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M1�, _ _ .� c��.. x k. * i -{,k + ,, y [ iM1 ; s "_�' r „� - s s `. • r, •+l a Y '+",. , ,,s -,z. `T "' ep-..-r ,,,� . b., r ,� s ,� tf f _ K al f a- f: .''. 7t+ h . N s.+yur t 4 a .w. .mss- S` - •-' g sl +° . , ` t _- e t'Y - 4 - `.4w x 1 ;1; '' r` , ' �lY e r W- ,+ µ{i y _ f -fit's c rT „/ . I City of Fridley, Minn.. 10642 BUILDING PERMIT Date: May 8, 1970 Owner: James Gould Builder SWe Address Routg 1, jac bson, Minn. Address Same LOCATION OF BUILDING No. 40 _Street_ 63rd Way N.E. __ Part of Lot Lot .4 & , __ Block 17 Addition or Sub.Division _—Fridley Park Addition Corner Lot - Inside Lot —.X. Setback _—_ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Install basement Front Depth Height Sq. Ft. Cu. Ft. under existing home Front Depth _ Height __ Sq. Ft. Cu. Ft. R � . Type of Construction — Masanry Est. Cost —44 To be Completed Sept 30, 1;170 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 ;h provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $-__-15. 00 permit is hereby granted m James Gould 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 building within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: 'i9ds permit does not cover the construction, installation for wMag, plumbing, gas boating, sower or water. Be aro to we tie Building Inspector for separate permits for then Rema. 0 A APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S. NAME: J,1 7yi P 45 e L C✓ BUILDER: aSA ADDRESS : ✓f}CD S D �7 . /I%7i y i�_h�'l��t ADDRESS: –5,9 73t NO:. D STREET: LOT; 4S BLOCK: f % ADDITION: ,6?HS K 777,e yj T CORNER LOT: INSIDE LOT: V 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: ';P%Front: Depth: Height: S //VG ; G iv' l= Square Feet: Cubic Feet: Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: _MA,yA y, IJV V Estimated Cost: To Be Completed: 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: #- k��z SIGNATURE: ` (See Reverse Side For Additional uforma Lou.), X ---- Ole -2 City of Fridley SUBJECT PER . 44 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 `� �---I CITY HALL FRIDLEY 55432 `•J NUMBER REV. DATE PAGE OF APPROVED BY "-' 612-560-3450 910-F15 11/15/7 JOB ADDRESS 40 - 63rd Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4.5 17 Fridley Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Mealhouse 40 - 63rd Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Virgil Landgraff 521-53rd Avenue N.E. 560-5827 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 1i ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 284 x 10' Addition to Dwelling utijities TELEPHONE - ELECTRIC - GAS Etc. 9 CHANGE OF USE FROM TO REQUIRED BY LAA STIPULATIONS provide 2" x 8" rafters minimum.. Basement ceiling must be a minimum of 7' from the floor to the lowest projection of the ceiling. We strongly recommend providing 2" x 8" floor joists rather than 2" x 6" joists. Variance granted October 11, 1977 for side yard reduction to 8.1 feet. 30 \Ay )NOTICE ® CSEPERAi`� PERMITS REQUIRED FGR WIRING®9�.��r�� j,�� HEATING, PLUMBING AND SIGNS CRE T PEN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 $9, OOO $4.50 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- $22.40 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ` j PLAN CHECK FEE TOTALFEE 7 % .60 $32.50 S16NATEREOFCONTRACTORO THORP AGENT DATE).p EN P P IS YOUR PMIT 1 (Y��ER BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITSrn 3;�`� (NEW, ALTERATIONS,. ADDITIONS, OR REPAIRS) ?14.• P iER:1 Address • _ /.le r No.. Street: //0 — BUILDER: r d Address: Tel. No.: els D- s-;? �2- LOT: y�� BLOCK: /7 ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: sq,l 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: 9 ,Front: oZf / Dep�h: /®J Height: Square Feet: *Ig® � Cubic Feet: S690 Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: V Estimated Cost: $ To Be Completed: 7.2-7 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 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: S ]ATU p Stipulations: 4 f 14 21 it Imo, 'MV- >411:6L d ell II Ever"Slcck^ window w,th qg' above the less than 1 ptsovlbe dlmanslo les. to 3 3(I 20 32X20 ^' 16 // fie/ 7'i 21,16 /I FIRE t Provide appro,,s�! products of comhustioa de'.c-':.r other than heat in all dwihn, units as required in section 1413 of 1973 Uniform Building Code I X 1 1 I I 1 (a f lI J_, f. I p�� %�r'� SIN" r r,J Apr°' /' one J Eve11' slecP'^g loom shall have mo,a wmduw wnh a sill hciR d hall P uw'.te nal q6" aryova the (loot a p18 area►Ba It of �:, fly Vill ife l �•� �'�"'�' �'�'•�'''""� — .y�rra�AZ,��./ art l � •r " n fit �r I h,ve at least one of not m 1/w-ryv tt�n- //� Shall o� nable area n as Wo rmsh�1111 have at least Wta height of not more than I �] t i Every sleep"" r window with"; i 4$" above the 1 t or and shall provide not of openabla area wilb ren t I less than 5 sq. I dimension less 1 a an I l 3(I 20 32X20 ^' 16 // fie/ 7'i 21,16 /I FIRE t Provide appro,,s�! products of comhustioa de'.c-':.r other than heat in all dwihn, units as required in section 1413 of 1973 Uniform Building Code I X 1 1 I I 1 (a f lI J_, f. I p�� %�r'� SIN" r r,J Apr°' /' one J Eve11' slecP'^g loom shall have mo,a wmduw wnh a sill hciR d hall P uw'.te nal q6" aryova the (loot a p18 area►Ba It of �:, fly Vill ife l �•� �'�"'�' �'�'•�'''""� — .y�rra�AZ,��./ art l � •r " n fit �r I h,ve at least one of not m 1/w-ryv tt�n- //� Shall o� nable area n as Wo 0 OWNER RESIDENTIAL MINNESOTA STATE BUILDING CODE DIVISION EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION SITE ADDRESS 146 — 6 3 0 r CONTRACTOR f/ r 9 DATE 2V12 PHONE Determine working square footage of each. 1. Total exposed wall area ..... sq. ft..x .17 = 2. Total roof/ceiling area ..... sq. ft. x .05 Total exposed wall arep above floor = a. Total wall window area . . . . . . . . . . . . . . . b. Total door area. . . . . . . . . . . . . . . . . . . . c. Total sliding glass door area. . . . . . . . . . d. Total fireplace wall area. . . . . . . . . e. Total wall framing area (average 10%). . . . . . . . a f. Total net wall area above floor. . . . . . . . . . . . g. Total rim joist area.. . . . . . . . . . . . . . �J Total exposed foundation area = Ll'?, ® 0 h. Total foundation window area . . . . . . . . . . . . 7 i. Total net foundation area above grade. . . . . . . . o Determint "U" value of each wall segment. a. Z X flull o _ 34 b. X "U" _ C. X "U" _ d. X "U" e. X Mull _ f. X ..U.. = o g. 3r�, �® X „u„ i. ®P X "U" r _ 3 . . . . . . . . . . . . . . . . . . . . .Total = I I a �-- If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = j. Total skylight area. . area�(Average 10%). k. Total roof/ceiling framing . 1. Total net insulated roof/ceiling area. . . . . . Determint "U" value for each roof/ceiling segment. j. X Ifull _ k X "U" _ 1. X "U" 4 . . . . . . . . . . . . . . . .Total = If total of item #4 is the same as, or less than item #2, you have met the intent of SCB 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2• 3. + 4. _ i s io X z4, sB E do I APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ F.epairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEASi OR HOT WATER SYSTL•'�1: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal, per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 1990999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures X $ 3.00 $ Additional Fixtures X $ 1.00 $ Gas Range to 199,000 BTU X $10.00' $ AIR CONDITIONING g FAN HEATING SYSTEMS See Pee Schedule $ VENTILATING SYSTEMS v $ /o, O ALTERATIONS $ REPAIRS S $ State Surcharge $ .50 TOTAL FEE $ / 0.5 O MUCH INSP.REINSPECTION FEE Date ($10.00) PLIIAL INSP. Date APPROVAL FOR PEP -41T MINIMUM FEE FOR ANY HEATING PERMIT IS $7:50 PLUS $.50 STATE SURCHARGE Job Address 410 �,-5 6u Department of Buildings city of Fridley , Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes •. and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. / Fridley, Minn. 25 , 19 �0 OWNER ,t/ / GI IW O It MP- G/-5� KIND OF BUILDING / USED AS � ,�P «-- TO BE COMPLETED ABOUT ESTIMATED COST C C' OLD - NEW BUILDING PER14IT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Sq. Ft. EDR Total Connected Load , BURNER - Trade Name Capacity Sq. Ft. EDR Company Size No. BTU HP Kind of Fuel Size No. BTU HP I xt Signed By '`1�% a2 Yo 41-:-? Tel. No. SUBJECT PE City of Fridley _ - i 2 g f _ AT THE TOP OF THE TWINS BUILDING PERMIT r R ' COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10 17/83 JOB ADDRESS 40 - 63rd Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4,5 17 1 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Meanhouse 40 - 63rd Way N.E. 571-3192 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ev's Construction 10931 Kumquat, Coon Rapids, MN 755-2490 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B 8 DESCRIBE WORK Remove interior ll re lace w reroof stxucture 9 CHANGE OF USE FROM TO STIPULATIONS �EPERATE PERM17-S E �i REQUIRED � RE® FUR HEATING. PLU"31NG i�t��G AN�a SIGN . 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 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 $510-00 $2.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CACEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIN CON- S UCT OR THE PERFORMANCE OF CONSTRUCTION. 