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AF - 349541� � jy� � � I � City of Fridley, Mi�an.. � BiTII.I)ING PERIVIIT �..: . � - . ,..,_� ;.,. � . ; - , _. y , ;;, � �- :� �o , • �• , �� s�a� . . :'?� . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . Addr�s ..............:.............................. �/ %�'�' ,� , LO��►TI�1i OF BUILDINC � „�. T. � � Street ��i,�a�� . . . //. �.�. . . . . . . . . Pa'ti o Lot ,J Lot . . . . �j . . . . siack . . . . � . . . . . . . . . . . aaaition ori sub-niv3sion 4�s.'��da�� l�f.�'?. . .'!�GL I O �B Coraer LtSt Instde LOt � . . . .. . .�et�1$Ck . : s� :! . . �. ►Si�d@j►8T(1' . � 1 P . . . . . . . . . . . . . . . . . . DESCRI�TION OF BUILD[NG To be Used as: , ,4��T ��r.�!.� ... � � `� . � .6.. � �� ..1.Q`: �p° �. �.��.. �.. �. .%!��o ... ........ .. .. .. ... � ... .. .. . � ..... g� .... �. �. ... .... . �. �. ..... ... ... .... Type of Conatruction . . . . . . . . . . . . . . . . . . . �t. Ca�t. .y� l��. � Comp ....'To be leted ..............:.... �'��'.�.�,i � ' / �if� .� � e � �ri � �� . �/[ /�� 'Z f� ��. � . � �� s In consfderation of i1�e issuanc�e to me of a per�m�it to canstruct the buiiding desribed above� I agree� to do � P�P�d work in accordanc:e with ti�e d�crlption above set forth and in comp with all p�v3sions of o�lnancas of the dty oP Fridley. �� ... ... ....(.::....... .... ...... ..... .... �. In c�nsideration of the t of a fee oP �� Paymen $........-.., permit is hereby graa4ecl iCr .............:..... . . . . . . . . . . . . .:. . . . . . . . . . . . to construct the bu9lding or addition es described above.. T�is PeTmit as granted upnn the e$pre� cbnclition that the person .to wha� it is gramted and iiis age�s� emPlo�ees and worlmuen, fn all work done in, around and upon said building, or a�► part thereof. shall mnform in all respects to the ordin$nces of Fridley� Pdfnnesota re6'arding locatian, conslruction, alteration, maintenanc�, repair and moving of buildings wYth- in the dtq limits sad thfs permit may be revolsed at a�ny t3me upon vYolation of su�► of the proviaions of safd rndinanc�: ��' ..��'�,� :,r!� ........ s,� :� NqTICE: This penrdt doe� not oaver tha �nstruatton, Inslallafilon or alteration To� wiNng. plumbing, gas heating, eewer or water. Be sure #o see the Building Inspeato� fo� separats permils 40� these Ibeme. � 0 August 27� 1959 �o '�he Iionoxable l�ii�ayc� aud �embers o# tl� C�'t„� Ca'. t�!'��s� � ,, - With regarde to tbe appl3cstiom far lice�ase by Siwek Lus�beuc Co�aay, I wish t� cite att occasiont of tbe past. Pit. Micbael Le�koraf.cz of 54t37 Alt}ura ltoacl received a Buildi� T'es�i.0 ��' ta build a$ax�ge on t3ctober 1S� 19S�i. It Was �r un�d�rsCandistg at tlaat ti�e� th�t Mr. Le�ka�ricz �auld be the flu� 6o do the woaci�. A£tex �y ,%-�, firat inspection. I was aware chat aaather persan, c,�o wt� lice.�s�d, ' i pawced �he fo�ting�s to the gat�age, �nri the �raArk fol�c�riag wae don,� by C�e Si��Dc F�el and Lumber Co�eny. At ti�aC Ci�e. as of yeC, they hav� n�►er i�eeu licenaed. A coa�latnt wa� filed by �ir. Lewk�wica to ;; this office with reference ta the rest of tbe cc�nstru�c�icr�►� grades+ `=' aiad e�ou�ata of mat�rials used. Attacl�e� is a cop� of the lett�r aent ta Mr. Lewk�twicz after an inapECtion was made of his atrv�ctvre. At ,_ _.- ti�e same �i�e, I infors�ed �iwel� Lumber Conp�u,�t of the very psar �t�xial++� aad v�ry poor wc�lr�sn+�hip in regards to Che building. I h+�ve endeavored --;' to a�eke f�rther �caatact with Mr.Le,wiu�wicz if at kt�e tii:� vf m�r issp�ctic�n "� he inCen:led to Cake l�gal actic►n a�g�inat Chese people. t�. LL�*°kc,c�icx' � � lawyer ea� �i� i.awytes far Siwek Lkm�ber Cc�gan3r bot� coa�erred with �ae witb refereace to the m�ntter. I do uot k�tc�w whetheac or nc►t tlaere wss a prop�r settlesaent, It is �r oga.ai.e�. th�t �iwek Le�ab�r Co�an3+'� d�e to their p�t ger�e� ahould aot be gr+�;Cad e Geueral Contractor'e Liee�uee at �his tim�e. �teapectfullY Y�'�'s Myles �, 1`�rles BUtI.DIN+G I118iECTCi� :�n1T : cs i;AGl. � "� ;. � -4� u ii4 i � , i3dve�ber �bClt, 1958 :'�. ;�i�ch�cl .,. L��a'�o;�i.c�. 5407 �1lturs �oaci rriu3ey, %iie�ueeo+ta �;�a� .> i i: : An iusp�:�t3.an k��:a l��ae:�. :�a:�e oi yaua� prp�ezCy �hich cr�nc�r� the ex��c�in� and �ieic� �o��thcr o� an attached $axa$e to your firat �zeateci s�ruature, and th�se are our �in;:.' : ��. r irst, th�r�r i� �cv ��.*i�E�nce o� a r�:qucst for for�tinps i�sgecCie�n of which, ai: th�: �i�e �� i��u.�g�� a pex�mit f�r i�uil��.ng a&ara8�� Yc�u �ex�c. i.n�nxsa�:d :��id it 1�� youac ��r..:{„,l�:�z� ta ce�ply; al�o, ypu did not infc� ass 8e£ore you r��:�: a�c�ur r�f �.ire slabs bvt� �:� th� ��r�ge anci tiae bre�z��ay t�y s,�tt�ck� �� have r.a �r�of ici��,� �i��re is a�''' taic��as o� coacre�� tlurc�v�gi�,au� �l�c� �:u�ir� 87.ab. c��ao, .�s: t��re na �vis'►ence a� to wh�th�ar r�ina�orce�:n�s c,ter�: use4 in Ciie �c�nc�etc� iox� �r� isisuranc� agaiz�C eracking �a�d disCc�r�i0u�. .iLCdY11Ci� �he �rade af lu�aber uae� i�a ��ie co�atrvcCia� is very pcsc� bq �h�c% cJe �rad�d =� E� cc�cn +�r �. poc�r�r grac?�: alc�r�g e�itl� very poa� �rdrlan�r�s�ip in the con�s�rwcti� c►f th�� xs�of� �ers �reatixrg � v�xq wasightly a�Sp��rFUice to the roaf line� �eeau�c tiae �cfsi�e b�ard wa� not place� 1eve1 �i.n$ the roaf l�nes in bad ap�aeara.nce. Also, �hsr�: �tr�n'C enovtgh ties in ti�� rc�of ar��. .,�i.th tlte thc�ut�h� �� aive �tc� r�ea.: I�acis. It is �Y►e ogi.niu� Qt Lhia office that afCer c� year, th� tt�ructure €aill sh� a baw�.� of �ixe �ral�.s. Zt ;r the �ginis�:� of this oEiice �o� to grazit ycns a fii��I i�sj�c��.��, gnd if these ��rfe«:t3�s�r� �rc: �c�t es��r�cCe� i�� Che n�:�r �'uttnce, �ct�.o�x �ill be taken t� havr_ eorx�ctic�zi : r.�dr. �bnct_rc1}+': kiyl-aa �::t, Tyler �L`YLtIIi+� IPtSFc:C1"0� Pfi.� :�� t�. �sa�►� �'. ��r�t„ .i�►. vias�-�ie�t� ��w�e �rl �e ��r ��.� ��. 2'�� St�. ��, �« �. �tp�l.is 1��, l��lt �x I�sar l�r, �i� � �ib�r�r ,'�►# 17'�9 ;:� �. , , . �« � , 1��. T�la�.a� h+�s �� a�►aut�a►�� i�r � ��r#N! �t� �v�� t3r� ��h h� a� 1� pa�*ar#�Ir � �d� �► �a� s�iruu�'a� at �a�ab1�► ��,a3�t� u� ��lt�l�. �ar ��d�net ��a►�� a ��#�� 1� � �.� ��r � � �� fl� �.d+�rr eii�rs ♦ � a�# �t� +�r �,3.�i� I�o d� �. l�r. ��;e� �en�3� �►�, a�;d r�i�,1 ar�o�#�� i�s 1��► �1a#� �►t � ;�Ir� ,�b. l�c. �nd+�lt rr1�, r�►' v�d� sc�p��3a�t �'��'�r 'P� �� a �� r�o�r � aa�e��crs �i�z .� �vr+�+�� +�t�.i�t 9ia� �rr �,s��r rrt d��wa,try� �►. �� ac s . 1Nt�.a�� r+�oea�ri� �a? �.t�ra. �� . i�. 1��.�e� �i�e�r��s i.�::.1��1► %f. ,�"!�'��E' A�i.� �'�e�e �a'�o�r �� m! �� h,�. �%+�r�it�r � �r��►1te 1t�3 i�.�a�r�► �� i j � c .Z-LC,.c..�,.e � �'ox ��'�L., �� d x � x z �� N� w 9E 8 � � g e � � � r � � � � 8 � m � � � � � • �� a�� : ° �Q � � � � : o ° y � . � 25 . ' a ° . '� � : � :� �:: .��.�.�. � . .. �.. p . . . � 8 . . • • 0 . . . � . . . � . . . . � : . . � . . . . • � . : � . . . . • i . . . . . . . • • • • i • .. . . . . � • • . i , . . . . . . . . . . � Q : ~ � � 0 � M M a �a x x x �I k c'' $�8�8b�$8�$�8� � � � M ts �u i�► M N H► � �a � 0 i 0 � � � � k$ ,:. S � � � � 1 � � D � � � � � � i T C r m .� • �� i� ►- oo I � ,� a `� � storlee � � wwta � °°s�.: � � � r►tM � � � $ s�wia � w� H T�►� � ��. �} FOUMT. 4� S►NMRS. � �� o � �c z � � a w � � � � � � (� b C A d c. � a � a � � m � � � y �f �N � I � o� � ., � ONMNS sASINS AUTO W�H O+�S APOL. R�lDIGE GAS OoENtN6S � � i • C1 N � n � i�. O� � tf �i � �' � � � ~ �} � g � fg. ��' � � a�' 0 � �'�� p�.� b ��m ; �� .m� , ��o � � ., �m a �. � � � ��A� �� A ]. ! 3 � �. � ;• d � � � � � � � � O � � � � � � , : � � � � '� � o � �. , �� 1'1 w , � � 1 C!1 � F�-' V'l � �"� SUBJECT PE . City of Fridley � 18 8 9� AT THE TOP OF THE T4YINS B U I L D I N G P E R M I T � r ; � R PT . � • COMMUNITY OEVELOPMENT DIV. , �� -.----. � �yv3 r � � PROTECTIVE INSPECTION SEC. ' i ' � �"��1 � CITY'HALL FRIDLE� SS4SZ NUMBER REV. DATE PAGE OF APPROVEO BV �'•._.� ' �'� 612-571-3450 810-Ft 5 4/23/87 � � 10B ADDRESS 5407 Altu�a R08,C� N•. E. t LEGAL LOT NO. BLOCK ' TRACT OR ADDITION SEE ATTACHED DESCR. �,]. % ('.a�1.SOI1rS .�1ffi�17.'t Md,riO.r NOxtYl. SNEET 2 PROPERTYOWNER MAILADDRESR 21P PHONE Michael Lewlcfl�ri.cz 5407 Altura Road N. E. 572--�487 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. .�i�le 4 ARCNITECT OR DESIONER MAIL AODRESS ZIP . PMONE LICENSE NO. 5 EN(31NEER MAILAODRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINd ' Res%dential 7 CLASS Of WORK ❑ NEW � ADDITION ❑ ALTERATION C� REPAIR p MOVE O REMOVE 8 DESCRIBE WOFiK Rexoof House �24 �quare�� 8 CHANOEOFUSEFROM TO STIPULATIONS RQO� can he 2nd � l�yer but not the 3xd� Ihs.tall tidged galva,nized valle�. SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBIN(i, HEATINd, TMPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONINO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CON3TRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLO. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPLICATION 1. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ,OROINANCES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE CiRANTING OF A PERMIT �`SQQ $e5Q DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEHFORMANCE OF CONSTRUCTION. �.Sa OO PLAN CHECK FEE TOTAL FEE ? �`�Jr � �Ji� . IGNATU FCONT Ct'oA AUTH 12EDAGENT ton � WHEN PROPERLY IDATEO THIS IS YOUR PERMI � SiGNATURE OF OWNER tif OWNER BUIl0ER1 IOA lOG INSP npT NEW [] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 pLTER. [ 7 Building Permit Applieatioa Construction Address Legal Description Owner Name & A�ss: % �� Tel. � � " �� Contraetors� �'v"T '" __ Tel. � �� Address• LIYING AREA: GARAGE AIiEA: DECK AREA: OTHER: Attaeh to this appl3eation, a Certificate of Survey of the lot, with the progosed construction draWn on it to scale. Length DESCRI�PIOR OF IMPaOYEMENT Width Height Sq. Ft. Lengih Width Height Sq. F�. LengtY� Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Xd. Setbaek Type of Construction: Approx. Completion Date: Side Yard Setback � p ,O Estimated Cost: $ �g Alt. A Alt B Proposed Driveway Width If Nex Opening Is Desired: $ $ See Back P2ge for Explanation e � D�TE: � � APPLICANT: Tel. 4�� v� CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: � %�, 00 $ $ �� /S"SU Fee Schedule on Reverse Side 25� of Building Permit Fee $•50/$1,000 Valuation $ 525 per SAC Onit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .- n. s ,.� BUILDING PERMIT FEE SCHEDULB The Chief Building Offieial shall, before issuing permits for the ereetion of any building or structure, or for any additiQn to any existing building or structure, or for any alteration or repair to any-exis�ing:building or structure, upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein below. set fQrtY� and ,i� the- manner here�r� pro�i�.ded �q-wit: � � � m Total" Yaluation � . - Fees .� : • �1.00 to $500.00 $10.00 (Minimum�Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof� to and including $2,000. $2�001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25, 000. ,�,.. $25,001.00 to $50,000.00 �50,001.00 to $100,000.00� $100,001.00 and up $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and �, � fncl�ding $50,000. ' $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. ��33.00 for the first $100,000 plus $2.50 for each additional $1,008 or fraction thereof. DRIVEWAY DEPRESSION ESCROii (Concrete Curb Streets Only) Alternate "A": Removal and replacementi of curb and'gutter only - Driveway width plus 6 feet�" times $13.50 . � �. - a Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With 6 ineh depth - Driveway Width plus 6 feet times $15•75 VERIFICATION OF FOONDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to al1oW for proper review of the proposed structure and of th� construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed �rill be required before proceeding with the framing. .,�� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIYERSITY AVENUE NE FRIDLEY, NIN 55432 s�z-36U4 l+�AX: : 5407 ALTURA RD NE : 233024330096 : CARLSONS SUMIVIIT MAN NO ADD : LOT 11 BLOCK 7 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-1"LIf7 PERMIT NO.: 2004-00212 � �� DATE ISSUED: 02/17/2004 VALUATION . NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. NEW 100 AMP SERVICE APPLICANT SUPERIOR HEATIl�TG AC & ELECTRIC 2132 2 AVE N ANOKA, MN 55303 (763)422-1721 OWNER LEWKOWICZ MICHAEL 5407 ALTURA RD NE FRIDLEY, MN 55421 AGREEMENT AND SWORN 5TATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if consiruction 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 work 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 or the performance of construction. Applicac�t Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT ELEC AMP SERVICE FEE TOTAL PAID WITH CHECK # 14079 SEPARATE PERMITS REQUIItED FOR WORK OTHER THAN DESCRIBED ABOVE. � � �� p, � m ��°°{' 1 , �r 0.50 30.00 30.50 � D 1 � Q 7 � a � :t 3, � N � N. -. O N � � � o � � � a� 0 �� °' � � .� °' "� � � � (D y � Q O � � � �� 0 c � D -o � 0 � Q. � 0 C � � � v � � � � � � m � rn z Cn "� rn -��i O Z � m m � V 0 0 � 2 � � � c� O. ►-' O �7'1 � � A n�i � c�u a -�i. N � °—' ai � N 0 � 0 "t � � r'�' fl1 � �D r ,,, �O 0. �' < � N � � � � � � 'a u► �' a �� o .�; ga � � �� 0 Z D c� u_ o� co t� t� tf► � _ � � N -� � �. � � '` � c� � � � � � N N � � a C7 � �� N � o cu � ov' N ��.� h _, � n � m�o� Q- Q- a � v �-�- ,.� _<' d � �' N pl � � o N ��°— � �- '� .c.N.� �3_� °y � � + � -� �, ,�� m �ac�io �«�a� '� c � � � . �D -a � -Q � � y � � . a�� 3 � A pt :+ � o � � -„ 0 � �3� � cc C) � d�'o y O � � Q' cSD �D o. � m > > C W � m -� m n m z d m 2 � � � Z O v � D C7 O � a � � D N � N � N N � f�D � � � cNii o 0 0 G� L� D 'n e�p 01 N y � fl1 � � � '� C> > � 'a � N �p � N �c�'Da�?�i Q � < ; c� �� , � Q . � � O � ,�.� e-r Q � � = C � ��0�� ,�' � ��o � � � . � � � v W c � 1 � "S � � 0 0 0 � � � � � � Z � —1 d o _c� o Ol � � � c� = � o� c .�, _ � o � C) � � � � � � � o > > c� � � n. � � r N °' a�'z3 v � O � .2 O d � m 3 � D � � 0 0 0 0° � m � � w o � r m � a � m v � 0 � --� � O �I � �'� -v m � � � z O � a O � �� W C � v_ Z G� c � m v � a m N n m v m � O W IS] 1 Cn�1"01n NQ.W� al� '�.�• "n �3�•-n Z �D .Z_1 u,�',v ,v'p �' m wa� N m Z z� rn� m n � O z v_ � a � � z � r rna �o mZ �O �� O� Z�Z� v .o as �Z za vz .� v °z_� �a "'� O m 3� NZ � vrn v �� ms NO Z .� CD � N O � ` � � c � � N 0 0 0 COMMON VEPIT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existins� furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, �" and is securely supported and firestopped where required. Yes () No () /1//tr The venting system is plastic/PVC and meets all current codes and manufacturer speciflcations including sizing, length, number of elbows and termination. Yes () No;(lj The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appiiances. The existing combustion air is sized and installed to meet the cuRerrt codes and manufacturers specifications. Wher�-�eq�ti�ed to in�tall �-�ew combustian air. it will be sized and install�d To meet the current codes and manufacturer's specifications. Yes f� No ( ) Yes ( ) No j�j Yes�j No ( ) When installins� a new ventins� system, the undersigned hereby verifies that it is a listed assembiy and meets the current codes and manufacturer's spec�cations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes, jj)'' No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes fj�No () Aapliance Tvne and Size/Common Vent and Vent Connector Information Appliance #1 Type �v(�.� BTU Input 1� Appliance #2 Type _UV�'(� �i BTU Input ��' uv�,� , �Appliance #3 Type BTU Input Total Appliances Total Btu Input an ssisted or N an Assisted o Fan Assisted or at o� �l �� I i� Common Vent Type � '(� Vent Height � Diameter � inches Applianc� #� Venf Cannector i-i�ighi _,�fi� Ler�gt� �fit-fi°�— -�--i,�-�-�y�------ --- _,__ Appliance #2 Vent Connector Height �_ft Length _�ft Diameter in Type �"`�`'`� �// Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING CO: . -. : in�i�� __ . _ - � . ,.�.�►�,�_�.�._ ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u� r��: : 5407 ALTCTRA RD NE : 233024330096 : CARLSONS SUNIlVIIT MAN NO ADD : LOT ll BLOCK 7 : HEATING : RESIDENTIAL : ADDITION/ALTERATION 571-1287 PERMIT NO.: 2004-00269 DATE ISSUED: 02/25/2004 VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A REPLACE FURNACE (WARM AIR, 91,000 BTU'S) # A/C iJNITS #FURNACES # GAS RANGES APPLICANT SUPERIOR HEATIl�TG AC & ELECTRIC 2132 2 AVE N ANOKA, MN 55303 (763)422-1721 � :/�I : LEWKOWICZ NIICHAEL 5407 ALTURA RD NE FRIDLEY, MN 55421 0 VALUE OF APPL OR WORK 1 # GAS DRYERS 0 ENTER VALUATION 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 t�ue and correct. All provisions of laws and ordinances governing this type of wor� 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 re o ction or the performance of construction. Applicant � Date Bldg Insp. HEATING PERMIT 112�TI]VIUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIIt CONDITIONII�TG FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 14078 SEPARATE PERMITS REQUIItED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 2900 0.00 30.00 0.00 0.00 0.00 0.00 0.50 30.50 �q3� � D r � m m � l3 l.�' � � m � c n z a� co c� � 0 .��m � o �� 2c�i N � 7 c � 'n O Z � �v� �O� c � o `° m i � D � -� � �. � � n � Z �n v D � m � � Z � D (n � ZO c. ° � � � � 0 c � 3 7 � .d+. � -n m � r d Z v ° a« c� �? / � � � n�i � d� 2� c n�i, u�i � c�u � m ��- cn �n m m m� 5 c, ��°' � 'D � �i -� � � 'n C ? O � �l � o � � 2 2 � � � °° � � � �. � � �* � N '�"-". 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PERMiT NO.: 200400264 �� DATE ISSUED: 02/24/2004 VALUATION NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (E3�ST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT PETERSON PINNEY INC 4151 COON RAPIDS BLVD COON RAPIDS, MN 55433 OWNER LEWKOWICZ MICHAEL 5407 ALTURA RD NE FRIDLEY, MN 55421 0 VALUE OF FIXTURE/APPLIANCE 0 # GAS WATER HEATERS 0 # GAS RANGES 0 ENTER VALUATION 0 PLBG PERMIT 1�IINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENIlJGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 40697 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 aad lmow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� 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 locallaw re� consta�tction or the performance of construction. Bldg SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 1 0 0 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 NEW ADDN ALTER �� .�� r I�t� o��-°��9a CITY OF FRIDLEY Effective 1/1/2003 6431 Universi#y Ave NE, Fridley, MN 55432 {763j 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATI�N Construction Address: 57� � �%�L�-/-Q �Oi Legal Description: � Owner Name & Address: i/ Tel. # �/0.3 -51�7 - �/ � Contractor. MN UCENSE #_fD 'J�l � Address � i I. # ��f �i `'.� LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEM6NT Length �dth Height � Sq. Ft. Length Width Height Sq. Ft. Length wdth Hgt/Ground Sq. Ft. Construction Type: �IP�(�6Ls., i�P.�i�QCP_17'2�./��° Estimated Cost: $ �, J� �.�U Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �//�� APPLICANT: �_��j!�/ Q�..�� , Tel. #Q� 7��D/� -�— Cail (763) 572-3604 for Pertnit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we wili call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ $ � $ d.. . $ $ .��D $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse $ide .�1 of Permit Valuation (1110th%) $.b0/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review Fee Determined by Engine�ring Agreement Necessary [ ] Not Necessary [ ] TOTAL $ . �,TIP 1 AT10NS� I �9� 3� — �� '�a. o� �� BUILDING PIItMIT FEE SCHFDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided tawit: . TOTAL VALUE � FEES ` $1 to $500 $501 to $2,�0 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $lOQ,001 to $500,000 $SOO,OQ1 to $1,000,000 $23.50 $23.50 for first $5(m plus $3.05 for each additional $1� or fraction thereof, to and including $2,000 $69.25 for first $2,OQ0 plus $14.00 for each additional $1,000 _ or_�n,n thel'eOf,�ta�n in�ju ino �75,-� - — $391.25 for first $25,000 plus $10.10 for each additional $1,(l00 or fraction thereof, to and including $50,000 $643.75 for first $SO,OOQ plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,0(� plus $5.� for each ad.ditional $1,OW or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1, OOQ or fraction thereof, to and including $1,000, 000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for ea+ch additional $1,000 or fraction thereof CURB CUT ESCROW - -- - -- �UnrrP�P ��h �rrePtc t)n1�'�-- - - Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for i construction will be issued a minimum of 24 hours from the time of application to allow for proper review of �he proposed structure and of the const[vction site. 1 � VIItI�iCATION OF FOUNDATION A- Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv