PRE 2010 DOCSSUBJECT
PERMIT NO.
City of Fridley
_
® 498
AT THE TOP OF THE TWINS
BUILDING PERM
r
CEIPT NO
• COMMUNITY DEVELOPMENT DIV.
�19
f PROTECTIVE INSPECTION SEC.
71
I "',,J CITY HALL FRIDLEY 55432
.42
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L „ 612-860-3450
910-F15
10/26/78
JOB ADDRESS 1460 - 76th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
1
Meadowmoor Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Garjac Construction Inc. 675 Highway #10, Blaine 784-6850
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS SEPERATE PERMITS t- QUIRECHOMR RMA'
6 USE OF BUILDING HEATING,
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 28' x 45' Dwelling and a 24' x 22.5' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. Any footing placed on
fill must have a density test made prior to pouring.
SEWER IIJCATION: 67' E. of Manhole (E. Inv. 888.27)
WYE ELEV: 888.61 TOP OF FOOTING: 891.61 Minimum
WATER LOCATION: 10' W. of Sewer Service
DRIVEWAY DEPRESSION COST: N/A Not required but recommended.
THE CITY OF FRIDLEY DOES ,NOT GUARANTE THE WARNING
?ACCURACY OF UTILITY LOCATIONS AND E��4'fi,TiC: iS. Before digging call local uti(WIS
THIS DATA 1S FOR INFORMATION PUPZPOSES ONLY AND TELEpHBNE - ELECTRIC - GAS E�.
PERSONS USING R SHOULD VERIFY THE INFORMATION
ON THE SITE. REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Frame
VENTILATING OR AIR CONDITIONING.
Wood
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
1236 + 540
30,130
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
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.
$41,800
$20.90
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
PROVIslptiIS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON,
$120.52
$400. 00
STRUCT OR THE PERFORMANCE F CONSTRUCTION.
d
PLAN CHECK FEE
TOTALFEE
6
30.13
$571.55
SIGNATURE OFJONTRAtroR OR RIZED AGENT (DATIE)
ftEN PR E AID E THIS IS YOUR PERMIT
4
LDG INSPY2�DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESII)ENTIAL BUILDING PE1211ITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWIMR: e �i 13UILDEII:
Address: (�/�� —. /o-/��� Address: &Z_
• 1 1, bo Tel. leo.
No. / `7 Street: / 40_04
LOT: BLOCK: �_ ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicaht attach to this form Too Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
• • r
Oo ujIL Front: Depth: Height: 20
Square Feet: �'2, Cubic Feet:
Qo Q - S Depth: a `I Height: Q
Square Feet:. Cubic Feet: Sthd '
Type of Construction: �'�• •��. • Estimated Cost: $ L//. ROCS
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 sid far additional information.
DATE: SIGNATURE:
Stipulations: oftN V114 1"'r- M A A E_ p4l ah 'Z 'a-�'v •
p 00 �a� .c �2�•SZ.
Zp,q O •
44 0,0
S�
ob'p'C
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'AQ
0
'o c = 05
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n9•bo 6 S
7 ZI s x
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of
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x oil 0%
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ss
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pit',
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e
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`"� �g'�MOINttRINO _-- ..�....--......-. _ -•-_._--_� ^H�9 a.�,.r vo �A 'v!
® a , t .•f � lasrryprr rne.n+r.nN � �� TnrrV � 1a+4 �,✓.w.y � !/r./ NM.rwc ► 7 W : G•t' t..� .
Certificate -.of Survey for lA;?�JKC e6AJ5 �. %C•
A ve. tj
. 90.30. 1
30,
ISNN
`
Jk 1q60
NN
r
cr�AC�
�
A 7 COZW'
1 bereby tortily that this is o true end correct ropresowfollow OF a survey of the boundaries o1 the above
described land, and of the location OF all build: ss ehetww, end all visible oweroachnsents, it any, leen+ or on
sold land. As surveyed by one tbis��dwy OF A.0. 192 '.
SU8UR80�0� jr?NKIRING, INC. '
!t►plwo s !ur•
by
�l�S 7/7 reyears
M
1 j
15 �
••90.30 � � • • •-
• Gm /19G1i4�//19 p7 "
Ia¢•roft4 r 'l �y� d'W;Wfe ecs¢rn��
Lor 1&ociC
o X^^h
1r ruarsr.rra- car4 r.&%"ts naser%w
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PE11141TS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
937��
OWNER: BUILDER: C2 4Irt} e 94 -f -Z
n
Address: Address: /moi Gd
Tel. No.: '% `7 ov S
No.: Street: l %� d -7 Cke- �C .
LOT: BLOCK: ADDITION:
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.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
'Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
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 repro seiions stated in this application
are true and correct. See reverse side Y& additional inform s on.
DATE: SIGNATURE:
� V
Stipulations:
y
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR
CONDITIONING
SYSTEMS AND DEVICES
each add. 50,000 BTU
4.00
$
Replacement of Furnace
PARTIAL RATE SCHEDULE
$
Repairs & Alterations -up to $500.00
7.00
GRAVITY WARM AIR:
RATE
TOTAL
Job Address "7y
Furnace Shell & Duct Work
$12.00
$
Boiler & Lines up to 100,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$-a ..
each add. 50,000 BTU
4.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNER- to 3.ga1. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$ l
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
let 3 Fixtures x
$ 3.00
R
$ 3
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS $ REPAIRS
$
State Surcharge
$ .50
TOTAL FEE
$
ROUGH INSP. REINSPECTION FEE
Date PP ll ($10.00)
FINAL INSP. cY- 3 /'b�
Date
APPROVAL FOR PERMIT
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 a�r^ee true and correct.
idley, Minn. 194;i
OWNER C:,�./i
KIND OF BUILDING
USED AS
TO BE COMPLETED AB
J
ESTIMATED COST
OLD VIEW BUILDINGJPERMIT NO.
PERMIT NO. !�2l
DESCRIPTION OF FURNACE/BURNER /
HEATING or POWER PLANTS, Steam,.Hot Water, Warm Air- No. `
Trade Nam Size No.
Capacity j Sq. Ft. EDR BTU
Total Connected Loadj/ is t� Kind of Fuel
BURNER - Trade Name 7 Size No.
Capacity Sq. Ft
Suburban Air Conditioning Co.
8419 Ce nth Dri-e
Minneaw is, Mini -'--=U 55432
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
EDR BTU HP
Company
Signed By �J
Tel. No.
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
NO.
RATE
TOTAL
x
$3.00
$_8 C
x
$2.00
$ (o-00
x
$2.00
$
x
$5.00
v
1 x
Water
of
m
m
a
�
X
$7.00
$4(d
C a
e
N
W
4J
ro s4
04
W
$3.00
S
Heater
a
4j
°m
-1
$3:0.00
m
E
-.aroy�
a
a
V'
c
.0
. C
.c
'C a
3
g
chi •.1i
o 4
o
0
L
m
10Lj4
U
H
P
m
w
to
ai
T1
m
ro
S
s44 0
o w
=.4
En
w
m rod
U M
ro
3
ro
U
t
O
a
lec
1St
t
l
r
2nd
3rd
4 th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
NO.
RATE
TOTAL
x
$3.00
$_8 C
x
$2.00
$ (o-00
x
$2.00
$
x
$5.00
$
1 x
$5.00
$
x
$10.00
$
X
$7.00
$
x
$5.00
$
X
$5.00
$
x
$3.00
S
x
$1.00
$
x
$3:0.00
$
$5.OQ $
$2.00 $
State Surcharge $ .50
TOTAL FEE $ �.,Sb
REINSPECTION FEE
($10.00)
Job Address / V6 O - G /40.
Department of Buildings
City of Fridley
Tel. #571-3450
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 andcorrect
Fridley, Mn. '1999
_
OWNER ( q /9-(k, 4 /4--" T
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT '9- - `, =
ESTIMATED COST n O O
OLD - NEW BUILDING PERMIT NO. PERMIT NO. / 7�
Company
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. O 3 f - ` /
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
= 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432
TELEPHONE ( 812)671-3450
' July 1, 1980 i
I
Mr. Gary D'Aigle
Garjac Inc.
625 Highway #10
k` Blaine, MN 55434
Re: Final Inspection at 1460 - 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. Check smoke detector when power is turned on.
We will expect the above items to be completed by the scheduled date
when a reinspection will be made to determine compliance. If you have
any questions on these items, please contact me at 571-3450.
Sincerely,
DARAEL G. CLARK
Chief Building Official
DGC/mh
97-8h-416051
I'UL,Ie i:nC.rtB L(.c;;r.3
i,r s l 1. t -rt,:, .Jl,i Lt,e• ,
=,L._, lJaalil
lllel
It, lLLI
lu,I,03J b to 15 ,Lo b U
:afar LenaC
K'n DIJ but1G1n7
.I CL LI I.; Nal er IIC®tar
I I I f It;C F h E 5 .
lat I tIALLl9Ca
ILIu.,a1 tl•turaa
uLa 1,1,.lo t.. 159,c0,i 61
1'AIItti 4 ALTEKATIONS
rl:,t )Iou.uu
"'1' 0.1.1, 0aa:uc or lracuon
RATE TOTAL
x
53.00
g
x
$2.00
$
x
,2. C0
x
55.00
$
x
$5,00
4
Ha Le C
x
47.00
g
x
4 5.00
licca Ca[
i J V
o
to
x
53,00
5
x
$1.00
5
x
5lo.00
5 —_
S 5'.00
g
$2.00
g �'
5LALo 5urcharga
g So
70t4L t 4L'
S IQ Q
1 I,,l iit ...r,r,V-L:.G L, t. r.ir (� (.CCLcd
w1tt1
St'WCr
I+t„tn. ctd Ol,t; ]
Nator
I'UL,Ie i:nC.rtB L(.c;;r.3
i,r s l 1. t -rt,:, .Jl,i Lt,e• ,
=,L._, lJaalil
lllel
It, lLLI
lu,I,03J b to 15 ,Lo b U
:afar LenaC
K'n DIJ but1G1n7
.I CL LI I.; Nal er IIC®tar
I I I f It;C F h E 5 .
lat I tIALLl9Ca
ILIu.,a1 tl•turaa
uLa 1,1,.lo t.. 159,c0,i 61
1'AIItti 4 ALTEKATIONS
rl:,t )Iou.uu
"'1' 0.1.1, 0aa:uc or lracuon
RATE TOTAL
x
53.00
g
x
$2.00
$
x
,2. C0
x
55.00
$
x
$5,00
4
A
x
47.00
g
x
4 5.00
4
x
$5.00
g
x
53,00
5
x
$1.00
5
x
5lo.00
5 —_
S 5'.00
g
$2.00
g �'
5LALo 5urcharga
g So
70t4L t 4L'
S IQ Q
J:,u Addrl:as _ 1Ja60 76 Ave. NE
GcparLmrnt of IS�L:iil,gr �~
C1Ly rt Cr:dl�y
Tel. 8571-3-;`,o
I'ha utldoralgnad Car.Cy r..ckea apPlic-^L”- f;,r a %-rLit. f:.r tho ►+cLh t.erntt,
®Paelfied agrt:e:ing LO do' ci: work in SLc1et ec;,cr*'sl �;a b - ILL tt., C1ts C t ca
and rulings cf the Ga;:arwr,:nt of B-,11dIr75, a-.!
er�Lr ,1na1 re Ltot al'
tho facLEl o,ld rcpruz�t tauone 9Latod sr ttttn
.. :cati..,, tc, tcda n�.J J. ,l, ..•
CHNCR 11.160 76 Ave. NE
MND OF IJUILLIt;:, frame
USED AS res.
TO BE COI Ii LE; LD acu r 8-25-80
D ESTIMATLD COST 50.00
OLD - NEW 11UILI IN,. P-1,1.111-
SLgnea By MINNECASC0
':al. No.
ROUGH I IISP ,
Da La
FIN/,L IIISP,
Dat.
hPPRUVAL 1611 PLIu•1l'f A
FIIIIIMU11 1'M: 11,1% 1.11 PLUc.0/113 P1:1ct:Ir YS 57.9.0 PLUS 5.50 Si1a_re SUftoolict
a( �� f SrT :-it , p.
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
5, 1980
)' Aigle
Ly #10
1 55434
Re: Final Inspection at 1460. - 76th. Avenue N.E. (SECOND NOTICE)
Dear Mr. D'Aigle:
A reinspection was made on September 2, 1980 to note compliance with
our letter to you dated July 1, 1980. This inspection found the
following items were still not completed;
1. Provide sod in the front and side yards.
2. Check smoke detector when power is turned on.
We will expect these items to be completed by October 15, 1980 when
a reinspection will again be conducted. If you have any questions
on these items, please contact me at 571-3450.
Sincerely,
D L G. CLARK
Chief Building Official
DGC/mh
CC: Occupant
1460 - 76th Avenue N.E.
SUBJECT
PERMIT
City of Fridley
18930
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
_
Ir
R T
•COMMUNITY DEVELOPMENT DIV.
1 -------
y
r � � PROTECTIVE INSPECTION SEC.
1 ,
i CITY HALL FRIDLEY 55432
�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
1 J` 612-571-3450
910-F15
5/7/87
JOB ADDRESS 1460 - 76th. Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
1
Meadowmoor Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Alvin Madison 1460 - 76th. Avenue N.E.
784-8706
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 141 x 14' Deck and an 81 simabtx
X 14' Three Season Porc
(Changed 6/29/87) No
additional fee
9 CHANGEOFUSEFROM TO
STIPULATIONS
See plans for notations.
SEPARATE PERMITS REQUIRED F'OR
'
WIRINGb HF.ATj1Y G, P.-.UMBJ"G AND SIGj]S.
TEUP110E&
REQUIRED &YLAW.
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 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
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
$2,850
$1.40
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-
$38.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$ 9.63
$49.53
SIGNATURg OF ONTRACTORORAUTHORIZEDAG T (DATE)
WHEN PROPERLY (DATED THIS IS YOUR PERMIT
♦ 6.r*!�_
., BLDG INSP
5,19
0AT'
1 -1SIGNATURE OF OWNER WNER BUILDER) (DATE)
NEW [ ]
ADDN. ]
ALTER. [ ]
City of Fridley
R-1 AND R-2
Building Permit Application
Effective 4/1/86
Construction Address:
Legal Description:
Owner Name & Address:
Contractor:
1
S� i'?
✓
V S� N
f i�" t�j� r�
Tel. # -
Address:
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. --0 Ft. �—
OTHER: Aj
Corner Lot [ ] Inside Lot ji Ft. Yd. Setback Sde Yard Setback
Type of Construction: W oe D y �o��S S
Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
/ , Tel.
DATE: �- % - ffy APPLICANT:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ or, Fee Schedule on Reverse Side
$ l 25% of Building Permit Fee
$ f o $.50/$1,000 Valuation
$ $ 525 per SAC Unit
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ n
.3�
31 °�
r,
4
I 1
Itip�
_
l
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Mam Office 571 6066
6875 Mrghwav Nu. 65 N.E.
Minneapolis, Murnesota 55432
II South Othte 9906510
C—I & Mum p.1 Enomrnmg 0 SM Testing a Land .SurcvYng a Land Planning I I urns ale quetl
BrnsvJ, Mrnnesnta 55337
Mortgage Loan Survey for 41temG 4 !:Mmj Z -W.
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This is a true and correct representation of a survey of the boundaries f the land above described and of the
(ocotion of all buildings, if any, thereon# and all visible encroachments) if Y.
from or on said land. This survey is
made only in connection with a mortgage loon now being placed on the roperty and no liability is assumed
except to the holder of su h mortg ge or any other interest acquired b the reason of such mortgage. It is
understood and agreed n,plenonume s ha a been yl ced for the purpo of stablishi g lot lines or boundary
corners. Dated this�doy of A.O. 19,
SUBURB,A GIN ING, INC.
In91nge�s ! Surveyors
I L 3"wi A,
Not Published: All Riahts Reserved
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SUBJECT
RMIT NO. '
City of Fridley
26167
AT THE TOP OF THE TWINS
BUILDING
PERMIT
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COMMUNITY DEVELOPMENT DIV.
______
1 v � PROTECTIVE INSPECTION SEC.
11k17r
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
1 J
6/8/98
JOB ADDRESS 1460 76 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
1
Meadowmoor Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Alvin Madison 1460 76 Avenue NE
784-7806
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
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & Garage (26 Sq) 2nd Layer; Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd. Install building wrap
and have inspection of same.
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
1 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
$2.31
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,629
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-
Fire SC $4.62
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$99.7.5
PLAN CHECK FEE
TOTAL F E
$1 .68
SIG TUREOF�'RACTORORAUTHORIZED AGENT— IDATEI
N P OPE
LIDATE IS YO R P MIT
eXL�'
001
OA
- gl INSP
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MATE
NATURE OF OWNER F NER BUILDERI IDATEI
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NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLENG PERMY AND DUPLEXES
T PAPPL CATIONND R-2
BUILD
ConstructionAddress: A/6 C' - ;W c� �i14- I—//� '/ /)AE`/
Legal Description:
Owner Name & Address: } l U N S d !Sal/ Tel. # 7fy- 7�e
Contractor: MN LICENSE #
Address
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �r-e / �`w--e— A . .
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $ _ -7 C)�'� 21
(Fee Schedule on Back)
Ft x $ = $
DATE: S—APPLICANT:/ ��- G%`�L2� _ Tel. #
CITY USE ONLY
Permit Fee $ C, "% Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ $.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:
Building
BUILDING
BFEE SCHEDULE)
Permit No.:
Inspections
Permit Fee
RESIDENTIAL APPLICATION
See Back Page for Fee Schedule
Received By -
763 -572-3604
65% of Building Permit Fee
CITY OF FRIDLEY
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
DATE
YOUR E-MAIL ADDRESS �� `f C3 S C®a C°
Car' V l 0 e, g- i �%tS.cpfP�
SITE ADDRESS 1460 76th Avenue NE
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
THIS APPLICANT IS:
O OWNER CONTRACTOR
$
PROPERTY OWNER/
NAME: Alvin Madison
$
ADDRESS:CITY
STATE—ZIP
TENANT
Agreement necessary ( ) Non Necessary ( )
PHONE:
$ _
CONTRACTOR
NAME: cedar valley Exteriors, L.P.
STATE LICENSE # 20630613 EXP DATE 3/31/2009
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: 1700 93rd Lane ne ClTy siaine STATE mn,0 55449
WITH APPLICATION
PHONE 7637552221 FAX 7637555390
PROPERTY TYPE
❑ SINGLE FAMILY1NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
O ADDITION O GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH OtOOF ❑ DRAIN TILE
❑ DECK ❑SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
I ❑ NEW ❑ ADDITION
f4bUINTENANCEW-PAIR O REMODELING
DESCRIBE WORK BEING DONE: Reroof
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
O HOUSE ONLY
NUMBER OF SQUARES _ 32
MOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
13 DETACHED GARAGE
2•
3.
LisP�� floor plan
List of strttcdtral members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW
CONSTRUCTION INCLUDING DECKS,
O Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMrf:
• Aluminum
D Trim
1.
Site Plan/Survey showing the existing structures
O Other
❑ Fascia
and proposed project.
2.
Two sets of constntotion plans
WINDOWS
IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS
3.
Energy Catculatjocts
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
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 199
BFEE SCHEDULE)
TOTAL JOB VALUATION $ 8456.00
L1�� 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
$��C C
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = R x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ _
Make checks uavable to: City of Fridley Attach Stipulations
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 1 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 requir review and approval of plans.
SIGNATURE OFAPPLICAN-A& C ILS PRINT NAME Kim Travis DATE��� C�
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