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PRE 2010 DOCS• i • Date: June 4, 1965 City of Fridley, Minn. BUILDING PERMIT Owner: 210=0 Bms, Inc. Builder Gier-tsen Go. Address 519 Marouette Avenue Address 830 Grand A-y-ee, x LOCATION OF BUILDING No. 6020 Street 7th Street N. E. Part of Lot Lot 6 Block 1 Addition or Sub -Division _ Bomy Addition Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation _... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: N° '7'729 Dwellinitr _ Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction FF,st. Cost $52000.00 To be Completed Storm damage repair 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 forth and in compliance with 21 provisions of ordinances oP the city of Fridley. In consideration of the payment of a fee of $ 10•QQ , permit is hereby granted to Giextsen Co. 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 anypart 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 ordinance& LUen Jessen Building Inspector NOTICE: Vbb penah don Be eewr the eomitrmMm, Wal oMm for wMh& piumbieg, an heaths , sewer or wda. Be sun to no the Baiidh3g I I ,--r for separate permhs for the:. hems. APLT.I�J.TTC;N FOR BUTMIDAIN^ )?EP.MIT, CITY OF kd IDLEY, MiNNES;TA OWNER'S NAME f 2:: hi C BUILDC Y JL5 6L-14- r® ADDRESS �e> e � !l' ADDRESS _i C) Ya----� LOCATION OF BUILDING No. % t h S'`t &ice Street Part of Lot Lot_, Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATIM FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDIF9 To be used` ,as : `G�d /�� q 7 Front zvv ;;spth 7 Height Sq. Ft. Cu. Ft. Front Depth IHeight Sq. Ft. Cu. Ft. Type of Construction ___' CX.Of sma- ted Costa C To ber 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 Fridley Ordinances and rulings of the Department of Buildings, and her by declares that all the facts and representations stated in this application are true and correct. r -, DATE ®,C % / SIGNATURE _(Schedule of Fee Costs can be found on the Reverse Side). lv (re �l LmGYit't r City of Fridley, Minn. BUILDING PERMIT Dates May 14z 1970 owner: _ Gerald Henneberg Bider Sussell Company Address 6020 7th Street N.E. Address 1850 Como Avenue, St. Paul LOCATION OF BUILDING No. 6020 Street — 7th Street N.E. _ Part of Lot Lot 6 Block Addition or Sub -Division Bonny Addition Corner Lot — Inside Lot Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING 10644f' To be Used as: Garages_ Front 24' _ Depth 22' Height 10' Sq. Ft. 528, Cu. Ft. 5280' Front Depth Height . _ Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost52.100.00 __.. To be Completed 20 days Provide hardsurfaced driveway 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 forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $— 10-00 _, permit is hereby granted to Sussel Campany to construct the building or addition as described above. This permit is grantedupon 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 anpart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construyction, alteration, maintenance, repair andmoving 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. �2/EBullding Inspector HANK F. MUNICH NOTICE: " permit does not cover the construction, installation for wiring, plumbing, gas hosting, sewer or water. Be suns to no the Building Inspector for separate permits for them beam 0 9 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S. NAME: ��'� 161 -ye ,7e E BUILDER:_ vs._c e�lG(� e -A ADDRESS ADDRESS:-- NO:. DDRESS: NO•. 6c;) v STREET: �� 5 -7 - LOT: 4 BLOCK: / ADDITION: /91"'V A/W CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �p Front : Depth: Height • 1<:::5� Square Feet:_ __� .z% Cubic Feet: Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: rio e_ Estimated Cost: $ Z/oo "-- To To Be Completed: 2-;.?s,/,C`-/Q The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: d �� SIGNATURE: - (See Reverse Side For Additional Information.) ' 7ZI- 24,y�o c`2Zya LO NAME SIZE.,/y ��'- � Is e.. r� 1� .! C— � ^j 2s z X z Gee. BLOCK ADDRESS - - VALUE ADDeN. AREA - TYPE si 4` Se J — i?— a se dr a 11 subcontractors shell verify.and be repose ib le for It locations and conditions shown is office musst ad ny bworkifbetoreaP� car�ingttan�ilth ANY s or teloa o is the Proposed nstaUatlon. 4a r _ ..ate --«n. . �� sale - _.. --visit: -« �..`�:e..} .` c y?a .e _ s.�•.� s ,.rm"' .-. .. s ;.wrw+^+ a,..vs" '' :K. 'sw..C,�..�� i.mr `nis.e3 ..- T� � o•.:P l � .:� .. .. cw. . � � +�... ,•ter � ...� ""tea 'w�.r., .. ..0.1 ' M_ Fl `. INSTALL lh" BOLTS IS" FROM EACH fuse advise the' customer befora starting tho Job of CORNER EXCEPT AS NOTED OR �!{ the approximate amount of Extra fill and us:etfa 9611®100 n ��1-q Grf /`a � CL OF EACH and get the OK to go ahead. WheP th® j9b ill 991110014 INDICATED A 'D V SJ' Notify the owner and also The Sussoi CO, of th@ fill®et REMAINING WALL. amount of extras used. Cit of Fridley City 01, SUBJECT ®12449 AT THE TOP OF THE TWINS BUILDING P E R M I T `� `L -------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY `--'- ,'j 612-560-3450 910-F15 13/6/74 JOB ADDRESS 6020 7th Street N.E. 1 LEGAL LOT NO. BLOCK CT OR ADDITION SEE ATTACHED TRABonny DESCR. 6 1,] Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gerald Henneberg 6020 7th Street N.E. -7-CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Sussel Co 1850 Como Avenue 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION N ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND. SIGHS, 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 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 $1,340. .67 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- STR ON OR THE PERFORMANC OF CON TRUCTION. $9.00 0 �a- /I , I-A:��f Z� �/� PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOFCOR AUTHORIZED AGENT (DATE) HEN P OPERLY VALIDATED TH YO R PE MIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) LDG INSP DATE- UIN&CENCE BELISLE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FI:IDLLY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS:&'9 �-o / cGi ADDRESS. -- NO:. 60 DDRESS:NO:.60 10 T STREET: 7 1,1'25. IAT:4.4 BLOCK: ADDITION: oe mle A, -1 CORNER LOT: INSIDE. LAT: SETBACK: SIDEYAFD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates, DESCRIPTION OF BUILDING To Be Used As: �ont: Depth: Height: Square Feet: Cubic Feet: Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:�Sp �® To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ill the facts and representations stated in this application are true and corrvct. DATE: SIGNATURE: (Seep Reverse Side For Additional Information.) 9• r G7 6 City of Fridley r AT TNq TOP 1111 TNI TWINS rL""---COMMUNITY pEVELOPI/ENT MV, MOTECTwE W9ftCTNNI DEPT, ♦-_.t i CITU HALL FRIM9V 060E .j NE -500-3100 53-84-S-915.51 SUDIJECT PLUMBING, PERMIT APPLICATION JOD Aaaress 6020 N. E. 7th. Street ner Address Phone Gerald K. Henneberg ContractorA Address Phone 11�[INNEGASCO 7,33 MARQUETTE AVENUE Building m Frame 10-24-7b W f I 0 w 3 se Res. Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 i Gas Lange -199,000 BTU 1 x $5.00 5.00 Repairs & Alterations See Description: Code State Surcharge Class ®A17 Surcharge .50p .50 TOTAL FEE $ 5.50 !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work . in strict accordance with the City Ordinances and Tulin of the Department of Buildings, and hereby declare that all'the facts d r esentati a ted in this application a o ct. &>�. MINNEGASCQ 'Sig an ut re Date , EstimatedCost 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 _ New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 i Gas Lange -199,000 BTU 1 x $5.00 5.00 Repairs & Alterations See Description: Code State Surcharge Class ®A17 Surcharge .50p .50 TOTAL FEE $ 5.50 !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work . in strict accordance with the City Ordinances and Tulin of the Department of Buildings, and hereby declare that all'the facts d r esentati a ted in this application a o ct. &>�. MINNEGASCQ 'Sig an ut re Date , SUBJECT City of Fridley 21846 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEv 55432 ,'j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/12/93 JOB ADDRESS 6020 -- 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Henneberg 6020 - 7th Street NE 571--2027 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Ave NE Fridley 27R4-7543 4R4n 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 Reroof House & Garage (21 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 $1,134 $.57 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 PROVISION F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 29.00 Fire SIC $1.13 STRUCTIO O THE PERFO ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $35.70 IGN URE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHE P27RLY V LID TED THIS IS YOUR PERMIT BLDG INSP MATE SIGNATUREOFOWNE R ok OWNER BUILDER) (DA TE^ M [ ] Effective 2,/1/91 ADM [ ] A-1 AND R-2 ALTFR [ ] aiildir�g Pe:mit Applicat�ian �/S�-3. amwtruction Address: ff/ Ingal Description: owner Name & Address: Tel--WJ' Contractor: D & D Home Improvement, Inc. Tel. # 784-7543 Address: 7401 Central Avenue N.E., Fridley, MN 55432 State Lic. # 4840 Attach to this application, a certificate of Survey of the lot, with the proposed eacatruction drmm on it to scale. IPI?CM Cl+ II= LIVIM AM: Iergth Width Haight Sq. Ft. GLVAM AM: length Width Height Sq. Ft. n= AM: Iergth Width Hqt/Graund Sq. Ft. ate: Comer Lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of tion: A!%ne 0-' ' J—ted Cost: $ Approx. Ompletion Dete: Il/�tB� ®i&e 4 ` ,:;I, / st. Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: IMVA Tel. # 784-7543 Permit Fee $ 9, 00 Fire Surcharge 7,73 State Surge $`� SAC Charge $ Driveway Fsccrvw $ Park Fee $ Sewer Main a arge $ Free Sdbedule on reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" cr Alt. "B" Above Free Determined by tori rig Agreement Necessary [ ] Not NAY [ ] BueiEtT PER City of Fridley 2 8 274 AT THE TOP OF THE TWINS BUILDING PERMIT r? COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � 0"-'1 CITY HALL FRIDLEY 5542NUMBER REV DATE PAGE OF APPROVED BY %'' 612-571-3450 910-F15 10/15/98 10B ADDRESS 6020 7th Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pelarski 586-29720 3 CONTRACTOR MAIL ADDRESS 929-1888 ZIP PHONE LICENSE NO Northstar Hm. Improv. Inc. 6121 Excelsior Blvd #207 St Louis 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 (Rx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside kxx house and garage 9 CHANGE OF USE FROM 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 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 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 4675 $2.34 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 $99.75 Fire SC $4.67 PLAN CHECK FEETOTAZFE Licens C 5. 0 11 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi N P OPER (DATE T S IS YOUR PERMIT SIGNATURE OF OWNEAoF OWNER BUILDER, -DATE, 8L0 -NSP pAtE NEW " ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [DQ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 'Q"7p 7 e -7> -R 6E7 7- A1 €. Legal Description: Owner Name & Address: Ax's K 161Tel. # ? % a � Contractor: 11& T//sr AA®sal e MN LICENSE # .-733& Address: /31a,6- .S I': L4Vl.S Ai9l x 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: Leng!k3��6 Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: 10// 9 APPLICANT: Permit Fee $ i s� Fire Surcharge $". State Surcharge $ a - 3 SAC Charge $ License Surcharge $ , I Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ W STIPULATIONS: Estimated Cost: $ � 6 '7j-. o-0 (Fee Schedule on Back) Ft x $ _ $ Tel. # xR Q /,q99 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 [ ] V- D• Ga ALL FEESS ARE BBAS� TOla JOB VAL Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dae ON VALUATION, INCLUDING THE COST OF LABOR AND MAI k K]A 1 •a: (USINCC��r �T 1997 U.B.0 FEE SCHEDULE) k�nry e CL�A (A 0 nCCiTPANCV TYPE $ `1`I•� $ 3- $ $ „C2 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) $1550 per SAC Unit (Plans to MWCC for determinati , t) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Al t tch 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; hat the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; the : I understand this is not a permit but only an application for. ermit and work is not to start without a permit; that the work will be in. acca ,j Jane with the approved plan in the case of all work 'ch re ices revie approval of plans. �� SIGNATURE OF APPLICANT 'f l SII PRINT NAME fe MOTOO(1 DATE_ BUILDING Pelmit Bio.: d L Building Inspections RESIDENTIAL APPLICATION Receiv d By: 763-572-3604 CITY OF FRIDLEY DREV&A U N 0 5 2008 DATE O 6 YOUR E-MAIL ADDRESS �QiQ�oQ�C� alt Q�O� SITE ADDRESS foO ®�® +h h4 —J THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME; /')' — _-- - TENANT ADDRESS: CITY _ST TE ---ZIP E--ZIPPHONE: PHONE: CONTRACTOR NAME: JarilArd 0/iLfu f •n - --- ---- SUBMIT A COPY OF STATE LICENSE # 2 n --,-L J'� EXP DATE _✓ 564/7 64/7 frim � W CITY /f f� )n�lf� STATF �LIPy a7 YOUR STATE LICENSE ADDRESS:e r i'& WITH APPLICATION PHONE �S/ 9• FAX 1061, �•.O 9 ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE _. PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES _ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH WOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING Cl OTHER ❑ SWB041NG POOL —_ — TYPE OF WORK: ❑ NEW ❑ ADDITION ENANCF/REPAIR ODELING —_ DESCRIBE WORK BEING DONE: - SIZE OF IMPROVEMENT LENGTH WIDTH BASEMENT HEIGHT_ . Sq. Ft. REMODEL] ' G SUBMIT: ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES � • W ❑ HOUSE & GARAGE 1. Existing Floor : to GARAGES [3 ATTACHED GARAGE 2. Proposed floor I an PROPOSED SIZE: E3DETACHED GARAGE 3. Lis[ of structur. I members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCT, rN INCLUDING DECKS, ❑ Vinyl ❑soffit ADDITIONS & PORCH] ` SU5M M C3Aluminum ❑ Trim 1. Site Plan/Surve showing the existing structures ❑ Other ❑ Fascia and proposed p ject. 2. Two sets of cot • ruction plans WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calcula i ms OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEESS ARE BBAS� TOla JOB VAL Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dae ON VALUATION, INCLUDING THE COST OF LABOR AND MAI k K]A 1 •a: (USINCC��r �T 1997 U.B.0 FEE SCHEDULE) k�nry e CL�A (A 0 nCCiTPANCV TYPE $ `1`I•� $ 3- $ $ „C2 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) $1550 per SAC Unit (Plans to MWCC for determinati , t) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Al t tch 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; hat the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; the : I understand this is not a permit but only an application for. ermit and work is not to start without a permit; that the work will be in. acca ,j Jane with the approved plan in the case of all work 'ch re ices revie approval of plans. �� SIGNATURE OF APPLICANT 'f l SII PRINT NAME fe MOTOO(1 DATE_