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City of Fridley SUBJECT PE DII AT THE TOP OF THE TWINS B U I L D I N G P E R M I T • _____ COMMUNITY DEVELOPMENT DIV. ' ~ _ r PROTECTIVE INSPECTION SEC. / y � � '13Y � i1 ` ��'��;•� CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY ---.� 612-571-3450 910-F15 8/2/84 JOB ADDRESS 1436 - 66th. Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Creekridge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Braam 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inc. is 6170 Heather Place N.E., Fridley 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. " C" Op M LR OM POW GUA F =%.. 5 ENGINEER MAIL ADDRESS TIONS A;F;bOI1E1, f, F .LICENSE NO. t"13 OAiA IS FW INFORMATION PUi!PL--SES Oi : .. • , 6 USE OF BUILDING USM' w*M('d YVM TNi WFORMATI,"o'"N Residential + T 7 CLASS OF WORK ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X S DESCRIBE WORK Construct a 1422 sq. ft. dwelling and a 22' x 24' 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" 10' North of Manhole . Y Elev: 884.19 WATER LOCATION: In same trench.as Sewer Top nut of hydrant on west end of plat is 896.80 Paid $1500..00 Park Fee WAnD'G Before digging Ca11,16cal utilitles SEPERATE PERMITS REQUIRED FOR WIRIN& TEUmOIVE.E� GAS Eft, HEATING. PLUMBING AND SIGNS. REQUII� LACI{/ 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 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 $110,950 $55.48 WITH WHETHER SPECIE ED HEREIN OR NOT. HE GRANTING OF A PERMIT DOES NOT PRESU T GIVE AUTHOR T VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS 0 ANY THER STATE L ALL REGULATING CON- $460.50. Credit from SCh001 S RU TIO ERFORMANC NSTR TION. �' PLAN CHECK FEE TOTAL FEE $115.13 $631.00 URE OF CONTRACTO HORIZEDA ENT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT OL (� BLDG )NSP DA SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI • NEW ICity of Fridley Effective 4/1/84 ADDN. [ ] IR -1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: /�� _� �� "� �°'� i'/ • - Legal Description: � �' Owner Name & A esss -0Tel. #� �� ��V Contractor: �— Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 141 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 Ft. Yd. Setback 6— Side Yard Setback/ ` Type of Construction: i° Estimated Cost: Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ -- See Back Page for Explanation 7� e��� DATE: r �` APPLICAN . J �'� 01 ��l Tel CITY USE ONLY Permit Fee $ L/6d).�U Fee Schedule on Reverse Side Plan Check $ 1 25% of Building Permit Fee State Surcharge $ � .50/31,000 Valuation SAC Charge $ 25 per SAC Unit ' Park Fee $ 6 Fee Determined by Engineering Sewer Main Charge $ ' Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS• RONALD F. MEYER LAND SURVEYOR t.ANo SuwvrrlNO SusO1Vis/ON OtsIGN Tz"PmONc 771-4306 085 Jgsl! ST. ST. PAUL. MINN. 33101 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. '40e, Reg. No. 9051 Date , �s f PV Or 01 ICA ww'14 0 g� 0 Indicates iron monuments placed Scales 1. - Sot Lot 3e Block 2. MRIDGB, Anka County, Xjx=sata. C � s� "•- '+%'°tom • A. r y <9 w V, ce / to ( A�e a Z' ot- oP Wil. A/ 7 �Tr l# T P -ie ( I t 5A�Z C T R �Ivc« rfS S /y we /'Z- 9� �3)e- 33, `T d- s - 6' Sx 7 , 4r)q. qo K 4- q Y t ��- a- ' J , 4r)q. qo If item #3 on previous page is the same as, or less than item #10 you have met the intent of SBC 6006(c)2. Total ` exgased. roof/ceiling area / r ® 3 j. Total skylight area-.._..` ._.....� �.. _ .... . k. Total roof/oiling framing area (average 1. Total net insulated: roof/ceilinc Determine "IIS value for each roof/eeiling segment. j • x "U" _ = k. X nu IV .. c 4...................:........._:....Total - - _ ��:. �.� If total of #4 above is the same as, or Tess than #2, you have met - the intent of SBC 6006 (c) 1. ' 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 +2. _ 3. +4. 