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PRE 2010 DOCS-3 �P� % �7 City of Fridley, inn N° 9480 BUILDING PERMIT 0 Date: Oct. 2, 1967 Owner: _ yernon Rutherford Builder International Homes Address 7414 South Edgebrook Drive._ Address Minneapolis, Minnesota LOCATION OF BUILDING No. 1661 ____ Street ` 75th Ave. _ _..�� Part of Lot Lot ._._.._2fj?grt_)3lock 1 Addition or Sub -Division .__ring Lake Park Lakeside Corner Lot — Inside Lot X Setback — 35' —_ Sideyard — Sewer Elevation 892.12 _ 895.12 Top Of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front ?-22—Depth 24 ' Height 19' 3:2 Sq_ Ft. 550 Cu. Ft. 10, 45 0 2nd story-- Front 24' Depth 27' Height 19' Sq. Ft. 648 CtL Ft, 12, 312 Type of Construction Frame Est. Cost _�1_.6L400____.__ To be Completed • SEWER LOCATION - In the street WATER LOCATION • 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 fiance with a'll provisions of ordinances of the city of Fridley. $100.00 Sewer Connectio Charge In consideration of the payment of a fee of $ 34.00 , permit is hereby granted to—Vernon Rutherford to construct the building or addition as described above. This permit 18 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. CLARENCE BELISLE Building Inspector NOTICE: This permit don not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as the Building hupector for separate permits for these Nome. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS BUILDER �+ � ADDRESS ADDRESS ��y. ' LOCATION OF BUILDING. No. / Street ,.Fart of Lot Lotock/ Addition, or ISubdiais.ion / ,, f - Rj Rff „A k, Corner Lot _inside Lot Setback Side ,Yard1 S,. R ELEVATION J a f FOUNDATION ELEVATION Applcat sztach to form Two, Certificates of Survey of Lot .and proposed build - L" -locationdrawn on these Cert:ificates.. DESCRIPTION OF BUILDING r To be used as: Front _21Depth -.,2 Height S.q.,., Ft . Cu . Ft .: c3 Front Depth �� Height 1 Sq.. Ft. Cu .. Ft . 2 Type of Constructs /--�/`/.� Estimated Cost .To be Completed j-22 v 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 is this application are true and correct.. DATE142e SIGNATURE -,Schedule of Fee Costs can be found on the Reverse Side)' . U , City of Fridley Application for Plumbin and Gas iitt in Permit APPI 9 4 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK I'O���r -Number. Kind and Location of Fixtures G' PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $2.00 Future Fixture Opening ................ x $1.50 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. Fridlev�inn_ )L7) • A–O 19�� Owner Kind of Building OUsed as�� To be completed about / / Estimated Cost Old GbTew.Building Permit No C O Pemit No TOTAL $ /c/ -s Signe $ By New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ ROUGH FINAL Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 0 0 ,3 � o 0 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $_I�-_ s 31 C7 42 p e) i, 6 C Business Phone No- � I/ 9 40 3� o� LL� S < d �Sn 0 (0&0 P N WATER HTR. GAS ELEC. Base 2. Ist 2nd 3rd 4th • Future Connection Openings New Fixture. Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $2.00 Future Fixture Opening ................ x $1.50 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. Fridlev�inn_ )L7) • A–O 19�� Owner Kind of Building OUsed as�� To be completed about / / Estimated Cost Old GbTew.Building Permit No C O Pemit No TOTAL $ /c/ -s Signe $ By New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ ROUGH FINAL Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 0 0 ,3 � o 0 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $_I�-_ s 31 C7 42 p e) i, 6 C Business Phone No- � I/ 9 r 1 Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and ` Air Conditioning Systems and Devices PARTIAL RAI TE SCHEDULE - Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Location Ad4lb �!'�• /V iz Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ City of Fridley: Repairs &Alterations—up to $500.00 ............. . . . 6The undersigned hereby makes application for a permit for the work hereii. .00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00" "' 3.00 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 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 $�0• d Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ l Each add. 320 s ft. EDR Hot Water ......... I q. ........ 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ ` over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ D� TOTAL FEE $ Owner Kind c Used as 2%12ZP– To be completed about Estimated Cost, $ 2 62 C� G Old—New. Building Permit No. y� �� Permit No. dash DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No- Trade '� I / 0 Trade Name f .. -� 's`��'�;'-�. a Size No Capacity _ , Sq. Ft. E.D.R Z -Q ° O BTU /,) bye cJ 9 H.P. Total Connected Load Kind of Fuel~ J' '•- , BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU_::_H.P. (REMARKS -OVER) Sign By C411111142 Business Phone NoW�' r 1=B=R CALCULATION SHEET 1502 Copyright 1960 by the Institute of Boiler and Radiator Manufacturers, 393 Seventh Ave., New York. N. Y. Iooal OWNER } N ADDRESS_ rrz i b �- y,'. A-1, 1yAJ, DATE 11-1 TYPE OF BUILDING �� CONSTRUCTION DESIGN TEMPERATURE DIFFERENCE_.7J0_F. COL. A COL. B COL. C COL. D COL. E COL. F 1 I RootsR tz- I �? t'2-�� LI V 2 ROOM DIMENSIONS, FT. H L I W t.�`� H I L V W 1 1 H �Cj L 'a I W H �� L (a I W I? H -- "? L W '1 I-/ 3 4I LENGTH EXPOSED WALLS, FT. GROSS WALL AREA. SQ. FT. 0 BTU/HR REQUIRED r BTU/HR REQUIRED c� BTU/HR REQUIRED 7 �. BTTUL/`HR REQUIRED 3 LENGTH EXPOSED WALLS, Fr.) BTU/HR REQUIRED 13 (s/ ' �r/? 5I 6 GLA55 AREA. SQ. FT.�yIp'�y,� I NET WALL AREA, SQ. FT. BTU/HR 1�� Za Y TC !3 Z 7(f 2. S� Pfa i!.f.`i�'�. 1 5i}'..,i' L °�� -'_5 /51, �_�j`d 7I CEILING AREA, SQ. FT. rfA "', W i c*'(: ) � Ci '_,!ern I 7,_0 0 ry� t)s>;,.} 8 FLOOR AREA. SQ. FT. t F1 jk (,yyagy > �' 1 C ` t,,.')�z '7_) y�.a" -1 �)() Z(4t 110 4' ZU 00 %z/4? 1f. 9 ROOM VOLUME FOR INFILTRATION CU. FT. � L/'��5-- I —� 6 ------------- c �:9,"a Y4sQ - ` -- ----- ---��- - ----zv ----------?_O,-- -------------- -------------- --- w-- ------------- - -- � �--- -------- -- - -------------- --------------- �P� 0 d_ �Ck� -- - -+------ - - --- 1l-� __ --------------- //—"y -- �lf0-)� . ---------------- 10 _F TOTAL BTU/HR AT 70F TEMP. DIFFERENCE* O ?I n_O & 1 1 TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE LI` 39 10 ? a e� 12 1 HEAT DISTRIBUTING UNITS f 0 / C COL. A COL. G COL. H COL. I COL. J COL. K 1 Room 211k -n-4 H L W H L W H L W H IL W H I L W 2 ROOM DIMENSIONS, FT. 3 LENGTH EXPOSED WALLS, Fr.) BTU/HR BTU/HR BTU/HR BTU/HR BTU/HR 4I GROSS WALL AREA, SQ. FT. / REQUIRED REQUIRED REQUIRED REQUIRED REQUIRED �_�j`d 5 I GLASS AREA. SQ. FT.I ,, j �y,i�t3 �� 0o 6 I NET WALL AREA, SQ. FT. �N°>� a U c?{)!� 71 CEILING AREA, SQ. FT. ID [JU 'l L- 00 q15 i<()lP 81 FLOOR AREA. SQ. FT. t[Is '00 f , u- g 9 ROOM VOLUME FOR r - INFILTRATION ----------- -___� ---8-----�------- --------------- --------------- --------------- ________ --------------- --------------- -----------.�_-_-__ ________________ CU. FT. '.ipC 10 TOTAL BTU/HR AT 70F TEMP. DIFFERENCE* -446 6/0 11 TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE 12 HEAT DISTRIBUTING UNITS f / INCREASE BATHROOM TOTAL 20% tFOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL. USE LINEAR FEET OF EXPOSED EDGE ROOM TOTALS FROM LINE 11 E D /o 10 E�, / �U F ��7Q ,3 3qo K d 0c TOTAL BTU/HR OF BUILDING AT DESIGN TEMP. DIFFERENCE Foam 1502 r 1=B=R CALCULATION SHEET 1502 OWNER r"' ' TYPE OF BUILDING DESIGN TEMPERATURE DIFFERENCE--SM-F. Copyright 1960 by the Institute of Boiler and Radiator Manufacturers, 393 Seventh Ave.. New York, N. Y. 10001' DATE COL. A COL. B COL. C COL. D COL. E I COL. F 1 Room --)Z r-- c I? A,-, 6 4�1 ("/vDit Y COL. J COL. K 1 Room _ 2 ROOM DIMENSIONS, FT. H l j I L I W 2 P V1,1 L v" ?— I W ? �_'°'� H LL W H L I W H I L W TROOTALS4I FROM LINE 11 3 LENGTH EXPOSED WALLS, FT, GROSS WALL AREA. SQ. FT. H L r �- ' BTU/HR C.p L REQUIRED H L BTU/HR REQUIRED H BTU/HR REQUIRED W BTU/HR REQUIRED L I W 2 ROOM DIMENSIONS, FT. j I GLASS AREA. SQ. FT. 5 3 WR y � `G I 6 NET WALL AREA, SQ. FT. B.SA} 7I CEILING AREA, SQ. FT. O BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED J 8 FLOOR AREA, SQ. FT. t 51 GLASS AREA. SQ, FT. �S C/ UL 9 ROOM VOLUME FOR INFILTRATION CU. FT. atil-- F, -------- --+•�� �.JlP4z!___ C��'�`?_ ---------------------------------------------- _ �4�__ ���'� 61 NET WALL AREA. SQ. FT. Ix of/ ------ -- --'- -ti ----- - 10 1 1 TOTAL BTU/HR AT 70F TEMP.•DIFFERENCV I TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE �� �'• 16,410 2 E 121 HEAT DISTRIBUTINGG, UNITS 1� i F *INCREASE BATHROOM TOTAL 20% tFOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL. USE LINEAR FEET OF EXPOSED EDGE FORM 1602 COL. A COL G COL. H COL. 1 COL. J COL. K 1 Room H H L W H L W H L W H L W H L I W 2 ROOM DIMENSIONS, FT. I 3 LENGTH EXPOSED WALLS, FT. 4�.,° BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED BTU/HR REQUIRED J 41 GROSS WALL AREA, SQ. FT. 51 GLASS AREA. SQ, FT. 61 NET WALL AREA. SQ. FT. Ix of/ ,Lg K 71 CEILING AREA. SQ. FT. I,O 81 FLOOR AREA. SQ. FT. t (� �� 00 9 ROOM VOLUME FOR V,� -------------- -------- t}-- TOTAL BTU/HR INFILTRATION ---- ---------- -- ----- - --- - -- --- - --- - --------------- --------------- --------------- -------------- ---------------- OF BUILDING AT ________________ DESIGN TEMP. CU. FT. DIFFERENCE 10 TOTAL BTU/HR AT 70F TEMP. DIFFERENCE' 1 1 TOTAL BTU/HR AT DESIGN TEMP. DIFFERENCE 12 HEAT DISTRIBUTING UNITS *INCREASE BATHROOM TOTAL 20% tFOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL. USE LINEAR FEET OF EXPOSED EDGE FORM 1602 GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 July 28, 1993 Michael and Jane Ambrose 1661 - 75th Avenue N.E. Fridley, MN 55432 RE: Property at 1661 - 75th Avenue N.E. Dear Mr. and Mrs. Ambrose: Recently, it has come to my attention that you have installed landscaping in the City boulevard adjacent to your property. While the City typically allows such improvements provided they do not pose a health or safety risk, it is important to realize that the City does not assume any responsibility for damages to these improvements caused by operation of City equipment (i.e., snow- plows, etc.). Therefore, please be advised that should you leave this landscaping at its present location, you will assume the associated risks which I have mentioned. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Sincerely, Steven Barg Planning Assistant SB:ls CE -93-380 CITY OF FRIDLEY INSPECTION DIV, Effective On March 1, 6431 University Ave NE ® Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES n0°i JOB ADDRESS �, �'�E SGHEDI�LE The undersigned hereby makes application for a permit for the wor Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City UD Furnace Shelf and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the fact Also Replacement Furnace $ 30.00 $ representations stated In this application are true and correct. (Bile Vent - Fill Out Back) Gas Pipf ng (Needed with new furnace) $10.00 $ A/ OWNER �/�A �.i.. -1 4.0 Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERw NO.%� V) *Air Conditlorting - All Sizes $ 25.00 $ DMRIPTON OF FURNACE AND OR BURNER W All Others/Repairs & Alterations (LIST ON BACK) A 1% of Value of Appliance or Work $ No, of Heating Unds _ Circle One (Stearn) (Hot Water) (Wi W Trade Name Size No. U LL Commercfaltindustriai BTU HP EDR 0 1.25'A of Value of Appliance or Work $ Fuel 7 Total Connected Load State Surcharge x_____.50 Burner Trade Name Size No. BTU HP EDR TOTAL FEES HEATING COMPANY A OL Y�E N MfNIKVM FEE FOR ANY-MATINGjCOOLINGNNTILATI( N �' REFAICERATIONjAER CONDITIONING PERMIT IS $25 flfl Signed BTel No. � PLUS THE $.54 STATE SURCHARGE Q 4J REINSPECTION FEE $42.00/Hr Approved By Rough -In Date Final Dat i *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON written perrnission from adjoining property owner. REPLACEMENT FURNACE 0 SUBJECT City of Fridley 2 6 3 9 3 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 1 _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / I , NUMBER REV DATE 7/2/98 PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 1661 75th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 1 Smincr Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ambrose 1661 75th Ave 786-2568 3 CONTRACTOR MAIL ADDRESS Self ZIP PHONE LICENSE NO. 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 Remove existing deck Construct a 15' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS ATE FIEW QtFAR�q See notations on plan. S RE Q�J��� HEATIN fog G, P�UMBINp„AND Sly ot* ;n cat tot d�Qg' gclo�e locatrons all utwvjw REQUORE SEPARATE PERMITS ARE REQUIRED 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,345.50 $0.67 DO OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P oVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION. CON- ,TI TRUCTI N OR THE PERFORMA E OF CO %5 Fire $C $1 .34 PLAN CHECK FEE TOTALFEE $47.76 GNATURE OF CONTRACTOR RAUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 1 f' BLDG iNSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R --2,j I�C� BUILDING PERMIT APPLICATION 2�31 Ix Ir ConstructionAddress: - 3 Legal Description: I?/— Owner Name & Address: (bfL-E 4w RIP- 2 � fGi i- j AA, -,rel. # Contractor: ajL l= 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 EUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length=VWidth I o (3y, Hgt/ round �� Sq. Ft. OTHER: �S i i�� ��e- 1.��®� / Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: � -4 i APPLICANT(;Tel. # VT CITY USE ONLY Permit Fee $ L/ Fee Schedule on Reverse Side Fire Surcharge $ •001 of Permit Valuation (1/10th%) State Surcharge $ , C 7 $.50/$1,000 Valuation SAC Charge $ $1000 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 $ Lt 7, 7 C> STIPULATIONS: �y lJo41 v. Solt\ �c-jAiAL b r -A,.- GK.Cjj Z4 O1112, V 40 115 7-1 b r r g �r al \� 5 SUBJECT P City of Fridley 31348\' AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. �6�� r PROTECTIVE INSPECTION "' �'� CITY HALL FRIDLEY 55172 NUMBER REV DATE PAGE OF A4nnOVEO By 1 612-571-3450 914415 8/25/00 JOB ADDRESS 1661 75 Avenue NE 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DEscR. Pt 9 1 Spring Lake Park Lakegide SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jane Ambrose 1661 75 Avenue NE 786-2568 7 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO LaFrance Exteriors 2022 North Ferry St, Anoka, MN 55303 782-1090 20081887 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 37 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap 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 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 $4, lOO $2.05 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 - $111 Fire SC $4.10 TRUCTION OR THE PERF RMANCE OF CONSTRUCTION .25 PLAN CHECK FEE TOTAL FEE License SC $5.00 $122.40 S,G A N'RACTORORAUTHORIZEDAGENT (DATE, WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S-GNATURE OF OWNER „F OWNER BUILDER, ,DATE, SLOG ,NSP GATE 5 NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a Construction Address: 1�6/ —7 Legal Description: Owner Name & Address: _ _ � � a.1.6 r o � Tel. # 6� Contractor: (._ rCcri� GkLecIo�2S MN LICENSE# C UGC Address: % ZZ_- to Jfe-(-r ; S( NyG Tel. # I r " / 0 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: Construction Type: 5/.o//VEstimated Cost: $ %` Q Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (�'�s APPLICANT: O�G� /j� fI Tel.# CITY USE ONLY - Call (763) 572-3604 for Permit Fees If mailing In application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ OS $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 1t011r11 STIPULATIONS: $ $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 [ ]