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PRE 2010 DOCS• 0 • City of Fridley, Minn. BUIIDING PERMIT 1V? 6684 Date: Owner: Builder t —� Address Address /! JtOCAT10N O BUILDING No. Z Street _ _ Part of t Lot __ Block Additidh or Sub -Division Corner Lot Inside Lot _ Setback=____ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height.. Sq. Ft.Ll��i�..c� Cu. Ft. b,YAOP Fro Depth Hei t Sq. Ft. _ _ Cu. Ft. Type of Constructio To be Completed In consideration of the issuance to me of a permit to constru the building described above, I agree to do the proposed work in accordance with the description above set f in compliance with all provisions of ordinances of the city of Fridley. ? a In consideration of the payment of a fee of $ f� -___, 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 and moving of buildings within the city limits and this permit may be revoked at any 'vio 0 of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for whin®, plumbing, ga heating, sewer or water. Be sure to we the Buildlim Inspector for separate permits for these Rena. Owner' Addres APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA s Nam° Builder o ° s �-4wa7 Address,4$ Jf LOCATION OF,9UILDING �� No. Part of Lot Street' a� Lot -1,26 BlockAddition or SQivision ° Corner Lot Inside Lot Setback Side -Yard SEINER ELEVATION FOUNDATION ELEVATION 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: o Front DepthHeight Sq. Ft. �%/�, Cu. Ft, Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Costed �+ .;;5-6• ©® To be Completed 4L 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. DATE fy- / Y - (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. BUILDING PERMIT 0 Date: — June 13, 1967 r1 U 0 Owner: William A. Sorneson Builder Address _ 15 N, E. 6N, Way Address Same LOCATION OF BUILDING No. 15 Street 62-1, Way —_ Part of Lot Lot ___„ 19 Block 17 Addition or Sub -Division _ Fridley Park Corner Lot —_ Inside Lot —X Setback 35'�_ Sideyard __ 1 Sewer Elevation ---- Foundation Elevation 2d1i1 Y 9312 DESCRIPTION OF BUILDING To be Used as: Addn. of Basemen%,mnt 34' Depth 26' Height Sq. Ft Cu. Ft. Breezeway Front 151 Depth 161 Height Sq. Ft. Cu. Ft. Type of Construction _ _ Est. Cost_._ 22�QQs�QTo be Completed SprIM9 of 1968 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. d ° a n In consideration of the payment of a fee of $ 8,00 , permit is hereby granted to =U5a111_ A. Sorenson 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: This permit does not corer the construction, hutaihMlen for wiring, plumbing, gas heating, ewer or water. Be an to an the Building Inspector for separate permits for thea hems. OWNER'S NAMED/ -(j ADDRESS /. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA BUILDER ADDRESS l/LOCATION OF BUILDING NO. STREET S PART OF LOT LOT BLOCK LZ ADDITION OR SUBDIVISION 4 CORNER LOT INSIDE LOT SETBACK ` SIDE -YARD/ r SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCIPTION OF BUILDING _Front 3 Depth Sq. Ft. d �' Height_ Cu. Ft. 4" 16`� %,,Front Depth Height Sq. Ft. Cu. Ft. Type of Construction'6Ael, eo, stimated Cos10. - To Be Completed_'ZMA� 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 ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE �10 (Schedule of Fee Costs can be found on the Reverse Side). (21 City of Fridley Application for Plumbing and Gas Ruing Permit Dept. of Bldgs. Phone 560-3450 _ DESCRIPTION OF WORK S� � ��. Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening .............. 8 $ Catch Basin ............................ x $325 aa' Z �p t R • N WATER HTR. GAS ELEC Base x $325 Electric Water Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 2nd _ 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sews: Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $325 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $--� New Ground Run Old Bldg . ............ x $325 Electric Water Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... oy City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Used as Fridley, Wnn ! g, 19� 19/-7 /7 To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. Signe By a92�� Business Phone No- ROUGH o ROUGH U 1 � ' � 1 FINAL Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices 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 $ MECH. WARM AIR 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. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule ,_- 00 GAS BURNER (up to 199,000 BTU) 5.00 $ - over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures m r✓✓ ' ..................... x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone 560-3450 City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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— ew. Building Permit No. Permit No. /i e 9 y DESCRIPTION OF WORK HEATING or PO PLANTS -Steam, Hot Water, Warm Air—No Trade Nam es Size No- /0!!� e�-On Capacity Sq. Ft. E.D.R. -®(")C-/ BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name'Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe�� / �✓' By �f C411110.142 Business Phone No- (3 (REMARKS -OVER) SUBJECT PERM City of Fridley 1.7210 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r EIP 1 ; v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f �+ r PROTECTIVE CITY HALL FRIDLEY 55432 I.J It'""" NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/22/83 JOB ADDRESS 15 - 62h [day N. E. 1 LEGAL LOT NO. BLOCK 17 TRACTOR ADDITION SEE ATTACHED DESCR. pt. ,18,19,20 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Hoglund 15 - 62h Way N.E. 571-3591 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK geroof nartial roof(storm, damage) 9 CHANGE OF USE FROM TO STIPULATIONS Reroofing can be 2nd laxer but not 3rd. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTALFEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALDATED THIS IS YOUR PERMIT 'b4jj SiGNATU OF O ERIIF OWNER BUILDERI IDATEI I SP DATE CITY OF FRIDLEY APPLICATION F014 RESIDENTIAL BUILDING PEPNITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: TEL A0: af 7/ -3.5-2 / BUILDER: ADDRESS: TEL 110: Construction Location Effective Aug. 1, 1981 STRI-T NO: STREET: ex ce�e '40 a2S' LOT: �,1 / BLOCK: ADDITION: �h ," c� )e- � L r ,� 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. �-e �-ee( � 5 �w rm p C- DESCRIPTION OF CONSTRUCTION r"co 1-+_ Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Rb Be mripleted: //— / - d Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE A.EVFR: j' SIDE OF SHEET Mie undersigned hereby makes application for a permit fcr the %:,ork 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: g -,-Z vZ - 0-3 SIGNATUIE : Stipulations: S� r SUBJECT City of Fridley 2 213 6 AT THE TOP OF THE TWINS ? BUILDING PERMIT Ir RECEIPT NO. 11 _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� r /"�� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ti"__11.� 612-571-3450 910-F15 9/27/93 JOB ADDRESS 15 623� Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 17 Fridley Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Hoglund 15 6211 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Superior Construction 11265 91 Ave N, Maple Grove MBT 55369 424-9434 723 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 D NEW O ADDITION 0 ALTERATION [j REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Repair Fire Damage to Upstairs 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING S0. 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 $48000 $24.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT IF 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- $401.50 Fire SC $48.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 2 3 License SC $5.00 $478.50 SIGNATURE OF OR AUTHORIZED AGENT A E) W OP Y VALIDATED THIS IS YOUR PERMIT YTRAtTOR % 2L "- BLDG INSP BATE SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ j Effective 5/26/93 ADDN [ ] CITY OF FRIDLEYj3 7 ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Tel. # W S %� J1,. - Contractor: �j ����4 MN LICENSE # oo 7z, 3 Address: /�t/e- t1Ja,Ok G ��Q. dyly� �, 9' Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT r Width Width Width OTHER: -4r2 (24 -De If +6 f , DfSr e x r S r� Height Height HgdGround Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ j Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: -ri r2 Estimated Cost: $ , Approx. Completion Date: I,-,- %3o 4 3 T (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $. DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge n . .001 of Permit Valuation (1/10th%) State Surcharge $ �) L%. 0 () $.5o1$1,000 Valuation SAC Charge $ $750 per SAC Unit 'License Surcharge $ S (Y) $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $�, r �� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 972-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct, Gas Piping (Needed with new furnace) $10,00 $ OWNER Gas Range $ 10.00 $ Go 0 �. BUILDING USED AS Gas Dryer $10,00 $ ESTIMATED COST Ca PERMIT NO. *Air Conditioning — All Sizes $10,00 $ • DESCRIPTION OF FURN60E ANN12 08 BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No, Commercial/industrial BTU HP EDR I% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE $ ,50 '-MINIMUM FEE FOR ANY HEATING/COOLLINGNENTILATION REFRiGERATION/AiR CONDITIONING PERMIT iS 116.00 PLUS THE $.50 STATE SURCHARGE GG Q' REINSP WIOH-FESQQA M *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, -Zb Burner Trade Name Size No. BTU HP EDR HEATING COMPANY .e, ✓/ �/ ff Signed By ��f� . �� Tel No. 519 7- o?