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PRE 2010 DOCSNow `CITY OF FRIDLEY MINNESOTA PLANNING AND ZONING FORM Number APPLICANT'S SIGNATURE-2�,��,(� TYPE OF REQUEST Rezoning Special Use Permit Variance Lot Splits Address ] 7 Approval of Pre- ��L--e- 1 iminary Plat Telephone Numbgr �.1 � fIA -�j a �- Approval of Final �- W, Plat PROPERTY OWNER'S SIGNATURE ���/�� // � �eets or Alley Address ,b - Q,�-� Vacations Telephone Number _51 - Other ,� 7 s2 Street Location of Property y�� � // �/-C �'�i.�,.�.,� .�' ,�_— Legal Description of Property -12a Present Zoning Classification Existing Use of the Property Proposed Zoning Classification, Special Use, Variance or other request Describe briefly the Type of Use and the Improvement Proposed Acreage of Property Has the Present Applicant Previously Sought to Rezone, Plat, Obtain a Lot Split, Obtain a Variance or Special Use Permit on the Subject Site or Part of It? When? What vas Requested Fee Enclosed $ Date Filed Dane of Hanring __ PLANNING AND ZONING FORM PACE 2 Number The undersigned understands that: (a) A list of all residents and owners of pro- perty within 300 feet must be attached to this application. (b) This application must be signed by all owners of the property, or an explanation given why this is not the case. (c) Responsibility for any defect in the pro- ceedings resulting from the failure to list the names and addresses of all residents and property owners of property within 300 feet of the property in question, belongs to the undersigned. Residents and Owners of Property within 300 feet: PERSONS ADDRESS A sketch of proposed property and structure must be drawn on the back of this form or attached, showing the following: 1. North Direction 2. Location of Proposed Structure on lot. 3. Dimensions of property, proposed structure, and front and side set -back: 4. Street Names 5. Location and use of adjacent existing buildings (within 300 feet). The undersigned hereby declares that all the facts and representations stated in this application are true and correct. DATE z o — �' SIGNATURE11 (APPLICANT) * * * * * *•* Approved Denied By the ;oasd.of Appei.ls Subject to the Following Conditions: date Approved Denied by the Planning Commission on Subject to the Following Conditions: dat- Approved Denied by the Council on Subject to the Following Conditions: date Form PC 100 t CITY OF FRIDLEY MINNESOTA PLANNING AND ZONING FORM Number APPLICANT'S SIGNATURE Address '512 _ J "- Telephone Number_ % q, PROPERTY OWNER'S SIGNATURE ,(/�i' Z r io�� Address S` Telephone Number TYPE OF REQUEST Rezoning Special Use Permit Variance Lot Splits Approval of Pre- liminary Plat Approval of Final Plat 'greets or Alley Vacations Other Street Location of Property 5 A U Le Legal Description of Property Z,;t Present Zoning Classification Q % Existing Use of the Property. Proposed Zoning Classification, Special Use, Variance or other request Describe briefly the Type of Use and the Improvement Proposed Acreage of Property Has the Present Applicant Previously Sought to Rezone, Plat, Obtain a Lot Split, Obtain a Variance or Special Use Permit on the Subject Site or Part of It? .