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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERMIT Date: " Owner: Address T 0 rN° 51'73 Builder `- Y Address - --- -- -- - LO TION F BUILDING a �" # r' No. Street.` — r 7 4 '.�p Lot _ __ Block Addition or Sub-D'vision k ' ' - ` Corner Lot _ Inside Lot _ Setback i Sideyard Sewer Elevation Foundation Elevation __ DESCRIPTION OF BUILDING To Used Front" Depth Height Sq. Ft: Cu. Ft. Front Depth _ ei hht _ Sq. Ft. Cu. Ft. ��� ` Type of Construction � Est. Cost w"_J~o be Completed 5 In consideration of the issuance to me of a permit to con truct the building described 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 of $0.=—...—, 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 within the city limits and this permit may be revoked at any. time upon violatiopof any of the provisions of said ordinances, ,►, Building Inspector 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 hems. 4 THIS PE' -IT DOES NOT AUTHORIZE VIOLAT- ION OF t_Y PI��IVATE LAND COVENANTS ANP BUILDING RESTRICTIONS. - - - � t Owners Name APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA' Address Address LOCATION OF BUILDING �e �,� % b Lot / Block . Addition or Sub.Div. 1 1-07 ®/ a MW Corner Lot Inside Lot Set Back__,Side-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To beAused as: Front Di Sq, Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructioEstimated Cost To be completed The undersigned hereby Noakes application for a permit for the work herein 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 representa- tions stated in this application are true and c ec DA'T`E-,,,,., ,� SIGNATURE (A Schedule of Fee costs can be found on the Reverse Sade.) City of Fridley Application for Plumbing and Comas Fitting Perndt DepL of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK i� 6 Number, Kind and Location of Fixtures I'ocation Ig $ 1.00 $ 3.25 $ 2.00 F 3.25 Z Z O W Z ` ; WATER HTR. 9 3 m } 3� Z e0' R rz�app W (�+ c S < (�9 d- t�9 (�9 0 R N GAS F -c- m Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with I Sewer � New .Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE /TOTAL Number Fixtures ........ .............. � x $1.50 $ / 4 Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ x Water Beater (Up to 200,000 BTU) ...... `x New Ground Run Old Bldg. ............ x 1.20 $ 1.00 $ 3.25 $ 2.00 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ..............................:.................$ TOTAL FEE ® 0 City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 trip and correct. Fridley r Owner Kind of Building Used as To be completed about Estimated Cost, $ Old— oe- Building Permit No Permit No. Signe By ` Business Phone No . 3 ROUGH 'q— A '-EP 4 % FINAL 4 z 2M 749 G Apphacrtion for Power Puts and Heating, Cooiinge Ventilation,Refrigeration and Air Conditioning Systems and Devises PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone ,SU, 4-7470 GRAVITY WARM AIR: RATE TOTAL, Locatf®n Coe-) r. ® 0°' 0 ®&y ' Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 .................. 5.00 Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 reach add 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. .§.00 Repairs & Alterations up to $500.00 ... ............ 5.00 Repairs & Alterations each add. $500.00 ............... 2.50 STEAM or HOT WATER -SYSTEM Furnace Shell & Lines ---to 400 sq. ft. EDR Steam ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. . Each add. 200 sqi ft. Edi. Steam ...................... Each add. 320 -sq. ft. E]2i Hot Water .................. OIL BURNER—to 3 gal. pl"our ........................ aver 3 gal. per=Your—See Fee Schedule GAS BURNER (up to 400,00k.BT1n ....................... 8.00 8.00 2.50 2.50 r0 5.00 $ 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50. $ Additional Fixtures . ................. x .50 $ Gas Range to 200,000 BTU ........ , .. x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL City of Fridley: The undersigned hereby makes application for a permit for the work herein 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. Fridley, Minn 2"P. G / 18 — Owner (AJ 4el-L t.S 3 et o q, Kind of Building Fe A Used as Par To be completed about Estimated Cost, $ �� O Old ew uilding Permit No. _ 7A Permit No. r DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No- Trade Name Fe'y Size No / 8 Capacity Sq. Ft. E.D.R 4? BTU®,WP H.P. Total Connected Load Kind of Fuel /v4r BURNER — Trade NameIAIC L VA P O e r S gize No � e No .S Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Sign 4z 71M 7-59 Business Phone No- �l 0 Jot $9' 0 e.0 WOO P- HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Wi dows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied No I e No 19— i1"aIS«' F1.1 1... ac Room I Length L&A....