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PRE 2010 DOCSIVY' s, COTS' OF FRO . LES' 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 612)571.3450 INTER -OFFICE MEMO Ii Re: Change of Address It has been necessary for this office to change the address of your building; FROM 1424 - 66th Avenue N.E. TO 1422 - 66th Avenue N.E. LEGAL DESCRIPTION Lot 2, Block 2, Creekridge We have notified the Minneapolis Post Office, Minnesota'Gas Company, Northern States Power Company, Northwestern Bell Telephone Company, Minneapolis Star & Tribune, and various departments in City Hall of the Change. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh 01, SUBJECT City of Fridley kE17822 AT THE TOP OF THE TWINS BUILDING PERMIT R 16W• COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE 1 � ` 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV 612-571-3450 910415 11/'30/84 JOB ADDRESS - 66th Avenue N, E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ & Bonnie Japs 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inc, 1441 Rice Creek. Road N,E, 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. a. 6 USE OF BUILDING Residential HFATING. PLUMBING ANn SIGNS. 7 CLASS OF WORK Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 421 x 34" Dwelling and a 241' x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway, Provide sod in the front and side yards. Provide City-with copy of verifying survey before capping. SEWER LOCATION: "Y" 85' East of M,H. "Y" ELEV; 883.98 TOP OF FOOTING MINIMUM; 886.9.8 WATER LOCATION: In same trench as sewer. PAID PARK FEE OF $1,500.00 T C.I[Y OP ekIDLEV DOES NOT C,UARANTEE ThF More digging 'call local �..t IrACv Of UTILITY LOCATIONI AND ELEVAT7C utili i; s tEiEPHONE !:, Fop INFOkMATION PURPOSES 0r4LY A I.I;J - ELECTRIC - GAS Cie„ usWG r SHOULD VOIJIFY TVA {NFORMAWN - O LrA ED QY ��+ �A,` THE SITZ SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $98,400 $49.20 DOES NOT P UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO O ANY OTHER TE OR LOCAL LAW REGULATING CON- CREDIT STRUC N . THE PE FO A CE OF ONSTRUCTION. $430.00' ` PLAN CHECK FEE TOTAL FEE /.I 3v.,if $107,50 $ 586.70 Loo&GNATURE OF CONTAACVA OR AUTHORIZED AGENT (DATE) WHEN PROPE r BLDG INSP VALIDAT D THIS IS YOUR PERMIT f)ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 01, NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: AV Legal Description: 1,07 2- - Owner Name & Address: �' ' `� O �� E ��9 Tel. # Contractor: i�/ c l� L �Ji? s . # Address: Z Y ri 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: Corner Lot [ ] Inside Lot [X] Ft. Yd. Setback S Side Yard Setback Type of Construction: A17 � ' a � / G�>L Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � APPLICANT: o . /' DATE. Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 4 se -00 Fee Schedule on Reverse Side $ ly7.SO 25% of Building Permit Fee $ U5.2A $.50/$1,000 Valuation $ to r• $425 per SAC Unit mCi Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] J3*Oq �64� __ r -j �ZS615 , I Z f i Eq ES ISO t6*02 i I P(C' 9 xcb g NO v W 31 z P x L1 All f G'�, 1 ,c2'�11 AG. *w"s vv (A blesh -zlh%Qh P(hEll ni 7.;m ✓1 C) I � x hal 1 x 1.1' � -%0 jv% 1 I C) Y -)I Oltz of L •YT to,,) V-101 RONALD F. MEYER LA xD SURVEYOR L"D Sunvaywo SVWO1 1610N OCSIGN TRUOPMON9 771-4006 oea Js1elt ST. 6T. PAul. mmol. eatot I I hereby certify that this survey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Reg. No. 9051 Date: /' ,'�e f 7-9 to � V � S V o.3 N O Indicates iron monument placed Scald i" : 30' I Lot 2, Block 2, CRE1$RIDGE. Anoka County. Minnesota. \/ k i.C/e— A 7 1 o /1/ — LY -5'- Y /.=Lrl/ - YRS q� Tato or- Foo T r nr G /�� All SUBJECT ER—MIT NO. Is City of Fridley 20248 AT THE TOP OF THE TWINS BUILDING _ PERMIT r REC , NO. W. COMMUNITY DEVELOPMENT DIV. I✓ PROTECTIVE INSPECTION SEC. 1 � i 1 I CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY j 612-571-3450 910415 2/23/90 / JOB ADDRESS 1422 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ Japs 1422 - 66th.Avenue N.E. 571-8926 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. I 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cll ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement bedroom and bath 9 CHANGE OF USE FROM TO STIPULATIONS Install products of combustion fire alarms on both levels of dwelling. Provide combustion air to furnace area, 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 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 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 $2000 000 $1 .00 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- $45.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $46.00 SIGNATUREOFC TRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPEML LI AT THIS IS YOUR PERMIT A 82A G INSP DATE SIGNATURE OF OWN II OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/90 ADCN ] R-1 AND R-2 n ALTER Building Permit Application Construction Address: ' �� A131- 01 Legal Description: p Owner Name & Address: 11ls s 71e1. # J - Contractor: Se ( V Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVM AREA: Length Width Height Sq. Ft. GAME AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Z,-00 Approx. Completion Date: 71f / ?0 Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Fuge DATE:APPLICANT:4-j-� Tel. # Permit Fee $ 4S;00 State Surcharge hod SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPUTATIONS: OIQv �.' P4 ®vCZ o��,�� P"U"M Q®0.� US AU�, P"' ��► 1DVQTIILY1PTST. CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ` RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work 4 ®u-�� COMMERCIAL/INDUSTRIAL if of Value of Appliance or Work $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Q Final Insp. /?,� _/7_ 7 Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address / T Z� G co Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company n -------- Signed By Tel. No. Fill out back side for stack verification on replacement furnaces Fridley, Minn. , 19 OWNER KIND OF BUILDING r USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT nn // NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company n -------- Signed By Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR. POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS) 4Z-?- 10E . RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL speco9d agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) ( D2 ,1995 Gas Piping (Needed with new furnace) $10.00 $ �\ �- —� r OWNER P-� 55 J 5 Gas Range { $10.00 $ BUILDING USED AS Jio1.— e__ Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of -Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade:Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. S �� BTU..:HP EDR TOTAL FEE_ HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. 2-4- PLUS 1PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By_�w Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Yes () CHIMNEY AND STACK VERIFICATION No ( ) Yes () The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Yes () No ( ) Yes () No ( ) City of Fridley SUBJECT 3 641 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. I L r PROTECTIVE INSPECTION SEC. 3 r CITY HALL FRIDLEv 55432 1 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/18/95 JOB ADDRESS 1422 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ/Donnie Japs 1422 66 Avenue NE 571-8926 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO David Wiger Construction 901 Rice Creek Terrace NE, Fridley 55432 572-8403 8392 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 Cj ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 16' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved for 27' rear yard setback on 5/8/95 by Council. See notations on plan. WARNING Before digging call for SEPARATE PERMITS REQUIRED FOR all utility lorations 450 0002 WIRING, HEATING, PLUMBING AND SIGMS. REQUIR .D SY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3.19 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,38% 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- STRUCTJDN CONSTRUCTION. $124.75 Fire SC $6.39 OR TH PERFORMANCE OF PLAN CHECK FEE License SC $5.00 TOTAL FEE $139.33 I SIGNATURE OF CONTRAC)P OR AUTHORIZED AGENT IDA I WHEN PROPEr VALIDATED THIS IS YOUR PERMIT d� BL SP T1ATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [) ADDN O CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ,o?� ry N E Legal Description: 4ort a 13zo c 4 A Owner Name & Address: I?UFYg t3o�u�� '/9PS Tel. # Contractor: D ?A)�(5 EA7 _ MN LICENSE # Address: o / /? ICS 0R!F9A- T-5 el?Jklf Tel. # _ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: 'Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT v,� irro Width Height Sq. Ft. aS� Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Effective 8/1/95 ,5-7/ -89,2d Corner Lot [ ] Inside Lot [4 Ft. Yd Setback Side Yard Setbacks Type of Construction: LzoQo Estimated Cost: $ Aa1600 Approx. Completion Date: 5-99 1' 30 43' (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /wc qgS _ APPLICANT: OAaz W66ce Tel. #-,-f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ P'117� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ 3a lq $.50/$1,000 Valuation $ $850 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 [ ] $ / -/ )--, " 66 � ye ti RONALD F. MEYER IA" SURVEYOR LAND SURV[Y1N6 SUSDIV1610N DCf16N TRLCrHON[ 771-4586 _ 085 JIES81E ST. ST. PAUL. MINN. 36101 I hereby certify that this survey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. e'' c.�2 �"✓� , . Reg. No. 9051 Date: o . / %49f A0. Lo ca r'on APr'/ 27/983 ,130,3 -A1 O Indicates iron monument placed P sc : i^ = 30' �3,fo SIR N , -q o Lot 2, Block 2, CREEKRIDGE, Anoka County, I'iinnesota. ,It I -el V6 x m 7*j� a I SUBJECT PERMIT NO. of Fridley 24227 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir?City COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SECY � � U NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/3/96 / / JOB ADDRESS 1422 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR- 2 2 Creekridge I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell Japs 1422 66 Avenue NE 571-8926 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 XQ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 13' (approx.) Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $62.25 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $65.25 SiGVAJUREOFCONTRACTOR ORAUTHORIZED AGENT WHEN PROPER ALIDATED THIS IS YO R PT�K_ %ID2AT�Ei�� rK/�-cJ J �*� bLD INSP M GNATUREOFOWNEROF III B' LDER� T I NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY kl/ ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ti Building Permit Application \ ConstructionAddress: f 4 a k 4 a e- 0. Legal Description: Owner Name & Address: :31' s Tel. # Contractor: 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 MIFROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length icy a Width l3 l Hgt/Ground 2.j Sq. Ft. /-I-- ZYD OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: A&z3 Estimated Cost: $ Approx. Completion Date: A (Cost on Back) Driveway Curb Cut Width Needed: STIPULATIONS: Ft. + 6 Ft = Ft x $ _ $ DATE: ��zg % �� APPLICANT: ' f-2_ Tel. # -5- -71 26 CITY USE ONLY Permit Fee $ o�,-75- Fee Schedule on Reverse Side Fire Surcharge $ 2,,00 .001 of Permit Valuation (1/10th%) State Surcharge $ 1-06 $.50/$1,000 Valuation SAC Charge $ $900 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 o2S $ (5- -C25— STIPULATIONS: RONALD F. MEYER LAND SURVEYOR L -^Nb SUWVCY1N6 SUNGIVIGION D[s1oN TELLTNONL 771-4586 ,7 085 JX551: ST. ST. PAUL, MINN. 55101 I hereby certify that this survey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. �.�.�� 1 c:.; /// ,, Reg. No. 9051 Date 1/ov• � /70. �oGPi/on 190✓� 27�y�.j r� i s / A— r 130.3 i 7A / .I t.6 V 61 I Indicatos iron monument placed SC416:I" 3301 `r Lot 2, Block 2, CREEgRIDGE, Anoka County, Hinnesota. _ __,...,.,,j a>f(IIaU j)zlinbz.1 aQ 111M TQ ZI -.: SUBJECT IT NO. City of Fridley 30484 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ir COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 7®30 f � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER TREv DATE PAGE OF APPROVED BY L 612-571-3450 910415 11/5/99 / / JOB ADDRESS 1422 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Creekrid a SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ Jas 571-892 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Exteriors 9701 Penn Ave S #107 Bloomington 55431 RSI -8232 49RO 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 0 NEW 0 ADDITION 0 ALTERATION X® REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof house and garage 15 S Tear -of 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State BuildingCode. SEPARATE PERMITS ARE REOUIRED 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 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 1311 66 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- CTION OR THE PERFORMANCE OF CONSTRUCTION $50.95 PLAN CHECK FEE TOTAL E �p ZL License 5.00 5 .92 SIGNATURE Of CON'RACTOR OR AUT -01( -ZED AGENT MATE. EN ROPE LIDATI$ 1$ Y PFjR'OIT S-GNATUREOFOWNERi6OWNERBUILDERI IDATEI INSD - RATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY� ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� O Construction Address: (001—_ A,� A 91=— Legal 1~ Legal Description: Owner Name & Address: ��,,5 5 ` )Ct125 Tel. # E1 I- 5-1� DL -(y Contractor: S� az�_S MN LICENSE # W&I Address: 1-70k S 1*16-1 fSlh,,a *(Q Sic -/3( 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: /, �-- CZE S� d'9V R -(F U Construction Type: ke r -m �_ Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: IIs 3- lj APPLICANT: Tel. # Permit Fee $ .S Fire Surcharge $ 1,31 State Surcharge $ In SAC Charge $ License Surcharge $ CLQ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ S91 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 [ J Fetv-eA r4d 0 M�l �—r. *�Mga , Building BUILDING Permit Fee Permit No. we Inspections Plan Review RESIDENTIAL APPLICATION Received By:' 763-572-3604 $ CITY OF FRIDLEYcall-0. Surcharge a 763-502-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 7-1-2010 Curb Cut Escrow $ DATE «0 Ito YOUR E-MAIL ADDRESS �(apP lj I/_ /�� 'CW (AI r j�rCA f--00f-I " j SITE ADDRESS 1y ga (Cyk me- Park Fee THIS APPLICANT IS: ❑ OWNER CONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME: Total Due TENANT ADDRESS: (tlaol &&. CITY .� STATE / ZIP 555 3A �7f'ttr��l�� PHONE: %[�� - �- r8 �Ip CONTRACTOR NAME: I^tR�1 SUBMIT A COPY OF STATE LICENSE # 02 00tqQ 7 q 3 EXP DATE 1 YOUR STATE LICENSE "4, Pr.LI WZIP AND CERTIFICATE OF ADDRESS: �.� u'•y _ fAi� CITY STATE -0611 INSURANCE PHONE FAX PROPERTY TYPE 'SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH SMOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION 11ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: G SIZE OF IMPROVEMENT CO LENGTH WIDTH HEIGHT SQ FT ROOFING PP- ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES llJ ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3, Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) IU1ALJOB VALUATION OCCUPANCY I'YYE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach Stipulations 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 on site; that the work will be in accordance with the approved plan in the case of all or w1,,�, r res review and approval of pl ^ SIGNATURE OF APPLICANT fd� l '�' PRINT NAME l'L�az,I A. AJC^" 04- DATE -00 APPROVAL INSPECTOR SIGNATURE fid PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK