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PRE 2010 DOCS
Date'• ` .. Owner .r 'i:rd riitGi Address;?.. No. .AQW ...., Lot .. .A•......... Corner Lot .. w .. BUILDING PERMIT Village of Fridley, Minn. N° 2414 n.47/ ........... .......... _ uilder ....+'I��+s`:tz+,: tPizif:C.p ... C: w:. '. Address .'~............... ............ . LOCATION OF BUILDING Street .. .................. Part of Lot ....................... Block . .......... Addition or Sub-Divisio t . �!':. nom- •!� a d .. Inside Lot ............ Satbeelpp��• .L�s Sideyard . %t..!�l ........... .� �__ • - -tri _�+' DESCRIPTION OF BUILDING. To be Used as: '.. .«z Front �, �j... Depth .;,/,p... Height f V# ... Sq. Cu. Ft........ . . Front .:...... Depth ........ Height Sq. Ft......... Cu. Ft........ . up Type of Constructio e044-5- Est. Cos`�t ! ...."....... To be Completed . . In consideratioi the proposed work i ordinances of the vi of the issuance to me of a permit to construct the building described above, I agree to do accordance with the description above set forth and in compliance with all provisions of age of Fridley. In consideration f the payment of a fee of permit is hereby granted to l0144W. �e........ .,...►iStt�Y . to construct the building or addition as described above. This permit is granted upon the express conditior 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 garding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits d this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ii �OK -10, -0 - - - "ds ..... Building Inspector NOTICE: This permit)es not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water, ice sure to see the Building Inspector for separate permits for these items. City of Fridley, Minn. BUILDING PERMIT N® 3172 Date: ... .. :. ....................... �- Owner ....................................... BuilderJ......C".a.°'tl.�'..... Address...................................... Address ............................................. I� C.• . LOCATION OF BUILDING No. �!.. ®v ... Street .. % 5. .. % �.� ........ Part of Lot .......... ............, ....... Lot ........ I... Block .....�............ Addition or Sub-Divis}on ....... h .. .... .� Corner Lot ............ Inside Lot ............ Setback ...®.Sideyard ... DESCRIPTION OF BUILDING To be Used as:" -' 1 (r�//,, �tnt J Z . Depth ... o Height Z. S Sq. Ft. �. �?„�/ P Cu. Ft. -7.2e.'140 ..............nt ........I?epthHeight .. � Sq: Ft. ........ GCu. Ft. ........ h Type of Construction Est .t. 4��% �...`�. To be Completed .. .l!K/ .... �. In consideration of the issuance to me of a permit to construct the building desribed 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. yy'' /v ............ .. ..... ........................ �® C, In consideration of the payment of a fee of $.......4 I%%, 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 saidbuilding, 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 'Building Inspector NOTICE: J 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. c SUBJECT City of Fridley =47� AT THE TOP OF THE TWINS BUILDING PERMIT t RE NO. � `v COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . i I 1 ---n CITY HALL FRIDLEY 53432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910415 10/12/00 10B ADDRESS 305 53 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j 7 1 Carlson°s Summit Manor North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Helen Bigos 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 2 Hands LTD 4601 Excelsior Blvd, St Louis Park, MN 55416 612-920-5393 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof Building (22 Sq) Tear -off 9 CHANGEOFUSEFROM 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 $2,250 $1.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 ire SC $2.25 STR CT NOR THE PE FORMANCE OF CONSTRUCTION PLAN CHECK FEE OTAL FEE 00Licen C 0 $91.62 GNATURE OF CONTR ,T OR AUTHORIZED AGENT IDATEI M RLY VALI ATED THIS IS YOUR PERMIT S-GNATURE OF OVVNERIIF OWNER BUILDERI IDATEI OG INS MATE c NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 2 o � fit? �,`, Q —nE Legal Description: Owner Name & Address: Contractor: � t r'-. Tel. # MN LICENSE # Tel.