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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 4765 ) Date: _.._.. `»._40' ___. _. AA Owner: _. _ .. __ ........::.. _ _._. ... Builder _... _...... __. Address __.__..__...__ Address O . IT OF BUILDING No.... i Street _.. _., �.__ __...---_..._.____ P f Lot ...._......_.._ _ ..._ _ ._. _ _ Lot ,'.-P Block ...._.... 3 ............. ........... Addition or Sub-Division Corner Lot . - ..................._........ Inside Lot ........................ Setback .................... Sideyard ...-::._........._............_............._........... Sewer Elevation ....._..... _..__................... _._.___._-•---_...:....---_......_.:..__...._ Foundation Elevation ....._._.......----..._..-___ ....... _........... DESCRIPTION OF BUILDING'" To Used as: 00 _4—v -Front -----_ Depth .....:.i .,_.. Height .... _ .... Sq. Ft. rr.= Cu. Ft. T/49 fo ............. ......... .... _....................... .................... _.. Depth -- Height�tp Sq. Ft......_............._.. Cu. Ft......_............_.. Type of Construction__... _...:.. _........ Est Cos. �.yl.� To be Completed ...__........._.._..._........_. . J ..._.. CAUTION THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRNATE 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. �r.sp In consideration of the payment of a fee ofpermit 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 Q em• thecity limits and this permit may be revoked at any poli violatic)h of any of the provisions of said 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 hems. .. - 14 1 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name: -. Builder AddressAddress LOCATION OF BUILDING r No.�Street,�T a Part of Lot _�� Y I Lot Block Addition or Sub:Div: r t f Corner Lot In Lot 'Set Back 6� 05 Side -Yard S5MR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed.building location. DESCRIPTION OF BUILDING To be used as: / Front _ Sq. Ft.Cu. Ft. en Height? Front Depth Height So. Ft. Cu. Ft. Type of Construction Estimated. Cas 4,� To be completed The undersigned hereby makes application for a permit.for the work herein specified, agreeing to'do all work in strict accordance with the .City Ordinances and ruling of the Department of Buildings, and hereby declares that all thefacts and representa- tions stated in this application are true and correct. DATE Z — 2 J-- 6 0 - SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) Approved y B. ' ' 9 Inspector k zy � `Ld e.� �� nr " • � � a � a "}1 �� ' ' .. I Ip llk/p Vi81111" $A " # STATE W M1�M�4 ' s um"m wr eamwim cwetY,►. or.�nNr+ars+ +a.� !'� r } iste LAST "TN WMSIrT' :PA "Gal r' tt 9;..3 4 .y. 1• a `t �,, r� i, ,v'{ .44 1 4 r • •W 1 �j rl. �c I 1 }W;i'i,1# STMA; THE ASM IS, A' TR" AND OQMM RrAT CW SOMY oI �� • 'j t 1 ` h{ Lots 10 ajrA 11,dlook 13 t Hmiltios'a Iiaitiom to Meohamionville` 19th. AS GURYEY q w ME THIS __DAV. oF—. ALY A.C. 19 `O ,1 3 z t` SIGHED— F. IGNED F. C. JACKSON; MINNRpT d City of Fridley SUBJECT ®1325 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. J // 1 � ` CITY HALL FRIDLEY 55432 %.J NUMBER REV. DATE PAGE OF APPROVED BY 612-860-3450 910-F15 110/10/75 JOB ADDRESS S8 5320 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10,11 13 1 Hamilton's Addition to Mechicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chuck Lund 5320 4th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue St. Paul 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 X 8 DESCRIBE WORK Construct a 30' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Enlarge parking lot as shown on plan dated 10/10/75 Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc, REQUIRED BY LAW SEPERATE PERMITS REQUIRE® FOR WIRING HEATING, PLUMBING AND SIGNS. , g r TYPE OF CONST. OCCUPANGR UP) OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood -ramtm 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION x 4-pl TALLS 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. 2.44 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,884.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $12.50 PLAN CHECK FEE TOTAL FEE 7-s $14.94 SIGNATURE OF CONTRACTO OR AUT) )ZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT • T) ^ /U—Ild ''11 �`- BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : v v AA —BUILDER: ADDRESS : _5_ 3 2 o -/�y 5," �.L=^ ADDRESS : % t- SO L4 -,?t a A-- - C:51 NO: . J5'2 C.) STREET: 4"7-, ft ccr LOT: 10411 BLOCK: '3 ADDITION :y �i ry1 L -VJ AJ ,% CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and propose building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: be 4& (- -_-ck 2;-9- , 0® Front: as Depth• Height: 161-0, Square Feet: &e d Cubic Feet: i040 Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 6_Z� Estimated Cost: $ To Be Completed: %O V ?T q' ® () The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stYict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: eoc_� /:p -2s SIGNATURE • - (See Reverse Side For Additional Information.) kc c4 ER� SUBJECT P City of Fridley 2 6=NO. AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT COMMUNITY DEVELOPMENT DIV.��PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ''612-571-3450 9t 0-F15 5/11/98JOB ADDRESS 5320 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10,11 13 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Perkovich 720 E 7 St, St Paul, MN 55106 776-9165 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 4-Plex 7 CLASS OF WORKO NEW ❑ ADDITION ❑ ALTERATION fj] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Structure (15 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONSUnderlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 BO 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 4 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 $.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,251 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- $43.00 Fire SC $1.25 UCTION OR THE PERFORMANCE OF CONSTRUCTION. P PLAN CHECK FEE TOTALFEE r9 $44.88 IGNATURRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY A (DATED THIS IS PERMIT YOUR a BL INSP MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI ER� Prepaid Plan Check $ Estimated Cost $ Receipt # T Effective 1/1/98 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL (00 BUILDING PERMIT APPLICATION ;9L 3�1 � Construc ion Address -3 Z-0 °� fh 5,f , jVr $ ) Zoning r� � /D It, $ ) Cost/Sq. ) Owner & AddressG_ r el L r eL&0 V lo- ZA I Tel# 7 ? (0 ` i (1,C OOzF!'RACMR & ADDRESS Ao c k 4 r e,( A- Kcp v t ,\ 72-0 F, 7rt Uf Tel# Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] Alteration -Describe '7;2a ;, D 5� 4 1-00 f OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. �j APPLICANT Tel # 776-9t C,( Date VALUATION 1`rf r- x 63. gb Sq. tt. 1,r x $ Sq. Ft. x $ Sq. Ft. x $ Building Use Air Conditioning [] Yes [] Performance Bond Amount S Permit Fee Plan Check Fire Surchazge State Surcharge SAC Charge Erosion Control Park Fee Cost/Sq. Ft. = Valuation $ ) Cost/Sq. Ft. = Valuation $ ) Cost/Sq. Ft. = Valuation $ ) M 1�z " Construction Type Occupancy Group No Fire Protection Provided [] Yes [] No See Reverse for Schedule Received [] Yes [] No S S Spec. Assessments $ Driveway Escrow $ TOTAL $ 441S e l C, ;s'4::;o 0 See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1000 per SAC Unit (Plans to MKCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot -4 - ATTACH STIPULATIONS Building S Li'l -a'y BUILDING Plan Review Permit No.' Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 tinges the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 Crff OF FRIDLEY $ 15� P Q bate Rec'd: ,) DAlb; i .a, 0 (. YOUR E -MALI, ADDRESS $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Eserow $ 9 + 6 ft = ft x $21 $ '17 -!IS APPLICANT IS; 0 OWNER XCON I RACTOR $450 Conservation Plan Review PRO11"ERTY OWNER/ NAMHi4, Lj,., Fee Detarmined by Engineering TENANT ADDRESS; ,.SLI'? 0 L.I `L St, N L„ _ ._CITY `(=n c � ee ._.__S i'A'rQ-VZIP125y21 Agreement necessary ( ) Non Necessary ( ) PHONE: 6!'z S k n,") .17 1 CONTRACTOR NAME; M E <Zl LA �S 6ES i CSS 1 . .9LMMrr A COPY OF STATEL1CL�NRL �, ��D1.1 '7 905 EXP DATE ....... YOUR STATE I,ICFNSI.' ADDRUP-0: 901 N-41 (-h, 4 10 Sv 1TE 1044 gITY E L- 4,1 f1. STAT69M�LIl' 5533D WITH APPLIC:A'rION PI10NL' 6 - 633- '7 x a06 FAX- 633 -- Z 00 PROPERTY TYPE .1. _019INGIM FAMILY/NEW CONSTRUCTION SIZR 0 TWO FAMMYMW CONSTRUCTION STORIES PERMIT TYPE d ADDITIO 1a OAPA FJSHED 0 WINDOWS D 13ASBMENT FINISHFSOOF 0 DRAIN 71LE O DECK ❑ SIDING 0 OTHER O SWIMMING POOL TYPE OIL' WORK:El W 0 ADDITION 0 MAINTENANCMUPAIR 0 REM013131.I140 DESCRIBE WORK BEING DONE: aL, �� ..... ._... _ � ... SILL OF MPROVEMENT LENGTH WIDTH HEIGHT sq, Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES— MH'OUSB & (JARAGB BASP.MFNT R8MQD8UbJQ'U,+S BMD': RAGFS a A I'ACHN) UARAUE 1. 2, Misting Floor Plan Proposed floor plan PROPOSED SIZE:,_„,, , ,_ U DETACHED GARACM 3. List of structural members to be used PROPOSED HBLdH SIDING FOR NLW (;ON8'1%Ii(7riON INCLUDING DECKS, CI Vinyl t7Sottlt ADDITIONS, & PORCH&S SUBMIT: O Aluminum 17 Trim 1. Site Plan/Survey Wwwing the existing structum 0 other w _ , O Fascia and proposed projecL WINDOWS INE IS'1.1N0 OP8N1N(I'J CIYcs tJNo LOCATION OF WINDOWS 2. 3. Two sets of construction plans Ennrgy Calculations OR FOR NEW OPENINGS-DBSCRmE SI/.s OF , OPENING C14ANO S & 'I'YPS OF -WINDOW TO BE INSTALLEp NUMBER OF WINDOWS ALL FEES ARE BASER ON VALUATION, INCLUDING THE COSH' OF LABOR AND MATERIALS., (USING THE 1997 U.B.0 FEB SCHEDULE) Penult Fee S Li'l -a'y See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fue Fire Surcharge $ .001 tinges the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 Lioenso Surcharge $ 15� P Q $5.00 (Spate Licensed Residential Contractors) SAC Charge , $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Eserow $ 9 + 6 ft = ft x $21 $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Detarmined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due S k n,") .17 1 Make cheeks payable to: City of Fridley-_ Attach Stipulations THIS IS AN APPLICATION FOR A PERmm-war VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above Is eomplato 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; that the work will be in accordance with the approved plan in the me of All work requlr w-And4pproyawplans. SIGNATURE OF APPLICANT' PRINT NAME S-, PC T R0y t C- DATE 6/,13It7 Ed wu4t7:60 9002 Z0 .unr 4eZTT4S£94: 'ON Xdd Fialplad !o 6410: WONA