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PRE 2010 DOCS- �l BUILDING PERMIT Village of Fridley, Minn. No 217 Date%0�'. ... • OwnerBuilder ........................................... r, Address .'....% ........s Address ......................................... LOCATION OF BUILDING No.— '' Street .....1. �'• ......... Part of Lot .................... ...�.'.'�. , ..... Addition or Sub -Division ''�.... Lot ...... �.... block �.. . Corner Lot . Iiside Lot Setback :%1W .. SideYard .,07aw% m........... To be Used as: Wo Type of Constructioi DESCRIPTION OF BUILDING Front ; .. Depth:..* .. Height; e.op.... Sq. Ft . ...... Cu. Ft......... Front .1 4.sv. Depth . . . Height. ......... Sq. Ft......... Cu. Ft......... . d' Est. Cost , �:�........... To be Completed .1. ":'.:�./ AC done i in consideration f too, issuance., to me of a permit to construct the building described above, I agree to do the proposed work ,!# the! descript3ori :above set forth and in compliance with all provisions of ordinaxic&a c� 4be '��' %n nsideration the payndent of a fee of $, $ `, permit is hereby granted tc . 1�6.._, .. .. construct . the bulldti* or addition as described above,.. , er!h is granted upon to p e `express condition t the person to whom it_ 4s gran ted and his agents, employees 'and workmen, in all work done in, around and said building, or any part thereof, shall conform ,ins all respects to the ordinances of Fridley, Minnesota re arding' location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits a id this permit may be revoked at any time upo lation of any of the provisions of said ordinances. e ding Inspector City of Fridley, Minn. BUILDING PERMIT O OF BUILDING ' 4/-& No: tseet _� - Part&d Lo Lot __ Block Addition or Sub -Division 1 Corner Lot __ Indde Lot -J Setback Sideyard Sewer Elevation _____ _ Foundation Mention DESCRIPTION OF BUILDING To Used as:• Front Depth_ Height r Sq. Ft., Cu. Ft Front _ Depth _ _ Height — Sq. Ft. Cu. Ft. Type of Construction Est. Cost +"'""` To be Completed N In consideration of the issuance to me of a permit to construct the building described above, I agree to do =posed work in accordance with the description above set forth and in compliance with all provisions of ordinano� 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 ordinaaces of Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits an� permit may be revoked at any time upon violation of any of the Provisions of said ordinances. Building Inspector NOTICE Thk psn dt den not cover the cendruWon, WdWbtkn for phrendinq, jot heating, sorer or wabr. as wre to no the Building hupoftr for separate posits for thea item. APPLICATION FOR BUILDING PERMIT CITY OF F'RIDLEY, MINNESOTA OWNER ° S 1IM49 BUILDER ADDRESS_ ADDRESS LOCATION OF BUILDING No. �— Street �, Part o Lot Lot BlockAddition or Subdivision fg, 14 ollf .40 Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates.of Survey of Lot and proposed build- ing location drawn on, these Certificates. DESCRIPTION OF BUILDING Depth Height t. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. �- Type of Construction Estimated st ,_ a� Z�, _ 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 of Fridjfy Ordinances and rulings of the Department of Buildings, and hpoy declares that the facts and representations sta ed in this application e e c r ec DATE, / ,4tONATURE (Sebedule of Fee Costs can be found on the Re eras Side). SUBJECT City of Fridley 7?5NO. 3 ATTHE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 940113 /'.'1 CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY ,'� 612-571-3450 910415 1/26/98 JOB ADDRESS 7502 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 2 I Osborne Manor I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lonny Sievers 7502 4 Street NE 785-4048 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 j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK YUM Reside House & Garage (Vinyl) 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 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 $1,400 $.70 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- Fire SC $1.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $45.75 PLAN CHECK FEE TOTAL FEE $47.85 7 S NATURE OF CONT RA�TTO'RAORAUTHORIZED AGENT (DATEI PROPER ALID TED THIS YOUR PERMIT � J 2:Ne BLDJ9 INSP DATE SIGNATURE FOW NER,,F OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : c'o u A ,_ Ati C_ - Effective 1/1/98 �q3 Legal Description: d �' !