�� When? What was Requested Date Filed Fee Enclosed $ Date of Hearing __�� PLANNING AND ZONING FORM Number PACE 2 The undersigned understands that: (a) A list of all residents and owners of pro- perty within 300 feet must be attached to this application. (b) This application must be signed by all owners of the property, or an explanation given why this is not the case. (c) Responsibility for any defect in the pro- ceedings resulting from the failure to list the names and addresses of all residents and property owners of property within 300 feet of the property in question, belongs to the undersigned. Residents and Owners of Property within 300 feet: PERSONS ADDRESS A sketch of proposed property and structure must be drawn on the back of this form or attached, showing the following: 1. North Direction 2. Location of Proposed Structure on lot. 3. Dimensions of property, proposed structure, and front and side set -back: 4. Street Names 5. Location and use of adjacent existing buildings (within 300 feet), The undersigned hereby declares that all the facts and representations stated in this application are true and correct. DATE �2 — e� C% — 7 SIGHAT M tri g, (APPLICANT) * * * * * * 'civ * Approved Denied By the 3oard of Appails Subject to the Following Conditions: date Approved Denied by the Planning Commission on Subject to the Following Conditions: date Approved Denied by the Council on Subject to the Following Conditions: date Form PC 100 CY a •' '' '( ., �, • �1/' .. 1► 'MWEdo tom; !r City of Fridley SUBJECT P.13192 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION � - Lf r 1 SEC. NUMBER REV. DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-560-3450 910-F15 9/11/75 JOB ADDRESS 5821 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 32 Hyde Park & Vacated 58th Avenue SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Walter Maciazek 11-62111 Way N.E. 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 Gk NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 40' x 24' Dwelling and a 18.3' x 25.5' Garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. See #12,794 for building plans (same as 11-66h Way except reversed) SEWER LOCATION: 154' South of Manhole (Inv. 847.55) Wye Elev: 848.32 Top of Footing: 851.32 Minimum WATER LOCATION: Must Be Tapped 6" CIP 40' West of property line SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGN$, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING 'r Wood Fame 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 8+ 4+373 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $27,000 13.50 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. PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AU ORIZED AGENT ATEI a WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT410 q1 !j BLDG INSP D At E SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) APPLICATION FOR RESIDENTIAL ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S, NAME: BUILDER: MjWsoA"+04• ADDRESS: NO • . Z STREET • ADDRESS: LOT: BLOCK: ADDITION: V ore. go�(e 4- vACk o --- CORNER LOT: INSIDE LOT:_SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building * locatio:L drawn on these Certificates. _ DESCRIPTION OF BUILDING To Be Used As: Front: '1 P W V 41 �• �� Height ° •�f� L /T �! ® Depth: : Square Feet: Cubic Feet: T ��� Q Z►� one jj 6&& Front: of. Depth: Height Square, Feet; �/ % Cubic Feet • Type of Construction: •L-/�� Estimated Cost: $ !2a CSO (%v To Re Completed: _ S0,0 1A) RCWT' e 9,01- Y4/101. LEE &1L6eAJ6 A-4.A1S (SqM& AS 11-66(61- J)2000,E, 1-66o(61.J)20vra,E, A2D Su FACS b2.LJEus� . P201hviE, VUt1 -yrAU� st�dt�/Verein v'EFcj�CAPP��r/�. The-unders geed hereby makes applica ion, for a permit fdr the work 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. DATE: SIGNATURE• C (See Reverse S de For Additional Information.) C Wruft iT Z •)SAO.9 PRzrp oii. �0 3�bit sent I 3X --- �'-- avy -671.7 sz/_ x - = y 1 G V to-- I geft� 1E.3x a�.