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PRE 2010 DOCS (2)TA SUBJECT PERMIT NO. City of Fridley ® 14533 AT THE TOP OF THE TWINS BUILDINGr PERMIT [RvIT �� COMMUNITY DEVELOPMENT DIV. RECEIPT N O`c) (� I U. r PROTECTIVE INSPECTION SEC. 99763 /--n � CITY HALL FRIDLEY 55432 NUMBER REV. - DATE PAGE OF APPROVED BY 612-560-3450 910-F15 12/30/77 10B ADDRESS 5191 - 5193 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Carlson ' s Summit Marro Annex i SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP HONE B-E Enterprises 85 Third Avenue S.E., New Brighton Mn. 6 -4164 3 CONTRACTOR MAIL ADDRESS JVIP PHON LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESSP PHONE LICENSE NO. THE CITY OF FMIJILEY DOES NOS OUARAN • THE 5 ENGINEER E B EV Al PHONE LICENSE NO THIS DATA IS FOR RMATION W 5E3 ONL 1) 6 USE OF BUILDING PMA ON Residential ON THE Rhl$, 7 Z Z 7 CLASS OF WORK Cj NEW ❑ ADDITION ❑ AL RATION REPAIR ❑ MOVE ❑ REMO 8 DESCRIBE WORK \ G Construct a 44' x ' Duplex and a 26' x 24 Garage via EiERAT PERMITS REQUIRE VVI N� LEPPiOiVE m )ECT IC°cat util 9 CHANGE OF USE FROM HEATING, PkUMBING GN5-) /REQYfRED BY L STIPULATIONS Provide a verify' survey before ca ping. Pr ide so in the front and arils. Provide a aril sur ace dr' eway. So' s tes may be ;vez:ireV be re.fo ations are poure . Letter drainage spons' litg absog e Ci require before apy cons ction begins. Sub it pro sed seweX89) +y service plans efore any const ction begins. a10 � SEWER LOCATION: rox. 8.5' Dee In Street) 67 S. of ole (Inv WYE ONLY - WYE E ATION: 832.86 / TOP OF FOOTING: 836 86 Minimum WATER LOCATION: MUST E TAPPED - 12' CIP 1 W. of Sewer Line DRIVEWAY DEPRESSION CO T: Paid in 1 77, w'll be nstructed en weath its. SEPARATE PERMITS ARE REQUIRE0, FOR ELECTRICAL, PLUMBING, EATING, TY/E OF CONST. O UPANCY GRO OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING "- ood Frame THIS PERMIT BECOMES NULL AND,', VOID IF WORK OR CO STRUCTION ZONING . FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF C STRUCTIO 1131+624 22, 020+6240 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 120 DAYS ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED HIS APPLICATION 2 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL OVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WO WILL BE COMPLIED $ 40,380 $20.19 WITH WHETHER SPECIFIED HEREIN OR NOT. THE ANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V OLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $113.04 $750.00 S U TION OR THE PERFORMANCE OF C STRUCTION. e \ CHECK FEE TOTALFEE 0PLAN � $28.26 $911..49 SIGNATURE OF CONTRA OR ORA AGENT IDATEI 9EN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) TA • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PER14ITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) J0 OWNER: /' — BUILDER: Address : Address: �Sr �,�f(�, �. 4 . _c Tel. No .�/�. �i 7 No.: Sl 'j14- �5'/ if Street: LOT: BLOCK: % ADDITION: /Y CORNER LOT: INSIDE LOT: SBTBACK. SIDEYARDS: � Z Applicant attach 'to this form- Too Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Ill Depth: �10' Height: 0-�-8 Square Feet: Cubic Feet: r2 Z�go z d Front: / Depth: Zd Height: �® Square Feet: 4 0-41 Cubic Feet: lm z eve r Type of Construction:_, Estimated Cost: $ &49 Tb Be Completed: '04 OF Proposed Driveway Width If New Opening Is r qr �`rt. eta ���� ✓/ Alt. A Alt. B Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 ridley 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. See reverse side for additional information. DATE: SIGNATURE: Stipulations:' 74, .� 0219 o23,, -z %'off i December 30, 1977 Mr. Don Holden Building Inspector City of Fridley 6431 University Avenue NE Fridley, Minn. 55432 Re: Drainage on Lots #1 thru #6 Block 1, Carlson's Summit Manor Annex Dear Mr. Holden: B - E ENTERPRISES INC. 85 THIRD AVE. S.E., NEW BRIGHTON 838.4164 MINNESOTA 55112 GENERAL CONTRACTORS COMMERCIAL AND RESIDENTIAL B-E Enterprises, Inc. warrants that we will provide for drainage on the above lots. We will do whatever is necessary to prevent normal surface drainage from entering into the basements of the duplexes built on these lots. Yours truly, i Michael Jr Miller Vice -President MJM:ab 0 City of Fridley SUBJECT 14594 AT THE TOP OF THE TWINS BUILDING PERM i � ` ECEIPT N COMMUNITY DEVELOPMENT DIV. L 1 PROTECTIVE INSPECTION SEC. r , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 3/13/78 JOB ADDRESS 5191-93 3rd Street N.E. 1 LEGAL LOT NO. BLOCK OR ADDITION SEE ATTACHED DESCR. 1 ]-TRACT 1 Carlson I s Summit Manor Annex 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE B-E Enterprises 85 Third Avenue S.E., New Brighton, MN 636-4164 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 Ij NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 42' Double and a 30' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Provide combustion air to furnaces. Provide revised plans with full detail of sound deadening assembly in ceiling by March 30, 1978. Soil tests may be required. Provide verifying surveys for this structure and for 5111, 5121, 5131, 5141, and 5181 3rd Street by April 20, 1978. SEWER LOCATION: (Approx. 8.5' Deep in Street) 67' S. of Manhole (Inv. 832.99) WYE ONLY - ELEVATION 832.86 TOP OF FOOTING: 836.86 Minimum WATER LOCATION: MUST BE TAPPED - 12" CIP 10' W. of Sewer Line. DRIVEWAY DEPRESSION COST: Paid in 1977, will be constructed when weather permit BUILDING PERMIT #14,533 has been VOIDED but fees paid are balance for what is shown below. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-2 1132 -I- 720 29,520 Total 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 2 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX $2O.67,Only bal AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $41,340 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT XUftkR of .48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE Only balance SAC CHARGE Only balanc Y OTHER STATE OR LOCAL LAW REGULATING CON - OR T E PERFORM CE OF CONSTRUCTION. $118.08,pd. of $5.0 $800.00,of $50.00 ZPROVISS PLAN CHECK FEE TOTAL FEE Only balance .52 $968.27, of S135.04 SIGNATURE OF CONTRACfOA OR AUTHORIZED AGENT IDA I WHEN PRO ERLY VALIDATED THIS IS YOUR PERMIT l &' /! BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) ��— .nce pd, CNERRIER WINTER & ASSOCIATES INC. REGISTERED PROFESSIONAL • LAND SUR VE YORS Certificate of Telephone 561.2M SMITE 306 VILLAGE NORTH PROFESSIONAL BLDG 7420 UNITY AVENUE NORTH BROOKLYN PARK. MINNESOTA 56443 Survey PROPERTY OF B and E_EnterLr3.ses, Ind described as fol lows , Lot 1g, Block 1 , CARLSON'S SUMMIT MANOR ANNEX _ SECOND ADDITION, Anoka County, Minnesota flnnnr_d-I,�.—i-- to the plat of record thereof. / Subject to easement of record.__ '•Ot; L..a+ I W �z o 14s?k + P ►� 3s. I Q-*7e1,"cli,owen r-;.? /28.90 OF FR@LEY DOES NOT GUARANTEr' THE THE CITYUT,LrffLOCATION ACCURACY OF �R ATION PURPOSESONLY AND 71 TMs DATA Is ®RM IS NS USING R SHOULD VERIFY THE INFORMATION ° p.I TWE SITE �a�F �0 1�Y Iot;o- ,j 1 hereby certify that this survey, plan, or report was prepared by me or under Tr direct fupe1 n and that I o duty Registered Land.Survew under the laws o1 h 9fgte 0f1M')nn V ` Date V pg No M 3-® P.-3 s -x - WARNING Before digging call local utilitieso TELEPHONE e ELECTRIC e OAS Etc. REQUIRED BY LAW scale: I inch ectal*.,,„•„test • - Indicates Iran 61111115101 Set O - IndiaoNs Iron Mtaw~1 Fow111 9ooM Psge ........ job no... 6� ...... 41; U.) Lye Ll 9:5 �, �� , 4< C� Iz 7-o 10 d T, eoll tI/ry O�� 71 0- 10-P erm%-rS.#- 4 1. Andress 2. Legal ` L®-�- /J • / - �°+� �. G 3. Zoning �® 3 4. Lot Width ? 9 5. • Building Width 67 6.. Front - Setback ,fig 7. Total Use /® ¢ 8. Lot 'Coverage 9. Easements . Variance 11. Soil r 2. Contractor' 13. Phone • 14 Architect 15. Drainage. -Pee ._Energy Ashrae 17. Utility Locations 18. Specials 19 Driveway.opening 7 20. Truss Design LIAV--- 21. Combustion Air 22..ejX 23 . ®. �aa�it���L'f. 25. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PE1114ITS (NEW, ALTERATI oNs, ADDITIONS,, OR REPAIRS) - No. LOT: EPAIRS)- OWNER: Address: LOT: y�J � BUILDER: / IAddress: Tel. No. cz r Street: ADDITIOP7 CORNER LOT: INSIDE IAT: _ SETBACK: 3 Q� SIDEYARDS: Applicant attach 'to this form T%?o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: aorb Square Feet: / Cubic Feet: a� 3e® Front: Depth: 2`!/ Height: 16 / Square Feet: 24:% Cubic Feet: Cy Type of Construction: ���j Estimated Cost: $ To Be Completed: r - m" 3��. ;; / Alt. A Alt. B roposed Driveway Width If New Opening Is Desired $ (SEE REVERSE SIDE OF SHEET) 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 s ted in this application are true and correct. See reverse side f itio al inLox-mtio DATE: l SIGNATURE: `�a G /VJX+-�►- 3.Q S 4711 - ;�/.ae►/�,� , l X90, � � ' f 9 EXTERIOR ENVELOPE AVERAGE liull COMPUTATION OWNER c SITE ADDRESS CONTRACTOR Uy=gMZ c DATE G 77. PHONE Determine working square footage of each. 1. Total exposed wall area ...... .2.t,, 2Q, 5, sq. - ft. x ,17o 2. Total roof/ceiling area ...... /3.P- sq. ft. x . 05 = 1 Total exposed wall area •above floor a. Total wall window area ..................... ....... b. Total door area .... ...................... c. Total sliding glass door area ................... ga,by A. Total fireplace wall area ........................ —.o - �` .-,• ,J e. Total wall framing area (average 10%).....::.::::' f. Total net wall area above floor ................. /y5! 9S ✓ g. Total rim joist area...* .............:............. i/e. � 5 l �✓' •• Total exposed foundation area = 9S . 3Y All" h. Total foundation window area....................... _ o i. Toal.net foundation area above grade .,.....,.... Determine "U" value of each wall segment:. a X r b._ • 3 7, Fo X 'lull o - 7— C.- Cry X hull O X loull _/tJ,f. X X lltlll %x.35 X °ill 3 . ............................. .....Total SB . b3 If iters 13 is the same as, or less than em Al�you have met of SO"C 5C05(c)2. ,.-0 intent v/'7/ 40, T Aol p X r A172 r-IAIVI G vP 73x7 //.3& 3%'�SafTw�� 7.AOC ,�,lv/ �j��//✓I 3/rte/N� i7/TZ f/.0 A✓l 97 v/'7/ 40, T Aol 3% �Hsv�.4-T�ol✓ 7.AOC ,�,lv/ �j��//✓I 3/rte/N� i7/TZ f/.0 A✓l 97 7.AOC oma- ^4 VA11 ;r AIX Y7 s/D • / FX y" "091A. A/.✓vl IL , G/ Fx r ,- iV oz a�✓/ erg /.7 "/iS/sdti9'TJvIr/ ,SS % Gyl' �./S 397-7 CIli OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PER41T PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N.mber Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE m C> x sq. m x $2.00 u x• d $ Water a $5.00 $ ' - x $5.00 E x Q $ ro w x w $ Heater i'�i a� .4 X N mo $ -.4 yq m G pa', 4 W J G 3 0 O 4 U d� jj 'as kec vN m U) rLd u w Q r o 1st 2nd 3rd 4 is (R) m Future Connection Opening Connected with Sewer (') - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N.mber Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL C> x $3.00 $ oZ -oo x $2.00 $ x $2.00 ® $ x $5.00 $ ' - x $5.00 $ /0' DO x $10.00 $ x $7.00 $ x $5.00 $ X $5.00 $ x '$3.00 x $1.00 X $10.00 $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) s('.00 S Job Address S/ Z/ / J Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. �— / 19 OWNER " v KIND OF BUILDDIINGJ^ USED AS TO BE COMPLETED ABOUT ESTIMATED COST �j , Lei -6 OLD 1�EW 8 ILDING PERMIT NO. PERMIT NO. Company Signed By ,Lt/ Tel. No. 1-1733 ROUGH INSP. Date FINAL INSP. 7- 2,)-- Date APPROVAL FOR PERMIT l� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.So STATE SURCHARGE SUBJECT PER City of Fridley2 0 3 8 0 AT THE TOP OF THE TWINS BUILDING PERMIT r o � COMMUNITY DEVELOPMENT DIV. ,;------. PROTECTIVE INSPECTION SEC. r � � CITY HALL FRIDLEY 55432 [NU�MBJE7R7 REV. DATE PAGE OF APPROVED BY 612-571-3450 5/22/90 JOB ADDRESS 5193 R 3rd Street N, E. T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Carlson "s- Summit Manor Annex 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph_ Si;il•igaglo 571--5858 4715 � 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121, x 12i Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations -on plan, u: bi SEP Before digging cell t9F TE V1/lIQJN P'�� l7'S all utility locat10115 454-0002 "EATING E��11�F_ p {�LU�,I�dl�G REQUIRE ,��©RREQUIREDLAW�/GAS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 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 $1047 $.52 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $27.52 RE OF C�TRACTOR OR AUTHORIZEDD AGENT IDATEI WH PROPER Y I AT THIS IS YOUR PERMIT_� VUGNATTUU1�1EOFO111 DG INSP BATE � R F O ER B ILD I IDATEI NEW [ ] Effective 1/1/90 ADEN [ ] R-1 AND R-2 ALTER [ ] 2 Building Permit Application Construction Address: Jl� / 93 c� rc ,S T fi E Fi legal Description: LL) i /, . /, �f e2 LSoAj` �ff-<La`o2 Owner risme &Address : _S 5Q- � 11 �(„ � � rf L L r Q Tel. # Contractor: Gj//yl Tel. # Address: ZZ71S-3""" 57 LE Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCLtIPP cN cF nanumme LIVIM AREA: Length Width Height Sq. Ft. GARACM AREA: Length Width Height Sq. Ft. DECK AREA: Length ' Width I Hgt/Ground Sq. Ft.�j f OTHER: Corner Lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Cmipletion Date: Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT• Tel. # CITY USE ONLY Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Marge $ srIPUTATICNS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CNERRIER WINTER & ASSOCIATES INC. REGISTERED PROFESSIONAL a LAND SUR VE MORS Telephone 561.2505 SUITE 306 VILLAGE NORTH PROFESSIONAL BLDG. 7420 UNITY AVENUE NORTH BROOKLYN PARK. MINNESOTA 55443 Certificate ®f 'Survey PROPERTY OF B and E -Enterprises, Inc. described as fol lows • Lot I , Block 1 , CARLSON'S SUMMIT MANOR ANNEX SECOND ADDITION. AnokaCounty- Minnesota necardinn-_ to the plat of record thereof. / Subject to easement of record. Z5 T oma. L...o+ J Jz ' �,: a b, ----- - - -- - _7z.a4F v Z j4 S it R 35-o ��Dr4ing e i I28.90 'ge z$ p OF FRiDLEY FS NOT GIIARANTE'c Y 4,3, THE CITY At of UTILi'IY lOG1T10N5 ARD FlEVATiG!`:S• - TmS DATAUSING, _ INWODU) VE FY THE INFORMAT ON RFCR P��tSOMS p THE SITE 7 _ ,. DN /qac . lam.. �A � '✓� �•" ��1 1-..�,, ',.S ii-•: WAR ..'3 6 _ P., 35 tA it PC ot , �.rp • 35 tA it PC ot , �.rp I- 0 0 SUBJECT PER City of Fridley 25 01 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. NUMBER REV DATEP AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/22/9 JOB ADDRESS 5191-5193 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Carlson's Summit Manor Annex 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Sinigaglio 4715 3 Street NE, Fridley, MN 55421 571-8395 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 Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Duplex (30 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 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 2 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 @ 2 r)02 W 1.25 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 OTH&#ISTATE OR LOCAL LAW REGULATING CON- @7(+.75 `I' Fire S�.' $2.50 STRUCTION O7P�ERrRMANCE CONSTRUCTION PLAN CHECK FEE TOT FEE @ �p78.50 URE CTo O GENT DATEI EN P OPE ALIDA THIS IS YOUR PERMIT SIGNATURE OF OWNERIIF OWNER BUIL I IDATEI BLO fNSP DATE NEW [ ] Effective 1/ 1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3 r��� 7- SLG` Legal Description: Owner Name & Address:r Tel. # r Contractor: lzo [ C- MN LICENSE # Address: *`7 / `9 G7- /% 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. OTHER: Construction Type: Estimated Cost: $ sa5y I/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ftx $ $ DATE: APPLICANT Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$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 [ ]