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PRE 2010 DOCSPLANNING DIVISION MEMORANDUM unroF FRIDLEY DATE: May 25, 1990 5 �o TO: William Burns, City Manager FROM: V'B-arbara Dacy, Planning Coordinator SUBJECT: Proposed Sign for "Habitat for Humanity" House Moving Project A representative from "Habitat for Humanity", an organization which provides housing for low and moderate income persons, has contacted me regarding the ability to place a 16 square foot sign on the vacant single family lot, where they intend to move in a home in the Hyde Park area. The property is located in the southwest corner of 58th Avenue and 2nd Street. The code only permits the installation of a 6 square foot real estate or construction sign on a single family lot. The primary intent of the sign is to make other neighbors in the area aware of the proposed location of the house on the property. It is my understanding that"Habitat for Humanity" has scheduled a ground breaking for June 1, 1990. They must obtain a moving and building permit from the nspection Department prior to locating the home on the property. Given that these processes are not a required public hearing, staff proposes that we permit them to install one 16 square foot sign for a maximum 14 day period, to begin on June 4, 1990 and to be removed by June 18, 1990. We would retain a $200.00 check to insure that the sign is removed promptly. Unless otherwise advised, we will proceed as proposed. BD/dn cc: Jock Robertson Michele McPherson M-90-371 SUBJECT PERMIT NO. City of Fridley 00- 2 0 4 7 0 AT THE TOP OF THE TWINS BUILDING PERMIT _ - r? RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 36/7P NUMBER REV. DATE 7AGE OF APPROVED BY 1 S CITY HALL FRIDLEY 55432 ..1 612-571-3450 910-F15 7/10/90 / JOB ADDRESS 5790 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 & 2 25 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Twin Cities Habitat for Humanity 2720 E. 22nd Street, Mpls., MN•5..5406 332-3372 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 281 x 4W Foundation for House to be Moved In and a 2V x 20° Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Stairway, electrical, mechanical and bedroom egress windows to meet current Code, Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with.verifying survey before capping, MOVING PERMIT NECESSARY TO MOVE HOUSE ONTO LOT SEWER LOCATION; (58th Avenue) 98.51 W. of Manhole at 2nd Street (INV. 838.22) WYE EI,EV: 838.61 TOP OF FOOTING: 841.61 Minimum WATER LOCATION: (58th Avenue) 751 W. of Manhole at 2nd Street (Also Sewer & Water off from 2nd Street - check with engineering for locations) TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 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 $13, 500 $6.75 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- $162.00 $600.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 7^�0 �_;:?$768.75 SIGNATURE OF , RACTOR OR AUTHORIZ GE T (DATEI WHENROPERL V I A E HIS IS YOUR PERMIT ^'TE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEi NEW Effective 1/1/90 ADDN R-1 AND R-2 ALTER Building Permit Application Construction Address :C7 -"-)-7? S T" Legal Description: /O -r JJ -L ---B1 e Z -n- 14y-br= Pow< or VIC C, Owner Name & Address: n,/j&j tis 9'9811rpr AFL Ruengmin/ Tel. # 332-317Z Contractor..1. Tel. Address: _ P72 C> E .2 14-D tleQ- f -Mf :5S4c7-6 Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 61V4Y Livnr. AREA: length (UM AMMU length DECK AREA: length &L JA OTHER: fr-7 ) 1 9 in A . - Width Width Width Heightjjo gy Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Int 0 Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: fr=L_0r_-)qTjgZ? //c7as G Estimated Cost: $ Approx. Completion Date: 3c '' . 