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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 461 Date: '���'- Owner: wilder r r Address 172-0-0 1 A ZZnLP, Address , . O.. s .. 0 BUILDING No. .._ .... _..... Meet _....._ ' . _. :r � __ _l..._ �.�../............._...._.......__._ Part�,,.�f Lot.***, -*" Lot ....._.. _... :._.-.--------... Block ....._..........._ ..... ddition or Sub- visforsn � • `' � � r Corner Lot .------.--------•- ...... Inside Lot .-------- ............... Setback ....._ D._.___._.... Sideyard ....._...:_..._,._.. Sewer Elevation...__.._..._...__..........._._._..__._..._..._.__.__...-___.._..._._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 7.1'. Depth . ..... 6._ Height . " . Sq. Ft. 8 77_ Cu. Ft. Oil(If f~k� ............ ........ ............... ............. ... Depth ............. Height ..... ---...v....t...... Sq. Ft. .............. ....... Cu. Ft. ..................... o of Construction --.. ---- Est. Cost.._ --. .. ) �A To be Com ....._..------ TYPe .:..--� �.t��..---..__._. Completed ....---.-__.___..-......_. r Y 9 ! 17, + j /iF"'�a I le ahtu� f / C#? 7J T9L2 hJ THIS PERMIT DOES, C410T AUTHORIZE VIOLAT- ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS, 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 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 the express condition that the person to whom it is granted and his 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 within the city limits and this permit may be revoked at any time upon of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. pproved w� , eR � Inspector APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Arvid E. Carlson & Son, Inc. Builder Arvid E. Carlson & Son, Inc. __ Address 3200 France Avenue South Address 3200 Prance Avenue S ME=—dvolis 16. Minnesota Minneapolis 160 Minn LOCATION OF BUILDING No. of Lot Lot 2 Block ----.L Addition or Sub.Div. Carlsonts Summit Manor Annex . Corner Lot Inside Lot_ S ,Set Back 3j Side -Yard 47�-4p & SEWER ELEVATION 81 below basement floor FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Apartment Dwellings Front 77 Depth 36ie�ght,_ . Sq. Ft. 2� 7_ Cu. Ft. 76.000 Front Depth Height Sq. Ft. Cu. Ft, Type of Construction Frame & Brick Veneer Estimated Cost $60,000.00 To be completed November, 1960 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance wit the City Ordinances and ruling of the Department of Buildings, and hereby declares hat all the facts and representa- tions stated in this application are true and co ect. DATE may 11, 1960 SIGNATURE Presidents (A Schedule of Fee costs can be found on the Reverse Side.) AppReafion for Power Plants and.Heating. Coding, Ventilation..ReMgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 T Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ i each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam, ...... 8.00 $��_ 4 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ �� Each add. 200 sq. ft. EDR Steam ...................... 2.50 Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $�� OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule �© GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ A GAS FITTING FEES: NO RATE 1st 3 Fixtures ...................... x $1.50 , _TOTAL $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ %d s ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 0— City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true pnd correct. Fridley, Owner Kind of Building % - t. Used as To be completed about 12— /'0' Estimated Cost, $��� Old—G. Building Permit No. Permit No.— DESCRIPTION OF WORK 19 6P HEATING or POWER steam, Hot Water, Warm Air—No Trade Name— Size No Capacity IS -0 Sq. Ft. E.D.R BTU H.P. Total Connected Load f - /� Sind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) sign By .� 42 TM 7-59 Business Phone No /P 3 'J-3 CENYRAL SUPPLY CO. HEAT LOSS CALCULATION'S 2929 Fourli. Ave So T e. 4-u705 Minneapolis 8, Minn. Weatherstrips A.SH V. Construction N,:.,. Insulation . i3uide ibut Wall' int. Roof ':Ioor Flow Applied- ------ pplied Kindo�!�j __Doors ReferenO ---- --- ­­­ I Yes��No Olt!Room (Length Widtflj;r =44pigh x- i I Room 1 Length d5p Width /,,7, ble 9 -and Door and Doors �rockage and A Fl,. 11 L - Windowss-.-- rac a VI-ar-a Area (4) - ft Area I— Areci, "neo' cr lights f per f lighi, of crack vq No of PC 9a'. of crack 17 :54, 2A 7 7 _j colef BW Coef Btu Infil . tration Infiltration-- f 40- -- j W ­-- - AI - Class 50, -?,p Q Q Glass I ss �i Exp. wall •Exp. wall "!et -exp. wall wall -b-- Tl - 140 exp Int. wall Int. Floor 1',00r 'Cell. L Ce I KI Total Btu. Total Bi Required sq. E.D.R. or sq. ins W.A Required sq ft- E.r) Y. or sq. ins. W.A. Leader area . FI oorn i ic-; (-,fh 12—Height Width "JI -it 2.. F1 Room Length Windows and Doors--;-Crackage and Area Wt,ri an,, ociors-Crackage on cT Area - - T L Hoi.h-­1 No. iTiTI;.oI ft A, Width W. of No. of pone ct pane :4 track 4 ft ii—."gh, I 1� ; q. ea 1 1,40 of pone of Pone ..qnts of cro-: J4- 2-4 Coef Btu C,ef Btu Infiltration QQ Glass Glass' 5Z2 -_/Z_ ��f Exp. -wall Exp. wall Net exp. vall Net exp. wall /-7#-0jI-­­- - -------- --- 141-74 1 a Int wall int. wall Floor Floor Ceil. I ceil. oil Total Btu Total Btu. Required sq. ft. E.D.R. or sq. Ind. W.A. Leader-area1CRequired sq. ft. E.D.R. or sq. iris. W.A. Leader area j A -IV Length Room }Length Width n;-"Heligh 77!!�N�idth Height 11 W�- -, - -- - i - Fl.j 5NTkj RooiT-- T.H Windows and Doors-Crackage and Area Wirwdo%,,!. or J Duors--Crockoge and Area Silt 4. ft Width Heighl No. of Lineal ft. Area 1 Width Hai pone rack' sq. ft. cf Pane . r P.,e lights of crack 'c' 4-,: No. of parts of lights- 04 C T— L -2-4w ;w 4 - -- !� •------ -- - - -- -- — - Coof Btu Btu - --------- Infiltration d&,o 1! Infiltralion t GGlass lass E Exp, wall xp. Not exp. wall Net exp. wall Int. wall Int. wall Floor 1 Floor Cell. I Total Btu. .,Total Btu. A Required sq. ft. E.O.R. or sq, jin. W.A. Leader areo I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I w CEPS"R L SUPPLY CO. I 2929 Fo'uOh Ave.- So.Ia 4-0705 Minneapolis 8, Minn. � Insulation e �j Oi t�Wa1_, In WoIIT&_;I_nc, No. F7 �r f Fl oor��� It nd— .- How Applied i i t WFdth eight ?� :FI �uaFr, + Length WidtFV Height land Area ' J ;nJcw, cmd Door —CrU.kage and Ar•eu OQ F erfr t' Atea `; 4 id h H@ �h u : Llneol ft. Arae (t� els +q cry N,. r �9 of aon trghr of rrua4 sq ft. 3 ' Coef EStu� Coef Btu 1 � .rinfil ratwit �� � 7 :40Q - �h 1 i _ I too c�jUss - - - -3f _ __0 A4 . ^Exp Nal 04 t exp. Floe} Total f;' • W,A 't u.tdE:r ar,�c Rei _, s.�, t, L.D. . or sq. in,., W.A. Trader area S_?72'._.. _�- I � Widtl. % Z,_H� ght; -; 1.. oom length Width Height Y - - �. - -T �'-- -- dnd AresGacka and Areo� . 1.-__• /l ne�il ft. Area' -71- Nrc tx ( Ff,,gh ^• No os l heel it Arw f craey -� ►q ir.-j' Na 1 r'd: panes onn_lyhh er ,7A sq. h. 3s Cqef. Btu 30 TNet cxp. wall /-170� DE a Ihtr �nrail Flo r o i f� P._ J ati F Call. �r r r rant Di J. _ Lecr.?er orcu 4Required sq.'fr L D. .. or sq. ins, W.A. Loader area 7 - - -- - - 1, - — - - --- - - jMidih S7 eight Fl. JQ.Zo,om I,len thp Gr Width H g ht and 4rea ,�z� Will u .d Door Cra_cka_ge_and Area Arey � J i v.