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PRE 2010 DOCSCity of Fridley AT THE TOP OF THE TWINS rL------� COMMUNITY DEVELOMENT DIV. I FROT(CTIVR r1EF$CT*M 89IT, i r.-.` CITY BALL PRIOLCY 5042 Job Address --?> - 7 -3 owner -> umbing Coon�trac or "Ir Kiindd�of Bui ding Completion Date L acarol I � I I � 'lddrl I I I O i i ;4I 0 w t $U34ECT Permit No. PLUMBING PERMIT APPLICATION Ai jL !-!!Yl 8A 1 0 12/15/73 1 1 1 /?C_ ddress Phone Address Phone f/ Use - 1, Estimated Cost/ 1 Plumbing Fixture Rates; NO. RATE TOTAL ! Number Fixtures !� x $2.00�,�� I Future Fixtures x.$1.50 d L New Fixture -Old Open. x $1.50 1 Catch, Basin x $3.25 Water Heater -99,000 BTU _� x $3.00 ---3, d -e Ground Run Old Bldg. x $3.25 I Elec. Water Heater x $2.00 jGas Fitting Fees; 1st 3 Fixtures x $2.00 i - Additional Fixtures x $ .75 i j Gas Range -199,000 BTU x $5.00 Repairs &-Alterations-Alterations lDescription; See Code IState Surcharge .50 TOTAL FEE $ .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 declare that all'the facts .and representations stated in this application are true and correct. v 9 'Signature ate r�S/7y 31 SUBJECT PERMIT NO. City of Fridley ® 12779 AT THE TOP OF THE TWINS BUILDING PERMIT r 16 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 ~ PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF EAP2PROVEDBY 612-560-3450 910-F15 10/28/74 JOB ADDRESS 1503 - 73zi Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 ] Jiro Lund Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Lund Construction, Inc. 2417 - 148th Avenue 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. 6 USEOFBUILDING Residential -F-CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 42' x 24' Dwelling and a 20' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. City not responsible for street or house grade elevations. No occupancy permitted until lot recorded. SEWER LOCATION: 324' W. of Manhole (Inv. 892.99) Service extended 47' N. of sewer main. Wye Elev: 894.16 TOP OF FOOTING: 898.16 Minimum WATER LOCATION: East of sewer service in same trench (extended 46' North of sewer main) SEPERATE PERMITS REQUIRED FOR AIRING HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 60 DAYS, OR IF CONSTRUCTION 19,968 S480 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1020 + 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 11.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $23,847 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- STRU ION OR THE PERFORMANCE OF CONSTRUCTION. $46.00 $300.00 PLAN CHECK FEE TOTAL FEE - 357.92 IGNATUREOFCONTRACTOR ORAU,1WORIZEDAGENT (DATE) HPROPERLY VALID D HIS IS YOUR -PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP1 DATE r�S/7y 31 APPLICATION FOR RIiSIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_ JAMES LUND CONST., INC. BUILDER: JAMES LUND CONST. INC. ADDRESS: 2417 148th Ave NE ADDRESS:_2417 148th Ave NE NO:. 1503 STREET: 73 112 Ave NE LOT: g BLOCK: 1 ADDITION: .Tim 1.11nd Fstates E-5.6 CORNER LOT: INSIDE LOT: X SETBACK: 37,6 SIDEYARD:W-12.0 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Single Family Fr0n t: 421 Depth: 7 t Height: dwelling ®� Square Feet: Cubic Feet: � Garage Front: 201 Depth: 2At Height: ` Square Feet; 4Rn-t Cubic Feet:� i Type of Construction: Frame Estimated Cost: _$ 33.000.00 To Be Completed: 12-23-74L c, i k� � G_C The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: 10-23-74 SIGNAT6E: (See Reverse Side For Additional orma� tion. 'F 0 ``� • , ;` 43 . • • � °rte' ` � "`�� ."�2 _ d eT -.A �o-' tj CERTIFICATE OF SURVEY FOR: TAMES LUND 74.47 ' 4Dmir.me 4 Utility Easement I g04_S O S � 10.5 2 %n �. N N N Proposed }Rouse N 5. t1_0 62 I 9o95I % 904.5 0 £ R' S 1 ,tri ?(i' 1q I '(go4.0) (904.;)h9 904.;) ' (904.2) 19.31" 902.E N 1 f'Q 3 F, olo _ 2 rl V _ o . o Denotes iron monument (900) Denotes Existing Grade Fq__0_0_j Denotes Proposed Grade Proposed Top of Foundation- 905,0 Address: 1503 731 Ave. NE Note: Description invalid un- til plat is filed DESCRIPTION: Lot 9, Block 1., Proposed JIM LUND ESTATES, Anoka County, Minn. VOWK 1,I hereby certify that this is a true and correct representation of a survey of Job No. ounfry the boundaries of the above described land and of the location of all buildings, V14 SuweyorJ if any, thereon, and all visible encroachments, if any, from or on said land. Book —Page Lan(!.'�urveyiny • Site Planning As surveyed by me this ---�-hday of - Civil Engineenny / + 8816 70th Av. N. (1 94 at Boone Av. N.) le Brooklyn Park, MN 55428 Phone 533 7340 Minn. Reg. No. _ 10944 1 40, a 0 F v, O"p?, '9 7 ) 2 -rof OF Fo-erm�o-,- Z'a c OR a-/ ®."V 7-g iiWc H t1- X 0 y� /9 y 1 Y40m) �, �F Sewer �e�� 93 r AvE 560.3450 AMY Of ANOKA COUNTY 6431 UNIVERSITY AVENUE NE January 16, 1975 FRIDLEY, MINNESOTA 55432: James Lund Construction, Inc. 2417 - 148th Avenue N.E. Anoka, Minnesota 55.303 Re: Structural Finals on Homes in Jim Lund Estates Dear Mr. Lund: You have been requesting finals on the homes built in Jim bund Estates. Upon making these inspections, we have noted that there are no door closers on the door leading from the dwelling unit to the garage. This is a requirement of the Building Code and therefore you must install them. Make sure that they are capable of completely closing the door as some that we have seen are not capable enough and do not close and latch the door. This is necessary to keep the integrity of the firewall between the house and the garage. We ask for your cooperation in getting these installed on all your homes prior to your requesting finals and those with people in and already finaled must be installed on or before February 7, 1975. Upon your completion of this request, would you please supply us with the addresses of those installed in the homes that we have already make finals on so we can reinspect them. If there are any questions on this matter, please feel free to contact me at 560-3450. Sincerely, ` DARREL G. CLARK Community Development Adm. DGC/mh ac nen ft -7 Power Rmb and N Coamig, Tam . asR .0M r Can � � � ,,. � end Devi92W&M amid ORAVI'I'Sf WAIS MATZ TOTAL. Furnace She_l & Duct Work ... ... $10.00 Replacement of Furnaces 6.00 Repairs & Alterations—up to $500.00 &00 $ Repairs & Alterations each add. $500.00 300 Furnace Shell &Duct Work to 180,000 BTU .110.00 each add. 60,000 BW . .. ...... 3.110 i Replacement of Furnace 6.00 s Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $50x.00 3,00 $ STEAM or HOT WATER SYGTED4 Furnace Shell & Lines—to 400 sq. tt. F.DR Steam 310.00 $ Furnace Shell & Pane --to 640 sq. ft. EDR Hot Water 10.00 $, Each add 200 sq. ft. EDR Steam 3.nn $ Each add. 320 sq. ft. EDR Hot Water 3.00 $__ OIL BURNER—to 3 gaL per hour 6.00 over 3 gal. per hour—See ree Schedule CLAS BURNM (up to I%= BM &00 g� owner 199,000 VM See Fee Schedule GAS FITTING FZW. NO RATE TOTAL 1st 3 Fixtures X$ 200 $— ._ Additional Inxtures x ,96 Gas Range to I29. as 6.W $ ?^, rr ►�s' i 'Y" s :R I'd :f - . s �`if � �•f� . ..IBR .?: +' as r s.1�t U161 rs'l;:p FITpr 1-1—t x. State Surcharge .50 is" Fes City of Pitdley: The undersigned hereby makes application for a permit for the worts her'eW, specified, ,agreeing to do all work in strict accordance with the City Orditnancer and ruling of the Department of Buildings, and hereby declares that all t)he fact and representations stated in this application are true and correct. Frid,ey, Minn �'_' C I9;�L, v � Kind of Building ne-` /% Used as To be completed about, v � /57— Estimated 7—Estimated Casts $ Oi New. uilding Permit No. _—_ Permit No. (a3i HEATING or POWER PI.!!N'T��teatn, Not Water, NO Trade Trade Name 901, Capacity—_-- — Sq. Ft. E.D.R- � � O C} BTU % R31 - Total Connected Load ` -7 3 -6 lily of Fete BURNER — Trade Name � 2 �� size Capaci Sq. YL F.DR r rmr-17vi j1 IAINNEGASCO 53 -8h -s-915.51. City of Fridley APPlirat-icn for Plumblisig rz.Md GM N1;i'j Pes t Dept. of Bldgs. ]'hone 360.3450 DESCRIPTION OF WWI= Numbar, Kind and Location of Fixtures 1 I; r Number Fixtures ................ x $2.00 N� x $1.50 z•_ '' nO New Fixture Old Opening.......... pp �= Oo S� o <3 V Uolt N Water Beater fUp to 99.000 BTU) • • • • ° WATE4 HTR. New Ground Run Old Bldg.......:. x 3^ "5 -e Electric Watar Heater .............. a $2.00 $ kS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • ............ • • • • • x $2.00 $ . Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ........... 1 x $5.00 S 5.00 I St 11 jRaT.ge l _ Future Connection Opaninp 10 .,ower C] New Fixture. Old Openings Cesspool C] PARTIAL RATE SCHEDULE MUSING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ...... • .. • • • x $1.50 S _. New Fixture Old Opening.......... x $1.50 S --- Catch Basin .................... x $3.25 $ Water Beater fUp to 99.000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg.......:. x 3^ "5 $ Electric Watar Heater .............. a $2.00 $ kS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • ............ • • • • • x $2.00 $ . Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ........... 1 x $5.00 S 5.00 Loom 1503 N. E. 732 Ave. City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, a. -reefing 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 4-7-75 19! Owner Le Rohr A. Larson Kind of Building Frame Used as 'Res. To be completed about 4-31-75 Estimated Cost, $ 10 00 S New. Building Permit No. Permit No. Signe CPQ By MINK GASCQ Business Phone No ROUGH FINAL - - X-4- 7(, EPAIRS me ALTERATIONS—Rotor to Code .50 State Surcharge Description .......................................$ TOTAL F'EE 3 5 _ g0 •Vass -�Y' 'Surcharge .50¢ [E TO: ENG NOTIFICATION OF INTENT Fosterer Family Homes D94i Care Homes FROM: ANOKA COUNTY'SOCIAL SERVICE COUNTY COURT HOUSE ,,.ANOKA ANOKAD MINNESOTA 559103 APPLICANT: 4 ra kNamej X50,715 a, (Street) AJGKo" 4W4 city) (State)lg umber ,of en und9r. TO 0 1 2 3 4 5 C n 4 5 6 7 N er) (Numbers- of Natural. -PrescltiDoi Children In Home: 00 2'3 4 (Circle Number) -irsojuaAw4 3Ln lloopsez,0 1 2 3(V5 (Circle._ r) 0/43 17 4.1 4c - SUBJECT PER City of Fridley 7 6 9 5 AT THE TOP OF THE TWINS BUILDING PERMIT _'l i � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 9/4/84 10B ADDRESS 1503 73 1/2 Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 1 Jim Lund Estates SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE LeRoy Larson 1503 73 1/2 Avenue N.E. 784-2109 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gilbertson Const5uction 7704 Riverdale Drive Brooklyn Park 55444 560-6943 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 C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DES RIVE WORK 0 x 20' addition to an existing attached garage 9 CHANGE OF USE FROM TO STIPULATIONS SEPERAT"E PERMITS REQUIRED FOR WIRING, HFATING. PLUMBING, ANn 41GNS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, frame 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 400 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 4484.00 D 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE --�� 52.75 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) kN PROPERLY VALIDATED THIS IS YQUF PERMIT BLDG INSP NATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI 4.1 4c - NEW [ ] City of Fridley Effective 4/1/84 ADDN.] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: �� `7��` (V6 - Legal Description: Z�2 1h ✓ l `�` �'�""T`�-fir C�v�i Owner Name & Address: C ��'-� ; Tel. # # ZLI ' Contractor: ' 1 3 Address: -7 710 jeT � Q fly ' �C�,-,, e '� S3caLe 21 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. 7 GARAGE AREA: Length a r Width Z `_ 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: c'A— = Estimated Cost: $ el cl av Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: �i APPLICANT: -�� Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer !lain Charge TOTAL STIPULATIONS: CITY USE ONLY $ 15 '0..S 0 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 [,] ,p V=tc4wLJFm Comet, SI-Rc3 C, —'6 `:�^ - —. — 4 � e w -910 tox co tm � :S'O l ----- i -T-Lr.}p f�✓�i►RIi- 5.111Ntot�S i i VT It CZ Nom_ 1 N c7CSiS/7N � �1NcN�� 3047:5 (,' O C I ' i Ia .i 8X1to t 4 . r CITY OF FRIDLEY INSPECTION DIViSION Effective On January ], 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS_ ISD 3— 173 a Age Jycc. Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes CAILILIf 3If9XR pap All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 OWN T 0 1 BUILDING USED AS ESTIMATED COST kd a . O0 _ PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Air Trade Name h—A&,PIF Size No. v BTU isD. QOO HP EDR Fuel I'r Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 an rulings of the Building Division; and hereby declares that all the facts and representations stated in this application are true and correct. River City Sheet Il ial. Inf- 7 f od 9928 Bluebird St. N.W. C HEATING CO _ nnn Rapids, tN,R' 55433 Signed �� 754-2199 TEL # L�' V ff &J Approved By Rough -In Date Final Date 9 -.2('1 -co 503 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. YesNo ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes(' No ( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes(K No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes�<No ( ) Appliance Type and Size/Common Vent and Vent Connector Informatijonn Appliance #1 Type - vc BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input `"ti.�- ll Common Vent Type 4-7 VaA Vent Height / T Diameter 6, inches Appliance #1 Vent Connector Heights ft Length ft Diameter,in Type C— Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type l( HEATING CO: eat' KPItd Signed By: Date 7i� 4� a Building BUILDING Permit No.:�� Inspections RESIDENTIAL APPLICATION Received By: A4 763-572-3604 CITY OF FRIDLEY DatR dM AY 763-502-4977 FAX EFFECTIVE 1-1-09 —12 - ( r, "+. C0� DATEy YOUR E-MAIL ADDRESS `QC V� U —5 SrrE ADDRESS I'Sd 3 _. n ' �'/2 � 'V c THIS APPLICANT IS: ❑ OWNER 66ONTRACTOR PROPERTY OWNER/ NAME: v Sek) ADDRESS:'0 S " —T-51/2- P V -P— NE CITY -PrZ4 I Ali STATE VLZIPJ5S (4 3 TENANT PHONE: -7 US - —('&4 — 7-1 0-1 CONTRACTOR NAME: M Ild laasC&Q, G, ' SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # G p 1 / EXP DATE 3`3�— 1 Z AND CERTIFICATE OF ADDRESS: CrrY ®5'5g �C STATEIP Z INSURANCE q ` PHONE 11 " S FAX PROPERTY TYPE &INGI E FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH 'MaOOF ❑ DRAIN TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION I.MAINTENANCE/REPAIR ❑ REMODELING p DESCRIBE WORK BEING DONE: Te�;& . ne r c . t J w-iL oA 1S _ I i , t):—! nCU lVVJ 0001tMl u SIZE OF IMPROVEMENT LENGTH WIDTH HEI HT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY St HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 3C ' 1A ATTACHED GARAGE 1. 2. Existing Floor Plan 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 , (� ❑ Other ` k, / CO�MDga7� f� Fascia \ �J' 1. Site Plan/Survey showing the existing structures and proposed project. 1 2. Two sets of construction plans WINDOWS �O IN EXISTING OPENINGS Wes ❑No LOCATION QF WINDOW�� 2 OR OPENINGS SIZE OF r V 3. Energy Calculations FOR NEW -DESCRIBE W t OPENING CHANGES &JJ _ ( ®U 2 S " U & I 1 V1(o TYPE OF WINDOW TO BE INSTALLED l N�JMEER OF WINDO S ALL FEES ARE BASED ON VALUXTION, INCLUDING THE COST OF LABOR AND MATERIALS: G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ J I S NOCCUPANCY TYPE Permit Fee $ MA, I . See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 1 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5to $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ AW1 jif 13 Make checks payable to: City of Fridley 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 alllJnwor�_which require review andapprovalof plans SIGNATURE OF APPLICANT �X/ Vt l Jl/� L���J�J�'�YI�INT NAME�Qj 1:1;7:1