: 5/9/2008 3:35:28 PM 4« - From: City cF Fridley To: OS1901745 Pago: *4 Date: 10/212007 3:27:01 PM N Building Irtspocdons 763-572-3604 SITE ADJORM _ THIS APPUCANT I3: M RR Pearmit N RESIDENnAL APPLICATION Received By: CITY OF LEY Dal = .-UJ - _ YOUR E-MA"tt ADVRM 17 OwNIM CTOIL ADDRMS:T STA ZW ` PAO COM71AICTOR SUBMIT A DOPY OF EXP ri YC7rJlt STATF LICENCE ADDRESS: 29!4_ WITH AMLICATION _P ONE / 9 GP/.FAX_ . f - STATE PROPIMTV TY7sF, 4' OGLE FAMiMNEW COWL RUCTION SIZE 1 oi. FAMILYAMW CONSTRUCTION §TO PER»T'XY PE Q ADDtrow Q GARAGUSHMC.L Il+iDCtiWS 17 BA.$EMEId'r rIIVTSFI 13 ROOF ❑ DRATN ME ❑ DECK ❑'SIDING p 01MR O 8{1+n12i1117 Jai POOL TY$E OF WORM Q A.MMON - - - ANCra.EPAA Q 10dODEr MO DEME'WORKMIA DONE: SC13 NUIMl t OF SQUARES _ PROPOSED SM PROPOSED =09F__ sT��Tc Q vinyl ❑ JUMIraltrl ❑ Ot er IN� Ol'MIMSj�lYes ❑No OR FOR 'b W MM9NC�911DE5t RtBE SZE OF OPMMO G`BI NREM & TYPE OF MODOW To BE rMTALLm MES ES Permit Feo Plan R ovkw Fire smbugo Surcbargo License ftcharge SAC Chap Curb Cut 1 xamw Errosiort CoAtMl Park Foo Sewer Meb1 Charge ❑ HOUSE & oARAGE. ❑ ATTACHED GARAGE ❑ DETACHED GARAGE E330MI ❑ Ttim E3 Fascia L C TIOW OF 1= 7,a p v i nc Mo r'i ON VALUATION, IlA<Z^E T' �' LING St7AMIT� L Existing Floor Plan 2. Proposed Moor plea I J -1d of AwrAaral rwmbem to be used FCR NfiW CONSTRUCTION T.NCLUDI, tG D$Cxs, ADD! IONS -4202 C aggSI 8iW1- T. Ritc Plan/Sttrray Anwing the exerting aructures and prop -c4 project ^s. Two sag of cownedw plan+ 3. Energy Calailations THE ft OF LAAb D; F SCMEDTJGE) Sec Back Page.for Fac Schedule 65% of Building Permit 1(e* .001 tames th•e total job valuation ,M x Permit Valuation Minitrtum $.50 $500 (State Licensed Residential Contractors) $1675 par SAC Unit (Plus to M.WCC for determination') -ft +6f1= EXS21 -$ $450 Conservation Plass evicw Fee Detamined by Engineering Agreement necessary ( ) Non Necemmy ( ) Make checks payable to: C.ii r of Fridlev Attar THIS IS AN APPUICATION FOR A PEI IT -NOT VALID UNrTT. PROCF.ySr D I hereby apply for a building permit and I aoknowle* that the information above is COTal,,lcte anti tWourate; that tho work will be in eoMferta=oe with the or(Unaaces and codes of the City of Fridley and with tklc Minnesota. Conztructioa (',,,odes; that I undemstand this is not, a perttlit bw only an application for a permit and work is not to start without a permit. that the work will be in s000rdance with the approved plan in•tha M2 of till VM a re ire* roview and dal o pinna. SIGNATURE OF AFFTMANT - � -- - - _ P.IN7 NAii�FE ``' F ADA ,�rl