%dam �� p lao �nG 1 �'� G✓'o Owner Name & Address: /-on N L A s�et-e rS , Tel. # LS-- Etc yg Contractor: Y1 q 1 r" MN LICENSE Address: %5'�J� r� s / W l; %=� 0 )Uj Gam, yL, 3 Tel. # 7�5-- Lid u 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: //)'n L4 It/ Estimated Cost: $ / V Q C (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ yI DATE: - - 4 APPLICANT: p/ Tel. # 2f � �" �o d 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 $ 40 .001 of Permit Valuation (1/10th%) $ '70 $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review R P � a $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] su9JEtr MIT NO. City of Fridley 3021 9 AT THE TOP OF THE TWINS BUILDING PERMIT RECE `� ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � PROTECTIVE 1 � = CITY HALL FRIDLEY 55432 NUMBER - REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/15/99 10B ADDRESS 7502 4th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 2 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lonny P. Sievers 785-4048 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION XK REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (18 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 $1573 $.79 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 $57.05 F14e SC $1.57 PLAN O AL FEE !7E 59.41 S ATURE OF CONRT R R AUTNORQED AGENT iDATE. HE P Y VA TED THIS I R P IT J I /✓ S.GNATURE FOW NER i�F OWNER BU4DER� MATE, B G iN5 PATE NEW [ ] " Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a, Construction Address: �� v� ,�i Z/i�� Legal Description: Owner Name & Address: Contract Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 7 e'. -'-4y 4L/ r TENSE # Tel. # Length Width Height Sq. Ft. Length Width Height Sq. Ft. Le gth Width Hgt/Ground Sq. Ft. Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / ! S r APPLICANT: G Tel. #d!,_' CC Permit Fee Fire Surcharge State Surcharge $ "25) 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%) $.50/$1,000 Valuation $1050 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 [ ] SUBJECT P City of Fridley 32092 AT THE TOP OF THE TWINS BUILDING PERMIT r E , R3 . �• COMMUNITY DEVELOPMENT DIV. T w ___ -__ 572®36®4 J r � � PROTECTIVE INSPECTION SEC. 1 . i CITY HALL FRIDLEV 55432 �""� �'' NUMBED REV DATE PAGE OF APPROVED BY 612-571-3450 910-Ft5 8/21/01 JOB ADDRESS 7502 4th Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 18 2 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS Lonny Sievers, 7502 4th St., Fridley, MN 55432 ZIP 763-785-4048 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sealguard Systems, 3770 Dunlap Ave N, Arden Hills, MN 55112 651-481-7888 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20093688 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK Cjt NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace windows 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking & flashing for all exterior openings. 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 I 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 4E COMPLIED $8,072.00 $4.03 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 OTHER STATE OR LOCAL LAW REGULATING CON- $167.25 Fire SC $8.07 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licens 5.00 184.35 SIGNATURE OF CONTRACTOR OR AUTMOR12E0 AGENT IDATE, H N P Y V of ATED THIS ILI R�QIT!/ SIGNATURE OF OWNEA,IF OWNER BUILDEAt iDATE, DG iNSP - MATE NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:- o") �'�� -D+ . 0 Legal Description: Owner Name & Address: L®f1f) �--j _ (e- V C -C:--) Tel. # P Contractor: f)aG MN LICENSE # Address Tel. #� Attach to this appTica ion, 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: CFO Construction Type: Estimated Cost: $ i Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ -,2Y-01 I� DATE. - ` APPLICANT: Tel. 4W '"1 1"' [1 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ GG 7...2 r' Fee Schedule on Reverse Side Fire Surcharge $fir ,a .001 of Permit Valuation (1/10th%) State Surcharge $ 3 $.50/$1,000 Valuation SAC Charge $ �. $1 '150 per SAC unit License Surcharge $ �� 6 $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 $ *17 STIPULATIONS: / v �D �� `/ e --��3ld• /• y `"7y Gil /�. G. �A�G/•c�� /�-��'��/��.c/�,