� -L- (4G?_x = 373 co_j2k - _ ----- - - y1(o--- - - U0-11Y . --- -- - 98�x w.4o = Z.'Z,3Z?s.ao - - )v s.od z . 3 3�': e o Owl. 174 - - T)e / 3.0 'CIVIL ENGINEERS El N.C. HOIUM AND ASSOCIATES, INC. LAND SURVEYORS Tepne. DKX30 CENTRAL. AVE. N.E. (Hwy. 65)—BLAINE, MINNESOTA 86434 7145"4-80 712 SOUTH MAIN ST. — CAMBRIDGE .MINNESOTA 55008 689-4788 CERTIFICATE OF SURVEY: 4 -.49 I WALTER MACIA.5ZEK Before digging call local 001% TELEPHONE - ELECTRIC - GAS E% REQUIRE® BY LAIN n d CCHAM .INK FELICI:. 135.09 1 ENT (VACA7-*E P) . c 1� 135.09 F 5CALE: 1 "=30' 4- 317-209-652&6 DENOTES IRON. 71 !ORTA — , 7IFY THE FRIDLEY ENCR. §1®N REGARDING CURF WAL.AND REPLACEMEle -1-4 r bEWAY OPENINGS LEGAL DESCRIPTION: Lot 10, Block 32, HYDE PARK ADDITION, Anoka g U1 County, Minnesota, including the South 1/2 .' of vacates 58th Avenue NE and the West 1/2 39.1 of the vacated alley lying adjacent to said --_—__ Lot 10. I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN. CROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS... -All ....... DAY OF...........StP.Qt.0Jnber................A.D. is..75......... N.C, HOIUM AND ASSOCIATES NC. .................. lil-C ..... .............. ....................................... Minnesota Registration No. A4Z7.............. LL. N N Ld ,2! Z RO 3s' ° 4 -.49 I WALTER MACIA.5ZEK Before digging call local 001% TELEPHONE - ELECTRIC - GAS E% REQUIRE® BY LAIN n d CCHAM .INK FELICI:. 135.09 1 ENT (VACA7-*E P) . c 1� 135.09 F 5CALE: 1 "=30' 4- 317-209-652&6 DENOTES IRON. 71 !ORTA — , 7IFY THE FRIDLEY ENCR. §1®N REGARDING CURF WAL.AND REPLACEMEle -1-4 r bEWAY OPENINGS LEGAL DESCRIPTION: Lot 10, Block 32, HYDE PARK ADDITION, Anoka g U1 County, Minnesota, including the South 1/2 .' of vacates 58th Avenue NE and the West 1/2 39.1 of the vacated alley lying adjacent to said --_—__ Lot 10. I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN. CROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS... -All ....... DAY OF...........StP.Qt.0Jnber................A.D. is..75......... N.C, HOIUM AND ASSOCIATES NC. .................. lil-C ..... .............. ....................................... Minnesota Registration No. A4Z7.............. f "� y? -J i`/ �' JOS , /75 l I Appffaaf.fan for P6wu Atz-ft pid =r dig Codinga V6111titild ' Re-filpr®dfgo ad' . Air ( iidlilddisAig t- tMt biIId ad z as PARTIAL RATE SCHIDUl9 rM.4"w WARM Amt. fAme §M1 h Duet waft :iepiaeeme3f 6f & AHFialiotii= UP l8 $886:68 AF�airs 6- Ai!6fi3iliin3 Fafh add: MOM " �@TAL ... ..... .:�}6:66 �.- 60 6.66 me -it Mfrs' !H AN, iltiffifiH §Feii & £'tiff R'aA to HUM BTS e$di iidd. a a0d ..... . �.epis�ine�t bf iiif>�ce Rc;.air ci .herd ons-_iup to $500.08 Repairs & Alterations each add. $580.00 STEAM or HOT W11.7—ER EY ::TEM Furr:ace Shell S Lines—to 4.00 sq. ft. 7.'MR Steam Furnace ShJI & Line --to 640 sq. ft. EDR Hot Water Each add 200 sq. ft. EPR Steam , Each add. 320 sq. it. EDR Hot Yater OIL BVPNZA—to 3 gal, per hour over 3 gal. per hour—See ree Schedule Gr`w L'U76 L -=R% (up to U9,070 BTU) over 183.000 ti'Ti1 Sar Foo Schodule GAS FITTING i LEZ. 1 140 RATE TOTAL x$ zoo S Ci x .?S X3 5.W $ State Surcharge .50 TOxjSL $10.00 e 10.00 $. 