�d n I [Har3h Na, of lingul�h. Arw 1. F rack' ,1 sqpen lit'}r of arc��� sq ft. C. t Bt u Coef _Btu / — tai "tr �tiul� Exp 'i�� �tnr Ceil K ( �� -! I y— - --- - " 7,itr I Ptii _ -1 y c _ W A. leader area / jo Required sq ft_E D o. sq. ins W.A. Leader arca CEENTR L SUPPLY CO. ' HtAT LOSS CALCULATIONS. 292+ Fokirti,.Ave. So. �r 4•0-05 Minneapolis 8, Minn. Weatherstrips A Quid. ESI Construction No - - Insulation - - Windows Doors',Out. - i- rs Refore ce i Out Wa11' lnt. Wdll Ceding- Roof _-lour k Kind _ How Applied - Yes—Np •' Yes -No 19 �I t -_ — - - -- _ FI. �jy ��} Room 1_len tt, , �r Wr f,` f,7 =Height �I .. t ' �I Y ` 1�I a) oon, ' Length,/ 1 Width %' ieight Window_ s and Doors Crocka c and Area , Wi ! ,• and root`s : r6ckage and_ Area t�_ - - ...rlt er of f/. Area -- Areo Width HtFight No ,t heal ft _ track � a ft, tla a a^�• IrgF , �t crack No. II of ang fights of c ck � �s�4- '' gel 17 i .J 3 4 , : 5714, � 7- . -- - =dd1 fcoef Btu , f Infltration j 90 _. - Glass .Z�Ip Q Class Exp. wall liC _Z� ._ %j Exp wall "i Idet exp. wall 6..q,J Net exp. wall Int. wall -Int. �:cli our Floor Ce Total Btu._- — - - — - i� Total Bt _ _ _-_ — - Required sq. ft. E.D.R. or sq. i s 'WA tt•a:�er area 4'76Reyu,t�d sq ft~! ' i4 or sq. ins. W.A. Leader are — y _� ! Room I len th �� % W;dth I@iu�'rt ! Z r, wtgoin r ;gbh Width 1—Height Nindows and Daors--_-_Cra;c_ka ei pnd Area, YY r �+n �oq�rs Crackage and Area �� ) Width Haight No. of 1` tmabl ft i Arpo� I - width Herp �. No. et�lineof ft.? AArea :. Na ",if, P, CA' an Ifghfs -, jfjcrar sq. f+ ` 1 I' - No of pane at P41e- C_ Irght� f cracA _y_ift. Btu t Coef _ _ - -- ! .. - u - - - 1 Coef Btu ��pp��• litftltrntiop - Infiltratlon_l _ T� Glass — _ 22 v Cl -ss+---�- ExT--; ���„7Q Expo vwall Netexp.wall 1! Nit eat. va11 C -- - - - - 1 _.� �__ ' Int. waif ' ' _ - - Ino wtill' __ Floor f Floor. -- - --- -- — - -- -- _Cei1. _ Total Btu:` Required , ft. E D.R: or i s.,WA �lA lead® q sty �. q r_u-ea Required'sq, ft. L_D R. or sq. itis. W.A. Leader area x _ l ~FI ; '.5N-� Room Len th 2 p^�Idth .�67 Height - ," '' P5 OC am j l�:igthZ _W rh _ "'Height Nl _dows and Doors —Cracks e' and Area r/ �^ y �u �s--Crackage an_d Area r,¢ t `L l -'-Width weight No. of Lineol'f1. Aron 7 �` W dth Hergt I Nfa. of linea) fl. Arca 1 of Para of pone of crock sy: ft. - No f t a,e _f ruul�e-liyht3 of crack q., testi jf y_ --- — Croel - _Btu - -- - —1--- — — - - Coef Btu Infiltration i Infiliraii�;n 1 Glass_ s? f„( Glass Exp. wall __ i c=p.- t n �r Net -exp., wall I V '( Net exp. wall ------- -- -i L �Int. wall - � i t Int. wail - Fla r 6 Floor or Cell, _ i t Ceil: - Total Btu. - - - Total Btu. - - heaulred-sft. E D. R. or sq its W.A: Leader area Required sq ft., E. R. or sq. ins. W.A. Leader arra 01 SUBJECT PERM) City of Fridley 7235 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC. 1 I � "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/8/83 JOB ADDRESS 5260 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 2 2 Carlson Is Summit Manor Annex SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bigos Properties 6860 Excelsior Boulevard, St. I4uis Pk. 55416 938-6329 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Rental 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof part of the flat roof 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 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 11 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 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,000 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. $44.50 PLAN CHECK FEE TOTALFEE ri fit 1�1 $46.50 F ONTR ORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT "IG OWNERI 4NER BUILDER) IDATEI - BLDG INSP f D E 01 