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PRE 2010 DOCSBOA J SUBJECT PE City of Fridley o 1227 AT THE TOP OF THE TWINS BUILDING PERMIT a. r CEIPT NO. t `L ____ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. /WL - 1 NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 � ,�� `•'•'� 612-560-3450 910-F15 19/24/74 JOB ADDRESS 1423 - 76th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 3 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dahlmeier Construction 8460 Cottagewood Terrace, Mpls. 784-3384 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 40' x 24' Dwelling and a 24' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a verifying survey before capping. Provide a hard surface driveway. SEWER LOCATION: Service out of Manhole (Inv. 890.61) Top of Footing: 894.61 Minimum C4' above inv. of Manhole) WATER LOCATION: 42.5' East of Water Service to Lot 25 47' N.W. of Water Service to Lot 27 PERMITS REQUIRED, FOR WIRING PERATE PLUMBING AND SIGNS. HEATING, 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 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 R-1 960 23,936 Total 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 $25,173 $12.59 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. $45.00 $300.00 PLAN CHECK FEE TOTAL FEE SIGN/ URE OF N RACT RORAUTHORIZED AGENT (DATE) 1 $357.59 HEN PROPERLY VA ATED THIS IS YOUR PERMIT - �4 BLDG INSP DATE GNATURE OF OWNER IIF OWNER BUILDERI (DATE) BOA J AP PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : BUILDER ( ®0S ADDRESS: %�/c�� _%� -tA14 ems. ADDRESS: NO • . '� 3 STREET • 7 fC LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT:_SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. Gam. a SCRIPTION OF BUILDING To Be Used As: —Front: '� Com' Depth: Height:) Square Feet: ��� Cubic Feet: l u Front: _ _ Depth: Height: Square Feet; Cubic Feet: V Type of Construction: „ 7f� Estimated Cost: To -Be Completed: 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. DATE4Revsie � � m %°� SIGNATURE: � (See Side For Additional Information.)% 7 '6 '590 00 Alf sW1_ Mis lT. 4,�� I INCL a ff-� A. r, f • 141.34 1 5411 . SWT 2C ltet `.'�eT +'1'/R: 4..',ra' �"#-a I' �v"g';3.-'•zy"S'!',�-�+T�74:,...wr*r ..p. ,.• _ ���. V', Jas . � J +•' ���, �..r9 -t � _ ter. D '' ' 1 . + 1 76TH AVE, NE• a p /aiE� IRON ., . 01,E OrZ.S !1T/,1/TY e ORWIIsACW EASEMENT A,1Z A DO WIVOOR IrERR A C f /0 7 BI-. 0 C Ki. ° cao��ry ar AWKA 'k►` ; ' ., ' `,Avviv cw y #at */i i.0 bw and doffed nrpnsw istffi►► ire ur�'!!x led Aildm%js, #wa+ y , ri a� roakwn1j A rf'm y, f1m or w sod /a9►iod. As swrrYer/ � � f� ' &/ A o. rte,.. SUS URBAN ENGINEERING. INC. Carrs fr Sarrep�'s C } y ®F�7'i� ��rv� c e fir- 27 Clity ®f Fridley SIk��PiGY Permit No. �Q r AT TK TOP OF THE TWINO $10.00 Al, 0-0 EDR/BTU Ton. 3.U0 HEATING PERMIT APPLICATION �• r`; �.-------;60BdadVPPITY DCVELOP94ENT DIV, 6.00 0 , MOTECTIV$ C+:.1' CTIO ( MPT. t r --.� CITY HALL FRIDLCY 40Qa (514-000-9440 Kind of Fuel 600 Pa&9&M AEV. OAT PARE APPROVED 8Y 1.....�s� j 910-F17A 0 2/15/73 1 1 800 Job Address 1000 e Size No. ner � Address Pone Contras L / /%� C C�i Pone AsG 19" Kind of Building Use Completion Date ssti.mateCost 1 re i .web n do131aaaa �arsr l a—Z TOTAL Heating/Power Plants �� I Furnace Shell & Duct Work ................ ..$10.00 Steam Hot Water Warnt Ai Replacement of Furnace ..... ..... 6,00 Repairs &Alterations --up to $500.Ofl 6,00 $___ _ ._,_ Trade Name Repairs & Alterations each add. $500.003.00 Size No. $� _ _ ,_ CH. WA141'.1 AM FVrnace Shell & Duct Work to 120,000 BTU ...... . each add. 00,000 RTU .................... . Replacement of Furnace Repairs & Alterations --up to $500.00 Repairs & Alterations each add. $500.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FZR Steam Furnace Shell & Line— to 640 sq, ft. EDR Hot Water Each add. 200 sq. ft. EDR Steam Each add. 320 sq. ft. EDR Hot Water Capacity 3.00 $ EDR OIL BURNER—to 3 gal. per hour 6,00 $ _ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 1 BTU) 8.001 $ �f over IMOM BTU See Fe® geh&dule GAS FITTING FELS: NO PLATE TOTAL 1st 3 Fixtures x$ 200 $a.' oy Additional Fixtures x ,75 $ Gas Range to 199,CCO X$ &00 $ AI1R CO: City of Fridley Applicelmn fu r -m andGm w ij Iftnimb Rept. of Bldgs. Phone S60-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures 61 NO. RATE TOTAL Number Fixtures .................. FFFF $ Y .rn Future Fixture Opening ........... 9 x $1.50 $ �' X71 . x $1.50 V Catch Basin .................... x $3.25 6 V • • WATER MTR. GAS ELEC. --� Base Electric Water Heater............ s $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • ! x $2.00 ,-o $ Additional Fixtures ................. x $ .75 $ 1st I 2nd 3rd 4th • Future Comection Op•ninp Connected with sower s Now Fixturo. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .................. x $2.00 $ Y .rn Future Fixture Opening ........... 9 x $1.50 $ �' 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............ s $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • ! x $2.00 ,-o $ Additional Fixtures ................. x $ .75 $ 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' Fridley, Minn Owner 101J,1.nei e.1- �o.�sTrurTi ah Kind of Building /0o Used as To be completed about Estimated Cost, $ / -5� O 6 Old ew.�Building Permit No. / / Permit No. `�? Signed b1 -f By - Business Phune No -? ROUGH FINAL ' Gas Range to 199.000 BTU .............. x $5.00 $ REPAIRS tE ALTERATIONS—Refer to Code .50 State Surcharge Description ..............................................$ TOTAL FEE 00 SUBJECT PE City of Fridley 1876" AT THE TOP OF THE TWINS BUILDING PERMIT 1 �• COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE �/"'1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY IL'-"-A", �'� 612-571-3450 910-F15 5/26/93 JOB ADDRESS 1423 76th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 3 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Neperud 1423 76th Avenue NE 780-20.85 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Paul Johnson Construction 1809 Mississippi St NV, Coon Rapids 55433 755-4854 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4098 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 Construct a 141 x 121 Three Season Porch and a 171 x 81 Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plane WARN��1G Before digging call for all utility locations PERMITS REQUIRED FOR 454-0002 SEPARATE HEATING, PLUMBING AND SIGNS. REQUIRED BY LAIN WIRING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $30635 $1.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ANY OTHER TATE LOCAL LAW REGULATING CON. PROVIS S O A $63.00. Fire SC $3.64 STRU TION OR HE ANCE E' CONSTRUCTION. PLAN CHECK FEE TOTALFEE ;PPF/OR License SC $5.0Q $73.46 SIGNATURE OF CONT CTOR OR AUTHORIZED AGENT (DATE) IS YOUR PERMIT 7^ W.G-N.1 :FY= DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ l ADDN [ ] ALTER [ ] Construction Addrem Legal Description: CITY OF , FRIDLEY. SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/93 -1 7 .;�l Owner Name & Address: h P, Tel. # _7 So -c 20 Contractor: 2f4" L C° 0 w S- ,+ MN LICENSE # /'-/(0 9 �. Address: / �S G c� �rv� s S ��4� J' [3 C L' u i?� ,� �'D S Tel. # 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 L Width l Height GARAGE AREA: Length Width Height DECD AREA: Length / -7 Width. Hgt/Ground OTHER: Sq. Ft. 16 9's2 -t? /0 Sq. FL Sq. Ft. 2t /3y=16zS Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 04 Type of Construction: /,Uvo n �%�wri� e_ lD61CC Estimated Cost: $ Approx. Completion Date: -7 / , . q 3 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �� / g - 3 APPLICANT: Tel. #775-S-- CITY "7 S =CITY USE ONLY d Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee $ 9100 Fee Schedule on Reverse Side $ 3i �+ .001 of Permit Valuation (1/10th%) $ Z- $.50/$1,000 Valuation $ $750 per SAC Unit $ J ` d $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above Sewer Main Charge $ TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( j { CERTIFICATE OF SURVEY JAMES L. KURTM v !t LAND SURVEYOR �t�` I201 N.M. STH STREET COLUMBIA HEIGHTS S5421 78940M 1 MI:RCSY CMTIrY THAT THIS SURVEY. rLAN. OR RSrORT WAS rR[►AMW SY: Mi OR UNbm MY DIRtCT SUr[R em" AND THAT 1 AM A DULY REGISTERED LAND SURVEYOR UNDSrt THE LAMS Or TML STATE Or MINNESOTA. I DATE SCALE 1"- MINNE"TA REGISTRATION NO. 5332 O= IRON MONUMENT 0 V 00 P-7-Ei�R-NLe �R101-C� ��tJR�'SOT� Building Permit Fee BUILDING , See Back Page for Fee Schedule PermitNolb ®oil Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $! CITY OF FRIDLEY License Surcharge Date TEIN _I111 2 8 nO 763-502-4977 FAX EFFECTIVE 1-1-08 $ c $1825 per SAC Unit (Plans to MWCC for determination) DATE YOUR E-MAIL ADDRESS ft + 6 ft = ft x $21 =$. SITE ADDRESS $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: $ ADDRESS: �� .� '%�'L _4�4-- r ITY 4 STATE4f"IPS r TENANT PHONE: THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED NAME:' ADDRESS:Z T z / CITY AT fL�GIP CONTRACTOR SUBMIT A COPY OF PHONE 2 — c��� �� FAX YOUR STATE LICENSE STAT CENSE # EXP DATE Zo PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: b SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ WUSE ONLY NUMBER OF SQUARES Z ��� 101foUSE & 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl /�� (Jqr' e'5, ❑Soffit ADDITIONS. &PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures ❑ uminu r p ` ❑Trim Other I' s� ❑ Fascia 2. and proposed project. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 61 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ���(SG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ , See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $! .0005 x Permit Valuation Minimum $.50 License Surcharge $ ���$5.00 (State Licensed Residential Contractors) 0 SAC Charge $ c $1825 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 $ o Make checks payable to: City of Fridley Attach 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 withth ppro d plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT,�� _ RINT NAME 7� �'` �° �� DATE ' APPROVED BY DATE Building PLUMBING Permit No. — Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CI'T'Y OF FRIDLEY D go 20a DATE - -• YOUR E-MAIL ADDRESS / SITE ADDRESS I U /A I/ E THIS APPLICANT IS: E3 OWNER NTRACTOR PROPERTY NAME OWNER/ ADDRESS: V CITY STAT-� TENANT PHONE: CONTRACTOR Nom; r ` STATE LICENSE #,QQ 42-4/:j! 1 J002 EhDATE 1-2-21-67 _ Ac4c © (fZ1F 1C l�y SUBMIT A COPY OF YOUR STATE ,meq / I " CffY�jnf��STATEM ADDRESS:'P L7 . LICENSE WITH PHONE 7(0:3- h D� -52___2Q_9 FAX APPLICATION ."7�— - PERMIT TYPE P(SINGLE FAMILY O TWO FAMILY O TOWNHOUSE TYPE OF WORK: O NEWREPLACEMENT DETAILED DESCRIPTION OF WORK ,,\0L06j y✓Ae r S4tP,d e PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost Up to $5W.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS WW, FEES ARE BASED ON $10.00 PER FDCrURE, EXCEPT WHERE NOTED. FD(TURFS: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINKILAV FLOOR DRAINS —SHOWER WATER PIPING GAS PIPING anLxmm) SWIMMING POOL � WATER SOFTNER ($35) _ BATHTUB_ (nom _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER —OTHER PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $___.52 Total = $ 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, that the work will be in accordance with the approved plan in the case of all work which requires review and approval of ppAlans. SIGNATURE OF APPLICANT �..Gt �o. P3 �✓ PRINTNAMEI CLJ'IPS I PLEASE NOTE: SEPARATE PERMITS AIW MQUIKEL1 rvx t3UIL,UINV, Iiu•V W_ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 3�1