The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley SUBJECT P 71j617 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. -------- COMMUNITY DEVELOPMENT DIV. i S�9D r I PROTECTIVE INSPECTION SEC. I 1 � / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/8/82 JOB ADDRESS 5849 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Lot 27,Sli 128 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Crampton 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bullick Homes Inc. 9102 Van Buren Street, Minneapolis, NIDI 55434 780-3400 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS SEPERATE PERMITS ROUIREDT& VIIRF��a"° 6 USE OF BUILDING HEATING, PLUMBING AND StGN&- Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR�°F', ❑ REMOVE 8 DESCRIBE WORK ti ' 241 x 40!' Dwellin NO GARAGE Before digging Calff®cal utilities TELEPHONE a ELECTRIC . GAS EL"Iro 9 CHANGE OF USE FROM TO REQUIRED BY LMAI— STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SEWER LOCATION: (Approx. 9' Deep In Street) 168' N. of M.H. (Inv. 836.89) Wye Elev: 837.39 Top of Footing: 840.50 Minimum WATER LOCATION: 10' S. of Sewer Service DRIVEWAY DEPRESSION ESCROW: 10' + 6' = 16' x $13.50 = $216.00 Ci'Y Gi: h iiWL l 0„Cw C' U cACY OF UPUTY LGCAT;O Nis ..-i DATA I5 FOR 1Q`':��a'.;r': e��9'•9 B°lr°�:Er`r� °, Y"RSO S U,9NG IT SHC ULD �, im,;Fy TH- eN 7HP.. "ITE. 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 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 R-1 960 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 $38,600 $19.30 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- HE PE FORMANCE OF CONSTRUCTION. 233.50 $425.00 X2� PLAN CHECK FEE TOTALFEE 736.18 GNAE ONTR OR OR AUTHORIZED IDATEI WHE PROPS Y I A D THIS IS YOUR PERMIT q/2--8 �- -' —BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATI94 FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OW14ER:4,ir� �,�'�� ry BUILDER: ADDRESS: ADDRESS: TEL NO: TEL NO: ?��>.�3 Construction Location STREET NO: ST �/ � STREET: LOT: CGT CSX 2 R BLOQC : ( ADDITION: Corner Lot: Inside Lot: Setback.: -3 � — Sideyards: /61 Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Z 2 Depth: a Height: Square. Feet: 26 d Cubic Feet: 1(1)6,0 ,)n a AQ Cn� Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ J, 'C % l0 T To Be Completed: �� /y / – k _Z ®�3. j® r Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: `��'` _ $ -CD (0.00 $ '( SEE REVERSE SIDE OF SHEET . Tile 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 hereby declares that all the facts and representations stated in this application ace true and correct. DATE: 3 2-- SIGNATURE: Stipulations: Pfra#"-,r — A 0, IM ly V INER j. r C ra rn pj o v\ - TE ADDRESS 5 8 W 9-� =d S 1 C ry a e 4 )NTRACTUR 30,W ON CS DATE 3 ��I PHONE rjko ;t,y 06 Detehm.ine wo)Lii.ng .6quDAe footage of each. Totae expobed waU anea . . . . y sq. 6t. x -- .77 = Tota.2 nooj/ee cahg anea . 9 G D bq- it- x — _ 05 = 4e/s'. 0 Tom expoaed watt area above �._oon = = a. Totat waU window ahea . . . . . . . .. . . . . . . . . . . . . . . s. C b. Totat doors a&ea . ... . . . . . . . . . . . . . . . . . . . . . .2/• 0 c. Tom .6ti"ding gtah.6 doors aAea . . . . . . . . . . . . . . . . . 3c o d. Total j.cheptaee watt aAea. . . . . . . . . . . . . . . . . . . . — e. Totat waU -6nam ing area (aveAag e 10%) . . . . . . . . . . . . . j. totat net wa.P.e area above itoon . . . . . . . . . . . . . . . . g. Totat fin joist a&ea . . . . . . . . . . . . . . . . . . . . . . /4 8: 6 Totae expoaed joundati.on afcea = 96 h. Totat Uoundati.on window area . . . . . _ _ . . . . . . . . -- .i. Tota.- net Uoundati.on area- above gnade . . . . . . . . 96 Dete&m.i.ne "U" value of each wa t begment. x ".U" a-- /30./G - 9 JZz6C d. x „U„ D- VI/ x fluff x fluff , ASS = 2.0 h. x „U„ --- _ -- .i. x fluff ,97 . _ . . . . T o,4.a P- _ / 9'r. / 3 .item t3 .c.3 the tame ab, ok tuz tha►1 -s tem V1, you have met the .bitent ob SBC 6006(c)2. Total exP ozed nook/cei.t'in, aAca = �� Totat 6kyyi_ght anea .. . . . . . k. T ofat no o i / ce c.�.i ng Jnam.ing area (av eAag e 10% 9 6 .E. Tom net imutated nooj/ceiti..ng anew . . . �G J'!L,.cgniinc "U" value 6oA each n006/ce,UijLg segment. x 171:LI1, ! 6 x it U►, C. gG y x ?full ,0:) 9 = 0.2 a, 7 .,, �, ,, �/ , ��} she .il4tc;�t of SBC -6006•(c)7. �(•�rf ( /,/ ;,?! va1T.e a._, U%� �t_',l. �tJ"ta11 �, 1/i'L: ,ii;l �' I):�n 1 At cClUirteECJ!,[., tl:ir`i,`p: (;(..•��i: ' e.nve.'al�e bub.' r ►ne�.iu:,, .<<�c. 1:.. �ti.` e,,,e�-ibtLAhed by the. bum o� items t,c - • • y ,.,. n-r-n....� �hn►; �hc' bur,: c�� .t.'.: -r:', ='1 alit �'2,. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot water Heater Gas Range Gas Dryer Y ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL $ ' �V' rA tective Aug. 1, Igul Job Address 6-i -4 '/ � r> 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. 190 OWNER f:3 lJ L L L d l •' KIND OF BUILDING —L4 -A42, C'. T USED AS S l dL) TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. 6 Cbl Company 0 •; V-7 41 signed -� Tel. No. 745 S - -z' S� ROUGH INSP. Date FINAL INSP. 6 - Z /` V Z— Date APPROVAL FOR PERMIT I MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE >. m U N m Water m E 1+ a •-1 m �i -BW W d' Heater o.5yyI 0 �F .�i 8 x C" a U m u ai 8 w D a� o� 3i uc� ami lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, old Opening water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot water Heater Gas Range Gas Dryer Y ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL $ ' �V' rA tective Aug. 1, Igul Job Address 6-i -4 '/ � r> 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. 190 OWNER f:3 lJ L L L d l •' KIND OF BUILDING —L4 -A42, C'. T USED AS S l dL) TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. 6 Cbl Company 0 •; V-7 41 signed -� Tel. No. 745 S - -z' S� ROUGH INSP. Date FINAL INSP. 6 - Z /` V Z— Date APPROVAL FOR PERMIT I MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PE O. City of Fridley 19 6 :590- AT THE TOP OF THE TWINS BUILDING PERMIT _ r S Z R • COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I 9/6/88 / / 10B ADDRESS 5849 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27, Pt. 2 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ""Brian Crampton 5849 - 3rd Street N.E. 574-1066 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sundown Construction Inc. 11882 Lexington Avenue, Blaine 786-4520 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 24' x 18' Garage Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See mmkira notations on plan. Provide a hard surface driveway. SEPARATE PERMITS REQUIRED FOR WIRINIG, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 GOVERNINGANCES AND,ORDIMPLIED TYPE OF WORK WILL BE OPERMIT $7,400 $3.70 WITH WHET HER SPECIE EDH REINIOR NOT. THE GRANTING OF AS 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- STRUCTIOP OR THE P RMANCE OF CONSTRUCTION. .PLAN CHECK FEE TOTAL FEE %$99.00 4ArS'rrW44R(jO00NTRACTOR $102.70 ORAUTHORIZEDAGENT (DATEI ,+ WHEN PROPERLY ID TED THIS IS YOUR P RMIT BLDG Is, Fj E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW I ,] City of Fridley Effective 5/1/88 ADDN �, R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: r-, q Ad legal Descripticn: Owner Name & Address:_ IJ P, 1,40 LjQ APIf��v 5� �'I �/ �'� ��' • Tel. # ��`/d�� Contractor: JLC d> C�D��(I VP9 yV�� eUG Tel. Address: L��Do�i�� 1��✓@. /,�/�� Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. EESCRIPPION OF !MPROVE W �'7 c, UVING AREAL Length Width / Height Sq. Ft. r' Q�,RAGE AREA: Length Width �o Height SLI. Ft. • Length Width Hgt/Ground Sq. Ft. 4 wX I Y.36 = (, OUI-o +7 n1< Y�G3 i Y-0116 Corner Lot I I Inside Lot I Ft. Ya Setback _ Type of Construction: WQ l�iQ Approx. Completion Date: '° g Proposed Driveway Width If New Opening Is Desired: Side Yard Setbacks Estimated Cost: $ ?I yod WIMn t b ' s Alt. A Alt. B $ See Back Page �� • v �.� �/ice_ ice. ./ - M Y t 'f •, Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge BICNS: $ OW $ IQ, )# � t z, 3S a %J Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. *A" or Alt. 'B" Above Flee Determined by Engineering Agrement Necessary I I Not Necessary I l AKANSON 4 NDERSON ASSOCIATES, Inc. 222 Monroe Street professional engineers and surveyors Anoka, Minnesota 55303 612/427-5860 CERTIFICATE OF SURVEY Survey for: Bullick Realty DESCRIPTION: Lot 27 and the south half of Lot 28, Block 21 Hyde Park, Anoka County, Minnesota. Subject to easements of record, if any. h R J ku 4 ` Q a Ex�srivc G • -., — �oa�voq�ioN .� • e aia 40 `- • .EX/JT. .PES. Scale: / -30� Bk. 10 Pg. Sec. -,T.-, R. o Denotes iron monument I hereby certify that this 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 of the State of Minnesota. ✓/•f/ON 4-.Z7.6P - Aoaeo A.v Azwee fovwow?,oV lez 6 3 � �+11tz -?A2.149 Reg. No. Date Job No. h R J Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL RATE TOTAL Job Address Furnace Shell and Duct Work, Burner $1 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn.. 19 All Others/Repairs and Alterations OWNER 18 of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST State Surcharge $ .50 TOTAL FEE $ OLD - ILDING PERMIT NO. PERMIT NO. Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. ° / HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. ` Date '�� f—� Trade Name OVI C' 1� size No. % W�1 Final Insp. Date �,�/� Cc+ Sq. Ft. EDR BTU HP Capacity �.�� Approval for Permit Total Connected Load `v, Kind of Fuel BURNER - Trade Name Sizp-No. Capacity Sq. F % HP MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with. replacement furnace permits Company 2 ` Signed By Tel. No. HEAT LOSS CALCULATION ° TEMP. DIFF., Customer Name 1'S t. -j W a _ -v . l c ` City — 11 Dale► Name. , -t" - -A' Straw _ City Length An Width &2 Height Winldows and Doors—Crackage and Ara hit x Windows and Doors—Cradcage and Ara No Mc th HNo. of Linni It. Am of eM o1 ene 1.htl of crack . it U v 1 Wit" Neight No. of Llneel ft. Arae No. of=Limit" of Cost. I Btu Infiltration 1 413 Infiltration Glass Glass D "To Appq Exp, wall'11 Ib�Azoo Int. wall Net exp. wall ;Zc6'D ,5-4) O Int, wall Net exp. wall z. Ceiling Int. wall Floor A3)(32-- S 1 3& 8' Total Btu. I / -� (4 g/ FI n.r i.',...r-Rnnm I Lwv*h %C- Width .Z5 Height R Windows a Doors—Crackage and Ara hit x Windows and Doors—Cradcage and Ara No. w1411n 14e19nt No. of Lined h. AIN of ,.e of pone L b of crack sq. h. U v J � Wit" Neight No. of Llneel ft. Arae No. of=Limit" of z a Coef. Btu Infiltration Glass Coef. ,9 Glace `tq Ib�Azoo Int. wall Exp. wall ;Zc6'D 3 Floor Net exp. wall z. Int. wall i0 a -O Ceiling 1- low 3 Type Consn uction Windows Storm Sash Wells . Ins. Ceiling Ins. Floor F 1. LUW Room IL Width hit x Windows and Doors—Cradcage and Ara 1`110=1 