®.? / Approved By (% Rough—In Date Final Date FiLL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I. Has been carefully examined Yes (4 No ( ) 2. Is free from rust or. -deterioration Yes (kJ No ( ) 3. Has no foreign objects lodged within Yes (14 No ( ) 4. Is securely supported Yes No ( ) S. Meets all current Code requirements for size -and total BTU's connected Yes (L,-)' No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY ✓ %� / o Signed By��� Date CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR P! Urinal Shower JOB ADDRESS 4 Wash Tray Floor Drain Auto. Washer Old Opening, New Fixture Gas Ran ge Water eater Stories Gas Elec Basement and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $7.00 and representations stated In this application are true and correct. Catch Basin $7.00 . ..... .. . ....... ....... ... ............. Rain Water Leader Floor 1 .2j— 1993 Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric Floor 2 Water Heater — Gas $10.00 Building Used As Gas Range $10.00 X lr&9 Gas Dryer Floor 3 .00 Estimated Cost A,00--_ PERMITNO. Back Flow Preventer Required )Yes O No Type -$5.00 PLUMBING COMPANY. /OID 1z)t14 o4mk— Floor 4 Reinspection Fee $30.00 SIGNED BY TEL No. 7 - ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I % of Value of Fixture or Appliance PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 4 New Fixtures $7.00 The undersigned hereby makes application fora permit for the work herein Old Opening, New Fixture $ 41.00 )Op specified agreeing to do all work In strict accordance with the city codes Beer Dispenser $5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $7.00 and representations stated In this application are true and correct. Catch Basin $7.00 Rain Water Leader $7.60 .2j— 1993 Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric $7.00 Water Heater — Gas $10.00 Building Used As Gas Range $10.00 lr&9 Gas Dryer $10.00 .00 Estimated Cost A,00--_ PERMITNO. Back Flow Preventer Required )Yes O No Type -$5.00 PLUMBING COMPANY. /OID 1z)t14 o4mk— Reinspection Fee $30.00 SIGNED BY TEL No. 7 - ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I % of Value of Fixture or Appliance Approved By Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTALFEE PLUS THE $.50 STATE SURCHARGE 93 SUBJECT City of Fridley 2=2 4 AT THE TOP OF THE TWINS BUILDING PERMIT f �• ;_____ COMMUNITY DEVELOPMENT DIV �- PROTECTIVE INSPECTION SEC r � � NUMBER REV DATE 8/23/94 PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 15 62 1/2 WAY NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 17 Fridley Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Hoglund 15 62 1/2 Way NE 571-3591 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All Systems Roofing 2325 Endicott St, St Paul MN 55114 646-3533 8963 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 � REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Squares) Partial Tear -off, Partial 2nd Layer 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $1,575 $.79 DOES NOT PRESUM TO UTHORIT T VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF O E OR L CA LAW REGULATING CON- E P ORMA OF CON T UCTION. $37.00 Fire SC $1.58 p qLicense PLAN CHECK FEE TOTALFEE SC $5.00 44.37 SIGNATURE OF TRACTOR OR AUTHORIZED AGENT IOATEI E AO ERLY VALID BLDG IN AT .THIS IS YOUR PERMIT OATS SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 93 NEW [ ] Effective l/ 1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: A s A), F_ & g �_ Lnl Legal Description: Owner Name & Address: 1 v i fLCo (�►2�"j� �,�0 Cod- u r.� G Tel. # �7 ( 3 Contractor: MN LICENSE # ® 0) S Address:�_ Tel. # Attach to this application, a Certificate of Survey of the/y lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Length Width h Width 2� A'eC) Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks Type of Construction: Sfl N hLt:!f_stimated Cost: $ Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: '�' 2 2' q �,I APPLICA Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: (Cost on Back) +-IyFt ?C:�) Ft x' =S Tel. #6Y 6 - 3S --2-,3 Fee Schedule on Reverse Side ..001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]