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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N? 2041 Date ... r°; I► .. '...................... Builder Owner ��- �. �..d �s... r•� .. . Address '..,. �1y7�:..%..... Address ......................................... PN F BUILDING No.... .. I.c Street .. f i- ..................... Part of Lot ........................ Lot ..4o ......... Block .. �l ............ Addition or Sub -Division t�'~�-�, , . , , , , , Corner Lot ............ Inside Lot ............ Setback.w7j f.47dr Sideyard �®.!.�,� ............. . DESCRIPTION OF BUILDING To be Used as: Front ... Depth /j .A ... Height I ; Sq. Ft......... Cu. Ft........ . .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... Type of Construction ..: ;r;,� . z'. Est. Cost .. s .� : ... � ...... To be Completed ................... In consideration of the issuance to me.of a permit to construct the building described above, I agree to do the proposed workin accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. do, - In consider tion of the payment of a fee of $..�t,Epermit is hereby granted to ; j eV�ec�.feAe........ to construct the building or addition as described above. This permit is granted upon 6-Z-*XKnffoMn7Katthe 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 with- in the village Iimits and this permit may be revoked at, any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 11 Cowilry 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 5.5432 TELEPHONE ( 612)571-3450 OBSTRUCTION: Lot Block Addition Property Ouller-Address RECORD OF COMMUNICATIONS: 1. . 4�////&/777 2. 3. • • A,Yof Minn. Fridley, BUILDING PERMIT N? 6 713 Date: / ZOwner: Builder. - J Address Address C I N OF BUILDING No. aZ Street _.._J _e__ o Part of Lot Lot _ _ __ Block z Addition or Sub -Division .y�e Corner Lot Inside Lot — Setback Sideyard Sewer Elevation — Fo dation Elevation DESCRIPTION OF BUILDING To U as: Front Depth �. eight Sq. Ft. Cu. Ft. Frc Depth Leight _____ Sq. Ft. Cu. Ft. Type of Construction Fast. �` To be Completed _ In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above set nth and in co ordinances of the city of Fridley. In consideration of the payment of a fee of permit is hereby granted to I agree to do provisions of 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 violation of any of the provisions of said ordinances. /l Building Inspector • NOTICE: Sh permit dos: not cover the construction, installation for whring, phnnbing, gas hoeing, sewer or water. Be sore to see the Building hnpector for separate permits for these Mean. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S =49, )E d {� / / h BUILDER li&be r / Al ADDRESS -7!5- 10 2 s l �o ADDRESS VO V- b/ 'M eeyi I(-- LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision 0 / Corner Lot 4--' Inside Lot —Setback Side Yard �y SEWER ELEVATION UNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: V a Y- b. �j -P_ Front 20 Depth L Height /0 Sq. Ft. L O Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction F)` X4% ,'o _ Estimated Cost �Z To be Completed c 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 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. DOTE g— ) 7_43___ ,�,tGNATi�RE (Schedule of Fee Costs can be foundcine Reverse Side). -9._ 0 0 Effective Date May 1. 1988 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PER41T A m °� A w e[tft a nw w w o water Heater � o 8 $ ` -c u U3 U 5 IA y 3 0 W til! W U PO 4 ay ars t7 f7 O 9 leC Bann - let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures - $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser _-- $ 4.00 $ Blow off Basin - $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve - $ 5.00 $ Sump'or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Is of Value of Fixture or Appliance Reinspection Fee $ State Surcharge S 50 ($15.00) TOTAL FEE $'—' (d Job Address—J- p - 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 appl cation are true and correct p // Fridley, Mn. qff OWNER 74 r o l.. Jd A- %1 r A RIND OF BUILDING USED AS TD BE COMPLETED ABOUT V / ESTIMATED COST __ 44D. 00 OLD - NEW BUILDING PERMIT NO, PERMIT NO. Company Signed By fo 4=:!=:4 -.-1 4- Tel. No. � ` � �G• ROUGH INSP. Date FINAL INSP. Date �f/Q APPROVAL FOR PERMITh�/v MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE City of Fridley SUBJECT q PER . 2641 AT THE TOP OF THE TWINS BUILDING PERMIT---- � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. p1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/27/94 JOB ADDRESS 7502 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 SHEET Osborne Manor 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Shypulski 7502 5 Street NE 784-6637 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 21' x 16' and an 18' x 6' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors adjacent to all sleeping areas and in basement. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 1 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 $1.81 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,618 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. $63.00 Fire SC PLAN CHECK FEE TOTAL FEE $68.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) I WHEN PRO LY VALIDATED THIS IS YOUR PERMIT s 7 !"� 806 iNSP TE / SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI QIL ivFw Effective 1/1/94 ADDN CITY OF FRIDLEY ALTER j SINGLE NAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ' �7h Legal Description: Owner Name & Address: - 'b' _� , Tel. # -- - Contractor: MN LICENSE # Address: . Tel. # 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. 33& OTHER: M,` I Comer Lot A Inside Lot[ I Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $(� Approx. Completion Date: (®_,:� q qy (Cost on Back) Driveway Curb Cut Width Needed:( -7 + Ft = Ft x $ = $ DATE: �� a�� APPLICANT. t _ Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th % ) State Surcharge $ % , $.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 $ Agreement- Necessary I I Not Necessary I ] TOTAL $ �4 �/3 STIPULATIONS: nn C- K I u Q0 Qz LP WW -q,.4 -POSTS D -E, L F- 0 H FLOCQR -PLAQ 'SC.ALF-: 11 -4'., - F RO M G -PA -D4-:: SIDE FILEV. -->cA 41 Foo -r ,14,)- " 7 " �/ T '4/' 7 /1 CROV�r S ROT, Fb Z -)T CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS - I Soa- S i± S� Nit RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — - bO rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) ,1998 Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Flange $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ / ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) _� 1% of Value of Appliance or Work $ No.' of Heating Units Circle One (Steam) (Hot Water (fir) Trade Name Size No. 6L V U f2607 v Commercial/Industrial BTU LQ GD 010 HP EDR 1.25% of Value of Appliance or Work $ Fuel N-OutTotal Connected Load State Surcharge $ .50 Burner Trade Name Size No. 2 BTU HP EDR TOTAL FEE, MAINE HTG. AC ELECT., INC - 13562 CENTRAL AVE. N.E. HEATING P ANOKA, MN 55304 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 57 _wO'DZ7 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By el No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved ByRough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR4STAKERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned:hereby verifies that the existing chimney or stack: 1. Has been 0refully examined Yes No ( ) 2. Is free from rust or deterioration Yes No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HTO. XC ELECT., INC. 13562 CENTRAL. AVE. N.E. ...w... A&I r nnw J 3. Has no foreign objects lodged within Yes (A No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( No () . 6 Has total heating BTU's of uC CP i D D All other BTU's AMD TOTAL BTU's 1�D 7. Has a liner been provided for water heater Yes (5() No ( ) 8. Has combustion air been provided for water heater Yes y No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HTO. XC ELECT., INC. 13562 CENTRAL. AVE. N.E. ...w... A&I r nnw J HEATING AIR CONDITIONING AND ELECTRIC, INC. ADDRESS 1V E. Er �ik OCCUPANT -rm, HEAT Loss---------L—DATE HTG. INST. SOLD BY f3leg" - 4- Efcvical Work By81o,,teeA C TYPE OF HEAT GA FA X STEAM SPACE HTR. GAS DESIGN MAKE Model D Serial INPUT THERMOSTAT CONTROLS /I Heat Plug Chimney Construction HOUSE HEATING TEST RECORD APT. FLOOR CITY SUBURB OWNER INSTALLED BY 5 16, ' -L C Gem Line By 13 la, a 1-4 9 k UNIT HTR. OTHER 777N=777 Vem Size y T KIND OF LINER //�L ! SIZE NONE Draft Hood Regulator Filters Size m,.. r Number 1 Chimney Location Inside Outside Limit Setti ILI to ° – Fan Seed Pilot Type Pilot Make n.- Pilot Pilot Model 7% I Pilot Timing 5-k i, L.W. Cut Off Pressure 3. S r Percent CO2 90 Input CFH Percent 02 a L Stack Temp. 3 75 e' Percent CO Smoke Bomb Draft Door Pressure Wiring Test Tag Lighting Inst i Data Tested Company Testing h& Name of Tester SC m 44�- , as ii 8 Pressure Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO SUBJECT - PERMIT NO".""'".._\ of Fridley 2,8775 r?City QTME TINS BUILDING PERMIT TNO. -, ` 5724644'��____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC r 1 PROTECTIVE 1 � = CITY HALL FRIDLEY 55432 NUMBERDATE PAGE Or APPROVED BY 612-571-3450 910-F15 TREV 12/21/98 JOB ADDRESS 7502 5th Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Shypulski 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO uarve Contracting Inc. - 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 30 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 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 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 1 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 $5300 $2.65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $112.25 Fire SC $5.15 PLAN CHECK FEE TOTAL FEE License SC $5.00 1$125.05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN PROPERLY ALIDATED THIS IS PERMIT C /YOUR O "vi" S.GNATURE 09 OWNER,IF OWNER BUILDERI IDATEI BLD -NSP GATE NE'* [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY 'ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 76002, 6-- 5 �j b Legal Description: Owner Name & Address: V PU 1.5 K ] Tel. # Contractor: Ol IAavue P -Ln -+r -a C,7h v A I ne MN LICENSE # &01(e Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: � rk Tel. # %95 - /q7J Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �Q. " roo Estimated Cost: $ 6--2w • 0 U (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: CITY USE ONLY Tel. # Permit Fee $ as Fee Schedule on Reverse Side Fire Surcharge $ 3l5' .001 of Permit Valuation (1/10th%) State Surcharge a.��J $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ OU _ $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 $. TOTAL STIPULATIONS: Agreement Necessary [ ] Not Necessary [ ] 3 JAN -05-99 10:16 PM QUARVECONTRACTINGINC J i QuarveX,, Contractm" Fax Cover Sheet 6127856954 P.01 7,c -o,? 8427 Center Drive N. E. Spring Lake Park MN 55432 612.785 1472 Fax 612.785.6954 TO.- ! _... ..—._.., Fax: -- u From: f Date:/ Re: Pages: CC: O Urgent O For Review O pWw Comment D Plesae Reay O Please Recycle n1 suajEcr PER City of Fridley (=.2878 THE TWINS BUILDING PERMIT 72®3904 RECEIPT NO. a: _.____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APP OVED By L J` 612-571-3450 910-F15 12/28/98 JOB ADDRESS 7502 5th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Shypulski 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO uarve Contracting 8785-1472 6016 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 FSK REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (22 S) 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 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 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 1885 $.94 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 $59.50 Fire SC $1.88 PLAN CHECK FE TOTAL Licen S 5.00 $6 .32 SIGN A TUBE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, NENROPE ALIDATE T IS IS YOUR PERMIT OOP ia SIGNATURE OF OWNEROF OWNER BUILDERI -,DATE, BL GINS QA E NSW ` [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: , SLi�,�i� /S �,' �.�5sf fTJ Tel. # Contractor: &�im MN LICENSE Address:_ �5�;d _ ��{. ��, Tel. # 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: ��.- 9e /��v, ` o�o✓� s -w `�3 „ 4(p Construction Type: Driveway Curb Cut Width Needed: DATE: -9g Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Estimated Cost: $ S-% 90 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ APPLICANT: Tel. # $ 0 $ 1'M $ '99 $`C)® S CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.501$1,000 Valuation $1000 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 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 31167 RECEIPT NO. `COMMUNITY DEVELOPMENT DIV. v------ INSPECTION SEC. f � PROTECTIVE "1 CITY HALL FRIDLEY H432 NUMBER REv DATE PAGE OF APPROVED BY ' 612-571-3450 910-F15 7/12/00 JOB ADDRESS 7502 - 5th Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Schyputski 7502 5th ST NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Above All Roofing 5089 Salem LN Greenfield MN 55357 763-498-8888 20180384 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 O NEW 0 ADDITION 0 ALTERATION [& REPAIR 0 MOVE 0 REMOVE e DESCRIBE WORK Reside House and Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering, 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 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 $4f000�00 $2.00 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 O NY OTHER STATE OR LOCAL LAW REGULATING CON- $97.25 Fire SC $4.00 SnL HE PERFORMANCE CONSTRUCTION PLAN CHECK FEE TOTAL FE PF Licens C $5.00 08.25 IG ATURE OF CO • RACTOR OR AUTHORIZEO AGENT IDATEI NMAVIDATE IS YOUP PER T� S-GNATURE OF OWNERof OWNER BUILDERI IDATEI &Q& NSp rIATE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ r SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ' \ Construction Address: Legal Description: S CIC -le Owner Name &Address: To w► �� U S �/ ` Tel. # // r � A / / " ' Tv— Con Add 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: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ _ $ DATE: APPLICANT: Tel. # # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 7 . S� Fee Schedule on Reverse Side Fire Surcharge $ 00 .001 of Permit Valuation (1/10th%) State Surcharge $ J. C 0 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 5-00 $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 $ 10,q. 0 S� 6-11111I1EN1111e7Z&O