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PRE 2010 DOCSBUILDING PERMIT Village of Dater+'d"Ir.......................... Owner Fridley, Minn. No 2067 Builder .r,- ..2:.:(- :......................... Address ..r°�,l" . " ' .4ftw.. ........... Address ......................................... LOCATION OF BUILDING No. .... Street W ejR ....... Part of Lot ....................... Lot ......... Block ............. Addition or Sub -Division Corner Lot ....; ....... Inside Lot ....... Setback �. Sideyard . *',40w .............. �' DESCRIPTION OF BUILDING To be Used as:, Front q... Depth :.. Height ......... .. Front4R/ .9 Depth/,*57-. Height ......... Type of Construction ��.-.. ....�.... Est. Cost ...�;;fe � ..�":°........ Sq. Ft......... Cu. Ft. ........ Sq. Ft......... Cu. Ft. ........ To be Completed.-/ .. ' rte...■����� �`� �� � 'f . 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 consideration of the payment of a fee of $... permit is hereby granted to4�).,�, ,�to construct the buildingaddition as described above. This mi�iar*ted upon •?h Qrens"eon 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. d f^ 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. 0 SUBJECT City of Fridley 12942 THE TOP OF THE TWINS BUILDING PERMIT fP rAT C O. • I Ly ------COMMUNITY DEVELOPMENT DIV. � 1 � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/13/75 JOB ADDRESS 754-58th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Donnay's Moore Lake Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Wodmark 754-58th Avenue 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finishing an unfinished room by enclosing and removing walls 9 CHANGE OF USE FROM TO STIPULATIONS =2 - Provide frost footings and fire wall between garage and living area SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 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 $1,200 .60 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. 7.20 PLAN CHECK FEE TOTAL FEE $7.80 i SIGNATUREOFCONT, AC OR ITHORFDAGENI (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ,\ SIGNATURE ON N R ILDERI IDATEI BLDG INSP ATE APPLICA'T'ION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDLNG PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME• f U-LDER: ADDRESS: ��^ � A( - / ( E ADDRESS: NO:. STREET: LOT: BLOCK: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: F -P -V-A LC cr Punk Front : to Depth : i Height: 1Z Type of Construc To Be Completed: Square Feet: Cubic -Feet: 16o a Front: Depth: Height: Square Feet:f Cubic Feet: 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 application are true and correct. DATE: �� l S (See Reverse Side For Additional Information.)' i SUBJECT ' City of Fridley dPE 3 21 1< AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. • 572 3304 -6-Yr '5 071 � NUMBER REV DATEPAGE OF APPROVED By � CITY HALL FRIDLEY 55432 L „ 612-571-3450 910-F15 9/10/01 JOB ADDRESS 754 58 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 5 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Dufresne 754 58 Avenue NE 763-586-0919 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 LR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 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 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 $3,001 $1.50 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. $97.25 Fire SC $3.00 STRUCTION OR WFORMANCE OF CONSTRUCTION TH PLAN CHECK TOTAL E Jf /1 $1 .75 OF N'R TOR ORAUTHORiZEDAGENi DAT i EN PR PE L IDATE T IS IS Y '7MITVNATUR ATUR O O W BUR - DAT i BLDG IASP IFpArE i NEW [ l Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '7��/ 5 �%f %�V .4J,9 - Legal Description: Owner Name & Address: R®A1 Tet. #7.13-S���-®gZ 5! Contractor: 0'tjts6K- MN LICENSE # Address:-S✓qy"4y- Tet. # 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 t. , idth Hgt/Ground Sq. F OTHER: �CL`� �t�®F^ L7 � 0" �i�M� -.2 4 ��� —oc� Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: F 6 Ft =,,� Ft x $ -=$- o DATE: 91.-16-0j CITY USE ONLY - Permit Fee - Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # M� -OW Call (763) 572-3604 for Permit Fees if mailing in application $ , �� Fee Schedule on Reverse Side $ - O_O .001 of Permit Valuation (1/10th%) $ /, _S O $.50/$1,000 Valuation $ $1150 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 [ ] $ SUBJECT NO:- -. City of Fridley 33921 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L „ 763-571-3450 910-F15 9/29/03 JOB ADDRESS 754 58 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 6 Donnay`s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Dufresne 754 58 Avenue NE 763-586-0919 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 6 USE OF BUILDING Reside 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside house & garage 9 CHANGE OF USE FROM TO 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. 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 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 $4,000 $2.00 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 HER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PE FORMANCE OF CONSTRUCTION PLAN CHECK F TAL FEE $103.25 F NT ACTOPORAUTHORIZEDAGENT IDAT HE P RLY VALI ATED THIS IS YOU PERMI AATU of 1�2 B OG INS �lA DTURE OF NERirt OW NER BUILOERI IDATEI NEW [ [ CITY OF FRIDLEY Effective 1/1/2003 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 5724604 Bldg Insp ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax J ` BUILDING PERMIT APPLICATION Construction Address: �5 - /C /T"V� L Legal Description: Owner Name & Address: 1?,b&A —,O b0���� �!-Tel. #�l Contractor. nkJit/� 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 Hgt/Ground Sq. Ft. OTHER:L—�� Construction Type: '���yL S'�>yi�cliy Estimated Cost: $ /V®oo- o® Driveway Curb Cut Width Needed: F . + 6 Ft DATE: APPLICAN)mailing Call (763) 52-3604 for Permit Fees if i p call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 1613 = ��� Tel. lication. Fax to 763-571-1287 if using credit card and we will CITY USE ONLY - Fee Schedule on Reverse Side .001 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 [