Loading...
PRE 2010 DOCSSUBJECT -ow--AT-14 0. City of Fridley 28304 AT THE TOP OF THE TWINS BUILDING PERMIT P -W NO. ------COMMUNITY DEVELOPMENT DIV.®� INSPECTION SEC. r PROTECTIVE 1 NUMBER HEV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/19198 JOB ADDRESS 4632 2 1/2 Street NE 1 LEGAL BLOCK ACT OR ADDITION rFl SEE ATTACHED DESCR.7 ILOTNO. 8 11 Outh SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Towberman 3 CONTRACTOR MAIL ADDRESS. ZIP PHONE LICENSE NO Viking Home Improv. Co. 4832 2 1/2 St NE MUls 55421 572-IR20 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 and garage (14 S Tear-off; Reside house and garage; Soffit and fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. Install soffit ventillation to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 1 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 $5199 $2.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE7 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU OR THE PER MANCE OF CONSTRUCTION $112.25 Fire SC $5.20 PLAN CHECK FEE TOTAL FEE 1IG+NATUOFQ6N/RACTORORAUTHORIZEDAGENT License SC 5.00 125.05 IO E, HEN PROPERLY V DATED THIS IS YOUR PERMIT SLOC/-NSP77 8 QAIE S.GNATURE OF OWNER IIF OWNER BUILDER, [DATE- - NEW' I ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONS g ConstructionAddress: L4(03 2, 2 Y Z /-). e. Legal Description: Owner Name & Address: O -rb woFie to.4-,V Tel. # 57!j y7 Zi/ Contractor: MN LICENSE #'� Address:W 2- Z V2 -54, 1/, , Tel. # 57 Z 1&7--0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: D 5.O' rr-17 Construction Type. (� Q� ��t su�rrtso �'����-� rO�SlR�stimated Cost: $ cv0 ' ° + 104®= j 24do�" (Fee Schedule on Back) 7/71 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ -.519L DATE: 10/lc(/15 APPLICANT: Tel. # ��-d Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 1 C2. 02'5� $ 'S-10 CITY USE ONLY Fee Schedule on Reverse Side .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 [ ] Effective i CITY OF FRMLEY MOVING [ ] WRECKING PERMIT APPLI 6431 University Ave NE Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 �{ 1 �^ ,C Job Address: ?- C'pJp� a S feIV- lt_i !- •, PR I -Pte`, // /ii, Legal Description: Owner & Address: Contractor: (rj Address: S 1 State License # DESCRIPTION OF BUILDING HOUSE: Length Width Height Sq. Ft. GARAGE:Length Width Height Sq. Ft. OTHER: Length Width Height Sq. Ft. Estimated Cost $ Cj�Q Off— Approx. Completion Date N l Tel. # 7 'oZ0 "4%73 0 . K/-3�S-?3 Cu. Ft. Cu. Ft. Cu. Ft. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Paid: Yes [ ] or Collect [$ Moving Route: ] Signature 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 Division, and the State Code which requires 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. ALL Date Moving Wrecking Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: r-20, 0() MINIMUM $20.00 STIPULATIONS: /^ P /I')_.. n - �?;4 5- - 17--3 --� 9 Building BUILDING �.��� ermit InspectionsRESIDENTIAL APPLICATI N Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE — ('' S YOUR+ E-MAIL ADDRESS SITE ADDRESSo1- THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: Ali TENANT r ADDRESS: 4 Gs Sal l — Q yi S !'. A) F. CITY I� L � STATS 7y� IP S�Na'v PHONE: �D �' ®Zi!, 173 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITIONGARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAINTILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:W El ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: r4 SIZE OF IMPROVEMENT c2 ,30 (7 LENGTH Q o; + WIDTH 3 ®' HEIGHT $ Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGESr x30 ❑ ATTACHED GARAGE Az 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE:�a/ PROPOSED HEIGHT: !3. ❑ DETACHED GARAGE 6000 k �� �.�i�0 �� List of structural members to be used 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 ❑No LOCATION OF WINDOWS 3. 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: (USING1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ��S�� OCCUPANCY 1-1( TYPE Permit Fee $ See Back Page for Fee Schedule PIan Review $ ,;� 65% of Building Permit Fee Surcharge $ /, i71) (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ /0. C .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 $ $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 Fridley 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 w 'ch requires peview and approval of plansSIGNATURE OF APPLICANT PRINT NAME �k) VW DATE • C:.� Certificate of Survey for �7- 0.1 D -G V C {' _ N Id 1 7 - 1 y AAe 4Z44I Ale ON 5 1 ot 77— U LO a ; I hereby certify that this is a true and correct representation of,* survey of the boundaries of the above– ,described land, and a ' f the location of W4 buildinglPt,,theroln, and all visible encroachments, if tiny; from or an said land. As surveyed by me this JZ"fdoy of A&*.jP D. 19 Z Stk#GURBAN. ONOME-SONG, INC. L Engineers 5 r e.yors by;,e�wa OtOu wi AII'k4hts Reserved ' X9.:3`1_:^!,: � 'A+� .ry � Ar �" ���� h:P'F:dA'-.' ok CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:06292006 (763)572-3604FAX: (763)502-4977 Permit #2006-01206 4632 2 1/2 ST NE ADDRESS: PIN:263024330036 LEGAL DESC:UNAVAILABLE :LOT O BLOCK O PERMIT TYPE:ELECTRICAL PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:ELEC CIRCUITS NOTE: CALL FOR ROUGH IN AND FINAL INSPECTION H.O. PHONE # TWO CIRCUITS, NEW DETACHED GARAGE. STATE SURCHARGE, ELEC FLAT0.50 APPLICANT ELECTRICAL PERMIT FEE40.00 KEVIN & JULIE LARSON ELECTRIC FORM FEE1.00 4632 2 1/2 ST NE TOTAL 41.50 FRIDLEY, MN 55421 Payment(s) CHECK61792101041.50 OWNER LARSON, KEVIN P 4632 2 1/2 ST NE FRIDLEY, MN 55421- AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. I hereby certify that I have read and examined this application 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 does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant____________________________Date________ Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:06/29/2006 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2006-01206 4632 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330036KEVIN & JULIE LARSON LEGAL DESC:UNAVAILABLE4632 2 1/2 ST NE :LOT O BLOCK OFRIDLEY, MN 55421 PERMIT TYPE:ELECTRICAL PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:ELEC CIRCUITS BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS ELECTRICAL FINAL06/29/07PBOBC ELECTRICAL ROUGH-IN07/14/06PBOBC INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.