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PRE 2010 DOCSSUBJECT PE NO. City of Fridley 1563_ AT THE TOP OF THE TWINS BUILDING PERMIT _ r R v _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612_571-3450 910-F15 4/1/80 � JOB ADDRESS 1334 - 76th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 119�i{�t Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Garjac Inc. 625 Highway #10, Blaine, NN 784-6850 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SEPERATE PERMITS RFMOM 5 ENGINEER MAIL ADDRESS {EATING, PLUMBING ZIP SIGN& . L 5 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 40' Dwelling and a 221.x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide city with copy of verifying survey before capping. SEWER LOCATION: 106' E. of M.H. (E. Inv. 984.66) Service to be exposed as there is an existing riser. WATER LOCATION: 10' E. of Sewer Service DRIVEWAY DEPRESSION COST: Recomended by the City but not required. m" THE CITY OF FRIDLEY DOES NOT GUARANTE" 1;a:. � ACCURACY dWhg call local OF UTILITY LOCATIONS AND Ea E'VAT;C, ... utility l I I -S DATA IS FOR INFORMATION PURPOSES ONLY „r ;.1 TELEPHONE -ELECTRIC - GAS Etc, PERSONS USING R MfOUW VjM T"g WORMATIs N ON " ` REQUIRE® BY L� THE SITE 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 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 $20.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $41,150 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- STRUCTIO OR THE PERFORMANCECONSTRUCTION. $98.17 $425.00 PLAN CHECK FEE TOTAL FEE $24.54 $568.29 SIGNATURE OF CO TRACTOR OR AU ORIZED AGENT (DATE) WHEN PROPERLY Y.ALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) OWNER: ADDRESS: TEL NO: CITY OF F-RIDLEY - APPLICATION FOR RESIDENTIAL BUILDING PERMITS (Neta, Alterations, Additions, or Repairs) BUILDER: t..,IA11. � e C C ADDRESS: �; )-�— l TEL NO: rR I ' � a 5 � Construction Location STRICT NO: 63 STREET: / LOT: w BLOCK: T14 f- ADDITION: f1��/}xiCti 1lt.° fYl e oe/,, 97 Q/V J Corner Lot: Inside Lot: X Setback.: �_ Sideyards: /a' 4 1 Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO(] OF CONSTRUCTION Front: �� r a Square. Feet: Front: 2 Zc, qy Depth: yS� Height,,:Zo Cubic Feet: _� )q$17G Depth: 2 "L -- Height: Square -Feet: Cubic Feet: 0 _ �Q yI,1S0.00 Type of Construction: 1, Nl /- Estimated Cost: $ lb Be Completed; /V) f's Alt. B Proposed Driveway Width If New Opening Is Desired:4- $.+$ 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 Deparuient of Buildings, and hereby declares that all the facts and representations stated in this application art true and correc�9 DATE: 0 SIGNATURE: Stipulations: per, :-r. P.e S M WY Qa.1 , Z4 -S4 zo.sa • y Zs. eo 1331 Gor+ 2 (4. 40 = Q?Z. S, x UPPC A, 4WCA . Zax quo i 4e+y sj pr. x t CoAaAc� i. �22,c22.� 481 qva �t8�1 k x.81 i„ ,)'1 ?6 Cos-.. Q 11 AM eo� cr- . 46 494o 24P44 W=.S6 ?0,833. n 4,2t*4.07 . 41, ks—tO l? a ���: SOL i' 42S.oa I' °114:79 !i C. 44, GAWW& .- 4-1-140 CIO CITU OOLDCW VALLEY 9WWX1103 4��f��'�_ . �C�P :'v":• ''�,.�' EXTERIOR ENVELOPE AMAGE °PLP° •COAPUTATION (To be submitted with Building Permit Application) This rupplement is provided to assist the applicant in computing S.CT'ERIl1F: EN,'I:l(?: E .AVERAGE "U" FACTOR INFORMATION. This. informa- tion is required so the BUILDING OFFICIAL can determine that s ubmi t t e l plans comply with the ENERGY C.INSERVATION DES15.1i CRI'Mau of the COPE (Section 6001) . It is the APPLICANT'N , re•Epon,;ib—. t'. to accurately compute the data; reflect the proper , 'r ttre pl.lns; subaut product specificaticns, if r,� +r:• r: �; ,u�• (r the "K" and "U" factors used; and to assure a,pproved plans. .a r • !1 wail wind-iw area Totes :;1ldiry a j less dour a .----� - -- 4 wall area II), a; wall t rnri.i q area (a%,, +. al net wa. I area atxove f rim )oi?;t area a :: T01'.11 exposers wal . :;ove floor 1.S�.b.. Tu, 11 f,,.,nuar.i.,c, ,.ndow arca f,,at,d;t' sun area above grade T•,tal exposed found tion aYea ..;kM;) Of -A! EXV1')-;EP WAIL AREA �1 _ H.:+t' .i; ly t::o -,F{ANi 1 t'1'i'AL FXPOSEb WALLAREA X .17 Item I •he To' ai %xix)sed Roi)f/C:eiling Area►;i'4* follows: 1:.. :',t.�: • .. r:;t area ------ 1. it r•j :ramirr.7 area (10%) rnof/ceiling area ,:'A: :>).'J R(X*1('/CEILING AREA ?•. :: a�!.. '. ,.41. r:Xi'JSEU RC,OF/CEILII3C; AREA X .05 Itt•m It '' _ 2 . __.��_$ X Vll . x fluff 9. n X "u" 5 • _ /�� x lou" a — 6. x louse . ion— X flues x �J ��ff - ® _ 9. x 'lu„ ADD 1-9 rOR TOTAL WALL SEGMENTS - ITEM III F. , Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. o x $lull n 11. x gluts 12. 4 0/ x ofulf ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less'than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is. the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I Q :2 2!? + Item IIyt_f_y o J. Add Item III», ? + Item IV K. If the sum of Items III and IV are less than Items I and II', you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct.and accurate; and hereby F resents the information with requi d plans in support of the building permit. al,E)licati By: DATE: Vis. ® YSY1lrAN MaP CN6ce $71 6w Y lNI� H ghwry Nn 63 r+ E � MOIlyfltlllNO � Murray -:1. h+�nr�R„5Se3? saulh o" ce W066111) QE-,ril L Ma -w c.ti En[ircn,np � .'v�i1 P+.+tur � (rattS .tir.n � .ts, � I:.4A Panno�y 1 70l GitlY RuLd BwrKtirge. Mi+irmscta 49.ii7 Certificate' of Sur-vey loan 6�WKC (,40A/5% , lAAC. 7Glp— AVE. N E, .r*- 1 ' drrr1n7 t `cam/ or 3L 964DOWWOOR 74CWRACE 2 1 hereby certify that tkis is 0 1r" and tserest representation of a sorvay Nobs Mtmdtkbs N the abofm described fend *ad of -the le"Olott of ati build l s there% and not visible eharetewateatsi if 'O"Y"from ss no sold load. As food, by ate thirday of fP f` A.dr,_1* ,. SUONRBAN ff"1N ORING,-INC. Njhl shEd- All Rinhla ReerrVHrl J -4, Z�fA-J,�s ' � � 57 (VI -4 -31X,-9 s� CITY ,OF FRIDLEY APPROCAT101. POR PLiUMBING AND SAS FITTING PERMIT PARTIAL. RATE SCHEDULE N i>; TOTAL N e $ f(S.60 v X x d New Fixture, Old Opening water ' X $2.00 $ Catch Basin X $5.00 $ Water Heater - to 99,000 BTU X $5.00 $ S (9b 100,000 BTU to 199,000 STT X $10.00 $ Water Softener Heater $ New Ground Run Old Buildi;q X $5.00 $ Electric Water Heater X $5.00 GAS FITTING FERSi 1st 3 fixtures X $3.00 $ 3-00 Additional Fixtures T_ bL3 O -moi L N C in -.�+ 7 O O +� m sO.t tr. m N N .0 ' O tyn U a M c� vii o w° N w aroa a 3 t a le. t ( r 1st 2nd 3rd 4 th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL. RATE SCHEDULE PLUMBING FIXTURE RATESaNO. RATE TOTAL Rauber Fixtures X $3.00 $ f(S.60 Future Fixture Opening_ X $2.00 $ (� O New Fixture, Old Opening X $2.00 $ Catch Basin X $5.00 $ Water Heater - to 99,000 BTU X $5.00 $ S (9b 100,000 BTU to 199,000 STT X $10.00 $ Water Softener X $7.00 $ New Ground Run Old Buildi;q X $5.00 $ Electric Water Heater X $5.00 GAS FITTING FERSi 1st 3 fixtures X $3.00 $ 3-00 Additional Fixtures T_ X $1.00 $ Gas Range to 199,000 BTP X 40,00 REPAIRS 4 ALTERATIONS First $100.00 $5,00 $ each add. $100.09 HF €ractjgg stat@ FurCM;q@ 8 .50 TOT4P FE;3 �•S� I? APECTIPN FEP Job Address j 3 3 Y- l 6 /- L� /) y Department of Buildings City of Fridley Tel. #571 -3454 - 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct 1101 Fridley, Mn. k/ - 1 0 198o OWNER KIND OF BUILDII�NG USED AS TO BE COMPLETED ABOUT '2 — e' b ESTIMATTEDDCOST F � 4tN O OLD -( ;BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company ! W I -S 7` rt ..e A c tic Signed By Tel. N O FINAL INSP. ^ / -1 " �o Date APPROVAL FOR PERMIT K=IKM FEE FOR ANY PLUI4BING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY• UE FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,000 BTU AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE, 4.00 $ *F_e,pldcenent of Furnace GRAVITY WARIM AIR: RATE. Pepairs & Alterations -up, to $500.00 TOTAL Job Address L Furnace Shall & Duct Werk $12.00 $ $ *Replacement of Furnace 7.00 $ Boiler & Lines up to 100,000 BTU Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley each adcln. 50,000 BTU 6.00 $ Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ *F_e,pldcenent of Furnace 7.00 $ Pepairs & Alterations -up, to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ S=L%.M OR IDT I} ZER SYSTEM*: Fj.�! •i:E:1TI`G SYSTEMS � 1EATITIOSYST Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Bo' -1.=.r nnly up to 100,000 BTU 7.00 $ each adcln. 50,000 BTU 6.00 $ OIL BUITZINER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ %�% • (o Er.199,999 BTU see Fee Schedule) $ 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. i n Fridley, Minn. OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED OLD BUILDIiJ�GiERMIT NO. PERMIT NO. GAS FITII:<;; FEES: — ,qt 3 Fixtures x $ 3.00 s� $ _J DESCRIPTION OF FURNACE/BURNER Additio%al Fixtures x $ 1.00 $ Gas Ra::;,e to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Hater, Warm Air- No. AIN. � Fj.�! •i:E:1TI`G SYSTEMS � 1EATITIOSYST Trade NameVENTSize No. � Gd See SYSTEMS ALTERATIONS ALTGR:ITIONS $ REPAIRS Fee schedule $ $ $ Capacity sq. Ft. EDR BTU HP State Surcharge $ .50 Total Connected Load�.,�� Kind of Fuel TOTAL FEE BURNER - Trade Name Size No. ' ROUGH INSP. Date FrIAL INSP. f(✓ '3�-'� Date Q APPROVAL FOR PERMIT t t-0 REII4SPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form Capacity Sq. Ft. EDR BTU HP Company7 _ Signed By _ -Tel. No. , Suburban Air Conditioning Co. 8,4119 Center Dri,re Minneapolis. Minnesota 55432 CITY OF F 1®LEY 5431 .UNIVERSITY AVENUE N.E.. FRIDLEY-, MINNESOTA 56432 TELEPHONE ( 512)571-3450 July 1, 1980 Mr. Gary D'Aigle Garjac Inc. 625 Highway #10 Blaine, MN 55434 Re: Final Inspection at 1334 - 76th Avenue N.E. Dear Mr. D'Aigle: A final inspection was made on June 30, 1980 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by September 1, 1980.. 2. Post address on structure by July 15, 1980. We will expect the above items -to be completed by the scheduled -dates when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS \_?J 3 4 _ Q- AO �3 New Fixtures l $ 7.00 7,00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 '1991 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner V Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Building Used AsL'e Gas Range $10.00 J / Gas Dryer $10.00 Estimated Cost �� d . PERMIT NO. / �a 6 9- Back Back Flow Preventer Required ( )Yes () No Atte: Jury Type $5.00 PLUMBING COMPANY minne-PA'M._ ._ __ _ 700 W Linden Avenue Reinspection Fee $30.00 SIGNED BY TELP400, Rnxl36�_ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS inneapolis, MN 55440.' 1 % of Value of Fixture or Appliance Approved y - Ro A -n ate Final Date State Surcharge .50 MINNtEGASC® MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ISS) PLUS THE $.50 STATE SURCHARGE SUBJECT P City of Fridley 2177-9 AT THE TOP OF THE TWINS BUILDING PERMIT REC IPT NO. � ; COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 91313 r s---� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/2/93 II JOB ADDRESS 1334 76th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian/Cindy Loso 1334 - 76th Avenue NE 785-9584 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Storm Sash Inc 10825 Greenbrier Rd, Mtka 55345 546-8160 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 Replace sashes 9 CHANGE OF USE FROM TO STIPULATIONS Replacment sashes can not reduce the size of egress windows in bedrooms. 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 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 I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS 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 PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 63.00 Fire .SC $4.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5,00 $74.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI PRQtERLY VALI TED THIS IS YOUR PERMIT EgHEI` NSP MATE SIGNATURE OF OWNER -F OWNER BUILDER) IDATEI 1vEv« [ ] ADDN [ ]J ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/9 -4983 Construction Address: / �� _ ,%/� , { Legal Description: Owner Name & Address: Tel. # %b',j �/ `��% TWIN CITY STORM SA' LICENSE # Contractor: �A9� ��NRRIER ROAD Address: MINNETONKA. MN 55345 Tel. # 4 6��a46�160 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECD AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: iL Ca '-e-7e Approx. Completion Date: Driveway Curb Cut Width Needed: Side Yard Setbacks Estimated Cost: (Cost on Back) Ft. + 6 Ft = Ft x $ _ $ DATE: .3" y� APPLICANT: Tel. # " f7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary (] Not Necessary [ ] vo TOTAL $ STIPULATIONS: � l ztet v -,-L, &-(7 71-F �5 3� 01, SUBJECT PP City of Fridley 2 5 5 0 2 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. , _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. OY NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/15/97 JOB ADDRESS 1334 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian/Cindy Loso 1334 76 Avenue NE 785-9584 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Addition & Remodeling Specialists 2618 Coon Rapids Blvd NW, Coon Rapids 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 427-7330 1109 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION j] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside Dwelling; Soffit/Fascia; New Window 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. Install smoke detectors to meet the State Building Code. 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 S0. 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 $9,341 $4.67 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- $162.25 Fir STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TO AL FEE c� c( Lic s $5 . $181.26 $ OF CONTRACTOR OR AUTH I DAGENT (DATE, SIGNATUR N N VALID THIS Y PERMIT BLD9f INSP j/ by FATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATE, 01, NEW ( I Effective 1/1/97 ADDN [ CITY OF FRIDLEY ALTER ( J SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 2V (ate t7b-0-x %Av2 (k) -t= Legal Description: Owner Name & Address: Vim.•,Sfl Tel. # Contractor:1f� eQcA i���w I� en^noc9 LkLA1 $p< c� I j- ire MN LICENSE # 1 D�'( Address: Ccc't'R , e Tel. # Q2 9 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: OTHER:0�r Length Width Hgt/Ground Sq. Ft. 40 Construction Type: Estimated Cost: $ } (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: q --1 - APPLICANT: ��-- \ Tel. # 1 C21*7 —9 S3D Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow rosion Control t'ark Fee Sewer Main Charge TOTAL ;T11)ULATIONS: '0 181, a(el CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] SUBJECT City of Fridley � AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r 0. 1 • COMMUNITY DEVELOPMENT DIV. r . PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/98 JOB ADDRESS 1334 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cindy'Loso 1334 76 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Royal Construction 28222 96 St, Zimmerman, MN 55398 444-0458 20050156 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 House & Garage (24 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,001 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIA OF ANY OTHEST TE OR LOCAL LAW REGULATING CON- STRUC OR T P RF CE F CONSTRUCTION. $74.75 Fire SC $2.00 PLAN CHECK FEE TOTAL FEE „^ �(270, �L License SC $5.00 1 $82.75 SIGNATURE OF CONTRACTOR OR AUTHO ED AGENT IDATEI HEN PRO,O,PEERLY IDATED THIS IS YOUR PERMIT BLDG IPISP DATE SIGNATURE OF OWNER OF OWNER BUILOERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: t MY 76 � f- tie - Legal Description: Owner Name & Address:: ®so Tel. # Contractor: Q �A/SP�C'U� ®/V. MN LICENSE #'I Address:. & ��� d /2 �� Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: 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 ic- Driveway Curb Cut Width Needed: Ft. + DATE: 6,52`a—S7APPLICANT: Sq. Ft. Sq. Ft. Sq. Ft. t;72ZI �© Estimated Cost: S ,�f (Fee Schedule on Back) AFt= _Ftx $_ =$ Tel. # TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ Z' $.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 $ STIPULATIONS: NEW (J CITY OF FRIDLEY ADDN (] 6431 University Ave NE, Fridley, MN 55432 ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 01 Effective 1/1/2002 (763) 572-3604 Bldg Insp n, Legal Description: XOwner Name &Address: �^ h3`%lc Tel. #3' -YrBY Contractor. MN LICENSE # Address: Tel. # LMNG 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 Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: Estimated Cost: $ /� D() Driveway Curb Cut Width Needed: a3 Ft + 6 Ft = 2LFt x $ _ $ �l XDATE: 9" Id02 APPLICANT: ;!5�L Tel. # A 3 Call (763) 572.3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 1E TOTAL $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 Ne essary [ STIPULA IONS: I