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PRE 2010 DOCSCity of Fridley, -Minn. BUILDING PERMIT N® 3460 Date: . �".....�...... ......... Owner....................................... Builder ...C -106','W .......... ........ ...... ..�... Address ...................................... Address .......................... LOCATION OF BUILDING No. Street .... .. .... Part of Lot ............ . ............ Lot ..r ...... Block . PZ .............. Addition or Sub -Division r Corner Lot ............ Inside Lot ... 1�t ...... Setback .. a Sideyard . ... ............. DESCRIPTION OF BUILDING To be Used as: o ... .... Front . 1716 a-�Jeptt, .� Height .��:. sq. Ft .96.0. cu. Ft. %d; w7!l �� ........ Front .... .. � Depth .o ®.: Height `®.' -° Sq. Ft -;Zk" Cm Type of Construction ................... Net. Cost..................... To be Completed ................... STV 4E V� r to au c0r i-1 A A ID zf!� ?3'6� 6 In consideration of the issuance to me of a permit to the proposed work in accordance with the description a ordinances of the city of Fridley. 41,1=V ° - %-" , — z 6+ C) 0 the building desribed above, I agree to do rth and in cozn0Vancg/with all provisions of In consideration of the payment of a fee of.. ..:., 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. ...... 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. City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... C Y Future Fixture Opening ................ y1y, Z Z Y G �z Z a� C Z � Z lii O ?� J w (9 7z tN'1 Z z �a C90 • F • N WATER HTR. GAs EIEC Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill & (1) lite 6®00 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTI) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill & (1) lite 6®00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 8 s 00 Location 6570 NE` 2 st- City of Fridley: 53-84-5915®51 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 facl and representations stated in this application are true and correct. Fridley, Minn_ June 26l 1970 19_ Owner Patricia Kurr Kind of Building f came Used as To be completed about Jura -30% 1970 Estimated Cost, $ 20.00 OldX-New. Building Permit No Pit No. By EAPOLIS GAS CL, Business Phone No ROUGH .QW42 SuBjECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT ( I&- r _::� • COMMUNITY DEVELOPMENT DIV. _____ PROTECTIVE INSPECTION SEC �0 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY , 612-571-3450 910-F15 4/6/95 JOB ADDRESS 6570 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Hosch 6570 2 Street NE 561-6125 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Modern Concepts & Design 1700 Sugarloaf Trl Brooklyn Park MN 55444 566-0376 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 6015 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 0 ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Kitchen Remodeling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 , $133000 $6.50 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 PROVISIO F ANY HER STALE OR LOCAL LAW REGULATING CON - OTPERFO $144.00 Fire SC $13.00 TR C ON O THE M CE OF CON PLAN CHECK FEE TOTALFEE License SC $5.00 1 $168.50 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERX VALIDATED THIS IS YOUR BL IN, p�PERMIT %P� A vG/1 Lyor �1A E _ SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ J CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: Legal Description: 65- 7U 26, Si 1Ug~. Effective 1/ 1 /95 Owner Name & Address: ST -c- v -e CITY USE ONLY Tel. # S6 r — G t Z s- Contr ctor h4o � Y ` , Co h c r pts b �s es �. MN LICENSE # 6 G / S' a Address: 1 U o S lo, G- 7k Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height L -en /Width Hgt/Ground Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: 546-03?G Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ . 13� d c, 0 (Cost on Back) Driveway Curb Cut. Width Needed: . 'Ft. + 6 Ft = Ft x $ DATE: �f — —SS APPLICANT: Te --S Tel. # S^GG 70 3 > L STIPULATIONS: CITY USE ONLY Permit Fee $ �%, Fee Schedule on Reverse Side Fire Surcharge $ P3 ao .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,00 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ Ou $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 $ v� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 11995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE R)kTES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type ' $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS FEND/OR REPAIRS AND ALTERATIONS - — �o�fifatue of Fixture or Appliance 600 State Surcharge 50 TOTAL FEE $ /S I2 JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. q A 199 P l Owner Building Used � Estimated Cost PLUMBING CO SIGNED B Approved By� Rough—In Date IT NO. SUBJECT PERMIT NO. City of Fridley , 23277 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC, r 1 /---1 CITY HALL FRIDLEY 55432 �---- �'' NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 4/11/95 JOB ADDRESS 02 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Hosch 6570 2 Street NE 571-6125 