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AF - 46989. ,r, City of Fridley, Minn. BUILDING PERMIT Date: _.._.. Ma....Y_. 19 1� � 5 /7s ° 10649 Owner: Willa�d ardner _.,.,___ Builder _...__Erco nco��orat�.d _.__.._ Address _.__._.._...._.__.._._...._.._..._ -------.__..__.._..•-•----_._ Address �_�2.�1_...Cent.�� .�v_.�t�.�js�., LOCATION OF BUILDING No. 6 5 7 3.._.__. Street .____ Ar thur_S tr e e t_N . E._....._......._..._......._._. Part of Lot ._�..._� Lot 27.,.Srg2.8.--..._ Block _.�..__:4_.____._.._._._. Addition or Sub-Divisian ._._._Oak _�rov_g Additi.on Corner I.at .___...----•--__ Inside Lot _.._.._X.._...._.._..._.._ Setback __...b5._'....___._._ Sideyard _..._.5.._& L(1 � S$¢� Elevation _._.�.Z$..2..'�.� ----_._._..__..____......�-------��El�� --._._ �81_ _2 5 � An,�rox . _ Wye Top of Footing DESCRIPTION OF BUILDING To be Use�3 as: Dwelling 32' 24' . 20' 768' 15,360' _�....__...__ .....____ Front _..__..__._.. Depth _.._.._._._ Height ..�._........_.. Sq. Ft Cu. F't _ _�ar.age._._.._._._.._..._ Front _13..`..._._.. Depth _.._..22. � Height _.._.LQ.' Sq. Ft. __28.6. � Cu. Ft _286�,A..� Type of Construction _..•-••-Fxame._.._.._._.__�.. Es� Cost _.......�.12.,5.Q.0._.0.0 __ To be Completed _._.. 9-1- 7 0 WATER LOCATION: 169.4' North of Manhole SEWER IACATION: 157' North of Manhole Provide Hardsurfaced Driveway In consideration of the issuance to me of a permit to construct the uilding described above, I agree to do th� proposed work in accordance with the description above se in com 'ance with all prnvisions of ordinances of the city of Fridiey. In ca¢�sfderation of the payment of a fee of �__..��0.__._.., permit is hereby granted to Erco,;, Incornorated . to construct the building or addition as described above. This permit is granted up� the exPress c�ondition that the person to whom it is granted and his agents, employees and workmen, in all wark done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and maving of buildings within the city limits and Uus permit may be revoked at ax�y time upaa► violation of any of the proviaioas of said ordinances. _ ��5 � CLARENCE BELI LE � NOTICE: ifits p�emR doa nM eowr th� eonnrueMon, Insfall�Noe fe� wirin�, plun�bin�, ou h�aNao, pw�r or w�Mr. d� wn to sN �h� duildiag In�p�cror for s�p�nN p�rmks fer Hna iNms. ■ � • ,� APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � owxEx � s . rur� • � [ �/�.-c> �! � I� BUILDER • � �(Z--� �-t— ADDRESS � ADD�tESS •�j 2� 1 �.�� "T i�,i��-- NO : . S TREET : �CZ..'rb't'-lJ �� LOT:2' d'� �'✓ BI.00K: � ADDITION: �!�'`- Cs�2� u e- 1%�i5 4� r.� CORNER LOT : INS IDE LOT : %C, SETBACR; �� SIDEYARD; �-�-' l• O Applicant attach to this form lfao Certificates of Survey of Lot and proposed building �ocation drawn on these Certificates. HESCRIPTION OF BUILDING To Be UBed As ; �i w��e�c �-L� IUC$�ront : � 2— Depth : Z �'� Height : .� � Square Feet: G°` Cubic Feet: /�r ��% Front : � � Depth : '�- � Height ; Square Feet; � � �o Cubic Feet : �.. �'` (o d 7.'ype of Construction: �12ea-YY, ��- Eatimated Coat: $ � � To Be Completed: � �- � � % � The undersigned hereby makee applicativn for a permit for the work herei,n speci�ied, agreeing to do all work in attict accordaace with the City o� Fridley qrdinances aad rulings of the Department of Buildiags, aad hereby declaree that all the facts and repreaentationa st�tted in this application are true and correct. L1ATE : � �/ � � SIGNAIVRE • e (See Reverse Side For Additioaal Infoxmation.) y =�i .: �- ;� �,,,,�:.,.,,,,�,.,,,,..::« _ ~ ��`"`j ' �� _ ,� � � � � r� �� Permit for PL BING AND GAS FfTT G N.B. When work covered by this permit ia ready, the Plumbing Ordinance requirea that requeat for inspection shall be phon� in to the plumbing Inspector, 560-3450 giving number of this permit., $tOTiQB Basement lst 2nd 3rd 4th � O Z h m F J � W 3 U � m F l Numbea Bind and Location of Fixtures � � Y f; N Y w a Z 7 2 < m 'm 3 � 0 4 � r � K Z = Z ; W WATER HTR. Z U� X .1 O O U m C�J E 1i. � Q V. � GAB ELEC. % / I Connected with Sewer-Cesspool Ga� Piping for Openungs Permission is hereby granted l�e�-�i: �� o do the plumbing and gas fitting in the building described in the statement hereto attache , upon the express condition that the person to whorra this permit is granted, and his agents, employe s and workmen, in the plumbing or gas fitting of said building ahalt contorm in atl respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the aiolation of any of the provisions of scaid ordinances. By Order Of The Inspector Of Buildings Roughing in Inapection Date 7nspector. FinaZ Inapection Date lnspec�%r. 4a 1M-6�9-V . . � � N° 5139 S��- � y� Permit I F� �_/ 100 + City of Fridley ��rf�� - �a'� ,19'%a Owner I.ocation - � - �au` %� �.PTi�c� Kind of Building Used as To be Completed , 19� Estimated Cost $ %�QD.Qa O -New. Building Permit Date < Inspector of Buildings. City of Fridley App�ic�ation �or Pl�r�in9 and Cs�s RMi� P�ndt Dep 2. of Bldys. Phone 3�0-3430 DESCRIPTION OF WORK Numb�r, Kiad and Locatioa of Fixtures o < � � �3` � �� 2r� gZ �`yZ ��j� 1 7.� 7f�� ;� J S� a N; N C LL �7{ li � u a j; I'J �.i9 K i1 O Base f � ) ( lst �� 2nd _ 3rd 4th • Fnt�u� Coaa�etloa CP+atn�s '� N�w Fixtnt+�, Old Op�aiaQs PARTIAL RATE SCHEDULE • • WATER HTR� / N GAS ELEG. � Srw�r �P� 0 PLIIMBING FIBTZTRE RATES: NO. RATE TOTAL Number Fixtures �� x$2.00 $ a� d� �ture FYxtute Opening _ x �1.50 a _ New Fixture Old Opening x a1.50 � Catch Basin x �3.25 a Water Heater (Up ta 99,000 BTU) .,..�� X$g,pp a S_oc� New Ground Run Old Bldg. . x�3,� $ IIectric Watu� ii�at�r : a2.00 i GAS FITTING FEEB: NO. R11TE TOTAL lat 3 Fixtures . . . . . . . . . . � s 3200 . o � Additional Flxtures ..... .......,...... x ; .76 # Gas Range to 199,000 BTU . . . . . . . . . . . . . . x �5.00 i REP11IR8 � ALTER111TON�-R�i�s to Cod� Deacription .... ........................ ..........._ 1'OTAL 1rEE � , � � s � 3 cC+,�. �,.� ,�1-�`- �. Citp of Pl�idley: !� � � � � 1 The undersigned hereby makes application for a germit for the work herei specified, agreeing to do all work ia strict accordance with the City Ordinance and ruIing oi the Department oi Buildings, and hereby declares that all the fact and representations stated in this application are true and correM. FridleY. Minn._ �'//�- , 19�' Owner Kind of Building _� � -n �-✓l.� � Used as To be completed about Estimated Cost, �� d r Qd ld New. Building Permit No.—_ _____Psrmit No. �� Signed _ _ By- - ac..1-... Business Phune No_ 7 S J'�/7 �l' ��- ROUl3H FIN _�- /G ` ? � Application for Po�rer P[anis and Htealh�g. Codi�, Yenhh'fat�n� Re�iq�rofion and o r e ro 0 Ak Conditioning S�n�s a�f De�ric�s PaR�IAI RATE SCHEDULE GAAiRTY WARM AIR: � lU1'1'G TOTJlL Furnace SheII dc DucE Work .........:.................$1U.00 � Replacement oi Furnace ........................._... 6.00 � Repairs & Alteraiions—up to a500.00 . . . . . . . . . . . :'. . . . 6.00 3 ' Repairs dc Alterations each add. ;500.00 ............... 3.00 x MECH. WARM 11IA Furnace Shell dc Durt Work to 1'0�000 H7V . . . . . . . . . . . . $10.00 ; each add. 80,000 ST'[T ................ ...... . 3.W # Replacement oi F�rnace .......................:....: 6.00 ¢ Repairs dt Alterations�—uP to 5500.00 ................. 6.00 � Repairs & Alteratlons each add. ;500.00 . . . . . . . . . . . . . . 5.00 ; STE1►M or HOT WATER SYa1�[ Plamace Shev & I.ines—to 400 sq. it. Ebit Steam ... .$1Q.00 $ Ftirnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 800 sq. it. EDR 3team . . . . . . . . . . . . . . . : . . . . < : 8.00 � Each add. 320 sq. it. EDft Hot Water . . . . . . . . . . . . . . 3.00 a OIL BIIRNEA—to 3 Sal. per hour . . . . . .' . . . . . . . . . . .' . . . 6.00 � over 3 gal. per hour—See Fee Schedule GAS BIIRNER (ap to 199.00Q BTU) . . . . . . . '. . . . . . . ". . . . . . . . . 6.00 ; arer IS9,OOQ IITU 8ee, Fs� Schadul� ; GAS FIITING FEES: NO Rl►TE TOTAL lst 3 Fixtures ..... ................ xE 200 $ Additional FYxttfres ................. x .7b ; Gas Range to 199A� . . . . . . . . . . ` xE bA0 $ n«�t. o€ s�a�. ��. seo-3aso � .� �/ J City of Fridley: The unciersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the Eity Ordinanee: and ruling of the Department oi BniIdings, and hereby declares that aI} the facts and representations stated in this application are true and correct. Sp Fric�leY. �n- � (J , 1�� Owaer i�lII(� iDt Use� as To 6e completed about Estimat Cost, $ ��5�� • Oid Ne . Building Permit l�io. Permit Iso. �7� � DffiCRIPTION OF WOAK H�ATING or FO '��team, Hot Water, Warm Air—N Trade Nam Size No �� Capacity Sq. Fk E.D.R BTU � H.P. Total Connected Load Kind oi PUeL BURNEA — Trade Name Size N�- CaPacity Sq. Fk E.D.R BTU HP. AIR COIfDI?IOIIIlI�i � FJ1li HSATING STSTEI[ �' Se� �P� Selwdol� � vEliTrixTtl�G srs'1Zlt . . � S�gURB �,> 7�� g u�aAnors t n�r�uns ro�t� Fae MINM fIVT�q NDITjpNI � �•vs �-��--�—NG-qQ-._ Rovax •�N�. . � � sustne� � Na A 5g�d._.— Fn�tu, y-/s�- 7/ (Rf�AARKf••011E�) � !� � � i`��--�, :a "' �I � — ' �.i � � !� 00 `. �� O m � � � � v � � N � � _ � � d ..� � V .�' � 4 O � � � � � o � � a w V �� 0 V � L � �� a d � � = a � C O � a :,: � •1 L � a v� � � •— L � £ d � � 0 C H i t � o a e �" :�;. C ~ � f � � ' • � W � O 0. •� V .� � 3 V d F: d V d � � '� � � � � .� � � I o� � �9'J � .�5� v a� ° � � � � o � � � � � c� ,� `` ;° ° O •� .o � � O � +� x � E° ri � s .� � � � � d � � � � � V � � � tl � � 0 � . a 0 �I � � I � s .o � a � a � � O � � � i�' a' GL .., .� a � � � d ro 0 � � � � � �,.� � o�"� �� '��wti.o. � �� 0 � C3 ?,'.� 0 .,� ��N� '� �"' V '� o, "' v�� 'a •� o � do�,°' � � � � � �� '��o� < � a�'� � �� o� � � ��O �� d tl �y ��5� � � •,,�`� C 1 � C �� '.�'�°-&� �w' o � v ° �� .� o ' �� N�� . � � � . 3 �� . �� E �c� . ° 'd � �.� � � �� U y � � �� .ti �� , � o � .� •N V� �iJ � O � � �sstl R a� a,� a� o� .°c; ° �° � �� o �� ,o„ �,�, � �° � d��.o�,' � �•� 'a � a�� o� ?,'N � � �� .� a d � 'e� �� F ,� � .� � a� 'w �'O�i 4�iD•N � ��o.� a� � � o � � �� N a � � � O �,� r. �'U� r�. � on � '� � � � 0 0 0 � H 0 Y f N City of Fridley 53-81,-8?9.01 Applic�tion fa Plu�nbing and C as �itting Pern�it Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Loca3ion of Fixtures Location E��7� N�� Arthnr J't. � N p Z N W W Z �" f J � 1�- 'ta �1`� �ii = Y i� 3 O �<?St!� � nq i�( w � ;(J � �� m Vl 3� O OLL N LL � V m � 3 Ci ` C� 6' iU O Base lst 2nd 3rd 4th • Future Conasctfoa Opeaings I Connected wilh * New iixlure, Old Opani:►gs PARTIAL RATE SCHEDULE WATER HTR. t t i N GA$ ELEC. s.�►.: p Cesspool n PLIIMBING FIXTIIRE RATE3: NO. RA1"E TOTAL Number Fixtures . . . . . . . . . . . . . . . . . . . . . . x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening . . . . . . . . . . . . . . x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater tUp to 99,000 BTiA ...... x$3.00 $ New Ground Run Old Bldg. . . . . . . . . . . . . x $3.25 $ Electric Water Heater z $2,pp $ GAS FITTING FEES: NO. RA.TE TOTAL lst 3 Fistures .......................... x $2.00 $ Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199>000 BTiT . . : . . . . . . . . . . . x $5.00 � REPAIRS 8c ALTERATIONS—Refer to Cods Description . . . . . . . . . . . . Replace � 1) g�s range . . . . . . � 3.0� .................. Tarai. � $ 3•� 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 and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Dec. � 1970 , 19_ Owner W. Gardner Kind of Building Used as i'esideriCe To be completed about D�C. 8, 1970 ` Estimated Cost, $I-u • W Old-ENew. Building Permit N. P mit No: � `� s. ' � ,��- By , susiness Plione o. A'��IS (' ,�'T", F ROUC3H FINAL 2 - z z " % � 42 � '� �r+%� �rs� �'* �+v �?.n�-��z� P'*.'?..- ��+., t+1 ._rS Q�1r� '-'�,�. �r'"re.F°,_„� �,, n "....*�,. ,��,.i,4 ,d.-�-,°,n�: �� ..Y.�..�aa3Y'..63 i�W�y ! �s��W 8 F �, -aa �e: s.Ji 4 ..... � '1..,rv::it•yg �t;.dt9aa�aaassrri�ip ��:w.��.u7"v:��++s Ai 9 �'UZ�...r . •+�r.^a•.� �. ,..n� �-.e� � �r�vr rn..�,-. . . . 6-dSY ��o,.�,SraC4...r.ia�.� �e-��..i4�..JY�J �.d:v..� ,m�yY�l�.o�L:..�b . . . . � PA�TlAL R�T� �Ci--r�� GRAYITT WAii�i �IIR: 3'L�:z TO'i'P.I. �acr $�:eII d� Dutt �Foric . . SIC.00 � Rtr:s^rsner! of Fllrna^e 6.p � P.�pa:-� k A1:rrai.or.s--uII to SSO4.00 6;X3 S Rc�airs &�.:tcratlon� each add. SSOO.W . 3 W "o #'lLQt W AiiB! ALT� �:rrLact SiseIl tt L`taet Woric to 110,440 B'N eatl add. Ea.000 B'IV .. RrpLetmeat of F�:rnaer Rr;aits & A'te-atians--vD to tSU0.00 Re�ain & A1�eratio�s each add. SS00.00 .EIO(� S 3.iXJ i 6.00 ! 6.00 # 3.0� S ET'EA2�( os HO'i WA1'EA £YBTEBi F�rracr She:l Sc Lines-to S:9 sp. L: *.DR Stenr.s S?0'X: S FLrnace Sh�I k L�ne--to 640 sq ft. EDR Fiot Wat�r 2000 S. � Ea�h add 207 sQ. fl. EI�R Stesrtl 3 OR # E�ch adG. 320 sq. ft EDR Hot Water 3.00 b OIL BQF.h'EP.-to 3 gal per hour ' 6.00 S over 3 gal. ptr hour-See Pet Schedule GA3 avAitER Cua sa iS�9.000 sTL7 5.40 ; ovcr 2?3.OG0 BTtJ .°.ee F.e Sch�du�. GA5 FITfINC FiE3: PTO RA'!E TO'fAL Ist 3 flxtum xE 20Q E Additlonai Fiztures A .76 f__. _.._ Cas Ran�e to IS�.G�4 :� b.0� i ux co�rrio�a�xa t� F".:.ATIPG ' 8 i $� �-nz.�r..a� sY�rr.� . urr��ares s �.--p�a -��e: �'I1tAL �' 7 � ?� State Surcharge 50 g /D . 0 0 s,�s g.. �c�.�.2a � msAa. � a i 0. SD �t. o� �:.� �3. �,.� s�.�,� , �, , . ��_/' . ..� � � /(// /' jN " "'/ I � �. ./ Cfiy o? Fria3c7: ; he �in:iersigned here�y ms;ces appIica:io:i !or a p!�r,rit far L'�e s�o:ic �eref specxfird a�rt�cir.g tu dc ail n•erk ,n �tric: acco:�danc� with the Ci;y G`:�c:'_ra^.ce and r;:�:n� vf thc Depa; ,mrr.t of E3v�id�r.ss, a.d hc: cby dccL:r.r� L'�at a;l :ht f$tS and reNr�rsPatativas s'.atrd :n tt,is appLcation are tn:e and Mri�ect. F}:dley, ?l.;nn `�,1�� .� 2P�� -'r . ,i �.-,F d c�wner ' ✓ Kir.d oi Buiiding -� T_ � Used a• , Tr+ be compie�c�i about �° -��- , � Estimater3 Cos� S � 9�0 / i O!d-New. Buildirtg Permit No Porsit No._ (C� �`S �"...:r�'.�'�IQ:? Or W'Ot�a� HE,ATTNG or POW�R FI.AN'I`�--.S�am, fiot Water, 4Frsm A!r-No Trade Name �� •- Size No ' Capacity_. _. .— Sq. �"t E.D.R BT[T H� TotaI Connected L,�d __— l�tnd of !'tx1 BUWiER -- T�'t�3e Natnp Siu No Ca�acity �q. g't I�.DR �Til F.�. : l ' . / � / I ' �L_/ �1 � . _/! r � r i /�.�� /��- - �'i"'��'.�.3 � � (1CCpAFxi�0Yl2i - A ' `� 1� �2'l �� ' 7 sue�ecr PER . City of Fridley 15 519 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � ECE�PT NO. � • COMMUNITY DEVELOPMENT DIV. i i L� � r � � PROTECTIVE INSPECTION SEC. g 7 1 � � ' 1� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of . APPROVED BV � �'�' �"""� � �� 612-571-3450 910-F15 10/16/79 � � �os n�oaess 6573 Arthur Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2%� $� 2$ �} Od�C GY'OVCG ACIC�].tlOil SHEET 2 PROPERTY OWNER�'FaitTi{ MAIL ADDRESS ZIP PHONE C017.ri �by! 6573 Arthur Street N.E. 571-7479 3 CONTRACTOR MAI� ADDRESS ZIP PHONE UCENSE NO. Same 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 C� ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCAIBE WORK Remodel bas.ement for bathrooan 9 CHANGE QF USE FROM TO STIPUL`ATIONS SEPERATE ��:.�?'--4�°�, F;EC�UtRED FOR �tRf�Q, '-l�ATING, P�.u�v�t3tiVG AND SiG�„ ; SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P�UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOPK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3SO y�. SO OOES 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 PERFOFiMANCE OF CONSTRUCTION. y�7. SO PLAN CHECK FEE TOTAL FEE $$. �� Si NATUFlEOFCON'RACTORORAUTHORIZEDAGENT IDATEI ^ WHEN PROPERLY VALIDATED THIS IS VOUfi PERMIT 4 � �� ; iGNATUREOFOWN RIIFOWNE BUILDE I IDATEI BLDG WSP �pT CITY OF FRIDLEY • • ARPLIC/ITION FOR RESIDENTIAI_ QUILDIP�G PERMITS � � � �. (t�ew, Alterations, Additions, or Repairs) , � � 061P1�R: ,��o,�.v ��y�./_;�. BUILDER: . ,%)a�rr�� ' ADDRESS: �. � �3 �lr� �� _, ADDRESS: - TEL NOr �/- 7�%9 TEL� NOi • • � • - � Construction Location . . �� . STRI�T NO: STREET: `.•. � . LOT: o7�I � S� � BLOQC: �� ADDITZON: �%}� �iP_OJ{� , Corner Lot: � Inside Lot: Setback: Sideyards: - . Applicant attach to this form i.wo Certificates of .Survey of I.ot and ' proposed buildi.ng location drawn on certificates to scale. � : - . DESCRIPTIOtJ OF CONSTRUCTION •� � � %�t�'�or.0 � ��c�� Fron�: � Depth:. Height: ' 0� :��!�0.� Squa�e. Feet: Gt,ibic Feet: � Front: � Depth: � Height: Square• Feet: � Cubic Feet: � . . � . . . -� . . Type of Construction: �,c"Y�� ik �'u� Estimated Cost: $�5� Rb Be Oompleted: . � ' � - . Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: �$�� $ ' . . , . . SEE REVERSE SIDE OF SHEET _ .�e undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of I'ridley Ordinances and xulings of the Department of Buildings, and hereby declares that al'1 the facts and representations stated in this application are true and correct. DATE :� 0-/ G' 7 J S TGNATU FtE :. 7�.��1�e� Stipulations: . . � • � � / ,' � , • � - . �a . � �. � F•i � y � . � ' • . � . • . . . . � ' . . . ... � . . .. . ._� . »... . .... ..,.... n . ........ . � .. . . . .. . . . ..... . ...... . ... . • ��` . � ". � _ . . : , � � .�il�d bY �i��^� � I ' . • � , • � , ; . . ��:�1ic-c��o� �� Plc��s� �.��' �� i�� C�e-�;� � " . ' � . � Dept. of 82d�s. Phons SEQ•3430 . . DE3CP.IPTIOIi OF V10I;ZC � . ' � ' � �' ? � — � ;l�� .�J % , �l' Nuai`�a:. Kiad ts�d Locr�en o! �i:ctuzea I.ocati � �.—••--��--�—•-�-� . N WATE4. NTII. � � � C1Lj� OS `h'3�Cyi � � . � � . � � � • T. C~ �� i� � Z� � g3I�� p'^ , 2 �• o ' o I < < ? � � � r � �, � ; S � � � � � u : u $ � " U^= i`�G • 'i`he undersigrsed hereby makes ayDlication for a permit tor thr •orir herei �.� �, S� ��,s - o. . specifi�d, a6reeing to do all wo.k in s.rict accordance with the Ci�t Ordu'.arct $�� • and ruling of the Depariment of $uild:n�; and hereby declsres that s1I thr fact -- , and representations stated ia this apDlicaLoa sse true and tonect' Ist ' �Yidley. biina ' -1 � _.__.--, 19.�� . Ir,3 . . 3sd _ Qwner • ' S:h iCind ot Bui2ding �V � h1 -P • Futu:s Ceanoc:iea G;Nnin�s Coazat:5d vrtY:x ' Sexras Used as �.r.=- �,��1'.t' '= {' s ?iar Fisluro. Old �yoais:qs Cccap'col � . . - , , To be completed about �P �'_.r --�-�- PARTIAL. RATE S�HEDULE � Est;mac�a c�st, ; .- . / � • Old--Iv'ew. �*ui�ding Permit I�.o.__._..____......-._._?°rm�! No.__,1�,�;�.,�_ ' ; LII�lBINC FI:CTURE RJITES: NO. RAr� TOTAL . . ��+ ' $tZnc � .' . Nucnber 'h�iUicS • • • • • • • • � � � � . • • • ��. X v�•�. �i � ' ~��• FLture FZxture O�,ening . . . . . . . . . . . . x S1.FA S , .. ' �y . _- �7/ •1ew Fixture Old Ovening.... ••:•. •• ' x 51.50 i�.-:_- . Busin�:s P:z�ne ho....�-...� S�.-.� � Catc!� IIasin • • � � • • � � • • � � � � � � � � � • ��.�..�. X W.� a Woter i{eater 'l,'p to 99.000 BTtJ�. . .• r.____ x �3.00 �_�',.. • . ., � • ROUGH • • :�ew Cround Run Old B:dg. . . . .•. . •. . x N3.25 5-.----- . . . . � �.:OC�t'�.0 �1�:�! H�d:4T• • • � � i � � � � � � � • i �7�.�i'� ��.� . � � . ��I . . . , y . . , ' . ala$ FITTf:iG FEE8: 2i0. Ri,7E ?�SAL • - Ist 3 Fixtures . . . . . . .. .. . . . . . . . . z S2.G� _ . _ �. . � . Adc3ltiaaal Fixtures . . . . . . . ».. . . . . . x $ .75 S . . , Gaa RaaSe to 199.000 BTU ..... ...... , � x 35.G4 5 • . . . . . . . � . , . , . � . , . .50 State Surch ar e . ' R..�,AIAS ic ALTERATTOXS--P.sfsr !o Cod� , g . .I)e:triptlon d . . . . . . . . . ... . . . : . . ... . . . ,.. . . . . .... . ... . .� - — . . . , , �TAL FEE s .� � . ' . , . ' , . . . . . . , .. , . SUBJECT City of Fridley � 17281 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � RECE . � • COMMUNITY DEVELOPMENT DIV. i by �'�� , r � � PROTECTIVE INSPECTION SEC. //D�� /��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""'�� ,�' 612-571-3450 9t0-F15 10/11/83 / � JOB AODRESS 6573 Arthur Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2'� � 28 4 Oak Grave Addition SHEET 2 PROPERTYOWNER MAI�ADDRESS ZIP PHONE Tatn Gerrety 6573 Arthur Street N.E. 571-7479 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. DAEX Construction 4332 Washi ton Street 781-8136 4 ARCHITECT OR DEStGNER 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 ❑ A�TERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCf;IBE WORK Const ct a 16� x 14.5' Addition to Dwellin 9 CHANGEQFUSEFROM TO STI�ULATIONS Variance appxoved 6/28/83 Md� �s a��►nb3� '��3 S�� -��1�373 _ 3�ONd313 SEPERAT�' PERMITS REQEJIRfD �OR WIRt�C, sa��i�� o� �� ' j +�AT1N(� P(..UMBING AND S�GI�S. �� afo�a8 �� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. �Sr THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS 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 WI7H WHETHER S� EREIN OR NOT. THE GRANTING OF A PERMIT $10,450 �5.23 DOES NOT P&E�UME TO IVE AUTH TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE ROVISIO OF ANY HER STAi LOCAL LAW REGULATING CON- S RUC RFORMANC F CONSTRUCTION. yfi�F�.SO NONE PIAN CHECK FEE TOTAL FEE $21, �3 $113 .36 IGNA7UREOFCON�Ra TORORAUTMOR12EDAGENT IDATEI ,�, ..WHEN PROPERLY LlDATED THIS IS YOUR PERM17 1C� �� SIGNATUF7EOFOWNERIIFOWNERBUILDEF�1 IDATEI BLDG �NSP nATE � CITY QF FItIDLCY A('PLIC/1T10:1 FOk RCSIDL"i��TIRL I3UlLD1i�G P�iLrITS (f�e►•i, A1 terations, Additions, or Rc�airs) ONSrIER: � C_._ --�=-�� AD�JP,ESS : C> � %� r.�c� � TEL �0: �%� %�7 STRI�T NO: lfh�7 STftEF.T: Effective Aug. 1, 1981 • ` �j � I3UI LDER : s,� �-X L 'o�/ . � ^ AOQRCSS: _ ��Z � a �/ s� S j, TEL I�O: %a°/- °f � � Construction Locafion IA7': BLOG7C : ADAITZO:J : Corner Lot: Insic3e Lot: SetbacY.: Sideyards: Apl�licant attach to tl�is form two Certificates of SUrvey of lot and p=oposed building location drawn on certificates to scale. DESCRIPTIO�� OF COC�,STF;UCTIOr� /� t � / Front: f�O Depth: I`7•J Neiqht: _ f Square Yeet:� CUbic Feet: Front: Depth: Height: � Square Fe�t: Cvbic Peet: ��2� �� J�. �> — �. '1�� , [� V iype of Construction: Estimated Cost: S %� Zb Be mr.�pleted: Alt. A Alt. B Proposed Drive��ay �tiidth If New Opening Is Desired: $ S , S�� PF.VF:IL�' SIDz OF SiIF.ET . Ziie undersianed hereby mal;c� applic�lticn for a perrnit fcr the �:ork he=ein sp�cified, agreein3 to do .all �.ork ii� strict accordance ��ith the Ci�y of I'ridley Ozdinances aiid rulin�� of tlie DeparCment. of IIuildings, and hereby declares that all t)�e facts and reprecc�tatiens stated � this applic�tion are true and correct. D.�7'E: SIGNATUI� : Stil�ula tions : p � �� C� ��,�3 �'� s�;� 3 l l. 3, 3� � . , .� � .! , ,- . ,. r . , , aa�aaaoQaaoa � � c�• - � a' p" � a (,� (� • s s s s s s s' s c r s T /�,� �„� �„� � � OJ IA tl7 ff: O W �1 Cp CD OD CO 0p� m! 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M � ��: � � � � �� - � � �.(..�ts w� '. �Y � , o _ � � ii p � ti ^ � � a ��,� �� . • , .. �� • � . �, � ° " �� s i"� �• � o � °� �° � ,�' a� P�� i � Q � 1 ., N4 � FmM ,�� : 1 M �.�010q�l�+ �pp � � � � � � Q ' �j"— E C , .+ d � r O � .'� Sq � i�i p � � iE � Y ce $ � ( * "' � .�" �� °° ��..� K " p � �R � • � � • •�� w r. � , � p ��a A�i M �, � �� : � � � �.�•t �i�� . � .. �� 7 �W5��'J�iC�i � � � �.�� y � , ' q �Qa�W�� C �� • � � . Ny r�� H . . � . . � u��.�� G . � , ..�;.. �� *.. �,r . . . , . � � > �� • �.,� �, �. � � ., j� w�ei`+�r. r.a �jl�,.�+��l�lN „'�. h Q NNe4a/�+ �0�� j � � ¢y�� O f"T� 7t � i��i i7S s s �i � � 1+��4 OD n �O y i' M��4MNlY - �F�.�yiL'li7eu�. p U j . . � ±... ��8��• � �� y�� • . . � x � � .• o��~ •� � � ��i. � � m '% _ � � .. �� _��g� , R e► .� �� i � a ry , o' '� .�" �� l��y�1�sy� � . . i.�.�i � . 3 R • ..� �� uQ��N �� :.. . K n o0 0� o� ao er �n I � r~� �,7��:: . . R . � � x f� • • . . r y�[ �c �i+y � �. � � .�y . �A�N�' A�O�"'�� .��rx"'�Gi^�� . � + NN.� ��. NNN � Ci�LL ��i , 0. O �� N . . �� . ��i ��rt � KxX +o�rrar f ar� 6r'ii��s�s� � �n �n �n a � a , � �1 �j � ��- � x � �t � � � M . � . �N � . . N . . m� ...� � � ��'��Q �! C . 1 Jf �` T ar, • ` I � �zil�� • �� . NN � � � N!'M �.� � JW�...�� .. . � ,..... . . sp �. . . . ... .. � ' � � � J � � �: . F� � _ ► � $��s� �� X� � � ��r�� ` """ � `� �� , � �' . .�.�."..�.^^...,..c. .--�„-,.,.,,,��-,.: ..,,;,. - -;.,,�x. ~-��-. -�-:,, �,� .;3 �r��Y -.�-Y ,��.-,-.....�.:: ,, ., . _. . s, ._ . . . � , i � �' �� i. n :w v� '� .� � r� �� I _ _ - �, I b � �t Z� � 1,� .� �a ��; � � `��,� �a� � �� 4 y.,e� .� ` �2 q � V 1 � � � ",� i�c `� Iii , 3 � �� p� ' , I ! � It '� �� ,� t ti � � �� . 0 e�1,`. �' � j _ � I �� ( � � I � I �� . �� '`� �� .>'�*' t' �!� ��•. � Q �, � A a - ,� �� n�. �a �, , L � � 'Y � t�� ,, `� ��`� \��. � �:h ��1 � i t.�,�� , �, �� .,� � � k �� ,�o � �� n � � � � �� < � � `'� ° n �� '{ 1 ia � � s9�. � ' � �� g �� `� � i � � �? � �� i`� � I� � � 0 i� �'i � � (� �\ � $i � � .,, � , � ��C � c � �� ;� � ;-: �� e �, :, ''� '� �� I� �� _ ` � � �� a � ,, . � � ; a. �- __-�— �:- i �� -�, ,� �i . � E� sus�ecr PER . c�ty of Fridley 18319 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ' ` RE � � � ; y__._ _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � 9 ySj 1 � � � ' /'�'1 � CITY HAL� FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPqOVED BY �.---�: ,.� 612-571-3450 910-F15 2/5/86 � � J08 ADDRESS 6573 Arthur Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2']�2$ 4 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Gerret 6573 Arthur Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Northwoods Construction 1801 - 103rd Avenue N.W. #303, Ooon Rapids A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 757-8464 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDINCa R�sidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ox ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Basement Alteration 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detector . Provide combustion air for furnace. Provide 148 cu. ft./minute mechanical vent. S��'�iRATE PFRMC�'S R��Uf�E� FOR ��:�:.��t,';Af f_�r�E � �z,�� , f ,� ''� 'r : t_�1.t�,�ii��i�s ��li1.l v��`�;f�. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. QCCUPANCY GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. WOOC� FYdICt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHOFIZED iS NOT COMMENCED WITl-IIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMEMCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAfiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF 4AWS VALUATION SURTAX AND OFOINANCES GOVERNING THlS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $3,150 $�-• S8 DOES NO ESUME TO GIVE AUTHORITY TO VIOIATE OR GANCEL THE pERM1T FEE SAC CHARGE PROV ONS ANY OTHER TATE R LO AL LAW REGULATING CON- STR TI N O THE PERF M NC CO TRUCTION. 544.50 � PL N CHECK FEE TOTAI. FEE � $46.08 T eoF N'R cT0 ORAUT GENT �on Ei EN PROPERLY VAL ED THIS IS YOUR PERMIT ► . � c, _ ' 8 SiGNATUREOFOWNERIIFOWNER0U4DER1 IDATEI BLDG WSP A7 NEh [ ] City o^ Fridley ALP';. []� r R-1 AIiD R-2 � pLTER. [ -3' .��'�'�� Building Permit Application Construction Address: �'s / �7 ,�� f��.t,c ,y�� " � Legal Description: Owner Name & Address: Effective 4/1/8b Tel. # __ Contractor: - T�1. # �% -�� Address:_��.f ��3 �u �t)Gc� ��3 � 0��,—�5 ----- Attach to this application, a_Certificate of Survey of the lot, xith the proposed construction.draxn on it to scale. _ DESCRIPTION OF IMPROVEMENT ( LIVING AREA: Length� Kidth �_ Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTH_ER : � _. Corner Lot [] Inside Lot [] Ft. Yd. Setback Type of Construction: _ .�4sE�»�..��L� Approx. Completion Date: � � � d"� Propo�eC Driverray Width If NeW Opening Is Desired: . „, Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setback Estimated Co�t: � ___ ' J. ��S^Uom Alt. A Alt R � � -- --- See Back Page for Explanation DATE: _z'�5�,�_ APPLICANT: �l��o.�s IL�� Tel. � 7s%�9��_� Perait Fee Plan Check State Surch2rge SAC Charge Park Fee Sewer Nain Charge �� STZPULATIONS: �S 1 ��" L. � pa-��I�r �(�i-QUII�JrL � CITY s y�,;v $ ^�� $ ��5� � "�' � � G,O� OSE ONLY Fee Schedule on iteverse Side 254 of Building Per�,it Fee 5.50/$1�000 Valuation �425 per SAC Unit Fee Determined by Engineerir.� Agreement Necessary [ ] Not Necessary [ ] S�v�c � p��-,Z►ti C� �, Q � � � � �U''� . � � l� ►'L N I�C- [�' l �F � �. f�'` �i�,h 0 n _�_ ,;� �.'�. �� _ � _ ----- - - _ W \ � � '� �� ,1 3k 4 � �`� � � ;' � �► \ti �, � \� f ` �''Tr- � �` � � � i ` � � , a� � � � � � ( �f � � , �'�,`., � � �.. �i �---� �� - ---- ----� ,' i ``� � - _ �� _ „ � ,, . , �� -� �, � ;' � `� � �� ;' � r ; � � . ? � � v �� u �o ,� � � 1, e-► ` ,� . � ,� � .._ , _�._� C� UO �° n . �J> >�-- J �. � • - + C[TY OF FRtOLEY errKci�e �►�. t, ��ei APPL[CATION FOR PONER PLANTS ANO NEATING, CAOIING, VENTI UTtON, REFRIGERATION AND A1R CONOITIONING SYSTEMS AND DEVICES RATE SCNEDULE 1lESIDQiTL1L lurnsce 8heil and �uct Nork, Sutnls (1►l�o t�Pi�cu�nt turnacr) Cas Pipinq tpfpinq n�tl�d vitJ� nw� lurtic�) Ga• llange G�• Ory�r � Air C�ditioning (all •ises) w►r� ro�r�►t S zo. oo S� 5 10.00 S S 10.00 S $ 10.00 S 5 io.00 S,�(� All Other�/Rep�irs end Alterations lf of Value oi Appliance or Mork CGM�lERCTAL/INDOSTR I11L 1� o! Valus o! 1►ppliance or lbrk . State Snrcharqe so'ru !as Reinapection tee IS15.00) Rouqh insp. ate Final insp. � ` � - �� ate J►pproval ior Perwit -��="- MINIMUM rEB FOR 11NY HEJ►TING PEIiMIT IS S10.00 PWS i.50 STATE SURCHARGE S S S .SO Sy�� ,50 s Attach stack ��rificatioe fo:s vlth repl�eaknt tu:nsre pea�its •Air Oo�ditioness csn net M� placed in »id.• yard viUwut rritten pi•c�isuion fra� ad�ioing naiqhbos. �,►aa«s. _ i n.S' %�� ' h�-� t t �� , 5�` � iU E pepartwent of suildinqtr 6131 University lW�. N.E., !'cidl�y. MN 55��2 City ot Fridley ni. rs�i-�aso The undersiqned Mreby wake! applicat/on tor � pect�it tos tM wrk h�rein specitted a9teeioq to do all wrk �n �trict aecotdaoc� vith tM Clty Oode• �nd rulinqs o! ihe Oepart�ent ot suildlnqs, and her�b�► d�elar�• �h�t •11 th� . facts and repre�entations sLted Ln this applie��lon �r� tru� and oorr�ct• � tridl�y. Minn. ' �I I c�� . 19� awNEa �i�ro or suti.oinc usec ws � �� TO !E COlIPI.ETED MOUT � t�J v 1�rI l5TIM11TED C05T � � �d — oz,c - NQI SUIIDING PEIMIT ND. �ea+ii uo. �-' OESCRIPTION OF NNNJICL/lUNNER NFJITING or PONER PiJ►NTS. Stw, Not 11�te , Ma� 11i No. i rr.a� �e �l�nn , _ sis. ,+o. �9S.g A k/D��D�oC 0 apa�i cy (o h� �b:� sa. Pc. coa nv �,�'� xP 7btal Cbnnected Load � Kind ot twl i1) .�• ButWER - Trade Na�e „ Size No. Gpacity. Sq. Ft. LDR e'R1 �� pP Co�epany Siqned By 1'el. No. r% S�'�� — CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH i�LOOR PLUMBING FIXTURE RATES: . NO. RATE TOTAL JOB ADDRESS �i �%� � i� I�..0 �r New Fixtures Old Opening, New Fixture Beer Dispenser 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 ;, � � Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% o f Va lue o f F i x ture or A pp liance State Surcharge The undersigned hereby makes application for a permit for the work herein specfied agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that ali the facts and representations stated in this application are true and correct. ��3 , 199� . Owner � � o /� Suilding Used As � w,.r.(,�_ r Estimated Cost �oo '� PERMIT NO. ��1 P UMBING+ ISIGNED BY �� Approved B .50 Rough—In Date TOTAL FEE $ PLUS THE 3.50 STATE SURCHARGE TEL N0. � S 3�9 7� � — � (� Final Date > � NEW ADDN ALTER �) [l L] CITY OF FRIDLEY SINGLE FANiILY AI�1D DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �\� � ConstructionAddress: �j S -] � (L� hU � � �- . �� . Legal Description: � [� 7- � �� t � � Owner Name & Address: ��,�-�� Tel. #�L -% �� Contractor: MN LICENSE # Address: 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 W idth HgdGround Sq. Ft. Construction Type: Estimated Cost: $ C � (Fee Schedule on Back) X Driveway Curb Cut Wtdth Needed: �Ft. + 6 Ft =�Ft x$ ��-�v =$ �1 DATE: � D� APPLICANT: Tel. #��? )-? y �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $. $. $, $ $, $ $ 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 [ � sue.,¢cT PERMIT N City of Fridley 2 9 2 6 d AT THE TOP OF TNE TWINS g U I L D i N G P E R M I T � ; � ECEIP . ' COMMUNITY OEVELOPMENT DIV. ' j V �� , / 7� r � � PROTECTIVE INSPECTION SEC. � � �"'1 � CITY NALL FRIDLE� SS132 NuMBER pEV O�TE P�GE O� AVVnOVEO 8r �---•�� •' 612-571-3450 910-F15 4/20/99 / / �oe Aooaess 6573 Arthur Street NE t LEGAI �07 NO. BLOCK TRACT OR AOOITION SEE ATTACME� oescR. 27,28 4 Oak Grove Addition SHEET 2 PROPERTV OWNEp MAII AODRESS ZIP PMONE Debby Gerrety 6573 Arthur Street NE 571-7479 3 CONTfiACTOR MAIL AODRESS 21P PHONE IICENSE NO Same 4 ARCNITECT OR OESIGNER MAI� AODRESS ZIP PMONE IICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PNONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WOfiK p NEW O ADOITION O ALTERATION �J REPAIR O MOVE O REMOVE 8 DESCRt9E WORK Reroof House & Garage (17 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Itnderlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TYPE OF CONS7. OCCUPANCY GROUP OCCUPANCV �OAO SEPARATE PERMITS ARE REOUIREO FOR EIECTRICAL, PLUM8ING. HEATING. VENTILATING OR AIW CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO If WO�:K QR GONSTpUCTION ZpNING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF GONS7RUCTIpN OR WORK IS SUSPENOED OR ABANOONED FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WQRK IS COMMENCED. NO DWIG. UN17S OFFSTREE7 PAqKING 1 HEiiEBY CEFiTIFV TMAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORREC7. ALl PROVISIONS Of LAWS VAIUATION SURTAX ANO ORDINANCES GOVERNING THIS TVVE OF WORK WI�L 8E COMPLIED WITM WNETHER SPECIFIED MEAEIN OR NOT. TME GRANTING OF A PERMIT � 1, 456 �. 73 OOES NOT PqESUME TO GIVE AUTMORITV TO WOIATE OR CANCEI THE pEqM1T fEE SAC CMAqGE PROVISIONS OF ANV OTMER STATE OR LOCAI LAW REGUTATING CON- �(FH.SO Fire SC �I.�FC) STRUCTION OR TME PERfOi;MANCE OF CONSTRUCTION PLAN CMECK fEE TOTAL FEE $50.69 5 N�UAEOFCON'RACT Op�UiNOp�2ED�GEtiT �OATEi WHEN PROP LV VA�IOATED THIS IS YOUFi PE MIT �- 4i ,:/ y-��—R� 5� PTUAE O� OWNEp��F OWNEpBU0.0E � �DATE� pG ��5o f�ii( NEW ADDN ALTER �l t� [l ConstructionAddress: Legal Description: �S Effective 1 / 1 /99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �J � S U��, �b �� U- �\ ,11�^• Owner Name & Address: - r . �v Tel. #��1 � - � 4 � �' Contractor. � U.�'�> MN LICENSE # Address: 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 �MPROVEMENT �ng� Wld� Height �ng� Wld� Height �ng� Wld� Hgt/Ground 1�l �� rr�� I hr�i �� . e� (lr, n n n � , ��q'Llil Sq. Ft. Sq. Ft. Sq. Ft: A .. _ � � � o � U � �,:��.- �� . � Construction Type: Estimat�d Cost: $ � �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: `� a.t� � �1 APPLICANT: Tel. #�� - % � � � Permit Fee Fire Surcharge 5tate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $�� $ I•�G $ - 73 $ $ $ $ $ $ $ � �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 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 [ ] Building Inspections 763-572-3604 DATE SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER �CONTRACTOR ADDRESS: � /� �i�'�Y � �`'� PHONE: 6�/ � � �'a-v��{D STATE LICENSE # ❑ TWO FAMIL ❑ BASEMENT FINISH O DECK DESCRIBE WORK BEING SIZE OF NUMBER OF SQUARES _ 6XP FAX O ROOF � SIDING ❑ SWIMMING POOL ❑ NEW ❑ ❑ MAINTENANCE/REPAIR � rb �'�s� ES � WINDOWS ❑ DRAIN TILE ❑ OTHER ��d�� Permit No.:�-s�- � 3� (.P Received By: Date Rec'd: ' LENGTH �`� WIDTH � HEIGHT � Sq. Ft. ❑ HOUSE & GARAGE GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE I PROPOSED HEIGHT: �,,� ��,�,� S�S lc� lw�C� 0 VinG ❑Soffit �� 0 Aluminum � ❑ Trim ��c� `� � � `�� -19 Od�er ,�•1'0�' O Fascia WINDOWS IN EXISTING OPENINGS .�°Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & , , ., / , Lo ,�AR i � BASEMENT REMODELMG SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW COiVSTRUCTION INCLUDMG DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Siu PlanlSurvey showing ffie existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19 7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 15,�� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ $ �%cOU' $ �. �P' $ $ $ $ $ .. See Back Page for Fee Scheduie 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $I675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED I hereby apply for a building permit and I acknowtedge that the information above is complete and accurate; that the work wilt be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of alt work which requir s t�v'e�w d approval of plans. SIGNATURE OF APPLICANT _ ` PRINT NAME �'l'��tSlr�c! /� DATE ,3'�� „�, _ � �, ___, �� , rrom: iti� otsb i�:�4 � Nage: 2!2 Date: 3/13/2007 11:41:39 AM �� NEW CEILING BEAM �� _ _._., TJ-Beam�96,25Seria� NumDer 7� On OSf 09�84� 2 Pcs of 1 314” � 11 7f8" �.9E Microtlam� LVL Page 1 EnyineoVersion:6.25.7, THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPlICATiON AND L4ADS LtSTED i,A�mber �tape: Q.M? Roof SlopeS.°I2 All dimensinns are horizo�xal. Q, 2 � � d 16• 6•' ' Product Diagt�� is Caneeptual. LOApS: Analysis is for a Header (Flush Bearnf Member. Tributary Load Width: 8" Prirnary Load Group - Snow (ps�: 35.0 Live at 115 °k duration, 17.0 Dead Veriical Loads: Type Class Live Dead Location Application Point(Ibs) Snow(1.15) 3360 1632 4' - Uniform(plf} Snow(1.15) 0.0 72.0 0 To 16' 6" Adds 70 SUPPORTS: �nput Bearing Width Length 1 Stud waq 3.00" 3.22" 2 Stud wah 3.00" 1.50" Verticai Resctions (!trs} Live/Deadf Upl iit/Total 2751 / 2033 /0 1 4784 994 ! 9179 / 0 / 2173 Detafl Comment ROOF CEIIING AND (NSllLATION Other L1: Blocking 1 Ply 1 3/4" x i t 7/6" 1.9E Micr�tam� LVL L1: Blocking 1 Ply 1 3/4" x 11 7/8" 1.9E Microltam� LVL -See TJ SPECIFIER'S / BUILDERS GUIDE for dstail(s); 11: Btodca�g -Bearing length requirement exceeds input at support(s) 1. Supplerr�ntal haMware is requ'ued to satisfy bearing re�uirements. DESIGN CONTROLS: Maximum Shear (lbs) 4789 Moment (Ft-Lbs) 1758? Live Load Defl {in) Total Load Defl (in} Desfgn 4636 17581 0.438 0.800 Control Control 9081 20525 0.813 1.083 Passed {51%) Passed {86%) Passed(U445) Passed (U24A) Gocation Lt. end Span 1 under Snow loading NitD Span 1 under Srww bading M1D Spart 1 under Snow bading MID Span 1 under Snow loading �� -Deflection Criteria: STANQARD(LL:U240,TL:U180). -Bracing(Lu): Att compression edges (fop and bottom) must be braced at 6' 2" o1c urdess detailerf othervvise. Proper attachm�t and po�iGoning of lateral bracing is required to �Ghieve member stability. -Design assumes adequate continuous lateral support of the compression edge. AQDiTIONAL NOTES: -IMPORTANT! The analysis presented is �ufput from software developed by Trus Joist (7J). 7J warrants the sizing of its pro�.+cts by this �ftware wiit be accompiished in accordance with 7J product design criteria and oode accepted design values. The speciFic product application, input design loads, and stated dimensiorts have been provide� by the soflware user. Fhis output has not been reviewed by a TJ Associate. -Not a11 products are readiiy avaital�e. Check with your supplier or TJ technical representative for product availability. -TMtS ANALYSIS FOR iRUS JOIST PROOUC'fS ONLY! PRODUCT SUBSTITUTIOM VOIQS ThfIS ANALYSlS. -Allowable Stress Design methodology was used tor Buiiding Code IBC analyzing the T,f Distribudon product listed ebove. -Note: Sse TJ SPECIFIER'S ! BUILDER'S GUIDES for multiple p1y connectio�. PRQJECT INFOR ATION: BISMAftK BUfLDERS GERRITY RFS Cory-iqhc p 3006 by ?rus JaiO., a Weyerhaeuser 8usineas Hicro'-1aat is a:eSfiaeere� tredemrk o: Tnu Joiec. OPERATOR lNFORMA710N: Grant Jor�es Shaw Stewart Lumber co 645 Johnson St. N.E. Minneapolis. MN 55413-2535 Phone : 612 238 4204 Fax : 6f2 378 1484 gjanes(�shawstewartlumberco.c�m Building Inspections 763-572-3604 763-502-4977 FAX DATE� SITE ADDRESS _ THIS APPLICAIyT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFF�CTIVE 1-1-08 . YOUR E-MAIL ADDRESS /' St%� -t" ❑ OWNER �CONTRACTOR PROPERTY OWNER/ I NAME: �6 TENAN'1' ,qppRESS:_ _ � CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING C S17.F nP fMPRnVE1V1ENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other _ Permit No.: �- -. : --` � ,S;- "�� i � � i A ADDRESS: �� Q G+� `� CITY�J�//Gyif�L�/o� STATEI'��ZIP:7.7(/15U PHONE 6/oZ— �� 3 F� STATE LICENSE �! �C�3 �� D EXP DATE ' 3 � v� �`SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STOR[ES ❑ ADDITION 0 GARAGE/SHED ❑ WINDOWS � BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK � SIDING ❑ OTHER ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION 0 ADDTTION ❑ MAINTENANCE/REPAIR ❑ REMODELING WIIYDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ALL FEES ARE TOTAL JOB VALUATION $ Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ❑ HOUSE ONLY ❑ HOUSE & GARAGE � ATTACHED GARAGE ❑ DETACHED GARAGE FT BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION [NCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two seu of conswction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ON VALUATION, INCLUDING TIiE COST OF LABOR AND MATERIALS: ��(U NG T E 1997 UBC FEE SCHEDULE) ��f (� � OCCUPANCY TYPE $ ��. 2 S See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ S •( ) $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 9� �G3 Make checks pavable to: Cityo uf Fridley Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED lations I hereby apply for a building permit and I acknowledge t e info ati above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Con ti Co • h undersiand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordan e an in the case of all work which requires eview and r val of plans. SIGNATURE OF APPLICANT PRINT NAME I'�t�,C��IJ��J�- DATE�a:! APPROVED BY DATE ,�=--.� - �- � h� ��-.--,-.� �� 1 . -..»�_. � V � � „.�-..,. � .,�.. ..-�..-.,u._.,.,.,..�„�....•..�w+""�'�..r�' �� ` � � 1 � �. � . Cf� �* � � � � � � i� � � � � � � � � l� � � �� ,3 � �� ! � � � � �. ti� Z ��" �c = � �- � �-- � M . � VI �� , , � � . w � � �� S�.% (.� � ,� � � � � l'�+ � � s � �. ; �� ___ _. ._., _. � � � ._ � � 4, : :, � ti .:�__�� ; ;:�-��.-� .- � ''�, -� � �?� ''-i -- � ; �- � _ .- ;. _ .-> r--, � , _ _._; � � . U � �M � W �� W � _ � a �,