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PRE 2010 DOCSr 0 Tityof Fridley, Minn. Y� BUILDING PERMIT Date: Owner: L oBuilder Address • Address — _ N° 7318 BUILDING Street _Part of Lot __ Block Z /a Addition or Sub- vision / v Corner Lot _ t/• / Inside Lot Setback 3 6-- Side d Sewer Elevation6 — Poon Elevation ®p ®F F®®Tie-In DESCRIPTION OF BUILDING WI:Front � r Depth : Height �tSq. Ft. J '� 1� cu. Ft.Depth H� t Sq. Ft. �� cu. Ft. Est. CoAf Tw- __ To be Completed APPROVED VF I, 'l! B40OCi-- In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description abovel l in ?Wrance with ;Jl provisions of ordinances of the city of Fridley. i f ) 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 worl�en, in all work done in, around and upon said building, or any part thereof, shall conform in aII respects to the ordinances of 7dy�leMinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings hin etylimitsh�. NOTICE Thk permN don not cover the condrecdon, 6Wallation for whiting, plumbing, gn headug, sewer or water. Be sure to we the Building Inspector for separate permit for thew Nems. - APPLICATION FOR BUILDING PEr IT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS. C7 ADDRESS v LOCATION OF BUILDING No. �� Street 3 a Part of Lot Ck— Lot d- --0 Block fO Addition or Subdivision Corner Lot Inside Lot Setback 3 Side Yard /®_ aY, 9 5. U SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. f{o 4,4 415- Z S 4, DESCRIPTION OF BUILDING To be used as: Front Da.. t 11 Height Sq. Ft. Cu. Ft. Front Yapth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost. To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATESIGNATURE. ,(,Schedule of Fee Costs can be found on the Reverse Side). 40 0 SUBJECT PERM City of Fridley IT 12470 AT THE TOP OF THE TWINS BUILDING PERMIT RE PT N-0-. `L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 7VAlv 7 1 . � "' �'j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-560-3450 910-F15 4/1/74 JOB ADDRESS 4595 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29,30 16 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert R. Archer 4595 3rd Street N.E. 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 ❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR '❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 17' x 14' Addition onto dwelling - ERS sr C& of AL�uS r✓ 917'9" FR. n!. p go & - QUER /o' To S. prmp - L, A16 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR.. WIRIN01 HEATING, PLUMBING ASID SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 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. $5,000 2.50 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 0 ANY OTHER STATE OR LOCAL LAW REGULATING CON- $17.50 STRUCTI N HE PERFOR AN F CONSTFHJCTION, PLAN CHECK FEE TOTAL FEE �($20.00 4 4e&,-11 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY ED THINS YOUR PERMIT Alm../ SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP - DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITTON BUILDING PERMIT CI'T'Y OF 1 -PA LILLY, til! NNI:SOTA OWiJER�S NAME:. 0 r ��e1� BUILDER: ADDRES S : 215- !S 3 rc/ S T / [/ ,EADDRES S : &c� '14 ) e -- STREET: LOT: c; % BLOCK: � % ADDITION:^ CORNER LOT:. ^ INSIDE LOT: SETBACK: SIDEYARD• Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Fam l Front: 107 Depth: /Y or Square Feet: Cubic Feet: Height: %2 / Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Fl, a Y" G Estimated Cost: To Be Completed: � � O :S' ® 0 0 0 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ,ill the facts and representations stated in this application are true. and (orrt-c t , DATE: SIGNATURE: (See Reverse Side For Additional Information.) %. I G•:�r..�"'+.A�S+•n:� �<,.,,y, !"�*,.'^l`.,l.g!p r'"ri -r^' ..,ani �r^_?'�'^l ,� �.n['•a pry e.�R,.-s..$,� ¢4Ad,r„I,E+^ i�1.,,,. AL° rpp� e��rp�� ... �.: ,®.. �....:. � 4:: ov r_die y .v Lsi.-t�.�::zaV` g 4:.1:ia 4L '�.i�ii .d:ln i:3 QL:=d E--2,7r.+tna �:J r 0� PARTIAL RATE SCHEDULE GRAVITY W.P.W. Ara: FUTZ TOT21L Til r=ce Shell & I3 -act Work ... ... . ..... .. $10.00 $ Replacement of rurnam 6,00 q Repairs & Alterations—up to 5500.00 600 $ 'Repairs & Alterations each add. 5500.00 300 g DMCIL WARM PM 3Lrnace Shell & Chet Work to 120,0W BTU each add.. 60,00 BTU . ......... Replacement of Furnace ,Repaim & Alterations—up to $500.00 Repairs & Alterations each add. $500.00 STEAM or HOT VIA3•E.R 1;Y571 -H F urr:ace Shell & Lures—to 400 sq. ft.' F'.DR Steam Furnace Shell & Line- -to 640 sq. ft. EDR Hot Water Each add 204 sq. ft. EDR Steam Each add. 320 sq. ft. EDR Hot Water OIL SURNER—to 3 gaL per hour over 3 gal. per hour—See Fee Schedule ..