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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Own": White Oak Builders Builder SgLm- Address 5114 T.nng Take Road, New Rvightchddress Same LOCATION OF BUILDING No. 410 Street 57th Place N.E. — part of Lot Lot 3 & W;4_ Block 5 Addition or Sub -Division _ City View Addition Corner Lot Inside Lot X Setback 35' Sideyard 10 & 10 MW mevation _$32.62 _ 840.62 Wye Ton of Footing DESCRIPTION OF BUILDING N. `10938 To be Used as: Dwelling Front —LOL Depth 30' Height 20' Sq. Ft. 920' Cu. Ft. 21,2001 a nt —141_ Depth 201 _ Height —1.01 Sq. Ft. _280' Ca Ft. _2r80 � Type of Construction Freie_ Est. Cost _._.Al.5s 000 _ To be Completed — June- 1971 Verify Basement Loaation by Survey Provide Hardsurface Driveway Check sub soil in question SEWER LOCATION: 134' E. of Manhole WATER LOCATION: 131' East of Manhole 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 ab v t fo and In p cewi ons of ordinances of the city of Fridley. " In consideration of the payment of a fee of $_. 40...00_.._, permit is hereby granted to Whi rP nak R+,i lders to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: Tl@ permit doe not cover the construction, hwtaUadOn for whins, phunblog, an bearing, sower or water. Be sure to sae the Building Inspector for separate permhs for thea hems. 01 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA v OWNER'S NAME: r ILDER: ADDRESS: 5i'/ ADDRESS: NO:.f2�/U STREET: 16– LOT: 6^ LOT: 3q(w z BLOCK: ADDITION:_ CORNER LOT: INSIDE LOT: _SETBACK: _35-- SIDEYARD: 10(j_10 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: C\` Front;C� —Depth: 3 Height: Square Feet"::. Cubic Feet: _--zz o 0 C2:��Q� Front: %`r Depth: Height: CJ Square Feet; Cubic Feet: Type of Construction: �-l' da '41 4 Estimated Cost: _$ L7, c-3 C> To Be Completed: 1 cf ? i The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 applicatio are true and correct. DATE . ��,� ' SIGNATURE: (Spe Reverse Side For Additional Information.) f. z at ,77- CERYIFICA OF JUrrV—Y , L.S. 1171-02 Thos. R.. Swanson MILDER W. CARLEY & ASSOCIA 1 ES .CONSULTING CIVIL ENGINEERS LAND SURVEYORS 5W W. HWY. 96 314 OAK ST. ` -213 4TH AVF_ S.E. ST. PAUL 12, MINN. SAUK CENTRE, MILAN. ST. CLOUD, MINN. 484-3301 152-3654 251.7751 I hereby !certify that this survey, plan, or report was prepared by me or under my direct supervision and that 1 am a duly Registered Land Surveyor under the laws of the State of Minnesota. �_�,•+1'� ., vy� _ Reg. No.90-,1 Date_ Oct. 9, 1909 s m Lots 3 and 4, except tho E 1/2 of Lot 4, Block 5, CITY VIE`!, Pnoka Count, Minn. � J, w 6 (?, 3 7, 7 I 4( c, - k L4 -7 7 - a �ERMFICATEOF SURVEY L.S. #71-02 Thos. R. Swanson MILNER CARLEY & ASSOCIATES CONSULTING CIVIL ENGINEERS LAND SURVEYORS ` $00 W. Mr. 58 314 OAK 18 4TH AVE S.E. ST, PAUL. 12. MINN. &WK CENTRE, MINN. ST. CLOUD, MINN. 484.3301 342.3664 251.7781 i I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision cind that I am a duty Registered Land Surveyor Under the laws of the State of Minnesota. `s • �. 9051 �� •' Reg. !do ®ate Oct. 9.* 19b9 _.___...- R JN u' 0 1' ate......► ..�ae.ar�• - _ Lots 3 and 4, except the E 1/2 of Lot 4, Block 5, CITY VIEW, Anoka County, Minn. r Ak 4 /� : _ ,' .. - ' �. � _ � ..: ,.. .-,.. :_:.. _. ,�`ma ..__. .. .. ..- ..�....-.....tee.- -...- ,.._.. a. _; _ ... ..ter- ..i ... • , rte.....-........ w s-..- A. ... �r1 .ur...a3. Application for Power Pkaft and Hoatk% CooringR Ventilation. Relfteralka and Air Conditioning System and Devic PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................ 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations --up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam 3.00 ' $ Each add. 320 sq. ft. IDR Hot Water . . ........ .. 3.00 $ OIL BURNER—to 3 gal. per hour ... .:... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ..... .................. 800 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL Ist 3 Fixtures x$ 200 $ Additional Fixtures x .75 $ Gas Range to 199,000 j$ 6.00 $ AILS COIfDITIONMG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAID ROUGH FINAL $ See Fee Schedule $ TOTAL FEE Dept. of Bldgs. Piwae OW -U80 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 are true and correct. Owner Kind of Building Used as To be completed about Estimated Cost, $ Old -Building Permit No. Permit No. -Z` 3'2--) '5-� DESCRIPTION OF WORK HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No Trade Name /-� � Size No Capacity Sq. Ft. E.D.R. BTU ��� H.P. Total Connected Load 62 Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REFAARKS-OYER) SL'BURBAN AIR CONDITIOgIVF NING CO, 8418 CENTER p S (3,, MINNE'Sd�' BS A 55432 Business Phase Nn- Ci;y ®f Fridley �i%icg and Gcs Riling pCd6m.? 7jI:3Cn1P'r1Otd Or WORK Dapt. of Bldgm" Phono ;60.3450 Humtn Kind and Location of rixturea Locati.o o -,s-7N �� n � [ i a — x X2.00 i � � ( T �. � �����---- ; < S L• � A ) � A i WAIjG •!R N 4.�, q Il[C 1 !�LLl n,: 3 00 ---- -_ x $300 r p - -- - x — _ S 2.00 _ RATB ICTAL X $ .75 4 -.1 R $5.f10 -- — UPC Sewer C®:--poo1 f1 PA^.'lAL RATE SCHEDULE P•'... R 1?este- (;!! "a: be to 199 BTU rILPRIR9 k A_.-UATIONS--A®P®r to Code TOTAL r•r:F, �- (•tty of Fridll•y. I nA unrie•r,I� ncrl hI r t,> makA s I ,Ilrn! turf fr r : r Ut rmtt fr,r flit. v";,r:< hurt sperIfII•ci, orrv-inI, to do ,III v.oIk to Strlr- t ntu,; ,,n: r• •., tth ii,o ( •:" i;r,11r..r•rt of It Ih p::rtnu nt of ISmNiny'; •ln: '!,:it all the fx, amJ rc•I,rt•:,enWttuta st;,U.•ci irl L1.r: al,p,lcaL'��n arr• t•;t,•• �n•t cl,rtc•�-; - r••.„t:.•v *.iron__ � — � 7 F;:nd Uf Z3tti{.itrtt; _ -�jL�- -- F_'•tirnat.•1 Cu:,,,, Girt-��I;i.r:dl'I;; 19•:':ri.. ....I �e�g I, J ROiIGH FINAL_ -S-'i — x X2.00 e JC x -1.50 e - x v1•r� E`��_ -- x 'M 25 3 00 ---- -_ x $300 r - -- - x — _ S 2.00 _ RATB ICTAL X $ .75 R $5.f10 -- — TOTAL r•r:F, �- (•tty of Fridll•y. I nA unrie•r,I� ncrl hI r t,> makA s I ,Ilrn! turf fr r : r Ut rmtt fr,r flit. v";,r:< hurt sperIfII•ci, orrv-inI, to do ,III v.oIk to Strlr- t ntu,; ,,n: r• •., tth ii,o ( •:" i;r,11r..r•rt of It Ih p::rtnu nt of ISmNiny'; •ln: '!,:it all the fx, amJ rc•I,rt•:,enWttuta st;,U.•ci irl L1.r: al,p,lcaL'��n arr• t•;t,•• �n•t cl,rtc•�-; - r••.„t:.•v *.iron__ � — � 7 F;:nd Uf Z3tti{.itrtt; _ -�jL�- -- F_'•tirnat.•1 Cu:,,,, Girt-��I;i.r:dl'I;; 19•:':ri.. ....I �e�g I, J ROiIGH FINAL_ -S-'i 410 & 420 - 57th Place N.E. June 9, 1971 In lieu of soil compaction tests or structural design on self-supporting garage floor slab by a qualified engineer the undersigned agrees to guarantee this slab against failure for a period of 1 year. The City of Fridley and its Inspection Department shall be held blameless in the event of such failure. White Oak Builders, Inc. Robert A. Carlson, President City of Fridley SUBJECT MIT NO. ®13956 AT THE TOP OF THE TWINS r ` BUILDING PERMIT RE `y ....... COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. vo 1 i , NUMBER REV. DATE PAGE OF APPROVED BY r'--1 CITY HALL FRIDLEY 55432 • •-j ----� 612-560-3450 910-F15 3/23/77 JOB ADDRESS 410 - 57th Place N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 WA 5 City View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ann M. Sunderland 410 - 57th Place N.E. 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 CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 24' detached garage & Convert present garage to living area 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Supply City with rafter design before construction. A) = 258.50 D/W de� sAR1��� WANING 30 DAY NOTICE TO CITY EN Before digong cell local utilities DIV. REQUIRED FOR CUR TELEPHONE - ELECTRIC - GAS Etc. REMOVAL AND RE; LACEMEN REQUIRED BY LAW AT DRIVEWAY OPENING SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 BO 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 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. $5,307.20 $2.65 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- $3O.12 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $291.27 OF CONTRACTOR OR HORIZED AGENT (DATE) WHOPERLY V LIDATED THIS YOUR PERMIT aTURE 7W BLDG INSP /IS DATE SIGNATURE OF OWNER F OWNER BUILDER) I ATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: ( �G� �l ���,���i� BUILDER: Address:' ( � Address: No.: q10 Street: loo- LOT: f BLOCK: Tel. No. _ v �IC �- ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 30 DAY NOTICE TO CITY ENG. DIV. REQUIRED FOR CURB DESCRIPTION OF BUILDING REMOVAL AND REPLACEMENT To Be Used As: AT DRIVEWAY OPENINGS. w' Front: Depth: oZ Height: t Square Feet: to Cubic Feet: Z�c 74e'-1 Front: Depth: Height: S(xare Feet: Cubic Feet: _ Type cYf Construction: t' Estimated Cost: $ -To Be Completed: 2t2, S'��,) �c) /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired /C" $ $ (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 for additional information. DATE: SIGNATURE: Stipulations: o 4 r „� THE JOHN J. RYAN CO. SCALE: 1 INCHa�?FEET 1802 SELBY AVENUE. ST. PAUL 88106 ' TELEPHONES 648.¢85e OF PROPERTY LOCATION 'T” � / 53:!� C �f .a►"�. '� / //�/r' 1��.�`Jd DESCRIBED AS u 1 • �- 60- 60 30 DAY NOTICE TO CITY I DIV. REQUIRED FOR REMOVAL AND RE?LACEh .AT DRIVEWAY op&op CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY I hereby certify that on" Z 19—ze, I hereby certify that on 19 I made a survey of the Iocation of the building(s) on the I surveyed the property described above and that the above above described property and that the location of said building(s) is correctly shown on the abpve plat. plat is A correct representation of said survey. r / l' JOHN J. RYAN. REGISTERED SURVEYOR, No.4489 i PAUL. J. CRANE, REGISTERED SURVEYOR. NO. 4449 wf' Form No. 133 ZX McClain Redman Scheldt Co SUBJECT PERM) City of Fridley o 20078 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIPT N `L _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/23/89 JOB ADDRESS 410 - 57th Place N.E. 1 LEGAL LOT NO. BLOCK ACT OR ADDITION TRCity SEE ATTACHED DESCR. 3rW''i 4 5 View Addition SHEET 2 PROPERTY OWNER MAILADDRESSZIP PHONE Ann/Warren Sunderland 410 - 57th Place N.E. 574--9518 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. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW K3 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 141 x 141 Addition; a 14t x 16.E Deck,- gable roof to cover both 9 CHANGE OF USE FROM TO STIPULATIONS gee notations on plan. Provide smoke detectors on both levels of existing home.. WARNING SEPARATE " n1 °"'ED FOR Before digging call for WIRING, HEA I'i;'4.j, _,,;yiL�IiNG AND SIGNS. all utility locations 454.0002 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 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 1 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 $13,400 $6.70 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. $153.00 PLAN CHECK FEE TOTALFEE $159.70 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA ATED THIS YOUR PER MIT r y le iNSP C 3 �aTE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEIBLDG Effective 5/1/88 PAA-" l J R-1 AND R-2 AIT [ ] Building Permit Application Construction Address: Legal Description: _ems/ Owner Name & Address: AU10 Gc✓��� e� Sc c �,P� �� Zrel . # Contractor: Teel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AMM: Le q h I YX Width Height Sq. Ft. h GRRAGE AREA: Lexigth Width Height Sq. Ft. DDCR AREA: loyth Width __J5a- Hgt/Grm-d Sq. Ft. Qcjhj 07HER: Corner Lot [ ] Inside lot [] Ft. Yd Setback Side Yard Setbacks [��3•`� Tjrpe of Construction: Estimated Cost: $ Approx. Ompletion Date: 13 q CJ6 Proposed Driveway Width If New Opening Is Desired: p Width + 6' See Back Page DATE: _6 �a -�� APPLICANT: L �. Tel. # Permit Fee State Surcharge SAC Charge Driveway Escs trow Park Fee Sewer Main urge ULATIcKs $ / 53, 00 MY Un o�aar Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [] Not Necessary[] f3., foo GO (ago S 1 v� JS3,ou W, ix eA I --r i 40,1 �' 140101W DECK ROOF)FOR DECK 16.I i I I . I I` GABLE ROOF EGRESS WINDOW FOR BASEMENT ALUMINUM SOFET r t I • PROPERTY LIVE i I FIRE WALL t GARAGE N N t I • PROPERTY LIVE i I Warren & Patsy Sunderland 410 57th Place Fridley, MN 55432 Frame and shell 14'x 14' room addition with full basement off rear bedroom. Construction to include; 14k 16 roof over deck. � Home owner to excavate, haul all fill, and back fill as needed. Install concrete footings 22"x 8" poured. 12" block walls to match house and allow for 2x10 floor joisting. Pour concrete basement floor. Damp proof foundation walls and insulate to R-5. 2x10 floor•joists 16" o.c.. 1/2" rated waferboard sub flooring. 2x4 exterior wall construction 16" o.c.. Metal wind braces and styrofoam insulative wall sheathing. Gable end hand framed roof and tied into existing house roof with matching, pitch. . Open block wall in basement for 48" wide. -access. Beam existing rear house wall with mirco-lam beasn�to open full width of , room. I.IV4 0 �,A,V- Srz� Install home owner supplied french door and window. Shingle roof with 2401b. 3 -Tab self-sealing shingles. 14,tiu Aluminum soffit and facia system.�U p`1 �,�5mr� OUMIJ0% w*AA_ " 12" Hardboard smooth siding to match house. Wire switched interior light and 3 wall outlets. Wire switched exterior light and 1 exterior outlet. Re -install gutter from rear of house on west side of addition and tie into house gutter. Extend heat run out for upper room. II&CALE: 1 INCH. FEET P IOF PROPERTY OFb LOCATI D[lCRI .. Y THE JOHN J. RYAN CO. t Doi SELHY AVEHUK. R. PAUL 68104 TELEPHONKs 644.6409 i LAT OF SURVEY 1 - 6o - Yn n L � • I M 7 ry: ,;;c.,� 30 DAY NOTICE TO CITY E DIV. REQUIRED -FOR CL 1B REMOVAL AND RE?LACEAAE AT DRIVEWAY flPF1�lI CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY I hereby certify that on' 7 719_._,Cl 1 hereby certify that on 19 I made a carver of the location of the building(sj' oh the' I anrveyed the property described above and that the above atve described property and that the location of said baildiag(a). is correctly ahown.on the .�.Q,.t�t ..., _.,,�, • r1r.: is.a:co>�rec -reore�etttat(op..of said emegev- . _�, y:,..,. (dN,a) Warren & Patsy Sunderland 410 57th Place Fridley, MN 55432 Home owner to supply building permit from city. .,,Does not include excavation,'insulation, (except foundation), plumbing, sheetrocking, taping, finishing, windows, doors, painting, staining, or scrap removal. Lien waivers and al,,l written guarantees furnished on completion. SUBJECT P 6' City of Fridley(_27037 AT THE TOP OF THE TWINS BUILDING PERMIT ' , COMMUNITY DEVELOPMENT DIV. RE C I T (Q _ PROTECTIVE INSPECTION SEC. 1 , NUMBER REV DATE PAGE OF APPROVED BY 1 "-"1 CITY HALL FRIDLEY 55432 ,'j 612-571-3450 910-FlS 8/6/98 JOB ADDRESS 410 57 Place 1 LEGAL LOT NO3 & 10�1( 5 TRACT ORA� SEE ATTACHED DESCR. � Cit View Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Warren Sunderland 410 57 Place 574-9518 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 XX REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (24 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 $2001 $1.00 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. $74.75 Fire SC $1.00 PLAN CHECK FEETOTAL F E $7 .75 SIG URE OF CONTRACTO R AUTHORIZED AGENT TEI WH OPLFAL IDATE T S IS Y UR P R T SIGNATURE OF OWNER 0WNER BUILDERI IDAT I BLDG IN OA E NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION .yConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: VOTHER: Construction Type: Effective 1/1/98 M Tel. # MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. c� �► l�` Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: CITY USE ONLY S' Fee Schedule on Reverse Side $ . D e�' .001 of Permit Valuation (1/10th%) $ l (,) 0 $.50/$1,000 Valuation $ $1000 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 [ ] 03/15/2010 14:45 4571673 KEITH KRUPENW DISPO PAGE 01 Bu,d ��g LOAD LIMIT PIIS t101'1,�: � Permit No. � �w MODIFICATION ,,PPLICA'I'ION R 763-572-36 763CITE OF FRIDLEY . ' -���9F�9'-�ax, • � APPLICATT&I ATE: \- -_� _-• YOURS-N[AIL ADDRfiSS. ;tire THJi APPLICAiiti1TIS: XTiAULirR b PROPERTYOWwR PROPERTY O*ER: JOB ADDRESS; s—+-ti�i '�1.... r• . _ V� i� MATERIAL BF*G HAULED BY•:.. DATES'TO BS UAMED (EM TO !.DAYS); QLD �(� $ t THIS PERMIT IS JSSUED TO'ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXEL TO FIVE (5) TONS PEA A.XEL OVER THE FOLLOWING DESIGNATED ROUTE: NOTICE: TtaIs pe"t isvalid only for v$hicles-enuoutc to construction addluss during the Hours of $:00 am to 5:00 PM. See', esolution #01-2004 and State Statute Section 169.87 PE*AOT MUST BE IN -VEHICLE WHILE HAULING ON ESTABLISHED ROUTE. PERMIT 00 T! MS JS AN- APPUCA710N FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply T s load. Hmit modification permit and I aedmowlecip that the inforwatiuli above is complete and accurate; that the worts will be iu idonfo Maace'wxth tl -otdimnces and codes of tbe City of Fridley. I Lmderstwd this is not a permit but only an a40icabiou for a uit and haulir* an ?restricted. roads is not to start without a pwait S.IGWAT M 44MICANT• : -- — `-PRINT NAME ( 4 ?.N',W eAut1 DATE 3-- —ilJ APPROVED B1C . DATE . COPIES GIM. POLI . ❑ ENGINEERING City of Fridley Building Inspections Department .643'l Univm ty Avenue NE, Flidley, MN 55432 763-572-3604 FAX: 763-502-4977