0 PLAN CHECK FEE TOTAL FEE $53.00, KIGNA URE OFCONTRACTOR O AUTH ED AGENT (DATE) WHEN PROPERLY V LIDATED�THeIS IS YOUR PERMIT • 3 V 8J BLDG INSP DAT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) CITY OF FRIDLEY . Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEI'V ZITS (Rew, Alterations, Additions, or Repairs) OWNER: 60 0-4 p ADDRESS: 63 TEL MO: BUILDER: VLF ADMESS: Ler TEL 110: — Z/ Cons/tructioorn� Location STRICT NO: k'/ STREET: iL �—y - LOT: BLOCK: 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. i toc�I: jafjE,&0R DESCRIPTION OF CONSTRUCTION wa,i'Dows _ Front: Depth: Height `god Square Feet: Cubic Feet: Front: Depth: Height: Square Fent: Cubic Feet: _ 'type of Construction: Estimated Cost: 7tb Be Cbr. pleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SED PEVERrL' •SID% OF SHEET Zile undersigned hereby makes applicaticn for a permit fcr the ♦:vrk herein specified, agreeing,to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Del%irtinant. of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DAM � `� SIGNATUM Stipulations: �r 7 SUBJECT P City of Fridley 12 1.93.17 P, AT THE TOP OF THE TWINS BUILDING PERMIT _' RECEIP Ir ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i-i I3 I---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 1/27/88 10B ADDRESS 40 - 63rd Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4,5 17 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Meal-house 40 - 63rd Way N.E. 571-3192 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Timbercraft ,Ent. Inc. 217 Highway #8 SW, New Brighton, MN 55112 633-8611 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 p REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair fire damage to garage and breezeway 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE 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. 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 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 $4420 $2.21 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 ORT P R ORMANCE O ONSTRUCTION. $50.50 N CHECK FEE TOTAL FEE 6 z $52.71 SI N TU FrE0FC0NTR C ORAU RIZEDAGENT IDATEI-A. WHEN PROPERLY V D T THIS IS YOUR PERM T �TE� SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI BLDG INSP 7 NEW [ ] ADDN. [ ] ALTER. L Construction Address Legal Description: 0 -f - Owner Name & Address: d4 Le Contractor Address City of Fridley �R-1 AND R-2 Building Permit Application 6-9. 3 2�)09-, A'l�r •,��1 1 -t ��2� a/� L9 vs Effective 4/1/86 Tel. 4� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length �� Width_ Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Z90 Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback �o Type of Construction: hJ�y�0`'� a�Estimated Cost: $ - Approx. Completion Dater Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: J— Z- 1 APPLICANT• Tel. #e Cf TY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $O•! S: D Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley2 9 7 0 0 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIP COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 91,31r 1 PROTECTIVE 1 � i 1 1CITY HALL FRIDLEY 55432 I NUMBER REV DATE PAGE OF APPROVED BY ' 612-571-3450 910-F15 6/16/99 ,OB ADDRESS 40 63rd Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4, 5 17 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Jo Smith 571-3192 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lamere Construction 714 18 1/2 Ave NE M is 55418 788-7273 3588 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO e USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION V REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Rero f houseTear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIgEO 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 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 $1398 $.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 $50.95 Fire SC $1.40 PLAN CHECK FEE98-05 FEE Li cen$5,,// SIGNATURE OF CON-FACTOR OR AUTHORIZED AGENT IOATEI EN R Y VALI y1 0 THIS IS UR P R IT f/�J I S-GNATURE OF OWNER.IF OWNER BWLDERI IbArEI BL IF, GATE NEWT ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7 fi 63 7 Legal Description: Owner Name & Address: 14991 ,�� sPyj j`1"fi' Tel. # Contractor: 1-4-tW MN LICENSE # 3 Address: 7/ l% / Tel. # -,799--/7-73 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: $ Park Fee $ Construction Type: ge 'i Er- Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: - f 6- Q q APPLICANT: Tel. # 76P0 -72 7 5 Permit Fee $ 9S r Fire Surcharge $ State Surcharge $ SAC Charge $ 7;FZ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ]