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AF - 44871� � City of Fridley, Minn. BUILDING PERMIT No 6 7� 2 • � � �oa� Date: __1..__� '�°:�.-_. �2._.x2�.....___._...._......._.._._..._.. ._.. .__.. _. °' r { i . , Owner: ___..... _ _ ..�.._._..__._.__.__.�,��e��'�� .._._..� Builder _..._..._..:.._.._. ..... .--- ........... .:....�s.��-...--..__ Address....._.._..._:..._._.._....._..__.___._._.._..._._..._...__............_.._..._.._..._.._. Address _.:.__..._._._.__....._...........---._..---••••••---__......_._..._.._......_.__._._.___..._. • • OCAT N OF BUILDING �/' . No. .�.7._.� ..... Street .. ...... . ... �_. .. _._.. �._._.�� :.................. Part o Lot .- -----__. � Lot ��_:'. �..._ Block _.._._......�� . Addition or Su -Division _.... .._. _��.�.__.._ . .. _._�.___...____ ..... ..........._......._- -- / `� Corner Lot ...___..._..._._.._ Inside Lot •---•--.._�.._.._.......... Setback .... .._..�..-�----.-----.-- Sideyard .----.. _..._...._J._..L�.._�_..--•--•..—.- Sewer Elevati� .__......_.___..._....__.___._._..._._..____.._......_----_--._ Foundation Elevation �, DESCRIPTION OF BUILDING �T beU � � � '�_:... _ `�._. ..__ ��'� Depth _..�-.,�- .�_- Height _�.. Sq. F� ��.�Y Cu. Ft �.Ll._� �i � � � p ` � �.�s1 . nt ,/�',,�....� Depth ...,�.� . Height ._.._�`� � Sq. Ft. �...,�,�,�.. Cu. F� ..�'.f .... _ _._ Type of Construction .--......._.. ....✓...�':.12�.,........._... Est. C �.�.--.:��--_" To be Completed ....._........_.._......___._.__._....._ In consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above set forth an in compliance with all pravisions of ordinances of the city of Fridley. � � � P��—^.�_ �� Y� �i �� t�In ca�siideration of the payment of a fee of $_L:�.�._...._......._.., permit is hereby gra.nted to_.._...—.__ ._.__,........_.._._____.__.:.._._.._._._.._ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinancea _ vf/1 ,-"l Builciing InBpeCtor NOTICE: iMs p�rmM doa no1 eowr Nu con�teucNou, inuallNion fo� wteiny. PWmbin6. o�s MNin�. aw�r or wat�r. B� sun to sN �h� BuiWias le��ebr for a�p�rah p�nnils fo� fi�� ifNm. . �_ e � City of Fridley Application for P'lumbing and Gas Fitting Pern�it Dept. of Bldgs. Phone SU 4-7 DESCRIPTION OF WORK {�� Number, Kind and Lxation of Fixiuzes Location �.� 7 9_ � � Nq � N Y p 2 � ot � I �Z I< a I� W I 7 a I F I N I GASTER ELEC. �� ? F m � �i xY z� ; g? Fz o= �,o z Z 3c� 7�F� m N 3� oLL N I�a Sm <3 i�< v�a i>o Base � - lst � � '� 2nd 3rd 4th 1_ _ ' Fulurs Conaectioa Opeaings * New Fix2ure, Old Openiags PARTIAL RATE SCHEDULE v $ewer Cesspool PLIIMBING FIXTURE RATES: NO. RATE TOTAi. Number Fixtures . . . . . . . . . . . . . . . . . . . . . . — �fL x $1.50 $ � Q Future Fixture Opening . . . . . . . . . . . . . . . . � x 1.20 $� � � New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin . . . x 3.25 $ Water Heater (Up ta 200,000 BTin ......—�_ x 2.00 $� New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ ' GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures ..........................�_ x$1.50 $ % S� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU ... .... ... .... x 2.00 $ REPAIRS & ALTERATIONS—Refes !o Code Description ..... ..........................................$ TOTAL FEE $-�-,�,. f—�c City of Fridley: � �`�� The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance an@ ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are t ue and correct. / � � / L9 � 1 g— ` FriLdley, Minn. , �.,. �f/ _ Owner (-�"°'t� Kind of Building Used as To be completed about Estimated Cost, $ � '�' � Permit ot �� U �� Old New. uilding Permit No.--i�--�— ?---- - Signe � ( ROUGH '�� FINAL az Business Phone No. , � . � .,:� � , Apptication tor P�o�wer Plants and Henting. Cooiing. Ventilation. .Refrigerce�ion dnd Air Conditianing 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 $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .. 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . . . each add. 60,000 BTi7 . . . . . . . . . . . . . . . . . . . . . . . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . ..:. . . . . .. . . . . . . Repairs & Alterations each add. $500.00 . . . . .. .: . . . . . . 8.00 $ 2.00 � r--__ 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WA1'ER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ F�rnace Shell & Line—to 640 sq. ft. EDR fiot Water ... 8.00 $ Each add. 200 sq. ft. EDR 5team . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURIVER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURAIER (up ta 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $� GAS FITTING FEES: NO FtATE TOTAL lst 3 Fixtures ...................... x$1.50 $ l' S� Additionai Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR CONDITIONING � FAN HEATING 3Y3TEM See Fee Schedule VENTILATING SYSTEM � ALTERATIONS & REPAIRS TOTAL F$E � • S� � ROUGH FINAL Degi. of Bldgs. Phone SU 4-7470 � � \ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work 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. Fridiey, 1Vlinn. �" � � 4 , 19 �3 Owner Kind oi Used a: To be c Estimated Cost, $ �� Ol N� uilding Permit No. ��`�� Yermit DESCRIPTION OF WORK HEATING or POWER F'Z.ANTS-�team, Hot Water, arm Air No. � ' ��°.�/a�� 2, Trade Name.,�¢ � - ` � � �v.�s� Size No. Capacity � Sq. Ft. E.D.R. BTiJ Ei.P. Total Connected Load �`�` o� 7 T Kind of Fue BURNEft — Trade Name Size No. Capacity (REMARKS-OVER) Sq. Ft. E.D.R. BTCT H.P. Signe c � By - �;� <Z 2M 7-59 Busiaess Phone No. ,��' � l� 6,� � , . � °� � Application iror Power Plants and Heating. Cooling� Ventilation, Refrigercrtion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . .. . . . . ... . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. �50U.00 . . . . . . . . . . . . . . . 2.56 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,OOQ BTU . . . . . . . . . . . . each add. 60,000 BTU ............. ....... .. . Replacement oP Ft�rnace ............................. Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . .. . . .. . . . . . . 8.00 $ � U'-� 2.00 � 5.00 $ 5.00 $ 2.50 $ STEAM o: HOT WATER SYSTEM � Furnace Shell & Lines—to 400 sq. ft. EDft Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ � Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . 5.00 $ over 3 gal. per hour--See Fee Schedule GAS BURNER (up to 40U,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $ GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x $1.50 $ Additional Fixtures . .....:......... x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM 3ee Fee 3chedule VENTILATING SYSTEM $ ALTERATION3 & REPAIRS TOTAL FEE $ • �'"'C ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work 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. �� l� , 19�t3 Owner Kind oi Used a; To be c a-..0 Estimated Cost, $ r4--� New. uilding Permit No. � °Z'� Permit No. ��— DESCRIPTION OF WORK HEATING or POWER PI�ANTS—Steam, Hot Water, m� Air No. � Trade N am�X� ��_�.l��t C�• � Size No. b 8�:�� •� Z� Capacity I�� 5q. Ft. E.D.R. BTU H.P. Total Connected Load -� �i � 7 5~ Kind of Fue BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BT[J H.P. (REMARKS—OVER) � �"�az 2M Signe • � • By ERfECT10N }tE',qTtNG CAMPANY. fN� �f� �tTK >�E S�. . TA. 3-5287 Business IIMY�tiuc _ --- :,�,►� , ' � ,�� . � �.� � �' `� - . _ �� HEAT LOSS CALCULATIONS ' DEPARTMENT QF INSPECTIONS MINNEAPf)L'i�'.1MiNN. Weatherstrips A.S.H.V. . Construction Na Insulation Guide Windowa � Doors Reference Out. all Int. Wall Ceiling Roof F7oor Kind ��low Apglied Yes—No Yes—No 19_ �� . • • Room Length Width / Height ,� Rooaauu' Ltngds �1C� � Height � Win ows an oors—Cracl��ge and Area � � `• Windows and Door�---Craekage �ttd Arta ��': ` �.. � � � �Vidth � eight No. 61°" � !'neal t . Area � � Wfdth SeiBbi - � No. ot . L1 '.E'[� , AtK„ � ;`�,'� ��, ,., "" � . , � No. o[ pane .-�of.,�ane �li6hte. � ot. crack aq. tt. �� No. o[ pane ot pane Ilgbl� �. of Cr�Ck f,d.':tt - . . � � � � . � � " . � � a lL - Coef. Btu r". : '. : y. . ; .r: , . {��: ., .. ,Coef Bdt � Infiltr ion � t� Infiltration �: �� ` � � Glass � a �a+ Glaas �` .; �acp. wall n ' Eap. wall �'Net exp. wall� <:,, , O.O , ". - . Net exp. waU � <;, : =°'_ � : Int. wall Int. wall Ceiling ` , ":3' Ceiling ��i: t Floor ` Total B. . �C Required sq. ft. E.D.R. o� sq. ins. W.A. l.eader. atea ,.: A .� �2oom � Length !�'�► Width Height Windows and Doora—Crackage and Area > Wldth He�ght No. o[ Ltneal 1t. Area No. ot pane ot pane llghb ot crack �q. ft. ,i� / �f � � "��4 - -; Coef. Btu In6ttration Glaas � Exp. wall rq(' Net exp. wall � Int. wall Ceiling ! Floor Tota! Btu. ' Required sq. ft. E.D.R. or sq. ana. W.A. Leader area oom � Length !'�.Width � Windows and oors—Crackage and Area Wfdth � elght No. oL Lineal ft. Ares No. ot Dane,. �� t ane � lights of crack ea. tt. i � /.' . Glaaa , Exp. wall ; Net exp. wall Int. wall _ Ceiling � !� loor Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area ►d,,,,p .,�-.;_ 'i� � Btu .Q/� D I� Floar Total Btu. � Requirsd sq. ft. E. �.R. or eq. in�. W.A.��I:.�es`��t+� ,� ' Room ( Length i41'�i�t , � . l � � Windowa and Doors---Cracluge an�.1� _ s Wldth HelsAt No. ot Lfau[I t,• ` rsa Nm � o[ Dane of pan� li�hb of cr�ck � [t. .. �� fi / ��% � , • ... . '4. . } `4.:' Infiltration �' � � Glaaa _ �p `d"+�� - � Eatp. wall Net exp. wall � " ^�.�. � �...;�. �, Total Btu. � Required aq. k. E.D.�t, or aq. ina. W.A. Ls�►der uea , .� • Room I L.ength Wit�th / .. ht Win�ws and Doors—Crackage and Area � idth HelBht . A1a of � fnea Q AreR � No. ot pane ot Dan4 116hR� ot crack p. ft. � r �' t �"� �` f $t4 Inhltration � j� �.� Clan ,!! � , Exp. wall` ' Net exp. wali Int. wall � r Ceiling � " filoor ' Total Bta.. " . Required sq. ft. E.D:R. or sQ. ins: W.�k. ��r�ra , ..�.L:.�. .._ _ ,. �.�� . �.. . �..._ ---- _ _ Inc. wall Ceiling � Floor __ _ � � �� e _ °�►s.� �� . i ! ('^p� IN5PECTIONS , '�'j MINNEAPOLIS, MINN. Insulation Roof F1oor Kind How Applied Room Length 60 Width /� Height� Windows and Doora--Crackage and Area Width HeiBht No. ot Lineal tt. Area ,� No. ot pane ot pane IlBhts of crack aq. tt. df1 � � ! H "2, _90 �a $cu In6ltration .�D D d Glasa �-�D Exp. wal! O Nec exp. wall p / p Int. wall Ceil'sng �:p � t� Floor Total Btu. / IJ� Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area FI.� Room ( Length Width Height ' Windows and D�ra--Crackage and Area Wldth Helght No. oL Linoal [L Area No. ot Dane of Dane . 11�hU ot crack sQ. [t. -----�_ �a�� class Exp. wall Net exp. wal! " Int. wall Ceiling Floor 7�otal �uired aq. ft. E.D.R. or sq. ins. W.A. I.eader area Room I Length Width Windows and Doors--Crackage and Area - Width HeiBht No. of .Llneal ft. / No. ot oane ot Dane IlRhts of crack si I I Inhltration Glasa Exp. wall Net exp. wall Int. wall Ceiling Floor Tota1 Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area � Height Btu . r . City of Fridley � 4T Tna ToP oe T►� twi�s , i` r rL-------, CONwVNITY pEVE�.O'MENT OtV, � � + MOTECTtYR 1Nt�CTpN p�K, � �l �.'�' i CITtl MAI.I iR10lRY �M� 4.....1`.� `.J Ni-bW-sN0 ob Address 53-8h-s-915.51 (U�JEGT 65l�9 N, F. Anoka fitreet PLUMB I ��r, PERf1 I T P,PPL I C�T I,�� 0 ss � �o /�� : � � one Curtis T wiseler Contractor pVLINyEGASCO A ress P one of Building Frame on Date 3-17-75 �i � W II � d � ' x ';,0 � 0 ;3 p �O,u `Q � �M � I� tl � U I� I .(� M ; � %- /o % S� � no � .� O � w � f� � � � � t� S � � 733 MARQUETTE AVENUE Use � • Re s. stimate ost 10.00, Plumbing Fixture Rates: N0. RATE TOTAL Number Fixtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 i, 'i Gas Fitting Faes: � lst 3 Fixtures x $2.00 � Additional Fixtures X $ ��5 I' ( I CGas Range-199,000 BTU 1 x$5.00 5•� I ! Repeirs & Alterationa See I� Description: Code � State Surcharge Class'``A"� �SurchargE .::��, .50 � i TOTAL FEE $ 5.50 �The undersigned hereby makea application for a permit �fpr Che work herein specified� agreeing to do all work in strict accorda.nce w ith the City Ordinances and rulin of the Department of �uildi.nge�, and hereby declare that a1l�the tacta and repxesentationa atated in this a�,��/ are tru�, ancj�correct. oN� o� �''°`�n � . B iQnatur nate . . f . sue�ecr RMIT NO. City of Fridley 2 5 4 �� AT THE TOP OF TME TWINS g � I L D I N G P E R M i T � � � � � ' � ; y �� COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. �, � 1 � � ( � /'�'1 � CITV HALL FRIDLEv 55<32 NUMBER REV OATE PAGE OF APPROVEO BV �°"� � ,'' 612-571-3450 910-F15 9/8/97 � � JOB ADDRESS 6549 Anoka Street NE 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. 23, 24 5 Oak Grove Addition SHEET 2 PROPERTY OWNEH MAII ADDRESS ZIP PHONE R Scott & Sharon Ebert 6549 Anoka Street NE 572-2367 3 CONTRACTOR MAIL ADDFiESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �7 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOfiK Reside House (Masonite) 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacCurer`s specifications state it is not required. TYPE OF CONST. OCCUPANCY GAOUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. 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 PER100 OF 120 DAYS AT ANV TIME AFTER WOqK IS COMMENCE0. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF I.AWS VALUATiON SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING Of A PERMIT �1�SOO �.JS DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING CON- �(�H.SO Fire SC �L.SO STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PLAN CNECKFEE TOTALfEE $50.75 S�GNAT q OFCON'FAC.TOAORAUTHORIZEDAGENT �DATEi WHEN PROPERLY IDATED THIS IS VOUR PERMIT � � Si A�UREOFOWNEAiiGOWN UILOERi iDATE� g� , iNSP lqpT N E�V ADDN ALTER fl [1 [1 � Effecti��e 1I U97 ' CiTY OF FRIULEI' StNGLE FANIII,y AND DUI'LEXES R-1 AND R-2 f3UILDING PERMIT APPLICATION ,� ConstructionAddress: � � Legal Description: Owner Name & Address: � �'�- ��- lil f� �r �� Tel. # 57�-a3,�� Contractor: /�J$�� MN LICENSE # Address Attach to this application, a CeRificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEME\T'T Tel. # LIYING AREA: Length _ L�'idth Height Sq. Ft. GARAGE AREA: Length Width Heiaht Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft_ OTHER: �E�-ic�-� t�S-� � Construction T e: q, .� ^' � � YP � �-s'► � 1-e� Fstimated Cost: $ � � �j (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x$ � _$ �ATE: % � APPLICANT: C��'� � G��`�Q Tel. # �7d� ^ � 3 ,� Permit Fee >=ire Surcharge State Surcharge SAC Charge License Surcharge �riveway Escrow Erosion Control 'ark Fee ;�wer Main Charge TOTAL ��['(PUL,�"1�[O�ti�S: � � . .SZ� $ ,�G $ � 7S.` $ $ $ $ $ $ � �r - `�s_ CITY USE ONLY Fee Schedule on Reverse Side .001 of Peimit Valuation (1/lOth%) $.50/$1,000 Valuation $950 per SAC Unit $5_00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $45Q.00 Coaservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 2 7 4 21 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r � ` ECEIP . � ` �� COMMUNITY OEVELOPMENT DIV. /f��q1 r � v � PROTECTIVE INSPECTION SEC. `�� v 1 � � � � �"'1 � CITY HALI FRIDLEr 55132 NUMBER i1EV OATE PAGE OF APPROVED 8V !'°°�" �'' 612-571-3450 910-F15 � � 10B ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 24 S O3�LC. GI' SHEET 2"PROPERTY OWNER MAIL ADDRESS ZIP PMONE Richard S. Ebert - 3 CONTRACTOF MAIL ADDRESS ZIP PMONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL AD�RESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOiiK O NEW O AODITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 23.33 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. ?YPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONING SO. fT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONStiiUCTION OFi WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEFi WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKINC`i I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPIICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFiANTING OF A PERMIT I91S .96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOf±MANCE OF CONSTRUCTION. (j2. 2S Fire SC 1. gZ. PLAN CHECK FEE TOTAL FEE 65. � SIGNAT EOFCON7RACTORORAUTMORIZEDAGENT IDATEi N OPE IOATED THI IS VOUfi PE IT M � /�.�� ~.�� S�GNAT N RiIGOWNEFlBUILDENi IDATE� g� 1N57 �1FT NEW � { ) ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � .S � � �,1�-� b � �, � �. Legal Description: Effective 1 / 1 /98 �� Owner Name & Address: �,c�i� �� c.a� �b G� Tel. # S'l—��.3C9� Contractor: �'c.� ,� MN LICENSE # Address: � .� `f `� � ►-,os�A S-�-JU �. Tel. # 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: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ��- � 3,33 s�_ � Construction Type: � � ,f"a0�- Estimated Cost: $ ,..L—�� (Fee Schedule on Back) %gjc� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ��S � APPLICANT: �, Sc, 6-� �'b c� �� Tel. # S 7� �.5�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control� Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��l as $ /� 9� $ f� $ $ $ $ $ $ $ �s✓ >�3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.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 [ ] � sue�ecr � PE . City of Fridley 3 2 7 7 2� ' , AT TME TOP OF TME 7MIINS �� L D I�� P E R M� T REC • t � � COMMUNITY QEVELOPMENT OIV. �� / � • � ; V ��' r � � PROTECTIVE INSPECTION SEC. � � � � �'��1 � CITY MALL FRIDLE� SS�.�2 NUMBER � pEV OATE PAGE O� APiROVEO BY �----'�•� �'� 612-571-3450 9�0-Ft5 7/11j02 / / JOB ADDRESS 6549 Anoka St NE � t LEGA� �07 NO. BLOCK TRACt OR ADDITION SEE ATTACHED DESCR. 2.3, 24 5 Oak Grove Addition SHEET 2 PFOPERTY OWNER MAIL ADDRESS Z�P PHONE Scott Ebert, 6549 Anoka St NE, Fridley, MN 55432 763-572-2367 3 CONTRACTOR MAIL ADORESS Z�P PMONE LICENSE NO Scott Ebert (Same as above) � AiiCH17ECT OR DESIGNER MAIL AODRESS IIP PMONE UCENSE NO. 5 ENGINEER MAII ADDFIE$5 Z�P PMONE LICENSE NO 6 USE OF BUII�ING Residential 7 CLASS OF WOFK OX NEW ❑ ADDITION � ALTERATION p REPAIR O MOVE O REMOVE 8 DESCRIBE WOqK Construct new shed 9 CHANGE Qf USE FROM TO STIPU�ATIONS See notations on plans. -� � - ��ATE PERI�ITS ��QU{RED FOR: ��ucc N�an�� ;.�t�d��+� �n�� s TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE fiEOUIRED FOR ELECTR�CAL, PIUMBING, MEATING, VENTILATING OR AIR CONDITIONING THiS PEfiM1T BECOMES NUIL ANO VOIO IF WORK OR CONS7FUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN fi0 OAYS. OR IF CONSiRUCTION OA WORK IS SUSPENOED OR ABANOONED fOR A PERI00 OF 120 OAYS AT ` ANV TIME AFTER WORK IS COMMENCED. ' NO OWIG. UNITS OifSTREET PARKING I HEREBV CEFT�fV THAT I HAVE READ ANO EXAMIN�O TMIS APP�ICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COApECT. All PROVISIQNS Of IAWS VALUATION SURTAX AND OROINANCES GOVERNING 7HIS TVPE OF WORK WILI B� COMPUEO @ WiTH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A VERMIT �1 aOOO.00 y�.SO DOES NOT PRESUME TO GIVE AUTNORITV TO VIOIATE OR CANCEL THE pERMIT FEE SAC CNARGE PROViSIONS OF ANV OTHER STATE OR LOCAI LAW REGUTATING CON• $38,75 XXXx �l.00 STRUCTiON OR TME PERFOFMANCE Of CONSTRUCTION P4AN CNECK fEE TOTA� FEE $40 5 S�GNATUpEOFCON'A .TOAOQ�UT A�ZEO�GENt �O�iE� MEN OPE LIOATED T S I$ YOUR PERMIi ��' ��-�St'rV� �rr �0 2/ � •/%jZ S�GN4TUqEO�OWNEQ��OwtiEQBU��OEQ� iD�TE� � �. •��8� iNS�' � f�t}E NEW ( j ADDN [ ] ALTER [ ] Construction Address: CITY OF FRIDLEY Effecctive 1/1R002 6431 University Ave NE, Fridiey, MN 55432 (763) 572�604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION .S - %�� - Legal Description: Owner Name 8� Address: S�-� Tel. #�?� 3- S7Z Z3� % Contractor. e�� MN LICENSE # Address: Tel. # LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this appiication, a Ce�tificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft 1CL � �8 � Construction Type: c`�' lsZ� Estimated Cost: $/G�l3. � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � q � 2- APPLICANT: CS� �" �" L�%�J� Tel. #%�o.� J`^%Z Z3 �% r Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using c�edit card and we will call you for ca�d number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �. %.S"' $ /, a� $ ._ S'is $ $ / $ $ $ $ $ .� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: � !� ^'�t� �.� �� ' �.. � ��7��= �rr..�� -- / �� t� I� _�� fi��.��-. � �� °� "�.:_ �:Q ��, . `` ��' S'.:,4 ;,.: �� i��I ,��i�il ��/�� '� � ��5� r;:a� �-,.,.._ . ^ �� ,� 91 . _... 2"x6" END BOARDS 2"x6" Deckin 0 SURFACE BOARDS •I�l. �� • N .� Mafer�a 4 x4 POSTS 2"x6" SUPPORT BOARDS � DEK-BLOCK BRAND PIER � �, � For sheds sizes uq to: SUPPORT BOARDS 10'x12' 10'x10' 8'x10' 8'x8' 6'x8' 6'x6' END BOARDS �, ., � ��— �.l % / � 3/4" Pivwood SURFACE BOARDS POSTS (Optional for leveling) �. 2 1/2" Galv. Deck S rews, Lbs. 8 8 7 6 6 6 Stain or Sealer, Gallons 3 3 3 2 2 2 Tie-Down Kit 1 1 1 1 1 1 For sheds sizes up to: 10'x72' 10'x70' 8'x90' $'x8' 6'x8' 6'x6' SUPPORT BOARDS END BOARDS SURFACE BOARDS � � `� � � � � ��.� ` � POSTS (Optional for leveling) • When using 5/4"x6" Decking, refer to 2 1/2" Galv. Deck Screws, Lbs. 8 8 7 6 6 6 plywood material list. Substitute surface Stain or Sealer, Gallons 3 3 3 2 2 2 board requirement from 2"x6" list. Tie-Down Kit 1 1 1 1 1 1 Live Technicai Support - Free Plans, Support & Detailed Instructions at: 5' Qaamto900pm)CST65DaysaYear � ■�0��i� �� .gHE � � D •C� `' :m) Overhang oide Edge of TU v G � Z3-7IH" X 7Z" 183 cm) (60 x 183 cm; � Grooved edge of one pane abuts against non-grooved edge of othe� panel.� .. _� 3-3/8" (8.9 cm) Overhang Over �� utside Edge oi TU 3-3/8" (8.9 cm) Overhang Over Outside Edge � I �� \ 1.9 mm) ��::: : _X�s � ..�.,"_'�,'. Important Your Somersef wooden storage building can be configured in a variety of ways. Before beginning consfruction, refer to page 3 fo ensure you are using the correct procedure for your building. Note: Door placemenf option will require additiona/ parts which are included in the Exfender Kit. Note: If door opening is needed on right side of wall, reverse dimensions. 9A Arrange Top and Bottom Plates (RL,SZ and SP),10 Studs (fU)� as shown. Stud location is to center of Stud unless stated otherwise. Secure Top and Bottom Plates to Studs with two3" (7.5 cm) nails through Plates into each end of Stud. With Top Plates butting, secure by toe-nailing with 3" (7.5 cm)nail as shown. � • � � . . _�, .,....... . ...... � .. , � O 2 Top/Bottom Plate 2 x 4 x 89" O 2 TopBottom Plate 2 x 4 x 24" O 10 Studs('4) 2 x 4 x 6&1/4" O 4" Wall Panels 23-7/8" x 72" O 2 Wall Panels 16" x 72" O 2 Wall Panels 11-7/8" x 72" ' Parts supplied in extender kits 9B Arrange Top Plate Doublers (VN), (VG), and (V� as shown and attach with two3" (7.5 cm) nails over each Stud. Top Plate will overhang Wall on both sides by 5-1 /2". 226 cm 61 cm 173 cm 61 x 183 cm 41 x 183 cm 30 x 183 cm (530 cm) `r�� Overhang (14 cm) 5-1/2" Overhang (14 an) SZ RL TU � `! ��r: refer to page 3 to ensure you are using the correct procedure for your truilding. 8A Arrange Top and Bottom Plates (RL, SZ, �d SP) and10 Studs (TU) as shown. Stud location is to center of Stud unless stated otherwise. � Secure Top and Bottom Plates to Studs with two 3" (5 cm) nails through Plates into each end of Stud. With Top Plates butting, secure by toe-nailing with 3" (7.5 cm) nail as shown. Arrange Top Plate I (VN, VC; and V� a and attach with tw� nails over each Stu will overhang Wall sides by r1 /2". .� * Parts supplied in extender kits . '� (',�2 ��ml� (81 em —�� z� � 24 � 21 � 24 � 24 �J � 24 � 20�112 J 1 le� an) (et em► (61 em) let em► (6t em1 I le1 �1 (� �l - I • � l/♦�/eml �vsrM�p , ( 4��) WaAang - - �°' VI�A�L# 2 COM'INUED 2D Position a 23-7/8" x 72" (61 x 183 cm) Wali Panel flush against first Panel, and overhanging Bottom Piates by 3/4" (2 cm). Panel should be centered on fourth Stud. Secure Panel with one 2" (5 cm) nail at all four corners. Follow nailing pattern. 2E Position a 48" x 72" (122 x 183 cm) Wall Panel flush against second Panel, overhanging outside edges of frame by 3-3/8", and overhanging Bottom Plates by 3l4" (2 cm). Secure Panel with two 2" (5 cm) nails at lower outside corner and one 2" (5 cm) nail at other three corners. Follow nailing pattern. 2F With all Wall Panels flush to Top Plates and overhanging outside edges of Frame and properly centered on inside Studs, nail with 2" (5 cm) nails every 8" (20 cm) through Wall Panels into all �uds, Top and Bottom Plates. Mark this wall # 2 and set assembled wall # 2 aside. Check page 3 for the quantity of these needed for the building that you have choosen. 2D &t/2" (9 cm) OVERHANG y ��4" (1.9 cm OVERMANG OVER OUTSIDE EDGE ALONG BO�M Grooved abuts no edge ot � 2E Some�set I�., l "r;.; � � WALL # 3-10' WALL WITH NOOVERHANGINGTOP PLATE & NO DOOR OPENlNG z '� � ` r � �.�� ,�k �; � ��_,�.. ,� �� ,� < ��,�,�� Parts Used — Wall # 3 O 1 Top Plate Doubler 2 x 6 x 72" 183 cm O 1 Top Plate Doubler 2 x 6 x 41" 104 cm O 2 Top/Bottom Plate 2 x 4 x 96" 244 cm O 2 Top/Bottom Plate 2 x 4 x 24" 61 cm O 6 Studs 2 x 4 x 68-1/4" 173 Cm O 2 Wall Panels 48" x 72" 122 x 183 cm O 1 Wall Panel 23-7/8" x 72" 61 x 183 cm �--- 24 --�.— 24 --�--- 24 --•-�--- 24 -�— 24 --� (61 cm) {61 cm) {61 cm) {61 cm) (61 cm) �-u ovi sra AL g 9 �m�lnset : 3'��2° Inset B.9 cm) lmportant: Your Somersef wooden storage building can be configured in a variety of ways. Before beginning construction, refer to page 3 to ensure you are using the correct procedure for your building. 3A Arrange Top and Bottom Plates (TP and RL) and 6 Studs (TU) as shown. Stud location is to center of Stud unless stated otherwise. Secure Top and Bottom Plates to Studs with two 3" (7.5 cm) naifs through Plates into each end of each Stud. Use four 3" nails where Top and Bottom Plates butt together. 3B Position Top Ptate Doublers (YA) and(VN) as shown and attach with two 3" naiis over each Stud. Doubiers will be in from each end by 3-1/2". 3C Pasition a 48" x 72" (122 x 183 cm) Wali Panel flush against Top Plate Doubler (VA), ovefianging Bottom Plate bv 3/4" (2 cm). and VN VA TP RL TU Somerset 13 ,.> , 0 Parts Used —10' x 18' Rafter ASSEM,�LlNG -AND-ERECT- ��Ra�e� 2 x 4 x 66-1/�' 186 cm TB ,,,._':-�' _❑ 2U WOOd CiUSSetS 6 X 24° 1 rJ X 61 GT1 ING ��T'ERS FOR 10' X 18" ILDING 12)0( A Butt iwo Rafters (TG) at peak with end to end measuring 124" (316 an), as shown. 12XX B Mairrtaining the 124° (316 cm) widtb,- poside►i�us�ef#�sfrat peak and to edge of Rafters. Secure wiih ten 2" (5 cxr►) nails as shown. Irtstail second Gusset on other side of Rafters. Assemble nine Rafters with Gussets on both sides. Assemble iwo end Rafters with Gusseis on just one side. Glue may be used in combination with naiis for additional strengih (glue not suppiied with kit). 1?�OC-C On the 18' side of Building, mark on Top Plates dmensions as stwwn. On opposite side of Building, mark on Top Plates with sar�e dimensions to oorrespont�r'dF� first side (for example, 23^ (50.4 � a � :.- " � .�--- � �u" � (3ts cm) : w000 ausser �,i ,zs� zscm� ,�• �.. �u . ., � ., . . - ___- _..___ �a � � �s"ith-� � . �� .�; �41 � �'�d �h; � ,,�� y �i '� F� �. .. _ . , s� •. , t �� ., P . ,... . . _ _ »... _ r;.:.t-h : =ti ��'� a +"'t`a ��j•�'€i5s��= r �'r-. : � ~ ��= � �"; �':= � � � � � � �, 1 '.X] )X-� 12X-F SINGLE-GUSSET TRUSS — GUSSETTO INSIDE � ro,. �.� f �= • , � � .:. `.',?*; 12X D Posi�on sir�gle-gu�et er�d Rafter ;� flush to outside oomer ofTop Plate� Singie Guss� on end Rafters be faang inside of Buiiding as in 12X-F. Seaxe with three 3" (7.5 cm) nails (1 at top and 2 toe-nailad from outside) through Rafter into Top Plate. Secure oth� end of Rafter in same fashion. 12X-E Center first inside Rafter on 23° 4 mark and secure with three 3" (7.5 cm) nails (1 at top and 1 toe-nailed each side) througli irrto Top Plate. Ser.��re other end o�` R3ft@� I(1 SSt11@ f8Sh10�1. 12X-F Install remaining Rafters centered � marks on Top Plates and secure as � Steps 12X-0 and 12XE Be sure �o keep single Gusset on end Raner to the insicie. Important: Sing/e gusset rafters must � be on the ends of the building. :� � _ � a � � � : � � = o e $ u a n a � � : u: "e 8 n" ii 8 � � �• f�,'.�. ; � f h t� ��1�V s 4 ,�" � �� {�� z �� J �� s', + � ��'� ��T � ,� - " �,t�, �. � � ; ,I �� i-�� '"' ��i 4 `� i. � �� ` � � _ �� - � � �, *�� I � � � I `� "� �` ` - g � �� °> a � '��. _. _ a-+'� � � � � �f' �'•- GUSSETTO � �� c'�:�as,r �'�'�_ ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (763) 571-1287 : 6549 ANOKA ST NE : 133024140104 : UNAVAILABLE : LOT BLOCK : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.: 2004-00028 "� DATE ISSUED: O1/09/2004 VALUATION . NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL BASEMENT SHOWER AND SINK # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT EBERT RICHARD S& SHARON B 6549 ANOKA ST NE FRIDLEY, MN 55432 OWNER EBERT RICHARD S& SHARON B 6549 ANOKA ST NE FWDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 # GAS WATER HEATERS 0 # GAS RANGES 2 # WATER TRMT APPLIANCES 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 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. Appliaa�at� Date; � \.� � � c_ ` � . : : � • • -- - - PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0 0 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective On Jan 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS �� L% �T .�Jl; U.�l cj�JU� �.-> ��Ly New Fixtures � Old Opening, New Fixture BeerDispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas*'` Gas Range** Gas Dryer"' Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge l�� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all 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 and correct. .50 � -II Owner , <� �%l �.1..� �� ., �� Building Used As__��5, � r,, c` Estimated Cost PLUMBING COMPANY J— � , Zo�� PERMIT NO. '��'�l '' C�� i�� SlGNED BY �`��Cl►-v TEL N0.7��5 %��,�L,�% Approved By �� Rough-In Date �inal Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20 00 TOTAL FEE $�c�_5� PLUS THE $.50 STATE SURCHARGE � , COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 6549 ANOKA ST NE : 133024140104 : LJNAVAILABLE : LOT BLOCK : BUILDING : RESIDENTIAL : ADDITION/ALTERATION / ,. -, . � � PERMIT 1lii0.: 2004-00265 � �� DATE ISSUED: 02/24/2004 �-' VALUATION : $ 500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 LTNIFORM BUILDING CODE WHEN ADDITIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. CONSTRUCT BASEMENT BATHROOM WALLS APPLICANT EBERT RICHARD S& SHARON B 6549 ANOKA ST NE FRIDLEY, MN 55432 OWNER EBERT RICHARD S& SHARON B 6549 ANOKA ST 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 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 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 p�rformance of construction. Appli ant � _ � �,�, . r• Date��`-'Y��-�- Bldg In Date�� BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 8559 m SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 23.50 0.50 0.50 24.50 NEW ADDN ALTER j] CITY OF FRIDLEY Effective 1/1/2004 [] 6431 Universiry Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: ��i 9 �„xJ73� �,�J � Legal Description: Owner Name & Address ��.��-�� e��> Tel. #�� S i� �C�� Contractor: _ �G- � � e � MN UCENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: DECK AREA: OTHER: Length Length Width Height Sq. Ft. Width HgUGround Sq. Ft. < L`�� m on � T�CJ� ra�� Lu4�1, S _ � Construction Type: Estimated Cost: $ � � �' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE•. � APPLICANT: ,s�. S«i�i �.� �-1 �3 Tel. # % �, � S �� CaU (763) 572-3604 for Permit �'ees 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 Erosion Control Park Fee Sewer Main Charge $ �.� S C� $ . S� $ , S�? $ $ $ $ $ $ C�TY USE ONLY - 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. 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