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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3616 / Date: .. ......... ................ Owner ....................................... Builder .. Address...................................... Address ............................................. %ff� % �►TION OF BUILDING No. : !..yy��...... Street .. f :....... �' �.p`..� ..... Part of Lot ............. ; Lot ....7 ..... Block .....7........... Addition or Sub -Division .... ... .. .. .. Corner Lot ............ Inside Lot . X ........ Setback .�..� Sideyard ................ DESCRIPTION OF BUILDING To be Used as: t r, / / r of Front .`�: l�.: © Depth .5:?'k. Blight .l. �: ® Sq. Ft.�. !!4 : ® Cu. Ft. lPYO ...............(�.... Front ........ •Depth .......//%% Heigk Sq. Ft. ...... Cu. Ft........ . Type of Construction .. ...... ....... >I Cost. lJ.� '.. . To be Completed :.................. In consideration of the issuance to me of a permit to construct the building desribed 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 with- in 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 cover the construction, Installation or alteration for wiring, plum , gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these ltdrna. City of Fridley, Minn. BUI DING PERMIT 00 Date: Owner: r Address `"' ,. ,. Address /'� LOCATIOookk N IF BUILDING No...: •-•........ Street ._ - ••:,C,_...1 �•-...f._......._.__ Partf Lslt ...._.r..._ . _.. _c __ ._. Lot ....._.......... ..._.-•---- Block ...----••--• •-- _ - -- - ...._ Adsiition or Sub Divi on f N Corner Lot ........... ..................... Inside Lot .............. Setback, ..::' ._. ideyard..... ...... ry.7_......._...._............._............._.._....... Sewer Elevation .................. ... .... _............ .... _.......... _.._...._.._.------------...._._ Foundation evation .... _.......... .... ....... ___...._._.._....._...___.._.._..._..___ DESCRIPTION OF BUILDING To Us as -r ,. ,,pry 1 _._. Front .._.. Depth ..� Height ......... Sq. Ft. Cu. Ft , _.... -. ... f,Fr . .: _...._.. Depth ............... Height : ...- S9• Ft. ---- •---.._....:_ Cu. Ft. ._................. Type of Construction . _.---. _ lir::... Est. Cos .......: .. � .......��'.`.,..�.To be Completed ................................................. THIS PE YP,7J D'_r_ !v%_. AL,1 HOR= VIOLAT- ION IOLAT- ION OF ANY r ;,..;ITE LA `dD COVENANTS AND BUILDING 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 t!me u�o violation, of any of the provisions of said ordinances. "'. gyp/ ,� j Building 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 Items. 0 .410.4 40 -. r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name.tz Build er,.,_�,�J',,. Address 7/6- Address�� _—......._....,....: LOCATION OF BUILDING No. :Z /. G Street �� 'J� art of Lot Lot, Block Addition or Sub -Div. -� Corner Lot Inside LotSet Baca Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front - .. .Depth --2�Height....,,C._� _ Sq. � � Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 Ordinances and ruling of the DepatstMnt of Buildings, and hereby declares that all the facts and representa- tions stated in this application arc true and correct. 1 DATE Lu d ,S1C TMM � (A Sched a of Fee costs can be found on the Reverse Side.) 0 s • • E •. 0 city ®f Fridley, Minn.. BUILDING PERMIT N° 6583 Date: Owner: Builder Address Address L N OF B i NG No.�--- Street Lot _ _ __ Block Addition or Sub -Division Corner Lot —_ Inside Lot _ Setback --- Sideyard Sewer Elevation To be Used as:Ir r n Co etion Foundation Elevation DESCRIPTION Off, BUILDING / Cu. Ft. Depth Freight __ �__ Sq. Ft. Cu. Ft. Est. Cost_"_ To be Completed _ In consideration of the issuance to me of a permit to construct the building described above, Ido to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances oP the city of Fridley. X In consideration of the payment of a fee of $C54� � , 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 upon violation of any of the provisions of said ordinances. . p /"� Building Inspector NOTICE: 'lids pstmit don not corer t6 candrudion, hataliadon for wiring, plumbing, gas beating, sewer or water. Be sire to see the Building inspeder for apante pormhs for than items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA mriv 'S NAmx Marloe Sv Uoda_ BUILDER Home Service.Co. ADDRES'S 7T6 63rd_av®_N_F_ ADDRESS II48 Argoe,Ave. St. PARI.M M _ LOCATION OF BUILDING No. 7T6 63rd,ayn,N_ F_ Street 6,3rd evs. N.E. Part of Lot Lot 7 Block 9 Addition or Subdivision Christie addt. Corner Lot Inside Lot X Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING Is XjgM used as; ,.qing,A dumilino- Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft.. Cu. Ft. Type of Construction g nair nf firedamage, Estimated Cost 83000.00 To be Completed TM&k efte)&WIIX "j7*zjL1' to Fl,lor sanding, complete washing & decorating. ext. drs & trim 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. Home Service.co. DATE _ Jim% July I,1963 SIGNATURE Bye (Schedule of Fee Costs can be found on the Reverse Side). -� i ....air F --I L-.� • r� L Date: May 22, 1965 City of Fridley, Minn. BUILDING PERMIT N® .7488 Owner: Marlo Svoboaa BuildelRome Service Co, Address 716 63rd St. N.E. Address 1148 Arcade St. St. Paul LOCATION OF BUILDING No. 716 street 63rd St. N.E. —_ Part of Lot Lot 7 _ Block 9 Addition or Sub -Division .__ _ Corner Lot Inside Lot __ _ Setback —_ Sideyard Sewer Elevation— — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front _ ._ Depth Height _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. _ __ T Cu. Ft. Type of Construction Fst. Cost 2900.00 To be Completed Repair tornado damage 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. Lv. vv ' 7- 0Gi v..--- VV. 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 dty limits and this permit may be revoked at any time upon violation of any oY the provisions of said ordinano�. NOTICE: Ibis permit doss not corer tie constructlon, haftMan for wiring, plumbing, gn heating, sewer or water. Bo sure to see the Building Inspector for soparab permits for thele item. �Nu I i° APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA r . ADDRESS :211 14 41, e5_�'ADDRESS D,ifs i , , / LOCATION OFF'BUILDING No. 7 � Street (O �/L�t . P _ Part of Lot P Lot _Block Addition or.Subdivision �J Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DDESCRIPTI =OB DIP• aA To be used as: Front icpth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Type of Construction To be Completed 114 — ,?1011 Cu. Ft. R timated .Cost z_ 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. (Schedule of Fee Costs can be found on the Reverse Side). 0 . 0 r SUBJECT P City of Fridley2585 AT THE TOP OF THE TWINS BUILDING PERMIT R L'__�___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 16/10/74 JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. . 7 9 Christie Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Marloe Svoboda 716 - 63rd 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 Addition to back of dwelling 7 CLASS OF WORK ❑ NEW Ck ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 22' Addition 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS .REQ.LPRED FOR MIRING, 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 1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 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 $5,667.20 2.33 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. $8.00 NONE PLAN CHECK FEE TOTAL FEE ohlz- &^_ 10.33 SI NATURE OFrC61iTRACTORORAUT oRIZEDA ENT (DAT) W�HE�N PROPERLY V Is_ IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG INSP =—T r)ATE6:/ r APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S 1 ��1 �/ 11i�7i1 BUILDER: 24adlee62 "'Inn r ADDRESS:-/... 11' , NO:. STREET:�,3 O LOT: BLOCK: 9/ ADDITION: t -.e�� CORNER LOT: INSIDE LOT: 4,--- 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: acL& �''`_Front: A� Depth: -.21 Z Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; �-- Cubic Feet: Type of Construction: �% 2 . Estimated Cost: U 6 6 To Be Completed: Zy % :� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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:D SIGNATURE: 4L� (See Reverse Side For Additional Information.) R HARVEY A. CARTWRIGHT %O MP' - ,nE�• (015015 ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS LAND SURVEYORS MINNEAPOLIS SURVEYS 8410 PALM STREET N W. REGISTERED UNDER LAWS OF STATE OF MINNESOTA SUNSET 4.7655 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER 326 PLYMOUTH BUILDING FE De RAL 8.8721 INDUSTRIAL - JUDICIAL HENNEPIN AT SIXTH MINNEAPOLIS 3. MINNESOTA BUSINESS — TOPOGRAPHICAL &url ;tpor's Errtificatt CITY LOTS — PLATTING H. & Val J. 'Rothschild .iarloe A. S-voboda 71- - `.3rd _"vcnu-3 Fridley, iinne.sota 6'-1 rd AVr. 1VL COMBINING THE RECORDS OF J. E. HILL. CIVIL ENGINEER ESTABLISHED tape C. F. SANDHOFF CIVIL ENGINEER ESTA9LISHED 1905 JAMES NELSON SURVEYOR _ ESTABLMHED 1922 METROPOLITAN LAND SURVEYORS, ES�A9LISHED 10-," Invoice 2'0238 676/50 9 t 1 O This plat is for mortgage ` login purposes only and is 1 void for any other use. 1 - i 1 _ I g1?A!N,46,r ,f JT:L/Ty £A>-.Mt.YT J /JG ALL4.. Y I hereby certify that this is a true an' correct pl�:t showing the location of buildings on: Lot 7, Block 9, Christie ,Kd6ition, �_noka County, 'Innesota, as loc3ted by me this 9th day of Janu_-.ry, 1959. . , slGNao�-ARTWRIGHT AND OLSON- ' 53-811 -S-915.51 City of Fridley Applim.11ca for 1"humMag and g PwmAr Dept. of Bldys. Phone 960-3490 DESCRIPTION OF WORK 716 N. F. 63rd. Ave. Number, Kind and Location of Fixtures ImeAftea O I 3 a Z S v. k$ OKoV R t = N N WATER W". GAS ELEC. Base Ist I. stall Range 2nd 3rd 4th • Future Connection Oponings + New Fixture. Old Openings Connected with Cesspool Sewer � 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 $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Treater, .......... z $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL 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 to this application are true and correct Fridley, Minn 6 -27-7L , I9— Owner Marlow Svoboda Kind of Building Frame Used as Res. To be completed about 7-5-74 Estimated Cost, $ 10.00 Old -1W*. Building Permit No. --.a - Signed ROUGH FINAL - �� _ ist 3 Fixtures ...... • ....... • . . x $200 ;- Additional Fixtures ................. x $ .75 $ Gas Range to 199.000 BTU.......,...... 1 x $5.00 ; 5.00 REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description ........................................... TOTAL.F= L14VS -A- Eu_r_charge .50¢ By - Business Phone No . 5-(ur 1\31- 1% . LOCATION OF HELL county Name Anoka Township Name ITOwnshi Fridley STATE OF MINNESOTA DEPARTNENT OF HEALTH ABANDONED WELL. RECORD MINNESOTA UNIQUE WELL NO. (leave blank if not known) Number Range Number Section No. Fraction 4. WELL OEM (completed) Date sealed N r 23 or 14 SEh NWaSEy 21 ft. 2-28-92 S V Numerical Street Address and City of etl Location or Distance from Road ' Intersection 716 63rd Ave., Fridl Show exact I"p of well (tVffgcfPiia grid with •X•) , Y W NEEN 1M Domestic 40 Monitoring 60 Heat Loop 20 Irrigation SD Public 90 Industry 30 Test Well 60 Municipal 100 Commercial 70 Air Conditioning 110 ME 10 Black 40 Threaded 70 EN 2® Galv. . 60 Voided 30 Plastic 60 Stainless Steel = 7 in. to 17 a ►--� 1 we 2. PROPERTY OWNER'S NAME Nancy Hall E 1 map of well location Mailing Address if different than Property address indicated above HARDNESS OF 3. FORMATION LOB COLOR FORMATION FROM TO If not known, indicate formation log from new well or nearby well. OF DATA - 4ftwaG IFFICIAL ABANOONEp WELL RECORD (May be used far Property Transfer) I1NFOR1'A84't F= Xz2ff DMW 5. GRILLING NETNOD (if ko m) 10 Cable tool 40 Reverse 7® Driven too Dug 2E) Hollow Rod 50 Air So Scrod 110 30 Rotary 60 Jetted g0 Power Auger 5. OBSTRUCTIONS Well obstructed 0 Yes M No Obstructions removed 0 Yes [) No If obstructions cannot be rmoovedg contact NON before sealing. 7. USE 1M Domestic 40 Monitoring 60 Heat Loop 20 Irrigation SD Public 90 Industry 30 Test Well 60 Municipal 100 Commercial 70 Air Conditioning 110 B. CASING(S) 10 Black 40 Threaded 70 2® Galv. . 60 Voided 30 Plastic 60 Stainless Steel 7 in. to 17 ft. in. to ft. 9. SCREEN pcj screened well from _17 ft. to 2 11 ft. (It known) ❑ Open Role from _ ft. to _ ft. 10. STAZI% WATER LEVEL 11 _jt. j7M( below 0 above land surface Data Measured 2-28-92 11. WELLHEAD COMPLETION 10 Pitless Adapter 40 Found Burled 215 Basement offset . 93 30 ValI Pit ETC. 12. GROUTING INFORMATION IM Neat Cement 20 Butonite 30 Grout material Nt . Cmt , from —fLtol, ft. cu. yds II13. NEMT Sp�OF qWANNATION feet Wes L. direction floor drain type Well disinfected before sealing? [L Yes 14. PUMP 0 Removed j3 Not Present Type: 10 Submersible 30 L.S. Turbine 50 Reciprocating 20 Jet 4® Centrifugal 60 15. EXISTING WELLS (Please sketch locations of abandoned and active wells in remarks section or on back.) Other unused well(s) on property? 0 Yes 0; No Abandoned: ® Permanent 0 Temporary 0 Not sealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed wader my Jurisdiction and this report is true to the best of my knowledge and belief. Mork Well Co. Inc. 02133 Licensee Business Mame License No. Bag Address /JU 5t y NW Anoka MN 5303 51 Greg KICKe Date — — Name of Driller SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT(7'2568 i • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r i I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-Ft5 11/14/9 JOB ADDRESS 716 63 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 9 Christie Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dei Marcus 716 63 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & B Home Improvement 4901 105 In NE, Circle Pines, MN 55014 784-0922 7773 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 [X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $2,085 $1.04 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE O O L LAW REGULATING CON- $74.75 Fire SC $2.08 STRUCTION OR PERFORM E TRUCTION P P � PLAN CHECK FEE TOTAL FEE )- ll® Ab"NAIURIE License SC $5.00 $82.87 OF CONTRACT R EDA ENT IDA EI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BL G INSP BATE SIGNATURE OF OWNER of OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/97 LICENSE # �� 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: AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA:idth Hgt/Ground Sq. Ft. OTHER: )i I a - / -(Jjcr Construction Type:_ 11ea L MY Estimated Cost: $ (Fee Schedule on Back) CP061�_Cy`0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: L APPLICANT: Tel. # CITY USE ONLY Permit Fee $ r7 �` , �,, Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge _ $ $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 $ STIPULATIONS: 7 SUBJECT P City of Fridley 29227 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • _-__ COMMUNITY DIV. : - -7 PROTECTIVE INSPECTION SEC. ®� 1 . � NUMBER REV OAT PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti---- ��' 612-571-3450 910-F15 4/16/99 / JOB ADDRESS 716 63 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 g 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE DeMaris Nelson 716 63 Avenue NE 571-8332 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 O NEW 0 ADDITION ❑ ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED 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 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 1 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 $2,313 $1.16 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF N OTHER STATE OR LOCAL LAW REGULATING CON. $ 74.75 Fire SC $2.31 STRJCTIO OR PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE I / 1 $78.22 So T RE ON'AACTOA AUTHOAIZED AGENT iDATEi WHEN PR E/RLJY VALIDATED THIS IS(p%YOUR J d IM • fPERMIT /e 1 J//!9 ( YfiNATUA9OI, OWNEAi.F OWNER BUILDER, iDATE� BLDG INS 00 7 NEW [ ] NEW[ ] CITY OF FRIDLEY ADDN ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress://b • 1,bre;{ ftY� �7bt Legal Description: / Owner None ji Address:�/Y/ Effective 1/1/99 Tel. &0 571- e�3z- Contractor: �Clr l S ���5�7� 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: ee 3/60 - —! I- Construction Type: Estimated Cost: $ .2,31-3 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft.+ Ft — Ft x $ _ $ DATE: 1-11161q9 APPLICANT: Tel. I/ CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ /% $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 $�' STIPULATIONS: 3Uilding BUILDING Permit No.: ' - rnspections RESIDENTIAL APPLICATION Received By: (_S� ) 763-572-3604 CITY OF FRIDLEY Date Rec'd: )ATE — e— B YOUR E-MAIL ADDRESS ;rM ADDRESS THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME:°� ADDRESS: '7�� 43-4,4 24 �- CITY_ '- STATI ZIP TENANT PHONE: 2 f— 3 - 59� �'33 e, CONTRACTOR NAME: STATE LICENSE # Y EXP DATE —7-5/-0 ~% OF SUBMIT A COPY YOUR STATE LICENSE ADDRES : l CITY 4;tnQ STAT Z�K WITH APPLICATION PHONE '- u FAX PROPERTY TYPE ❑ sING F Y w CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION Q GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ DRAIN TILE ❑ DECK IDING 13OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyloffrt ADDITIONS. & PORCHES SUBMIT: 13Ahuninum rim 1. Site Plan/Survey showing the existing structures ❑ Other ascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: fir* -THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB V Permit Fee 8.3. a Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 which requires review and approval of plans. p SIGNATURE OF APPLICANTZ�j��'l��iry::/�:� PRINT NAME & LI dL e�� � /oPiL DATE� —/� 10!o