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PRE 2010 DOCSFridley, Minn. N� 2585 Builder ... Owner I r ............. . Address .• Address .... .. .... . . LOCATION OF ,.:_BUILbING No. Street :`J..j�.,,+�!op .................. Part of Lot ....................... Lot ..... Block �b ..... Addition or Sub=Division 07�` o Corner Lot ....,.... ,Inside Lot ............ Sgtback .• �` Sideyard,FjI..' ....... ►.• To�be%Used as: DESCRIPTION OF BUILDING Might Front e, . ; , Depth. Height,Y, .�':. Sq. Ft Cu. Ft, ;. ..... . ..................... Front ... ' Deptlh ... Height' Sq. Ft. ...... Cu. Ft......... . Type of Construction/ Est C01W.f. .... To be Completed q 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 village of Fridley. ............................................ in esti f file payment of a fee of $.; ; permit is hereby granted to .. , to construct the building -5i �addition as described above. This permit 1 upon the exp condition,'that the person to whom it is granted and his agents, employees and workmen, 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 lime n olatio any of the provisions of said ordinances. Building Inspector NOTICE: 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: ` !D City of Fridley, Minn BUILDING PERMIT N° 4193 Date: .. -.._._................. ..._..._............ .__.......................... Owner: __�11� rt_.. ........ ............ ..... _.............. _ ........... ... ................ Builder _.......... .._...... -........_........... .................. _......... _.__ _ ._... Address------......................_...._....................._...._......._..._.._..__.__...._................. Address........_............._.......-....-.............-......................_......._......._......._.......__....._......_ ✓✓f� CATION OF BUILDING No....'f0- Street ........ - ...._ ......................... Part o t ................... _......._ _......_...._......._ _ __. _ Lot .. ............... Block ............. /0 .................... Addition or Sub -Division. .... y�J �.. Corner Lot .................................... Inside Lot ...... X......................... Setback s3l....T ..... ...........1. Sideyard ..... - ............. ............................. _............. _ Sewer Elevation ................................... _............. .............. _......... __......................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: --- .............. Front es...................... Depth ....................... Height ....................... Sq. Ft....................... Cu. Ft. ................. ... rtio: Front;._ Depth�.°a�..'.( Height /�.'1'# Sq. Ft. ...�r%.. Cu. Ft.Type of Cons ......................................................... Est. Cost...__... To 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 foqh and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $....,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 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 any of the provisions of said ordinances. r Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 City of, Fridley, Mann.. BIDING PERMIT N� Date:" Owner: R , 9 Builder -- Address — _ Address -d O RUI DING Na Street Part of Lot Lot _ _ __ Block Addition or Sub -Division Corner Lot ---- Inside Lot '"' r Setback Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To •f Front Depth eight Sq. Ft. Cu. Ft./ Frtn Depth Height Sq. Ft. — Cu. Ft. _ Type of Construction1;5!4 , "' !�� .. Est. C rTo 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 forth and in compliance with all provisions of grdinances of the city 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 te city limits and this permit may be revoked at any t ��ationny of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bae heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 0 oQW4 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, M7WWOTA Owner's Nam&��'1� ZZI�'ft-9?, , Builder ,.� ✓� - Address��'J Address LOCATION OF BUILDING No. ® Street 0 C Part of Lot Lot Block ition or Subdi Corner Lot Inside Lot `--- ::: SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed bui1ding location. To be used as: DESCRIPTION OF BUILDING Front e- 0 Depth �� Height ✓� Sq. Ft. Cu. Ft.VO U Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ' Estimated Coat To be Completed /°%'j�z , 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 ruling of tha Department of Buildings, and hereby declares that all the facts and representations stated in this application ar true and correct. DAA L2 W SIGNAT (A Schedule of Fee Costs can be found on the Reverse Side.) 0 SUBJECT FrE2T629' ' 6 2 9 City of Fridley AT THE TOP OF THE TWINS BUILDING P E R M I T i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ tr PROTECTIVE INSPECTION SEC. c313 7 NUMBER REV. DATE PAGE OF APPROVED By �'--1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/21/94 JOB ADDRESS 590 57 Avenue NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 10 SHEET Donn s 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Green 590 57 Avenue NE 572-2148 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. I 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 $2,282 $1.14 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 OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.28 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $57.42 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI W N LY VA ATED THIS IS YOUR PERMIT SIGNATURE OF OWNER pF OWNER BUILDERI IDATEI BLDG INSP DATE 0 NEW j j Effective 1/ 1 /94 ADDN j j CITY OF FRIDLEY ALTER j j SINGLE FAMILY AND DUPLEXES R-1 AND R-2��a� Building Permit Application R Construction Address:- _5 7ve-M --- ----- 2 r L �---T— --- Legal Description: Owner Name & Address: D 4u l D 6.lzeeAj —) 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 I Hgt/Ground&� Sq. Ft. 280 Z OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:' '� V*-ea*N "GY tatj eJ e✓ Estimated Cost: $ (o O U - -zUo Approx. Completion Date: C! 7 ct Cdr Sro, , (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: --2 - g APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ o .