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Modern Concepts & Design 1700 Su arload Trl, Brooklyn Park MN 55444 6015 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 566-0376 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 30' x 9' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Approved by City Council on 4/10/95 for x1liggNmEd ' sideyard setback from 5 feet to 3 feet. WARNING �e�ore diggir+g lie f� SEPARATE PERMITS REQUIRED FOR �� a�i 11�ii�foC WIRING, HEATING, PLUMBING AND SIGNS. wD 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 I HEREBY CERTIFY THAT I 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 $4,552 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2.28 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER S OR LOCAL LAW REGULATING CON - $72.00 Fire SC $4.55 RUC THE PERFO ANCE)FF C,O 5M3JJGTION. :7 PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $83.83 G NATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERyy VALIDATED THIS IS OUR PERMIT SIGNATURE OF OWNEROF OWNER BUILDER) (DATEiBLCt INSP D ADDN CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address. Sr ® h �, S Trr z 7` IV E Legal Description: Owner Name & Address: S _17'v C �le s c i, 4 5 7 v 2, S` tU C Tel. # Contractor: 1`70d"% C0,7c - pjs f pis , ;h MN LICENSE # Address: P T2 Tel. # _ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height O ` Width i Height Width Hgt/Ground _ Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 2 X ('�� ys Estimated Cost: $ Approx. Completion Date: - Effective l / 1 /95 S- ? t - & 12S- 6 0 I 2,E GaI — SGG -03 7e" Sq. Ft. Sq. Ft. Sq. Ft. 3 l 2Z Z2 g�2 ZJ y (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: y^ l / �s APPLICANT: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 $ 0'0 Fee Schedule on Reverse Side $ y, f5- .001 of Permit Valuation (1/10th%) $ 2,19 $.50/$1,000 Valuation $ $850 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Fmg nxrring $ Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT NO-"--- City of Fridley 26474 AT THE TOP OF THE TWINS ? BUILDING PERMIT I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t . i NUMBER REV DATE PAGE OF APPROVED B L CITY HALL FRIDLEY 55432 .-s-/'�',•� L JO 612-571-3450 - 910-F15 7/7/98 JOB ADDRESS 6570 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Hosch 6570 2 Street NE 571-6125 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tabor & Sons 3716 St Francis Blvd, Anoka, MN 55303 789-1902 20014248 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 Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 sq) Tear-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 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 BO 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 $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,001 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- $74.75 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA EE _ License $5.0 $82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT WATEI EN R P VALIDAJ THIS IS YOUR PERM SIGNATURE OF OWNER OF OWNER BUILDERI WATEI'INSF' PATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � J -7® c2/7 t/ Width Height Sq. Ft. Legal Description:® Length Width Height Sq. Ft. Owner Name & Address: Lenggtth- Tel. # 71 - I s Contractor: may,.>. S MN LICENSE # 0, CO/ Vi,;' e-/ Y Address: '3W(, / ✓y:-2 Tel. # -7 61 — /470 e__ 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: Lenggtth- Width Hgt/Ground Sq. Ft. OTHER: $ Anel lfe lC-oT AloL Sc cle �2s,--q5; c Construction Type: $ Estimated Cost: $ License Surcharge _ $ $5.00 (State Licensed Residential Contractors) (Fee Schedule. on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Z c'L Tel. TOTAL $ , STIPULATIONS: ..'o CITY USE ONLY f� 7 Permit Fee $ / / Fee Schedule on Reverse Side Fire Surcharge $ CS .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $1000 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 [ ] TOTAL $ , STIPULATIONS: ..'o City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PE O. 27093 'r , _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I = , CITY HALL FRIDLEY 55432 612-571-3450 pT NO. �t� 4eJ'] UI NUMBER 910415 REV DATE 8/10/98 PAGE OF APPROVED BY JOB ADDRESS 6570 2 St NE 1 LEGAL DESCR. LOT NO. 8 BLOCK 2 TRACTOR ADDITION Rice Creek Plaza South SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen & Ann-Marie Hosch 571-6125 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Redi Bilt 5615 Huy 169 N_ 559-9006 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 O ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 10x12 shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed must comply with City Zoning Code requirements. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION 1395 SURTAX $.70 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OFC NSTRUCTION. PERMIT FEE $45.75 SAC CHARGE Fire SC $1.39 PLAN CHECK FEETOTAL F $47.84 SIGNATIjRE OF CONTRACTOR OR AUTHORIZED AGENT 1 TEI N P P LID TE T S IS YO PER IT 1-3-LMV I N S P P ha7E SIGNATURE OF OWNER OF OWNER SUILDERI IDATEI NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 65779 2 //,b � , /11 Legal Description: Effective 1/1/98 Owner Name & Address:J ��f�� J��fi✓�/ �{�� Tel. # Contractor: r" MN LICENSE # Address: 5-61-,',-- 4 /6 9 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: 10Y12— Construction Type: (00cO Estimated Cost: $ 9 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:41OA2e APPLICANT: Tel. #-;5�/ CITY USE ONLY 112 Permit Fee $ L% `> • 7 SrFee Schedule on Reverse Side Fire Surcharge $ / . 3 � .001 of Permit Valuation (1/10th%) State Surcharge $ 70 $.50/$1,000 Valuation SAC Charge $ $1000 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 [ ] TOTAL $ g STIPULATIONS: SDI -BILA Size 6 x 8 8 x 8 8x10 8x12 8x16 �2�ty. tc�ood Y��:Cdw,.ge Sq. Ft. Kit $595 725 795 865 1120 10x 100 1060 10 x 12 20 1120 Other Sizes Available Standard Features • Double Doors (except 6x8) • 5/8" floor plywood • 5/8" T1-11 siding • 7/16" roof OSB • 20 yr shingles • 2 vents • Barn- 4' sidewalls • Gable- sidewall height varies by size Built $745 915 1025 1120 1395 1325 1395 Barn or Gable B A R N G B L E • Windows • Shelves • Ramps • Extra Doors • Treated Floor • Felt Paper • Flower Boxes • Bench CUSTOMIZING AVAILABLE Built- Travel Time Over 35 Miles-$2.50/mile + expenses Kit- Travel Time Over 35 Miles-$1.25/mile RED[ -BILI 5615 Hwy 169 N p `�s �t Plymouth, Mn 55442 �` 41 (612) 559-9006 SuBJECT O. City of Fridley 33038 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. t r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER 11EV DATE PAGE OF APPROVED BY 763-571-3450 910-FIs 9/4/02 JOB ADDRESS 6570 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott Hansen/Jennifer Rulas Hansen 6570 2 Street NE 763-502-6823 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 j] REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace 7 windows; reside house 8 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 for 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 their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,400 $1.70 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- Fire SC $3.40 STRUCTION OR THE PERFORMANCE CO STRUCTION $97.25 PLAN CHECK FEE TOTAL FEE 102.35 SIG E F N RA TOR OAA TH IZED AGENT tDATE, HEN PROP VALIDAT THIS IS YOUR PERMIT BL -NSP GATE U FjNQ=ERoF0VVN iDATE� NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: SACS ` S j- N t✓ Legal Description: Owner Name & Address: SC -o* 446-oS -rl /,knv) Y 4t. lac, SPftel. # 'A'3TS0,9-�>�?03 Contractor. SZ MN LICENSE # 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 n OTHER: L l �n lfld o WS ft&Sc dui - �=X " i a� �T1-11 0 uS-e-- Construction Type: Estimated Cost: $ 3,400 • 00 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ DATE. "/ - 4� -09- APPLICANT: Ji�n'n (�Cy. u.105 ��P Serl Tel. # -Aa 3 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. CITY USE ONLY - Permit Fee $ . Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ _ -�70 $.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 [ ] TOTAL $ �� 39 STIPULATIONS: Bijild.ing BUILDING Plan Review Permit No.: 13 Inspections Fire Surcharge RESIDENTLA-L APPLICATION Received By: 763-572-3604 $ o CITY OF FRIDLEY License Surcharge Date Rec"d: ®� DATE 6-26-07 YOUR E-MAIL ADDRESS 517haWA 0 YA51U Cb N1n, 65-70 sITE ADDREss J a � Sf A Curb Cut Escrow THIS APPLICANT IS: 11 OWNER ❑CONTRACTOR Erosion Control PROPERTY OWNER/ NAME: Sco+i t4an3en Park Fee TENANT ADDRESS: 66- 7z) R "5f IU 15 CITY Fra" Elj STATE,WZIP 6543JL Sewer Main Charge PHONE: A 3 -5 G9 -�L' 68;1 Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME: Make checks payable to: City of Fridlev Attach Stipulations STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION pg FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE I 9QO 52'/f ❑ TWO FAMILYINEW CONSTRUCTION STORIES IUA (.,,,r k ",u.Ct PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED 0WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ D�A�N TILE ❑ DECK ❑ SIDING ®'OTHER 6A&;r -�qras5 ❑SWIMIVIINGPOOL ()ie TYPE OF WORK: 13 NEW =DO 70N E3MAINTENANCE/REPAIR M=NG DESCRIBE WORK BEING DONE: �i�5 1�Id , sl. vt � iy c� �o S;,""i'k sow, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SMING 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 WINAOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WIDOW TO BE INSTALLED NUMBER OF'WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1937 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ =0 " OCCUPANCY TYPE Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ o .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 = R x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City 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 all work which requires r view and approval of plans. [ L SIGNATURE OF APPLICANT ^o' PRINT NAME J C,15f i4O'ktlo- r� DATE 6 •-Z16-U'7 S C cif � f -� �LS� 6 � ! �/ � � o- ( i , to SEPARATE PERMITS REQUIRED FOR: UVIRINB NEON6PLUMBING Or' 't -IN (a- cls4l� (o 4z 00 MIN. wt��z t Sc i I� am—s �I tXq-1 til hst4d ,141(, CA e jes5