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PRE 2010 DOCSCity. of Fridley, AE=. BUI DING PERMIT N° Q-5 j2i Date: Address �,,� �OCATION OF�NG No. � �"` Street 6 .. - P Lot Lot --Block ddition or St&Div— 7 Corner Lot ___ Inside Lot Setback A6 . Sideyard Sewer Elevation _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING T=U:4 d f ',j�' Front - Depth ,Height Sq. Ft. +�Cu. Ft. p�C�..._..r Fr �, Depth ei t ___Sq Ft. Cu. Ft. Type of Constructio;�___ ' _ Est. Cost _�,��; __ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the progoaed 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 $ Ago—, permit is hereby granted to 1 to construct the building or addition as described above. This permit Is granted upon express condition thatthe ,!e e in,around and upon saiddley, Minnesota regin the ci4tsan�nances. Building Inspector NOTICE This permit does not cover the construction, installation for wiring, plumbing, hes heating, ewer or water. Be sure to see the Building Inspector for separate permits for these items. a APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING No. =® Street _Part of Lot_,.,,, Lot (G Block _ .! ^Addition or Subdivision t�r� Corner Lot + side Lot Setback -3 Side -Yard i 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: v Front_,, Depth L -JL _e Height Sq. Ft. 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURb� �� • �' (A.Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 1170 — 63 Wa Number, Kind and Location of Fixtures Location 7 10iF RATE TOTAL 7 x $1.50 $ 10.50 x 1.20 $ x 1.00 $ 0 3.25 $ WATER HTR. x 2.00 $ 2e00 x 3.25 $ ? 3 o� 8c 53 �°d �O F N GAS ELEc l 1 Base 1st J1 1 1 1iois4oscl 1 2nd _ 3rd 4th • Future connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL 7 x $1.50 $ 10.50 x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ 2e00 x 3.25 $ NO. RATE TOTAL — x $1.50 $ 1.50 x .50 $ _ x 2.00 $ 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. Fridley, Minn May 24 f 19 62 Owner Paul Schwartz Const, Co. Kind of Building Frame Used as . Melling To be completed about Sept • 191962 Estimated Cost, $ 800.00 Old—New. Building Permit Permit No. J SignedSTAN�ARD PLUMBING & APPLIANCE CO, By Business Phone No We 8 3589 k ROUGIi FINAL Description................................................$ TOTAL FEE $-14,00 qlM.42 2M 7-59 Application for Power Plants and Heating. Cooling. Ventilation, RefrigenWon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace .......... 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00 .each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .... .... : ......... 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 5.00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 14.50 Of ROUGH— FINAL— Dept. OUGHFINAL Dept. of Bldgs. Phone SU 4-7470 Location 170 - 632 Way N. E. 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. Fridley, nnn_ 5-255 , 19 62 Owner Paul Schwartz Construction Co. Kind of Building Fr. Used as Res* To be completed about 6-25-62 Estimated Cost, $ 450.00 Old—New. Building Permit No. J— Z'7—, Permit No DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No. I, Trade Name Westinghouse Size No GUE-100 Capacity Sq. Ft. E.D.R BTU 100M H.P. Total Connected Load 5x631 Kind of Fuel Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) FRED V®GT & CO. Signe HEATING By 6530 WortIeka St. 0 WE 9-6767 St. Louis Park, Minnesota m42 ZM 7.59 Business Phone No 0 E 0 Date: City of Fridley, Minn. BUILDING PERMIT OCTOBER 28, 1966 N9 9072 �. 117% Owner: JOSEPH STOAPS guilder ffi YOUNGS CONSTRUCTION COMPANY Address 170 N. E. 632 Way -- Address 5832LMorgan Avenue South Fridley, Minnesota 55421 Minneapolis, Minnesota LOCATION OF BUILDING No. 170 _ Street_ 631 Way N. E. Part of Lot Lot _ _ 6 _.__ Block 2 _.__ Addition or Sub -Division _ EVA ERICKSON RIVER MANOR Corner Lot ---- Inside Lot —x Sewer Elevation Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 21 24 ' Depth 22' Height 12' Sq, Ft. 5 28 Cu. Ft. 5,280 -- Front . _ Depth _ _ Height — Sq. Ft. Cu. Ft. Type of Construction FRAME Est. Cost _ 11.200.00_ To be Completed SURVEY ATTACHED 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 in compliance with all provisions of ordinances of the city of Fridley. L�� 4 ' In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to YOUNGS CONSTRUCTION COMPANY to construct the building or addition as described above. This permit is granted upon the express condition that thelerson to whom it is granted and his agents, employees and workmen, in all work done in, around and upon saibuilding, 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. CLARENCE BELISLE Building Inspector NOTICE: This permit doss not cover the construction, .installation for wiring, Plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY.OF..FRIDLEY, MINNESOTA OWNER'S NAME (ZP BUILDER ADDRESS �, �� ADDRESS ,�J�® 3 ��DiQ�� ® o /�J J'L r, LOCATION OF BUILDING NO, f�� STREET_&, Z,34,Y PART OF LOT So&7� W�sT LOT BLOCK ADDITION OR SUBDIVISION_-{'�4 ,F ePee,4'",y gjye c A-, No: r CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front _1 ,V ' Depth�I�Height Z Sq. Ft. Cu. Ft. -5 e�— Front Depth Height Sq. Ft. Cu. Ft. Type of Construction YP __ ,L54/ye Estimated Cost/'?®a 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 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_ ar-t .2 SIGNATURE a� (Schedule of Fee Costs can be found on the Reverse Side). � yk: Surlf4q, S" -W" 904G; pato -'l)P.vet0rJN ent CO. o e: 1F. A N C. E A v E s :, i• M, N N,A P O L I S 2 0 M N 11 L 5 0 7 q TU %E ft a<) HARRY S. JOHNSON r, .2 ROBERT B. MEREDITH � h � ow rir eASEIVEN I/ /01/ ' e� i i —.OP w I- l e S --e •9 hz"-bq ce q, i &f that t j, j.4 a ;&4,e and co*Ar 4ep��.x o f a 4,o&tvey o� the Gokndaa i e s. 2cot 6, gl.oc-,L_ 2, F 1 i q £ k 9 C K S O N R 9 U£ R M N N U f2, f/ wka Co",aq, ll%j, s.ot,.a. 9t s"Tueyn..d by atC 3 u� YIDus OSUD OU u I 9 Z 52-84-S915-51 City of Fridley Application for Plumbing and Ces Ming Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location -170 N E 632 Ave Number, Kind and Location of Fixtures p0 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ Z W J �U' �_ aa' Z `Zd 00 t• F N WATER HTR. GAS ELEG Base 1st 1 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. 1 REPAIRS & ALTERATIONS—Refer to Code — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ x $3.25 $ _ a $2.00 $ NO. RATE TOTAL x $2.00 $— x $.75 x$.75 $ x $5.00 $ .31,00 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. Fridley, Mann 3-19-68 19_ Owner Richard Volkert Kind of Building frame res Used as - To be completed about 3-21-68 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit o.� .y Si e By Business Phone No ROUGH FINAL Description ....^..........................................$ TOTAL FEE =0 00 0M. 42 AppRCation for Power PGNts and Heatin% Cooling, Ventilation. ReMSeeaflon and Air Conditioning System and Device: - PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL y 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 $ INCH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 1 Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 5.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & lines—to 400 sq. ft. EDR Steam $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10:00 y ,..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 GAS BURNER (up to 199,000 BTU) ......................' .. 5.00. $ over 199,000 BW see. Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 200 $ Additional Fixtures ................. x .76 $ Gas Range to 199,000 .......... _$ 600 $ AIR CONDITIONING WEST! SLO-22 (n'2 'ton) SYSTEM See F Se>kedflte Dept. of Ridge. Phone 880-3450 Lommon 170-631 Way N.E. City of Fridley: The undersigned hereby makes application for a permit for the work herek specified, agreeing to do all work in strict accordance with the City Ordinanm and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Fridley, Minn_ Mare 28. 1973 ,. is _ owner Wayne Hanson Kind of Building frame Used as residential To be completed about 4A5/73 Estimated cost, $ 500.00 Old—New. Building Permit No. Permit No. sf 9& DEBCREMON OF WOR,K HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.DR- BTU S.P. Total Connected Load Hind of Fuel BURNER — Trade Name Size No Capadty St FAN HEATING es VENTILATING SYSTEM $ .50 SURCHGE ALTERATIONS & REPAIRS TOTAL FEE $ 18.50 SALESNANs Gene Florek ROUGH FINAL, / - / 7- 7,9— (00"OKS—OYER) Business Phtlne No FRED VDGT &11 Co HEATING & AIR CO1YI)J7ONINO 3:6U Gorham Ave. • 929.676 Sr lcu,s Park, Minnesota 55426. SUBJECT PE City of Fridley 18040 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /'••1 CITY HALL FRIDLEY 55432 �•""' �� NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/5/85 JOB ADDRESS 170 - 63;1 Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE XTUXK Philip Kindgren 170 - 6311 Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Richard Hastings Contr. 6331 Riverview Terrace N.E. 574-9966 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged galvanized valleys. 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 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 $1x600 $,80 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. S26.50 PL CHECK FEE TOTALFEE (, a $27.30 SIGNATURE OF CONTRACTOR ORA ORIZED AGENT (DATE) WHEN PROPERLY V ATED THIS IS YOUR PERMIT SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI SLOG INSO fiATF NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] f R-1 AND R-2 ALTER. [ ) Building Permit Application Construction Address: 170 - Legal Description: L� ?` 6 Q Lje� c c_ks-, iy /Z� Ua R AA, 4 NV 0t Owner Name & Address: f ` C i &- J G de r'(/ Tel. # Contractor: •ee-� t� R o 14P-j-l'Arc S Tel. # Address: 33 / TR Z 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: DECK AREA: OTHER: Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Ka 200 Estimated Cost: $ 6o ®� Approx. Completion Date: 6 A.S. 5 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �6 S S APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ 80 $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] `� +�. � � STIPULATIONS: SUBJECT PE City of Fridley2 8154 AT THE TOP OF THE TWINS BUILDING PERMIT r R O. • _ - PROTECTIVE INSPECTION SEC. DEVELOPMENT DIV. ------ �� a r � � . 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIOLE`1 55132 612-571-3450 910415 10/8/98 JOB ADDRESS 170 63 1/2 Wa NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 6 2 Eva ERi ks SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Helen Moore971-1960 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Am. Bldg. Contr. Inc. 127()7-6959 2()14348() / 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 O ADDITION ❑ ALTERATION qx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 26 S T ear -off 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 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 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 2228 $1.11 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 2.2 PLAN CHECK FEE TOTAL FE 1C SIGNATURE OF CON"RACTOR OR AUTHORiZEDAGENT tDATE, PR ERL 10 ED H IS YOUPERMIT Bl iNSF' , IR G V BATE _ S-GNATURE OF OWNEROF OWNER BUiLOERI iDATE, AUG -25-1998 b ADDN' j ] ALTER t ConsttuctionAddress: Legal Description: Owner D Contract Address: 09:16 FROM CITY OF FRIDLEY TO 7079925 P.01f02 briecttve 111198 CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATTON 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: � 1 Construction Type: o Estimated Cost: $ �' � - °� `� / (Fee Schedule on Back) • ��; Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �—(MAPPLICANT:,/?) Tel. # T STIPULATIONS: CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side Fire Surcharge $ -� .001 of Permit Valuation (1/10th%) State Surcharge $ - $.501$1,000 Valuation SAC Charge $ $1000 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 j ] C� TOTAL $ STIPULATIONS: So SUBJECT - T`NO City of Fridley 3 3 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIPT NO. #6 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 3532 763-571-3450 910-F15 2/10/03 JOB ADDRESS 170 63 1/2 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Helen Moore 170 63 1/2 Way NE 763-571-1960 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d 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 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. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED 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 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 @ @ $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `V7,000 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- $139.25 Fire SC $7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE FEE / 7T0,AL 49.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDAiE, HE PR LY VALIDAT D THIS IS YOU ERM BL&FG 045 � z ZJATE SIGNATURE Of OWNEROF OWNER BUILDER. iDATE, So NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: [ 70 (o'J',f1 aAl rlV Legal Description: Owner Name & Address: ) 70 3I /') Tel. # �� J�-%%- I�� Contractor: MN LICENSE # Address: Tel. 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 Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $, v� • �o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -2- AQ -D APPLICANT: �jz"- OL" Tel. Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL a 149, ?5-- 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 [ ]