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AF - 45066. � � - � �� . � �� t �� i�� '� r.�r�� e � � � `� " � � x � � � ��. v � a•� � r � '*��5 �s �t �t'� �'� > Village of Fridley; Mi�.n.� - �� ; � � ,A � � ;� �� , . . � BUILDING PERMIT :'�` � � �� : :i � m � �a�� ' ��,� r ��, ;� ��: , � ; �# k Date: . .��. ^�'` .� s..�:^: `: �' `� . f�.,�: �� `; � , � ��` � f • • � �f .. }n �� '� . . � . , �' °�.• """�,{" 6+ . � . ? t #t � � y.�+ � Y�Y Owner �^..�.�' � . ,� .,r!: . .�,.�. .t"�.. �.: �f �J Builder '� � �� "�� ' € . � r � � `�' ,'^�'�'�-� a Address . .��'� ", . �r;�.k,��, _..�, , , s�,�?++,,,,w?�!�� Address � °{j�' � ��, � ," »:�� a��,� �� _ ; �� , ,,W ,,-�., �, L�JCATIO �OF BUILDING � x f No. �.°� :�"?' . .�r. . . . Street .r"!'�-��i,�,�;! � ' ��. .'.';� ` � ,�4 � �.�k�� "3 +� � Part of Lot °' � � ' � # � � �� ,;��" Lot .............. Block .. .............. Addition or Sub-Division � "'��-��'�`��` Corner Lot . . . .. . .. . . . ot ack . .....- � �� , Inside L ...... Setb Sideyard " „ z � � � � s :�. � � � � ��, � ;.� �.� . ; - � DESCRIPT[ON OF BUILDING ' .' # � �s��'�� } ✓�be lised as�„j `:� �� '� � �,�,� s• '�' � 1;, r' ,% •� �< _ :� ��x�: ��/ � X.~'•''"".`�-, �" .,,✓........ Front �{v � De th .�� . - }� y. P . Height . Sq. Ft. Cu �'t ' �� nt .��: . t� � Y . . . ,i � ��. �¢ � �-.� . . . . . . . . . . . . . Fro Depth �e'�ht�" . S Ft. �� 4 " Cu Ft�' � ��' TYAe of Co truction . . . . . . . . . . . . . . . . . . Est. Cost . . .•''.�. . . . � : ; , "� `�. � � . To be Completed ; � � ;� _ r � _�,��.��. .� � � � �,}� . . . . . . — � a.;:. h �F� kC, - . . � . . �2 k �. ::� r#,r�. . . .. . �� ' �_.:. 1 Tn consideraiion of the issuance to me of a permit to construct the huilding d ibed above, I agre� to do �� , � �;, .. .. ? the proposed work in accordance with the descri ption ab o v e s e t f o r t h a c o h a n w i t h r "�� P _ .��a�, � �v�s ons � � � , . �� ordinances of the village of Fridley. � ' , '�� ;�� ;� { , ,> � `.� , $ x� h�� , � � . . �, . �t.. . !! � � ;�i � , ,�' � _ ;� � � " � �,� � ` �� . Yn corisideration of the payment of a fee of .:,�' �; � �" �''`' j�� °' � �� ti� ��i $ +-r"". ., permit is hereby granted.'t F � ,,�� °` • .. , � � � 1 . � �-�. ��• . to construct the builciing or addition `as described above Tlus eranft�is �'�`�h ��' the e<�5ress condition that the �, g p y p ,. �'antett ,upo ; �person to whom it is anted and k�is a ents, em lo ees �and woi�nen,�iri'a�1��s�`, , done in, around and upon said buiIding, or any part thereof, shall conform in . all respects io' `the��orciui4an�� . fA 1�'ridley, Nlinnesota regarding location, construction, alteration, maintenance, repair and_ movu► . i'�buil p l i� g"� s � x� � F�, '�, a��i! ;j� in t he village limits and this permit may be revoked at any time , n violation of an y`;of the ,� 5 r o v i s i o h�� o f �� ordinances. : �� ' . :�� ,��'�� ,�,I � � � � . . . ` �' , ,�" `� �, w 4?. f � 'r �i i p . . � . � '��"f",,.r'r�,,,��,�+'�' j _r� �� b� �# : �> � . , . � `- s , ar . S� ' _;.� $, . 4 . . . � . . . . R�� !y� ��• �� i.�o' Y � r...V µ �`� O. � y!f i` , �� .. . e . r"fic. •.it � .:; ,. ' � � � . . ., . . . r.. .. ,, . , ; . � g. � � � � N OT I G E : � � � � �' '�� `� �" �'�'�`�s�� ,. : ,� '�. �'� ��" a This permit does not cover the construction, installation or alteration for`w�rin , lurnbin z�� 9,P� *,r 9,� Aag�h aii � sewer or water. Be sure to see tHe Building Inspector for separate permits foi� '+ese :ite�ns"�'�� 3 � � � �� . � .. . . . . . . 'r � �� ,�f �e , .. , . . . . -'. : . . �� . . .. . . ,.., .. � :� : j ' .� :�,�: '�n'R '"�C�� _ - . . _ . __" _ _. .�...� "' ' _ .. ,. _< . . . . , F _ , _ . .. �h..,,'?'y ••,,v�# . ., . . . . V��la�e of �'r��ey, lA'Iinn. �IT�I,DING PER.1fiIT 1�1 � 3 6� Oi�ice of g1�T�PE��O� �� I➢INGS iM� '+N W � ... . .. . . �r .. . . � . . . . . . . Ownar �� rd�` k�e ��i►Y"�r Arehitect Frid?ey, Minn., ;�°��'+�'alf �1� , 1g�� .. Builder � , ___�'� : � LO�ATI�ON OF �UILDING No.�� Street �� `��r Part oP Lot Lot ii Biock +� Addition or Sub-Division�� +rr7� �Y�� ,'r� � �I��C�I�'I`�C3±�i ��' B�TILDiNG Front � Depth_��`'�"� Height �� Stories � T�£anner of Construction ' To �e used as_ �d To be completed ��* �� Esiimated Cost +�+► ifi�0+7 � �� ' fi+ �-.. Permii is hereb� granted to �`' x� � Y�A wad i the btai2aing w�'^� *�' "� '�+�""� ` �•�-�� describec: in the above siafement. TYsis permit is nranted upon the express condition that the person to Fvhom ii is gr?ntec2, anci his a,gents, employees and 6�orkmen, in a11 the work done in, around ancl upo� said building, or an� part thereof, sha13 conform in all respects to the ordi- ' nznces of �ridley, Min�., regarding the constr�ction, alteratidn, maintenance, repair and moving of buildings within the city limits, and ilus permit m�,y be revoked at any time upon violation of any of the provisions of said �� ordinances. ,�#.�'�."la�"' �� . Inspector of Buildings. AG�EEIVI�NT ANL� SW�R1V STATEIVLENT In con�zderation of the issue and delivery'�;to r�e by th� �n.��ec'co� of ?3aail.�inbs of Fridlev of � the above permit, I hereby agree to do the pro�ouer� ��ark i.n a,cc�rdan.c� �zt?� th� cl.escrigtion above �et fortn and according to the provisions oF �the or�li ��ance � of Fridley, anci, �aezn� first duly sworn, I hereby stat2 and say tha� the facts statea by m.e a contained in the above permit �,re traze as therein stated. � � � �n �� Subscribed and sworn to before me at Fridley, Minnesota, ihis �'� aay of �� .D. 19'� �" . ____ ��` � � ► �� , ,, � �` �� sua�ecT PERMIT . City of Fridley o" � 7 0 0�- AT THE TOP OF THE TWINS g U I L D 1 N G P E R M I T � r ; � RE . � • COMMUNITY DEVELOPMENT DIV. � �ti: ---�--� �, � d U j � � PROTECTIVE INSPECTION SEC. � � � � � � : ' A� ��1 CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �..��'J �•/ �.J 612-571-3450 910-F15 6�15/83 � � �oe a�oRESS �534 Alden Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCa. 6 3 Elwell's Riverside Heights, Plat 2 SHEET 2 PROPERTY OWNEF MAIL ADDRESS ZIP PHONE Robert C. Peterson 7534 Alden Wa 55432 571-7165 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. self 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK Q NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE � REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS NONE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUTAED FOR ELECTRICAL, PLUM8ING, HEATING, VENTILATING OR AIR CONDITIONING. —roof THIS PERMIT BECOMES NULL AND VOID IF WOfiK 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 PERIOD OF 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATtOM 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 COMPIIED 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 IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. P�AN CHECK FEE 707AL FEE SiGN 7 aEOF N7anCroaOqa T IZEDAGENT IDAT � y�H PRO ER V DAT D TH IS YOUR PERMIT ,�� `' � /S �' � - - � ,�; .� ^— SIGNA7URE OF OWNER IIF OWNER BUILDERI DATEI BLDG WSP � DATE � C1TY OF FRIDLLY ti('PLICIITIO'1 FO(i P.ESIDL'idTIl';� [3U1LDI��G Pc�;fiITS (t�e►•�, AlteraLions, Additions, or Re�airs) /�- ON�NER: �7'� � �F� �V no�r.ES s:� 3 y��.1��/� �� y TEL k0: ,��7 / — 7i�5 _ Effective Aug. l, 1981 �l3UILDER: S � �' � non�css: TEL IlO: Consi:ruction Location STRI�T t�0 : �� STTtEF•T:�� IA7': �p BIACIC: _� Corner Lot: ^_ Inside Lot: SetbacY.: �_ Sideyards:` Ap�lic�-u�t attach to tl�is form t�.�o Certificates of SUrvey of lot and p=oposed building location drawn on certiiicates to scale. DESCRIPTIO�� OF COi;STf:�JCT10N �_`C OO� Front: Depth: Height: Squarc Fee�: Wbic Fcet: Front: Depth: Heigl�t: Square Feet: Gvbic Teet: < • `/t/ 1 -w �r��`�v��s � v� R m i2 � Q. �� iype of Co:i: truction : " aC� � �� EStimated Cost: $!�•--S��U c 4b Be Our.�pleted: J%/ �t.li f g� Alt. A Alt. B Proposed Drivea�ay tiidth Zf New Opening Is Desired: $ s_ g�� p.,EVF:R�L' SIDL OF SiIF.�T , 9Sie undessianed hereby mat:c� applic�lticn for a pezznit fcz the �:ork herein specified, agreeing to c�o .all �:ork ii, strict accordance a�ith the City of T'ridley �rdinances and rulin�� of the Dephzrtmci�t. of Bui2dings, and hereby declares that all the facts and represcz�itiens stated in this application re true and c-rect. D: T�: � / � � SIGNATiIF.c : Stii�u la t ' ons : (� ZS. oa -�'� '7'� a?�S. �J � . . R .. . _ ... , } . � � � • r�� _ _ � - � The ChieP Building OfPicial ahall, before issuiag permits for the erection of any bvilding or atrueture� or tor any addiLion to any existing building or atructure or for ar�y alteration or repairs to aaq existiag building or atrueture, upon application therePore i require" the ;paymen�t by the applicant for such permit of fees to the amount'herein b�elow aet forth and in the manner herein provided to-xit: � , ,. ~ Zotal Valuation �g� =1.00 to =500.00 =10.00 (Minimum �15.00) �50t to =2,000.00 =2,001 to 525,000 � � A 0 �10.00 for the first �500 plus a1•50 for each additional �100 or Praation thereo�', to and including �2,000 =32•50 for the first �2�000 pins �6.00 for each additional a1,000 or fraction thereof, to and including a25,000 �25,001 to �50,000 =170.50 for the first a25,000 plus =�.50 for each additional E1,000 or fraction thereof, Lo and ineluding �50,000 =50,001 to =100,000 =283.00 for the first �50, 000 p2us' ;3.00 for each additional E1,000 or fraction thereof, to and including �100,000 �100,001 and up ;443.00 Por the first �100,000 plus a2.50 for each additional �1,000 or ' " - , , fraction thereof Plaa Check: 25 percent of building permit Pee. �' � Drivexay Depression Bscrow: Conerete eurb atre�ets only. Alternate "A":� Removal and replacement of curb and gutter only - DriveWay Width plus 6 Peet times ;43.50 Alternate "B": Removal and replacement of-curb and gutter and install a 3 PrraL vide approach With 6 inch depth - Driveway width plus 6 feet times �15.T5 F�� : . � ��- . � . : . . Permita for constrt��tioa xill be issued a minimum of 2�1 hours from the time of application Lo alla�r for proper reviek of the proposed structure aad of the construc�ion site.' � Certifieate of Survey oP the lot, ahoWing the location oP the foundation once it has been eonstructed Will be required before oroceedina With the Praming. ��v �--- o. o a s� f 1�,� .�.�/ J�• � �' a�. �� . _ . � ..� � .� sue�etT PER . City of Fridley 9944 ' , AT THE TOP OF THE TWINS B U� L D 1� G P E R M I T R O. � � � � ; y__.___ COMMUNITY DEVELOPMENT DIV. , /��Q r � � PROTECTIVE INSPECTION SEC. L1 � � � � � �"'1 � CITY HALL FRIDLE� 55�J2 NuMBEA NEV D�TE P�GE OF A6vROVED Br �'""'�' �'' 612-571-3450 9t0-Ft5 7/27/99 / / J08 AOORESS �534 Alden Way t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 6 3 Elwell's Riverside Hei hts Plat 2 SNEET 2 PROPEFTV OWNER MAI� AODR�S$ 21P PHONE Katherine Peterson 571-7165 3 CONTRACTOR MAII ADDFESS Z�P PHONE LICENSE NO Maverick Const. 11227 River Road NE Hanover 553 1 9- ♦ AfiCH1�ECT OR DESIGNEA MAIL AODRESS ZIP PHONE UCENSE NO 5 ENGINEER MAIL ADOfiESS 21P PHONE IICENSE NO 6 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW D ADDITION O ALTERATIQN � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TVPE OF CONS7. OCCt1AANCV GFOUP OCCUPANCY LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTHICAL. PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. � ' � � THIS PERMIT BECOMES NULL AND VOIO IF WORK Oii CONS7RUCTION 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCEO VjIITHIN 60 OAYS. OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 120 OAVS A7 ANV TIME AFTEFi WORK IS COMMENCED. NO DWLG. UNI75 OfFSTREET PARKING I HEFEBY CERTIfV THAT I HAVE FEAD AND EXAMIN�D TNIS APPlICA710N STA�LS GAAAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMP��ED WiTM WHETMER SPECIFiEO MEREiN Ofi NOT. TME GRANTiNG OF A PERMIT �21.HS �I.O9 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERM1T fEE SAC CHARGE PFOVISIONS OF ANY OTMER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PE,RFORMANCE OF CONSTRUCTiON �H3. ZS Fli' SC 2. I9 PLAN CHECKFEE TOT FEE L �� Licens C 5 1.53 GN4T FE O� CON'�7ACiOAOQ �UTMOQIZEO �GENT i ATEi N P VALIOA TM UR I� � S�GNnTUaEO�OwaEp��ON�NEABUI�0EF7i iO�TE� � 8�0 �NSo � � qarE NEVo' [ ] - ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � �� /�.�� ` l Construction Address: 7 ��I � � �� Legal Description: Owner Name & Address: �'r'�1��„ J%%"T�j2`54��( ��i�lf,��'��Tel. # J�7/-7i� Contractor: /%1,,�1�f� ��5% MN LICENSE # ,�,�7� Address:Jl�-a2�%�� .��fv �� %��c�,�'1�/5��3y/ Tet. # �� 7y0� Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Length Length Length DESCRII'TION OF IlYIPROVEMENT Width Height Width Height Width Hgt/Ground �� Sq. Ft. Sq. Ft. Sq. Ft. _ , � �/f S Constniction Type: ��/2C1�`',�,�Q� Estimated Cost: $ �,� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � 7 � APPLICANT: Tel. # Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPIJLATIONS: $ �-� � ��, $ �C. � $ .D $ $--� � b - $ $ $ $ $ -S CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut Valuation (1/IOth%) $.50/$1,000 Valuation $lOSQ per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] c / Building BUILDING Permit No.: Inspectians RESIDENTIAL APPLICATION Received By: r 763�72-3604 CITY OF FRIDLEY vate xec'd: A DATE �D 3 tT� � b YOUR E-MAIL ADDRESS SITEADDRESS '�,j 3� !7`La E�j/ �✓/QY /1/ �lz�DL.EY �? �T/ ��"�3 �i THIS APPLICANT IS: '�OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: ,,! �%S��{ _%��Q/,c3 L�� TENANT AbDRESS: � �►/ .�� IZj L,� � f�Y�S' �� CITY �/L/ f� �y STATE �!'ZIPS �� PHONE: 7� 3 '—.S1%7 �' % Y!j .� � CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION pHONE FAx PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING �OTHER ❑ SWIMMING POOL TYPE OF WORK: � NEW ❑ DDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: �AJiD� ia��< <•y �G p E<y,<r s pE� �TT�c�SI.o�E�fr $ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE Z• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, � Viny] ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets ofconstruction plans IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 3. Energy Calculations 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 TH 997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S � OCCUPANCY TYPE Permit Fee $ �-;. See Back Page for Fee Schedule Plan Review $ � �3" 65% of Building Permit Fee Fire Surcharge $ a .001 tirnes the total job valuation Surcharge $ , 5� .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 O Non Necessary O Total Due $ "� "► , Make checks payable to: City of Fridle.y Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LINTIL 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 C' of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and w is not to start without a permit; that the work will be in accordance with th approved plan in the case of all work whic re s r approval of plans. /� SIGNATURE OF APPLICANT PRINT NAME J�" �/ ��c DATE � G : -��- � %�U S� �'� �� =�-� �T �� ________/ � � � �. �� _. ��, �, � � �� , � LEJEUNE STEEL COMPANY Job No. �' e►� c 0 r J�. 1C � n�� e � �ate: - 2 2- v-C Structure: � Location: �^� i aQ ( e °'7S3�j ,�L��iV W�}J�y� gy; of i Contractor: � w � Q�"' Checked: ` L��s_� _ _ j : K o �� - A� ^ /o ,� _ : � _ �� - �.________�__�' .-�`,� /b�� , Z �-I Ea o� T�. 4S�s� �,;, ._ _ �ei �,'� - DL - l�' �� _. � � ' : ^ s� .. 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M�l ._ �E' #_ %�;�� ; �� f� C� � � � � �� ; �� M � �1 N, �� ? � �� _ ,w; .�,��z � ;�� k� a� y �� v �s o �o ac � v 4- � �—t ° - - _ _ � � � � � � � �i ? � �' �' %C �� k � � . tk, �� w� 3� � � Building Inspections 763-572-3604 763-502-4977 FAX From: 763 4961668 Page: 1/2 Date: 8/27/2009 6:24:37 AM MECI�ANICA� RESIDENTIA� APPLICATION CITY OF FRIDLEY EFFECCIVE 2-19-D9 �• s - �� - ��' -_��r.��...� ' TEI1S APPLICANT IS: PROPERTY UWNER! TENANT ❑ OWN.ER Permit No. Receivea .�� XOL'R. E�MA�L ADDRFSS f na�FL�r1`t- ¢� C`C"ti^r' c�^. f� � xAr�: � ADAR�SS:�___ P G7TY STA'fE Z1P PHONE: CONTRAC7'OR Coivrnnrn� H� ""�1 �s. �'�� ^�"`�`—�—� `'" ��"' gUBM1T A COPY OF CONTACT PERSON: YOUR STA1E STATE L1CavSE # EXP DATE �° �° LiCENSE WiTH ADDRES5: C 1 c�i �. �i -t-� �.�f �t e� c�� Q �c� Q�rk- sTaT�.zrr��.� APPLiCA'!'ION PHONE ��-='� �'� � FAX � f�2 � q 1�, _ 7 �a► � � PERMQT TYPE TYr� oF wo�: j ° �vsw FAMILY O T'Vb'O FAN[ILY �r�.n.c��.� 1] TOWNEiO[.'SE ❑ ALTF.CtATTON�REMODEL DETAILED DESCRIPTlON OF WORK �/'6 r �('� �' G' --� �F� � F'EES ARE Ba1SED ON S10.0Q PER FI?CTti RE, EXCEPI' WHERE N07"CD. F77t7'UItES: (IM)1CA?E TOTAL NiJDiB6R UF EACA BELO 4n,1 Equipmentlastalled 141FG:�� MODEL:��_ SIZFJBTU�^ MFG: �C�1�' MODEL: ��;(�'��'� SIZFJBTU 'Z �'�+' MFG: �QODEL: SIZEJ8Tt3 �NC 525.00 3�IRF�LACE (GAS) $I5.00 GAS RANCFJOVEN S1Q.�0 ATit TO AIR EXCHAtiGEfiR S15 FTREPLACE (V�'OOD) $35.0� _NER' GAS GRILL $10.0a BOILER �35.00 �URNACE $�5.� GAS UN[T Ii7'R $10•00 CHIMN$Y LINER $10.00 lGAS DRYER 510.00 POOL FIEATER $35.00 DtiC1' WORIC S10.00 GAS PIPi1�G $10 00 VENI7LATOR 515.�0 Numbex nf fixhures (g $10.00 _ Number of fixtures Q, $15.00 _ Number of fixtures @ 525.00 _ Kumber of fixtnres (c� �35.00 _ State S�u�charge = $ .50 x$10.00=$ x $]5.00 =� x �25.00 = ��_ x$35.Ofl=$�{ �) FEE $3S.5a) Tota1= $ \ ��,j 'CHIS [5 AN APPLICATION FOR A PERMIT-NOT VALSD UNI'IL PROCESSED [ hereby apply for a building permit and I acl-nowledge that the information above is camplete and accurate; ihat the work will be in conformattce with the ardinances and codes of the City of Fridley and with the Minnesota Construction Codes; tfiat I understand ti�is is not a permit but only an applicati or a permit and work is not to start without a permit; that ttie �vork will be in accordance with the ap�xoved plan in the c�se of all which requ' review d apQraval of plans_ SIGi3ATUREQFAPPLICANT PRINTNAME �Qf`L � \�. DATE � ^�� City oiFrialey guiiding Iaspections Department 643� University A�enue TiE, Fzidley; IV�T 55432 763-572-3604 FAX:763-502-4977 Building BUILDING Permit No.: i� (,� f�� In'spections RESIDENTIAL APPLICATION Received By: - 763-572-3604 CITY OF FRIDLEY Dar��a'� �� 209 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 8�17�10 YOURE-MAILADDRESS �kloiber cpa@hotmail.com SrTEtwDRESS' 7534 Alden Way NE THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ N�; Joseph Kloiber TENANT �D�zESS: 7534 Alden Way NE CITyFridley STATFI�4N zrn 55432 PxorrE: 763-706-3627 office 763-574-7405 site CONTRACTOR Np�: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ /�DITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWINIMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR � REMODELING DESCRIBE WORKBEING DONE: replace basement windows - 6 total SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES [J HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACI'•ED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit replace 3 with glass ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum CI Trim block lri existing Op2 1riCJS1. Site Plan/Survey showing the existing structures ❑Other ❑Fascia & enlarge 3 to egress size �dproposedproject. 2. Two sets of construction plans WINDOWS CYc"�nk�oUt style 3. EnergyCalculations IN EXISTING OPENINGS1S�R�, esi1�,R�k,`.o LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALLTE AND OR FOR NEW OPENINGS�DESCRIBE SIZE OF basement MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED see above NUMBER OF WINDOWS see above ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR ANll MA'rEHlALS: , (USING.T�E 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�i LC,�C-�� !'` OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ • - $ ;L $ � $ _ � _- $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Pemut Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Deternuned by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby appty for a building pernut 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 t to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work hich ir s e'�and approval of plans, SIGNATURE OF APPLICANT TA TTmr � ��PRINTNAME Jaseph Kloiber DATE a�U � . n.-� �� PLEASE'NOTE:' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING,'ELECTRICAL'AND MECHANICAL WORK '' Joseph Kloiber 7534 Alden Way NE, Fridley MN 55432 � � ('� �ri �j� day: 763-706-3627 � � � �N 1 l�.,/� � � � � � W►� � G�'!. eve: 763-574-7405 � � � , a!�+ y email: jkloiber cpa@hotmail.com � �� `p�.� i� , . �r�ya.� A = EXISITING WINDOW OPENING B= LOWER SILL OF EACH EXISITING OPENING AND REPLACE EACH WITH EGRESS WINDOW MAINTAIN CURRENT WINDOW WIDTH AND EXISTING 2" x 8" MEMBERS ABOVE WINDOW C= WITHIN 44" OF FIOOR D= MAINTAIN REQUIRED MINIMUM FROST COVERAGE OF 42" FROM 6" BELOW SILL TO BOTTOM OF FOOTING � .— � c�. �,S �u ��, �� ^►. ,� � �� .�.� � �.� � _ - C.c� �.�.��e'.� � � � .. , � * � 4 � � 2 �'�. � �Q'M" ` ` / � �,bl ��s w �� N� . � s� �-�a, ��