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CITY OF FRIDLCY Effective Aug. 1, 1981 ' APPLICATION FOR RESIDENTIAL BUILDING PEN41TS (New, Alterations, Additions, or Repairs) OWNER: =��L,:UC. S � BUILDER: ADDRESS: i C,(tl('v{rs: { A -UC. AJ4 ADDRESS .� r� C � i TEL A0: �Ll©,--> TEL NO: Construction Location _r STRICT NO: L/UQ STREET: A LOT: o BLOCK: ADDITION: peg o Z✓4 Corner Lot: Inside Lot: Setback: Sideyards:, Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRt1CTION `wc ((�' �� Front: Depth: Square beet: Gf / Z Cubic Feet: H eight : Front:, _ Depth: �� Height: Square Feet: `'1 Cubic Feet: Type of Construction: Tb Be ODripleted: Estimated Cost: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE P.EVER.13E SIDE OF SHEET Mie undersigned hereby makes application for a permit for the %:,ork 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 represen uitions stated in this applicati9pq are tree and correct. 4 DATE: �'�22�`� � SIGNATUM Stipulations; . Z,P.` a�0 Community Development Department PLANNING DIVISION DATE: _ April 12, 1993 City of Fridley TO: John Flora, Public Works Director FROM: Barbara Dacy, Community Development Director Michele McPherson, Planning Assistant SUBJECT: Easement Encroachment at 4795 3rd Street; David Singaglio Mr. Singaglio owns the property at 4795 3rd Street (see attached property survey). He is proposing to locate a single family dwelling on the property. A 25 foot drainage and utility easement is located on the property. The footings for the front door, a window well, and the bay window will encroach into the easement. Our questions to you are: 1. Are there utilities located within the easement? 2. Does your department have any concerns with the Council granting Mr. Singaglio permission to encroach into the easement? The City would also execute a hold harmless agreement with Mr. Singaglio. Mr. Singaglio also proposes to pave the areas highlighted in pink on- the survey. City Code requires him to maintain a three foot setback on the north and south sides, and would limit him to a maximum driveway width of 32 feet. To exceed these limits would require a variance. Assuming that a variance was granted and he was permitted to pave those areas highlighted on the survey, are there any stormwater issues to be aware of? Will the storm sewer handle the increased runoff from this site? Do we need to require a grading and drainage plan and/or a detention pond? Please provide the requested information by the -week of April 19, 1993. This will provide us with adequate time to prepare the agreements to be approved by the Council at its May 3, 1993 meeting. Your assistance is greatly appreciated. M-93-191 y� r3 I .3 CANE 9 OWALLEY LAND SURVEYORS, INC. a+ 17720 Highway 65 N.E. Sodervi//e, Minnesota 55304 ? 434-7646 SURVEY AND PLOT PLAN FOR: Preferred Builders DESCRIBED AS: Lot 30, Block 8, PLYMOUTH, according to -the recorded.'plat thereof, Anoka County, Minnesota, including the vacated.'.:.. 12 foot Alley and the southern half of. vacated 48th Avenue At I Mp k w vl 5f-- Sew T. c.= 840.1 944.6 e4l.0 M M c>swK /,ik reoe 3 9� I east. Dor" verer fAlpt T � � 1 1 -j 1 L /)_/77 V) 1Q I L_ � S / Awmmr c`+►rwr rAwr rM/s s&wvrr, PLAM. " Rrra►r IAs rqE!> Apra Jr A►E orr i4mwr A/r xwmcr JWEA'Y/t/OXY ANO TMA r / AN A DULY A1E WE&EO LAAO SUA'YEYON MADE* ME LAWS OF TME STATE OF AI/MMEJOTA. SCALE ' / /NCN • �� FFFT p,,,s 1� s o✓o a; <.I L r•. G�='�"""�E- " o DENOTES //7 INCH /RON Pipe SFT " ® oENOTBs FOUNo /RO# wONVNENT. x �4"' J ' �' ek ?� �Q��� 9£AR/NCS SNOwN ARE ASSVNED n ,� ` DATE 19A -y —_– REO. NO. lZ.Z s l jC 4o res w•C10 " �i4 _."E r CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE DULE Residential Rate Furnace Shell and Duct Work, Burner - -3D, CSO Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 Gas Range $10.00 Gas Dryer $10.00 *Air Conditioning -All Sizes All Others/Repairs & Alterations (LIST. ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1 % of value of Appliance or Work State Surcharge TOTAL FEE Effective On January 1, 1995 JOB ADDRESS rd 57' n 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 at rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1995 OWNER BUILDING USED AS c� STIMATED COST S.�171 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THEA -50 STATE SURCHARGE REINSPECTION FEE $30.00 PERMIT NO. No. of Heating Units l Circle One (Steam) (Hot Water (Warm Air Trade Name Size No. BTU -7 S, ooO HP EDR Fuel 611-%A 5 Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY_, Signed Approved ,-. _'Y� Tel No. 5 7 - 5 Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () ) No 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 ( ) S. Meets all current Code requirements for size and total BTU's connected Yes( ) " No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: l0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective. On January 1;1,995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water Stories Closet Urinal Bath Tub !Shower Wash S>tiC Tray Dnnit�' Floor Gatch 'Auto. Foutl.. , Drain Gas Gas Washer A ';I!. _,r a Kilisc Fixt...::::t Water Neater Gas Elec Basement $ 7.00 °, IntI WIN IJ $ 4.00 Floor 1 Floor 2 $ 5.00 IA4[I �ir�!; � r L .. Blow Off Basin $ 7.00 Floor 3j Catch Basin F i :i Rain Water Leader Floor 4 N yp; :..:. 6 Water Treating Appliance PLUMBING FIXTURE RATES: NO. RATE TOTAL �® New Fixtures / ` v $ 7.00 °, Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00, Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas �_ $10.00 Gas Range$ .�� 1 a q, 0.00_ Gas Dryer $10.00. Back Flow Preventer Required ( )Yes _ () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Picture or Appliance State Surcharge .50 TOTAL FEE /c�). SD 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. 91995 Owner 2/tD/NllJ/AU-'L��� Building Used As �2 a9 W4 Estimated Cost PERMIT NO: PLUMBING COMPANY- 0(e o,( -je., SIGNED BY Approved By TEL Nd, . 5 �' 7 Rough—In Date Final Date PLUS THE $.50 STATE SURCHARGE- SUBJECT PER City of Fridley6 AT THE TOP OF THE TWINS BUILDING PERMIT RE O. v -____- COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 30�� 1 . i _ /"'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY A" 1'j 612-571-3450 910-F15 8/10/95 JOB ADDRESS 4795 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30 8 Plymouth, plus 12' alley and S 1/2 of vac@L ftd 48 Ave 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Sinigaglio 4795 3 Street NE (4875 3 St NE) 571-5858 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 Cj NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 32' Dwelling and a 24' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SEWER LOCATION: 15" VCP off 3rd Street - MUST BE TAPPED WATER LOCATION: 12" CIP Watermain, W of sanitary line - MUST BE TAPPED WARNING BOOM digging call for aN Utilft. t�oc2tiona SEPAR'Al E .. PEAMRS REQUIRM MR BY LAW WIRING, HEATING, PL:ULIBING ANP SIGNS. REQUIRED 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 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 Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT @ $138,974 $69.49 $138.97 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- $00.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $776.00 PLAN CHECK FEE T L FEE 1,834.46 NATURE OF FON7R TO AUTHORIZED AGENT IDATEI NPER Y TE HIS IS YOUR PERMIT aLDG ZNSP QATE OFO EZROWNERBUi DER iDATEi 0 NEW Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER { J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1 -� 95 -_ _5T V1 L Legal Description: Lo 1- � 43 1 t 5 P /LA ►nom 0 +tA— v Owner Name &Address: jausl _S I �L t �Tel. # 5,6 Contractor: ��'C MN LICENSE # Address: 44,-)s - �5 616Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I26 if f09. , _ LdAl- 32/Height Sq. Ft. h.3 ')y LIVING AREA: Length width - GARAGE AREA: Length width Height Sq. Ft. DECK AREA: Length width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot Ft. Yd Setback " Side Yard Setbacks .® /'9 ' • Type of Construction: Cost: $ UvL/on: � - 1 � Approx. Completion Date: S g S -Ts �S .