PRE 2010 DOCS0
F •
•
Date:
Owner:
Address
MOLES
Md-. ..i-0..
City of Fridley, Minn.
JILDING PERMIT
COMPANY
Builder
Address
SAME
X?
317-13
8629
M
CTION
LOCATION OF BUILDING
No. 106 Street
77TH WAY N.E. Part of Lot
Lot 1 __ Block
1 Addition or Sub -Division — AUS ADDITION.
Corner Lot Tirkairla T,
Dt — X Setback 35 f t _.__ Sideyard 10 ft a%n, d/ 23 f t -
12
Sewer mevation
v4undation Mevation r,H
DESCRIPTION OF BUILDING
To be Used as:
FOUR FLAT Front
46 Depth 52 Height 2 0 Sq. Ft. 4, 7 84 Cu. Ft. 95,6 !
Front
Depth Height Sq. Ft. Cu. Ft.
Type of Construction _ .Bricl
& Frame Est Cost 32 000.09 To be Completed
CZ
Inconsideration of the
the proposed work in accordan
ce to me of a permit to construct the building described above I agree to do
with the description above set forth and in compliance with 21 provisions of
ordinances of the city of Fridle
r.
A,
In consideration of the pay
aent of a fee of S =9fi-ft0 , permit is hereby granted to MR•ER ( ONSTRT
CQMPAWN Y to a
nstruct the building or addition as described above. This permit is granted upon
in
the express condition that the
n to whom it is granted and his agents, employees and workmen, all work
done in, around and upon saic
Fridley, Minnesota
building, or any part thereof, shall conform in all respects to the ordinancesof
regal ingthis
dty limits this
ocation, construction, of oP said
t �e � povisio
and
ordinances.
�t � revoked �' upon oH��any
ALLEN G. JENSEN Building Inspector
F0'Tn1
mit does aot cover
the eotatroallon, Imtatlafion for why, Plumbintl, oes hoathta, arrer or water. N sun to owupootor
for aparat i
permits far these Nona.
M
CTION
OWNER'S NAME Miles Con
ADDRESS 47oo Lyndale Av
Minneapolis, Mi:
Na,
LOT 1 R
Corner Lot Inside L(
SEWER ELEVATION
Applicant attach to this
building location drawn
To be used as:
Four -flat
Type of Construction
To be completed
a
APPLICATION FOR BUILDING PER141T
CITY OF FRIDLEY, MINNESOTA
BUILDER Miles Construction Company
pL`RESS 4700 Lyndale Avenue North
Minneapolis, Minnesota
LOCATION OF BUILDING
Street,1rt of Lot..
ADDITION OR SUBDIVISION
tback 15 ft. Side -Yard 10 ft. & 23 ft.
FOUNDATION ELEVATION
form Two Certificates of Survey of Lot and proposed
on these Certificates.
DESCRIPTION OF BUILDING
Front 46 ft. Depth 52 ft. Height 20 ft.
Sq. Ft. � `� � � Cu. Ft. -
Front Depth Height
Sq. Ft. Cu. Ft.
Estimated Cost $32,000.00
The undersigned herebykes application for a permit for the work herein specified,
agreeing to do all work n strict accordance with the City of Fridley Ordinances
and rulings of the Depar meat of Buildings, and hereby declares that all the facts
and representations stat d in this application are true and correct.
December 1, 1965
(Schedule of Fee Costs
METROPOLITAN DESIGN
be found on the Reverse Side).
CMVERCIAL OR INDUSTRIAL BUILDING CHECK LIST
1.
Zoning
%C
2.
Area Requirements
to /�
3.
Parking Requirements
4.
Front Yard Requirements
5.
Side Yard Requirements
6.
Rear Yard Requirements
7.
Dwelling Unit Requirements
®/
8.
General Construction
ALLEN G. JENSEN
Building Inspector
SUBJECT
PER
City of Fridley
219 0 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
T
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
I 011v Cl
r � ,
CITY HALL FRIDLEY 55432
NUMBER
REV
GATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/14/93
JOB ADDRESS 106 77th Way NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
1
1
Alts Addition
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP
PHONE
Shirley Severson 6490 Riverview Terrace NE, Fridley
574-0041
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Superior Roofing 2717 E 32nD M ls. MN 55406
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Ap artmen t
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Building
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
4
STALLS
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
$3,750
$1.87
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
PROVISIONS OF AJJY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $3.75
ST UCTION OR H PERFORMANCE OF CONSTRUCTION.
$63.00
PLAN CHECK FEE
TOTAL FEE
VA
L4=
$68.62
SIGNATURE OF CONTRACjA OR AUTHORIZED AGENT IDATEI
W,HE PE
BLDG INSP
LY A
DATED THIS IS YOU R�ERMIT_
1_7
DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
AwvSa�R iLf�F729di:5d42iifL1:f7stfIIf:5i!�LvdYifdf2Y1Y2f15tA,k�lSift185iW7tP37dkkRtSdEiWiSiFD}3kd'1rtJ77'.iMUawvxatsarxvcxxaaawsaswsawn:x•usaysuwaair.€wrmram�awxawena.pvavn•.>.>.>..ww�:..w.,.,...,.>,,,.,w.,,
Prepaid Plan Check $
Estimated Cast $
e
l...e� �►
fh W
Q
Effective 5/26/93
Owner & Address s % !Q Z -e x aS UP.- J- . 9a 1 L V r
omrngtA� = & ADDRESS <'A 9-04 AovH�'
�Tom-. 277/� &jt .32j�F' Tel . # `Za 7S P
Architect & Address `` Rea.
Engineer & Address Rettj
TYPE of wow [ ] New [ ] Addition K'Atteration -nesribe AdE4 geg66 -'
Applicant Signature
-83zs-'D,ate._69z/,YZ73 _
D as ,
Length Width height Sq. Ft. of Stories
OFC. AM: Length Width height Sq. Ft.
K= AREA: length Width Height Sq. Ft.
OTHER ARFA: length Width height Sq. Ft.
vATBMCK
Sq. Ft. x $ cost/Sq. Ft. = Valuation $ )
Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) -- $ 3�5®° ooa
Sq. Ft. x $ dost/Sq. Ft. = Valuation $ ) 'TOTAL VAIJZ
Building Use Construction Type 00ccupan07 GrOUP
Air Oonditioning []Yes []No Fire Protection Provided []Yes []No
Performance Bond Amount $ See Reverse for Schedule Received [ ]Yes
[ ]NO
See Fee Schedule on Reverse Side
In Excess of Prepaid Amo mt - See Reverse Side
.001 x Permit Valuation (1/10th %)
$.50/$1,0o0 Valuation (See Sid. for > $1 Million)
$750 per SAC Unit (Plans to NNCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary [I Not NAY [ ]
feet x $13.50/foot
e
Permit Fee
$
Plan Check
$
FiireSuraharge
_
$ ��
State S rdhargie
$ X 6
SAC urge
$
Erosion Control
$
Park Fee
$
Spec. Assessamemts
$
Driveway Escrow
$
TOM
$� _ � �-
[ ]NO
See Fee Schedule on Reverse Side
In Excess of Prepaid Amo mt - See Reverse Side
.001 x Permit Valuation (1/10th %)
$.50/$1,0o0 Valuation (See Sid. for > $1 Million)
$750 per SAC Unit (Plans to NNCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary [I Not NAY [ ]
feet x $13.50/foot
Building
BUILDING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE 10-04-05
YOUR E-MAIL ADDRESS Ultimateexteriors@netzero. n
SITE ADDRESS 106 7
Zt111 Way
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: Davi— Mori sQti=a
TENANT
ADDRESS: 7 66i 2 2nd S t_ C t_ N CITY
STAIRN—ZIPS 1 8
PHONE: 651-297-1378
CONTRACTOR
NAME: EJ1 timate L. xteri orc of Mi i-
nneaoa
STATE LICENSE # 2 0 4 8 9 4 8 9 EXP DATE 1-31-9006
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: 11377 85th Ave CITY Mi
l a c a STATEMMIP5 6 3
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ,MOTHER
❑ SW AMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR JFREMODELING
DESCRIBE WORK BEING DONE: Removing old windows and installing
replacements
SIZE OF HAPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
Proposed floor plan
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLEDKi4 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 $ 14
- a n n n n OCCUPANCY TYPE 4 n 1 ex
Permit Fee $ See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Surcharge $ (.0005) times the total job valuation — Minimum $.50
Fire Surcharge $ .001 x Permit Valuation (1/10%)
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $20 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $Agreement necessary ( ) Non Necessary ( )
Total Due $c7?,19'7
_ Make checks Raayable 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 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 plans.
SIGNATURE OF APPLIC _PRINT NAME�Px-%ire,-..-1 DATE