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 ( ] It TOTAL $ r STIPULATIONS: SUBJECT City of Fridley 27571 AT THE TOP OF THE TWINS BUILDING PERMIT o- COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. r / NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 ,.j 612-571-3450 910415 9/3/98 JOB ADDRESS 590 57th Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 10 Donnas Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Green 572-2148 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 jk REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof house and garage 23 SO Tear -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 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 ISTALLS 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 1971 .98 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. $62.25 Fire SC $1.97 PLAN CHECK FEE TOTAL EE 6 .20 Sal 0l TRACTOR ORAUTHORIZEDAGENT (PATE, EN ROP L ALIDAT D HIS IS YOUR PERMIT 3� BL#DG INSP .. SATE S� A RE OF OW E OF OWNERBUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � a ConstructionAddress:� Legal Description: Owner Name & Address:)�)j3,0 2 5a41vtQ. akt044-- Tel. # 2a o2/ Ll S' Contractor: t) dna— MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ l`� 74 0 D (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3 �� APPLICANT: Tel. # 5'73- WC-QD' CITY USE ONLY Permit Fee $ .,)s— Fee Schedule on Reverse Side Fire Surcharge $ l 97 .001 of Permit Valuation (1/10th%) State Surcharge $ . % $.50/$1,000 Valuation SAC Charge $ $1000 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: r 11 SUBJECT - P City of Fridley 29665 AT THE TOP OF THE TWINS ? BUILDING PERMIT r 'P&Gfi4PT­N0-_ • _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � �p 77 SdAr � PROTECTIVE NUMBER _[ REv DATE PAGE O: APPROVED BY i CITY HALL FRIDLEY 55432 `'� ___•��"' l 612-571-3450 910-F15 6/10/99 JOB ADDRESS 590 57th Avenue NE 1 LEGAL LOT NO, BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 10 1 Donnays Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Green 572-2148 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 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION X6 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install bay window in living o0 9" 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each levelo of the house. 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 80 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 ISTALLS 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 $900 $.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- $35.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Fire, SC $.90 PLAN CHECK FEE TOT EE 7.10 �G� nruaE ACTOR On nuTMOA4ED AGENT SDA E. EN R VALID THIS IS Y UR P R IT 1A 1040 I / i OMOW N E Rog OWN E R 8 UI L DE R. ATEA B ii �NS� �16tE r 11 NEW[ ] -. ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor: Address: Effective 5/10/99 CITY OF FRIDLEY C ` SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �J y BUILDING PERMIT APPLICATION ' ( ?; u� 5qo 5--z �-- ��� �o -- 5 awv2 Tel. # p,� 1 4 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length s Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: L.,. S 16 t..CJ 13cx u W mL LJ . vn�-� ✓ wt cq,— (/9 -� K���o u c v Construction Type: i,S�w� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ W1 DATE: lO APPLICANT: Tel. CITY USE ONLY Permit Fee $ -3-S- 90 Fee Schedule on Reverse Side Fire Surcharge $ -90 .001 of Permit Valuation (1/10th%) State Surcharge $ $.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 $ r STIPULATIONS: 'Sj';Cf ix 49 w U SUBJECT RMI City of Fridley 338 AT THE TOP OF THE TWINS BUILDING PERMIT f 1. RECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. i V ------ INSPECTION SEC. r E PROTECTIVE E � i E _ ----1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY '-j 763-571-3450 910415 8/15/03 JOB ADDRESS 590 57 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 10 Donnays Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tony & Deanne Barrett 590 57 Avenue NE 763-769-6179 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 3770 Dunlap Ave N, Arden Hills, MN 55112 651-487-7888 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20093688 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside House, Soffit/fascia, replace windows within existing openings 9 CHANGE OF USE FROM TO 101111111111 STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. Install soffit ventilation to meet State Bldg Code. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 $25'000 $12.50 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 ANY OTHER STATE OR LOCAL LAW REGULATING CON- $391.25 $391.25 IF Fire SC $25.00 TRUCTION OR THE PERF CjrOF CONSTRUCTION PLAN CHECK FEE TOTALFEE �� ens SC $5.00 1 $825.00 UAE OF ,TOA OR AUTHORIZED AGENT iDATE, PROPERLY VALIDATED THIS'IS Y R PE M/IITT10�� ZWEN S-GNATURE OF Ow NER,iF OWNER BUILDER, (DATE, BjOr, (NSF' •IE U NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ j 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 Construction Address: 90 A, Legal Description: S Owner Name &Address: %�� Tel. #��� Contractor. Spl,lV ✓ MN LICENSE # p Address: )� Tel. # (0�-)-40 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 DECK AREA: Length Width Hgt/Ground OTHER: Construction Driveway L'A v Estimated Cost: $-Z Ft= Ft $ _ Sq. Ft. Sq. Ft. DATE: APPLICANT: �� � Tel. # (K/+ 10 /— � 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. l�39�1. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charg TOTAL CITY USE ONLY - e 12�$ Fee Schedule on Reverse Side $ .00.1 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1275 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 [ ] $ STIPULATIONS- Building $ , BUILDING Permit No.: � - Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY Date Rec'd: DATE 11) lam% l ©; YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) SITE ADDRESS 590 5 7 N . Er' X), $ THIS APPLICANT IS: Eg OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: A,,4,,At r— -J $ ADDRESS: 5-90 ; 7th Ja vc. N.r CITY ! . ltd STATEF�4IP aS,-/32 TENANT Fee Determined by Engineering PHONE: $ CONTRACTOR NAME: o ►.:y n $ a STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE K SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �9 ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING 1 DESCRIBE WORK BEING DONE: J"" --roc (s . �;�.)� �-ha v� c �� g� �- % SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 12. ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl Rsoffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other R 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 $J.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ , See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $; (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $, .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 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 $ a 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 PRINTNAME /In J� / t 1��c-w� DATE ili�/h i