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PRE 2010 DOCSIJ -2 -T�� b3(J'L) 7 SUBJECT City of Fridley;��f 1980 AT THE TOP OF THE TWINS BUILDING PERM P • COMMUNITY DEVELOPMENT �.-DIV. �------� � PROTECTIVE INSPECTION SEC. j, I i ' �l 1 CITY HALL FRIDLEY 55432 NUMBERDATE REV. PAGE OF APPROVED B 612-580-3450 910-F15 10/25/78 JOB ADDRESS 1345 - 52nd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Marion Hills 2nd Addition (Parcel B) SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Beverly Mattson . 1625 - 3rd Avenue South 427-2529 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 X B DESCRIBE WORK WARNING Construct a 26' x 42' Dwel in and a 22' x 22' Gara e Before digging call local util SEPERATE PE 9 CHANGE OF USEFROM�qEATING, PLUMBING AND SIGNS. MEQ � Fn ay- STIPULATIONS provide a hard surface jddriveway. Provide sod in the front and side yards. Provide a verifying survey before capping. SEWER LOCATION: (Approx. 12' Deep In STreet) 47' W. of Manhole (InV: 964.00) WYE ELEV: 960.34 TOP OF FOOTING: 963.34 Minimum WATER LOCATION: 11' E. of Sewer Service DRIVEWAY 20ffi DEPRESSION COST: N/a, recommended by not required. 8 /4 -Sb THE CITY OF FRIDLEY DOES NOT GUARANIM 1104 ACCURACY OF U1uM LOCATIONS AND ELEVAT,(:... 1 48.00 THIS DATA IS FOR INFORMATION PURPOSES ONLY PERSONS USING IT SHOULD VERIN THE INFOSMAVON ON THE SITE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 a OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1092 + 491 27,471 Tot 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 $39,650 $19.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $109.88 $400.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 27.47 $557.18 -SIGNATURE O�FCONTRACTOR ORAUTHORIZED AGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT S 1 DA E SIGNATURE OF OWNER I IF OWNER BUILDER) $4 IDA EI 7 CITY OF FRIULEY APPLICATION FOR RESIi)ENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNERi L� .[:167 i /L BUILDER: < v �V /t'� L Address: S 1 - �L� Address: � , Tel. No. 7 ;2 1-' 9 No.: Street: l3 ys" S� �� i�L 12 LOT: p , / (( BLOCY.: �_ ADDITION: CORNER LOT: D`'�G� INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form A-io Certificates of Survey of Lot and proposed building location drawn on these Certificates. i DESCRIPTION OF BUI LDI.NG To Be Used As: X Y% - Front: 2 Depth: y Height: De Square Feet: Cubic Feet: 27. Sim 1 x 12.x• 'Front: a Depth: �2 -12- Height: r - Square Feet: Ip <) Cubic Feet: -1 1Z Type of Construction: Estimated Cost: $ ,� a 35 4 Sze To Be Completed: 71a Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired /y $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side g addition l information. DATE: /d/2/7 k SIGNATURE: Sti ulations• 109.8$ 20).yr) lei. TZ %A00.00 557.1 � a- %Iscm" 4ox Z = I040 xs _ s3Zo c., R*- ". �12�c Z` = 1052 x rL t3, loo cj� 10 Covr�R Z-z X Z� .37 451.2E via c- �7l 471 x 44.ov SLV,--p,u )o4oX s.t-ts z I ogl-9 611 , 867 , 8'f I t 3 x Z., so 3. NO q9 3i ssq. g q 39, CA 1.ov 3`t', (00 X .sb/1844 = Iq,83 y L.S.477-09 5 N 1335 &N45 52nd Ave. NE • � _ ..-..._ ..... J..... .._..tee . ...... ... .. . '.7G:• I• LO"C 12 ,F3LOCK1, MA(�\A1�1 "ILL5 A001i'tOrl/ 1T9•6b v CP J � LOT I.gl.Ocr; I M ASE L /4� oma/ ooC a yg RiAN LLS o O/ 50CJ T5500K $gp HI41 1. +I • U1 Cr is z.4 , I 2oi _ 1345 „ . n 0. r ,a N PRIpL�Y �s. g' p. ' OP F•P30 PEA hEQUI �ED FOS . CU N � .p OPENIN ., 01 6 • I' Al D#UVEWAY a j a tis z� �,� �ET1N0 DATE �OC.•'� 33980 �z•g. z•s � I�13•�9 - \00 00 " 3 t1 s l3�s z�3.39 . c0 � E�tl1E •_ _ violatedi��ln�ECSR�C-GAS Etc. 1RrCQ IV A a The west 100.00 feet of Lot 1. 'lock 1. Marian Hills Second Addition. together with that part of the west 100.00 feet of Lot 12. Block 1, Marian i+ills addition. on file in the office of the county recorder. Anoka t County, hu file in the of'ice'of tte County Recorder, Anoka County ; `:innesota; as Cocu:•ent 'lumber 00.00Xinneso eet of Lot 12 tBlock 1, Mar. Book 3S0 Pone 22:. Subject to a utility and drainane easecwrt ever the above described properties, 333998004. [ ho west 100.00 feet thereof. together with that part `J .lot 1. Block 1, filarial: Hills Second Addition �lCe,� 1 the County Recard�r. Anoka County. Minnesota; as ��et°!�SO feat thereofnage . Subject to a util?�Y and d±innesota, of tot 12. Black l,Natian rk B 4Gditi"^•c fi g ifi poi. of the County Recorder. Ano1:a ounty, Docur•ent t;umber 45524: • °on3b e3. V., easo-•ent over the abovg is Doeurent siueiber 3,"�`J:i,�¢•` 1TI IpCI' N pU4POSfS JJAV0 pT10N Cl' %vv eT�P Cove•+�e �. �1NF0"�,,jlo ��c�'c "F.,csT SPc.