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AF - 44160J a:R City oi �r�dley ,� 4T T!!q T�P 0� TME T1MIN4 � i` . r rL""��-� COMpUNITY O�VEL.G916ENT OIV, � � M��CTIVR 161ff�$�TiQry �/T, � � 3 .---� ; cm �� r�o�sr oa�� _..�.11.� .� 6�-s�o-s+mo ess �� . Elumbing Contractor . � Kind of Building � i % Comp etion Date ,� �I�I\I i { � �i a W I 1 � � ' -- --l� W � i i ; � I � . � ' I' . . • I ° � � � �� C i i � � � 'O! ;o �� : ,�, � � , U! a� � 0 �-a3-�s° � i �1 e �' a �� O � i � I` i � I o` � w I � 1 .a � � � i C7 BuIB�[GT - • . Permit No. PLUMnI�"dr, PERf1IT APPLICI�TI��J se ress 73 �� 1 � 800 P one � P one � , � � c��• �',�'' � � � �� j � Plumbing Fixture Rates: Np, RATE TOT.AL Numbex Fixtures �� x $2 . 00 $ �p. °� Future Fixtures � _� X . $1.50 New Fixture-Old Open. x $1.50 Catch� Basin x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater _� X $2,00 �� Gas Fittin Fees: lst 3 Fixtures �_ X $2.00 °r - `� Additional Fixtures _�_ __ x $ . 75 ______.^ Gas Range-199,000 BTU x ,55.00 � � Repairs &-Alterations � � � I See I Description: Code � I� State SurcharQe 50 � � I TOTAL FEE $ � s �!The undersigned hereby makes appl�ication for a permit for the work herein specified, agreeing to do all work � in strict accordance with the City Ordinancea and ruling of the Department of Buildings, and hereby declare that all'the facte and repreaentationa atated in thia applica� are tru nd correct. � ,: � �� . �'� ' " ` " °° : , �, fr' , � F^ �`,ya�� , � 'Signatu " � ate . � � SUBJECT PE , City of Fridley � 125 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R IPT NO r � `L _ _ COMMUNITY DEVELOPMENT DIV. �� `� r � � PROTECTIVE INSPECTION SEC. 1 = � �� /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV .__Jl.' '•� s�a-5so-3aso 910-F15 6/5/74 � � JOB ADDRESS 5g2g A�..thur Street NeE. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S. 101' f N. 200' f Lot 39, Aud. Sub. #92 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Mr. & Mrs. Mike Berchin 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Pratt Construction Inc. , Box 125, Masine on St. Croix 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK �I. NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE A 8 DESCRIBE WORK Construct a 28' & 38' x 44' Dwellin and a 26' x 3' 9 CHAN(iE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before cappi.ng. Provide drainage for walkout. SEWER Z�ATION: 272' North of Manhole (Inve 950.00) Wye Elev: 958.25 Top of Footing: 961.50 Minimum WATER LOCATION: 10' North of Sewer Service SEPER�4TE PERMITS .REQ.�-�� FOR �IIlRING HEAT1�?G� � PLUN�IN�� ANE3 SI,�NS. � SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� FY'3TQe THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 720 DAYS AT R �. �.Jr12 34 312 ANY TIME AfTEfl WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3�.�8SO ].�j.93 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T PEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OH LOCAL LAW REGULATING CON- STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. � $`F4.00 300.00 PLAN CHECKFEE TOTALFEE — ' �` � � 379.93 IGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI WH 7V PROPERLY VALIDA•fiE THI IS YOUR PERMIT 0 1 — �`° b �`\ SIGNATURE OF OWNER IIF OWNER BUILDERI IUATEI BLDG INSP �ATE APP�ICATION FOR RLSIllENTIAL, ALT�ItATIC1N, OR .�1i)lll'I'I01�' �(JILDING PERMIT Cl'1'�' C1F 1-R1UL1:}�', �1ItiNESOT� � �. �N OW�TTF� � 5 NAME : ��,�� C� $UILDER :� . C / � ADARESS : ADDRESS :�C ��.'� �,LNNG �-,{�,�'�� y- 3��_ r�o: . 58�-9 s�ET: � � °' ��3 3— 3 3� s �o�: �4� �+�� o� f��- o��-r,.� r�.or� �o f��.-0- .3� ��'�s ��diV;s��,�� BLOCK; ADDITION: D (Oroa �- 6�'� s CQRNER LOT: INSIpE LOT: SETBACK; SIDEYARD; Applican� attach eo this form 7.tao Certificates of Survey of Lot and proposed build3.ri$ l-ocation drawn on theae Certificates. �ESGRIPTIUN OF BUILDING ' To Be Used As: Front • � �°�,` Depth • - Heigh� • / j ' + �. Square Feet � � � !� :�- Cub ic Feet : " r � - ``_ - - _ Front: -� Depth: Height• Square Feet; �;�_ Cubic Feet •_ y ^� �'"' r .�: �rp� o� Constxuction; � � '� �° �, --a= Estim,ated Cost•�_ T4 $e Comp].eted: �� r' �' � �� The undeXSigned hexeby makes applicativn for a permit for the work herei.za speeified, agxeeing to do all work in st7Eict accoxdance with the City of Fxidley Ordinanc�s and rulings of thc� Department oi Buildings, and hereby deelaxes that •�11 th� facts and xepresentations stated in this application axe true and ��rx��ct. ' � iF, ` _ _ DATE: SIG�ATURE: .. � �, rr ($�e� Re�rerse Side For Additional Tnforma.tion. ) �,�' � ! � ' . 1 0 �. �� :,� � i , ,. d i.. .� � ' , � � i �' �E � � J '_ " .� � r ` , �:I =_ ;, ,, _ � �� ' �" ��. f , � � 4�� A �l ^./ ' ' '.� �. .A�� ' �-1 � ��' Q ' L BUILDING !'�;1L�TI�f 1=�fi 5Ct1�:llULk: S�GT�ON �. The Lnspect��r �C Btii.idin�s shall, before isstting permits f.or the exeCtion of sny building ox struc��r�, or Fo� any addition to any exist�.ng buildfng ax structur�, or lor .-�ny .�lter�.ti.on or repairs to any existing building or sLructure, iipon applicati�n Ctiereior�, req�:irc the payment by the �pg�icant fox such permit of fees to thc- :jmount hexein nelow set forth and in the manner hexe.in provided to-�•�it: UNI.�ORM BUILDINi; CODE; T`ype 1, 2& 4 -$2.15 far each onc: thousand cubic feet, ox �raction therc�of, in such cubical contents. T}•p� 3& 5-$1.85 for �aoh one thousand cubic feet. :�DJ�ITIONAL LN1=0RI�IATION Fox the purpose of computing fees f�x building permits, the cubical contents of any building or .zddition, is determined by multiplying �he ground area cAV�xed £xom a point six (6) inches below the floox line of the basement ox �h� �s�.lar to tl�� average heiKhts ,>f the upper surface ox to the average � hsi$%t �� ths roaf surface of tlie main gahle of a pitched roof. �ox xepairs ox alCexations to an existing str.ucture, the fee sha11. be at �he x'ate o� ��.00 pex eack� fi.ve hundred dollars ($SOO.Op) or fraction thereo� in the 6os� af all proposed work. �:a na caa� shall the fee charged for any permit as set forth in Secti.on 2 be less than $S,Op. VERIFICATION OP FOUNDATION ATQi'�= p�sxmits lar construction will be issued a minimum of 24 hours from the t� o� appl.�cation, to allow for proper review of the proposed structure a.ad �i �he comstruction site. A G�rtified Suxvey of the iot, showing the location of the foundation, once i.� has9 been eonstxucted, will be required before proceeding with the fratning. �'L'RTIFICATE OF OCCUPANCY Applicatipn for a Cer�iiicate o� Uccupancy shall be made ten (10) days prior to Che use or occupazicy of any structure for which a building permit has been �.�ett�d; �nd s,iid stXucture shal] not be used or occupied until a Certi�icate of Oceupa�cy haa been issued. � , � . CERTIF'ICATE OF SURVEY JAM ES L. KURTM LAND 3URVEYOR 4201 N.E. 5TM STREET COLUMBIA HEIGHTS SS421 788-3004 1 M[1�E�v CEqTlor THAT TH�B BURVEY, PLAN, OR R6PORT WA9 PR�PAREC BY ME OR UNDER MY OIRECT SUP6RVIBION AND TNAT 1 AM A GULY REOIiTER60 LApD QI,JRVSVOQ UNDHR TME LAWB OF THE BTATE OF MINNESOTA. �� DATE � � �'�� __. . I �:i%..: „ � '�°�� '� SCA LE 1 = (,o p MINN�S'bTA REGISTRATION NO. 5332 �� o=1RON MONUMENT � � =� �"`� 3'-�;`c �, l.�F � � ��1- `"� � � � - 3��,�u - - r� ---��: � . �.. e N `... � � —� � �1 �r�-�� 6 �? �`� -� � �`. 6 � `� � �T !` � °i'- !� r i n '"1 `�. i /�: � # � ,1 ..I �:a "�=j -1 � �;i � '°,� � � ��, ,: , -- `� ��, �� I� �t t�` � _, � Y ' � u�� '� w t--��..._�.f._I. �� '� 11 l° ati j � � . .�.. " ':��., � � .��.- ..�; �� °� +,iF.�. e �� gS`" �,,,�'�, �=_� � �, y�., �"'� "` � � � � �. �, �„i t: ��::. � � �� o �r 3� � �.� - Thf south I01 f�et of the north 200 feet of Lot 39, a��c�it�r� Subdivision "Je. 92, Anoka County, Minnesota �� '`,.I P�. � 0 � �J J �J � _,e C C � � � aC e .� �� .� �C C y �m . � H � �C � •� a� �vC o�o. m O � � c .� � 0. � {y � � c x a � � a A �� , .�a�� 0 a�� M � �U� FG7 y w� ��+ ��,�� bb a �, �, � cop�d w�+�� ro� o�� u u v; .��. ay� u a� � `°��a � ;� � � (y y,� VJ a°� .��p a� � ,� � '�� aA o � � b �� o � �v w 0 d � ��titi M �bz� � �� M N ��. �o 0 0 0 0000 �o � � m � J - � . G � : : : W : : : : U :::: � � � = o e � : : d o o � � J � � � � Q .e4 - +� o ' a 'c� � � � i � Q ��oo a ~ � � � 4 � ,�, � ,� o .� +� � � � � � 3 � �a�a� � � � � .p -�5 � a a a � � � a a � � w ., � v � , � � � � o � a � � o a� � ��.� ��.� 0 0 o g g o��M � � : : : o o : ; g g 0 o : : o � � ' : � � .��:�� o° d � °' � m� �� o � � °� 'i'� q �N � � � � c�i 3 a � � �j � 0°� r� � � � .� � � u :Q H � � z � a �1 z � a � � o �U d d � I w O ��.� 0 o S S o�� : �f : : � � ,� : � � : : a : : � W : : � .w w � � �' � �° �� m v� x � '� � fY PC a � �,�W � � � � � a �2l o2J � y � 0 0 N � � N M � � � d d o � � � � 4 � � W W � 0 a O 0 a � A O x � � � O `� � � $ � :� � :� :� w . � �, �� o�' � � 0 �. � �� a � � M � M .� � .a o � x � oa a 0 � � , � � �, `� z � � � � O b4 A w � � � V � � � o � � � qo � � U Ey U C-��+ e71 �t I � � z N � b � � � � '� 1 O E+ �� a g � � � •� o � � x x : � . . .�a� : � : :N . . . � w : : : �� : : q � ' �� . o� � .� ��o � �i c°�. ,� LL ~ W �' .-+ � � m�� o � � �x M � OG F .-�'i d' U' p�q G4 � � , q .b a � � � a �JJ � o � � �� 3 � F .� H a� w � �� a � �� z°�'��' o �g v a, � F 4 O � 4 O � U � 4 z H �w�� x � c� z a°4 w � 0 � � a � _. � �� ` � �� ° firr�� oT/�G �o�� £c�p '�� 13L� � o-s� .�� ``�``��"^� ��` �.G'�i (� ��`°��i— / ,, r � i HEAT LOSS CALCU[ATIONS .DEPARTMENT OF INSPECTION 1��1�PO1.LS. NIIN�.: I Weathemtrips A.S.H. . Coaatrucrioa No. Inauladon ' Guide i Window, I Daors Reference Out. WaU Int. Wall Ceiling Roof Floor Kind How AppGed ' Yea—No Ye�—No 19_ i Fl.� �� Room Length ,� Width � Height Fl.� ,o;; y�,� �. �` Room Lengt6 Width .� Height,r�'' �I Windowa and Doora—Crackage and Area Windowa and Doors—Crackage and Area ! �Vldth Helg�t No. o[ Llaeal ft. Area Wldth Halght No. ot Llnsal ft Acaa � No. ot D�oe o[ Dane Ilghts ot crack �q. tt. No. o[ D�ne ot pane tlghts � ot enck W. t4 �,, s� ,. ' , �;� Y, g'� �� .� .: � 9 `QC i:�� '''7d�:� `;"� .=�� Coef. Btu In6ltration ` 1� s �'' � �" Glaas Y � "�'" ° � �'�f , Fsp. wall ," � vf Net �p. waU 9' �` "� Int. wall Ceiling � '�� , �� Floor T�tal Btu. ,� ,, a Required sq. ft. E.D.R. or aq. ina. W.A. Leader area F7.� :� Room � Lengch Width �� Heighc � Windows and Doors—Crackage and Area Wldth Hel�pt No. ot Lineal [t. Area No. ot pane ot pane 116hb ot crack p. [t. � w� :9 1�'�% �� .9 N/ d'�" ' � 1n61ttation ,�` ?+ CJaa ; x E:p. waQ °' Net esp. wall ��' Iae. wall Ceiling = y Floor � Total Btu. Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area Fl. �� ,�„ :_ Room � Length ,`.'� Width Windowa aad Doors—Crackage and Area Wldth H�i�At No. ol Llnaal tt. Area Ne. ot D�ns ot Dane 1166t� ot enck ro. tt. -. i- f .., I� .-� . . . d� �= 9 � � Ja6ltratioa � (�,,,i� �"' ..;� Glu� " �' � � E:p. waU -" t�. , ° -'� Net e:p. waQ 'k � � = iat. wall Ceiling �°`"� ��a �;��. i� loor �- Total Btu. / Required W. ft. E.D.R. or sq. ias. W.A. Leader area Infiltration Glasa Fap. wall / Net eap. wall Int. wall Ceiling Floor I � Total Btu. Nired aq. ft. E.D.R. or aq. ina. WA. l.eader area Fl.I�,;�a: � �� [t�m I Windows and Doo:°—: Wldth He1Qht N . ot oane o[ uane 11 BtU Infiltration °l�� Glaaa Eup. wall ,' , °�� :. � Net ezp. wall Int. wall w..� Ceiling Floor r ��,._ Total Btu. �`� Q/idth and Area aeal tt. Area 'crack sC.tL IRequued sq. ft. E.D.R. or aq. ins. WA. Q.eader aren � Btu •l.� 'x"� Room I l.eagth R"'��a Width '` Height Windowa and Doors—Crac�age and Ana Wldth Hel�ht No. ot Llaaal tL Are� ot pane o! Dane 11`ht� ot crac� W. tt • 9 �. '� I� �- _!I l s I' _s'� BtV � Infiltration �`� Glsss Esp. wall � Net eap. wall Int. wall : �t� r� Ceiling rr Floor ITotal Btu. Required sq. k. E.D.R. or aq. ina. QIA. Leader area rj) B!U �`:.; c�,": � � � =°` 13L� � 6J6 ! ' HEAT LOSS CALCULATIONS .DEPARTMENT OF INSPECTION ��VF�OLLS. MINi�I. � Weatherstrips A•S.V-l.V.E. Conatruction No. Ina�lation Guide Wiadowa Doors Refereace Out. Wap Int. Wall Ceiling Roof Floor Kind How Applied Yea—No I Yea—No 19_ Fl.� �: ��`" d� Room Length a Width .� Height ,.� F7.� Room l.ength Width - Height "� Windowa and Doors—Cracicage and Area Win owa and Doora—Crackage and Area Wldth Helg�t No. o! Llneat tt. Area Wldth Ael6bt No. of Llneal ft Area No. ot Dane oI Dane Ilghte o[ crack sQ. tt. No. of yane ot Dane Ilghts ot crack eQ. LL '�� i, � � .s d _ �, - <` f ,. } t. P � y �(r'�� u' � �,�, : :� - _, w � �v Coef. Btu Coef. Btu Infiltratioa / a'� 9 � In6ltration `' �'v >`,�.� � ? � Glaas ;:- �^ ; 9 "�^ �t - Glass 'y s Xr,' � �,ry.�.d F�cp. wall �9 � '" Eap. wall ?� _ � . . Nee e:p. wa0 Nec eap. wall "� '' � �>�-�.� Int. wall Int. wall Ceiling .`�,; �j� !r� p �,�r � :q Ceiling — Floor 'r � �" C,� Floor i' .� y ` 'r� Tdtal Btu. � �" °�; �s�' .� ' Total Btu. '� � `°''�' , Required sq. ft. E.D.R. or aq. ena. W.A. Leader area � Required sq. ft. E.D.R. or aq. ins. WA. Leader area F1.� � � y�, �0 � Room � Leng�h _; :? s' Width �., Height �`�, Fry,� Room ( Length Width HeiBht Windows an Doors—�rac➢cage and Area Windows and Doora—Crackage aad Area Width Hel�ht No. ot Lineal tt. Area Wldth Helght No. of L1nea1 [t. Aree No. ot pane ot pane if6bte ot crack W. tt. No. ol Dane ot Dane 118��e ot crack eQ. [t. , r�:,r .'°`� � - , � , _ ��:.a: ! d s� In6ltratioa Glsa �.Wau -. Net e:p. wall °` Iat. waU Ceiling Floor Total Btu. �� Bill ;J. � '�..� Fl. �� Room � Length �d•� Width �� Heighe Wiadowa and Doora—Cracl�age and Area Wldeh Hel`At No. of Llneal !t. Area No. ot Dans ot D�!ne Ilsht� ot craek �Q. tt. .,� b' '�' 4 "_ � y' : �' s d . . r � Infiltration Glau Exp. wall / ° Net e:p. waU ' Int. wall --•- -e 1� loor r�s;�'`l --� Total Btu. Required sq. ft. E.D.R. or eq. ima. W.A. Leader area Btu � � � '� Infiltration Glass �. ,�u Net ezp. wall Int. wall Ceiling Floor Total Btu. Requued aq. k. E.D.R. or aq. ina. W.A. l.eader area �.� tt�m � ��e� Widch Wiadowa and Doors—Crackage and Ana WldtA Hefaht No. a! Llneal iL Area No. ot Dane ot Dane Ilghts ot crack W tt In6ltration Glasa Eap. wall Nee exp. wall Iat. wall � Ceiling Floor Total Btu. Required �q. h. E.D.R. or sp. ias. QIA. Leader area Bcu SuB�ECi City of Fridley � � � � 3 AT THE TOP OF THE TWINS B U I L D I N G P E R M I r ; � RECEIPT NO. COMMUNITY DEVELOPMENT DW v PROTECTIVE INSPECTION SEC. �c�� --�- r ; ; � , � � /'��1 � CITY HA�I FRIDLE� 55432 NUMBER pEV DATE PAGE OF APPROVED B� �"'"'�' �'' 612-571-3450 910-Ft5 7/3/95 � � JOB AODRESS 5829 Arthur Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 39 Auditor's Stlb. ��92 SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Michael Berchin 571-1719 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S, Mpls., MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �] ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � Construct a 16' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Wi4RHt�G Before digging cali fot 81t util#ty loCations asa-aov2 RE(�lJtREd BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING S�. 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 TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �I.,564.80 W•78 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISI OF ANV OTHER STATE OR LOCAL LAW. REGULATING CON- STRU ION R THE PE FO MA CE OF CONSTRUCTION �37.00 Fire SC �Z.SC � PLAN CHECKFEE TOTALFEE � N License SC $5 00 $44.34 siGN UAEOFCOM'AA O ORA�cErvr �oaTE� - WHEN PfiOPER VALIDATED THIS IS YOUR PERMIT ~ f�i� !� A � � � SiGNATUREOFOWNERiiFOWNERBU�LDERi �DATE� BLDG INSP q4T IvEW ADDN ALTER [l f] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: � �Z.�_� �.�' �)Z. ��`3�.-� T Lega1 Description: Effective 1 / 1 /95 -�as�� Owner Name & Address: /1� ; � �,��a,� �,�c � � �� Tel. # �`� 7 l — I `7 1 �'-I Coniractor: �� (� ��.� �,� (� �s MN LICENSE # Address: -�\ ¢, Si�, G � �.� � c'�. Tel. # � 7_ 1- (o (� � � Attach to this application, a Certi�cate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length � Width 1 Z, HgtlGround �� Sq. Ft. / g z� OTHER: __ Comer I.�t [] Inside Lot � Ft. Yd Setback 3� � Side Yard Setbacks �(� , 3�� / f� � 7_ 3� Type of Construction: C�i � v.i .`��L Estimated Cost: $ 3, 000 Approx. Completion Date: �� ; �,� 1_�� y� (Cost on Back) Driveway Curb Cut Width Nee�ed: Ft. + 6 Ft = Ft x$ _$ /J � DATE: _ J �N� Q,SAPPLICANT: _ Tel. �`7 z) - Z� (� z 8 ITY Y Pernait Fee $ /"� Fee Schedule on Reverse Side Fire Surcharge $ �� .001 of Permit Valuation (1/lOth%) State Surcharge $ '' $.SO/$1,� Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � Ci i� $ $850 per SAC Unit $ �'� � $5.(� (State Licensed Residential Contractors) $ $ $ $ $ Alt. "A" or AIY. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary { ] � STIPULATIONS: ` i;ui�.uirvc f>i:RMI"[' rrl3 SCHEDi1Lr l�h� Cl�i�f l3iiilding Ul�ficial shall, ix;lorc issuing permits for tfic crection of any huil<ling <>r stn�cturc, <>r ti�r any aciciiticm tu any cxititin�; buildin}; c�r structurc, or for any altcration or rcj�air to any cxistin}� I�ui(iiing <�r- s�ructure, u�n a�plication Q�crclore, rc;quire tfie payment by d�e apPlicani for such �ermit �>f icc:s t<� the amcwnt hcrcin I�clow acl tocti� and in thc manner herein providui to-wil: '1'O"1'AL VAi,UI? � 1 to $500 $501 to $2,000 $2,001 to $25,000 �25;001 co �50,000 • - $50,001 to $100,000 r-r_��s $l5 {Minimum Fcc is $15 plus surcharge) $15 for first $S00 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $45 for first $2,OQ0 pius $9 for each additional $1;000 or fraction ti�-eof, to and including $25,0(}0 � $252 for first� $25,000 plos $6_50 for each additional $1;000 or fradion theareof, �o. and including $50,000 ' $41450 for first $50,000 plus $4S0 for each additional $1,000 or fiaditon thereof, to .and including $100,000 $100,001 to �500,000 -$63950 for €�rst �$100,00U plus� $3_SO for each additional- $1,000 or fraction �e,reo� to and including -$500,000 $500,001 to $1,000,000 $1,000,001 and up $2039.50 for die f�st $S�,OQO plus $3 for each additional $1,000 or fraction th�eof, to and inciuding $1,000,000 $3539_50 for the first $1,U00,000 plus $2 for each additional $1,0(l0 or fractioa thereof - DRIVEWAY DEPRESSIOM ESCROW (Concrete Cu� Sbreets Only) Alternate "A": Removal and replacement of curb and gubter only - Driveway width plus 5 feet times S13_50. Alternate "f3": Removal and replacement of cucfi and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times � 15_75. VCR[FXCATION OF FOUNDAT[0[Y ['ermits for co��stiuction will be issued a minimum of 24 hoars from the time of applicalion to allow for proper revic�v of the pro�sui �trudure and of the eon.ctruction site_ A Ccrtitic:itc of Survey of die lot, showing the location of the foundation cmce it has it has i�ecn constructe�i wiil be re;yuirul i�efare procc:eding with the framing_ . , � �� , � � � �_' � �--- �O � N � � � L'O1 �� 1O( u � u U..��i � _Q� il— `�J � � _� �� 1�,� � � �� -- ,-- _ , , .;�, �, �� , �� , �. 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'4 � o m ��a � 0 a 0 � m � C � o� � � 0 0 � � 0 � S N vi N N Q m C O � � O U a �3 � a m Z � � � O fA � c o L r � � m Q !�t � �q � O m m � � � � 0 a '� F'- m � � �� c � � 3 O U c��a � a � � O C 41 C � � > O 0 o � � � � s W L � ln J � H � � O � �. � , �� l6 � .� _.C,. _ 4` t � � 0 � � � � > \o a Q �p O w Z � U W G. � Z W � z 0 Z 0 ''� � Y Q N � 0 w � � Y Q m H � O J � U z � � Z W � U g 0., W Q � O � v i � � � � O N � � m C �' O d � � C a c Q O w � o � c � v � O O � c � O U m a� CHIMNEY ,AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is fre� from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No {) 5. Meets all curreni Code requirement� for size and total BTU's connecte� Yes () No () 6 Has total he,a.ting BTU's of All other BTU's TOTAL BTU's 7. Has a liner be�n provided for water hea.ter 8. Has combustion air been provid� for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes ( ) No ( ) Yes ( ) No ( ) r..� February 3,2007 Paul Adelaide Mouna Samatar S�Z9 Arthu.r Stree� NE Fridley, MN 55432 Jon Haukass Director of Public Works City Of Fridley 6431 University Ave NE Fridley, MN 55432 �teference: Innsbruck Park Boundarv & Clean Un of Encroachments Dear Mr Haukass, This is in reference to your letter of December 28, 2006 informi.ng us to "remove any eneroachments onto park property that may have inadvertently occurred over the years" by June 1, 2007. We would like to inform you that we are the new owner of 5829 Arthur Street NE. We purchased and closed on the property on October 15, 2006. Since taking possession, we �� have not transfened any debris onto the city's property; nor are we awaze of debris from our property resulting in encroachment onto the city's property. As a courtesy, we have forwazded this conespondence to the previous owner, Mr Michael Berchin, who we sold us the property. We suggest you contact him on this issue, if you must. Kind regards, °�sPa de aide Mouna. Samatar. � ,