No. o",10th MM `o. of 0ohn I h. A►N at ank Wit" Neight No. of Llneel ft. Arae No. of=Limit" of z a Coef.1 Btu Infiltration Infiltration 3� Glass Coef. _Glass Exp. wall IOXT Infiltration Net exp, will 5 Int. wall Glass Ceiling 3 Floor Total Btu. Y $ice m - Room 1 Length 6& wKnn A— 1`110=1 Windows and Doors—Cradage and Ara Wit" Neight No. of Llneel ft. Arae No. of=Limit" of z a Coef. Btu Infiltration 3� Glass Coef. Btu Infiltration 6-1 oL iZ 5 13&.3 Glass Coiling /z x/p 1 Floor D I ZD1) Exp. wall z. Net exp. wall i0 a -O Int. wall Ceiling 3 Floor Total Btu. II Total Btu. 443 A. .9 :, _ a J7 A- r 1.I /' MGf /Y. wm 1 f. n www. Windows and Doors—Crackage and Ara �. .a a+ Nn *01111, Hrght NO. of I.~ ft. AIN Zane of PARCL of crack q. It. - o Coef. Btu Infiltration 3� Glass C ®O 3 Glass Exp. wall 6-1 oL iZ 5 4 Net exp. wall Coiling /z x/p 1 Floor D Int. wall CINIIng XPv Floor Total Btu. 1 '73& 9 FI, a .Z RoomlL Width t Windows and Doors—Cradaga and Ara No. M "hh 'eight peft `o. t Ur NI h. Amof 01411* Cwf.1 Btu Inf iltration Glass C ®O Exp. wall 2� Net exp, wall Int. wall Coiling /z x/p 1 Floor D II Total Btu. z4 x x50" � 7 SUBJECT PER City of Fridley 2 6 8 7 9 WI AT THE TOP OF THE TNS BUILDING PERMIT � , RECEIPT NO. _____ COMMUNITY DEVELOPMENT DIV. �� PROTECTIVE INSPECTION SEC. r 1 PRO �� NUMBER REVD ATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 7/29/98 JOB ADDRESS 5849 3rd St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27 S 28 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mir 'ad 572-2174 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remodelin LLC 7930 University Ave NE Fridley 795-9410 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2111138780 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 00 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 20 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 80 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 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1668 DOES NOT PR ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY O STA E OR LOCAL LAW REGULATING CON- Fire SC �2.'6't $ STRUCTION THE P R CE OF CONSTRUCTION. $54.00 e� PLAN CHECK FEE TFE License $5.00 $61 SI NATURE OF CONTRACTOR R AUTHORIZED AGENT IDATEI EN OPE LIDATED [R.06INSP T YOUR PERhW DATE SIGNATURE OF OWNER OF OWNER BUILDER] IDATEI NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress:d Legal Description: Effective 1/1/98 • ' CI'T'E OF, FRIDLEY .. . SINGLE FAMI6X-AND DUPLEXES R-1 AND R-2 BUILDING "PERMIT APPLICATION I ':, t .i i�T �.: yV j .. .JAY �� '. Pr I.h1Y i.�\ �'• j �;li I VC .ha�rr�fiISiIC'�°�A$}!t,Ct�t'1"�i4 U Owner Name & Address: .6 AL 17 Tel: # C21 Contractor: rU U r 6 ea -5 Un .5 �k o e& na a IQem 0j"L „Q L r' . MN LICENSE /# Address:.IN3 6 LIyi t u eA-� �u 4tl jg .�Al f' Fr %1'cl Le -u Tel. # Attach to this application; , a Certificate of,$urvey of the lot, with'didproposed.,construction drawn on.'it,to scale. DESCRIPTION, OF RAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. { OTHER: YLca�l „� d- c 4 14 J ' Construction Type: e'tt ;k e� Estimated Cost: $ :*.. .. (Fee Schedule on Back);' Driveway Curb Cut Width Needed: "` Ft.'+`6 Ft = Ft x $ _ $ DATE:. -, O'A PPLICANT:: TeL �eyj&CITY' U ES ONLY t 171�� ,�, ^i IS � hw�'.N1 R. ,.. :. •t... w `,•.d � _ "7',Fee ''.1 4'S sd ^,.n , *... Permit Fee $ Schedule. on Reverse Side Fire Surcharge $ + :'001 of:Perniit`Valuation (1/10th%) State Surcharge $ $.SO/$1000'Valuation SAC Charge �'� $ !...11000 perUnit. , .a, ,SAC vF. my l •1. bd ,... .. Coq :.. I �'SAti �h��bt f M ! .`�6{Y'S��Fk... •wy�j) License Surcharge $ w 4 a $5.00 ($tate Liccnsed Residential f t Driveway Escrow a Alf, A or Alt: B Above $ "°}3:F q " " , "'�J Y Erosion Control 7' a 00 Co ery tion.Plan R'{evgiew. t Park Fee $ `' �' :°dee Determined by Engineering d i Sewer Main Charge:- $ a. " ..I�,,' :Agreement .Necessary [. ] ...Not. Necessary TOTAL... STIPULATIONS: , 7 '� yav't ��i4.i1 1 >4➢ Building (.-1l_/ BUILDING Permit Noc A79 Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Inspections $ 1> .0005 x Permit Valuation Minimum $.50 RESIDENTIAL APPLICATION Received By: 763-572-3604 $ $1825 per SAC Unit (Plans to MWCC for determination) CITY OF FRIDLEY D' 763-502-49977 FAX EFFECTIVE 1-1-08 Park Fee 1= 2-B. O YOUR E-MAIL ADDRESS S ��SS S24Lti�S� (N� tPf�y10D • C� p� I DATE • $ Make checks payable to: Ci of FridleyAttach Stipulations � SITE ADDRESS v 001 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley d with the Minnesota THIS APPLICANT IS: ❑ OWNER CONTRACTOR permit on site; that the we will be in PROPERTY OWNER/ NAME: APPROVED BY ADDRESS: CITY STATE ZIP TENANT PHONE: —� n�� t DN V "' CITY w o STATEN w1 ZIp '5�5`A6 CONTRACTOR ADDRESS: SUBMIT A COPY OF PHONE bit a"'- �Dcl FAX lb -2, AT5. YOUR STATE LICENSEQ n Q EXP DATE STATE LICENSE # "I 1 �3 31 PROPERTY TYPE ❑ SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS '❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK KS—IDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: yo bk SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1, Existing Floor Plan GARAGES ❑ ATTACHED GARAGE GARAGE 2. Proposed floor plan 3. List of structural members to be used. PROPOSED SIZE: ❑ DETACHED PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl Moffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum IrTrim and proposed project. ¢;Other ATascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS m --"T A 7 C. ALL FEES ARE BASED UN VALUA HON, INCLU]JEN't, 1 nL' %—VA l Vr aJHDVn H1L l.ac► a arav�.+..+• GING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUA'F101N 3it•-'' (.-1l_/ Permit Fee $ �1 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1> .0005 x Permit Valuation Minimum $.50 License Surcharge $ -S.) $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Ci of FridleyAttach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley d with the Minnesota Construc on C es; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the we will be in accord ce with th a p ved plan in the case of all work which requires review d approval of p�ans. Q(� �y � `LSI SIGNATURE OF APPLICANT .' - PRINT NAME �C Q- AS DATE • •� APPROVED BY DATE X� C& Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat d 763-502-3604 FAX EFFECTIVE I-1-09 DATE �P `^ it -0 YOUR E-MAIL ADDRESS SITE ADDRESS 5 THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME;/ �� TENANT ADDRESS:. °' — `� — CITY '' ' �%''� STATE'irZIP 4-11,711 PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 14 HOUSE ONLY NUMBER OF SQUARES fQ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES XATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 13 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, VinylSoffit ADDITIONS. & PORCHES SUBMIT: 13 Aluminum 14 Trim l . Site Plan/Survey showing the existing structures ❑ Other 14 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 5-6-0 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ "% .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ p, Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. �,/ SIGNATURE OF APPLICANT �✓�r PRINT NAME H)c , - , `�✓ DATE �� — I'