6.6d 6.80 $ 3.00 $ STEAM or HOT W11.7—ER EY ::TEM Furr:ace Shell S Lines—to 4.00 sq. ft. 7.'MR Steam Furnace ShJI & Line --to 640 sq. ft. EDR Hot Water Each add 200 sq. ft. EPR Steam , Each add. 320 sq. it. EDR Hot Yater OIL BVPNZA—to 3 gal, per hour over 3 gal. per hour—See ree Schedule Gr`w L'U76 L -=R% (up to U9,070 BTU) over 183.000 ti'Ti1 Sar Foo Schodule GAS FITTING i LEZ. 1 140 RATE TOTAL x$ zoo S Ci x .?S X3 5.W $ State Surcharge .50 TOxjSL $10.00 $ 10.00 $. 3.00 6.00 $ d► - 1st 3 nxtures AddiJonal 'rlxtures Gas Ran;;c to 101:%= FAA HFA?S IG SYSzrcM F;GUr:i is is si, � 5ft-Ai of b}d.. ftbm Er0;V0 e-}ty of f,�}dic"i ' T 9i: Uhk1t:i•sJt tied h f6bif frTal H 3PPfii I -M f€te it Pfffliff f6€ the WSph hue -1, watified. i# rts: ifig,. t8 do an *dfix iii §itiet m6fdaiiee With the City bfdlamfu AM filling ii$ the Ttgiia4 ftrt;nt sf biiiidiii4e; U.d hm@ ty dFElafa that af} Ahre tsac4 ai3d AMM iii tfils dpj beabufi fe fine a/nd weitat; Used as To be eomplelcd about, - y Estimated Cost; S S� Old Nev) Building Permit No. Pormit.No._ C=TION OF WOFIZ HEATING or POWCR PLADMEE Storm, 17ot Water Fara Afr No I rade Name l SL -e Ho'dAS° - 10-5 Capacity' Sq. I't. &D.R B-,II�- Total Connected r=,j 7 C -Z Pai.:id o: ittsl V BURNER -- 7'rc le Name Size No Capacity , sq. Irt. El -'.R D'A_J cs�,�a-Mz—�rtaa Ddb '•.,az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide d� ows I -Doors Reference Out. Wall Int. Wall Ceiling Roof Floor No IS No 19— FLI A+ fI- Room I Length /P Width 49,s' Heistht 2 II / F1.1 - R.1, Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area N_o._y} of pane of Dane lighte of crack eq. ft. ft aio ®s Z 2 ® , 7 Glass Coef. lCoef.1 JCoef.j Btu Infiltration 147, 7 6 1.3 ,?/ 1, Glass S-0 6 C-) SO -21s-01 1 a2 -/ Exp. wall �,,��( Net exp. wall i,2 0 1 7 / /01 Net exp. wall Int. wall 3 q - q— Floor 6117 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Int. wall Fl.I /%i Room I Lenstth J©,$ -Width 13 ,fir Floor Ceiling °� T27-10 ® / Floor i17 1137 1 I 11 3 (°j ! otal 13tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Y.,-,. Room I Length,/4,S- Width /-?,S Hehtht )? Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of Dane llghte of crack A. it. Ari 0, Al 336, 27, Glass Coef. lCoef.1 Btu Infiltration ,�'/t I IF.3 6 Glass /4 -*'0 I z A S-0 6 C-) Exp. wall „L VX $ 1 Al Exp. wall 3,5- ,I( Net exp. wall 1 7 / /01 Net exp. wall Int. wall 3 q - q— Floor 6117 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling 1A1,3 )e 13,,6— Fl.I /%i Room I Lenstth J©,$ -Width 13 ,fir Floor Ceiling1 T27-10 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I / Fl.1 � n. d Room I L enath A,4—Width R' Heiaht /J Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal It. Area No. of pane of panelights of crack eq. ft. 3 rC /14-3 Glass Coef. Coef.1 Btu Infiltration I IF.3 Net exp. wall as, /4 -*'0 Glass Int. wall Q ® 1 j® 0 Exp. wall 3,5- ,I( l 1 7 / (7 Net exp. wall Total Btu. 3 q - q— Floor 6117 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Int. wall Fl.I /%i Room I Lenstth J©,$ -Width 13 Heiuht k> ° Ceiling1 T27-10 lei Floor Floor 1137 1 I 11 3 (°j Ibtal Btu. '--d sq. ft. E.D.R. or sq. ins. W.A. Leader area I Windows and 1 Width Hi No. of Dane of FRIDLEY, MINN. Insulation Kind How Applied RoomI Length ,S- Width 9, Heightg .