The URL can be used to link to this page

AF - 46002sue�ecT PERMIT NO. City of Fridley _ 15 513 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ' ' RECEIPT NO. � � � • COMMUNITY DEVELOPMENT DIV. � jL'�-'---� r � � PROTECTIVE INSPECTION SEC. � � (,� � � 1 � � � � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'"�" �� 612-571-3450 910-F15 10/1Q/79 � � JOB ADDFiESS 132 Alden Circle N. E. t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED oESCa. 130' of 3 Auditor's Subdivision #77 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE E. M. Chrzanak 708 Quincy Street 379-8585 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAILADDRE . �'�I D F�J�'`,ON�,�.[{PLlI�NSENO. s.aSLl� 6 USE OF BUILDING ' "' ' Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE X 8 DESCRIBE WORK construct a 24' x 40' �rellin and a 22' x 22 � Ga.ra e TELEPNONE - ELECTRIC - GAS Etc. REQUlR�D BY LAW 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide a verifying survey to the City before capping. Provide sod in th_e front and side yards. DRIVEWAY DEPRESSION ESCROW: 16' + 6' = 22' x$15.75 =$346.50 SEWER LOCATION: (Approx. 10' Deep In Street) Served off 71� Way 75' E. of Manhole (Inv. 849.01) WYE ELEV: 850.29 TOP OF FOOTIl�TG: 853.50 Minimum WATER LOCATION: Served off Alden Way 105' N. of Hydrant, 141' W. of S.W. corner of house on the lot to the east of this property. - TziE CITY OF FRIDLEY OC��5 NOi i"eUARA1Vt�[ Tp#� �� U T I 0 N ACCURACY O� UTILITY LOCA1'IpNg AND EL�yAl{�,..:, iF1iS DAiA IS FdR WpORMATtON PWFtPCOSES ONLY kl•t�� StQN SAFEiY CflNTR�L ZON�" PERSONS USING IT S�iOWLD VERIFy Iti� INFORMATt�N ` �:�; a� • ON THE $�'t'�, Q(� N�T f�LAiV"T OR P'..4Cc AMY• ',d.'; . THtS AF?F;!i Lr,.-:_i o TYPE OF CONST. OCCl7p 'N Y'GROUP"' ''�CCUPANCY L' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� Frdl[l@ 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 9F)O + 484 24 OHO TOtd ANY TIME AFTER WOFK 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 �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 34 F)OO 1%.33 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. 9Fj 32 42 OO PLAN CHECKFEE TOTALFEE i t S�GNATUREOFCONTRACTORORAUTMORIZEDAGENT IDATEI EN PROP R� V I TE THIS IS VOUR PERMIT SiGNA7URE Of OWNERUF OWNER BUILDERi �DATEI BLDG iNSP - ��f ��DaT� _ _ _ _ _ . , , ��• CITY OF. FRIDLEY • � - � � ARPLIC11T10N FOR RESIDEN7IAL QUILOIP�G PEftMI7S I.• ; � � (tJer�, Alter•�tions, Additions, or Repairs) � , . � � � . � ' ��/h � �r � � 04tPJER: � � BUI LDER : . --�/)'� ' � �, ADDRESS: ApDRESS: " 7EL NO • .� � / ,�.�� TEL N0: " 9-- � • � ' Construction Location . � . , . , , � 5TR ,� T NO : �� STREET: � ��1��_ 7�OT: � �� L4 �.�/ •BLOQt: ADDITION: �-� � ~I � . -------""'-� . Corner Lot: !�, Inside Lot: Setback: Sideyards: • Applicant attach to this form two Certificates of Survey of lot and � proposed building location drawn on certificates to scale. � �� pESCRIPTIOtJ OF CONSTRUCTION - � ' �� ;��- �- � Q� Front: � �'7 � �p�: . �� , Height: �.�� • . . Squa�e. Feet.-��Gi � Glxbic Feet: . .. l�O �"%�q� � Front: �v� � � Depth: v�-� � Height: /U � Square• Feet: Cubic Feet: . . �� - • � v . Type oi Construction: --�%//��_ � Estimated Cost: $ Rb IIe Cbmpleted: � ' . • '� �` v� � � � Alt. A Alt. B Pxoposed Driveway Width If New Opening Is Des3red: /�4 $' �%.J�� $ • c� • � �, / ` � / �� : • . . _ ' . . SE� REVERSE SIDE OF SHEET _ . G� ti> (D .7�e undersigned hereby makes application for a permit for the work herein specitied, agreeing to do aIl work in strict accordance with the City of rridley Ordinances and rulinqs of the llepartment of Buildings, and hereby declares tilat aT1 the facts and � representations stated in this applicatio re tr an correc�. DATE: / _��____^ SIGNATUF2E: . . Stipulations : � � � ��,,� 9�.32 . � � � . � . . • P.e . a�. �� . � � � . � . . � � ��- � �� .33 , . � � � s 4� �i 2� . o� ` �` . . �„�.. ---.__ �^ � � � � o�. a � ' � �a.�� . � _ ;r . . . �, . . _ _ . . _ . _ _ _ _ . . ._ . _ ._ _ . _ . ._ _ ._ _._..._ . . �.. ." � t�� j, �_ � � �2 _o?�l�yv = C�d x� =_ �7G$o S" a , ., = 960 �t f 2 � `�-�'�� -` ---�8�/�_ �T- . -�'^�'� -rt' a-�-��` � -�-__�G �-� z P�. a�f,a� "� �. � t�S� i '?. 3d . S�. �2sf.o� C� � - � _ .2��,'3S_= 8. 3 �1 5�2. 7 c� 1�.Z.�n _ 3�y �u r---_ _c, � �S O Gd�. 8� °�• __ 3`i. C a o _ � �--- �? �. a �. .c 80.9w - -^, ;, � � �..� _ � . x _ � � � � _' � ! �,e., : _. . f. ��((''�� F ".�1 :r'7+' N �r"�� . _ . _ "'�'i � f . �� % ��. / � . �� ' �. r f�� rl �� /0 SJ � .... _ v. 2 -� A � �� ! »� ._ ,�� , �. -- � .w'-� � j� �'�"�t '�J V'� . C� m C ? .�° � �'�'�""^" Y"..."" �; . � �-F----� �.`^-+� . � . [, � .-�. �. . � . . . a: ' J 1. , - � �` �' .,,� t-'� � �' -, v o s,� `V �� . t, lo � �p � . ;� � � ,�,,,,^'" �, � • a . �./i "*� C.+�. . ' i. . ,�, . �./� �• �' �..7rr l' . . �- � ' . 1 �O � �..?� � .. .� - _ . . �-y+�r . � �,.; � — c��'1 � f r -y�"'� 6 �� °� � S � �� O � �� L �� ' �� ' � � to t= � L `�' � � /g9'S� � �'rt . _ "� �•� • C - �, "„� �' r. � ei�,,.�. f ° -� ' � �. _ ., ('� � � �, _ � 3 � . �, �a �Q' 3 � , � ,: � � C° �p '�.. • �� ' " + �° '""' �` .- � ,y�. � �. . %�rs " �4,H: - �,�. 'R= . �� . p .. t � . • .. . - . :, .`rp, � `s� � � '�"�-•. q i • - :: �, � ,� —��'-- 3,�' � `-. - ��`«. � ; a�% o' � ""�► .,,► � _ , o � _ � - 0 '.�"_ ��'..� � � il _ � � ► '► � � _. � O �e.� r.7 - . - '._� I - �- - - - -- - ^„1 - S� -.g �,a,, ' L2.7r , � �,,� � —�-�-- ' � 1 .:c :o o _ S�J . '`-' '° a.rJ+r�`s� .. � 6?../^ � � � � j � � ------ �_�_.- ; �37, � � . -�,. -+---�- � _ _ ,�� -�► a, � sj _ � _ � � �jr . � -,� _ . sa ^ I �n' <, � _` . ' sa ,� � s., s� � '. - 3°'i'k ,�,_, � � ° . �- �' ' � ��9s ' , � ��_ tS'� � � "' �` `� � �^ . , . ,; � • � � r� !T . o • fi.. �• _ Z . �� : � t , . . � � _ � . . . .f. � . . -- . . . . . . '- . .' ..- 4l s � - . . � .i �, 24. / t 25. �; � t.$a - � � � � � � rr� . ,+ � � ----- �45`,- �� ; � rJ - � ' . � � � � . - _ �. � ff' `1�i n _' �?. "_', � .:.._.t o � �s � � Z� �. �! � � 22•z / n Gy�� . � �:. �' ��9. 47 N A :� , . , � ..�-"�'r ,w _ . � � -r: ��' • ' � � • � � o �/� � . �� w i � � � �'' � � � �`,�i.-r � f .- r *,] Q (ti �„ �n � � � � . ; � -; � 4 C3 �� . „� � G� � c3' Sl � � v� q � < �� rsZ� s� �"' V � # ..--: �-• A� � �' ,S ;T.- -� � � � s Q -�' (? :� � O l" Q_ eb C"G �f � � "� I--' ct' � ' � �' -^� � �' ( �'�' t v'J � � —r- 'S \'nC' �"�' .� � '.�-� 4 � �' � � -_- 1a' O t..G _""' � - �' , � ° p, j ► ;� � c �C �tii r\ t` r�.� c1' �� a � (,3'� � �°, ° �� .- { � 7-: C�D : �'� L �7 �.57 Cs ��' �"' .. a� � � ��? r ' � � � .. � � �� • . , � �. ; . .. . " . � � o � � � " • • �o a..r� ' :.? � ' : � c�h a\� � t 'C . � ' P� lJl � , �• � i� • . � �' i Q� � .� � � '. : �_ v� � , � _ 38_5r _ 'Zi��2 � -pc ,is � `Ca - � '. � • 1 ' / 4 i �� . ' . N �.: N Ii�� , _' � . J �' y�' p � - : A J �' � Q_ o . a,,,J � ( � r �.�"' � � � �''� � " �."3 '�'L � � � t,, � 80'l1� ' S' l . , .`� ,� � � �:, � uos � �aN uo� . � —.— � .rs� r . . . _ �'� Z � � S•� o � � cs— - �: • � 444t. � � � � � � 1 .._ - �- � _,� � ._ . :. _ . ' � �� - � � � � ��^ �� .� ,��X, /� �,C�� s��U ��--� � � �' � � �% �- l� �'� �� , � e �i�,�'�5� �l r�,' �/ ��.c, v� ��` 9� � /% ' � /�i ��-�. � .� �5��, �s �� G: �,,� G_ � `:.� �, ,�� C �� ; � �5 .s ��/- Y / � � � - .f� �� Y�i �_�_��-2 �' � ° � ; �/�f i �i� S �"/—yr�% C� C�r l� >'��-D�N �� ' � � / �� c- �=� ��i �:. �� L,'L �'i- �,� � � CC�v�"'2�� G� � �S� GS �c.l /t�� C_�_L> T �� +�� S T" �; ��s �,� �'� � . � � �°I �� '��`S�' � "�U -5 7� � � s . � � , S� � � �c . � � ♦ � v'y ENEE2GY CONSE�2V11TION SUPPL�M�NT TO $USLDING PERMIT APPLICI�TION p1,ANNING F1ND INSPECTION BE;PAR`I't�NT CITY OF FRIDLEY, MTNNESOTA c This sapplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFOFtP�IATION. This information is required so thc BUILDING OFFZCIAL can determine that submitted plans comply with the �NERGY CONSEI2VATION DESIGN CRITEi2IA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA , in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is er. appr�ved plans. ,•� . JOB LOCATION: �, � � 0[9NEEZ/CONTI2ACTOR: ��.Q/� �h � Z./�/LJ�� ADDIZESS: � �� L/ / .-�J (' � PHONE: �� _�y��— A. Determine the Total Exposed «all Area as follows: 1. Tota1 wall window area 2. Total door area 3. Total sliding glass door area 4. Total f ireplace wall area 5. Total wall framing area (average 10 0) 6. Total net wall area above floor(averaqe 900) 7. Tota1 rim joist area Subto:al: Total exposed wall area above floor 8. Tota]_ foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA 0. o�Q s� � ' C� r �,.� , l� � �� . ♦ � � �� B. Multiply the GRAND TOTAL EXPOSED WALL AFZEA X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Tatal skyZight area 11. Total roof/ceiling framing area (10 p) 12. Total net insulated roof/ceiling aiea GRAND TOTAL EXPOSED ROOF/CETLING AREA ♦ / r, D. Multiply the GRAND TOTRL EXPOSED ROOF/CEILING AREA X.OS - ti i � � ��9,��3 Item I 6�d' I tem II �� w.�>� 0 .•; �F�. - Det�ermine the "U" value of each segment (1-9) and multiply by the area as follows• � �_ / � �/ i. ``��, x ,.U„ �S = � 2. J�� X ,�U�� _ / g,3 3. �� X ��U�� f (� � _ __2 �r .� 4 . � �� , � x ��U�� D � _ —2 , 5. � X ��,U�� / _ � r 6. � � X „U„ , L� _ ______�L.� �. l,� x,�U« Uc�- = 1. 8. � X „U„ , ,�.5 = �, .� , 9. G, C x„U„ 5,� = a�. � ADD 1-9 FOR TOTAL WALL SEGMENTS = �� , O�dil,�,� a i� /�a��,q as-�,�� ITEM III i��/1 � F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: � � � ; -�I�}/ o/c�/ l0. x "u" _ li. x "u" _ ��. �' '� 12. _ � X ��U�� /1 = �, � �j �� ADD 10-12 FOR TOTAI, ROOF/CEILING SEGMErITS = ITEM IV �(</w � G. If Item III is the same as, or less than Item I, you have met the intent .af 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 � 0 , + Item II �� _ � _j�, � J. Add Item III S� �� + Item IV lv� _ ��/ ✓ C,o IC. If the sum of Items III and IV are less than Items I and IT, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above infonnation has been �repared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit appZication. � By : (. � � DATE : 0 � � CI7Y OF FRtULEY � � �PPLICATION F0� FOWER PLAN7S AND HEATIhG, COO�ING, VENTIL.ATION, REFRIGERATIO� A�D AIR �ONDITIONiN� $YSTEMS AND �cVICES ' P�RTiAL �T� SCHEDULE . . � � � G�IVI?Y Y:aR�1 AIR: ' RAT� T�iAI. .,7ob Rddress �� c� �� c^�—aca Shell & Qact koric $12, 00 � �^ � r.e�la�:-^^� of F�r^ace 7,90 - __--� �%�:.�c�a�o-s>-up Lo 550�.OQ 7.00 $ Department of By�j,�$.ng$ ' P�?aizs &;,l�cratia:s each add. $SOO.pQ 4•OQ $ C}ty of Fridley � Tel. n571-3450 }sz�Ii�`�IC:1L �tiAR,f AIR: r^�^�ace S: elI &��ct 4;orY, to 100,000 BT(J E�=i a?�. 50,C^vQ BTU ' �: Iac:�_ :� cf r^Lr,^.ace ?e:ai:s � „lteratio�s-up to $500.00 ?.e?aizs � :u�e:�ticr,s each add. $500,00 �:ri:•i C2 Fi:JT 1':.yTi:.3 S"r'St F'•1: :..-ile: s Z,ir.es, L? to 100, 000 B�iJ eaci a�:n. SC,C00 S�J 3oiie: c:ly u? to 1CD,G0� BTU eac� ad�.-:. 50,000 BTU $12.00 4.00 7.00 7,00 4,oU $I2.OQ 4.00 ?.oq �•QA GiL �ii.-'..\��- to 3 gal. per hour S2Q.qq • eacz a�d. 3 gal. per hour . �1R.Aq G.yS gJ�:��- f:o� _oo,coo sr,r ro i��.