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PRE 2010 DOCSSUBJECT PE _ City of Fridley 14 AT THE TOP OF THE TWINS PERMIT BUILDING CEIPT NO. S COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = � NUMBER REV. DATE PAGE OF APPROVED BY ItCITY HALL FRIDLEY 55432 ----� ��'��;� L 612-560-3450 910-F15 7/18/77 JOB ADDRESS 147 - 75th Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 Niemann Addltlon SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Beatrice Sorsoliel 147 - 75th Way NE 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Company, 2513 Central NE 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Alminum Trim and gutter 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ REMOVE ALTERATION ❑ REPAIR ❑ MOVE 8 DESCRIBE WORK Sane 9 CHANGE QF 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500.00 .75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT09 STATE OR LOCAL LAW REGULATING CON- 1STRUCTION OR THE PE RMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE 9.75 SIGNATURE OF CONTRA fOR OR AUTHORIZED AGENT (DATE) PRqPERLY VALIDATED THIS IS YOU PERMIT BLDG iNSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: '+��✓J %� P E as �® R � Oa �- BUILDER: % d/J mal �i4� S - .moi - c)) � ff Address: Address: r5 �'%�? c_ (� Tel. No.: -7 f/ _19, - No.: / / 7 Street: LOT: % ' BLOCK: ADDITION: Nil C44 CORNER LOT: INSIDE LOT: 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: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: A 0 p� (.i,K, r Q-7 Tom. Estimated Cost: $ / ®d. To Be Completed: 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 information. DATE: % . l k • 7,7 SIGNATURE: t Stipulations: -t- - . C C-- 75- . 5 0.25'-.. rs�� - tir TITLE G. JAN 1 18` HIGH a lo' WIDE Ed. GREEN' DRAWN Sy APPROVED BY 2 20' HIGH a 10` WIDE EV. GREEN w FRIDLEY, MINNESOTA 3 25`HIGH 81 8' WIDE EV. GREEN RICHARD N. SOBIECH DATE 9-13-77 55432 4 20` HIGH a B' WIDE EV. GREEN 5 - R OBTAINED FROM PROP. OWNER- -- 6 R/W. OBTAINED FROM ST. PAUL WATER DEPT: I� 7 W OAK TREE 15" OAK TREE 9 2" TREE 10 POWER POLE „- Pta•f f .11 13 HIGH a 7` WIDE EV. GREEN J 12 13` HIGH 81 6' WIDE EV. GREEN 13 SMALL BUSH 14 12 OAK TREE J 15 2" TREE r I w 9'•� ! 16 12! HIGH a B' WIDE EVe GREEN , rs�� - tir TITLE G. JAN OF FRIDLEY DRAWN Sy APPROVED BY WCITY ENGINEERING DIVISIONCHECKED ♦5431 UNIVERSITY AVE. SITE PLAN FOR#147-75TH WAY w FRIDLEY, MINNESOTA SCALE Iq`3O� RICHARD N. SOBIECH DATE 9-13-77 55432 E WORKSDIRE1 TOR PPUBU SUBJECT P MIT NO. City of Fridley ® 14588 AT THE TOP OF THE TWINS PERMIT BUILDING CUE COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. A�C� 1 i � NUMBERDATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 812-560-3450 910 -F15 r73/6/78 JOB ADDRESS 147 - 75t1i Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 Niemann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Beatrice Sorsoliel 147 - 75th Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 0 REPAIR ❑ MOVE ❑ REMOVE X S DESCRIBE WORK Roof house and garage, Install new window 9 CHANGE QF USE FROM TO STIPULATIONS Call for rough -in inspection on window header. Builder agrees that this is either 3nd or first roof. Provide galvanized IN ridged valley tins. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIRCONDITIONING, THIS 'PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED ISNOT 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 l I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS IGARAGES 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 $1,630 •80 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. $12.00 - PLAN CHECK FEE TOTAL FEE C -` z $12.80 SIGNATUREOF CO RACTOR OR AUTHORIZED AGENT (DATE) EN PRQIPERLY VALIDATED THIS IS YOUR OFERMLT BLDG INSP DTE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: PC rix c e 50 IR 5(3 L e L BUILDER: 6� H as—'' o �� C Address: Address: S / CCS N 1 d rg L Ave A Tel. No. No. ��— Street:— 01 LOT: BLOCK: ADDITION: CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Square Feet: Cubic Feet: Front: Depth: Height: Height: Square Feet: Cubic Feet: Type of Construction: Rc,. TI (k,5 c, 1- C1A 0-",JEstimated Cost: $ / 6-3 0 . :r1 - a TALI To Be Completed: p Alt. 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 information. DATE: 3 ' 7k SIGNATURE: Stipulations: t( I > O r a J -- Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No. Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: a 763-572-3604 Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge 763-502-4977 FAX CITY OF FRIDLEY SAC Charge n �- $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-2010 ft + 6 ft = ft x $24 = $ Erosion Control DATE j 'o? % /O / //II / YOUR E-MAIL ADDRESS T S�Gr �J /GL �j (i 01"SV4 WE SITE ADDRESS �� wQy. /U , --,-, .s A. - Fee Determined by Engineering THIS APPLICANT IS: b OWNER WCONTRACTOR Agreement necessary ( ) Non Necessary ( ) PROPERTY OWNER/ NAME: ti [ dt or k4 r✓ Make checks savable to: Citv of Fridlev Attach Stiaulations TENANT ADDRESS: �%�% %S CITY STATE ,, ZIP PHONE: CONTRACTOR ) NAME: f Am /3/7,-,. N4. �/ —t ( , - f SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: k) 130 -t ;rR, A'& CITY ,p1. STATE +a. ZIP c3IW INSURANCE PHONE S c9 QS v FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH P ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION I;aMATNTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:p5 cn d SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES / ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. 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 l . Site Plan/Survey showing the existing structures ❑ Other 13 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 13-37-,5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ r- 3 1 —.00 1 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ -_ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach Stiaulations 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 all wo requires review and approval of plans. / /l SIGNATURE OF APPLICANT ` PRINT NAME O� J c mo /ut DATE