� ors—Crackaste and Area Windows and Doors—Crackage and Area Coef. Btu Infiltration /14-3 Glass Coef. 3740 Exp. wall rw 8 rZ,3 3® Net exp. wall 58 /4 -*'0 Glass Int. wall HV6 ,-0 Ceiling 71 3,5- ,I( l Floor 1 7 / (7 eO Total Btu. 3 q - q— Floor 6117 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Int. wall Fl.I /%i Room I Lenstth J©,$ -Width 13 Heiuht k> ° Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ;z,0 , / /14-3 Coef. Btu Coef. Btu Infiltration rZ,3 3® 2 b 58 /4 -*'0 Glass HV6 ,-0 22,0 Exp. wall ;2 3,5- ,I( Int. wall Net exp. wall ,�% 3 q - q— Floor Floor 7 3 Int. wall A /I Ceiling ®, S' :1� .� T27-10 /37,0 Floor (j 1137 1 7 1 YJ -9 Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area FI.I _%7o Room I L.enath 14-- Width /�,S-Heistht ,-R� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack eq. ft. ;z,0 , / �' ® ©° . Coef. Btu Infiltration ) ? 38- rZ,3 Glass 2 b Exp. wall°, )C Net exp. wall 10 19/v Int. wall Ceiling j' ,�% 3 q - q— Floor Floor 7 3 A /I Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Applictstion for Plumbing cmd G= Rlfi'ng Permit Dept. of Bldga. Phone. 550.3450 -- - DEsCFUPTION OF worm NumSerr Kind and LoeeKon of Fixtures Loeatioa..• �• �- / Future Ccnnoctica tonings �.oaarrc:;,a w�io Savor (� • Maw Fixture. Old 07rsuirgs Ccz.-pool PARTIAL RATE SCHEDULE City of Fridley.. The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordl"nce and ruling of the Department of Buildings; and hereby declares that all the fats and representations stated in this applicatson are true and correct - Fridley, Diann 19..,... Owner Kind of Used as To be completed about Estimated Cost. $ Old New. uilding Permit Pio. Z— Parrott Ko• /4.(0 LUMBING FIXTURE RATES: NO. RATE TOTAL �� x $2.00. $ Signed Number Fixtures ................ - $1.50 3 3: By WATri MTX. x New Fixture Old .Opening.......... x $1.50 N Business Phone No– . Catch Basin .................... x $3.25 $ Water Beater !Up to 99.000 BTU)* • • • x $13.00 $ 1' N GAS WC �� x $3.25 $ S� • M Or .7� r O S NO. RATE TOTAL . 1st3Fixtures •••••••••••••••••• c cr x 32 Additicnal Fixtures ..........:..... � � Gas Range to 199.000 BTU ........... x $5.00 L ism ' state Surcharge n.F.?ATIRS & ALTERATIONS—Pefer to Coda .50 Description ...:............:........ ,...........•.. TOTAL FEE s Bs:r 1st 2nd 3rd {th Future Ccnnoctica tonings �.oaarrc:;,a w�io Savor (� • Maw Fixture. Old 07rsuirgs Ccz.-pool PARTIAL RATE SCHEDULE City of Fridley.. The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordl"nce and ruling of the Department of Buildings; and hereby declares that all the fats and representations stated in this applicatson are true and correct - Fridley, Diann 19..,... Owner Kind of Used as To be completed about Estimated Cost. $ Old New. uilding Permit Pio. Z— Parrott Ko• /4.(0 LUMBING FIXTURE RATES: NO. RATE TOTAL �� x $2.00. $ Signed Number Fixtures ................ - $1.50 3 3: By Future Fixture Opening .......... x New Fixture Old .Opening.......... x $1.50 Business Phone No– . Catch Basin .................... x $3.25 $ Water Beater !Up to 99.000 BTU)* • • • x $13.00 $ ROUGH New Ground Run Old Bldg....:.... x $3.25 $ Electric Mater Haater.....:........ a S2.00 S__29a et FINAL -• ZAS77TTING FEES: NO. RATE TOTAL . 1st3Fixtures •••••••••••••••••• c cr x 32 Additicnal Fixtures ..........:..... x $ .75 $ Gas Range to 199.000 BTU ........... x $5.00 L ' state Surcharge n.F.?ATIRS & ALTERATIONS—Pefer to Coda .50 Description ...:............:........ ,...........•.. TOTAL FEE s SUBJECT P �0'-- I City of Fridley 2 2 3 21 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. v II ,, 7�"i Z PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY $$432 NUMBER REV DATE PAGE Of APPROVED BY j 612-571-3450 910-F15 3/10/94 JOB ADDRESS 5821 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 32 1 Hyde Park & vacated 58th Ave SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE S Jackson 5821 - 6th Street NE 571-7061 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Phalen Siding & Trim 1528 Lincoln Avenue St Paul 55105 731-2092 6216 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof & Reside House; 16 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. If tear-off, 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. ZONING SQ. 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 $lQ/880 $5.44 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHERTE OR LOCAL LAW REGULATING CON- $126.00 Fire SC $10.88 STRUCTION E PERF RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �-- / License SC $5.00 $147.32 S NATUREO ACTOR ORA HORIZEDAGENT (DATE,WHEN PI` Y VALIDATED THIS IS YOUR PERMIT -BLQG 114SP GATE SIGNATURE OF OWNER OF OWNER SUILDERI (DATE) NEW [ ] Effective 1/1/94. ADDN [ ] CITY OF FRIDLEY ., L ALTER [ ] . SINGLE FAMILY AND -DUPLEXES- R4 AND R-2 Building. Permit Application ConstructionAddress. Legal Description: Owner Name & Ad ess: �� J,��<S Gti `'� s� �^ Tel. # Contractor: ��� -� fir` MN LICENSE # -21 Address: l�o� �. ti /� . LS' Ti �.F- / Tel. # _71?/- 15 - Attach to this application; a Certificate of Survey of the\ .S'S / b 5— lot, lot, with the proposed construction drawn on.. it to scale... DESCRIPTION OF IMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: Corner Lot [ ] Inside Lot (] Ft. Yd Setback Type of Construction: Approx. Completion Date: _ Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Side Yard Setbacks Estimated Cost: $ I () �la(22 (Cost on Back) Driveway Curb Cut Width Needed: = Ft $ _ $ DATE: PPLICANT: Tel. # ?A.3� G Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] SUBJECT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 27903 r � RECE17PT�,� COMMUNITY DEVELOPMENT DIV. � SEC. f � PROTECTIVE INSPECTION CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 9/21/98 JOB ADDRESS 5821 6th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DescR. 10 32 Hyde Park & Vacated 58th Avenue SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Steven & Nancy Jackson 571-7061 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 9199 Central Ave NE Blaine 55434 717-0700 20093688 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 O NEW O ADDITION O ALTERATION fjl REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof Reside 9 CHANGE OF USE FROM TO STIPULATIONS Reroof - Underlayment must comply with the State Building Code. Reside - 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 $6,539.00 $3.27 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- W STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETOT FEE Licens C $5. $139.55 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N R P VALID THIS IS R R IT BL ,NSP • / 4 �)A �E SIGNATURE OF OWNEROF OWNER BUILDER, IDATEI ADDN [ l - _C7 -OF -OF FRIDI.EY .- - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: nvie Legal Description: Owner Is Contract Address: Tel. # 5 —11—%1)% j MN LICENSE 5L) Tel. # 91 r7 — 0 7CO 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: &,y 'je Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: '� S' Tel. # '�1'7-676-0 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 $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ �', �b $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 [ J