04 6^11 t3' SZ() Proposed Driveway width If New Opening Is Desired: /7 Ft. —$. Y- r Width + 61 See Back Page DATE: APML-rauiTZZ��---_ Tel. # &0 - Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer in Charge 4! (� - (W'� s j Y9 Y Akt&g CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "All or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary Als - ' ---s e %3 STIPULATIONS: )f atn n Agyx--��, C L CIA re -EP -121M. `q, Sj7a a400— U 8 9 F)J D Q m m --d iWWAWM"J:� WOIM 58th AVENUE w u+ -0 C-) J F- �,D ED CD m amik 3w 'SA cly--u 3> TI c <0 0 M AL z M to W4 O , oz 1-74r f� � OF Oct XI 4tsb Cxj u lnk ff. -Ajv fa 1 .r vow" . cow Coy a;t �i1D C, City of Fridley AT THE TOP OF THE TWINS r L'__--_ COMMUNITY DEVELOPMENT DIV. r s PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 SUBJECT MOVING X W P E R M I T PERMIT NO. 2 ®5 3 73 7#4 4, NUMBER 910-F15 REV.DATE 8/16/90 PAGE OF APPROVED BY JOB ADDRESS 5790 - 2nd Street N.E. 1 LEGAL DESCR. LOT NO. 1,2 BLOCK 25 TRACT OR ADDITION SEE ATTACHED Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS IIP PHONE Twin Cities. Habitat for Humanity 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dale Movers Inc. 7816 Central Avenue N.E,, Mpls-; MN 55432 784-4269 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 K3 MOVE ❑ REMOVE 8 DESCRIBE WORK Move House Into Fridley 9 CHANGE OF USE FROM TO STIPULATIONS Main Street to 58th_ to 2nd Street TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES yALUATIgN SURTAX 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 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- STRUCWN OR THE P FORM_ ANCE OF CONSTRUCTION. 80.00 PLAN CHECK FEE TOTAL FEE $80,00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI W EN PR E L V LID E THIS IS YOUR PER I/T/� BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDERI (DATE) [ x ] Moving [ ] mag CITY of FRIDLEY M VnIG OR ITMUM APPLIC HICK Jcb Address: 5790 - 2nd Street N.E. Legal Description: Lots 1 & 2, Block 25, Hyde Park Owner & Address: Twin Cities Habitat for Humanity Tel. # Contractor: i�Spx",® 4,— Tel. #70"11-G Address:— ��� �� ,rv� State License # �7 Living Area: Length S4 Width �26 Height 160 Sq. Ft. Cu. Ft. Garage Area: Lengthy Width o?;Z Height /!�/ Sq. Ft. Cu. Ft. Other: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost of Wh66 dif�/Moving Approx. Cmpletion Date City Water/Sewer Mpls. Gas Carpany Northern States Power Northwestern Bell Tel Co. 571-3450 [ ) 372-4720 [ ] 566-9120 [ ] 293-0665/293-1319 [ ] Water Bill Paid: Yes [ ) Amount To Be Collected [$ ] Initials Moving Route: L��� �`� -- �s�`• FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . $ 20.00 Minim= Fee: $15.00 Through, within or out of City . . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structures which would be inpractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Department, and the State Code which regdx s any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. 0 5-zk�-� pE3WT FM: 80-00 signature STIPUI ATIOM: CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. e ci TOTAL New Fixtures $ 5.00 x a Water a m _� $ 1.50 w Beer Dispenser w i 4.00 ami a w $ 5.00 Heater Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ .Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS to U Al a W Appliance N 0 w h W U OD 4 3 t7 Reinspection Fee S C? O s lec Base - TOTAL FEE $ `6 �. let ! l y 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) a New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 Old Opening, New Fixture _� $ 1.50 $3 Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ .Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ State Surcharge S .50 Reinspection Fee S ($15.00) TOTAL FEE $ `6 Effective Hay 1, 1990. Job Address '4 . 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 f Fridley, Mn. 147-31 , 19 %y OWNER KIND OF BUILDQING USED AS ll VI L1 TO BE COMPLETED ABOUT C 4 4115, ESTIMATED COST 5-6o!: - OLD - NEW BUILDING PERMIT NO. PERMIT 140. Company Alo V 5' Signed By Tel. No. 44-07 f') ROUGH INSP. Date FINAL INSP. (—G--� Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL °yg Job Address -6 c Furnace Shell and Duct Work, 20.00 Department of Buildings, 6431 University Ave. N.E., Fridley, MH 55432 Burner (Also replacement furnace) $ $ 6u City of Fridley Gas Piping $ 10.00 $ /0 Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 S Fridley, Minn. All Others/Repairs and Alterations OWNER) �fI v^ dJi 'A- 10 of Value of Appliance or Work $ r KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS li of Value of Appliance or Work $ / TO BE COMPLETED ABOUT B 2- ESTIMATED COST State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Cra TOTAL FEE $ Reinspection Fee ($15.00) $ 30,5 Rough Insp. Date te*� - 7 --(;7/ Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00• PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. DESCRIPTION OF FURNACE/BURNER I HEATING or POWER PLANTS, Steam, Hot Water,W�Air- Trade / / Name /-V/ Alp 5- Size No. 0; i 000 Capacity Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP 17 Company GU `Y �- , A, Signed By Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 5. Meets all current Code requirements for size and total BTU connected Yes (ti No ( ) 6. Has Total heating BTU's of 0 All other BTU's TOTAL V�6-) 0 () 6 Rema rk s s Company'�''��� Signed By JG Date / ,f%w 1. Has been carefully examined Yes ( No ( ) 2. Is free from rust or deterioration Yes (✓, No ( ) 3. Has no foreign objects lodged within Yes ( No ( ) 4. Is securely supported Yes ( No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (ti No ( ) 6. Has Total heating BTU's of 0 All other BTU's TOTAL V�6-) 0 () 6 Rema rk s s Company'�''��� Signed By JG Date / ,f%w SUBJECT IT NO�. City of Fridley i12 7 4 9 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. _____ COMMUNITY DEVELOPMENT DIV. 1 v e PROTECTIVE INSPECTION SEC. 7) r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'� 612-571-3450 910-F15 9198 JOB ADDRESS 5790 2nd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I & 2 25 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Disanto Construction DRI 26103 Verdin St Isanti- 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 O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 14 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 0 STALLS IGARAGES 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 1199 .60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $40.25 FirA SC 1.20 PLAN CHECK FEE TO AL FEE Lic e C , 0 47.05 ,,,,-"SIGNATURE OF CONTRACTOR OR AUTHORIZED A T IOATEI jo��H P Y VALI D THIS IS R P RSIGNATURE 00fli OF OWNER IIF OWNER BUILOERI IDATEI NEW r ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 4q BUILDING PERMIT APPLICATION 91 ConstructionAddress: -,,7--7 Gr ® -Z e S r Legal Description: Owner Name & Address: Yom-- (---- \ Tel. # Contractor: / -. os : , � �' ®�� ����..-�® .n.�.s:. ) MN LICENSE # ?o o 2 3 Address: 2 (:�-, / d 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: / Hoe -,SL f A2C4L, Construction Type:L �- 1�ca� i= Estimated Cost: $ 11 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:�C> APPLICANT: �� �t—� l ✓ Tel. # �/ `1'el CITY USE ONLY Permit Fee $ �k �� Fee Schedule on Reverse Side Fire Surcharge $ 1-20 .001 of Permit Valuation (1/10th%) State Surcharge $ C) $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ L $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: NA SuSiEtt P City of Fridley :32;4;42 AT THE TOP OF THE TWINS BUILDING PERMIT r , I � R COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER AEV DATE PAGE OF APPROVED 8V L J� 612-571-3450 910415 3/4/02 JOB ADDRESS 5790 2nd St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 & 2 25 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Story, 5790 2nd St NE, Fridley, MN 55432 763-571-8319 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wayne Story (same address as above) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reside -house, replace windows 9 CHANGEOFUSEFROM 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. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings.` 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 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 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 $9,000.00 $4.50 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- $167.25 $9.00 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO TA $ 0.75 -� � IGyATURE 09 CONTRACTOR AUT HoRoZED AGENT roaTE. N P OPE IDAT ISIUR P R IT S,GNATURE O OwNER,6 OWNER BUILD iOATEi BLDGfINSP - OATE NA NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: , '5_7/ O'dI% Legal Description: Owner Name & Address: Contractor. Tel. # 76 3-_5-21'— E51;9, MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Hgt/Ground Sq. Ft Jo t L)s . z Construction Type: Estimated Cost: $ ' Driveway Curb Cut Width Needed: Ft +6 Ft= Ft x $ _ $ DATE:3— I 0 APPLICANT: Tel. # 263— Jam>Z ,32/% 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. /(w9� j s—CITY USE ONLY - Permit Fee $ ® Fee Schedule on Reverse Side Fire Surcharge $ Q00 .001 of Permit Valuation (1/10th%) State Surcharge $ L� e j� $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J ® TOTAL $ fu a� STIPULATIONS: