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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° (4:5114) Date: _.._`�_.•,'"' _ --. _ .._. Owner: Builder Address .......!._. — Address _..... I,,.._... L C! OF BUILDING No. _.. Street .. _._.r' _ ...._............._......_..... Part o Lot ..... _..... ...._ ..._. Lot . . `": "" .... Block .....__....... :...._.._......._........ Addition or Sub-Divisiron�....._ y' ..._^._...... .... Corner Lot ....... ...._........ Inside Lot ...--_....�.._........ Setback ...., ....._...._........ Side _.........�..._............. ............. _.. Sewer Elevation Foundation Elevation r DESCRIPTION OF BUILDING To be Used p:Of ,r b i / .� F� n .. Depth .........+. Height-...._.. Sq. Ft_. P �Q_. Cu. F't. . ..... Froqt ....._..-__--- Depth .....__.....:.,' Hqight Sq. Ft ................. Type of Construction ....... ...'..r wry./ids---.. Est. Cost'._' i -..fit" -o-+.". ............. To be Completed .---...... ........... -......................... j, It`) IOLAT- P fliElt f AUTI-1c -� t� iiG�`J'. In consideration the issuance to me of a permit o 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 $._/,..,......., 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, reair and moving of buildings within the city limits and this permit may be revoked at any time up�oon violation f any of the provisions of said ordinances. /1 /r1/l ` f I Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sere to see the Building Inspector for separate permits for these items. • 4 • City of Fridley, Minn.. BUILDIT% - PERMIT N° (:46:7i Date: Owner: ..... : �._.. ... ..: ___.. .. ..:_..... _......... Builder ............. ............. ..... _: % Address _..._._ ___ __ -.Address _...... _.: '"_..__.__..__.__. ....... OC mil- Ko. BUILDING .- _. �.._.... Street ... _...._..._ �„�0_..._.._..._ Par4fcd t Lot-ir..._........ Block ....._.........-_............_..........._.... Addition or Sub -Division ... Corner Lot ....._.-`".._..-.-... Inside Lot ...-_.............-......._.. .. Setback ...,_ _...._........ Sid .. -.. ._. -- ............ _.__.... Sewer Elevation -._ ............................... _..___....._...._......._...._..._.._....__.__ Foundation Elevation DESCRIPTION OF BUILDING To be sed ,as: ,% .......... - ....._ y_..... ont . J:� Depth Height , ....... Sq. Ft. � �Cu. Ft. '41 A45 ..... .............. ........................ ......... ::... Fro ..... _................ ..... Depth ..._........ i _ t ...._............._.. Sq. Ft......-............._. Cu. Ft. ..................... .. Type of Construction ...-" ...... Est. Cost. y� � To be Completed ................................................. CAUTION THIS PERMIT 130�-S NOT AUTHORIZE VIOLAT. ION OF ANY P:, ATE I-XID- COVENANTS ANDBUILDING RESTRICTIONS. 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 $.- ... ..:............, permit is hereby granted to. ... _.......... ___------._ ----------- to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time w3on violation' -d. any of the rovisions of said ordinances. _ _... _ adding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, ,sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name LUCk RA O o Builder ® S Address Address o �9 ont C� �• o LOCATION OF BUILDING No. Street N Y)�— Part of Lot Lot �,�. Block Addition or Sub.Div.� r,$j Corner Lot side Lot Set Back SEWER ELEVATION FOUNDATION ZMATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: MVA6& owtd I ' Front Depths'3 3 height G1 Sq. Ft. Cu. Ft. _...6.... Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Cly O-yu Estimated Cost LUt To be The undersigned hereby makes application for a permit for the work herein specified, ggreeink to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- .tions stated in this application are true and correct. DATE 4 � o SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) 0 10 Application for Power Plants andHealing, Cooling, Ventilation, .RoMgerallon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ..... .................. 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .......:...... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell &Line—to 640 sq. ft. EDR Hot Water ... 8.00 $___ .— Each add. 200 sq. ft. EDR Steam ............... *....... 2.50 $ M Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ s ALTERATIONS & REPAIRS TOTAL FEE .. ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 . Plq e e - City of Fridley: 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 the Department of Buildings, and hereby declares that all the facts and representations stated in this application arA true and correct. // Fridley. Minn—Y/ `(� . 19 6d Owner w r,- ` Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No.� /Permit No. (Id DESCRIPTION OF WORK HEATING or PO PLANTS team, Hot ter, Warm Air—No — Trade Name �'l V 1 Size No Capacity Sq. Ft. EM.R & BTU H.P. Total Connected Load le �b` t Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) .tr-az RM 7-59 Business Phone 13 FII _ 11/tM... _ I I ..._Ih j.4 Ri:.I►1, 9t1 i-re:..l.► 190 II 9 L1 I P . / 0 V-0— 11 ---.t. 071/ ff Ql Ath Ae 9 U.; -ht Po Windows and Doors—Crackage and Area t ...e.. W / Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. ass _ ..42 3 / o -Z(-- ® �S HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Guide Infiltration Construction No. Insulation WindowsI Doors Reference Out. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— .SS -e LInt.all 1 13 FII _ 11/tM... _ I I ..._Ih j.4 Ri:.I►1, 9t1 i-re:..l.► 190 II 9 L1 I P . / 0 V-0— 11 ---.t. 071/ ff Ql Ath Ae 9 U.; -ht Po Windows and Doors—Crackage and Area t ...e.. W / Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. �iO 3 / o -Z(-- ® �S Coef. Btu 1! Infiltration Coef. Btu Infiltration SD I�Q Glass Exp. wall 46 1 ge Glass A01 3,5-99 3 Net exp. wall .SS -e Exp. wall 1 Int. wall 3 // a0 Net exp. wall Int, wall Q Q® Int. wall Int. wall Ceiling AI f /4 a Ceiling % s Floor Floor es - 1 otal btu. Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A - F1- I R.,..,., I I —A. il W.,101. Windows and Doors---Crackage and Area - �y / (p Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Ares No. of pane of Dane Ilghte of crack eq. ft. �iO i -Z(-- ® �S Coef. Btu 1! Infiltration Btu D 6 Glass SD I�Q Glass Exp. wall ��BD Glass Net exp. wall A01 3,5-99 Int. wallr jge Net exp. wall Exp. wall Ceiling 1 Int. wall Floor �® // a0 1 otal titu. S� r Required sq. ft. E.D.R. or sq. ins. W.A..Leader area .-lel -I W . 1-R....,.. I I .nn►I.:*?, Ql:11. lie u..-1.. a'a Windows and rs--Crackage and Area - �y / (p Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. �iO ©15 ® ? -Z(-- ® �S Coef.1 Btu Infiltration ,S'j Btu D 6 Glass SD I�Q Glass Exp. wall ��BD Glass Net exp. wall a Q Int. wall 91 Net exp. wall Exp. wall Ceiling 1 Int. wall Floor // a0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -•1 V -Glc -- Windows and Doors—Crackage and Area - �y / (p Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a l 3 7 Q 2 3 023 ©15 ® ? �® ?w ® �S Coef. Coef. Btu Infiltration 416 jr2 Glass B ��BD Glass Exp. wall a J -d- S6 - 6Exp. Net exp. wall Exp. wall d Int. wall Net exp. wall Net exp. wall Ceiling Int, wall Q Q® Int. wall Ceiling AI f /4 Ceiling Floor % s Floor Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 9 L'1 1 D-- 1 r _....►1. Z W:.1.1. ZA U-:-Lll -Oe Windows and Doors—Crackage and Area �P A / !/® Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2 3 023 ©15 ® ? �® ?w ® �S Coef. Btu Infiltration Q3 416 z2e Glass Id ed Exp. wall a J -d- J-1-® Net exp. wall d Int. wall Net exp. wall Ceiling Int, wall Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 A...= Room I L.enmh / f(V Width 7 F Height/. Windows ird Doors—Crackage and Area A / !/® Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. ©15 ® ? �® ?w ® �S ala Coef.1 Btu Infiltration Glass J -d- J-1-® Exp. wall Net exp. wall Int, wall Ceiling AI f /4 9� Floor % s Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area W n� _ .az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I 1 Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No9_ FQ Room I Length %� Width '7 Height /.76 II Fl.l Room I Lenath Width Height Windows aro Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light's of crack eq. rt. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft* r t J Coef.1 Btu Infiltration Coef. Btu Infiltration 46 J 14466 Glass o 1 Exp. wall Net exp. wall Int. wall Ceiling ® l0 / Floor Total Btu. S' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .01 F1.1 Room I Length Width Height ! Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light's of crack eq. rt. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp, wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or so. ins. WA. Leader area City of Fridley (Application few Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 PRESCRIPTION OF WORK Number, Kind and Location of Fixtures Location �j NO. RATE TOTAL 0 `J• ® 0 Number Fixtures ..................... x a OOH w O x w C) Z Z • R N WATER HTR. GAS ELEC. 00 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ o� x O <z GAS FITTING FEES: °d �4c O ...—_.+f x $1.50 OR Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ d Base 3 1st V J41 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 0 `J• ® 0 Number Fixtures ..................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......... ...—_.+f x $1.50 OR Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ d REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $-,, U City of Fridley: S'_�7y H 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 the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatio are true and correct. /' VHd1PV_ .Minn_ _ " / ig (6' Owner Used as X/24 INIA To be completed about Estimated Cost, $— 0 a j- Old—New. Building Permit ROUGH FINAL 4 z 2M 7-59 Business Phone 0 0 City of Fridley, Minn. BUR DING PERMIT Date: June 23, 1965 Owner: David Soderholm Builder Address 251 57th Place N. E. Address James O'Brien N° 8006 12773 Linchln St. N. E. LOCATION OF BUILDING No. 251 Street 57th Place NE Part of Int Lot 1.2-3 Block 2 Addition or Sub -Division City View Addition X Corner Int Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Apt. Unit (7) Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost $7,500.00 To be Completed 7 Unit Apartment Bldg. Remodeling 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 Orth and in compliance with a& provisions of ordinaaoes of the city of Fridley. In consideration of the payment of a fee of $. permit is hereby granted to James O'Brien to construct the building or addition as described above. This permit is granted upon the express oonditian 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 within 'the ota, and neuxiing �t�' alteration, maintenance,pafir a d mo of � a permit may be revoked at any time any of ordinances. Allen Jensen NOTICE Sh pwmh don no sonar do fie, houMsfim Iw v kbW phmddup, on hoar www w ardor. Be n to w rho Bvlhli v hp wdw for apna/o pub hr AM Bun, APPLICATION FOR. BUILDING PERMIT b CITY OF FRIDLEY, MINNESOTA OWNER'S NAMB �A?Or°d cU aC �Pf% /m BUILDER JAM e 5 ® `6kar' e al ADDRESS 7 r� �%f9 e ADDRESS 1 Q 9 %3 A_r'IVeA /V jjt jVZ LOCATION OF BUILDING'YQ -2 - Q 3 96 DL Na. Street, f /i�g Part of Lot -Z-9 1� , LOT - LOCR ADDITION OR SUBDIVISION Corner Lot`K_Inside LOT Setback Side -Yard SEWR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION Off -BUILDING To be used as; Front Depth, Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. $YPe of Constructias Estimated Cost � Q,_6 c) To be completed The undersigned hereby makes application foie a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and.representations stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). APPLICATION FOR.BUILDING PERMIT • CITY OF FRIDLEY, MINNESOTA OWNER'S NAME_QR Li d S��//Y7 BUILDER ZA M e 5_0'6,e 1' N &/ _ ADDRESS"/ 2 1014 e a ADDRESs 1 ?773 k1'/_14a/21 5t h] q A la, ley /r /441Ye so �q LOCATION OF BUILDING 4 '7 '*'3946 Na _+ S Street` / /ht e_ Part of Lot/- LOTT ADDITION OR SUBDIVISION Corner Lot�XInside LOT Setback -side-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed„,. building location drawn on these Certificates. - tl DESCRIPTION OT.SUILDING To be used as; ` • Front Dept _ Height Sqe Ft. Cu. Ft. 0 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction���ar/� Estimated Cost -7_6767-0,40 To be completed r The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares .that all the -.facts, and•representations'stated in this application are'true and correct'. A.” DAT$ SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). ° APPLICATION FOR. BUILDING PERMIT • CITY OF FRIDLEY, MINNESOTA` OWNER'S NAME_ Q /_ aC S ci �/m BUILDRR JA M e S ADDRESS -2E) 4 7 res. �/eq e le .. ADDRESS_/ 723 i'mfGa l/1l /Llz ` LOCATION OF BUILDING -5""7-.' 3 96 } Street_S 7 A /—/A e e .+Part , of Lot -4-4—A-41 LOT �'��' BLOCK ez� ADDITION OR SUBDIVISION (7.l`y Corner Lot`(Inside LOTSetback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed,�` building location drawn on these Certificates. �- 7��--f-DESCRIPTION ODING r • i To be used as: ` , t Front Depth,_ Height Sq. Ft, Cu. Ft. Front ..''Depth Height Sq. Ft. Cu. Ft. Type of Construction y Estimated Cost 7,SQO wd d . To be 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 hereby declares .that all the -facts, and. representations stated in this application are `true and correct'o ' DATE _SIGNATURE _. (Schedule of Fee Costs can be found on the Reverse Side). H 01, SUBJECTT City of Fridley 16 338 38 AT THE TOP OF THE TWINS BUILDING PERMIT rp RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. '/ B � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/12/81 JOB ADDRESS 251 - 57th Place N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1, 2 , 3 2 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patti Stewart 3550 Virginia Avenue North 544-2958 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Meehan Bros. Construction 2838 Stevens Avenue South 870-0234 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 I ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE ❑ NEW ❑ ADDITION EI X 8 DESCRIBE WORK Remof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. 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 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 $1400 $.70 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �( PLAN CHECK FEE TOTAL FEE ✓/�1 / - $16.70 SIGNAIPURE OF CO TRA TOR OPIAUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT d A, BLDG INSP r)AT E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01, CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) 01JNER: �� l ��-{ «J �_ r� BUILDER: `�r� ��h 3z b �� �� s t ADDRESS: _3 ')5-Q) ADDRESS: �7— TY' 3Ty ez s A� , TEL NO: ? TEL 1.40: '37 0 — o Construction Location STREET NO: .0 STREET: -5-:2 44_ C_ , LOT: a - BLOCK: _ P� ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn'on certificates to scale. -o o �' Front: DESCRIPTION OF CONSTRUCTION Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Zb Be Cbmpleted: 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 %:.,ork- herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and ruling.- of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: T//.Z /L75-/ SIGNATURE: Stipulations: L; Building BUILDING Permit No.: �- - '>Inspections COMMERCIAL/INDUSTRIAL Received By: 763-572-3604 CITY OF FRIDI�EY Date .G�Di Vs 3 2011 DATE/ (� 'nn YOUR E-MAIL ADDRESS` SITE ADDRESS �`J l �7— PL �� 1 55-7 :3L— TENANT Suite No. PROPERTY OWNER NAME: 71A�- ADDRESS: CITY STATE ZIP PHONE: ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME:VRA{ ADDRESS: :76 Z CITY TA PHONE: FAX *NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INDUSTRIAL JOBS PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIAL4NDUSTRIAL ❑ INSTITUTIONAL A 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 VMS 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�)aie q ' review and approval of plans. \� SIGNATURE OF APPLIC PRINT NAME 315 1k ` `�RLL ? 1 DATE ALL FEES ARE BASED ON VALUATION Sq. ft aO x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq, ft. = Valuation $ TOTAL JOB VALUATION: $^ USE OCCUPANCY TYPE ?ermit Fee ?lan Review ?ire Surcharge Surcharge 3AC Charge Erosion Control Park Fee Special Assessments :�urb Cut Escrow notal Due $ $ $ 1, LID $W7 Lk -S See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $1675 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ft+6ft= ftx$21=$ Make checks payable to: City of Fridley Attach