CITY OF FRIDLEY APPLICATI0:1 FOR RESIDENTIM. BUILDING PERMITS (140-1, Alterations, Additions, or n- OWNER:'BUILDER: ADDRESS: C�Q �� S f4K ��� ADDRESS: TEL N0: j 3 � 3 TEL 110: Construction Location Effective Aug. 1, 1981 STREET NO: LOT: v� BLOCK: ADDITION: (SON'S /!1 •% U N� 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 CONSTRUCTION Front: Square beet: Depth: Height: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: 2 Estimated Cost: Zb Be Cbrapleted: Gl g Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE FEVER -,-)E SIDE OF SHEET ZSie undersigned hereby makes application for a permit for the ::vrk herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and here declares that all the facts and representat'ens st ted in this application ar ue corre DATE: N6H/SIGNRTUIE: St.ii.sulati s : q, (, o :�V City of Fridley THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERM 18 NIT r � >r___��_COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.` CITY HALL FRIDLEY 55432 612-571-3450 VM NUMBER 910415 REV DATE 9/2/86 PAGE OF APPROVED BY JOB ADDRESS 5200 - 5291 3rd Street N.E. I LEGAL DESCR. LOT NO. Various 1- BLOCK TRACT OR ADDITION SEE ATTACHED F B1. 2 & -6, Bl. 1, Carlson's Summit Manor Annex SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bigos Properties 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City SThrm Sash Co. 2641 Louisiana Avenue South, Mpls. 55426 927-6534 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartments (8 Buildings). 7 CLASS OF WORK C NEW ❑ ADDITION C3A ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION ZONING SO. FT. CU. FT OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UMTS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMUMEDb THUS, APPLdCATION STALLS GARAGES AND KNOW THE SAME TO SE TRUE AND CORRECT. ALL PFtDWSIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TH9S TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $100,000 $50.00 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- TR CTION OR THE PERFORMMAN OFppp���—NSTRUCTION $433.00 �/ /J PLAN CHECK FEE TOTAL FEE $483.00 S-GNATURE OF CON-RAC OR AUTmOPIZED AGENT (DATEi WHEN PROPERLY�1/ALIDATED B-CG ��.5� THIS IS YOUR_PEFWIT SATE S,GNA'URE C� Ci.%ER,IF OWNEPBU1,CER �DATE, 623 • SUBJECT PE City of Fridley 22 3 9 6 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , NO. COMMUNITY DEVELOPMENT DIV. r 1 v PROTECTIVE INSPECTION SEC. 1 � 1 CITY HALL FRIDLEY 55432 NUMBERATE PAGE OF APPROVED BY 612-571-3450 910-F154/4/94 f77 JOB ADDRESS 5260 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Carlson's Summit Manor Annex SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bigos Properties 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Builders & Remodelers 141Quant-Ave a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55047 433-4846 6334 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Building 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 11 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,500 $5.25 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $126.00 Fire SC $10.50 PLAN CHECK FEE TOTALFEE $141.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WHENERLY ALIDATED THIS IS YOUR PERMIT BLDG _145156­r1p TE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI • NEW [ ] ADDN [I CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Effective 1/1/94 -r1I&!