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PRE 2010 DOCSis 0 0 City of Fridley, Minn. BUILDING PERMIT * ,moo N? G503 LOCATIONQ OF BUILDING No. `-� Street _ P o t — Lot �_ Block _..�. Addition or Sub -Division Corner Lot . _ Inside Lot — Setback ' _ Side"yard Sewer Elevation__._ -- Foundation Elevation DESCRIPTION OF BUILDING To Used �� Front f7-QADepthHeight � Sq. Ft. '� (.�J Cu. Ft -.e Front Depth Height L Sq. Ft. OL— Cu. P't. A&0 Type o Construction CZ Fit. Cosh To be Completed In consideration of the issuance to me of a permit to construct a building described above, I agree to do the proposed work in accordance with the description above set fo and in compliance wi all gvisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $�'� , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violati�l of any of the provisions of said ordinances. 111-)- p r.irlirlM ��T�"yTT NOTICE: This pence does not cover the oandresden, hidaMon for w1rhm plumbing, gas haling, sewer or wafer. Be sure to no the Building Inspeder for separab permifs for them hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,, MINNESOTA OWM,R'S NAME BUILDERW AMMESS ADDRESS,! i— LOCATION OF BUILDING or No. Street "''Zt/ Part of Lot Lot Block Addition or Subdiv Sion Corner Lot Inside Lot-2�._ Setback , Is Side Yard /'O SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth A Height Sq. Ft. f a J `L- —Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ,Estimated Cost Z �&—d To be Completed �® The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are tie and correct. (Schedule of Fee Costs can be found on the.$everse Side). City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE '�OTAL Number Fixtures ...................... x 12 Future Fixture Opening ................ x 8 $ l' 5 �C6, 1.00 Ute' n O F N WATER HTR. GAS ELEC. Base 2.00 $y� O New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer � Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE '�OTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 $ l' New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $y� O New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Dept. of Bldgs. Phone SII 4-7470 r..,;. /// G G o , 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, Minn_ (e Owner �-�6/ JI�����-.►.. Kind of Building 9 / ,-0-fl A o Used as To be completed about Estimated Cost, $ j Old New. Building Permit No- =f`�-� Permit No. Signe By Business Phone No M ��® ROUGH I a w D FINAL Description ................................................$ TOTAL FEE •� ar aM Cit of Fridle City y SUBJECT ®1411 AT THE TOP OF THE TWINS BUILDING PER IT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. U' r PROTECTIVE INSPECTION SEC. 1 � ; 1 , 1 CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 5/26/77 JOB ADDRESS 41 - Wi Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lawrence Hamer 41 - 66h Way N.E. 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. 8 USE OF BUILDING Garage and family room addn. (18' x 21' Addn. & 18' x 2116" Garage) 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS provide frost footings throughout. Provide City with copy of truss design. Meet energy requirement of State Code and submit energy calculations by May 26, 1977. lA ME011G f+ a�lif $ REQUIRED Fri WIRING, MIMI dinging Can local utilille-A SEPERA TELEPHONE - ELECTRIC - GAS Etc. Hf ATIM PLUAMA SING• AND 0"0' REQUIRED BY LAW 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 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 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 $5,000 $2.50 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.- ST RUC ON OR THE PERFO MANCE OF CONSTRUCTION. $30.00 PLAN CHECK FEE TOTALFEE za'7? 32.50 SIGNAT EO CONTRACT�®RHORDAGENT (DATE) WHEN PROP RLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER (IFT5WNER BUILDER) MATE) BLDG 11SP DATE CERTIFICATE- OF SURVEY GEORGE E BROWN CITY E:NGI K EF—K — LAMP SURVEYOR 433 ARTHUR 5T COL. NTS. MIN til. I hereby certify that this survey, plan, or report was prepared by rye or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of 10tinnesota. Rea. No. 3662 Date April 19, 1977 v w SCALE y"©' Lot 7, Block 3, EDGEWATER GARDENS Anoka County, Flinn. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: k) r Q /°i Of ji �ZZg F, /" BUILDER: ,- r Address: Y/ Address: S a Tel. No. No.: / Street: LOT: 'J BLOCK: 5_ ADDITION: 2e W.7 Je r . Q j r cle CORNER LOT: INSIDE LOT: ---K— SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: o r I Front: / -0 Depth: Z� �� Height: �5 —0 Square Feet: 3& % Cubic Feet: 3-0C%(e /" lnd Front: / I � Depth: �' Height: ���1�, � � PU)j 5 �► Square Feet: Z -7d Cubic Feet: O Type of Construction: VJ D® f:oAJC, !jL/Estimated Cost: $ �rod�d ®o To Be Completed: 7;) tt A `J Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional infer mation. DATE: -"5-- 2 66 SIGNATURE: Stipulations: 3X 6 C M_ e 30 � SUBJECT P RMIT NO. City of Fridley 19050 AT THE TOP OF THE TWINS BUILDING PERMIT ______ COMMUNITY DEVELOPMENT DIV. v _ g 3 G r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/6/87 JOB ADDRESS 41 - 66h Way N.E. 1 LEGAL LOT O. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Edgewater Gardens SHEET 2 PROPERTY OWNER, MAIL ADDRESS ZIP PHONE Larry Hamer 41 - 66h Way N.E. 574-7437 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L: Johnson Co. 2513 Central Avenue N.E., Mpls. 55418 781-9548 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum soffits and siding 9 CHANGE OF USE FROM TO 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 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 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 $4 000 $2.00 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- $44.50 STRUCTION OR THE PE ORMANCE OF CONSTRUCTION. Lm� -7j2$46.50 PLAN CHECK FEE TOTAL FEE )ML m, 1 IGNATUREOFCONTTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI G INSP ATE • kt T NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. L ] Building Permit Application Construction Address: /J - L Legal Description: Owner Name & Address: �� �- ' �s rZ. Tel . # S - J Contractor: � d„s°'J <�a `�` Tel. # Address: �� /� °v %.tom /0 y 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 [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:f),41 9 4� ' Estimated Cost: $ �' 0 a o j Approx. Completion Date: s Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: % '1 APPLICANT:�- ") yt Tel. CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ o2_D 0 $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT P City of Fridley 1909 AT THE TOP OF THE TWINS BUILDING PERMIT r GEIPT NO. � • ______ COMMUNITY DEVELOPMENT DIV. v INSPECTION �t ISP_ r PROTECTIVE SEC. 1 � ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/31/87 JOB ADDRESS 41 - 66h way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Hamer 41-61'h way N.E. 574-7437 .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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGEOFUSEFROM TO 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $800 $.50 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. $15.00 PLAN CHECK FEE TOTALFEE _ $15.50 SIG URE OF CONTRACTOR OR AURIO 12ED AGENT IDATEI WHEN PROPERL ALIDATED THIS IS YO0 FERmil BLDG INSP r1A E SiGNA R OF NERIIF OWNARMILDER) IDATEI NEW [ ] ADDN. [ ] ALTER. [ �/ Construction Address City of Fridley �R-1 AND R-2 Building Permit Application 6 6'k 0 4&—A.,. Effective 4/1/86 Legal Description: Owner Name & Address: LQ. a -a-1 - ffi Tel. # Contractor: S A M (L-01 Tel. # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd. Setback Side Yard Setback Estimated Cost: $ 96 c -&) Proposed Driveway Width If New Opening Is Desired: DATE: ®>I -% APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Alt. A Alt B $ $ See Back Page for Explanation Tel. # Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J zoo 3leI_sob 4 7 su9jEcr P City of Fridley 28931 AT THE TOP OF THE TWINS BUILDING PERMIT r RET NO. � �, _�____ COMMUNITY DEVELOPMENT DIV. v i INSPECTION SEC. 7 : PROTECTIVE E . � 1 1 ",—I CITY HALL FRIDLEY 55432 '•j NUMBER REV OATE PAGE OF APPROVED BY 612-571-3450 910415 2/22/99 JOB ADDRESS 41 66 1/2 Way NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barbara Hamer 41 66 1/2 Way NE 574-7437 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Milton Johnson Co 525 Lowry Ave NE, Mpls., MN 55418 781-9548 2083 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Reroof House & Garage (26 S Tear -off; Siding Repair; Aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,328 $1.66 DOES NOT PR E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF NY OTHER STATE O LOCAL LAW REGULATING CON. STRU THE PERFORMANC OF COWTRU N $87.25 Fire SC $3.32 PLAN CHECK FEE TOTAL FEE License SC $5.00 1$97.23 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, WHEN PROPER VALIDATED iNSP THIS IS Y UR PERMIT �i GATE S,GNATUREOFOWNEROFOWNERBUiLDERi IDATE, ,, 4BLD 7 NEW [g J Effective 1/ 1/97 ADDN ( J 'CITY OF FRIDLEY ALTER ( J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -51 ConstructionAddress: 41 N. E. 66 1/ 2 Way Legal Description: Owner Name & Address: Barbera Hamer ( same) Tel. /{ 574-7437 Contractor: Milton Johnson Co. Address: 525 Lowry Avenue N. E., Mpl s. 55418 a LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE // 2 0 8 3 Tel. # 781-9548 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVENIEiVT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Tear off and re-roof•house �' . U Construction Type: and garage; Siding repair - Estimated Cost: $ Aluminum trim repair 26 sq. (Fee Schedule o Driveway Curb Cut dth Needed: Ft. + 6 Ft = Ft x $ -. ✓��w . 3)v n . i Back) DATE: y j APPLICANg: °' ` f el. X 781-9548 CITY USE ONLY 'ermit Fee $ 1�12_5^ Fee Schedule on Reverse Side sire Surcharge $ 3a .001 of Permit Valuation (1/10th%) ►tate Surcharge $ to $.50/$1,000 Valuation :AC Charge $ $950 per SAC Unit ,icense Surcharge' $ $5.00 (State Licensed Residential Contractors) lriveway Escrow $ Alt. "A" or Alt. "B" Above ,rosion Control $ $450.00 Conservation Plan Review ark Fee $ Fee Determined by Engineering ewer Main Chargc $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ,,23 nPULATIONS: .. J SUB�ECi Q. city of Fridley . 0963 AT THE TOP OF THE TWINS BUILDING BUILDING PERMIT ` v RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. r E � PROTECTIVE INSPECTION SEC. 3� 1 CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED 8Y 612-571-3450 910-F15 TNEv 5/22/00 JOB ADDRESS 41 66 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barbara Hamer 41 66 1/2 Way NE 763-574-7437 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION Lk REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Rebuild 11.5' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. S RE REWIRED QUIRED FOR: PLUMSWIRING AND SjG SIGHS 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 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 1STALLS 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 @ $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 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- $54.00 Fir SC $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE TOT FEE 56.25 SSG URE:X�PACTOAO FD ORiZEDAG T DATE, EN RO E ALIDA THIS IS YOUR PERMIT SGNATURE OF OWNER,1F OWNE ilOE iDATE' Bl0 NSP GATE NEW [] ADDN [] ALTER [ j Construction Address: Legal Descri; z n Owner Name ) w �1-10d Effective 1/1/2000 ' n(763) 572-3604 Bldg In Tp V# A. 1 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. 710-3�157y-7/37 A Contractor: �ozv� v 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. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: AOTHER: Construction Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: °� 0 ®� APPLICANT:Aolk —G�'Tel. 0,5--7N` `%� 7 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ ;'e Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1100 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 [ ] tV AVM Z/ %9 N V rows Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE -24/P 5 YOUR E-MAIL ADDRESS SITE ADDRESS /--,/° 7 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: 43 / I /1 &j /,, f "A-) ®' 7 F .� TENANT ADDRESS: 49 CITY i /1 L �' �, STATEt)Lbi P J S 4 3 PHONE CONTRACTOR NAME: /- i L %G iu e I A 7 lf- STATE LICENSE # `moi X EXP DATE � ADDRESS: 5 �— ��tc�iz�P �l ts� /�%� CITY1�7� STA*)9 /W SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PHONE 4- ) - 7 / — el If FAX ? 7 PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDMON ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 1CROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ® REMODELING DESCRIBE WORK BEING DONE: 1q w -% � `! �' r �/� :e# 6, 6: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ,MOUSE & GARAGE BASEMENT REMODELING SUBMIT: ~ 1. Existing Floor Plan GARAGES ✓ `r El ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: i`� ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: S 331 l�! FOR NEW CONSTRUCTION INCLUDING DECKS. 13 Vinyl ❑ Aluminum ❑Soffit ❑ Trim ADDITIONS & PORCHES SUBMrr• 1. 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 OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA-1-BxIALb: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I --c2,cy , c°; OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due 'See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) tines the total job valuation — Minimum $.50 .001 x Permit Valuation (I/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) —ft +6 ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks oavable to: City of Fridley Attach 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; that the work will be in accordance with the approved plan in the case of all work which requires review approval of plans. /O SIGNATURE OF APPLICANT _i=�G'G-[ :�� G'./ fes' /�%��I'RINT NAME -/���/%/' �i� I �SGi�°DATE ®����`� a Lngm*egm* g WATER AND SEWER Permit No.: -0 ID 763572-35$1 PERMIT APPLICATION Received By 763-571-1287 fax CITY OF FRIDLEY DatdOEC 2�0 EFFECTIVE 6/9/09 6/9/09 APPLICTATION DATE: O YOURS -MAIL ADDRESS: THIS APPLICANT IS:/ ❑ OWNER ❑ CONTRACTOR 6b JOB ADDRESS: `J J -n"e— ,!� w G3 �j 1.0 NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: q G C e n -e, C OWNER/ TENANT ADDRESS: W 11 -e- 61o\/.x64-am CITY_ r� STATEI�1_ r ZIP PHONJ 7 43) 5714. 'l U 3 '7 CONTRACTOR NAME: SUBMITA COPY OF YOUR STATE ADDRESS: -7b 1- ei bac S CITY h1 J4e he -it kbff STATEinn ZIPS l LICENSE WITH PHONB b U -a $o0 CELL PHONE. A Q A L) R- Q rI 01 11 APPLICATION STATE LIC # STATE BOND: EXP DATE: 1. Narrative/written description: _ wig on V\A 2. Please attach sketch showing curb line, utility line, building, etc. with distances. _ J C-6 PERNM TYPE CONNECTION PERMIT $50 ANINOW❑SEWER ❑ WATER CONNECTION PERMIT $50 % l j WATER LINE REPAIR $40 �n G I ❑ SEWER LINE REPAIR $40 7 I ❑ ADD STATE SURCHARGE $.50 60 ❑ SAC CHARGE @ $2000 = OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit and w is not to s without a permit. SIGNATURE OF APPLICANT < PRINT NAM)SG f4 (Qkf1 i4 L DATE: APPROVED BY: DATE: " COPY GIVEN : ❑ UTILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGIN EFRIG V City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287