$10 00 $ 3.00 $ 6.00 $ 6.00 $ 3.00 $ 10.00 $ 10.00 $. xnn $ 3.40 g _ 6.00 $_ 0C GAS BUnINER (up to M.00O BTU) 5.130 $ _ m-ar ?84.Ot1t? BTU Soe re® $chndule GAS FITTING -Lia: No RATE TOTAL 1st 3 F%xtures AS 200 3 Additional Fixtures — x ' •75 $_— Gas Ran„e to 1%3=0 x11 5 -co $ AI13 C°i :D_;r4Gr __r0 3'�.L�=.i:�7i®Fad � P•1L�3u ,.T Ta State Surcharge .50 Sao Foe Zc�_1=10 TaTaL Dopt. off D dgm. ]lostm MO -34M b 9S &iIJ S7- A)F, - City of Fridley: The undersigned hereby makes application for a permit for the wozis heresy specified. agreeing to do all work in strict accordance with the City Orditzricee and ruling of the Department of Buildings, and hereby declarez that all the f2 --v and representations stated in this application are tr.Le and correct. Owner Kind of Buildin'g�,l^c� Used; as To use completed about. Estimated Cost; $ ld New. Building Permit No. _ — Permit Ido• k=L;C iLWh6-R OF Won= IMA77NG or POWER FjjuV7 __Stearn, Not Wates, Warm Air—Ido Trade Name l j_), L,Lt 40LS S!= No—&,S,' _0 B Capacity—_-- — Sq. FL E.D.RBT°J RP - Total Connected Load Of FLV Or*!C BURNM — Tra& Nmm A Size NO Capacity Sq. FL Em R B 7 ts��arxss.-Dental SUBJECT P O. City of Fridley 20015 AT THE TOP OF THE TWINS BUILDING PERMIT r RtGEIRIJU `U -- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By j 612-571-3450 910.F15 7/21/89 JOB ADDRESS 4595 - 3rd Street N.E. 1 LEGAL LOT No. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29,30 16 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Archer 4595 - 3rd Street N.E. 572-1538 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E., Fridley 55432 784-7543 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 Reroo_f Dwelling (27 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. and replacement roost, On all new roofs or tear -offs State Code requires that 2 layers.W24 il mopped together, be Installed to afp1 point es from exterior wall line, or the use of other up underlayment membrane. approved 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 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 $1,350 $ .68 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 Y OTHER STATE ORL LAW EGULATING CON- POVISIRUCTON $33.00 NS RU ONOCAL SR ORFTHE PERFORMANCE OF C �y PLAN CHECK FEE TOTAL FEE Z - A% $33.68 SIGNATURE OF CONTRACTOR OR AUTH RIZ DAGENT IDnrE) - WHEN PROPERLY VA rFpATED THIS IS YOUR PERMIT �, fth A ,Qt111-21 SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI BLDG INSP jr1A7E NEW [ ] Effective 5/1/88 ADDU [ ] R-1 AND R-2 ALTS [ l Building Permit Application Construction Address: 9:zq-5- 3 P -d LT E- Ad� Legal Description: Owner Name & Address: Wuohe-g-J" Tel. # Contractor: Tel. # A ZI�%7SS-3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIaN OF 33 LIVING AREA: Length Width Height Sq. Ft. GMRAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Int [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: w -f- V-- �i;e- Estimated Cost: $-- Approx. Completion Date: gad Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: — APPLSCANT: Tel. # Permit Fee $ Jj . 6 State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: CITY USE OMY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary L ] Not Necessary L ] SUBJECT P .-- City of Fridley 22776 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. tr _ PROTECTIVE INSPECTION SEC. 0 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 t8/5/94 JOB ADDRESS 4595 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29,30 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert/Mary Archer 4595 3 Street NE 572-1538 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 Interior wall removal and replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Any bedroom windows must meet the State Egress requirements. Provide woke detectors adjacent to all sleeping areas and in basement. SEPARATE PERMITS REQUIRED FOR WIRINGI HEATING, PLUMBING AND SIGN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $2,500 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $54.00 Fire SIC $2.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $57.75 FCO R. To AUTHORI D AGENT IDATEI SI � T HEN P RLY VALIDATED THIS IS YOUR PERMIT / BLDG MATE • S NATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW Effective 1/ 1 /94 ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application r. Construction Address: 7' Legal Description: r, Owner Name & Address: -c c �4.�Z Tel. # Contractor: 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. Length Width Hgt/Ground Sq. Ft. A Q /al 4//z Comer Lot Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: - dC C' Z/ I Estimated Cost: $ Approx. Completion Date: ? F Jam` (Cost on Back) Driveway urb Cut Width Needed: Ft. + 6 Ft = Ft x $ DA-DATE:ma APPLICANT: Tel. # CITY USE ONLY Permit Fee 5), 0 0 Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ -P 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 I I Not Necessary TOTAL C-'TIPULATIONSI-....... SUBJECT City of Fridley 26534 AT THE TOP OF THE TWINS PERMIT ' , -RECEBUILDING NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 •" �'� 612-571-3450 910-F15 7-10-98 JOB ADDRESS 4595 3rd St NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 129 & 30 16 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS? ZIP PHONE 572-1538 Mr. Archer 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal by Andersen 350 73rd Ave, Fridlpy, 99432, S112-41-7-7, 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 B DESCRIBE WORK Replace 4 windows in home within existing openings. 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 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 $3,565 $1.79 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- $87.25 Fire,SC $3.56 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CFJECK FEE License SC $5 0 TOTA EE $97.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI P P . "" I ALIDAT HIS IS �YUR42P RM �'TE SIGNATURE OF QW NERIiF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY a ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION_.: ConstructionAddress: L(�� Legal Description: Owner Name & Address: l-� L(� – �y �� % Tel. # 5"79-15 3� Contractor: '00&0 MN LICENSE # SILLALLIC Address: Tel. # A 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: Dy a-)lto re, q t X)) ,%rvr� r ,7_ 11r,\ I'/ --A &'v An It e Construction Type: Estimated Cost: $ 3SV5 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (�� APPLICANT: Tel. # � .� r✓ CITY USE ONLY Permit Fee $� Fee Schedule on Reverse Side j Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S� $5.00 (State Licensed Residential Contractors) 6V Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review 0Z Park Fee $ Fee Determined by Engineering �+ Sewer Main Charge g $ A reement Necessary. g ary, . [ ] Not ,Necessary [ ] _ TOTAL STIPULATIONS: — . 0 SUBJECT �• City of Fridley 31384 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. SO- r PROTECTIVE b{I& 1 = � 1 "'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED 8V 612-571-3450 910-F15 9/11/00 10B ADDRESS 4595 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 29,30 16 I I Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Bob Archer 4595 3 Street NE 763-572-1538 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Dr, Lino Lakes, MN 55014 651-784-2646 1748 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 1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House, Reroof House, Gutters 9 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. Roof underlayment must comply with the State Building Code. Permit Insctin Usrds Will Be Mailed 4 Y loft 00 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFCOPANCY 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 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 $16,740 $8.37 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARG PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $279.25 Fire7c $16.74 PLAN CHEneTOTALXE E Lic C 0 $ .36 SIGNATURE OF CONTRACTOR OR AUTMORIZEO AGENT IDATEI PR VALI A IS IS R PE I�u IT —� rJ SIGNATURE OF OWNER OF OWNER SUILOERI IDATEI lOG I LATE NEW [ J Effective 1/1/2000 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �D�I 38 Construction Address: 5 I J 3 1j Legal Description: �I Owner Name & Address: Tel. # Contractor. t&LAPM MN LICENSE #� Address: 7 h D Tel. # 6l—jO 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 I Width Hgt/Ground Sq. Ft OTHER: Construction Type:fk'I- Q4')JjxUEstimated Cost: $ I j-740, Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ y iI DATE: q-3-0 U APPLICANT: Tel. SAT- / F CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ d a 5 Fee Schedule on Reverse Side Fire Surcharge $ i .001 of Permit Valuation (1/10th%) State Surcharge $ $.3 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ S. o d $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 $ 3 Q 06 STIPULATIONS: City of Fridley SUBJECTP (4:- 0*" NO. (33604 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910-F15 6/12/03 JOB ADDRESS 4595 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 29, 30 16 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert & Mary Archer 4595 3 Street NE 763-572-1538 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Dr, Lino Lakes MN 55014 651-784-2646 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1748 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION REPAIR 0 MOVE O REMOVE B DESCRIBE WORK Reroof Gazebo 4 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Permit Inspection Cards WillBe an To Homeowner To Post 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 I 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 $500 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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. $23.50 Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CH FEE TOTAL FEE icen SC $5.00 1 $29.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PROPERLY VALIDATED THIS IS Y UR PE MIT SIGNATURE OF OWNER,.F OWNER BUILDER, IDATEI BL G IN F)TE LF 01, NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION O -W* - ConstructionAddress• Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: d, Tel. # 76 3 R 'I ` MN LICENSE �llt}P)� M�h(1 Tel. # 6 l'-7$4 rd-�Otib 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. Length Width Hgt/Ground Sq. Ft. Construction 'hype: Estimated Cost: $ V— (Fee. Schedtile on Back).;. D ., ... Driveway Cup b Cut Width Nee ed: '' Ft.' + 6 Ft = Ft x '$ _ $ DATE: �a3 APPLICANT:QLkw- Tel. #6 CITY USE ONLY Permit Fee $• �� Fee Schedule on Reverse Side Fire Surcharge $ �D .001 of Permit Valuation (1/10th%) State. Surcharge $ • SO $.50/$1,000' Valuation SAC Charge $ $1050 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: