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PRE 2010 DOCSCity of Fridley, Minn. w BUILDING PERMIT 0 (480=0 Date: ___._ w•* W- ._2 �---, — — Owner: ........................ _--- ..._------_...--- -- - - .._ . __._. _ __.._..._.._ Builder _._C�'. �_'� Address ___......._._._...___ ___.._.. _.__. __._ _ __ Address 1,1. LOCATIO-,LN OF BJI"LDING - ••- i. l��.,. �..._ _ Part (of Lot .._._......_,. _ �..._.._ No. _--�._ Street ............... ..__._. VY _... _-....-.. Block ..--•---•--_..._... ..._....._. Addition or Sub -Division.... } Lot ....._.. _ Corner Lot ..... _................._........ Inside Lot .......... ..._........ Setback ..--,9,,"'rt .....__ ......... Sideyard ...... . �..... ................. _..___.. Sewer Elevation ..... .................... _............ _... ......... ............................. ............ Foundation Elevation DESCRIPTION OF BUILDING To bye,%Used as: i f �I Cu. Ft. � Front _._ _...---Depth - _..... Height ...- Sq. Ft.---,-ty. �r _... ;. -.. „�F.ryonnt �,�#..... Depth ..: .. Height Sq. . 1 .....-- S9. F't Es.��•. Cu. Ft...�..:.,�., Type Construction . +! - Est. Cost...... �:-�,�../..._.7........ To be Completed .............. _.._........-.._..._........ CAUTION THIS PERMIT DOE -S' NOT AUTHORIZE VIOLAT- ION OF ANY P„ l,,AfE LAND 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. rk 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 time upon violation of any of the provisions of said ordinances. - .rj3uilding 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, IOTA Owners Name Builder. Address -3 Z-3 LO/CATION OF BUILDING No. Street 6 Tl d�h LP4rt of Lot Lot Block. Addition or Sub.Div. Corner Lot Inside Lot Set Back ;3,rSide-Yard SEWER ELEVATION d fa 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 Height Sq. Ft. Cu. Ft. Sq. Ft.— Type of Front Depth Height Ft, M To be completed^_' / 1 ted Cost / V 7 0 ' 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 representa- tions std.in .is application are true and corre DATE ra SIGNATURE (A Schedule of Fee costs can be found on the Reverse Sade.) G`�- Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 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 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 $-5-242'o GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures...................... —�_ x $1.50 $ r� 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 $� REMARKS: t A Location 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 �7� y, 1 Owner ,nae- 195— Kind of Building Used as 195— To be completed about Estimated Cost, $ Old Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Wates Warm ' No.�/_ Trade Name ' Size No L Capacity Sq. Ft. E.D.R- ZI BTU H.P. Total Connected Load 3/.z VQ le Kind of Fuet ZCc if BURNER — Trade Name Size Capacity Sq. Ft. E.D.R.�GTd�� BTU H.P. SUBURBAN HEATING & SHEET METAL 8419 CENTER DRIVE N. E. Signed MIN By / 11 POST IM -12-58 Business Phone No - •42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Guide Reference 19� Construction No. Coef. Btu Windows Doors I Out. Wan Int. Wall Ceiling Roof Floor Y —No No Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �G Room I Length e/ Widt / Heightp/ Fl. Windows d Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of vane of pane IlRhte of crack ee. ft. -- �� 2— F-11 r�rr Coef. Btu Infiltration ` Glass Exp. wall Net exp. wall ® �� Int. wall Ceiling e� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.eY ` . Room I Lengtlt_2,/i Width /a / Height �f / Windows and Doors—Crackage and Area S Glass � Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 6 7!� Net exp. wall Coef. Btu Int. wall Btu Coef. Btu Infiltration Glass aZ3i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �G Exp.wall f� Glass 1 Z, -- �� 2— Exp. Exp. wall Net exp. wall �(„ Ceiling Z Net exp. wall Floor 10 Ceiling Int. wall p pdr 0 Floor Ceiling 6 p to ep Floor Total Btu. 2-- Required j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I LengtV T — Width L Height / Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack so. ft. Btu Infiltration Z 2® S Glass � Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sa. ft. Exp. wall Net exp. wall Coef. Btu Int. wall Btu Ceiling Floor 2.0 Tbtal Btu. Glass aZ3i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �G FRIDLEY, MINN. Insulation Room I Length , 3 / Width /Z! HeightR / Windows and Doors—Crackage and Area Width Height No. of Lineal ft.Area No. of pane of pane lights of crack p. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sa. ft. Coef. Btu Coef. Btu Infiltration , / 2.0 & Z Z Glass aZ3i 5:5- SExp. Glass Exp.wall f� 1 Net exp. wall ,40 Floor Int. wall Net exp. wall Le Ceiling Z c� Floor Total Btu. SSSS Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 FI.I Z Room I LenathZZ/ Width 4P,' Height 3'/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft.Area No. of pane of pane lights of crack p. ft. Width Height No. of Lineal ft. Area No. of pane o! pane lights of crack sq. ft. Coef. Btu Infiltration , Coef. Btu Infiltration 2-, 7,, Z TO Net exp. wall ` Glass 1-6 1 Exp. wall Floor Net exp. wall Le ® Z Int. wall Ceiling 8 p pdr 0 Floor Total Btu. 13010 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 IIVe, i Room I Length 09/ Width �:7/ Heisthtk/ Windows. and Doors—Crackage and Area Width Height No. of Lineal ft.Area No. of pane of pane lights of crack p. ft. 201 v Coef. Btu Infiltration , 20 Glass Exp. wall Net exp. wall ` /p Int. wall Ceiling 4-3 Floor Total Btu. Required sq. ft. E.D.R. or sa. ins. WA. Leader area 172 11 City of Fridley, Minn. BUILDING PERMIT -.. Owner: John Smith Builder United Diversified Address 851 66th Ave. N. E. Address Rt. #2 Savage, Minn. LOCATION OF BUILDING No. 851 Street 66 Ave. N. E. Part of Lot Lot 4 Block 1 Addition or Sub -Division . MQAd0jdan& Corner Lot Inside Lot _ . Setback r.._ Sideyard Sewer Elevation — Foundation Elevation To be Used as: Type of Construction DESCRIPTION OF BUILDING N° 8056 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Est. Cost — M00 -OQ To be Completed • Storm Damage Repair • 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 compliarfe ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $-$--0 , permit is hereby granted to Un Diversified. to construct the building or addition as described above. This t is granted upon the express condition that the person to whom it is granted and his agents, employees an workmen, in all work done in, around and upon said building, or any part thereof, shall inform in aII respects to the ordinau of Fridley, Minnesota gg location, construction, alteration, maintenance, repair and moving of buildings �� city limita�an�tbis permit may be revoked at any tune upa�n violal3on of any of the provisions of said Allen Jensen Building Inspector NOTICE 'fids POM* dna mrt corer the coedrecdon, hNfaMon for atria$, ph=bh2o, ea he doe, sewer er water. Be sure to sa the BuMiee Mgmter for separate peraft for than Nemo. APPLICATION FORB UILDIh1G PERMIT 's CITY OF FRIDLEY, MINNESOTA OWNER'S NAME_BtrILDER aa7,.0 _l2Z�s ,�..._.� ... ADDRESS ADDRESS A .1 �M lOzf f'd�. rW& LOCATION OF BUILDING �� Street Part of Lot .. LOT ..��LOCR__L_ADDiTION OR SUBDIVISION��,�'�r`��. Corner Lot Inside LOT_ Setback_, Side -Yard ..SEWER ELEVATION FOUNDATION ELtuiroN. , 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 Depth Height Sq, Ft, Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Coastruction��,r'��y�y�-��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 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. SIGNATURE' (Schedule of Fee Coats can be found on the Reverse Side). SUBJECT City of Fridley 319 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RENO. 16.� COMMUNITY DEVELOPMENT DIV. v _-_-_- I; � PROTECTIVE INSPECTION SEC. � 1 NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 10/22/02 JOB ADDRESS 851 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Meadowlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen Haskell 851 66 Avenue NE 763-571-1120 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO DuAll Services enc 636 39 Ave NE, Columbia Heights, MN 55421 763-788-9411 3178 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION f REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Repair deck, roof and kitchen ceiling that were damaged by a fallen tree 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SERPAEQATE PERMITS HDEA71 R. WIRING PLUMBING S GAS ANA 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 $4,513 $2.25 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 PROV SPkS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $111.25 Fire SC $4.51 ONRF ANCE OF CONSTRUCTION TR ON OR THgC—.-ACTO. PLAN CHECK FEE TOTAL FEE ,o � d ohd5.00 Lice SC 23.01 SiGNaruAE OF Or+nUTNO'+IZEO AGENT fiDATE. I14H P LY VALIDA D THIS I$ YOUR UR RMIT _ OF OWNEA�iF OWNEFBu�IDEp� DATE. -NS/b Tbr NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADON (] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: NE Legal Description: , / Owner Nam & Address: IS 14 F t H 1� JK t LL— Tel. # -7 3 ® % % do ZQ Contractor.( �hdli•t'.P�.�YI.C' MN LICENSE # r Address: (a3 6 ` 39 1 OAx- N a d1a, 5-5q Z ( 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: Construction Type. _& --49,L - , Estimated Cost: $ 5 13 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: 1 D U- O APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ lo?3.O i STIPULATIONS: STEPHEN HASKELL DESCRIPTION R&R Acoustic ceiling (popcorn) texture Mask wall (per LF) Contents - move out then reset - Small room CONTINUED - Dining Room QUANTITY UNIT COST 90.38 SF 1.05 41.00 LF 0.78 1.00 EA 37.21 J 10/17/2002 RCV DEPREC. ACV 94.90 94.90 31.98 31.98 37.21 37.21 Room Totals: Dining Room 196.63 196.63 Area Totals: Interior 632.00 SF Walls 166.13 SF Ceiling 798.13 SF Walls & Ceiling 166.13 SF Floor 18.46 SY Flooring 79.00 LF Floor Perimeter 214.00 SF Long Wall 180.00 SF Short Wall 79.00 LF Ceil. Perimeter Area Items Total: Interior 340.20 340.20 Line Item Subtotals: 3,187.40 3,187.40 092602-00001 Adjustments for Min Charges Minimum In Estimate Adjustment Drywall repair 345.00- 68.74= 276.26 Painting 155.00- 59.81= 95.19 Temporary repair and services 185.00- 0.00= 185.00 Total Adjustments for Minimums: 556.45 Line Item Totals: 3,743.85 0.00 3,743.85 Grand Total Areas: 664.00 SF Walls 166.63 SF Floor 222.00 SF Long Wall 166.63 SF Ceiling 18.51 SY Flooring 188.00 SF Short Wall 830.63 SF Walls & Ceiling 83.00 LF Floor Perimeter 83.00 LF Ceil. Perimeter 092602-00001 Page: 4 f STwPHEN HASKELL Interior Room: Kitchen 7.12 27.27 Subroom 1: Offset 79.54 79.54 Missing Wall: 1 - 406" X 8'0" Opens into 0 304.00 SF Walls 75.75 SF Ceiling 75.75 SF Floor 8.42 SY Flooring 100.00 SF Long Wall 88.00 SF Short Wall DESCRIPTION QUANTITY UNIT COST R&R 5/8" drywall - hung, taped, 4.00 SF 1.78 floated, ready for paint Seal/prime the ceiling - one coat 75.75 SF 0.36 R&R Acoustic ceiling (popcorn) 75.75 SF 1.05 texture Mask wall (per LF) 38.00 LF 0.78 INSULATION 1.00 EA 0.00 The above line item is for the checking of attic insulation Room Totals: Kitchen Room: Dining Room Subroom 1: Offset Missing Wall: 1 - 513" X 810" Opens into 0 328.00 SF Walls 90.38 SF Ceiling 90.38 SF Floor 10.04 SY Flooring 114.00 SF Long Wall 92.00 SF Short Wall DESCRIPTION QUANTITY UNIT COST Seat/prime the ceiling - one coat 90.38 SF 0.36 092602-00001 10/17/2002 LxWxH 8'0" x 716" x 810" LxWxH 4'6" x 3'6" x 810" Goes to Floor/Ceiling 379.75 SF Walls & Ceiling 38.00 LF Floor Perimeter 38.00 LF Ceil. Perimeter RCV DEPREC. ACV 7.12 7.12 27.27 27.27 79.54 79.54 29.64 29.64 0.00 0.00 143.57 143.57 LxWxH 9'0" x 8'0" x 810" LxWxH 5'3" x 3'6" x 8'0" Goes to Floor/Ceiling 418.38 SF Walls & Ceiling 41.00 LF Floor Perimeter 41.00 LF Ceil. Perimeter RCV DEPREC. ACV 32.54 32.54 Page: 3 STEPHEN HASKELL 092602-00001 Room: Miscellaneous 16.00 SF Walls 0.25 SF Ceiling 0.25 SF Floor 0.03 SY Flooring 4.00 SF Long Wall 4.00 SF Short Wall DESCRIPTION QUANTITY UNIT COST 10/17/2002 LxWxH 6" x 6" x 8'0" 16.25 SF Walls & Ceiling 2.00 LF Floor Perimeter 2.00 LF Ceil. Perimeter RCV DEPREC. ACV The extent of the damage to the roof and deck are not known at this time due to weather at time of inspection Taxes, insurance, permits & fees 1.00 EA 0.00 0.00 0.00 (Bid item) Haul debris - per pickup truck load - 1.00 EA 108.48 108.48 108.48 including dump fees R&R 3 tab - 25 yr. - composition 0.00 SQ As Necessary shingle roofing - incl. felt Until an inspection can be made we will not known if shingles can be matched if not it will be necessary to replace the complete slope Temporary weatherproofing (Bid 1.00 EA 0.00 0.00 0.00 item) Room Totals: Miscellaneous 108.48 108.48 Room: Exterior LxWxH 6" x 6" x 8'0" 16.00 SF Walls 0.25 SF Ceiling 16.25 SF Walls & Ceiling 0.25 SF Floor 0.03 SY Flooring 2.00 LF Floor Perimeter 4.00 SF Long Wall 4.00 SF Short Wall 2.00 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV There are more photos available upon request FRAMING & ROUGH 1.00 EA 2,272.48 * 2,272.48 2,272.48 CARPENTRY The above line item is for the detaching and resetting of the of the decking boards and replacing the joist. We will need to detach the stairway from the deck for these repairs. R&R Deck handrail - cedar 16.00 LF 29.14 466.24 466.24 There will be some repairs around the patio door. I will photo any damage Room Totals: Exterior 092602-00001 r 2,738.72 2,738.72 Page: 2 City of Fridley AT THE TOP OF THE TWINS SUBJECTPAw BUILDING PERMIT 3 3 21 1 r ♦ _____ COMMUNITY DEVELOPMENT DIV. V r � PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 763-571-3450 NUMBER 910415 REV DATE 10/24/02 PAGE OF APPROVED BY JOB ADDRESS 851 66 Avenue NE 1 LEGALLOT DESCR. NO. 4 BLOCK 1 TRACT OR ADDITION Meadowlands SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen Haskell 851 66 Avenue NE 763-571-1120 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 Reroof House & Garage (22 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $2047 SURTAX $1.27 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PERMIT FEE W SAC CHARGE PLAN CHEC TOT L FEE Z87.07 SiGNATUR rOF CON' 'Cr0 OR AUT-OR4ED AGENT ,oArE, E PR�LYLID D THIS IS YOUR P MIT I (Ly ° 1. d Z-_ S-GNATUR FO NER,-FOWNEPBwLDER� iDATE, 8646G -N OA I -I NEW [ I CITY OF FRIDLEY Effective 1/1/2002 ADDN (j 6431 University Ave NE, Fridley, MN 55432 (763) 5722604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: `�6 �� & &` � A v t NE F,; d (`r111Y SsK 3 -L Legal Description: Owner Name & Address: S4eV L eh I4as�d I - S51 66" A -c NE Tel. # -763-s-)( - / / Zo Contractor. ( V IA X- �-1`— 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. FL GARAGE AREA: Length Width Height Sq. FL DECK AREA: Length Width Hgt/Ground Sq. FL OTHER: re- r^oe rta1gccmen+ Fns _gar-gQe. 2Z S%VtCLres jeac car, Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: APPLICANT. 4CLS �ti l Tel. # sl t -1 I i3O Call (763) 5722604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-01517 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 "%amlZiL N V 1%.WVL1M j Q R;1A ADDRESS 85166 AVE NE PIN 143024140065 LEGAL DESC MEADOWLANDS ADD LOT 4 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- A OI_ MICHAEL PICOTT 851 66TH AVE NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.