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PRE 2010 DOCS. M-1,0 City of Fridley `u,EcT 4T THE TOP OP THE TWINY r tw------; COMMUNITY DEVELOPMENT DIV, PLUMBING PERMIT APPLICATION S/ I PROTECTIVE W1ftCT*N OEPT, ` ICITY _ `Y 6641t1.....J`.f�---`.J N� M 3"O v NUMYEfI REV. D♦T[ ��as nr ♦ nv n o Job Address -ji-U-PIOR Iv duo r Address P one ! �2w o iConWactor .5-3- � Address S Pone Kind of Building J/J �♦ /'(/�{'/(, Use Completion Date Estimated-Cost{{�� P_lumbin Fixture Rates: NO. RATE TOTAL II I! Number Fixtures x $2.00 /U. Uit I 0� Iii i I I Future Fixtures x $1.50 8fl81r/01 f i New Fixture -Old Open. x $1.50 •lddv I O I ! Catch Basin x $3.25 i avfl ! I I I Water Heater -99,000 BTU x $3.00 *aim I I I Baa, I I I� Ground Run Old Bldg. x $3.25 'MNIval YN m I i i I Elec. Water Heater x 2.00 I $ aNlaral j i i i ! K N01Y01 O�eNlvaa ! w I Gas Fitting Fees: ;3 °o tlOO'A 1st 3 Fixtures x $2.00 �. U _ ;w e u l 5113 + i I _ I ioz� ; I I � ! Additional Fixtures x $ .75I '1NQ 0dl IV ( I I I I HN�no Gas Range -199,000 BTU x $5.00 !q� NS1YMI`�I I ( i I Repairs be Alterations SUNISl I I See Description: Code i Mover a� ®I I I � State Surcharge .50 I TOTAL FEE $ r,21 SO Nave snvNlan !The undersigned hereby makes application for a permit l I I for the work herein specifiedo agreeing to do all work aY,l in strict accordance with the City Ordinances and Tulin of the Department of Buildings, and hereby declare that ' �-- all'the facts and representations stated in this application are true and correct. �0 7 a)AA, `3-`3 'Sig tune Date a City of Fridley, Minn. BUILDING PERMIT Date:._ MarQh 12. 1973 Owner: Address James R. Lund 7709 Woodlawn Drive N.E. Builder Same Address S ame LOCATION OF BUILDING No. 1350 _ Street - th._ Avenue N.E. _..__..._.._.---_ Part of Lot _ Lot - _ 4 _ __ Block _. 1 -_-._ Addition or Sub -Division ...........Jim Lund Acres Corner Lot __ . — Inside Lot _- _._ Setback—35.!---- Sideyard __.61 &-_.15! Voyeh Elevation _ _882.9..._ —. -_ _- � i 9� --- 8.-•.. 85.92 -ink Wve Top of Footing DESCRIPTION OF BUILDING To be Used as: 960 + Dwelling — Front 40— Depth - 26' Height - 2.Q! Sq. Ft. _10401 cu. Ft. 24.9 0 _ Garage Front - 9-()l Depth 9-41 Height -1II 1.__ Sq. Ft. _._4801 Cu. Ft. -53,76D t Type of construction Wood Frame Est. Cost - _$21,756._______,_ To be completed __-._6 months Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. Provide adequate drainage as per Engineering Department. $275.00 SAC charge paid. SEPERATEpIPERMITS r RpEEQnUIIR' E�DcFOR WIRING, WATER LOCATION: 6" Watermain 10' i TIax 6 5a�RY`Sett�Y''lift9MIst Be Tapped. SEWER LOCATION: 249' E. of Manhole and 301' East of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. j rues R, Lund (Spta App1_ir-atinn) 10.88 State Surcharge In consideraiiion of the payment of a fee of $ 47.00 _-, permit is hereby granted to. _ Mr. R Jim Tn,nd to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , motor 0 CT-ARF.NCF. RF.T.TST,F. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 -A - APPLICATION FOR RESIDENTIAL ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEYj NINN99OTA OWNER'S BUILDIM: ADDRESS : Vol STR=I. ALOCKI COMM LOT: INMIN LOT; EMCK; SIDEYARD: A"JivAmt at"ch " th" fom_&o Certificates of Survey of Lot and proposed Udldftg location dram on these Certificates, VESCRIPTION OF BUILDING 'To Be NWth-. Height: Square Feet; 6,e,) Cubit Feet; 41 Lp ('4 Front% Depth,--)_Aeight-. square feet; Cubic Feett <- 1? 6 ee Wfa of Constructions Estimated cost: $ . ( " 0� To as "Ieted; Me under jgne4 hereby mak" application for, a permit for the work herein spealfW4., agreeing to do all work in atttet accordance with the 0ity of M41,er 0x0manme a=4 xuUP4* of the Department of ButWuss, 4Md hereby 4WIsreo dWX all the facts and representations stated Is this application ame true =4 correct, VAT14 3AMA l X73 SIVII-NAtI. 4)AAV- (Ro Reverse We For Additional Info 1A, 4.0 P dGVVAJ- Y?� WILLIAM A. CARLSON, PRES. 2324 WEST 110th STREET 888-2084 swi SURVEY FOR: JAMES LUND CONST.p INC. CERTIFICATE OF SURVEY a ApLSONi� anuso� LAND SURVEYORS Licensed, Insured & Bonded 7� rH ale - /1/ : _ - - LEGAL DESCRIPTION: LOT 49 BLOCK l' Jim LUND ACRES /11 I -:30 WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS9 IF ANY, THEREONp AND ALL VISIBLE ENCROACHMENTSy IF ANYV FROM OR ON SAID LANDV AS SURVEYED BY US THIS 8TH DAY OF MARCHr 1973. MINN. REG. NO. 5648 saw zo c.+ A9 T/ o t (10.0 �o of moa ?/�1JG ® 805 %cot G', II 117 0oj ) �•� �✓� ��.� 7-/0 /0 11 — F-ifl P Is;—;::. A > " AGREEMENT WITH THE CITY OF FRIDLEY WHEREAS, I am the developer of a parcel of land to contain 7 lots hereafter to be known as Jim Lund Acres, WHEREAS, the City of Fridley has approved said plat for the construction of single family dwellings, WHEREAS, said plat has not been recorded to date and the City of Fridley has granted only one building permit on said plat, WHEREAS, I devise to start construction of additional single family dwellings prior to filing the final plat at Anoka County, NOW THEREFORE, I agree that if the City of Fridley will grant additional permits not to exceed 4 in total, I will file said Jim Lund Acres plat with Anoka County on or before April 9, 1973, and I understand that I will not get a Certificate of Occupancy on any of the structures before the plat filing and further that if this plat is not filed by April 10, 1973, any construction in progress at that time will be "red tagged" and work will cease to be done until I have filed the final plat with the County of Anoka. Si at re Date Witness SUBJECT - City of Fridley F?_1206181 AT THE TOP OF THE TWINS PERMIT BUILDING REC Ir � tCOMMUNITY DEVELOPMENT DIV. -------PROTECTIVEINSPECTION r � � PROTECTIVE SEC. i' 5 / 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY `•�� ,•J 612-560-3450 910-F15 3/28/73 JOB ADDRESS 1350 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 1 Jim Lund Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Lund Construction 7709 Woodlawn Drive 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 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish Basement Bedroom 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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. 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTALFEE $5.50 G TURE OF CONTRACTOR OR AUTIZEDAGENT ID I EN HIS YOUR PERMIT =PROPERLYAT l SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) LDG INSP DAT APPLICATION FOR REMENTIALt ALTPR,ATION, OR ADDITION BUILDING PERMIT CITY Of PRIDLEY, MINN950TA l 0�.. 6 sem$ '�� LOT t BLOCK i T.,....._� ADDITION s 40RMM LOTS =IDKSETBACKs SIDEYARDs,,,, tiamt attAch -to dta ftm J&o Certificates of Survey, of Lot and proposed U114fts laoatiou drawn as IWM Certificates, DESCRIPTION OF BUILDING voBeUs" Aa: /5/x/a/ Squ;mce Feeti Cubic feet; Frctt Depth: Heights gcjuars t; Cubic Feett Ty" of Coaat:xuctiaasEstimte4 Cost: �SrZlO To ee �iau�l4tsdi Tom► =dtsrvipo4 hereby makes appItcation for. a pe .t for the work herein ,ormiLfWd. agreelug to do alb, work to attict accordance with the City of $WIey OvdUmmaes Aad TWUXWS #f 0e Department of Build nVv ORA beteby *"Is&" dWt all the 1$cts and representations stated ja this application we um M4 correct„ DATR� �L o Rwano gide For A4d#jan4 Inforgation,.) Application #W Power Plaids and Heatleg, Cooling, Ventila on, Retrlger�ation and • Air Conditionieg System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: MTN TOTAL. Furnace Shell & Dad Work $10.00 $ Replacement of Furnace .... . ..... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $800.00 3.00 $—__ _. MEAL. WARM AILS Furnace Shell & Duct Work to 190,000 STU ........ ..$10.00 $_L__ ,each add. 601000 BTU .................... .. &W i Replace6ent of Furnace . .. .. .... I .. .... 6.00 Repairs & Alterations --up to $500.00 6.00 $� Repairs & Alterations each add. $800.00 .... .. .... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. IDR Hot Water 3.00 OIL BURNER—to 3 gal. per hour 6.00 $ _ over 3 gal, per hour—See Fee Schedule GAS BURPER (up to L99.000 BTU) LOG 0 ower 199,000 BTU See Fee Schedule GAS FrMNG FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ 200 $—!3 040 Additional Fixtures z .7 $ Gas Range to 199.000 z$ R00 $ Ain co1mm0111MG (SURCHARGE $_.50)$ FAN HEATING SYSTEM See Fee Se>aeda4 VENTILATING SYSTEM ALTERATIONS • REPAIRS TOTAL FEE ROUGH FDUW r9'/I - 7i Dept. of Bld*& ML=e 880-M 3S,'--0 - -7 City of Fridley: The undersigned hereby makes application for a permit for the work :hereir specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Fridley, Minn_ 19�' A L r A A Rind of Building. Used as To be completed about Estimated Cost, Old—New. Building Permit No. Permit D>1S CIREM N OF WORK HEATING or POWER PLANTS --Steam, Hot WaWarm Q�No/� Trade Name s Size No., C) . Capacity Sq. FL RD. 2 BTU g p. Total Connected Load �(!2 3 7 6 land of Fuc BURNER — Trade Name ��t_- Size Nb—i Capacity ft Ft. ED A- BTU l� (MORA -OWN) -75 sIY56 ..,;/. az � V s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— J? Fl -1 8A c/ Room f Length /4 Width /Y Height P II FI.I Windows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Helght No. of Lineal t . Area No. of pane of Dane Ilghts of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack I sq. ft. G ` / ® /1 yL, J Coef. Btu Infiltration Coef. Btu Infiltration Infiltration 66 G &V Glass Glass s` rJ. Exp. wall 00 T Tntal Rtu_ Net exp. wall Net exp. wall Int. wall f Int. wall s s - Z Ceiling Floor 6 Floor 1 otal btu. G61 G Required sq. ft. E.D.R. or sq. ins. W.A. Leader area H•1 r1v—rA-V Room) Length 7 Width 1A Heiaht is Windows aifd Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack I sq. ft. G ` / ® /1 yL, J Coef. Btu Infiltration Coef. Btu Infiltration I M1 10S6 Glass 1-14 Ceiling Exp. wall — Tntal Rtu_ Net exp. wall Int. wall Ceiling Z Floor Iota[ k5tu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area r No. of pane of pane lights of crack .q. tt V i �R� 0 I ii ---Tc-o—ef-T Btu Infiltration Glass Exp. wall Net exp. wau Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation Kind How Applied Room I Length Width Height Windows and Doors—Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — Tntal Rtu_ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Heiaht Windows and Doors—Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane lights of crack SQ. M Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — Total 13tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack .Q. fL Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — 'total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arra f 1, � 42 i' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS A.S.H.V.E. Weatherstrips Construction No. Guide WindowsI YeDoors Reference Out. Wall Int. Wau Ceiling Roof Floor Yes—No s—No 19_ F1.I � j y' jyp Room I Length �' � Width / Height 9 11 / Fl.l i? A� Windows and oors—Crackage and Area i Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. y 4� %,0 ...J t, Coef. Coef. Btu Infiltration Infiltration 661 JV46 Glass Exp. wall .S• D -- Exp. wall it �(J Exp. wall Net exp, wall 174 Floor % 5" Int. wall o / Ceiling Int. wall : k Floor 21- if 1 2 1 17 79' I otal btu. Ogg& Required sq. *ft. E.D.R. or sq. ins. W.A. Leader area F1.1 N l: Room I Length / /i Width / A Heiaht Windows and Doors--Crackage and Area i Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. y 4� %,0 ...J t, Coef. Btu Coef-1 Btu Infiltration Glass '7 196 0 &01- Exp. wall Glass Glass Net exp. wall 7 3 Int. wall it �(J Exp. wall Net exp. wall®t 174 Floor % °7 Net exp. wall Total Btu. / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Int. wall Floor Ceiling ggow jot 7 Floor Required sq. ft. ED.R. or sq. itis. W.A. Leader area F1.1 Room I Length IL Width I otal IStu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room l Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane at, f pane lights of crack eq. ft. ` Coef-1 Btu Infiltration 4 Glass Exp. wall Net exp. wall Int. wall Cl Floor - Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation Kind How Aaelied Room I Lensith 5FWidth Y Heiltht Windows and Doors—Crackage and Area i Width Height No. of Lineal ft. Area. No. ofpaneof pane lights of erack sq. ft. Coef. Btu Infiltration e. Q Glass '7 1 5` - Glass Exp. wall .S- - Net exp. wall 7 3 Int. wall it Ceiling Net exp. wall®t Floor % °7 Int. wall Total Btu. / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Floor i k1.1 Fe 0-7-A Koom I Length / ._5 Width / V Heiaht .Y Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No@ of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Q G .0 Glass .S- - Exp. wall Net exp. wall®t / /adl Int. wall Ceiling Floor Total Btu. Required sq. ft. ED.R. or sq. itis. W.A. Leader area F1.1 Room I Length IL Width Height` Windows and Doors--Crackage and Area i Width Height No. of Lineal ft. Area No.. of paneoQf'pane lighhts of sq. ft. crack te Coef. Btu Infiltration G 6 Glassaell 5Ta Exp. wall 17L Net exp. wall Int. wall Ceiling Floor 77 Total Btu. �, q► Required sq. ft. E.D.R. or sq. ins. WA. Leader area CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address�� Department of Buildings City of Fridley Tel. #571-3450�- The undersigned hereby makes application for permit for the work bezein specified agreeing to do all work in strict accordance with the City Oodes - : � `'DO BE 'ODlO'LETED ABOUT RATE SCHEDULEfi w ESTIIMATED CWT LMR water TOTAL - OC - M BUILDING PERMIT SOP i F �a Iter `4ttztatses •ci S. 00 �w Rc 40 w a $- � Slzz Seater 'Old Opo iag. Now Fixture* ,o, 1.50 $ .rl a m m 1 tel. tk 8 c a`im�m s m m o -Catch win S 5.00 $ Rain slater Leader � S 5.00 S Hydraulic Valve ' $ 5.00 S ROUG49 INSP. Date Snap or Receiving Tank $ 5.00 $ Water Treating Appliance S 7.00 S FINAL INSP. /`L r Q> Not Water Heater , 5.00 $ Date Gas Range $ 10.00 $ J Gas Dryer S 10.00 F3rd APPROVAL FOR PERMIT = _ - 44th - (R) - Fatore Correction OPenin9 .: Connected vit6. 1- Sewer (ai - Kim !S=tare, Old opening water Job Address�� Department of Buildings City of Fridley Tel. #571-3450�- The undersigned hereby makes application for permit for the work bezein specified agreeing to do all work in strict accordance with the City Oodes - : � `'DO BE 'ODlO'LETED ABOUT RATE SCHEDULEfi ESTIIMATED CWT LMR TOTAL - OC - M BUILDING PERMIT SOP �a Iter `4ttztatses S. 00 Fntare moisture■ $- 3.50 Slzz 'Old Opo iag. Now Fixture* 5 1.50 $ Signed Beer Dispenser S a 4.00 'S tel. tk Blow Off Basin $ 5.00 $ -Catch win S 5.00 $ Rain slater Leader � S 5.00 S Hydraulic Valve ' $ 5.00 S ROUG49 INSP. Date Snap or Receiving Tank $ 5.00 $ Water Treating Appliance S 7.00 S FINAL INSP. /`L r Q> Not Water Heater , 5.00 $ Date Gas Range $ 10.00 $ J Gas Dryer S 10.00 S APPROVAL FOR PERMIT ALL OTREBS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or Appliance $ `® Reinninction Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ l� HINIHUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE o SUBJECT PERMIT NO. City of Fridley '' o 20287 AT THE TOP OF THE TWINS BUILDING _ PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/6/90 JOB ADDRESS 1350 - 75th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 Jim Lurid Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ogden Rasmussen 77 E. Golden Lake. Road, Circle Pines, MN 7847655 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E., Mpls., MN 55418 781-5948 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION), REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (16 squares), 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 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 $800 $.50 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- $21.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �� -9G $21.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEi WHEN PROPERLY VALI ED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI BLDG INSP rfATE1 o NEW [ ] City of Fridley Effective 5/1/88 AMN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address:___/�5 Legal Description:_ C.O i- '4CfcaI Owner Naame & Address:_ 06Z6Fly c. Tel. # Contractor: Al t� :�:- �m�4r/S a/ �o _ Tel. # Address: 6;s/9 � , F. /s17 _ski Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. r.Tvns: AREA. Length Width Height SLI. Ft. GARAGE AREA: Length Width Height S3. Ft. ' DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Lot [ I Inside Lot I I Ft. Yd Setback Type of Construction: Xe X no /`�- Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Width + 6' APPLICw: Side Yard Setbacks Estimated Cost: S Alt. A Alt. B $ See Back Page Tel. CITY USE ONLY Permit Flee O d' Free Schedule on Reverse Side State Surcharge S � b $.50/$1,000 Valuation SAC Charge 5 $550 per SAC Unit Driveway Escrow $ Alt. *A" or Alt. %" Above Park Free 5 Fie Determined by Engineering Sewer blain Charge $ Agreement Necessary I ] Not Necessary [ ] TOTAL $ s D MIPULXIC KS: fl