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AF - 44868City of Fridley, Minn. BUILDING PERMIT N� 258- x. , , �.. Date: � '�" �..-�' �. _____. �.._ � , ♦ . � " � � � , ;, , Ovvaer: __.��[�.�!�!�� Bu3lder Address_._..._._...._. .�___. ......._.____._. Address ..._. _...�_r ._.�.._._. ......_ i.� i�i� F BU��.��%it`ip. .�` .,,�" a�, .� No. �� Sts�eet ,�-: " !..a10�-��_ Part o!'� ', ' `, � ~ Lot .�[��_ Block _.._._�� ._......_.._ Additioz� or Sub-Diviaian .' Corner Lat .__._.�..._._.__ 7nside Lot _._..�.'. "�~ _ Setback ��t �._ Sidcyard ._ � , Sewer Elevatian ..._......._._. _.__ Foundat3o� IIevatia� x _ yn.. �� . � . . ,.. . . . � �, � � . . � . � .... . . . � . . � : - _ • ,°; DESCRIPTION OF BUILD11��4s � ,,� ;' � r To � U � y,� �;,� �; . ��,/► � Froa�t Depth ..:�lF_� Height '.:�� Sq. F!. ...... ��a .._,�.%� vepth .� ?�Tei�t sq. Ft. c'u. Ft. ��` Type of truction� . _.. Esk Coat 3 ��o be Ccanpleted >a�� . � � . � - � � � � . . � . � � � . . � �� , . � . . . � . . � . . . � � .�.. � ��,�.�� . . � " � . .. ' � 4:�' � � . . . . . .. ry . . . . ... ,"�� . '� . , . . . . . . . . . Y. �„ , � ' � � . 5:` ... , � .. ' . . '� . � .� ` �' �� '.:; . . . , � ' . ,_ ' , . .. . . . . ... . � . , �� ..�'Y . .",�. � � . In consicleration of the issuance ta me of a permft to �s�uct the btuldiag �scr�tbed ab`o�ve I�e � 80 th� ProPoaed work in accordance with the d8scriptlon abave set torth aad in c:aanpsfanoe with afl' o[ aTainances or the aty or r'rfcU�es►. ;� In ca�siderati� of the payment of a fee of �.�..� ., Permit is hereby granted to -- - — to construct the building or additiari as deacrlbed above. ��rrni t is gi�a'bed '� �he exPress c�dition that the Person to whom it is graated �and hfs agents, employe� ead �'�, !p' +Rli, �. done in, around and uP� said building, or any� thereof, ahall ounfozm.fD all respecrts to the d FridleY, Minneeota re8ardin8 location, c�nstrttctfoq alteratiar►, maint�ena�e, reI'�ir aad moving c►� within the dty limits and this permit may be revoked at aqy time upan viola� of any o� the p�avi�bae� ot ordinano�. ` Hu�g` �ao� NO'i10E 'IMs p�nnir dea not aewr HN �eaa�vedos, t�I1�Hon fer wGiih �W �as hwMrW sawre er vrM�r. M� te sM fh� duildino Ieqmior for a�p�rata p�nrks fer 1h�n i�wns. 0 1 Ilir ' • _ � � � .� . �.�� ...,. �,.. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA -�. -� � J ' � r", QWN�R ° S PIL�,P:E a.,� ,: L `� '�� . BUILDER , � , � ` •1� , � � i ° ADDRESS (} _ ADDRESS X C� o� �� '� LOCATION OF BUILDTNG No. Street Part of Lot %ot Block Addition or Subdivision Corner Lot Inside Lot 5etback Side-Yard SEWER ELEVATION FOUNDATI4N ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing lacation drawn on these Certificates. To be used ast DESCRIPTION OF BUILDYNG Front Depth Height Sq. Ft. Cu, Ft. Front Depth Height Sq. Ft. Gu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facta and r.epresentations stated in this apglication are true and correct. DA?'E G tGNATLiRE (s�hQd�rZe of Fee Costs can be €ound on the Reverse Side). ' � ""� � � � >. , ,, . 0 . I, City of Fridley � Application for P'lumbing and Gas Fitting Pernut Depi, of Bldgs. Phone $U 4-7470 DESCRIPTION OF WORK Number, Kind and Lxation of Fixtures p' �.. y� = N W W ? � � � � U' WATER HTR, �� x� �� xu1� Zz � Qz uz oux1 ,� c� z 3 0 ¢ c? � Z <� � p = j�<� j< � a� z< � a R N GAS ELEC. u � �fi f m N 3 1- O LL N Y. � U m < 3 (� < (9 a (9 O lst 2nd 3rd 4th • Fulu:s Conasctfan Openings * New Fixture, Old Openings with PARTIAL RATE SCHEDULE 3ewer [� Cesspool j-j PLIIMBING FIXTURE RATES: NO. RATE TOTAi. Number Fixtures . . . . . . . . . . . . . . . . . . . . .-� x $I.50 $_ f�L� Future Fixture Opening ..............:. x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . x 1.00 $ Catch Basin .... . ...... x 3.25 $ Water Heater (Up ta 200,000 BTU) . . . . . . �— x 2.00 $� DO New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures ..........................�- x$1.50 $�5 d Additional Fixtures .. . . . ............... x .50 $ Gas Range to 200,000 BTU . ..... ........ x 2.00 � REPAIRS 8c ALTERATIONS—Refer to Code Description ............................. $ ......... . . . TOTAL FEE $_��-�-u-L' � City of Fridley: � �� The undersigned hereby makes application for a perxnit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department o! Buildings, and hereby declares that all the fact and representations stated in this application are true and correcY. ' ley, Minn , 19l�� /� �� . Owner —[Xd_= -. . ° � _ Kind of Building Used as To be completed about Estimated Cost, $ Old ew: uilding Permit No. Permit No. -� �n •��- c. Signe By ''�`� Business Phune No. ROUGH r � y - � +7 FINAL 4z �M � 0 , Applictrtion for P�o�wer Pfants dnd He�ating. Coding. Ventilatiat, .Refrigera�ion �nd Air Conditioning Systems and Device�s PARTIAL RATE S�HEDULE GRAVITY WARM AIR: RATE TOTAL . Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up to $500.d0 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR F'urnace Shell & Duct Work to 1?A,OOQ BTLT . . . . . . . . . . . . /each add. 60,000 BTU . . . . . . . . . . . . . . . . . . . . . . . Aeplacement of F�rnace ............................. Repairs & Alterations—up to $5QO.OU . . . ;_ . . . . . . . . . . . . . Repairs & Alterations each add. $50Q.00 .......:...... 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam. ...... Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 8.00 $ r �'4'� 2.00 � Y--- �.00 $ 5.00 $ 2.50 $ 8.00 $ 8.�0 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �` �'"�' GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . . . x $1.5d $ �� gt' Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $ AIR CONDITIONING � ' � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FPE $ �'�' � � ROUGH Dept. of Bldgs. Phone 3U 4-7470 .�' 3 �' -- �,; t City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all wark in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. iC y. ��,� � , 19� � Owner Kind oi Used as To be c Estimated Cost, $ ��'�" ` `�, Old New Building Permit No. ��' Permit No. _� ��5 DFSCRIPTION OF WORK HEATING or POVPER PLANTS--Steam, Hot Wate Warm Ai No. Trade Name�51 ¢..�-�e–�.~� ( "--o--,��Q �c �-�-�-_�-.�.,e.t.- Size No. �f� C� %�• '� Capacity �� a N1 - Sq. Ft. E.D.R. BTIT H.P. Total Connected Load � 7� 9� p Kind of Fue BURNER — Trade Name Size No. Capacity �g;'��,� az 4M 7-s9 FINAL \� (REMARKS—OVER) Sq. F`t. E.D.R BTLT H.P. // i _ � , � � -- � � � �� _t� wi . Y •:x�_�.. i•�-,: - .,� . . � •i t � � - � �rY t .' .� x • ,��-� �,C�-E°�. - , - �d�-s6 ,; '3.� � �EiEAT SS CALCULATION ` �-� DEPARTMENT Weatherstrips A.S.H.V. . Construction N Guide Windows ( Doors Reference Out. Wall Int. Wall Ceiling Yes—No Yes—No 19._ Fl.� . Room Length / Widch � Height Win ows and Doors—Crackage and Area � Width � Height No. oi Lineal ft.. Area No. � ot Dane of pane lights � ot crack sq. tt. �� . 