►'r . i&CCUI F � 15 l'O`vj S"OU� ' p A•1G r 15 ONS /��rr�S S�Er�J All lvzle 9Go.3Y coxic, 00.4e.1,-06, I h1Aj i CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE ' GRAVITY WARM AIR: RATE TOTAL Job Address ! 3�^� Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 ®0 $�� each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $/ e (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 0 1st 3 Fixtures x $ 3.00 0 $_ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING _SEMS_$� ALTE `IONS & REPAIRS $ State Surcharge $ 50 TOTAL FEE $ ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANr HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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 Cedes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. KIND C Fridley, Minn. /,� Er , 192- USED AS c/ d TO BE COMPLETED ABOUT ' d ESTIMATED COST /I -) n o OLD -BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PIANTS��, Steam, Bot Water, Warm Air- No. Trade Name �( Size No. Capacity Sq. Ft. EDR BTU � HP Total Connected Load Kind of Fuel ► &tL",a J BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company en Signed By �3� n MEMO TO: File MEMO FROM: Richard.N. Sobiech, Public Works Director MEMO DATE: June 12, 1979 SUBJECT: Effecting Lots 1 through 4, Block 1- Marian Hills 2nd Addition Please be advised that the referenced properties are adjacent to an existing sanitary sewer line. Due to the topography of the lots in relation to how single family dwellings would•be constructed, the manholes tend to stick out of the ground quite a distance. It was initially -discussed with the property owners from DeGardner Realty, that the City would have -no objection to lowering the man- holes; -however, at the property owners' expense. On June 11, 1979, contact with the property owners indicated that they do not intend to lower the manholes. They, instead, will provide landscaping to screen the structures. This information is for the file to advise future property owners as to why the manholes are as high as they are.. '_` RNS:ik cc: 1345 - 52nd Avenue 1335 - 52nd Avenue 1315 - 52nd Avenue 1311 - 52nd Avenue v, 1307 - 52nd Avenue SUBJECT PERM City of Fridley 18 9 8 9 AT THE TOP OF THE TWINS BUILDING PERMIT R • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � ` CITY HALL FRIDLEY 55432 ".j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/2/87 JOB ADDRESS 1345 -- 52nd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Marion Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Bock 1345 - 52nd Avenue N.E. 571-5459 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E./ Mpls., 781-9548 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 B DESCRIBE WORK Reside, Aluminum Soffit & Trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 1 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 $5 O.00 $2.50 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 ANYOT ER STATE OR LOCAL LAW REGULATING CON- $50,50 STRUCTION OR THE PER RMA CE OF CONSTRUCTION. PL N CHECK FEE TOTAL FEE $53.00 SIGNATURE OFEON-A TOR RAUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED BLDG INSP HIS IS YOUR PERMIT f)AT SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI City of Fridley Effective 4/1/84 �R-1 AND R-2 I Building Permit Application )ion Address • — Ai ascription: iy Owner/Address:% C Hi�`Z d /`� Tel. # actor • �y/i N d.�4 /i a► e �) Tel. # ldress S-/ � LIVING AREA: GARAGE AREA: DECK AREA: i OTHER: 13- ,�� r./ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: �L .Slpt= , / A' A- �d y , l� Estimated Cost: $ � ° o' Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation Tel. # 7 iL - &C t DATE: y- APPLICANT: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ o�.SL $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary L 7 TOTAL $ �, a STIPULATIONS: NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION I� Construction Address: I q5 gZ ,,,'PQ Legal Description: I—o T / z + j3 (ocy-- I mAx c o- 94 (Is f leo ee Cr i� Owner Name & Address: --A" Gage -q /3Lf 9- S -Z Ot®A-- - Tel. # '763- 5'7 s9' 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 2,a Width Height Id Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. CallW=1 Z; Construction Type: Lel "j Estimated Cost: $ 4 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ ?6 3 $71 - a v two DATE: (/d D -O f APPLICANT: C9LfCe-�Px- Tel. # 74-3--X.2 - S514 - Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ I3q. 05 $ go-si $ (n.5p-� $ Sl [ (JP Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ Q 39 STIPULATIONS: CITY OF FRIDLEY PERMIT NO.. 200400608 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/29/2004 572-36U4 VAX: (763) 571-1287 ADDRESS : 1345 52ND AVE NE PIN : 253024210073 LEGAL DESC : MARIAN HILLS : LOT 12 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 6,323.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 13' X 22' GARAGE ADDITION. APPLICANT BUILDING PERMIT FEE 139.25 JOHN, LARKIN PLAN CHECK FEE 90.51 1345 52ND AVE NE FIRE SURCHARGE 6.32 FRIDLEY, MN 55421 STATE SURCHARGE, VALUE 3.16 TOTAL 239.24 PAID WITH CHECK # 13380 1ARU_ ' JOHN, LARKIN 1345 52ND AVE NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit do no pre a to give authority to violate or cancel the A o any other state or local law re latin co cti or a rformance of cons ctio g q,) '(� 'AV scant � Date 3619M, NO SEPARATE PERMITS REQUIRED FOR' CORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT NO.: 2004-01537 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/02/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 1345 52 AVE NE PIN : 253024210073 LEGAL DESC : MARIAN HILLS 0.50 : LOT 12 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE GARAGE ADDITION. # INSPECTIONS 1 APPLICANT ELEC PERMIT FEE - MIN (RESI) ELECTRIC FORM FEE 20.00 1.00 JOHN, LARKIN 1345 52ND AVE NE STATE SURCHARGE, ELEC FLAT 0.50 FRIDLEY, MN 55421 TOTAL 21.50 PAID WITH CHECK # 13642 OWNER JOHN, LARKIN 1345 52ND AVE NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESURWED ABOVE. 3uilding $ W, YO BUILDING „ `� .� Permit �J 'nspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 7&3-572-3604CITY Surcharge OF FRIDLEY Date Rec'd: )ATE YOUR E-MAIL ADDRESS 7O ktn , C OU Ct . Ca lv wt6^ — ;ITE ADDRESSv-e- $ $1550 per SAC Unit (Plans to MWCC for determination) i'HIS APPLICANT IS: OWNER ❑CONTRACTOR ft + 6 ft = R x $21 =$ PROPERTY OWNER/ NAME: 2, $450 Conservation Plan Review TENANTADDRESS: L q S7 4 2:? CITY �L STATE%ZIP S .yt Sewer Main Charge PHONE: 76ZC 4, Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME: Make checks payable to: City of Fridley Attach Stipulations STATE LICENSE # EXP DATE SU13WT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHO FAX PROPERTY TYPE 1116NQ9—EMMYNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 190DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW VPADDMON RIVIARsITENANCE/REPAIR. ❑ REMODELING DESCRIBE WORK BEING DONE: e U`, -r, Jcc� /C, -- SIZE OF IMPROVEMENT L GTH WIDTH /`0 HEIGHT S . Ft. ROOFING_ ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDMG FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia 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 & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ W, YO See Back Page for Fee Schedule Plan Review $ g%7. 1'7 65% of Building Permit Fee Fire Surcharge $ /-0-7- .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 = R x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ -70-5,5- 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 an4 I a owl a that the information above is complete and accurate; that the work will be in conformance with the ordinances and co#s o e C' of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fo a pe wo is rLot to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi requ s ie w d approval of plans. // '_ SIGNATURE OF APPLICANT PRINT NAME ,�-5 L tk fR �r vi DATE-JI)I(No 12" Poured Concrete footin 42" ole -D -t , BA—(Bottom � of hole to 16' Diameter, 6X6 PT SYP Posts (3)2X10 PT SYP Be m Beam to bear on os 2X8 PT SYP Joists clip to beam for 20#PSF uplift protection, Redecking remainder bf deck, Joist hangers Hot dipped galvanized or triple zinc, Le7house o e agge to with a min(2)3/8'Dialags if B once Fasten post base to footing with angles Guardrall to be 36" high glcket spacing <4 Guardrail to Extend existing withstand a 200# ledger to west rim (force applied ,Joist. Double to anywhere along rall support cantilever, Existing 4X4 Post 1 remain New decking over existina lolsts 4Y NF -V4 ?L-KJ4 REVI FOR LDG rrrrr Larry Pepin, CB[I #2379 'ecking replacement aZ Expanslon John Larkln r Elff OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, .__� �� / c--- �l ,understand that the State of Minnesota requires that all residential building contractors, remodelers nd roofers obtain a state license unless they qualify for a spe ific exemption fr mlice sin requirements. As the owner of the property at 1 l{ , Fridley, I am exempt from the sate licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because 1 am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with tiwor bei performed on this property. Date &11-�iaa