4 K4 Ll 7 1 Ar, I V.Zrr., X3.06: , a,%` SUBJECT PER City of Fridley 7928 AT THE TOP OF THE TWINS BUILDING PERMIT t RECEIPT NO `v COMMUNITY DEVELOPMENT DIV. •- r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV 612-571-3450 910-F15 4/25/85 JOB ADDRESS 1436 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Braam 1436 - 66th-Avenue N.E. 571-9582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dolphin Pool & Patio 3405 North.Co. Rd. 18 542-9000. 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 6aJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construc t an 181-x 37' 7x1-ground Swiituaing Pool (22,700 gallons) 9 CHANGE OF USE FROM TO STIPULATIONS See letter dated April 22, 1985 for stipulations. 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 $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,000 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.50 PLAN CHECK FEE TOTAL FEE $66.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PR P Y V ID ED THIS IS YOUR PERMIT S NATURE OF O! IF OWNER BUILDER) IDATEI .* LOG )NSP f1ATE NEW [ ] City of Fridley Effective 4/1/84 ADDN. I ] �R-1 AND R-2 ALTER. 17 Building Permit Application Construction Address: / T3� 664Ay-e A)° Legal Description: 6/077 3 dOcle 2 CA5272el6ff Owner Name &Address: , �` 1'5M'%1M Tel. # Contractor: 610MM1'j yO,006 t - - - Tel . # Address:s /-y4xr% moo, le'o 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: A x Y 'YLEGJA j5N6tbd/v0 lljh41Z UM.5I'J 5ywmmjfe dbo j Corner Lot [ ] Inside Lot k/] Ft. Yd. Setback Side Yard Setback Type of Construction: 5-1-Ee. 5:49eO "w/t 01jf'J9 Estimated Cost: $ 70000'0,-, Approx. Completion Date: 2 1 �� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: _Zz eS APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sever blain Charge TOTAL IPULATIONS: CITY USE ONLY $ l Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ ��� $•50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering ,\ Agreement Necessary [ ] Not Necessary [ ] ID(, 00 6 4 r 1. CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 22, 1985 Dolphin Pool i Patio 3405 North Co. Rd. 18 Plymouth, HN 55441 Re: Swimming Pool Construction at 1436 - 66th Avenue N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. I. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, three (3) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. April 22, 1985 Dolphin Pool & Patio Re: 11436 - 66th Avenue N.E. Page 2 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, ';"&JV DA G. CLARK Chief Building Official DGC/mh CC: Mr. Gary Braam 1436 - 66th Avenue N.E. Customer Gary & Cindy Brasm Address -_ - -- -- City a e Cali I3 Phone Rome 71., APP as Salesman uila. m _ Submit a yon go Fool size 0o s �e.& shape l 1 Mraniarfuraover RateHours Step & Location Rats of Flow QPM Capacity s. Perimeter in.P't. Manifold & Size Valyca 1�n Surface Areaq«'t. KS CONSTRUCTIOL — _R4?MM--DELIVERED ORDERED UZUA wuaa Rv nth a LIST CHECKED BY CONSTRUCTION FOREMAN RECEIVED BY (Customerts Signature) r,..,.;�r..wcr;�,,,� r �'ilr4w r�M ,,t,,,,.r`m 't ft' •""'.�tr s,.k „—„,,.,.., SUBJECT T NO. City of Fridley 21707 AT THE TOP OF THE TWINS BUILDING PERMIT E O. `--R-Ex,' • COMMUNITY DEVELOPMENT DIV. (0-3r i . PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 IL'""" "'j 612-571-3450 910-F15 1/8/93 JOB ADDRESS 1436 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Creekrid a Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cindy Braam 1436 66th Avenue NE 571-9582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 295 Hwy 55, Hamel, MN 55340 478-6001 2877 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 Q REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reside Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6,617 $3.31 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- $90.00 Fire SC $6,62 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $104,93 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR RL V LID D THIS IS YOUR EE)RMIT _'VWME /f,�PP / y O ` 91 DG INSP DATE S,GNATURE OF OWNER IIF OWNER BUILDER$ IDATEI NEW (] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER �4 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: /0 Owner Name & Address: Tel. Contractor: IL MN LICENSE # Address: - ez S �, Tel. # d -� G A ch to this application, a Certificate of. Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Length Width Len Width �_�._ , v S: Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Driveway Cu Cut Width Needed: Ft. + 6 Ft = Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ % (Cost on Back) Ft x $ = $ DATE: / APPLICANT: 2Y_7z Tel. #�� Permit Fee $ /IZ9 Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ 57 e-0 Driveway Escrow $ 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 $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] SuBJECT PERMIT NO. IN City of Fridley 9 097 AT THE TOP OF THE TWINS BUILDING PERMIT R IPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE OF APPROVED BV 1 Ii CITY HALL FRIDLEY 85432 612-571-3450 3/29/99 JOB ADDRESS 1436 66 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Creekrid a Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Braam 1436 66 Avenue NE 571-9582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northern Crest Inc 8245 Polk Street NE SRring Lake Park MN 55432 792-9364 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20098415 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING XX M Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage 29 S Tear -off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,485 $1.24 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- $74.75 Fire S $2.48 STRUCTION OR THE PERFORMAN E OF CONSTRUCTION " PLAN CHECK FEE TOTAL E �y'f Li $5.0// 3.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENP P LI A T S,IS YOUR ERMIT,�n S-GNATURE OF OWNEROf OWNER BUILDER, IDATEI ZLO INSR DATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: d616� hke- Effective 1/1/99 Legal Description: Owner Name & Address: a, h'] Tel. # 15 Contractor: / V4 rTk On Cr -es -t --T-nii MN LICENSE # Address: 'FAg s- P©I K S-'' A/E Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: .Shlntjl� �k(ga$"a�p Construction Type:�e-aV- o �� a q Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 3— —g APPLICANT: u Tel. # - d fa �� T TOTAL $ A3. STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ J. kGG,) .001 of Permit Valuation (1 / 10th %) State Surcharge $ /; , $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ A3. STIPULATIONS: SUBJECT P - City of Fridley 9141 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIP COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / 7a 1 • � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L J` 612-571-3450 910-FIS 4/2/99 JOB ADDRESS 1436 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Creekridge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Braam 1436 66 Avenue NE 571-9582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exteriors Inc. PO Box 266 Osseo, MN 55369 391-5514 2877 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 O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. Permit inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIREO 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 1 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 $ 10,540 $5.27 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $174.75 Fire SC $10.54 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE Lice SC $5 0 $195.56 SIGNATURE OF CON'RACTOR OR AUT.IORIZED AGENT IDATEI HEN FOR P VALID THIS IS YQjft P RMIT -8 G of Sp OATS SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI M ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: /4:56 W_ ->-2,�C Legal Description: Owner Name & Address: Contractor: Address: Effective 3/1/96 t�\ Tel. #S-e'l- � MN LICENSE # 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 [ ] Ftp Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ �� D (Cost on Back) Driveway CurbC t Width Needed: Ft. + 6 t = Ft x $ _ $ DATE: 5 z i ` 5' APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ 7 SP Fee Schedule on Reverse Side $®- .001 of Permit Valuation (1/10th%) $ - $.50/$1,000 Valuation $ $900 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 [ ] $ ' 5lv STIPULATIONS:Q�� , f r