The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3764 Date: .... ... . .. ... .......... . ow Owner 7 zJ . ...�,�1.' .. . . . ....... Builder .......... .. ..................... Address ...................................... Address ............................................. LOCATION OF BUILDING No. .7..� . Street .. I.�.. 16V ................ Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division ....................................... Corner Lot ...X ...... Inside Lot ............. Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: ...... Front V24..P Depth .... Height /C.'P7 Sq. Ft. ..1.4�. cw Ft. .................... Front ....... Depth ........ Height ... Sq. Ft......... Cu. Ft ........ Type of Construction .................... Est. Cost..,....... To be Completed In consideration of the issuance to me of a permit to construct the building desribed 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 $..�,.......... permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon theexpress condition that the person .to whom, it is granted and tris 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. 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. Z APPLICATION FOR BUILDING PERMIT CITY OF'FRIDLEY, MINNESOTA Oi *ra...Name ��D / %�' Builder 1✓I% Address �d,.:. ✓�_� �STAddress z JP -,4 LOCATION -OF BUILDING No`e Street J2 sT _ __.:Part of Lot Lot ... Block Lddition or'Sub. Div. -�Oornor Lot—Inside Lot Set Back --.-Applicant attach to this form Certificate of Survey of Lot and proposed building location. D'CRIPTION OF`BUILDING To be used. •as Front . c�O a Depth L, -L ight Sq, Ft... ---- Cu,, Ft. Front —Depth eight Sq, Ft, Cu. Ft., �.. �...�.. � Ty --c of Construction Cow+• To be completed The andersi.gned•hereby makes application for a permit for the.work herein specified, agreeing to do all work in striA accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that•allthe facts and representations stated in this application are true and correct, Date Signature (A Schedule of Fee Costs can be found on the Reverse Side) CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND each addn. 50,000 BTU .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 GRAVITY WARM AIR: RATE TOTAL Job Address $^ Furnace Shell & Duct Work $12.00 $ (over 199,999 BTU see Fee Schedule) Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. 19200 OWNER _..' _.�q Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x Additional Fixtures x Gas Range to 199,000 TU x AIR CONDITIONING FAN HEATING SYSTEMS See F e Schell e VENTILATING SYSTEMS ALTERATIONS & REPAIRS $ 3.00 $ $ 1.00 $ $10.00 • $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT $ .50 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COSTI®/)e NEW BUILDING PERMIT NO. PERMIT NO. 0 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. �� i Trade Name �^ Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Suburban Air Conditioning Co. Company 84.19 Center Drive Signed By Pratin apoiis, .' nesota 554 Tel. No. SUBJECT PERMIT,.N-O--- City of Fridley 19567 AT THE TOP OF THE TWINS BUILDING PERMIT _ r - RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 L 612-571--3450 910-F15 6/28/88 JOB ADDRESS 4880 - 231 Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1,2 3 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ted/Elinor Thoennes 4880 - 21 Street N.E. 572-8947 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panel Craft of Minnesota, Inc. 3118 Snelling Avenue So., Mpls. 55406 721-6628 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 ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside .House & Garage; soffit, fascia & window trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $4'700 $2.35WITH 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $74,35 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 1DATE) WHEN PROPERLY V LIDATED HIS IS YOUR PERMIT BLDG INSP f1AT SIGNATURE OF OWNER IIF OWNER BUILDER) tDATEI NEW [ I AMN [ ] ALTER [ l Construction Address: Legal Description: Owner Nene & Address: Contractor: PANEL cnAFroF R-1 AMID R-2 Building Permit Application Address: f MINNEAPOUS, PAN 55406 Effective 5/1/88 Tel. #_T-72 z W7 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVEMTP LIVING AREA: Length Width Height Sg. Ft. QNMM AREA: Length Width Height Sg. Ft. DECK AREA: Length DEM.- EMICorner Width Hgt/Ground Std. Ft. CornerLot [ l Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ ZQ�r Approx. Completion Date: Vleokg weA� �� h Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: APPLICANT: CITY USE ONLY Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL STIR)IMIONS: $ ®�' Fee Schedule on Reverse Side $ 36 $.50/$1,000 Valuation $ $550 per SAC Unit $ Alt. "A" or Alt. "B" Above $ Flee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] i A? oo 3�a 27 'P.0 OF SUBJECT P City of Fridley 25850 AT THE TOP OF THE TWINS BUILDING PERMIT P � t COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 �j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/13/98 JOB ADDRESS 4880 2 1/2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 3 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ted Thoennes 4880 2 1/2 Street NE 572-8947 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Marinaro Construction 719 Paul Parkway, Blaine MN 55434 754-5030 20023644 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 ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement bathroom 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. AWE PERMITS Riwww FoR r WIRING, HEATING, PLUMBING AND SIGNS. 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 S0. 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 $1.09 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,176 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVINS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.18 STRU TI NOR THE PERFORMANCE OF CONSTRUCTION. IIZ PLAN CHECK FEE TOT FEE InaNAMME Lice $5.0 $83.02 — GNATURE OFC NTRACTOROR AUTHORIZED AGENT IDATEI EN ROPE BLINS Y LIDATE THIS IS YOUR PR�Ir ' 3 !/6 MATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI OF NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY��\ ALTER 04 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � \U BUILDING PERMIT APPLICATION ConstructionAddress: L! ?O ; /& S `'f' Legal Description: Owner Name & Address: w Th ®e vin es Tel. # 572- qq 41 7 Contractor: S+_ r MN LICENSE # Address: � I q PCkv l PA vI(� CLy 1A l n e M V1.a S�13Tel. # 79-1-<030 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: I'm _S4o I I 8e: 4 h voo�,— i n Lower l e v e l 6'X f qO Construction Type: ReModd Estimated Cost: $ ®J 7 47 00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. ± 6 Ft = Ft x $ = $ DATE: APPLICANT: CITY USE ONLY Tel. # 7 �V sD 3 d STIPULATIONS: Permit Fee $ I Y, Fee Schedule on Reverse Side Fire Surcharge $ C, 1 .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 [ ] ®3. Oz TOTAL $ STIPULATIONS: /,ff NIQ Pa v+z`A 34 ro W61,t� I x"r-$,it ct+tbosewwwtnjw SPC 4715 1380 ANTI—SCALD DEVICES Showers or combination sh.-Wer bath shall be� pro -Med With a pressrl is iaia.1v lit OF — thermastatic type anti scald type control va] in accordance with ANSI/ASSE standard 1016 — 79 t A T S vgPetndfA C49►tfA5 ::j:* n S4r.t! 0 %_C.. t ri -t^v dlS+, £, v e jA+ 'r4* 5+00t C.'e, L_Gav, TKS44,it C "P0ty f f K uS CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS z1rff0— New Fixtures $ 7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 '1998 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 _ Owner Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 3 Gas Dryer** $10.00 Estimated Cost PERMIT NO. / Back Flow Preventer Required ( )Yes () No Type $15.00 �1 PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY ��`"'a/�/�C�.�—� TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance All o d p Approved ByRough—In Date Final Date State Surcharge $ .50 MINIMUM F4EER ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ > - PLUS THE $.5 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. SUBJECT City of Fridley 2 6 6 3 3 AT THE TOP OF THE TWINS BUILDING PERMIT' No COMMUNITY DEVELOPMENT DIV. y r s PROTECTIVE INSPECTION SEC. � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 17/7/98 JOB ADDRESS 4880 2 1 2 St. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 3 lPlvmouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ted Thoennes572-8947 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S. MPLS MN 55406 721-6628 2179 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 Xp REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Fascia Trim Doorhood 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 1538 77 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. 51.25 Fire SC $1.54 PLAN CHECK FEE TOTAL FEE License SC $5.00 $58.56 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY A IDATED THIS IS YOUR PERMIT BLDG ASP� .� ryaT 11 SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI N L W I WICCLrve 1/ 1/94 ADDN I ( CITY OF FRIDLEY ALTER I I SINGLE FAMILY AND DUPLEXES R -I AND R-2 � U0 Building Permit Application Construction Acidress: 0 _ C;2- /,;L•- -.f . lV i� , frac dlei/ Legal Description: - -----_ _ — Owner Name & Address: _le'al -f� 4Ze 1714 -5 _�i��0 A),6 Tel. // Contractor: _�ne�g��_ _ MN LICENSE ll�� Address: _ /��57 _ �� °tea 1l 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 Sq. Ft. Length Width Height Sq. Ft.- Length t.Length Width Hgt/Ground Sq. Ft. Corner Lot I I Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ l 3 Approx. Completion Date: ? d (Cost on .Back) Driveway Curb Cut Width Needed: Ft. + G Ft = 17, t x $ DATE:�L it Tel. 11 7;./- (o APPLICANT: ( r� . Permit Fee Fire Surcharge Slate Surcharge SAC Charge License Surcharge Driveway .Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ S Fee Schedule on Reverse Side .001 of Permit Valuation (1I1001%) $ T , 77 $.50/$1,000 Valuation $ _ $800 per SAC Unit $ '00 ` $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "I3" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary j j Not Necessary i I $ 00, STIPULATIONS: A / , x � V��' �/ .. SUBJECT City of Fridley 27666 2 7 6 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. p, NUMBER REV DATE 9/9/98 PAGE OF AP ROVED BY _ �___t CITY HALL FRIDLEY 55432 IL---- f %.J 612-571-3450 910-F15 JOB ADDRESS 4880 2j St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 3 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP Ted F. Thoennes 4880 2� St 55421 PHONE 572-8944 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 ❑ NEW ❑ ADDITION ❑ ALTERATION 1p REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 089#xjjjxxxafd house & garage (20SQ) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 11 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 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 $3,050.00 SURTAX $.86 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 PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 56.75 Fire M $1.71 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FE 9.32 IGNATURE OF TRACTOR OR AUTHORIZED AGENT I/D�ATEI G� EN P OPE V (DATED BL09MNSP IS PER IT ryATE S)GNATtfRE OF OWNER OF OWNER BUILDER) IDATE)f NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:I Legal Description: Effective 1/1/98 Owner Name & Address:rZ� �� /�%%�C� Tel. # Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT l Length Length Length a Tel. # Width Height Sq. Ft. Width Height Sq. Ft. Width —�, Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: APPLICANT: Estimated Cost:y- d (Fee Schedule Back) Ft x $ = $ CITY USE ONLY Tel. # $ 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 [ ] $ �'S 32 Buit ing Inspections 763-572-3604 DATE � � S I v t:' SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBWT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ;L A. YOUR E-MAIL FriG [OWNER ❑CONTRACTOR NAME: Kri's $ e ADDRES • 7c?/1 NAME: .001 times the total job valuation STATE LICENSE # $ EXP DATE 4e Permit No.: Received By: Date Rec'd: i STATEI�'ZIP ��ya� ADDRESS: CITY STATE ZIP Dvnwrn FAX INGLE FAMILY/NEW TWO FAMILY/NEW C( ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: ❑ NEW ❑ MAD DESCRIBE WORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other U-4CE/REPAIR etlueo. ❑ GARAGE/SHED ❑ ROOF ❑ SIDING ❑ SWIMMING POOL ❑ ADDITION ❑ REMODELING +j yj arr "wa LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia ❑ DRAIN TILE ❑ OTHER WIDTH HEIGHT Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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 T 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 16-&0-00 OCCUPANCY TYPE Permit Fee $ K24 -(0 See Back Page for Fee Schedule Plan Review $ e 65% of Building Permit Fee Fire Surcharge $ 6 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) SAC Charge 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 which requires re .e and approval of plans. Y / f /� SIGNATURE OF APPLICANT "V PRINTNAME (—fls w ` k44A' DATE l t b&eplo� 2X6, OSB/PLYWOOD) 2k� 061al6IL i 2X4 CONSTRUCTION EXCEPT WHERE NOTED r��e 4xus�. � (Pe