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PRE 2010 DOCSCity of Fridley SUBJECT M I 15 856 AT THE TOP OF THE TWINS BUILDING PER l _ r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 = i HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/30/80 JOB ADDRESS 5330 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7, t8 8 13 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Homer Melton 5330 - 4th Street N.E. 560-9046 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue, St. Paul, MN 645-0331 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 24" x 24' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. WARNING ®efere digging call foal uIllitias SEPERATE PERMITS REQUIRED FOR 11Vi INTG1 t'ELEPNONE- ELECTRIC -GAS Etc, HEATING. PLUMBING AND' SIG,Ly,. REQUIRED BY LAW 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 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 $5,074 $2.54 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. $23.04 PLAN CHECK FEE TOTAL FEE $25.58 SIGNA RE OFTCONTRACTOR AUTHORIZED AGENT (DATE) WHEN PROPERL .VALIDATED THIS IS YOUR IT `O�R� ,,R / / C gCPE,R , SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) i II BLDG INSP f OYTE II n0,► � Mai \(ve ` Hp- ut-)ke v e�;C�tfF k aDc�J�r piopil �Oy-s Of at Pc) r'�'�o;��/ �V3�►`�' Qc'Ybi^�SSIGh to ovy ne;cthboys M��/��a„f' 5330 - ti Sl". N.T., ��,�c��' Mn w,ec){� gDve-em e n� uC, C?bvetiori , 'f e C+4y r))7IDd.EYl Mo. S, -Cf '60, oeo �e- kee �y CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL [BUILDING PERMITS (Neer, Alterations, Additions, or Repairs) OVINER: Ho in.t. 1 r o ADDRESS: S 3 3O 4/ S1_ •�� _ TEL NO: :,60 9® BUILDER: it .S .Q 1 (10 , v -F ADDRESS: TEL NO:y Ll D 3 3— Construction Location STREET NO: �53 O STREET:119 b � sY, D.LOCK: ADDITION: hikrJC Il Diero : � cN4 mokry., Corner Lot: Insiae.Lot: 2-etback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. HAG E, DESCRIPTION OF CONSTRUCTION - ZOE*�' Front: C;?' V 't , D--pth: t' / Height: /0 ' Square. Feet. '5 Cubic Feet: Front: _ Da;�t�h : _ H eight: Square -Feet: cubic Feet: '_S 0'7 At z T�'lpe of Construction: V'k 'R Estimated Cost: $ Tb Be Oompleted: J R_�� "i�""' Alt. A Alt. B 1Ps-onosed Driveway, Width If New Opening Is Desired: / ll�$ $ 19Q. 7 SEE REVERSE SIDE OF SHEET. The undersigned hereby makes application for 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 stated in this application are true and correct. r . DATE:. 743,® ca -""o SIGNATURE: Stipulations: f- -_i r SUBJECT PE 97_ City of Fridley o 18693 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. -------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 7 ---I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 10/10/86 JOB ADDRESS 5330 - 4th Street N.E. 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7, pt. $ 13 Hamiltons Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Homer Melton 5330 - 4th Street N.E. 572-9317 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 201 x 2V Addition to Back of (louse 9 CHANGE OF USE FROM TO STIPULATIONS Variance for 7 foot sideyard approved by Appeals Commission on September 30, 1986. See notations on plan. PERMITS REQUIRED FOR WAKnAllAffig SEPARATE EATING, PLUMBING AND SIGNS-. Before digging call local utilitie.; ) NIRING, TELEPHONE - ELECTRIC - OAS Ell:. REQUIRED 8 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $39,050 $19.53 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. $238.00 None PLAN CHECK FEE TOTALFEE 59. 0 $317.03 I NATURE OFCONi#7ATOR OR AU RIZEDAGENT (DATE) WHEN PRO RL LID HIS IS YOUR PERMIT ALAA BLDG INSP GATE SIGNATURE OF OWNER I IF OWNER BUILDER) IDA EI t�pel }l v .,Cl FA a IRA --= 'kms„ ci �v� sP vh ti i Ltjr J VJ &U4L D P, �w „q a "c - S,3 30 4 71 ST N.f- - 140n,Y�►,e.Itorl 2No FIC)OR )" EgJal 4 ft u�AA' of cra�1 LZxfo Cc:l�n� So:ytJ ggkgk J CASA tneriT W;n►ooQ F9et� ,p \Nesr WAIS 0 e v,�. c� i r 7 ellP/j�rneR ��PiPs �}a.fbfov� > c fin! f4R'w (,�oriuc 'Pb Ir U. PTL(L S O� 4-10 —a.7i9" S;11 C \ N Will Dow IN Ntmmmmmmm 111101111 ��r��r�■�� MINE :Amu, - 1 <� (A)ftPll ( 1 �1 et) w aqn 00010 S e7l�h GAitA ??_ tPl* J. (A)ftPll ( 1 �1 et) w aqn 00010 S e7l�h GAitA ??_ tPl* SUBJECT IT NO. City of Fridley 29799 AT THE TOP OF THE TWINS BUILDING PERMIT 'Reetipm `O. >r _____ COMMUNITY DEVELOPMENT DIV. I PROTECTIVE INSPECTION SEC. r : NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910418 6/30/99 JOB ADDRESS 5330 4th Street NE i LEGAL LOT NO. 7 & BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. N 1/2 8 13 I Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Homer Melton 572-9317 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 3770 Dun717-0700 20093688 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION 19( REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $2185 $1.09 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 CHECK FEE TOT FEE �/�PLAN & Li cen S $5 0 $ .53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA E, EN OP R,n .04sp ALIDAT THIS J,G6-MPU7RP R DAft S-GNATURE OF OWNERJF OWNERBOLDER, IOATE, dL NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5330 1-141 a Effective 1/1/99 Legal Description: Owner Name & Address: b)yr M ufoo 5330 qf-)) 5f 111 Tel. # (D)off Contractor: Sedn s -kens MN LICENSE Address: 3 0 La 1UN %' M �55Tel. # 013 /1/' 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: eg!ah . f Construction Type -ar ` 7 � K �— KU� Estimated Cost: $ f I � V5 U (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: ( � (�7' d✓� Tel. # CC Q USE ONLY 2CITY 5 Permit Fee $ ✓ • Fee Schedule on Reverse Side Fire Surcharge $ q .001 of Permit Valuation (1/10th%) State Surcharge $ ` . $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ -DU $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 $191 -15 STIPULATIONS: Building BUILDING Permit ivo.: oo�- Inspections RESIDENTIAL APPLICATION Received By: 1 763-572=3604 CITY OF FRIDLEY Date Rec'd: ' - 't DATE �� o�_O Q� YOUR E-MAIL ADDRESS SITE ADDRESS �� '� 3 T M, F i THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: H O M ILTL VYl4L 1'i'o 1RJ _ ADDRESS: S 330 �i'T S�1 N CITY �� 1 4 f STAT)�h�t�LI � TENANT PHONE: 7 b.3- S7 a ^ � � CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISHOOF ❑ DRAIN TILE 13 DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION vIA1NTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: S` : d �. �' 7-A I^ o ®V ci- �' e-- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: gID�G FOR NEW CONSTRUCTION INCLUDING DECKS, myl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans Vi'INDOWS 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, ® C> 0 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 5 -OD $ -0 .5?) See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attac 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; that the work will be in accordance with the approved plan in the case of all work which requires �r��evi w and approval of plans. 9 j SIGNATURE OF APPLICANTPRINT NAME