3 � �/ . }c f ,',� ' / Coef. Btu Infiltration , � p t�/y�j Glass ?..� �"'� $; � .'�'- c„� Exp. wall � �/ . Net exp. wall j� �-v � c� Int. wall Ceiling Floor /,j 3 7 t� Total Bcu. .�L, 3 Ya Required sq. ft. E.D.R. or aq. ins. W.A. Leader area F7.� Room � Length �'' Width :>Z Height �' Windows and Doors—Crackage and Area Width Het6ht No. ot Ltneat [t. Area No. . o[ pane ot pane Lighta oi crsck aq. tt. �'y r %� /' 9 /'cf" �- �' :� �- 3 -2- � �- �/ t / � Coef. Btu In6ltration �n � �' �, cs Glass y S� �� 3' � Exp. wall �/ Net exp. wall J/ / o / 7'/ c? Int. wall Ceiling Floor J c'� /�' � p.�� Total Btu. 2, c� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room � Length Width �'�'2- Height Windows and Doors—Crackage and Area Wfdth Height No. oL Lineal tt. Area No�. ot pene �� o[ pane Ilghta ot crack aa. ft. t '� C� � � i^ � � / � Coef. Btu Infiltration (P �v � S/ a Glaas l 1 S� �� t� t. F.�cp. wal� 7 7.- Net exp. wall (o / r v fo � o Int. wall Ceiling I^loor / 4 /.5 f (p 'J.�O. Total Btu. � � Required aq. ft. E.D.R. or aq. ins. W.A. Leader area � �,� � � OF BUILDINGS D. Roof Floor Kind Fl.� C Room L.en Windows an Doora-Cracy Width Height No. of No. ot pane ot pane llghta 3 �... / 2 Infiltration Glasa E�cp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. MINIVEAPOI.IS. MIIVN. Insulstion How. � j� W;dth ' % : and Area .IA881 ft. Ares of crack sQ. tt. �a � gn f}' ef. Btu 'o /' �� /�� /U /�a D /1 7 I� � 7 ,5"' �" Required aq. ft. E.D.R. or aq. ina. W.A. Lxader ana Ft.l ' Room I Length Width �r Heisht Windows and D�rs—Crackage and Area Width Aelght No. o! Lineal [t. Area No. of psne of pane 116hts ot crack sa. tt :.,, �- !! �- 3 � /fi' In6ltration Glaaa Exp. wall Net exp. wall Int. wall �� »! io I ♦S/i� Ceiling Floor Q' f� � S/ ��" 7'otal Btn. . o °� Required aq. ft. E.D.R. or aq. ina. W.A. L.eader area Fl.y ,/3�-f� i. Room I Length '� Width �'' Heieht,0` Windows and Doora—Crackage and Ana Width Height No. of Llneat ft Are� No. ot pane ot.Dane lights of crack p. tb. i �-� /� 'Y �Y �'' �_ In6ltration Glasa Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. � � �� .> . �� - . �s r� � -' • -- —� ired sq. ft. E.D.R. or sq. ins. W.A. l.eader area �� ti� � � ..' �$ � � 1!� I Lf� � (� i� � �� ,� d� � � Ju�e 24, 1�63 A�r . K��ate th t�ick 4�it�1 �iler �treet �F. E. �ii..r�cespaslis 21, I�#.ra�esot� �� : ��z��.��.r� �c��e:¢� �`� E�� :�c��„� � ��.�� ti'� �.. i�'�:�:2" �, a: i"' o ;:�rr�� E �,�s,� ��,��r�s ��ix�str�rrm�, t�re�e h�s i�ee� quf�e � �.ot c�f s��cd ca��. �;:� �c�r iat c�a�n a�to the �ctjoi�►fag Iot to the �auth. �itis, of e�rsrse, is a��rlasa iafric►gement on a persan's property. W��.d �rou piea�e be sa k�nc� as to scyci the south �ide of �*cwr iot aaz� grav�.c�� sma�:1B c�rs�.na�g� c�itch alcmg the side lert li�e ieading to th� r�as �o� lir�e where �hsre is a�a,t�xral clra,iaaege2 �i� wrna2d eli�ia- �te e�y �ccess water s�xu�iag caatQ the neigiibar's La�tct ar �s�q aeria�s ��►s�or�� vauld appraciate ae�tion oa �hi� maaCter tay .iuly Sth. �hacs��;� there b� a:�cy c�a��at��at in regar€�r to t�e grablem, kirtdiy fael �ree to eostact this afflce at �rcyu� coa�feace. A�Jscka cc; T�r. Edward Je�asen 6523 1�noka Street N. E. Fridley 32, Minnesota ltcurs v�rg t�r�ly. ALL�N G. 3EMSLN Buiidi�tg Inapecto�r sue�ecT PE O. c�ty of Fridley 19885 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � ECEIPT NO. ' ' COMMUNITY DEVELOPMENT DIV. ' j L ' r � � PRO7ECTIVE INSPECTION SEC. 3��`�' i � � ' -- �; r��;,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV � � 1� 612-571-3450 9t0-F15 5/9/89 � � JOB ADDRESS 6535 Anoka Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 21 f 22 5 Oak �rove Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOii MAIL ADDRESS ZIP PHONE LICENSE NO. AMRE 3700 Annapolis Lane, Plymouth, MN 55447 553-0020 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House; Cover sof�it/fascia 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF GONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWIG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OFtDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7 � 90Q $3.95 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR �OCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S99• Q� PIAN C1-IECK FEE TOTAL FEE $102.95 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V IDATED THIS IS VOUR PERMIT SiGNATURE OF OWNERUF OWNER BU�LDERI i0A7E� BLOG �NSP �7E �� Prepaid Plan Crieck $ Estim-�ted Cost $ Receipt # Cli'Y �' FRIDI�E7C I�3 � aQ�IAL � II�IDiJSTRIAL Builditig Pe�it Application Effective 5/1/88 Construction Addr�ss �� tD�CL. �lf - /� � Zoning Legal Description Property Owner/Address Tel.# OOTTIRACNR & ADDRESS ,� DD �uo 2k Tel. # ar�a3 00� O �n�.t�t & Aaare� �l�o��.l o.s"�'�/� �• # , Enqir,eer & p,aaress Req. # TYP'E OF WQRK [ ] New [] Addition [] Alteration -Describe �. � "U/J c�� _.__ - Applicant Signa l� Tel ��OD�6 Date �� 1�� 4� `�/ BUIIaING DII+��LSIO�I.S Lerigtii Width Height Sq. Ft. # of Stories OFC. ARFA: Length Width Height Sq. Ft. WHSE ARF.1�: Letx�th Width Height Sq. Ft. dI� ARF.A: Length Width Height Sq. Ft. VAI,�TI�TT � /v ' �_ Sq. Ft. x $ _ __ dost/Sq. Ft. = Valuation $ _ ) Sq. Ft. x$ Gbst/Sc1. Ft. = Valuation $ )_$ %�� Sq._ Ft. _ _ _ - - x $ _ _ - _ Cost/Sg,._ Ft. °. . Valuation _ $ _ - - -- --� ) _ _ __ _ -�-�E .___ - Building Use �C�nstruction Zj�e ��cupancY GrauP Air Conditioning []Yes []No Fire Protec�tion Pr�vided [JYes j]No Performance Bo� Amount $ See Rever�.�e for Schedule Received []Yes (]No �t F� $ 9900 Plan ChecJc $ State S�zrhan3e $ - � SAC c��arge $ Park Fee $ Spec. Assessments $ Driveway ��crow $ �, D • See Fee Schedule on Reverse Side In �ccess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation �see scnea. for > Si rii.i�ion� $575 per SAC Un.it Fee Detexmined By Er�gineering Agreement Necessazy [] Not Ne�s.sary [] feet x $13.50/foot �riza�w sizPCrr�,zzors orr � smE . . . � �JI� �- CITY OF FRIDLEY INSPECTION DIV. � Effective On January 1, 199r' 6431 Universiry Ave NE 9� 9�q � Fridiey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, �,c��"" � 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential �nace 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 — All Sizes Ali Others/Repairs & Anerations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/I ndustrial 1,25% of Value of Appliance or Work Rate TOTAL $ 30.00 $��U $ 10,00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ State Surcharge TOTAL FEE JOB ADDRESS�-� �� J /°/"7'� � �Lcc. �..5 � /(d�"� The undersigned hereby ma}ces application for a permit for the work herein specified agreeing to do ail work in. strict accordance with the Ciry Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true an� orrect. � ._,1997 OWNER �o � /` �.� � �J 7/ � 3 5 ? � � BUILDING USED AS I�1 /�,.. ,¢ ESTIMATED COST /�(�' '�- PERMIT N0, . �� ?�, / DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating nits Circle One (Steam) (Hot Water) (Warm Air) Trade Name `��-�,,� � Size No, BTU '?S�t�O HP EDR $ _ Fuel Total Connected Load $ ,50 Burner Trade Name $ ' � S Z7 BTU MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 SiATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Cond�ioners can not be placed in a side yard without written permission from adjoining property owner, Meatin� HEATING COMPANY 485! Signed By Approved By� r=1LL OUT BACK SIDE REPLACEMENT FUR� �t __ Size No. HP EDR arp Ai� Cor►ditioning tral Ave. NE e� . 23 572-0454 � / Tel No. ough—In Date STACK VERIFICATION ON Final Date �`1�"! 1 � sue�ecr PER • � City of Fridley � 2 6 4 4 3 AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T � ` RECEIPT NO. � • COMMUNITV OEVELOPMENT DIV. �� r r � V � PROTECTIVE INSPECTION SEC. Zj 1 � , � /'�'1 � CITY HALL FRIDIE� 55132 NUMBER pEV DATE PAGE OF APPROVED BY �----'�: ,•� 612-571-3450 910-F15 7/6/98 � / JOB ADDRESS 6535 Anoka Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 , 22 5 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE Bob Kush 6535 Anoka Street NE 3 CONTRACTOR , MAIL ADDRESS ZIP PHONE IICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE, Fridle , MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 4051 5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION _D REPAIR ❑ MOVE D REMOVE X 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE fiEQUIRED FOR EIECTRtCAL, PLUMBING, HEATING, VENTILATING OR Alii CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONS7RUCTION OR WOAK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I MAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAFIAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $1�JS1 �.HJ WITH WHETHER SPECIFIE� HEREIN OR NOT. TME GRANTING OF A PEF;MIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULAT�NG cor,- �56.75 Fire SC �1.75 STRUCTION OR THE PERFpqMANCE OF CONSTRUCTION. . PLAN CHECK FEE TOTAI. FEE ��/' 6 9� License SC $5.00 $64.37 SiGNATUAEOFCON�AACTOAOAAUTH IZEDAGENT IDATE� WHEN PROPERIV VALIDATED THIS IS VOUR PERMIT S�GNATUF7EOFOWNEAUFOWNEABU4DEAi �DATEI B�DG �NS� q4TE NEW ADDN ALTER [l [l �� CITY OF FRIDLEY SINGLE FAMILY Ai�1D DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � S �, � ,,,�l�l �, �,� s`7`', Legal Description: Effective 1 / 1 /98 �� ,j J Owner Name & Address: j� �-� % ~�C;,i S�-, Tel. # Contractor: � �c- �i � t2 t� f�f! �'�'� r�l C S MN LICENSE # � O�-� � Address: � .3.j I (� � v � �2 �� f � �,.% ( � �Z Tel. # S % 5/` �� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length , Length " Length DESCRIPTION OF IMPROVEMENT S� Width Width Width �1 i Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: �7r�'/�- tZ �� t=f= d- Z+= [? � c, /C Estimated Cost: $ �%�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: % � � � APPLICANT: s�z.�f��/ /�� Tel. # 5� �� . Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS : $ ��,��`: $ /, 7.Sr $ ; $ $ � • �� $ $ $ $ $ 14 � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] y , , r► SuB�ECT • c�ty of Fridley �� AT THE TOP OF TME TWINS g � I L D I N G P E R M I 3 3 2� 4 r � ` PT NO. � • COMMUNITY DEVEIOPMENT DIV. j � � /� r � L � PROTECTIVE INSPECTION SEC. Vj ��/ i-._.�; �"'1�'; CITY HALL FRIDIEV 55�32 NUMBER nEV O�TE P�GE Of �vnnOvED Br L 763-571-3450 910-F15 11 / 12/02 / / JOB ADDRESS 6535 Anoka Street NE 1 LEGAL LOT NO. BLOCK TFACT OR AODITION SEE ATTACMED oesca. 21 , 22 5 Oak Grove Addition SMEET 2 PROPERTY OWNER MAII ADORES$ ZIP PHONE Robert Kush 6535 Anoka Street NE 763-591-3574 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window �ite Home Improvement 8400 89 Ave N STE 460, Brookl�n Park, MN 55445 � AHCMITECT Oq DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO 763-391-8313 20039258 5 ENGINEER MAII ADORESS ZIP PNONE LICENSE NO 6 USE OF BUILOING Rzsident�a� 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 9 windows within existing openings 9 CHANGEOfUSEFROM TO STIPULATIONS Provade smoke detectors �n a�� s�eeping rooms and on all levels of the dwe��ing per Section 310.9.1.2 of the 1997 Uniform Bui�cling Code. Cau�k and flash aiI exterior openings. TVPEOFGONST OCCUPANCVGROUP OCCUPANCVIOAD SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK Oii CONSTRUCTION ZpNING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITMIN 60 OAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERI00 OF 120 OAYS AT ANV TIME AFTER WOi;K IS COMMENCED. NO OWLG. UNI7S OFfSTAEET PARKING 1 MEFEBV CERTIFV THAT I MAVE REAO AND E%AMINEO ?HIS APPLICATION 1 STALLS GARAGES ANO KNOW THE $AME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND OROINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMP�IED @ WITM WMETHEq SPECIf1ED HEREIN OR NOT THE GRANTING Of A PERMIT `Y7�362 �3.E)H OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROV OF ANV OTHER STATE OFl LOCAL LAW FEGUTATING coN� �153.25 Fire SC �7.36 UCTION R THE PERfOR OF CONSTRUCTION PLAN CMECK fEE TpTA� FEE Licen e SC $5.00 $169.29 � S�GN4TUQE OF CON� ACTOQ OQ AUTNOQ�ZED OGENi iD�iE� EN PROPERL� VAUOATED THIS IS V UA PE �,l.i � 'W % S�GNS7uAEO�OwwEp��OWNEQBU�IDEQ� iD�iE� g� ip v � ��tif t�u�s c? C� � s�� o-7 _�_! : : v�q . ~ � ,, . ;� NEw _ [ J � - �-� . .�. , ! �- ...� ��Effective �i/99 �� ADDN [ 1 k.�.� ,� _ �:. CITi� OF FRIDLEY -*- _ �;� �.� .� _.. �`" . . ` _ � � .. ALTER [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2 r� :- ._ '„x<� �'�' < 'BUILDING PERMIT APPLICATION . -�' .`�.: ` " �,�y � � � ._ . .. , ' y 7{ �'�`"��r.t� ! .,. . .- A 4� ��. ° . > �, .� 3. f ,:.�i- �` ; «..�+� �"� � 6Q'97�`�li� .. ... . ' .i, �'� . r.t" a .s�e , 1 ..y«r, �� s,. -��u..�. .r : � r � .. ' - A\ �d��i�� ,5� � ConstructionAddress: _� �� .�- � ��i,�w ��.�...,.�:;��..�,... , ,..,�,;�`' _�.. � . . ,. �. ,�.. . _ _ , ,,�.. .. . . _ . _ . :..:�� _ _�. . , �-,.,�. .. Legal Description: Own�r Name & Address��pp,�- � � _ � �� t.US 4i Tel. #�� 3 •S 4 % -��5"/'S� Contractor: �� rtr�� 1—�.�Q �'lcrnn_ �rrp� MN LICENSE #�Xj 3�t� �`'�? Address:��t�- �'9�'G�ye. r� .5�,�.r'�e �/loo -�t'ov�n�� n �`�� Tel. # �G3 39/- �3f� � . . . . . .. . .. . i:L�._ . Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: "" OTI�R: . DESCRIPTION OF IlVIPROVEMENT . _ ., Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:"Re,._�pT Ic�c.� q p.�-1 lU,�,�S_. Estimated Cost: $'�,�(�ab . (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ��j -q -O �.. APPLICANT: � �i,d�-�p b��Q,.2J�9�1 Tel. � 7a? :3 ��3/.3 � C�i-�,�-c'a. c..-4o� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ t53?s $ '� ,35� $ 3- `� $ $ S �� $ $ $ $ � (o� . �9 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,0� Valuation $1050 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 [ ]