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PRE 2010 DOCS
0 • Village of Fridley, Minn. BUILDING PERMIT Date:. r ........................ Owner A�/.lQ. !^!.. �!@!b`� . ..... Builder .... .C./... . Address tT..! ...� L:°��a I Address .. �.®. .....®� O ION OF BUILDING� ,may �'s`Y No. G4�. Street .. .-�.. Part of Lot Lot .A 6...... • Block ... ............. Addition or Sub -Division Corner Lot ........... Inside Lot �.... Setback . Sideyard DESCRIPTION OF BUILDING To be Used as: 0 � Front .U... Depth . q_.� .. Height Sq. Ft. .1P Cu. Ft. ........ ..................... Front ........ Depth Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction Q� *-?F-A e....... Est. Co 0 .6-9, Type ..... To be Completed .. . In consideration of the issuance to me of a permit to construct the buildinggescribed above, I agree to do the proposed work in accordance with the description above set :fo'rth and in co pliance with all provisions of ordinances of the village of Fridley. s' .............................. l� o �a fr�'fi ✓�LQ?.P!L 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ /l Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 0 City oFridley, FY , Minn 0 e BUILDING PERMIT N° 4149 Date: -----..-. ...�._..._ ...... ./....._....�......._... ... - As Owner- ---- ........ -.......... -............. _.................... ....... ............................. -.................... Builder, ,-& _._� � ..... .... e._.... Address................................................. .__............ _........... _.- ........ _................ Address ..................................... .............. / N OFBUILDING No. -1... Street .............( ........................ Part of Lot .- - Lot .....I.;? .. :................. Block ............. /.••................................ Addition or Sub -Division . P CornerLot .. ....................... _........ Inside Lot . ............................. Setback ...... .......... ..._-.................... Sideyard.................... ........................................... ............ Sewer Elevation ............................ :..................... _..................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: // -P 9 � �' ..... Front l.:. Depth er��..' Heightf1.:.-e Sq. Ft. �.Y®.. Cu. Ft..'© ..............- ....... .................. Front ........................ Depth .................... _.. Wght ....................... Sq. Ft. ..................... .. Cu. Ft....................... Type of Construction............................................................ Est. Cost .................,.......�..P.. ®..'-be Completed ..... .............. ....................... 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 for end i cgmpli with all provisions of ordinances of the d 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 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 an provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. h APPLICATION FOR BUILDING PERMIT 1 CITY OF FRIDLEY:-MINNESOTA q Owners Name . �' Y ' Builder (� 1�C' ®: �d�^ Co Address 41 ti 1i�.9 Address w� j ; LOCATION.OF.BUILDING No. Street j Part of Lot Lot lock -----Z Addition or Sub.Div. WA 20 r� rA�r_ IM Corner Lot��Inside Lot�_Set Back 7 Side -Yard. _f SEWER ELEVATION FOUNDATION ELEVATION" Applicant attach to this form Certificate of Survey of Lot and proposed building location. . 1. .. DESCRIPTION OF BUILDING To be used as: r/ Front / Z— Depth ' ZO Height Sq. Ft. r.'77 q- Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 4�✓ a { Estimated Cost To be The undersigned her'ebg makes application for a permit for the work herein ?pecified,, agreeing to do all work in strict accordance with the City Ordinances•and ruling of the Department of Buildings, and hereby declares that all, the facts d.representa- tions stated.in this application are,true and corre t., DATE �% SIGNATURE `F71t-) (A Sch ulle of Fee costs can be found on the Reverse Side.) , i I I I 1 i i - i I I ;---1--�-�-moi--- � ! I i I i I i a r- j1-- _ � I I �- I I - _ I _ I SUBJECT City of Fridley -b 19 AT THE TOP OF THE TWINS BUILDING PERMIT �r • RECEIPT VT—O. COMMUNITY DEVELOPMENT DIV. ./D _ r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 3/18/96 JOB ADDRESS 5651 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 25.6:26 1 Hamilton's SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rhea Cruce574-9925 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 Reroof HouTear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 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 $1,360 $.68 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- $45.75 Fire SC $1.36 STRUCTION THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE r /�C,(� �-�/ $47.79 SIGNATU EOFCONTRACTORORA THORIZEDAGENT IDATEI WHEN PROPEW VALIDATED THIS IS YOUR PERMIT BLiFG INSP MIIT 5-441 fy DATE _ SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: -7) =I`z _'& . 1—:52. Legal Description: Owner Name &Address:, /�� .G� (/�;. , 6_X' 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 � HgtIGround Sq. Ft. OTHER: y lkit � a 0 % f Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ lei Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #----56 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 $ $900 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 [ ] Not Necessary [ ] TOTAL $ � STIPULATIONS: FA SUBJECT - City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 303 NO. COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/1/99 JOB ADDRESS 5651 6th Street NE 1 LEGAL LOT NO. Pt. 2S BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 SHEET 2 PROPERTY OWNER MAIL ADDRESS Rhea Cruce ZIP PHONE 574-9"s 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XM REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building.wrap inspection before covering. 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 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 $6000 $3.00 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 $125.25 Firy SC $6.00 PLAN CHECK FEETOT FEE 34.25 SI u OFC NTRACTORORAu OAIZEDAGENT 11)AfEIq 7EROP VALID T/ THIS IS YOUR PERMIT % N4 UAE OF OWNER.IF O NER BUILOERI tOATEI BL G INSP gAtE FA NEW[ ] ` Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY h ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 a, BUILDING PERMIT APPLICATION Construction Address: '�� / 4�zv1AL 4 d Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction dawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width /_+/` Hgt/Ground -R,4® Sq. Ft. /) Construction Type: -Z, Estimated Cost: $`Q�Q . O Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ "2ZDATE: — APPLICANT: Tel. #% STIPULATIONS: CITY USE ONLY Permit Fee $ Z' Fee Schedule on Reverse Side Fire Surcharge $ 6,00 .001 of Permit Valuation (1/10th%) State Surcharge $ 3,66 $.50/$1,000 Valuation SAC Charge $ $1050 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 [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 3uilding Inspections 763-572-3604 )ATE__CE2� ,ITE ADDRESS BUILDING Permit Nom RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY Date Rec'd:s YOUR E-MAIL ADDRESS 'HIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME, Plan Review i,d,lit ADDRESS: (Q + _ CITY I Ot"" l STAT TENANT Surcharge PHONE License Surcharge CONTRACTOR NAME: $ $1550 per SAC Unit (Plans to MWCC for determination) STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX $ Agreement necessary ( ) Non Necessary ( ) PROPERTY TYPE ft SINGLE FAMILY/NEW CONSTRUCTION SIZE [3 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS 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 ❑ BASEMENT FINISH ja ROOF ❑ DRAIN TILE / � /tl.LLj'c� PRINTNAMER14—"C'i4 _C(Z U &— —E DATE rJ ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Ili gAj Q00i% II3's1 W (O SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other LENGTH gr HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia HEIGHT Sq. Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ,ADDITIONS & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures 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 & q9 7 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING97 U.B C FEE SCHEDULE) TOTAL JOB VALUATION $ ��, ?1 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 $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ 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: 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; 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 1 / � /tl.LLj'c� PRINTNAMER14—"C'i4 _C(Z U &— —E DATE rJ