#0-S�3G% r 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: $ 3��©0z' 0��p ®� 9 s Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /b' /a -0)0 APPLICANT: Tel. kf)G !�0_�3� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if trailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $_ c� A S- .001 of Permit Valuation (1 /10th%) State Surcharge $ t'� /a $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control $_$1 100 per SAC Unit $ 5.06 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above 113 $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: Building Inspections 763-572-3604 DATE 22-- SITE ADDRESS TENANT BUILDING COMMERCIAL/INDUSTRIAL CITY OF FRIDLEY YOUR E-MAIL ADDRESS Suite Permit No. Received By: Date Rec'd: PROPERTY OWNER NAME: ADDRESS: PO ick Z �% -9v"5-CITY :37L- STATE I 7ZIP PHONE: ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: / ! Li [�e� �, i� dean. ADDRESS: 0 ly CITYF� STATElhi ZIP PHONE: FAX `NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAIANDUSTRIAL JOBS PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIALANDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ❑ REMODEL ❑ ROOF ❑ SWIMMING POOL PLEASE SUBMIT: 1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. ENERGY CALCS AMOUNT $ BUILDING TO BE USED AS: OFFICE sF WHS sF OTHER sF TOTAL SIZE: STORIES FIRE PROTECTION (Y/N) AC(Y/N) DETAILED DESCRIPTION OF WORK 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 whi 91requires review and approval of plans. "' NAME DATE _ 24-- f�6 SIGNATURE OF APPLICANT• O % fC PRINT /i . ALL kk,hN AKIJ bAJihiJ UN VALUAI IUIN Sq. ft. x $ Sq. ft. x $ �j Sq. ft. x $ TOTAL JOB VALUATION: f USE Permit Fee Plan Review Fire Surcharge Surcharge SAC Charge Erosion Control Park Fee Special Assessments Curb Cut Escrow Total Due ll c> Cost/sq. ft. = Valuation $ Cost/sq. ft. = Valuation $ Cost/sq. ft. = Valuation $ OCCUPANCY TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $1550 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ft+6ft= ftx$20=$ Make checks payable to: City of Fridley Attach Building BUILDING Permit No.d('109,10i5eio Inspections COMMERCIAL/INDUSTRIAL Received By: 763-572-3604 CITY OF FRIDLEY 'ire Surcharge 763-502-4977 FAX .001 times the total job valuation Date Rec'd: $ EFFECTIVE 1-I-09 .0005 x Permit Valuation Minimum $.50 DATE YOUR E-MAIL ADDRESS SITE ADDRESS�,(`� S 5;_3 r'Q.V4 N t TENANT 91(.6s Q IZJ I9Qa%m-S Suite No. PROPERTY OWNER NAME:_ Q / (tea S A P'b PC e + C4 S $ ADDRESS: P® ig0)c S� CITY5 LVO STATE rclL1P 5 $450 Conservation Plan Review PHONE: ARCHITECT NAME: ADDRESS: CITY STATE ZIP >pecial Assessments CONTRACTOR NAME: oO W d oo k CUN C c (► * NOTE: CITY ADDRESS:_ 9--7 2.Z 0(A4 _-Lt4O'Or+0CITY 1,4Ap4S STATE A/ ZIP a5? LICENSE REQUIRED COMMERCIAL, PHONE: L Z<3 Z 2 L 3 Z FAX INDUSTRIAL AND 1 MULTI FAMILY PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL LTI-FAMILY PERMIT TYPE CI ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ❑ REMODEL OOF ❑ SWIMMING POOL PLEASE SUBMIT: 1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. ENERGY CALCS AMOUNT $ BUILDING TO BE USED AS: OFFICE sF WHS SF OTHER sF TOTAL SIZE: 52 a_� r— STORIES a FIRE PROTE TION (Y/N) AC(Y/N) DETAILED DESCRIPTION OF WORK 6,er— !:z I"-tti 4Lz G s< 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 co es 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 p9rmi and ork is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work is requ' review and approval of pl SIGNATURE OF APPLICANT PRINT NAME Z) 44 LJ cvz* c DATE /0J®VS- I—V __N/ ;0/ ALL FEES ARE BASED ON VALUATION Sq. ft. x $ Cost/sq. ft. = Valuation $ y U® Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ rOTAL JOB VALUATION: $, USE OCCUPANCY. TYPE 3ermit Fee $ 1 5C1, v See Back Page for Fee Schedule 'lan Review $ 65% of Building Permit Fee 'ire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 >AC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) 3rosion Control $ $450 Conservation Plan Review 'ark Fee $ Fee Determined by Engineering >pecial Assessments $ Agreement necessary ( ) Non Necessary ( ) Cotal Due $ i 5 Make checks payable to: Citv of Fridlev Attach Stinulations