� � Room 1 Length #� Width I f'i Height Windows and Doors—Crackage and Area �+ _ Width Height No. of Lineal f . Area. q ft. No. of pane of pane lights of crack sq. p p 31ti r '71w 66 0 as,, Coef. Coef. Btu Infiltration Infiltration : 41 1 TR Q Glasspma Glass 0 Exp. wall K 7 -ru Exp. wall P Net exp. wall. Exp. wall 7 0 #why Int. wall Net exp, wall Ceiling II Floor x st Int. wall r. 40 G Total Btu. I 'I j2"- ` 7 - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F'I.I AS' s olp 0 % ' Rnn,n I I ...nth ;dA 4 W;,Ith �% 14;ol,r Windows and Doors—Crackage and Area �+ Width Height No. of Lineal ft. Area No. of pane pane lights of crack sq. ft. aof # Hit: Coef. Coef. Coef. Btu Infiltration : Infiltration � T Glass Glass Glass 7 -ru Exp. wall P , Exp. wall 7 0 Net exp. wall+4 Int. wall' +` Net exp, wall Net exp. wall II Int. wall Int. wall Ceiling Ceiling Floor Floornl� - Total Btu. C$ 116 At Required sq. sq. ft. E.D.R. or sq. ins. W.A. Leader -area in I aW' AIc R.. (% W;,4"h ,lfi1 uu;n{�► Y� Windows "and Doors—Crackage and Area -s 4 Width Height No. of. Lineal ft.:, Area No. of pane of pane lights of crack sq. ft. 4 IR .t Coef. Coef. Btu Coef. Btu Infiltration � T Glass 460:0- 0Ex if ;f� Glass 7 -ru Exp. wall Net exp. wall ' ► Exp. wall Net exp. wall+4 Int. wall' 7 o Net exp. wall II Floor 01'tl:' Int. wall Ceiling Floornl� - Total Btu. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef. Btu Infiltration+* +4'�''a ,(6 � T Glass 460:0- 0Ex . wall Exp. 5 7 -ru Exp. wall Net exp. wall `,. ' Net exp. wall+4 Int. wall' 7 o Ceiling Floor Floor 01'tl:' Total Btu.''.` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I RI.I QA4VJJt Room I Lenath Width Height , Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. f Coef. Coef. Btu Infiltration i e "4110`' . +4'�''a ,(6 Glass 460:0- 0Ex . wall Exp. ' Net exp. wall `,. ' Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A: Leader area t F7;1 f W&; -Reem I Length /. Width + Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ofpane lighta of crack sq. ft. Coef. Btu Infiltration' Glass Exp. wall ' Net exp. wall `,. .. Int. wall Ceiling Floor Total Btu. Required sq: ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,.r th wo to UOe Awe Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Ott` Z- i" HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Glass MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Net exp. wall,< Construction No. Net exp. wall Int. wall Insulation g. Guide Floor �a q. Exp. wall Windows Doors Reference Out. Wall Int. Wall Ce ding I Roof Floor Kind How. Applied Ye_ .' No l es No 19— Int. wall .R A � A� � �' c+� � Fl I R I L h J i„ W W'd h ' h L W'd h PI— ' ht .. sy i *— oom engt � 1 t d Helg t Windows and Doors—Crackage and Area Width Height No of Lineal f . Area No.' of pane of pane lights of crack sq, ft..-_., 'r " Windows and Doors—Crackage and Area 1 t Coef. Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Ott` Z- i" Glass, Glass 'no Exp. wall 1? Coef. Net exp. wall,< Infiltration Net exp. wall Int. wall Ceiling g. Ceiling Floor �a q. Exp. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '` F1.1 Room I Length Width X lei Height Windows and Doors—Crackage and Area 1 t Width Height No. of Lineal ft. Area No. of pane of pane lighta of crack sq. ft. Windows and Doors—Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Coef. Net exp. wall,< Infiltration Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area 1 t Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Coef. Net exp. wall Infiltration Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1,W Room eng 1 t V elg Windows and Doors—Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass +k Exp. wall Net exp. wall X lei 1 Int. wall Ceiling Floor - e * + 'Aje &0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Windows and Doors—Crackage and Area Wldth Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. lAltration Glass 5 4 Exp. wall at :; x Net exp. wall - Int. wall Ceiling*� Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of,pane lighta of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu City of Fridley, Minn.. BUR DING PERMIT Date: July 14, 1969 Owners Gilbert E. Stenberg Builder Same Address 6060 NQody Lane Address Same LOCATION OF BUILDING No. 6060 Street Woody Lane ____ part of Lot Lot —_2�__ Block 1 Addition or Sub -Division _ Girdler Terrace Corner Lot — Inside Lot _ _ Setback -- Sideyard Sewer Elevation Foundation Elevation N° 10336 DESCRIPTION OF BUILDING To be Used as: Rear Ratio Front 5 ' Depth 19' Height 71 Sq. Ft. 475 CU. Ft. Front Depth . _ _ Height . Sq. Ft. ._ _ Cu. Ft. Type of Construction - Post &Beam Est. Cost _$800.00 _ To be Completed In consideration of the issuance to me of a permit to cons ct the building described above, I agree to do the proposed work in accordance with the description above orth :dad in compliance v�t� all provisions of ordinances of the city of Fridley. ®p I s In consideration of the payment of a fee of $ 6.00 , permit is he granted to Gilbert S tenbe 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. g Inspector .larence Belisle NOTICE: This penult doer not cover the construction, installation for wiring, plumbing, gas keatho sewer or water. Be sore to we the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS Q' ill Z --a ADDRESS LOCATION OF BUILDING N0. 016 C7 STREET Z-C� 7A -e, LOT BLOCK Z ADDITION OR SUBDIVISION4,1�'��e`���'�� CORNER LOT V .INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To. Be Used As: 7 '� Front 0,3' Depth Height _ Square feet 41%,r Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction f i— 4&&7 4,/Estimated Cost R00 To Be Completed Tae unaersignea hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley OrdinaL,oes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. A DATE SIGNATURE I 0-2�v .(Schedule of Fee Costs can be found on the Reverse Side. ,\ Effective Aug. 1, 1981 63-81416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures• Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 S 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 Water m a9 7.00 $ 5.00 $ e a � 14 p, w Heater $4 o 1 0 8 B0� x a 8 m 2 u a y 3 aw° ai w t o lec no - 1St it 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures• Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 S 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 10.50 Job Address 6060 Woodv bane 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, Mn. 10-16-81 , 19 OWNER TOMCZYK KIND OF BUILDING frame USED AS r e S . TO BE COMPLETED ABOUT 10-22-81 ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company Signed By Tel. No. FINAL INSP. 44-15-k' Date APPROVAL FOR PERMIT d, MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PE City of Fridley NO 17 7 2 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO.. v _ COMMUNITY DEVELOPMENT DIV. SEC. j r PROTECTIVE INSPECTION ``� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J \ 612-571-3450 910-F15 9/14/84 JOB ADDRESS 6060 Woody Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Moore Lake Kills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tomcsyk 6060 Woody Lane N.E. 574-0446 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 lj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221 x 18' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Special Use Permit for a second accessory building approved 12/83. Provide a hard surface driveway. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 1. 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 $4,439 $2.22 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- $50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. P N CHECKFEE TOTALFEE $52.72 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V D ED THISIS YOUR PERMIT SIGNATURE OF OWN (IF OWNER BUTA ERI IDATE) BLDG INSP ATE Prepaid Plan Check $ Estimated Cost $ Receipt # Construction Legal Description: City Of Fridley OTHER THAN R-1 AND R-2 Building Permit Application Effective 4/1/84 Property Owner/Address: �..' Tel.f Contractor/Address: Tel. Architect/Address: -- Reg. Engineer/Address: -- Reg•# Type of Work [i4 New [ ] Addition [ ] Alteration USE OF BUILDING: APPLICANT SIGNATURE: a ' Tel. BUILDING DIMENSIONS Size of Structure de Length Width 4,2 Height Sq. Ft. # of Stories OFC. AREA: Length Width Height Sq. Ft. WHSE. AREA: Length Width. Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. VALUATION/6 Sq. Ft. r g X $ � �• Cost/Sq. Ft. = Valuation $ �� f f, ' ) Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) _ $ Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Total Type of Building Constructio`�' I ----,Occupancy Group Class. Zoning Air Conditioned [ ]Yes [ ]No Fire Protection System [ ]Yes [ ]No. ._ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL :�, 2� See Fee Schedule on Reverse Side In excess of Prepaid Plan Check -See Back Pg. $.50/$1,000 Valuation (See Sched. for > $1 mil) $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: 1` � I r T 01 SUBJECT PERMIT City of Fridley 8723 57Z=3�®4 THE TWINS BUILDING PERMIT ' RECEI COMMUNITY DEVELOPMENT DIV. ` f PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 12/8198 JOB ADDRESS 6060 Woody Lane NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kazimierz Tomczyk 574-0446 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Alum. Supply Inc. 7701 Main St NE Fridley 55432 571-3440 7983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO e USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 2k REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 00 $1.50 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 S $3.00 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT 1 Bl G iNSo DACE S.GNATUREOF OWNERow OWNER BURDERI iDATEI 01 a 612 571 2260 ADUANCE ALUMINUM 01 'IfEW E t1vi I/148 ADDN [ ] CITY OF FREME1 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLIC ATION ConstructionAddress: di 401Z- I'd V -V i Pq V Legal Description: __ Owner Name & Address: �zI afketrr . "]/9iyr,?Am i/- Contractor: 6,0U6^t,--fi vA004 i,&,e- MN LICENSE#, Address: % AO Af . 5 7- Tel. # Attach to this application, .a Certificate o� Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF I51PROV1FMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length � Width Height Sq. Ft. DICK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type a Estimated Cost: $ • , . 0o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 42--j-APPLICANT: ° CRY USE on Permit Fee $ 7'V 7-6- Fee Schedule on Reverse Side Fire. Surcharge $ 3-00 .001 of Permit Valuation (It State Surcharge $ 1 / $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5,00 $5.00 (State Licensed Resid Driveway Escrow $ Alt. "A" or Alt. "B" Abov, Erosion Control S $450.00 Conservation Plar Park. Fee $ Fee Determined by Enginf Sewer Main Charge $ Agreement Necessary ( ) TOTAL $ < , g 5 STIPULATIONS: y a , t CACIJ 0�4j VI I _ suBJEdr P City of Fridley 29157 AT THE TOP OF THE TWINS BUILDING PERMIT `COMMUNITY DEVELOPMENT DIV. - ------ r PROTECTIVE INSPECTION SEC 1 . � NUMBER REV DATE PAGE OF APPROVED BY 1 1 CITY HALL FRIDLEY 55432 612-571-3450 91A-F15 4/7/99 JOB ADDRESS 6060 Woody Lane NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 2 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kazimierz Tomczyk 6060 Woody Lane NE 574-0446 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO OTL Installations 16170 Hyland Ave, Lakeville, MN 55044 953-4141 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 O NEW Q ADDITION ❑ ALTERATION REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGEOFUSEFROM 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 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 1 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 $1.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,399 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 e PLAN CHECK FEE TOT E Lice e $5 0 83.35 i ATURE 5F CON TRARORgUTMORIZ A 1ATEI EN RO L VALIDA THIS I$ YO PEI :?? S-GNATURE OF OWNERoF OWNER BUILDER. iDATEI - BLZ .NSP ' MATE I NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: _ Effective 1/1/99 Owner Name & Address: e p e c G®Ao a1% Aa Tel. Contractor. .4. '.� MN LICENSE # moo �► yi.�� Address: y � Tel. i�) 9krS 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: -7� Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. 7q. " (Fee Schedule -on Back) Ft x $ = $ DATE: APPLICANT: Tel. # 9.!2 - y/ �f CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ et& .001 of Permit Valuation (1/10th%) State Surcharge $ �, tO $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ GD $5.00 (State Licensed Residential ContractorsY 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 $ U J� STIPULATIONS: