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AF - 35758MARVEY q, CARTWRIGHT ANOKA �OUNTY SUHYHYi MENNEPIN GOUNTY SUqVEYS MINNEApp��g gURVeYS BItO SXqDY OAK LqNE N.E. 9UNSET 8-00)8 OWNEI� INDUSTRIAI, _ �UDIGIn� BVSINEgS — TOGOGRAPMICAL CiTY LOTS — P�piTING �obe}-t C�/in ; r �� ' ��,� , �\ �.: ' � C �o � r. � r 0 ��IGB� �c OLSON L.9,'VD SURVEYORS RlG19TERfD UND[R LAWB OF gTATE OP M�NNCSOTA LICEN{EO BY ORDINANC6 OR G�TY OF MINNEAPOLIS 348 PLYMOUTN BUILOING � � ��.INCOLN H7$j / �arbepor'g �crtificate ` � — . -- � , . �3.." � � . ;, ; � �` ; .� i 1 �. c, , � I � �I li o� � 'p s 4 � ; , � c� _Q; � ` �� \I ` � I � �� i /4s- _ � So �. fh � , ' � r ti„<. . ...r��?,�F,r��f _S�..E_� '''%:., i � � � _ ---y° �— - � �_ _ _ � ^-_-� �, 3 A g� \� «"'�._ COMBINING TME RECORDS OF �• �. HILL, CIVIL ENGINFER E9TABLISHED 180! G F. SANDHOFF CIVIL ENGINEER ssrweusHeo �� JAMES NELSON SURVEYOR ESTqBL18NE0 1935 METROPOLITAN LAND SUqVEYORS. esraeuaNCO �os Invoice 197;�7 1 ��vr�-�9 n �F��' ° � �� I hereby certi£y t}.at this is a true �m? correct p1=t oP survey op the South 1�0 £eet oF Lot 9� 'uditor�s u^sivision -�12g, r�at- �ount;, ::innesot,, sub_ ject to an e:seMent over th �t ?0 feet ther��o£� as surveyed by me this l�th day of June� 1953�. �s—,. _. .� � � , { ;_ c /� � � . - ��,,.-.. yI.� ^ 116NED �fi�`? � � �'� :.er. '� T '.:'" ( � .../ j(�'N � . . �CAIi�iC,`HT wHO OLSON ,� �� . �� :i ■ �.�� City of Fridley, Minu. BUTI�DING PERMi`�' ��. �.. / �''.-5'�... :........ ..: . � �jo . 3085 �F . � . : : �,.�.�w. ... .../ $,�r . . . /�d�.v . . .l..f. .�'.!!�..- . . . . . . . . . . . . . . _ � .. .7.%��.�.::��.,a�+� � ......7..�. �.d.. i,�.�:�............ LOCATIO�N OF BU[l.D1IVG � ✓ Sa,�.' ,'�+��.''°t' ssraec ./�'O'°'�!..!�?'"�.. Parc or Lota��G�f Oo '�Y¢�!�9 . .. .. . iiSL�` Lof �. . .. .. 81udt . . . .. .. . : .. .. . . . A Jdition or Sub-IHvisioII . .. .. . . .. . . . . p. . .� . . �. . . . . . . . .. � . Cua'ner Lot .... ...... "Iaside�Lot ..... }�. Setback.3 �7�d ard .�✓ .o�/S�•t*�o � •� � .. � .. .. .. Y . . ..... DESCR[PTION OF BUILDING � �ro be as �j,�� / � J ,L �/ "� � � .Front .T..�7... Depth .��.�.'.C... Height ..: .... Sq. Ft./�.TJ• CSi. E't. ........ ............ ....... . Front ........ .Depth ...... / HeiBht ...�. S4.�Ft. ........ Cu.� FC. ........ � �.Type of Constructlon ................. Eet. �l.�yi.Q.�...... To be Completed ..��. .2�w:. iR��'"'e''✓ .�: �Q+..�.�yt.e-� .�`�e -+a- ��a o, -� � av,,.�t�..'��- /� ' '"-�, ...;� ,t� �. � �,,,e�e,��e� ,e�, ,6.en,�/ Z�; n, �, �� ° �`'0 ��,�„� � i� P a.�l.C- ��,�.�.,��D�.��-,�.cced�c.�� .T� considerstion of�the ls�ance to me of a permit to construet the buIIding desribed above, I agree to do the�propnded work in accrordance with the descrlptloa above set forth and in compliance with all pravisions of . bidinenees oP the�tity of Fridley. � ` f�. . . . �� . . . . . ��. . . . . . . .� �- �-�ip coa�deration�of the payment of a fee of $.��,.b., permit fs hereby granted to/r:a�T�.�f'!!'�4r!. . . . .. , . . ........ ..:. . :. . . :. . to cronstruct ihe bullding � or � addition :as described above. This permit is Branted on uP ..� .� the express-�c6ndition thatRhe�person.to� whom ft ie gi�anted and-hiy egeuts, employe� and worlanen, in all work � �.done in, srQUnd and. upon said building, or any :park thereof, shall ea�nform in all respeMs to the ordiaances of � � . PYidley, Mtnnesota regardiag location, conatt�CEion�,�alteration, maintenance, repair and moving of bvildings with-� � � . .� fn the eity�-limits and this permit mav be revoked. at any time upon vfolafion of any of the pmvisions of �3aid . � - ordinance& � . . � . � � � �.��»'. f.. Y.�AG(�l.Aw�uildine InaoeeMr � . . � . �. NE}TI6E5 . .. . . ,� �-- This permit does not wve� the construotion, installstlon� or eqetutiat�_for wlNnp, sewer x water. Be sure to soe the�� Buildlny Inspeoto�4iW� separatie perniits fo� �tM� City of Fridley, Minn. BUILDING PERMIT No 4 s� s� Date: ..._�,�,_`.`..,�,��'."...._(G _Q . . ' _......_....__._.._ ................._...._.. f. Owner: .. _. . �, Builder ��....... _.._. _ _........._ .......... .:................._.._...._ �--.... _ . _............_..._.. ... - Address ........_..._ ............. .��- Address :!.`-l".l . . ........_.._y. ......._ .. ..........._ .._:_e!"......._............_.._........ C r y��/¢ LOCATIC,/��1 OF BUILDING No. _..!_.......7:,1� 5h�eet ��...._..+i r°..e. �--.........__...._..._........_. Part of Lot ...........__..._....._ .................._._......_...............--- Lot ...._ � ___. Block .._.... .- --._ Addition or Su ivis'on _. �.p�.....� ... _ _ .._ �.r .. Corner I.ot _._. _.. Inside Lot _. ...... _ _ ........ 5etback . � � : � .. ard . _ _. . _.. ..... SewerElevation .__ ........................--_..........._................_.............._............_... FoundaGon evation .._........._.._....._................_.:.-----.____. DESCRIPTION OF BUILDING To Used • � � , . � ....:..t. YY�i ! Front .r�...T.._.. DePth ....,�L1.. Height ..l'/f.�......._.. S9. Ft. .. � (� Ca. Ft .._ ,�6'�' v'' _. _ �` .-- - ..-.... -_ . ...._._. Fron .. .. Depth .... Height _ Sq. Ft. ..+s1'�"'�A�3.L.1. _. ._��. /��'',,;Q.�s.- . _.._,.. Cu Ft ..... ..._. Type of Coastruchoa .. . . __. Est. Cost �.. _.__. To �be Completed .... .. _ _ _ _ :�`,� � ��1C�� rH�s � Er;:=��i�r � ra� � �,�r��orr�z� vio��r- !CPv p� r,I;�Y r�� .AivD CUUENANTS AND E3UlLDING RESTki� i IONS. �� In consideration of the issuance to me of a pernvt to construct the building described abaae, I agree to do the proposed womk in accordance with the description above set Forth and in compliance cvith all provisions of ordinences of the city of Fridley. ,� . In consideration of the payment of a fee of $ ..�"'�....a.......`..'.�.�._.._., permib is hern6Y granted to....._...__..._......__._._ .................... ...._...._.._._ ..............---.--..._..._.._:... to construct the building or addition as described above. 1?h1s permit is granted uPOn the expreas 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 therebf; shall conform in all respects to the oxdinances of Fridley, Minneaota regarding location, construction, alYeration, maintenance, repair and moving of buildings �� aty limits end this permit may be revoked at any timn +�� olatlon.�5. any oP the provisions of said e/ } � ii ri�"'.�.�:imr�:rrrs-a�cr�asrs� NOTICE: illis permh dees ne! cov�r fhs conslruNien, insbl6fion for wiring, plum6ing, pas MafinB, sawar or waNr. Be sura fe ua fha Building Inspeqor For separale permits for fhesa hsms. �4 'dPPLICATION FOR HIIILDING PF.E�4IT . CITY OF PRI�J�,EY� MINNE90TA OuSMTb, i14IDe ',�-� �� Q�l•'�'-"� HISi7.d6S� �'' �i��(•"�~- Addre6s -„1 `,T„`/��7- %3 'r'f�1 �k � Addresa? UT. �- !�i .u`.dT-- LOCATION OF BIIILDING oP Lot ��,,.. Eot ,��,;,__ Hlock Addition or 9ub.D#v. J:2 � _ - ;, . ; , - Cox�er Lot Insic1e Lot_�Set Back Sida-Yard S� �ATION �/V FOUl�AT7AN ELEVATION Applicxnt-attqeh.'F,o.thia form Certificate of uhuvey oP Lot and proposed buildiag lo�tion. ' . _ DFSCRIPTIOti 0�' BiIIIpING To be �as ��' Frotst � Depth � � Height � Sq. Ft. 41z. P't. - 5q. Ft. Cu. Ft. Type a£ t'austa�otion iT�-s!C Rstimnted Cost �� To tid oo�letad � , The vadera�gned liereby makee application for a permit for the work herein apecified, �greeing to do sll work in strict aecordance with tha City Ordinances and ruling of �}�' �y�{��rt of Sui]�Snge, and heretay declsres thst all the Pacts and representa- tions etntNd in this-application.are true,and correot. _ _� . �� _ � � �} i _ � ntnvimrfnc //ll— v� . � �� i � v• � . �. . ��; ... .� ... . . . (A 3cshedule of Fee cost� can be found on the Revarae:Side.) � � � � �� €� �-��\ :_.. � �: . :- , / ; � : 1�� II 1� y�1� u1 :Y�ri y�f�!I Ij .:.. Section 2,, The Inspector of Buildings shall, before iasuing any permit for the erection of an,q bi:ilding or structure� ar for an,y addition to any existing knzilding or struct�are, or for any alterations or repaira tc any exiati::g buiiding or structure, upon application therefor, reqvire the paqment bj� the spplicant for such permit of Pees to the amount herein belorr set fortn and �r t: a r�anner hsre-n provided to-wit: 2.1. For ar� such permit for the erection of eny fire-prooY building� other than a garage� warehouse, factory or grain elevato*, or for the erection of any fiseproof addition, fcr simiJ.ar occupancy, to any existing building shall be at the rate of ��..40 for each one tho+asan3 cubic feet� or Practioa thereof, in such ci:hical cn:.tants. 2,2. For any such permit for the erection of any fireproof garage� vare- houee, factory or grain eleaatcr, or for tY.e erection of ar�y fireprooF addition, ior similsr occupanc�=, to any eaieting building shall bs at ths rut� of' �1.25 for each one thou3and cubic feet, claesified as "firepaooP^ b;� Section 5�2 of the MinneapoYis Building Code. w�tiSES 2,;, F��* a�,* such permit Por the erection of other than a garage, warehouae, factory or grain fiseproof addition, for aimilar occupancy, to any ?'e:�mit $1.00 Por each one thousand cubic feet. un�_ �S aaiy non-fireproof bnilding elevator, or ar�p non- exiating building. 2.Q. For any such pex�it for the erection of any non-fireproo4 garage, warehouse, factory or gra.'.n elevator, or for the erection of any non- fireproof addition, for e�ntilar occupancy, to am/ e�cistipg building or for each such building or sddition. P��_naty Conta for each one thovsand cubic feet or fY�action thereo'_', in the cubical contenta thereof with s minimum of �f,..00. For the p�°'pose of comgutir.g fees fnr buil3ing permita the cubical oontenta of any buildit:g o: ed3itior. tn a u�ifora l:eight thr�ughout by multiplying the ground area covered f�om a poi:zt Gix (6) inches be].ow the floor line oP the basement or cella-r to tne z�e.�age h^-bh� of the upper surfaae or to the average height-of the roof a�ir,ace o? �re main gahle of a pitched roof. 2,5, For repairs or altera�ior.s �o an existing structure� the,Pee ahell be at the rate of $3.� for sach Five Aundred Dall.ara (#500.00), or PYaction thereof in the eost of ell proposed vork. 2.6. In no case shall the fae charged for any permit as set forth in Sectfon 2 be lesa than $!a..00. � •+ . i t � � ; �� SuLEGT�. . � . � . I . c;�y of Fr�aley 2 7 8 0 4 �'tME'°"°""E'r"'"$ BUILDING PERMIT r : : E�D93 � � COMMUNITV OE�EIOPMENT O�V. � V �� PAOTECTIVE INSpECTION SEC. � r , , � i . � /'�'1 � CITV MALL FRIOLE� SSWi NYM�EM 11FV pATE ��GE OF �pppvED BY t"-•� � �'� 612-571-3460 910.ft5 � � 16 98 ioe �oonass 7432 Bacon Dr NE t LEGAL �O7N0- BLOCK � TNACTONADq110N � SEEATTACMEO oescn. 9 Auditor's Subdivision 129 SHEET 2 P:�OPERTYOWNER MAILADDMES$ 2�P P110NE Gary 0'Malley 786-5732 J CONTqACTOR M�ILADDRE83 Zli VNpNE LICENSENO Renewal by Andersen 350 - 73rd Ave NE Fridle 55432 502-4777 20040630 a ARCHITECTOROESIGNER MA ADOi1ES8 ZIP PMONE UCENSENO. S ENGINEEN MAIIA�ORE85 . 21P pMONE LICENSENO B USE Of BUIlO1NG � Residential 7 CUSSOf WONN ❑ NEW ❑ ADDITION ❑ ALTEMTION � REPAIR O MOVE O REMOVE e oescn�eewonK Replace 10 windows 9 CNANGEOFUSEFibM TO STIPUlA71pNS . Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYVEOFCONST. OCCUPANCYGROUP pCCUPANC�IOAD SEP�RqTE PERMITS ARE REOUI0.ED FOR EIECTRILAL. PLVMBIN6. NE�TING. VENTIUTING OR AIq CONDITIONING - TNI$ PEHMR.BECOM�$ NU�L AND VOID IF WORK OR GONSTpUCT10N jONING SO.PT. CU FT. AUTMORIZED IS NOT GOMMENCED WITMIN 80 OAYS. OR IF CONStRUCTION OR WOFlK IS SUSPENOED OR ABANDONE� FON A VEF100 OF 120 OAYS AT � ANY 71ME AfTER WORN IS COMMENCEO. . NO. OW4G. UNITS OFFSTREEt PARKING I NEFEBY CERAFV TNAT 1 MAVE REAO ANO E%AMiNED TNIS APPULATION ST��S GAFAGES AND.IINOWTNESAMETOBETRUEANDCONf1ECT.ALLG(fOV1510NSOfLAW$ VA�UATION $URT�X@ AN��OAOINANCES GOVERNING TMIS TVCE OF WORK WILI BE COMP�IED �11,889.00 yS.I�i WITM WHETMER SPEGFIED HEREIN OR NOi. TNE GRANTING OF.A GERMR � DOES NOT PRESUME TO GIVE AUTNOHITY TO VIOUTE OR C�NCEL TM& pEAMITFEE �SACCN�RGE @ PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULAi1NG CON- �'1S7.ZS Fire SC y�I.I.S�9 $TqUC710N QR TME GERfORM�NCE Of CONSTFUCTION Y . PLAN M CK EE T07 �FEE Liceus $5. $210.08 — SiGH�iuFEO�CON'P�C�OA08�u�wOAiSEO�GEMi iD��E� N UO TMIS �, MI � $�GN�1yqE0�OWNEAi��OWNEABU4CfA� �— •��Ei SL �N50 � /�tf . . � qcrc �.�. � NEw ADDN ALTER [] [] [l ConstructionAddress Legal Description: Effective l/1/98 C1TY OF FRIDLEY � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 /�, BUILDING PERMIT APPLICATION !"��d'pc� • . n - ' ' � � ' i/._, _i. � ' � �� _ //i i/. _/1� J � ' ' • / ! � � ! �.I � � � � �.l /. �. v . � • � �• • . • � � r'1 � . .'i . � / t i_ /_' / . _ �5.�. _ � ►• � _ _L LIVING AREA: GA�AGE AREA: DECK AREA: OTHER: Attach to this applicadon, a Certificate of Survey of the lot, with the proposed coastruction drawn on it to scale. � DESCRIPTION OF Il�II'ROVEMENT � I.ength I.ength Length Width Height Width Height Width _� Hgt/Gt ` Sq. Ft. Sq. Ft. �d _ Sq. Ft. .. � ..�.—..-,.�— � . Constmction Type: Estimated Cost: $� g�% � (Fee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ DATE: •/• g$ APPLICANI': Tel. #�S�f 3$Stf Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STg'ULATIONS: CTTY USE ONLY $ ��'1• aS Fee Schedule on Reverse Side $ !I• g�1 .001 of Permit Valuation (i/lOth%) �j�, $ S• °tY $.50/$1,000 Valuation ��`'��`-'� �S $ $1000 per SAC Unit /'�3 /3/O. % �/-� $ 5• o O $5.00 (State Licensed Residential Contractors) �}� $ Alt. "A" or Alt. "B" Above $ $450.00 Conservadon Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ j Not Necessary [] O fi� 10"' g' l'�� . , � 1 I. �-- _ . .� � � � c�ty of Fridle� � , ` ��T T�04 Q,( TME TWiNS � � �/4 � �� CQMMUMIiY pEVELOP�%�NI DIV�. f � � � PNOTEGTIVE INSPECTION SEC. t.-�-.-� �"'i./ CITY MALL FRIDLHY 6S�3i 612-571-3450 �.. 108 ADDRESS �432 Bacon Drive NE 1 LEGAI �O�NO. BIOCN ��. TRACT oESCp. 9 Audi 2 PROPERTYOWNER . MMLADOpESB Garv 0'Mallev BUILpIN� PERMIT 914flS S ZIP � � 28623 i�E � � SEEATiACMED SHEEi LICENSE NO 1453 UCENSENO. Residential 7 CIASSOFWONI( � � - � ' � � . � ❑ NEW O ADDITION � ALTERATIQH. $� REPAIR ❑ MOVE �- ❑ REMOVE B DESCRI9EWORK � � � � � Reroof house and karaQe (30 Sa) Tear-off FROM STiPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS AqE REOUIRED fOR EIECTRICAL. PWMBING. MEATING, �� VENTILATING OR AI0. CONDITIONING � � iM15 GERMIT BECOME$ NULL AND �OIO IF WOAK QR. CONSTNU(�Tlp{i Zp� AUTHONIZED IS NOT GOMMENCED Vt!ITHIN 80 OAVS. OA If CONSTRUCT16N { OR WORN IS SUSPENOED OR ABANOONEO FOp A PEAIOq OF }2q OAY$ A3 . ANY TIME �FTER WORK �S COMMENCED. ' NO. � . 1 NEREBY CERTIFY TN�i I XAYE AEAD �NR EXAIy�1N�0 1f11S APVLICA7ION 11NOKNOWTNESAMETOBETqUE4NDCORREC7.ALl�PPOV1910N$pflAW$ - p AND ONOINANCES GOVERNING TNIS TYPE OF WOAN W141, Bg COMPUED WITH WMETHER SPECIFIEO MEaEIN OR NOT. TNE GRANTINC� OF A PERMIT j DOE$ N07 GRESUME TO GIVE AUTMORITV TO VIOIATE ON C�MCEC TMk pEq G1iOV1510N$ OF I,NY OTMER STATE OR LOCAL UW REGUL�TIN6 CON� S�fiUCT10N OP THE PERFO�R A�Ny� F CONSTFUCTION � '�-/� i?�:fly`" .� /_ , 4. ST�LIS CU GAFAGES IOAD I NEW � ` ADDN ALTER �I I] I) Legal Description: CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �D�Q� . � n � o� 'l Owner Name & Address: � ,q,� ��✓.!i/��/ Tel. # �� 7,7 � Contractor: ��TZ„�,v,v� ��rr.r�5 MN LICENSEll�cpy.��/S'3 Address: ��',� /s �ld /� Tel. ti .�a � �I a � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Constmction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT W idth Width Width Height _ Height _ Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. %d'''�D� Fstimated Cost: $ 3C�'T' �/ %� (Fee Schedu2e on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ DATE: U�j APPLICANT: Tel. il G%$'� 4I�� C Y USE ONLY Permit Fee Fire Surcharge State Surchazge SAC Charge License Surcharge Driveway Escrow Erosion Control $___ �L�L�? $ �?- S% $ J_�9 $ $ �• 00 $ 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 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ c��% ti BUILDING PERMIT FEE The Chief Building Official shall; before issuing permits for the erecdon of any building or structure, or for any addition to any existing building or structure, ar for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pmvided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,OOlto $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION i Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. nnn�ss PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION VALUATION CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 a r�-sau4 r �►aL: : 7432 BACON DR NE : 123024130002 : UNAVAII.ABLE : LOT BLOCK : BUILDING : RESIDENTIAL TYPE : WINDOW/DOORREPL : $ 6,890.00 PERMIT .f 2� 004�j �----` DATE ISSUED: 09/23/2004 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF Tf� 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPEAIINGS. REPLACE WINDOWS WITHIN EXISTING OPENIAIGS. STATE LICENSED CONTRACTOR G�� (y:\�Y Y RENEWAL BY ANDERSEN (20130983) 1920WCORDC ROSEVILLE, MN 55113- (763)502-4777 OWNER O'MALLEY GARY B& COLLEEN M 7432 BACON DR NE FRIDLEY. MN 55432 AGREEMENT AND SWORN STATEMENT This pemtit becomes null and void if work or construc[ion authorized is not commenced witin 60 days or if conshvction 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 exaznined this application aod Imow the same to be true and correct. All provisiaas of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. T'he ganting of a p nit does not presume to give authority to vi or canc 1 provisions of any other state or local law re atu on uc 'on or the performance of cons tio . Applicant Date� _� BUILDING PERMIT FEE FIItE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 37212 139.25 6.89 3.45 5.00 154.59 Permi� inspec�ron Cards ro Homeow eriT post SEPARATE PERMITS REQUIRED FOR WdItK OTHER THAN DESCRIBED ABOVE. 04/02/2004 FRI 13:21 FAX �-�-� ELDBR JONES f�001/001 ��/- b� �� ::: N� I] CI71' OF FRIDLE`f Effective 4/1/2004 ADDN [ J 6431 Universih/Ave NE, Fridley, MN 55432 (7B3) 572-3604 Bidg Insp ALTER [] SINGLE FAMRY AND DUPLFJCE5 R-1 AND R-2 (763) 579-1287 Fax BUILDING PERMITAPPLICATION Construction Address: �1�-1"�j�Z. �0.C�o�'1 � - � Legal DescripSon: Owner Name & Address: Contrector. Addfess: �' ��'� BZ' ANDERSEN 1920 COUNTY ROAD "C" WEST • ROSEVII.LE, MN 55113 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Construction Tei. � I l9 h,l l�` l o— ` MN LlCENSE# �JOq . Tel. # S �' (p � icate of Survey of the 1 drewn on R to-scel�s' DF.SCRIPTION OF IMPROVEMEN7 Length Width Height �. F� �j� Lengfh Width Height Sq. Ft � Length W'bth Hgt/Ground Sq. Ft. 1 Estimated Cost_ $ �,��I 0,00 priveway Curb Cut Width Needed: _F h 6 Ft =_ $ = g DATE � I �l l�L APPlICANET• .� J� P+ AI � /� Tel. # ' .7�. '� � Cail (763) 6/2�604 for Permit Fee� if ma�ing in application. F�c to 763ti571•7287, if using eredit card and tnre Will call you for card number. ' `� Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TO7AL CITY USE ONLY- $ ��1. 25 Fee Schedule on Reverse Side � - 65% of Permif Fee $� .001 of Permit Valuation (1/10th%) $ 3.4 S $.50/$1,000 Valuation $ $1350 per SAC Unit $ .�,6D $5.00 (State Licensed Residential ConVactors) $ Att. "A" or Alt "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreemerrt Necessary [ ] Not Necessary [ ] S.�✓�� • J. I STIPULATIpNS: � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE y: FRIDLEY, MN 55432 '�' (7631572-3604 FAX: (7631571-138 kDDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE VALUATION # A/C tJNITS #FURNACES #GASRANGES : 7432 BACON DR NE : 123024130002 : UNAVAILABLE : LOT BLOCK : HEATING : RESIDENTIAL : ADDITION/ALTERAT[ON � APPLICANT SUBURBAN AIR 1290-B OSBORNE RD NE FRIDLEY, MN 55432 (763) 7846100 OWNER O'MALLEY GARY B& COLLEEN M 7432 BACON DR 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 conswction 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 [his application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of worl will be complied with whether specified herein or not. The ganting of a pennit does not presume�to give authority to violate or cancel the provisions f any other state or locai law regulating cohstruction or the y�rfocm�Ace of construction. SEPARATE PERMITS I VALUE OF APPL OR WORK PERMIT NO.: 2004-02084 DATE ISSUED: 1ll17/2004 1 # GAS DRYERS 0 VALUE (FOR MINiMUM CALC) HEATING PERMIT MINIMUM FEE FURNACESHELUDUCT WORK GAS RANGE FEE GAS DRYER FEE A[R CONDITIONING FEE HEATING REPAIRS/ALTERAT(ONS STATE SURCHARGE, MECH FLAT GAS P[P[NG FEE TOTAL PAID WITH CHECK # 2731 FOR WORK OTHER THAN DESCRIE3ED ABOVE. R6124 0 � 300 0.00 35.00 0.00 o.00 25.00 0.00 0.50 is.00 75.50 T o D m � 3 Z ' C �; � v �.' � o a � � » � �' O W Z A m y a ''' m m � � � � O o {s � �� $ � a = n o m � z ° ° m SN Q � � � � a Z 3 ....Q.. � _. -G Z F � � i� � n � � � 3 !-' 3 � � � � o � v � � � � �p � O� v_ O 3 a� � o �° o `-' x m � � O � 3 ,m,� r � N 7 tn q m � m m y j v N _-_-. f�D _ R.... zv `� w. . tr+ -1 V ( � V� � � "1 D � �m a ��v g : a n � r ".. 'ti , — n 0 � � � N T m m m � m a � , � � 3 N a » c> c� c� m� z � - � N N !i p A �3°s a a � � �� 7 `� � � . � D � 3 3 n m � > > m -n �� r. m aa ��- �� o a o Z m m F tw -" �' � �D � m D � � c�ii o 0 04 T .�» a � - � C 0 m$ oi D � C c � o c�i m y � y� m � W '0 o O fn �! N O � _ � � a � y � � � m� x � � c v � �° � � s � cn m `�'° � n � O � � M _ > > a � a a � m Z � � _" � v . m � � • � a � � � � N o � � � � � � a 41 C O � �;-o _�-.: _ a�°'� .v v ' S: o � }- � N. �• �, -" � a � ; � � Q � O N � � � _ � o 0 a a �D rn � v •* n c� m C y N � m � f d m r: ^ ' .* � o a � '. o •°* m � � d � � m - � � � o fD o � � m m � y � � � I c W � t m a m z v � _. L• � m m v o �; � o S 8 u� se � I � 0 $ � I � � o,c�'�n 8 S fa fn d `I � c � � � � � m �a�, � a � x 3 � m � -D+ °° m c O m oo , � a fl �� ,,;� Q ;: D � C7 a � � m= o � � N � N � m v a � O m = a o v�'� z � °; z `° � 3 C w C V .17 3 � Z O � � � � O m � O z � V � � � W o- W � � � N N 3 ? O w Z � T O lJi u�, �l A � ,'l � D N � 0 x Z �� m w °D �, c � r �' v N w � Z � � ci � 0 Z 'mn v � r �a m � -� Z zo � vo D � � m � C� -o vz � N O y., Z zv �-�-- - — -�-I � rn z �� c� Z � p r p Z n m N Z D � m � � O � Z � � N °o A FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNiNG APPLIANCE PERMITS� COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existinn fumace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (�l,Z The venting system is plastiGPVC and mcets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (� No ( ) No ( ) The undersigned also verifies that the repiacement unit is a listed assembly and meets the curcent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (� No () _.-_ ___ _ _. ___ _ . __ _ ___ __ The existina combustion air is sized and installed to mee�the cuRetit°W�es � -- - - and manufacturer's specifications. Yes (�(� No () When required to install a new combustion air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (� When installinst a new ventina svstem, the uridersigned hereby verifres that it is a listed assembly and meets the current codes and manufacturer's spec�cations. This does include AGA-GAMA Category I Central Fumace Verrting Tabies for fan assisted and natural draft appliances. Yes (� Is the common vent and vent connedors sized and installed �rrectly after an appliance has been removed from the common vent and vented separately as per curreM codes. No ( ) No ( ) Yes (� No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance#1 Type ��+�- 3�i�aMkV BTU Input %�,d6C) FanAssisted orNat Fl4' Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU input Fan Assisted or Nat Totai AppiiBnces ,�, Tdal 8tu tnput Common Vent Type /"�— Vent Height �Diameter � inches Appliance #1 Vent Connector Height ft length ft Diameter in Type Appliance #2 Vent Gonnector Height ft tength ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING Signed By: Date : �O �2G�o k .� Building Inspections 763-572-3604 763-502-4977 FAX SITE ,SDDRESS THIS APPLICANT IS: TENANT SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE DESCRIBE WORK BEING ROOFIIVC NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED E�IGHT: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS (a O W NER . . OCONIRACTOR Permit Received By: Date Re� � �12� 17 �Y STATE�ZIP, STATE GCENSE M EXP DATE ADDRESS: CITY STATE ZIP PHONE __ FpX � jiSINGLE FAMI[.YMEW CONSTRUCTION ❑ TWO fAMILYMEW CONSTRUCTION ❑ BASEMENT FINISH ❑ DECK ❑ NE W HOME CONSTRUCTION ❑ ROOF ❑ SiDING ❑ SWIMMf ❑ ADDITION ❑ REMODELMG ❑ HOUSE ONLY ❑ HOUSE & �iARAGE ❑ AITACHEDGARAGE ❑ DETACHED GARAGE ❑ DRAM TILE ❑ OTHER ont GARAGE BASEMENT REMODEI 11.1G SUBMIT � I. Hxisting Floor Plan 2. Proposed floor plan 3. List of strucNral members to be used SIDING FOR NEW CONSTRUCTION MCLUDING DECKS, � VmY� OSoffit � ADDITIONS & PORCHES SUBMiT � ❑ Aluminum ❑ Trim I. Site PladSurvey showing the existing svuc[ures � �a ❑ Fascia . and proposed projut. . - 2. Two sets of construction plans WIlYDOWS - I 2 1 3.. EnergyCalculations INACISTINGOPENINGS itYes ONo � LOCATIONOFWINDOWS NC�2'M�W49-/� � OR FOR NEW OPENMGS-DESCRIBE SIZE OF � . OPENMG CHANGES & � TYPE OF. WAIDOW 1'O BE QJSl'ALLED NUMBER OP WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � _ _�� _ _ _ _ �r (IISING T�I� 1999 U.B.0 FEE SCHEDULE) Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum 5.50 55.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftxS22=E $450 Conservation Plan Review Fee Determined by Engineering Ageement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attac THIS 4S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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 on site; that the work will be in accordance with the approved plan in the case of all work which requfires revie.w and approval of plans. p SIGNATUREOFAPPLICANT��# D O"I�iXL�/ PRINTNAME �a�/ �/�'1aN� DATE �rJ—'�Ay�2'�'� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, befare issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 DATE GS l4 � 1'4� SITE ADDRESS _ THIS APPLICANT IS: TEIVANT SUBMIT A COPY OF VOUR STATE LICENSE WITH APPL1CATfON `�%�� `f R RESIDENTIAL APPLICATION CITY OF FRIDLEY Received By: YOUR E-MAIL ADDRESS :J�1SC��^1 � C11;1'C.g C•�— . _ c� ❑OWNER OEOMRACTOR STATH ZIP N^ME: Renewal By Andersen STATE LICENSE U_ j92O COUilij� R08d °C° WeSt ADDRESS: RpgeV1�IC� MN 55113 r STATE_ZIP PHONE License #20130983 ❑ SINGLE FAMILY/NE1 6S 1-2�-�777 ❑TWOFAMILYMEWC --- -"�" O ADDITION ❑ GARAGE/SHED ❑ WINDOWS O BASEMENT FINISH � ❑ ROOF ❑ DRAIN TILE O DECK ❑ SIDING O OTHER DESCR[BE WORK BE[NG SQUARES C-�Q�C6C PROPOSED SIZE: PROPOSED HEIGHT: _ �IP� O Vinyl ❑ Aiuminum o aner LENGTH ❑ HOUSE & GARAGE ❑ ATTACHEDGARAGE O DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPEMNGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ALL FEES Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge COST OF 1997 U.B.0 FEE Ft ecuch RFA!nnFl INC SUBM�T' l. Existing Floor Plan 2. Propoudfloorplan 3. List of svuaurai members to be uud FOR NEW CONSTRUCTION INCLUDING DECKS, AnDITIOhS &. PORGHES SUBMIT 1. Sioe Plan/Survey slawing the existing swcnrce and ProPused PmJecL 2. Two sets of construc[ion p�ens 3. Energy Calculations 65% of Building Permit Fee .001 times the total job valuation .0005 x Pecmit Valuation Minimum $.50 55.00 (Stace Licensed Residential Conuactors) SI550 per SAC Unit (Plans w MWCC for determination) ft+6ft= ftx521=$ $450 Conservazion Plan Review Fee Determined by Engin�ring Ageement necessary ( ) Non Necessary ( ) naAlce checicc mvs6le to: Ciri of Fridkv Atbc THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply far a building permit and 1 acknowledge that the infortnazion above is complete and accurate; that the work will be confortnance with the ordinances and codes of the City of Fridley and witt� the Minnesota Construction Codes; that 1 understand this is not permit but only an application fq+' a pertnit and work is not to start without a permit; that the work will be in accordance with the approvc plan in the case of all work wh�gli requires review and approval of plans. yy��.I SIGNATUREOFAPPI.ICAM ��o....� U'\� PRINTNAME�Q<p� • V�SnY`7 DATE ��""^MG