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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N° 2395 Date �r/ ........................... Owner `. ......... Builder ........................................... Address ..14A. ..... Q ~Adrlrmc No... 71F:.. Lot ....w Al i Corner Lot ....... LOCATION OF BUILDING Street . ... ................ Part of Lot ....................... Block ... f........... Addition or Sub -Division .. ....... .... Inside Lot ............ Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: i .i ................. Front ........ Depth ........ Height ......... Sq. Ft. ....... Cu. Ft. ........ .................. li. Front ........ Depth ... ...Height ......... Sq. Ft......... Cu. Ft......... II Type of Construction .............. Est. Cost ../470 .............. To be Completed ................... ill . it In consideratio II' of the issuance to me of a ermit to construct the building described above I agree to do P g gr the proposed work accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. 1 .......'' In consideration 4 the payment of a fee of $... ... , permit m hereby granted to ....................... . ........... ... to construct the building 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 andupon 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 '6 d this permit may be revoked at any time upon violation of 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. a sure to see the Building Inspector for apparate permits for these Items. I SUBJECT ER City of Fridley 16620 AT THE TOP OF THE TWINS BUILDING PERM IT _ r RECEIPT N •COMMUNITY DEVELOPMENT DIV. tea ------ D 0: r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/7/82 JOB ADDRESS 247 - 57th. Place N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peterson 247 - 57th Place N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hargo Construction 3248 - 80th Avenue N.E., Mpls., MN 55434 784-4679 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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $2,OQ0 $� ��� 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- $32.50 RUCTION OR THE PERF RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE NAlreo $33.50 SIGNATURE OF CONTRACTOR OR AUT ORIZ AGENT (DATE) WHEN PROPER VALIDAT D THIS IS YOUR P RMIT • F BLDG INSP 6 SIGNATURE OF OWNER 0 OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATIVI FOR RESIDENTIAL BUILDING PEIU4ITS (Nevi, Alterations, Additions, or Repairs) OWNER: � ADDRESS: TEL NO: BUILDER:- � 4-f - ADDRESS: , 12 ,Zo a f"— TEL NO: ,�' r ` ,zi a Construction /Location - STREUT NO: % STREET: l LOT: J o< BLOCK: �I — 1 ADDITION: Corner Lot: Inside Lots Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: of Construction: / r Rype � %�c� � � Estimated Cost: $ Oa, '!b Be Cbripleted: 4��� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 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. r SIGNATURE: Stipulations:�.,��� PJ� ��. , 1civ Ik CERTIFICATION OF STATUS OF SUBDIVISION OF r LAND 1. Property PIN No. a5 16 d3 007 Plat No. Parcel No. 2. Applicant &XC -Ar) Pe t*fl,.O ,y Tele. No. 2157 3. Type of Document: z V7 5 7�-" Deed Contract for Deed ` 0 Other (Specify) 4. Date of Document 5. Grantor: 6. Grantee: 7. Received by City Clerk of Date: Z 3 By: 8. Action by City: Approved: Date: Time: Time: � . ? 6 Qe- ejected: Date: Time • Z 7 By: By: (If approved - complete stamp on Document) 9. Reasons: (Cross out inappropriate words) �,Amfiffffigl a. Subdivision Regulations 0�) - do not) apply. b. Subdivision (approved - not approved). (If approved - attach certified_copy of Resolution.) c. Restrictions (waived - 19 waived by Council. (If waived - attach a certified copy of Resolution.) 10. Conditions Imposed: D Combination with PIN No. (Petition of Owner show d be attached.) Others: (Specify) NOTE: IF SUBDIVISION INVOLVES TORRENS LAND, CONTACT THE EXAMINER OF TITLES AT COUNTY COURTHOUSE FOR FORM OF DESCRIPTION. (MINNESOTA STATUTES SECTION 508.47) SUBJECT .- - City of Fridley ji 18968 AT THE TOP OF THE TWINS BUILDING PERMIT r R 1 ; v _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. !-- r PROTECTIVE � i`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----�/"',,; L 612-571-3450 910-F15 15/28/87 JOB ADDRESS 247 - 57th Place N,E, 1 LEGAL BLOCK TRACT OR ADDITION SEE ATTACHED JLOTNO. DESCR. 3 ,14, l5 1 City View SHEET 2 PROPERTY OWNER MAIL ADDRESSZIP PHONE Sonia/Richard Peterson 247 _ 57th.Place N,E, 571-2855 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. 8• USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 26' x 13' Addition and a 261 x 26" AN Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a har d surface driveHray, , WARNING digging cell local utIffles SEPARATE PERMITS REQUIRED FORTELEPHONE -ELECTRIC • GAS E%.Before WIRING, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW 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 I 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 $26,150 $13.08 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- $179.50 None STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 11_1$ 44,88 $237,46 SIG NAT URE OF CONTRACTOR2j AUTHORIZED AGENT IDATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT Q SIGNATURE OF OWNE IIF OWNER BUILDERI IDATEI BLDG INSP r1ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. L ] Building Permit Application Construction Address: of y 7 Place 1U -L_ lam_ f f e11,3- Legal Description: &) �� �� `� & -- 7 l(J(li(,�, � f�iCIL Vd I �I�SD17 � Owner Name & Address: -Tel. # Contractor: I, Tel. # — Address: 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 2 Width �� Height 8 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ Hgt/Ground Sq. Ft. - OTHER: Corner Lot [ ] Inside Type of Construction: jtUC/i Lot [-]' Ft. Yd. Setback 77 U Side Yard Setback Estimated Cost: $-� - Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: DATE: S R1c J' 7 AAPPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL Alt. A ( Alt B See Back Page for Explanation Tel. # S71- Z5 LT CITY USE ONLY $ 107Ct,, S4U Fee Schedule on Reverse Side $ s 25% of Building Permit Fee $ ,®' $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $� STIPULATIONS: 14,� �Jfi�tAj 4 9, r)ur% -A4 024, 11� ,0i 4,� li 'aon ��9. Sd t �i a'96 � 59 ➢ v ':30V-ld H1LS Jo , i .., 6 ®'fid ➢ --- .b.S� 3 --� .3.N .SAV 71'LS Ad jr cz � '�•n p��� � J v , i .., 6 ®'fid ➢ --- .b.S� 3 --� .3.N .SAV 71'LS Ad SURVEYING & ENGINEERING CO 83268 23 30 24 Richard Peterson Lots 12,13,14 -and 15, Block 1, CITY VIEW See reverse side for legal descriptions of new tracts JOB NUMBER SEC/TWP/RN CLIENT LEGAL DESCRIPTION 7/26/83 DATE SURVEYED 7/27/83 DATE DRAFTED 30 SCALE IN FEET PER INCH PROPOSED ELEVATIONS: none FIRST FLOOR TOP OF FOUNDATION GARAGE FLOOR LOWEST FLOOR SANITARY SEWER BENCHMARK ELEVATION BENCHMARK DESCRIPTION 5300 HIGHWAY 101 SOUTH MINNETONKA, MINNESOTA 55343 STANDARD SYMBOLS "C' Denotes 1/2" ID pipe with plastic plug bearing State Registration No. 92,05, set. Denotes iron monument found. Denotes cross chiseled in concrete surface. "982x5" Denotes existing spot elevation measured at the point marked by "x", in this case, 982.5 feet above mean sea level. "982x5" Denotes proposed spot elevation at the point marked by "x". Denotes proposed direction of storm water runoff. CERTIFICATION I hereby certify that this plan, survey, report or specification was prepared by me and that I am a duly Registered Land Surveyor and Profes- sional Engineer under the Laws of the State o,f� Minnesota. n I r l a -- H. Parker, Minn. Reg. No. 9235 , N. O®a5' 56°' W. 16.5 t t _ t 1 t , t t ® G 0 0 t i T r� d SUBJEer PER , _ City of Fridley 29902 AT THE TOP OF THE TWINS BUILDING PERMIT . r EIPT NO. COMMUNITY DEVELOPMENT DIV. fry _ r PROTECTIVE INSPECTION SEC. / NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 7/19/99 JOB ADDRESS 247 57th Place NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 - 14 1 Cit View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Peterson 571-9433 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of M 3118 Snelling-Ave S Npls 55406 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ®X REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 30 S Tear-off; Reside house and garage; Windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State BuildingCode. Call for building wrap inspection before covering. Install smoke detectors to meet the State BuildingCode - in each sleeping room and on each level 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 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 $20,610 $10.32 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 $335.25 Fire SC $20.60 PLAN CHECK FEE TOTAL FEE Lice 5.00 37 7 SIGNATURE OF CONTRACTOR OR AUTHORIZE D AGENT IOATEI EN e.ROPE LIDATE BI.Dt INSP T IS.,LQUR "RMIT PATE S-GNATURE OV OWNER,if OwNERBUILDERI 'DATE. r� d NEW[ ] Effective 5/10/99 �qqo;-' ADDN [ J CITY OF FRIDLEY 6� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: </ % - �=u �'/ // e Legal Description: Owner Name Address: Tel. #5-71 %/ - 9 X23 Contractor:C4 6XII MN LICENSE # ,;?1'i Address: SS -5O 6 Tel. # 0-2Z Attach toapplication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 9 _ Construction Type: Estimated Cost: $C/ (�, c Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: S�" �6Tel. # CITY USE ONLY Permit Fee $ JS -Fee Schedule on Reverse Side Fire Surcharge $ G a .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ - $1050 per SAC Unit License Surcharge $ P $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 STIPULATION �jz� /ALL •�G���n�4