• 8 S " �3 �i d ��' '�9711 (Cost on Back) Driveway Curb Cut width Needed: Ft. + 6 Ft = DATE: APPLICANT: Ft x $ Tel. # TOTAL STIPULATIONS: 0 CITY USE ONLY Permit Fee $ �, Fee Schedule on Reverse Side Fire Surcharge $ ZZ 57-7 .001 of Permit Valuation (1 / 10th %) State Surcharge $ fo% 1/9 $.50/$1,000 Valuation SAC Charge $L, �� $850 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: 0 SIN 249 RIGHT -J SHORT FORM 8.3.95 Jot, 1: Htg CIO For: SINCO.BLDRS Outside db -16 92 DAVE Inside db 72 78 _ Design TD 88 14 Daily Range - M Inside Humid. - 50 By.-4795.3R0.5TREET.NE r' Grains Water - 33 FRIDLEY.MN _ Const, Quality a �----- 1 of Fireplaces OK HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Type Type Efficiency / HSPF 0.0 COP/EER/SEER 0.0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Teep Rise 0 Dec F Total Cooling 0 Deg F Actual Heating Fan 1207 CFM Actual Cooling Fan 1207 CFM Htg Air Flow Factor 0.031 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 89 ROOM NAME 1 AREA 1 HTG 1 CLS HSG CLG 1 SQ.FT. 1 BTUH 1 BTUH 1 CFM 1 CFM KITCHEN 1 1B2 4933 1 3619 i51 194 BRI 210 3871 2209 1 118 1 118 BTH.MECH 168 3778 ; 1718 1 115 1 92 LIVING 1 266 1 4335 1 1710 1 132 1 91 BR2 1 212 1 3853 1 2641 1 11$ 1 141 KITCHEN 1 250 1 4696 1 3552 1 143 1 190 LIVING 1 192 1 4133 1 2255 1 126 1 121 BTH 1 16B 1 4000 1 2217 1 122 1 119 FOYER 1 160 1 5951 1 2652 1 182 1 142 Entire House 1 1808 1 39550 1 23342 1 1207 1 1207 Ventilation Air 1 1 12584 1 770 1 1 Latent Cooling 1 1 1 3688 1 1 TOTALS 1 1808 1 52134 1 27030 1 1207 1 1207 iy 41 CAINE & ASSOCIATES LAND SURVEYORS, INC. 17720 Highway 65 N.E. - Statin. Lake, Minnesota 55804 484-7646 CERTIFICATE OF SURVEY FOR: Sinco Inc. DESCRIBED AS: Lot 30, Block 8, PLYMOUTH, according to the recorded plat thereof, Anoka County, Minnesota, includinq the vacated 12 foot Alley and the southern half of vacated 48th Avenue N.E. Fxis7- g4Z•3/�//-11f/,.1�� 841.9 �wtzoy •s�,e +abp, = /Ce��;er /ane a�' V�4i:�c/ 4►9Tf/ AxE- PKiYgiL I 64.00 I i 94°.9 0 / M I a riE iTy / EASE.e1E'v f� 1 N I I �i MJI V / -- �' rimz - x84z,D LD Bor Su25uE mft '�� V y, I _ 32 MJI V +B4e.a rimz - x84z,D TL= 8¢0 38 I _ 32 JNV= 8274•L p (84a.$) FX / � I TL 84/.185 g41• - 3Zrt - 1 P4oPasED y� PQ( °posEp �► ��s q NOTE a4�vtwav cQ 4ti P Noc.Sa, ago v �J for compliance with all ordinances N \ 10w-0 Denotes Existing Elevation 4na-.J-� �.+�.9 Denotes Proposed Elevation !8414) 35.00 L',a I - 84Z.5 I l0.19YC8�� 1 [�la�%oo CB4f.4) 2%_ 041Mali • DENOTES FOUND IRON MONUMENT. Proposed Top of Foundation Elevation -643.X El DENOTES WOOD HUB SET.0AAWu°7�Q0 -` ; BEARINGS SHOWN ARE ASSUMED. Proposed Bamt. Floor EleJbtion =s,940,0 5 al rg R4o.9 1 HEREBY CERTIFY THAT INS SURVEY. PLAN, OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS MTHE STATE4W MINNESOTA. REG. NO. 13077 - JOB NO. 9S-Z/2f SEC. &, T. 34 R. Z4 rimz - x84z,D FX / � I TL 84/.185 NousE INV • 821,12 NOTE Verify all setback requirements and proposed building elevations for compliance with all ordinances before construction. 3o 10w-0 Denotes Existing Elevation SCALE: 1 INCH FEET. Denotes Proposed Elevation O DENOTES 1/2 INCH IRON PIPE SET. —"' Denotes Dir. of Prop. Surface Drainage • DENOTES FOUND IRON MONUMENT. Proposed Top of Foundation Elevation -643.X El DENOTES WOOD HUB SET.0AAWu°7�Q0 Proposed Garage Floor EI%v aVon 842,8 BEARINGS SHOWN ARE ASSUMED. Proposed Bamt. Floor EleJbtion =s,940,0 5 al rg R4o.9 1 HEREBY CERTIFY THAT INS SURVEY. PLAN, OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS MTHE STATE4W MINNESOTA. REG. NO. 13077 - JOB NO. 9S-Z/2f SEC. &, T. 34 R. Z4 V1c-&-5 ga72W 5 e -.7— � ,f V) r, -'e S 1?6js -e GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 21, 1996 Mr. David Sinigaglio 4875 3 Street NE Fridley, MN 55421 Re: Final Inspection at 4795 3 Street NE, Fridley Dear Mr. Sinigaglio: A final inspection was conducted on March 21, 1996 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide a hard surface driveway by June 15, 1996. 2. Provide sod in the front and side yards by June 15, 1996. We will expect these items to be completed by the scheduled date and a reinspection called for. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, BARR RIESCH Building Inspector FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1'2'87 November 12, 1996 Mr. David Sinigaglio 4875 3 Street NE Fridley, MN 55421 Re: Final Inspection at 4795 3 Street NE, Fridley Dear Mr. Sinigaglio: A final reinspection was conducted on November 12, 1996 of the above address and the following items were noted which still must be completed before the structure can be finaled: 1. Provide a hard surface driveway. 2. Provide sod in the front and side yards. We received your letter dated November 12, 1996 noting your completion schedule for the above items, subject to the City receiving verification from the title company on monies being held for the driveway and sod. We will expect these items to be completed by June 15, 1997 and a reinspection called for. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, BARRY 'RIESCH Building Inspector BR/mh b t • _ - `; . int 4f• x. 7 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 18, 1997 Mr. David.Sinigaglio 4875 3 Street NE Fridley, MN 55421 Re: Final Reinspection at 4795 3 Street NE, Fridley Dear Mr. Sinigaglio: A final reinspection was conducted on September 18, 1997 of the uncompleted items listed in our letter dated November 12, 1996. These items consisted of providing a hard surface driveway and providing sod in the front and side yards. The inspection noted that the above items have been completed and any monies being held in escrow for these items can be released. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, laz'all�zl' j4Ix RY JR IESC Building Inspector BR/mh City of Fridley SUBJECT 256 05 AT THE TOP OF THE TWINS BUILDING PERMIT � NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 10/16/97 JOB ADDRESS 4795 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30 8 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Sinigaglio 4795 3 Street NE 572-8453 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 32' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. b WAINN46 Boom dig&In8 call for all utility locations EP'ARATE PERMITS REQUIRED FOR 454.0002 RING, HEATING, PLUMBING AND SWlj REQUIRED BY LAW 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 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 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 $4,592 $2.30 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 AN OTHER STATE OR LOCAL LAW REGULATING CON- $99.75 Fire SC $4.59 S ION TH PE ORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE LL:' -,a $106.64 -,,;, I FCO ACT OR UTHORIZED AGENT WATEI HEN PROPERLY LIDATED THIS IS YOUR PERMIT BI DG NSP 4ATE SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI -7- LY4,4'ItA K t4t Pvte-b -'r YiWtA CT � 1® OYS3 NEW ADDN [ ] CITY OF FRIDLEY ALTER ( ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 9 Effective 1 / 1 /97 Tel. # , 2a_e#,D MN LICENSE # Tel. # 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 i Width Hgt/Ground 7 Sq. Ft..2—kQV Construction Type: Ct--Zk Estimated Cost: $ � (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ S DATE: 10 'l f -f APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee fewer Main Charge TOTAL i'11PULATIONS: Tel. CITY USE ONLY $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ �3� $.50/$1,000 Valuation $ $950 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 [ ] oCG 6- rr1- �s k-7, -9 $0 44P7 Ist Lu r4 >',' CITY OF FRIDLEY PERMIT NO.: 2004-01502 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 YAX: (763) 571-IZ57 ADDRESS : 4795 3 ST NE PIN : 263024320123 LEGAL DESC : PLYMOUTH : LOT 30 BLOCK 8 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER SINIGAGLIO JOSEPH J & CAROL M 4715 3RD ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 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 wort 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 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 Bldg Insp Date SRPARATF. PERMITS RROTJTRF.D FOR WORK OTHF,R THAN DESCRIBED ABOVE.