�� siP.,A9 to•�er 1.?,999 B:U see Fee Sche�ule� G�S F:T:I'�:� FE�S: Ist 3 :'a.r.t;;zes ' X $ ��AR ::'_:_tio:al rir.tures x S l;pp Gas ?a::c,e to 199�flOQ 9�'U x�S�,�Q.qp X:Pi CO�JT 1 iQ�I��.ri r�\ : �aTI`:G S�'ST:;',fS ' V�\:IL�TI\G SYSTi:2•iS See Fee Schedule ALT��.�TIOtiS � REP,�IRS . State Surchazqe . • TOTr1L FEE ?AuGd L':S?. ►�ate F��a:. z.;s�. Q-S^ Sl d • i:a:e '�L�2Zi�l�±1L c V.� PLa�V�':1T �// / �'f//\ �+---�-�+••� REINSPECTION FE� ($10.00) 0 $ /�.� $ $ $ � � S S $ S S $ !6 � � S S ..3 • UZ� S S � �o .u� S $ S S .50 $ .�. S 0 The undersigned hereby me3ces apnlication :or a oezr.tit for t,�:e w�rk ::eze:.z ,� specified agreeing to do all «or;c ia strict accoscar.ce witn t^e Cit_: G:ces - and ruiir.gs of the D�partnent of Buildiags, anc ne_ehy �e�la.zs ......t �._ ..:;e �dcts and xepzeseptations stated ia this aptlicatio^ are L se a^.a. correct. F.:31ey� Min:1. �/C/csv- , .9 ) `l o�1N£R ��''�-�- �-C.Pnn-a-s� C= . �CZ\D pF BUILA2tyTG v 4�j�� us�� ?� -- � �A $Y FQMPLETE'.� �?°4i?� ��J'v / � �Sr��?�?�P �P,S� � C�.J G . P�� J � ,��`J� ��":�T NQ. p��.�:zT ro. D�SCR�P�'IQN ()F FUR�»C�/BuR�;ER � �r��NG A� $�YI�� «�:�fT�f 5��-:�!r #�o� Y?��ezt waz-� Ai*- �o. T:ade Ha,�e / fr-�/�/?�it% Size ho, fi G T�"�' � �� Capaaity �c�. OOP Sq. st. EDA siJ �5��,:On ;� Total Connected I.Aad ��, C O� Kind of Fuel � BUi.1��R - Trade Na.^..e � Size No. ' Capacity Sq. Ft. EDR S:U F.? Conpany �% T� f � �C�G' �, ' Signed By ^ ��" . Tel. No. � �� - v� � � :'=: :.`:;;:: F=� c D� A.'Y Er'ATING PERv.I► IS S7. 50 PLGS -,„ . e�. SO TATE SURC'iiARGE •rL`..3G�:C.'�. SLdCiG Ve::fiCd,�.�tq;� fo1.Z. ' - � _ � CI1Y OF FRIDLEY APPLICA7ION FOR PWMI3ING ANA GAS FITTING PEP"AT7 m � •ro � , % v Water °f � ; a w °� Heater � � n C � w �q[ t C C 3 HQ ��.Ci D.�C � U � C�f +/ L Ili C N'.1 � O O � N L IA N N y �J dS LQC v"i U a C+ rS N 3 G t+�+ N W � W a 3 c9 � � O • � _ �g: j 1 2ad 3rd 4 :h (g) • fl�ture Connectioa Openinq Co�nected with Sewer (•j � New Fi�cture, Old Openiaq Water ' PAR�'IAL RATE SCHEDULE � PLU�iBING FIXTURE RATES: . N0. RATH hw.ber Fixtures � x S3.00 Fttture Fixture Openinq x $2.00 hew Fixtuie, Old Openinq x 52.00 Catch Basin x 55.00 Watez Heater - to 99,000 STU _,� x S5.00 100,000 B:U to 199,000 BT�J x 510.00 water Softener x $7.00 Ner+ Ground �n Old Buildit�q x $5.00 Electric Water Heater Y 55.00 GAS FITTING FEES: lst 3 fixtures •�_ x $3.00 Additional Fixtures r„__ x S1.00 ' Gas Ranqe to 199.000 BTiJ � `_ �t Sl'0.00 REPAIRS �i ALTERATIONS FirsL 5100.00 SS.OQ eacA add. S100.00 or lraatioa SZ.00 St:ate Surcharge � TOT/1L F�E TOTAL $ ��vv S S $ .�_� $ �• C�% S S __ $ ..�� S „f_ s �� S „_—_ S,___,_,,,_ S__,___, $ _.._._._ _ S `50 S _,__;_„� Job Address 0 Departsnent of Build3.nqs City of Fridley Tel. #571-3450 • The un8ersiqned hereby makes application ior a permit for the wozk here.f.n speCified aqreeinq to do all work in stzict accordance with the City Co�es and rulinqs of the Departinent of Buildings, and hereby declares that a22 tho Packn and roprouontations sCatod in thla application are tru and correct . FridleY. Mn• / _ , 14 � � aWNER � � � /L� --n • WN RSND QF BUILDING USED AS _ � '1'0 BE COl�'@LETED �2 � / � - � — ESTIMATED COST � (J _ � . D C'. - . � `S � OLD - NEW SUILDING PERMIT NO. PERMZT tv0.. � r � CAmPanY � tr-r -E-C' �'`Z� ��t�.� � Siqaed By � �--"'� � Tal. No. .�--__ , � �'-G'�% ROUGIi INSP. Date v ' :'INAL INSP. � � S �� nate • APPRQVAL FOR PEItMST al��=-a,+ 0 �7� FEg ppg Ai3y pyUM8A3G PERMZT IS 57.50 pLUS 5.50 STATE SURCIi�RGE 0 ItEINSPECTZO�t 8E8 �„�,,,,�,.�,�,�..�,._..�� , iS10.00) � � _. _.�..�M,.�,..,.. ��..r.� _.,�, .. _ .. ... . . . � __"�..e+..*�s�r �,..n-��n...� Th�':...�-...._.�.�r.»r+!ee�Mfa+.^s'.°""�. . ,. �. . � ..T .. . ...,�.-m�.a..-- . . SUBJECT City of Fridley A7 THE TOP OF THE 7WINS g U I L D I N G P E R M I T r � � � � � • COMMUNITY DEVEIOPMENT DIV. ' � �: ----- � r � � PROTECTIVE INSPECTION SEC. � � i ` •_��"'L,•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE `'" 612-571-3450 g10-F� 5 5/9/84 JOB ADDRESS 132 Alden Circle N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. Pt. 31 ALlC�{. SLlYJr . #%% 2 PROPERTY OWNER MAIL ADDRESS Z�P Hanley 132 Alden Circle N.E. 3 CONTRACTOR MAIL ADDRESS Z�P �� StAnewood Homes Inc. 188 - 71st Way N.E., Fridley 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION 8 DESCRIBE WOHK Construct a 12` x 14' Deck 9 CHAN'GE QF USE FROM STIPULATIONS �qR�fBefore �� f�tEp d��'��g �Q HoN f. �1c �l� �o�a/ yt�l��tf�;� ,�,� � � 4� ^ �Tf��, �� . � .:f„��.g �,� �y �,�� PERM '�7487 I��9� PAGE OF APPROVED BV / / SEE ATTACHED SHEET PHONE PHONE LICENSE NO. 571-6461 PHONE LICENSE NO. ZIP PHONE LICENSE MO. ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE TO SEPERAT� PERMI'�� REC�Ui�� R Vt�►�;�`,�„ HE,�T;f'��C�. f�'i_�i1��lN� A�V� �I�I�� TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �eated Wc VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUC710N OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APP�ICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMtT $�-r OOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PfiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- S RU TION OR THE PERFORMANCE OF CONSTR CTION. 517.50 PLAN CHECK FEE .5--lU'.� $ 4.38 NATUREOFCONTRAC �0 AUTHORIZEDAGENT IDATEI WHEN PR� � _,_ OCCUPANCY GROUP I OCCUPANCY LOAD SQ CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX �� .5� SAC CHARGE TOTALFEE $22.38 RLY VALIDATED THIS IS YOUR PERMIT NEw [ l ADDN. � pLTER. � J City of Fridley �R-1 AI�iD R-2 Building Permit Applieation � Effeetive 4/1/8� Construction Address: , 3 Z �1� C� Y�1 � -- Legal Description: V1% � �.3�r n F �-uf 3� �+ s u%, '�-7� Property Owner/Address: Tel. # -- Contraetor: S�n�-w � a � � �� - Tel . # .� � - b�b � Ad dress : � � � -'1 I � \�� 1�1- t- •- LIVING AREA: GARAGE AREA: DECH AREA: OTHER: - I(�?3� �•�sl tR�� Iow Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Lu v� � r d v v Type of Construction: �'�s ��-dar �►1'e.a.?te-d Estimated Cost: $��—■- Approx. Completion Date : � u-''� �-- � � g � � � O O, �� Attach to this application, a Certifieate of Survey of the lot, with the proposed construction drawn on it to scale. DESGRIPTION OF IMPROYEMENT Length Width Height Sq. Ft. Length _� Width Height Sq. Ft. Length l� Width .�� Hgt/Ground �_, Sq. Ft. __�5��___ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: �ee Back Page for Explanation DATE: Permit Fee Plan Check SLate Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY DSE ONLY � 7. S� � ' $ .s� $ �� "�• � �" $ 2.3'� Tel. �. Fee Sehedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Neoessary [ ] . „ CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POt�fER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE !2ES IDEIQT IAL Furnace Shell and Duct Work, BuYner (Also replacement furnace) Gas Piping (piping needed with new £urnace) Gas Range Gas Dryer RATE TOTAL $ 20.00 $ $ 10.00 $ a i0.00 $ $ 10.00 $ * Air Conditioning (all sizes� $ 10.00 All Others/Repairs and Alterations 1� of Value of Appliance or Wor}: COMMERCIAL/INDUSTRIAL ]-$ of Value of Appl.iance or Work , State Surcharge TOTAL P'EE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit � $ 1�.�� C; $ $ .50 $ 15.50 $ Job Address 132 Alden Circle NE Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3950 The undersigned hereby malces 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. Fridley, rtinn. July 7 , 19 89 OWNER RT'11CP , ]P Hanle KIND OF BUILDING F�^�jj�e USED AS Residential TO BE COMPLETED ABOUT ESTIMATED COST �ZZOO.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. `�-1- IQ��,� DESCRIFTION OF FURNACE/BURNER **INSTALLING ONE (1) CARRIER 38TG024 2 TON AIR CONDIITONERx�T�xc or POWER PLANTS, steam, xot water, Warm Air- No. Trade Name Size No. MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00� PLUS $,50 STATE SURCHARGE Attach stack verifi.cati.on fo� with.replacement furnace pe�its *Air Conditioners can not be placed in side yai�d without written permission fran adjoining neighbor. Capacity Sq. Ft. EDR BTU gp Total Connected Load _ Kind of Fuel BURNER - Trade Name _ Size No. Capacity Sq, Ft. L'DR HTU gp Company . Dependable Heating and A/C Signed - z�e�. xo. 757-5040 sue�ecr PERMIT . City of Fridley 2�. 3 8 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; • RECEIPT NO. � � � � COMMUNITY DEVELOPMENt DIV. r � V � PROTECTIVE INSPECTION SEC. , D � � � � �'�'1 � CITY HALL PRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �.---'�'• •�� 612-571-3450 910-F15 6/9/92 / / 108 ADDRESS 132 Alden Circle NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTAGHED DESCR. W 13O � O� 31 AL1C�, Sl]b. $�%% SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce Hanley 132 Alden Ci;rcle NE 572-0153 3 CONTRAGTOF MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 C�ASSOf WORK O NEW �l ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12' Three S:easqn k�orch_ 9 CHANGE QF USE FROM TO STIPULATIONS �ee nota,t�;ons qn plan. �� Before diggi�g �a�� far alf uiili±y lacairans R�QUIREn BY SEPARATE PER{�IITS REQUIRED FO �W WIRiNG, HEATING, PLUML3IN� AND SIGNS, TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAO SEPAAATE PERMITS ARE REOUTAED FOR ELECTRICAL, PLUMB�NG, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEHIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I FiAVE READ AND EXAMINED THIS APPL�CAi�ON STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yALUATION SUR?AX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPUED $31877 $]_�94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GF;ANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- (�. OO Fire SC $3. SH. STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE $68. 82 SIGNATUREOFCONiFACTOf70R UT RIZEDA T IDATE� HE PFiO �Y.VA IDA D THIS IS YOUR PERMIT �.�/ �p -q - r`/'°� a � � �°" �7/ SiGNnTUA FOWNEAiiFOWNEABUILDERi iDATE� � �9LDG INSP �FTE � [ ] AL�t+1 �. �� [ ] l�l �it�ID i�2 Buildirg Pietmit Application � n EffeCkiv+e 1,/1,/91 �ix.�tian Ac3dress: 1 3 � . l �521v� ,� � �' � Y.- • 7 �^�j.� ' �v / � Leq31 D�crlpticxi � ��, t�'s��,� �� wJ GL a�LLG f ff.�ra Gr�� i w� \ �� 'l+el. # 5��--G� S'S �. � `��5�57 D � ��- �� Attadl t� this applicatian, a Oertificate of S�uv�y of the lvt, with the p�vpoFSd oonstructian � an it to scale. � :: �.; � �� • •i- �,�t��i/sr��'��V �.vn�c �,: �gth � y wiath ��- se,ic�t �._ sq. Ft. 16 �]�►: L�s�gth wi8th xe,ic�t sq. Ft. D�(7R l�ttF�: Iesx3th Width Hgt/C�+otarri Sq. Ft. o►a�: 3�� u.,. �c, ��,�-. ,� c ur v�,��- �►�s-w,--� d.�vz-� 3�� p �Y� h1 Oorner Lot '� Inside Ivt [ J Ft. Yd Setback Side Yazd Setbacks Zype of Dor�struction: Estimated Oost: $ ��X. o�i�� : ��- , - � i .3, 87'l °,-°— Pr�poscd D�iveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See ffick Page DATE: `6��`� ► APPI.IC�TT: �. �Rr,� � C>�.o� Z�el. #��SS -� S�L� �� -�3� a �t � s 63.DD Fire S�zr��arge S 3, S 5�8� S�lYL�3F1�e j r sp,c c��ye $ Liriveway F�csbw $ Park Fee $ Sewer Main Q�arge $ �� STIAJIATICtZS : L � � � .. � i M4� � ��- .,� l�ee Sd�h�le rn Reverse Side .001 x P�enoit Valuaticn (1/lOth $) S.SO/Si,000 valuatian $6so per SAC vnit J�ilt. "A" oi Alt. "B" Abosi@ Feie DE'�e2a11I1ed by �; r,o,Ar-; m � ��Y [ J � N�rY I ] � ` PERMIT REQUEST BRUCE & SUE HANLEY 132 ALDEN WAY FRIDLEY, MN. REQUEST IS BEING MADE TO ATTTACH A 3 SEASON PORCH TO STRUCTURE, UTILIZING EXISTING DECK AS BASE. AU G U ST 14, 1991 IF YOU HAVE ANY QUESTIONS PLEASE CALL RICK OLSON 782-3372 OR 755-7470 � � _ � D �',.'t..�;_,: , ''`i. ; �, �5-�-, ` a. ��' ; „b ,� I --_ -Q- , � � ; l�_ � g9, v� ?� x z � � C � � � �32 � X „ � - �' . �\ =, � � � ' � � �, � x � j•• � '� � c � v v � � � `�. .1 �.. � � G �. � � � C G � � . �.� ►� � -- -- -- ---- -__ � 4 b�� ; �, , � i � ; 9 i � i � 's, � i ; i i j i 4 � � ; � ;� i —�; —,, 8i �. . �� + K"; i �.. �� -?- �: 1 t �j -.�� --0 U � 1 .� .:e; �� ,� .�_ S � F--ti' a ��=,n � -!— t: ' �.i.:,�.. '; e� .�-.: �1 > '`� �'1 _� � 1l,.1 �-'. � f-� //� , Y? "� 7 L ✓ - 0„� C1'\i.nf�"�j' �- ,� ---_-_ _ _. ______---__.______.._�I ,, . -- � ---�..----------.--- �------ _ ! �__. � � : _ _- ` !_ �__. , i ' ` � ___--- ___ ___ . t � _' _ ' � ! � r..-------- , _ i � ___ . � a __ _ i � � � � � � �� . � � � � �"' ._�._ . _ _ � . � � � �. ; , ,� l � ; � "'� i � � '�-` _ _ _ ` � � � ; 1 � � � � CC� F ` � � I � � I 1 - ----- -. _._ ____� -._� � _ . �_ .____.�_-- -_.�.,_ �� _ � � , � � � `\ ; 'o'��"� �� t s � � � . � # � { ; i i ��,� �. - e� � � � ' � �` ' � � �j V � G .}-a o . a � _ �— _ � � 1 ,� � __ � � � , s Y �x �� ..,;�.,, .. " _ x _ _ _ � �= � f .� � �'r,�`�� `� � . . _ ( , .. .. .. ` : r . .- :�.: .: . _ . _ . _� _ „ . /`�� f`� .:�.: � ( .- -'�- .. , �. . . � � . � ��::� .. a t� ; �ira . . . . \, . . . �.'•`.� -�A `�+€ s`�t�`' �� 4 r :�� { . ' '�C: . � ... - . �x ::. _ � . . . � . a ��rr,,��,,,,..� � S� '��,;� �'yJ'r; . . . . � . � . ��" �1 � 9'F ��.,�� _ ! �� z � �;�` . ' p'��yI � E �:. � ^ j %e,.'%��..': _ _ .' : �'{Y . - r � '�'��v �- = . h. -: I ��.� : ` . .,. D� � �� i �4I ^ �:7 [ '' j .j �'i . . _ _ -�.. i . s .y — A •I � 1' � " 1 i - � 3'. � t,� 'y � � �1 � ..�:; ;,� f� 1 � . P'_ _ ' x ( � . . � •, _��"�.__�_._ ��.-.� � �� ^�1 � '� � V J �. . i ��, . � �' ; �.. ,x , j ! C_ � I � ;' i ,' , �� _ � } l � � r •, , U � . :�;:; - � �; � � � i i �� - � f,� � � j �� v i 1 �_\ t , ; t \ _� y ; + � � ,q i ' i � ��' ' j + ' i I � � i 1 f _ � , I . -� � � I: ? � � � � C � s -� _..r �- .,., � .. � � � � . _ '^'...' ' ac.'�3* * �'^ �~ y��*� ' r r _ � - - - - - _ - - - - -- -• ..�_ _- _.� T e�� _ y . �- j �� µ . . {� .: .. .. '` �F . . . , - f ��,d, � � � �1. •- V • • • _ .F • k .:`: �.- � :. . - '� . , F _ N .b . . .. " . . _ . 4 . ' . �.�:.L- t �.' . ' �Qy�..v' _ • ' . •- . . , �.-' .r.. . . . � . . ,... . �.�.,��. .. � � . � i � � � � � 'i � �� ``1 � { % i ; : �� - � � -�-�... j I _' 4 � ` I .,.y,;�.... \ � ± � � , , �/ i � I ` � � � � ; � ! I Z._: � 1 � 1 L 7' ,�.i i j � I ► � i t � � i _ y � ; � I i 4 � � � , ; ; i � , i � `� i � I � � � I � � � I � �� I i J� '� � � � i ' 1 � � � � _ / C 1 1 V ' : � - � � . � A _ .i� ' i.� 1 � _ 1n ' ' � � 0 ^� � c � � � / � . E F C =Y r. 7 ' Y--� ��.. .� � T �s. v � _ �-,�'^�- x u �T'^c�"��,� _: � ";- -'�'- x��"7', y `�r".��,y�R-- � ._ =, _'y" �� ,z .� �. . ��Q;� � ^)�R��z.;t {n" -� -^n...�L j3'i7 � . �T' �' }r�. _ � `Y � i+�_` +Y �..o '�ix� 3�'t.� � � 1-� �^. .-f -tY.4 � z�� . �C �� . ';��-�� } `� t' r ��#. �. � -� �. � ., , . . • ��_?{ . i �4 °:�� Q, � . \t � : ._ � . . O_ .. =:: � - - "s: .. ' — . �, :t �.'. ,Y ° ." .. - � ��-= re�*-"'z" . - _'_' ___ _. _ --.. _ ____'—____ __ . __ _. . . __— .___ _' �_ _ _ .__._...'___.__ e.�� _ � �. �" - . . ,� .i."_� � . . . �. . � . . � . . . . . . . � . . � . n �q � i. . . '�, � . . . � . �. Ar _ � �___ _.�_ _�_.��__ —__ . . ' _' ___—._ t ' . � { . . . . . \ _'_'. __ � x __ F . .. . �� . _ 1 � ��. i \ �!! : ;; , ;' ; s� _ 1 -- --- ; � � -Y fl c7?--� i � --- _.__ _ i; _ _ �� ' �: � � � --�-�----- � L i - , � . , . � �� _ � � : ; _-� � _._. ..__ �� ; :, } ,�. � , � �� -- -�� :� , . ; �, . � ; _ _- _ ___.._;_:.____ -----�--- , ; - /� �- �: ;, 'I �. ��ll � �� u�� u�V��A��, ��c. � 4002 JEFFERS ST. N � ON .E. COLUMBIA HEIGHTS 55427 7$g_g�sg - - 1 NQRaDY CQR4IPY TDOAT YMID OUitV6V, PLAN. OR RQPORT �VA6 PR¢PARL'O OV MQ Oii uroo¢a Md OIRECY auPeRV�a�oro � Aq� 401AT 1 Ak7 A OUIY RaC31flTQ14S0 WPID OURVQYOR UN�QR TMQ LAt^Jfl OP TMQ OTAT¢ OP b71MNHO04A. . �'1 � � . `" (/� .. ,, DATE �..� 1 � - ; �':. , ,` �` � D °� t\-�' .�_�. SCA LE 1"_� �� {erItMNE„��TA j6dEGISTRATiOill MO. 5332 �= IRON MONUMEf'dT Fo:�b .._� � `-�..1'•��,`= �1^'•�., --<? �F•.-i'±^�,;j �,�.1 ;:'�t _ t 6� � _- J � -_ - _ _ __ ;_ �--•>t� � _ j t! - + �� / i \� � � t � --- � t .,. - < v -- t � �,J,�; _ . . �� "� _ � _ r_ �: � c�� 4Jesterly 130 feet of Lot 31,Revised Auditors Subdivision , No. 77, Anoka County, Minnesota. Subject to a roada�ay easment over the westerly 25 feet. -``--__- -1"!�} ` _ _-- `_ �> j.:5�; _ 1 �� ` - _ �:�.:_- - __ _� . �. , _ ��- ,. , _ � _ ,_ I a_ r_ t ` ' --, � i; � _� r;�-% � , f � t __ . .;�f � ►:�_ , r 1� r.-�� - � '; � � ` �, ,.. , ; - , r ._ J... _,� __ i o� � _ �a� _ _ �.�� r-� - �'',,�-'� •,.�; ��` `. � �Q` �� i ; s4`� � � ' �h � ( ' � ! ' ,. r ' 1�, ; _ � r � ��-�, = J -. � �� .. � � �. cF. �? �a �� ; �., r �� ._ ( ,'' —' � �_ _. � �f� : � !-L� / ! 1 � _'J'�-� __ � � _ -,-- � � �� -' � � � � . � ��-�� ' �!' � E� � _- . `_`— ', ' f ` ' J � � � -� ��_ , �Z --'_ -- , -_ _ �----� - - --__ ---, � � `� '`--``_ _ — 0 _ ...._...__. _ _. _ .... ..._ . . . . _ . .. .. . . . . ..�. ._. . sue�ecT � �� c��y of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � RECEIPT NO. � � COMMUNITV DEVEIOPMENT DIV. ��r� �� • �' � �ti _ �� / r � I � PROTECTIVE INSPECTION SEC. � � /'��\ � CITV HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""� � ��J 612-571-3450 9t0-F15 8/11/92 � � JOB ADDRESS 132 Alden Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. W 130' of 31, Audita `s Subdivision #77 SHEET 2 PROPERTY OWNER MA�L ADDRESS ZIP PHONE Bruce/Sue Hanley 132 Alden Circle NE 572-2071 3 CONTRACTOF MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �f7 AODITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a l�'• x 6� & 4Q� x 6� Deck 9 CHANGE QF USE FROM TO STIPULATIONS See notati.ons on plan. �� Beiore digging call for atl utility iocations 454•0002 SEPAf�ATE P�RMOTS P,EQUI�;ED FQR REQUIRED BY LAiN �IVlRlNG, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO QR ABANDONED FQR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED $2 � 304 ySI.. ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G1VE AUTHORITY �O VIOIATE OR CANCEL THE pERM1T FEE SAC CHAFGE PROVISIONS OF ANY OTHER STATE OR �OCAI LAW REGULATING coN- $54.00 Fire SC $2.30 STRUCTION OR THE PERfORMANCE OF C NSTRUCTION. PLAN CkECK FEE TOTAL FEE -/ - $57.45 SIGNATURE CONTRACTOAOAAUT OA�ZEDAGENT IDATEI H '�R ER Y AL TED THIS IS YOUR PERMIT � /! � / v SiGNATUAEOFOWNEFi�FOWNERBU�LDERi iDATE� BIDG �NSo �FTE NEW [ ] ADDN ( J ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit AppliCation Uwner Name & Address: Contractor: I�O� � u � Effective 3/ 1192 Tel. # -�'��Z � � o ? � MN LICENSE # Address: -�� Tel. # 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 DECK AREA: Length OTHER: L� r DESCRIPTION OF IMPROVEMENT Width Width _ Width � � i//)� � �� Height Height Hgt/Grounci Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks ' D✓ � �� Type of Construction: �� o�;('�� G(,� �� Estimated Cost: $ 2 3 d'¢ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width l�ieeded: Ft. + 5 Ft = Ft x$ _$ n DATE: � ��` Cj � APPLICANT: =w�R�� Tei. # �� ?� �o�� 7� � ��TY� USE ONLY P'ermit Fce $ �• �0 Fee Schedule on Reverse Side Fire Surcharge $ 2, �� .001 of Permit Valuation (1 / l Oth %) State Surcharge � .� $.50/$1,000 Valuation SAC Charge $ � $700 per SAC Unit License Surcharge $ '-'—' $5.00 (State Licensed Residendal Contractors) Driveway Escrow $ ---� Alt. "A" or Alt. "B" Above Park Fee $ '"� Fee Determined by Engineering Sewer Main Charge $ �---�-- Agreeme�nt Necessary [� Not Necessary [] TOTAL STIPULATIONS: $ s'7. 1 S - �4 u (o � � s t_ � � 1 � � 1� 1 r�� l.,,i� c�:� � _ : ' � �' p � ; �- i � l i, � � - � , ; ' _ � � �._ __ �_ . �. �..c� aY�� . ... _.._-- -_ _ .._� _. .. _ . ___. !. I , -��__ - � i i � , ` �,,�� ' ', . . � � r_ .� _. ._ ._ .. ,_. . ,_. .. ._. _... . . . � - . �i � ,x , ► 1� � lx,+_> �� S�; s i- ut.� �S. �� > ��-.. . ' � ' ;. l(o� c,_�,i,� � ,�� s� -Y'i.u� tv � � � �t >>, 1 � t� 91t5 j�`�' � _ � ' i � ; � �, � �—I � f �, 1 . , � „ U i � . � . � - -- _ _ � � -- �-- _. ��j L� �. .{- �= 1 �1�-� v'�k t , , _ . �__ .__ . _ i �,a � � �- � , �-.�- i � y� _ . _... ..� . l�4_.� . .._ _ {�:� � � .�,,�,�_ � - _ _ , - -�_. . .. � ; __ � • : i �.�� , ,�;�Y,� �, �� - ; _ _ ---- -- -- - -- - . . __ . -- - - - — ,_ __ _ , _. . � _ ._ I i �_ . � ., _ � . , � i „ , _ � � - -� ' ' �� _3_ a1 �i�f, �t��r. --��►� � _;�s . r � �; I � � , — --- - — - � - � � I � I ' � ��,, � fi-�' �.� ► \;�� n ��--,- --- -- - -- � r ,. . � � . - __ _ . -- ; , , i :,, . , ,. ' �_ ,�.��. -� ..� ?�._ �,... � � � �� i .� -� �:1..��- - _ ; . .�. -- - - �� , , � � � � � : ! '� �i�� _I � t.�l.1� � y'L i . � �X °_';, �_' �j Sf� f�Fi � _ t? se_.f � a � . . ; . � � , ., ' , `�� ; : � I ` , � i --- j �'�;r= � - ,-r i I � � �..,r}s;1 . .- � -- � _ � > �'+ -t �� ,� � - i ��; :�,f � �, � . �� , �`' � , : � � `; ��'�, � " �,� � v.rt� � �4,3-.; �` � uu, i sfi� k��t. _ _ . . ;� ��.(�: .�_;� ' .�.�_ _. : - ,�-- - ' -- -- --- --- --- o - � I ;! Y � . _ ,_, I -. �¢,z-. - - _ ._ '. � _ _--r _ . � , _. . _ ; ( I � � � ' CO � � _. .. � �.�. � ' '" . ; � , _ 1 _I ,. 1' A�,E-�-L� �LY-.. } _.__. _. _ .; � . �. i � � , � , p �� ' � � � ' � � � I_ I ST � t�V ; R�fV i AP R01JFDj l��N f� -� ---` � d i , � ;. � � . , � . � � ' ALl RE S y � � � ; I , , �y.� � i i , , . � , � , � �j�� - - - ! � - - ---- - _ _ _ �. _ ' � , , , � ` i : , � ; � � ` S _ ' ��4�=?<I_!� ._ � 3;�l. � � � t._! � �}l.�..�l�Il� �- 1�._�.�i. _ _� � _ ^,.. . � � , _. . . _ i _., _ � , ti - � �� '' � ' � � cb� �b � 3� �' �_ � , � �_. � - , � � o � . � � � _ � _� _.- _� _ _.. _�-_ � . � a - � a�� ix i'�e �. ' � ��- '� 4� �� ' ;_ � ; __ �_ �_ i ; f - , �; - �- - ,-- -�-� � � � ;o � ....� , , '�i ' � `� �c , fe y � `'� ;- f� ''-� � ' --- ' a' -- - --�� ' 1 � - � :�. ' �� 1 � � , �< � - I . . .,. 1 ... , � � , �'yy � I . r.._. .,y.._..,_._. _......_�._........ �� - ... I """ I' . ..r. .... � I I I ... f ._. .___. . .. . � . _�._i �_ '.Y'�_. ' i " . . . � � � ��' � �?� �� 1 � � ! � � ' D - --- -- f I . � _ __ _ . I , � , - � . ._ - ' ' E�CKj R iL N-- ' � � -; ,�,��_x i �� i ' � _ � ! , _ _ ' ___ , i , ��`t -� �, x��n j 1,,r�- ��,�� 4�,��s � 3�6" j N�1 .-� E G T- ` 3 �. .-: � �;ti ��-��-, 1�.'�k� ' _ 6�'._ i�'A_ . �'� �-- � _ _. , _,__. ., ___. _ . __ . ,� ._. _...... . ..+__ :. . : � : ,, . �� 4�'��`�'� �� ' ' - � �_ —. � - � � � , �� -� T i .� �, . . ...... .. . . ...... . i 1 1 � I r`I'� -- ��,I � � �? x (Q� ( ��-��g � !,a', � FLA�H i 0 �R� ..A � ' , � ' i! , -,;� - , � ,�I �� ;� c;t " jr- _�,,.� �,c� __ � � � : � EXPaSE� X1�ER J�R ; i , , , , , i-1 ' ' a . _ ��_�� 5 hY'� ' E. _�P�I - - ._;_ . __. , , ' ,a I _ , . , .. ..--- ; ; ; . . _, .. _ �, ; . ; . , ; _. � _ _ _. . � � x ,� f , . � . � t" � ' l , � � ?� y� � h !��' i ! j I �� j i � ; , � i .._. � ; , � _ � � � , —�— � r t�i- , ; `a � - ? � �:, u �_ �S � . _ � �6 ��• � �4� . � _ _ . w ' �d "f� cns�n � ' i � i � i � �_ �_� � ' � � � � ; , , _ _._,_ � -� i � � ; , , � � ; ' . `, : .� ; �. I ! � � � ; ; i , � �' � � , i � �� !� �. �! s �.. I , i � , _� i � , � i �' � � . � ' , � 4� � !� l �, '"' �::> � , ��_ ' . _ . . . i I � , __ _, _ _ ... ..- - - - � . , , . _ � , � � � I, � ' � , , � r � � � i � i ' I . i i�� 1 I I ' I I , � ; i ! ! ' � , -�---r-- _..,—__ , __ i _ �6 - � � ----_ __ ti ��,�� ~��N6 HOUSE HEATING TE3T RECORD l��- i`�� 7 AIR CONDITONING AND ELECTRIC. INC. ADDRESS I 7�L K��t h Gr IJ� APT. FLOOA CITY J_� SUBUR9 OCCUPANT OWNER r HEAT LOSS DA7 HTG. INST. SOLD BY L31e,(�._ _, G. IN8TAtLED 8Y 1� �wQ. �� Elactrical Wo�k By �yj;�y �'�, Qu uM By �.ia_. kkb TYPE OF HEAT GA FA �/ W STEAM_ SPACE HTR. � tJNR HTR._ OTHER GAS DESICiN MAKE �r.'� Model Seria! S < Z INPUT . �� CONTROIS THERMOSTAT �� ,,,�� Hwt Pluy Valva Umit �_n Limit Setting �QA� Fan Satting Pilot Typa Pilot Maka Pilot Model ~% f � Pilot Timing q[� 9t.L L. W, Cut Off Prossun ��` ParcantCO, Input CFH Parc�nt O, Stack Tamp. 3� r Porc�nt CO Form 235 CONVERSION MAKE OF BURNER I�lod�l IAax. BTU Ratin� A�AICH OF FURNACE A�lodel Wnt Siz� � KIND OF !lNER g�� p NONE DnR Hood Rpulator FiR�rs Stz� _�y �ir t �..�Y�_ Chimn�y Locatton insid� Outtid� Chimn�y Constructton �! , &nolu Bomb Widnp ✓ Dap Tat Tay Door Prasun LtghNnp I�st. Dat� Tat�d (�' �.� •�,'� Company T�stfnp ' ti�m� of T�K Q�bw rhal►�� ^ s CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 . 572-3604 � RATE SCHEDULE ,.�;<:: APPL.ICATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — Ail $izes All Others/Repairs & Alterations (LiSi' ON BACl� 1% of Value of Appliance or Work Commercial/I ndustrial 1,25°/a of Value of Appiiance or Work Rate TOTAL $ 30.00 $ �� $10.00 $ $ �o.00 � $10.00 $ . $ 25.00 $ State Surcharge TOTAL FEE ,;��= Effective On January 1, 1997 �vc,�-�/a-l' JOB ADDRESS I�� I� � P r. �.I �l . The undersigned hereby makes application for a permit forthe work herein specified agreeing to do ai! work in strict accordance with the City Codes and rulings of the Buiiding Division, and hereby declares that all the facts and representations stated in this application are true(� nd correct. nIUV � ��' ,1997 ��lZ;a-VtVl-v �GIV� �-Q�t,� � 7� - �o ? / BUILDING USED AS u1�Q � l 1��.. ESTIMATED COST I� U� •� PERMIT N0, �� ;� j'� DESCRIPTION OF FURNACE AND OR BURNER $ Na of Heating Units � Circle One (Steam) (Hot Water) arm ' Trade Name �'I�C�'(X,.� �" Size No. (�/� �/ y� BTU HP EDR $y�W Fuel S Total Connected Load MINIMUM FEE FOR ANY HEATiNG/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT iS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPEC710N FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. � ,�r� Burner Trade Name Size Na BTU HP EDR ' BLqINE HTG. A/C ELECT., INi, 13562 CENTRALAVE. N.E. HEATiNG MP ANOKA, 55304 . Signed By Tel No. � S� �� Approved By Rough—In Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE P��.;�- �� ,I�o �� Final Date ��s� � n , CHININEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes � No (),.. 2. Is free from rnst or deterioration Yes � No O 3. Has no foreign objects lodged witUin Yes � No O 4. Is securely supported Yes � No () 5. Meets all current Code requirements for size and total BTU's connected Yes �- No {) 6 T Has total heating BTLI's of �jg �� All other BTU's `,� t � � TOTAL BTU's I a'� �D �� 7. Has a liner been provided for water heater Yes () No (� 8. Has combustion air been provided for water heater Yes (�lf No () Remarks: . . List ALTERATIONS Bein� Done: � ' HEATING CO: Signed By: Date: BLAINE HTG. A/C ELECT., I�VC;. � I73562 I�tTRAL AVE. IV.E. /Rlk�l p, MN.55304 �"IZ , � � , sue�Ee. rwo: ~---� City of Fridley 3 0287 AT THE TOP OF THE TWINS g � � L D i N G P E R M I T � � RECEIPT NO. � � � • COMMUNITY DEVELOPMEN7 OIV. � � v PROTECTIVE INSPECTION SEC. Ql� r � ----; , � , l-__-�,��"' �'� CITY MALL FRIDLE� SS132 NUMBER pEV O�7E P�GE O� �avnOVEO Br L 612-571-3450 910-F15 9J24/99 / / J08 ADDRESS 132 Alden Circle NE t LEGAL �OT N0. W 13O �BLOCK TRACT Oii AODITION SEE ATTACMED oescR. of 31 Aud. SU}�. #%% SMEET 2 PROPERTY OWNEFi MAII ADOR�S$ ZIP PHONE Dave Carson 574-0544 3 CON7RACTOR MAIL ADORESS 21P PHONE LICENSE NO Westurn Cedar Timberoof 9700 13th Ave N P1 outh 55 1 5 4 ARCHITECT OR OESIGNER MAI� AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII AODHESS IIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 7YPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEf;MITS AfiE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING Op AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION IONING SO. fT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONS7RUC710N OR WORK IS SUSPENOEO OR ABANDONED FOR A PERIOD Of 120 �AYS A7 ANV TIME AfTEFi WORK IS COMMENCED. NO DWIG. UNITS OFfSTREET PARKING I MEREBY CERTIFV THAT I MAVE REAO ANO EXAMIN�D THIS APPLICATION STALLS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECi. ALl PiiOVISIONS Of LAWS VAIUATION � SURTA% ANO OROINANCES GOVERNING THIS TVPE Of WORK WILL BE COMP�IED WITM WMETMER SPECIFIED HEfiEIN OR NOT. THE GRANTING OF A PERMIT $2185 $1.09 DOES NOT PRESUME TO GtVE AUTMORITY TO VIOLATE OA CANCEL THE pEqM1T FEE SAC GHARGE PROVISIONS OF ANV OTH R STATE OR LOCAI LAW REGULATING CON- ST U� TION O TH PE MANCE Of CONSTfiUCTION �83. 25 � F' e.SC .�2. �.9 PLAl� CHECK F E T T � FEE Licen $ . 1.53 S�GN4iURE OF CON"iiA(;tOp OQ AUTNOQ�2ED AGENT ID�TE� HE PR Y VA�I D THiS IS UR PERM � � � S�GNn�UAE O� OwNEQ�� OwHEA Bu��DEA� iDATE� 8l G��v5 tt NEW [ ] ' ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ J SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Canstruction Eiddress: �� ,��,� �� f� /V .l� Legal Descriptio:�: _ Owner Name & Address: Contractor: Address: % LIVING AREA: GAF�AGE AREA : llECK AREA: OTI�R: 1 U' � � � �� 1 �f�i�" .,5��/L- Tel. # C�/�� 'l�C� �/ � �—� ��! C�� %� /� MN LICENSE # y G�-V N LC E%i �� y Tel. # S�` ��'�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'fI4N OF IlVIP'ROVEII�IENT Length Width Length Width � � Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. � �� . �.,�� of� Construction Type: �!' /;r�r`� Estimated Cost: $ � , �l �j� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ ,f� _$ - �. �� `. �'. DATE: � . , �� / APPLICANT: -' � �l:l;;��" %`�� `�;_ Tel. �i Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � c3.3 �S_ $ �. �q $ /, a 9 $ $ S -00 $ $ $ $ $ 9/-s� CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State �,icensed Residen�ial Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: : 132 ALDEN CIR NE : 103024420005 : AUD SUB NO 077 (REV) : LOT 31 BLOCK 0 : BUILDING : RESIDENTIAL : RESIDING 571-12t�7 PERM ?l' NO.: 2004-00296� ..� DATE IS . 04/2004 VALUATION : $ 16,870.00 NOTE: PER SECTION 1402, 1997 UNIFORM BUILDING CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNI,ESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. STATE LICENSED CONTRACTOR APPLICANT SELA ROOFING & REMODELING INC (1050 4100 EXCELSIOR BLVD ST LOUIS PARK, MN 55416-4727 (612)823-8046 OWNER JOEL, NELSON 132 ALDEN CIR NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law reg�t}atmg�onstruction or the performance of construction. Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 16392 SEPARATE PERMITS REQUIRED FOR �ORK OTHER THAN DESCRIBED ABOVE. 279.25 16.87 8.43 5.00 309.55 NEW [] CITY OF FRIDLEY Effective 1/1/2004 ADDN j] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax / BUILDING PERMIT APPLICATION G ��) ., ✓ �� -�i �' Construction Address: ��•Z �� YI C i�� Legal Description: Owner Name & Address: ��— 1V� l sdA/ Tel. #�6��s"� 6 y7� Contractor: MN LICENSE # L�10/OSo Address:_ �� ROOFING & REMODELINC_ INF;_ Tel. # 6/,Z—go�3 �Y6 4100 EXCELSIOR BLVD.� ST. �� , a Certificate of Survey of the bt, wT�I�A@O��osed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Length Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. � ��ck�c, 4 Construction Type�� °��S�C S� �g�� Estimated Cost: $ � 7d ' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ DATE: �/ v� APPLICANT: Tel. # G�� '�90� %�'� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. . Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow CITY USE ONLY - $ ��' �� $ l � $ �- $ $ �(> G� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) 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: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�i-36u4 r��: : 132 ALDEN CIR NE : 103024420005 : AUD SUB NO 077 (REV) : LOT 31 BLOCK 0 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-11if7 PERMIT NO.: 2004-01777 ��% � DATE ISSUED: 10/06/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- OWNER JOEL, NELSON 132 ALDEN CIR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if constntction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction ar the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 118132 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 20.00 0.50 20.50 NEw Cl AQON ( ] ALTER t ] Construdicrt Address: �� LQgai Descrip�on: Owner Name 8 �c�ld�re�� LMNO AREA: QJIRI►CG Al�LA: D�CK AREA: Oi`HCR: CiTY OF FRIDtEY 6�431 Univ�ity Ave NE, Fridtey, MN 55432 �INGLE FAlI�L.Y Al� DUP�EXES R•1 AND R-� BUIL.t)!NG PERMITRPPLICATlCN �/G1Ch ( /Y'U �rrec� v�rzoaa t�� s�z�soa � �+sa :� �.�-C�Y�� Iti Tel. # MN LICENSE � Tel. � Att�ch io fhis appiicatian, a CerG�ieate oi Survey oi the �ot, with th� prcpos�d const�uction drawn on it to sra�e. ��sc��noN o� iMPROV�rrr Le�gth __,.,, Widt� __ hietght �_. �. Ft L�:n�lh Width Fu';O�t _ Sq. �t Len�tit __„_____ Width Sq. �t ' .., �IV �'..�3�- �_"' � .S3 - �7� � L% .�.�� Cons#rt�tion Typ�: - Estimated Cost $ � 9 � � � Driveway C+.�rb Gut Wi�h NeedeGl: �t Fi = Ft x$ s$ DATE: .5 APPLICANT: Til. �M � " �� w Calt Cj�3) ��4 for P�rmit F�es if r�nsiiin� in �pplic�tiot� or Fax to 763-57 - Z87 ii usiq� Credit card srtd we will w11 r��+ f�r �ud nun�bsr. �� SE ONLY - Petmit Fee $ .3 � S� Fee 5chedule on Reverse Side Fire SUrcharge $ .001 af Pemnit Vatcaation (11�t4w�o} State Surchsrge $ $.50I$1,000 Valuation SAC Ch�rge $ $12dQ per Sr4C Unit �icense SurcF�arge $ . Ua _$5.00 {State Lic:ensed Res�entia( Contrac�ors� D�ivaway Escxow � A!t "A" or Att. "B" Above Eroaiort Control � $450.�� Cans�rvatian Plan Review Park Fee �. Fee Det�rmined by'�ngineering Sewer Main Ch�rge $_ -- --- - Ag�eement Necessary [] Not NecessarY I l �oYa� � 9a � � �,pv��dNS: �- ��' �