�- 9�_ 6 0 - � r A & S+ N _� - C�) Is SA X) t Owner Name & Address: Tel. # Contractor: -`F(, 'vr Scn� a 5 1n� A� ` a `,�'S MN LICENSE #, G � 3 '� Address: ��� U ���r� � S� ' Mt'r' i G 5� - <ru,'9c . Tel. # Li�� L� Attach to this applicatioa, 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ , b Eo 0- c o Approx. Completion Date: t � 0))6�,M (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ j d � . Cr Fee Schedule on Reverse Side Fire Surcharge / .001 of Permit Valuation (1/10th%) State Surcharge $ 5.0-5 $.50/$1,000 Valuation SAC Charge $ $800 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 $ J,5— 5 Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS 5260 3 ST NE PIN 263024220006 LEGAL DESC CARLSONS SUMMIT MAN ANNEX LOT 2 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 3,000.00 NOTE: SEE NOTATIONS ON PLAN. BRICK REPAIR. APPLICANT LIMITED PARTNERS THE 4601 EXCELSIOR BLVD STE 301 ST LOUIS PARK, MN 55416 OWNER BIGOS HELENA 11641 CEDAR PASS MINNETONKA, MN 55305 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 regulatincons�ction or the performance of construction. Anulic�nt \ /r` Date . P Bldg Insp. PERMIT N.: 2004-01185 DATE ISSUED: 07/28/2004 BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 3.00 STATE SURCHARGE, VALUE 1.50 TOTAL 87.75 PAID WITH CHECK # 3092 SEPARATE PERMITS REQUIRED FOR *ORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY c�00q. 1/1/2004 6431 University Ave t'r- R 3/COMMERCIAL/INDUSTRIAL/PUBLIC/INSTITUTIONAL e4 Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 FAX (763) 571-1287;�fJ ( o-5��aD� f iaQ.S CONSTRUCTION ADDRESS Zoning Legal Owner & Address Tel# ( ) CONTRACTOR & ADDRESS 4601 JF x C P ISIof LNcQ�30LTel# (61—) Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition Alteration -Describe hA,A JLsl,,2c1 -� OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. _ -rlI e ` k; m; l e -d wfal e.r-s APPLICANT b�Ta o, �C a2W- pp Tel # 6 0 -`-J'S Z3 Date G 0 VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Y Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ )� Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No PERMIT FEES Permit Fee $ �),JS Plan Check $ Fire Surcharge $ OCD State Surcharge $ SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Curb Cut Escrow $ TOTAL $ See Fee Schedule on Reverse Side 65% of Building Permit Fee .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1350 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x /foot ATTACH STIPULATIONS �gbaW 5 NA41t3 PROPTENA R/ ADDRESS_.. CITY PHONE !i WAN ADDRESS CONTRACTOR Cw--n� PHONEt—u PERMIT TYPE V INBTI O TOW, TYPE OF WORK I a NEW FOMnW: (WOK:An TOTAL NUMBER O EMM) FM BASED ON•=10 PER FIXTURE' 6J( R DRAINS NOTED - CLOTHES WASH �FMIASHER OAS IP010 _SDR UMG FOUNTAIN O_—PAUCET am E TRAP FLAMNAKE WASTE LAUY TRAY TANK LAV TORY Permit Fee -- Plan RevleW Surcharge Total Due FAX `, L::" 111ULThPABtAII1.V COliitl4RC10LJNNIDUSTRAL REPLACtOI1HNT _,.,_RPX VALVEI (9161 BACKFLOW PREV. ROOF DRAINS .SHOWER SLOP SINK ^_aWWIA1N0 POOL O SWMING POOL O OiIiER f� ALTJREMODEL Lu -I WATER HEATER ($3S) .-WATER METER WATER PIPING ,_WATER SOMMER ($38) WATER CLOSET Minimum: $38.00 $.30 on permlto la§i titan $1,000 Make Checks Payable to: City of Fridley THIS 19 APPLK:ATWN WK#%roawr•—�- g -s••• ••••••—• .------ I hereby apply for a PO PerrrUt aual I awiedga th8t the wamadon above b ottn+pfeto and aocunno; that the work vuNt be in tnnfortnSrtCo 11811 <lt0 otd)nanoes and Godes of St9 Clip of Fddiay WM ine NJioneaata C 3r&VVd on Cadesi that I umknb rid tfits Is � a permit but only an appiica6m tar a• Wn* and work b not Io start wifhad a perm mat the wwk wM be In acowdanoe vdth the opproved PIM In tla ease of et work which mgWms review and approval of plana. lt� ` . NAME OF APPLICANT i DATE (92 BIGNATURE OF APPLICAN -6---i- 1 ■ .arm+.+. — .-..-.-_• 8431• UNIVERSITY Atr�ltlE.NE, FRDLEY, MN Sm (183j•87Z-'3804