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AF - 44801• Village of Fridley, Minn. • BUILDING PEItMIT N� 1018 Office of INSPECTOR OF BUILDINGS y� �, o��J .c � .�-�� -� L. Architect Frfdtey, Minn., 5�" �°� �+ , 19�_ � Builder ��"y � j , LOCATION OF BUILDING , �,7 N '• Street �.<< t,�r c.�-Q_-�.� � r�^ .� `" c._ Part oY YAt li �±� �F'k� y�' :.� ' y�- � l~ 4 .t. c a. . :1 '`� Lot Block � Addition or Sub-Division �"� �� DESCRIP7'ION OF BUILDING F'ront %� L; Depth,�� L Height Stories_ Manner of Construction �� -�-y -�-��_ To be used as �-'L-'��•�-�:,.. To be completed Estimated Cost �� a ..�,.� '�,,, t.-' "�� .J ,� �•-r y�-�- }. Permit is hereby granted t�,�` ��,v_:....s�, ��.-..�`' 1c.r... .1 ,,�-, � tp l�er; r'� �•*. •,. •-�-�%`'�. the buildfng "r '`- described in the above statement. Thia permit ia granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in a11 the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildinga within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �`..._-�., ` , i _.r.-s..�.�.,..-. / ��1 �.�cv��. Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, this r� � -- '._.._.-. � - day of ��;��`._. A.D. 19 f S` � C_...-�a-t.�::r. ._ �.�.�.-�.., � � � � , D�'.� _�l ---�+ City of Fridley Application for P`hrmbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Locatioa of Fixtures � � � �� VI Y~ C Z i� W W ? •� � v� Z x v� zu1 Y x> z z `n2 U z o= J .c9 z � ;Q � �F� m u� ;� o� � LL � U� <3 U' � �U' n C�90 • Base lst 2nd 3rd _ 4th • Puiu:e Conaeciion Openiags I Connected wiih * New Fixture, Old Openings PARTIAL RATE SCHEDULE I'LIIMBING FIXTURE RATES: Number F`ixtures ...... ............... Future Fixture Opening ................ New Fixture Old Opening . . . . . . . . . . . . . . Catch Basin .... . ............. Water Heater (Up to 200,000 BTLT) . . . . . . New Ground ftun Old Bldg. . . . . . . . . . . . . WATER HTR. � � F N GAS ELEC. 3ewer � Cesspool n NO. RATE TOTAL _ x $1.50 $ _ x l.zo $ _ x 1.00 $ _ x 3.25 $ — x 2.00 $ _ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.5Q $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTiJ ...... .. .. .... x 2.00 � REPAIRS 8c ALTERATIONS—Refer !o Code Description ................................................� . �' ./a TOTAL F'EE $�.L,_ City of Fridley: The undersigned hereby makes application for a permit for the work herei s pecified, a greein g to do all work in strict accordance with the Cit y 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. ' , 19G� Owner �� Kind of Building __ s7' D�l � Used as s�m� To be completed about '" �� j° O� Estimated Cost, $ � Old—ATew. Building Permit ROUGH FINAL ��J�IO� aa No. Permit No. :J'�`��) 5igned � . � � �� ° gy��.._._.� .---�---. Business Phon . �-� `r� � � � d • . • City of Fridley, Minn. BUILDING PERMIT MAY 31, 1967 Date: _.._...._.._.._.........._._.....__._.___ �� r N� 9283 Owner: LAWRENCE L. PETERSON . S� _..._......_.....-.-•---_..�...__....�...�.____.._.__._...._..__._._____.� Builder ...._......._------.._._..__.-----. -- --- •--........._---•---•----- ............._.....-----_.._.__.._.._ 5991 BENJAMIN ST. N. E. Addre�ss •-----.........-�---.._.....---...._..__.._...___._..._-�--•-•-----•---- -• - - -•----••---•---_ Address --------_...._._........__.......•--__.._..----._...._....--•--._.._..._.._._._..__.._._...._. FRIDLEY, MINNESOTA 55421� 5991 No. ---•---...----�---_..._....--- L,ot .....---14..._............ Corner Lot ._..._..... Sewer Elevation LOCATION OF BUlLDING BENJAMIN ST. N. E. PAR,CEL ��900 Street._..-•--------.._-•--•--.....--------...._.:_...._..._....__.----._._.....---•-•-��---.._.......-•---.. Part of Lot ....._....-----••---..........._.___._._.. . B1ock _.._..-------.......- ............._. AUD . SUB .�� 9 2 ------------- Addition or Sub-Division ..--------...._..._--••-------.___.........._.._._..._..__.__..__ ..._........ Inside Lot .....----------------------••-....---•--. Setback .•-•--•--•--_.....---•--.--.---._.... Sideyard ..._.__.__..._..__.___.__..... ._._.�----------.__...._._--•---.---••-.-----••-----•---._.----.._..._ Foundation Elevation ....._._....._..........._...._......_...—.__..__ DESCRIPTION OF BUILDING To be Used as: REPAIRS OF GARAGE _.__......._..,.___...___._..•-••-,----..__ Front _...-------._.._. DeP� ....._........_.._ Height ...--- ............._.. Sq. F� _._..._.__.._ Cu. Ft _.___.__._.. .._.__._........_..._..._......._....._..._...._ Front ----___...._..__ DePth _...__...-•-•-----_ Height .....--••----.-•--.__ Sq. Ft. _.._...__...._. Cu. Ft ...._._.__._ Type of Construction ..----........_F�ME......_....._..---_- Est. Cost _._$5 00. 00 ............._----.... To be Completed _..._..._._.�_._...�.__....._._. In considera#on of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above t forth and in complian with all pravisions of ordinances of the city of Fridley. In consfderation of the payment of a fee of $....5 .00 , LAWRENCE L. ., permit is hereby granted to._.�..._...._ ...._..�_ PETERSON ... to construct the buil ' '' ' ' pon .... _...........--•......_...._••----:.._._..._...._. . duig or addit�on as descx7bed above. This permit is granted u the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinancea CLARENCE BELISLE B�� N0710E: Thfs permit does not eover tlu eon:fruetion, install�don fo� wi�inp, pivmbinp, �as h�aHny, aw�r oe wN�r. e� wn to � �h� Buildiag Insp�efo� fo� s�p�rah p�rmfts for fha� h�ms. AFFT.ICATI0�1 FOR BUILDING PERMIT CI'x'Y OF I'Ri�LEY, MIN;VESOTA OWNBB' S NAME L d.._.�...r ...� �`i ?1 C-.� , 1`:� � :.lc�s �''�'� � SiJxI.,DER ,_,�,°�`-g �. _... AIIDRESS qp%� /y �y� ��ryy � .S�_ J�/ � ADDS.ESS /�%)�jJ — ,� � 4�� L�"�'�ii�.�ni(i � � i�.�.�.�` , �d LGi�"Si .��w rr.'� .. LOCATION OF BUILDING� �� d N0. STREBT PA.RT OF LOT LOT ' BLOCK ADDITION QI�..SUBDIVISI4N ��%C . �-�� %��/ CORNER LOT INSIDE LQT SETBACK � SIDE-YARD .� ____�___ �.. SEWEI� ffi,EVATION FOUNDATION ELEVATION AgpiicanC atCach Co this form-Two.Certificates of Survey of Lot and propased building location drawn on these Certificates. DESCRIFTION OF BUILDIAIG Ta $e Used As: ��T„�'-Q Frant � Depth Height Sq. Ft. Cu. Ft. Front Depth Height . , .. . Sq:' Ft . � Cu. Ft . Type af Construction � Estimated Cast .�„ .,,,,_,�„_ To Be Completed The undersigned hereby,makes application for a peranit for the work herein specifiecl, agreeing to do aIl work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Bui2dings, and hereby dec2ar'ses thaC all the facts and representations stated in this application are true �nd correct. DATE �� ,,. SIQVATURE (Schedule of Fee Costs can be found on the Reverse Side). � � .. . . „ � _ _ City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT D$�: ____--_Ju ly _ 31�_19 7 2_- Dwner: ---._��F��'�n�e�_Petg�so.� _____..__..___..._.__........� Builder ...�� Address --•---5�.�1..._Be:nj,amin..St�e�t._.�`T.,�.��.___.--•------._ Address �.a�._—._�. LOCATION OF BUILDING No. ............_5991_ S�,�t _Benjamin Street N.E. part of Lot ---•-----.__ ._._. �__.___ Parcel 900 Aud. Sub. ��92 Lot -- ...................._..---•--_ Block -------.-------------.-------....----.---...--- Addition or Sub-Division ._------_._...._ ._.._._____....__ Corner Lot ..---------...---------- Inside Lot ----�..-•---X-_____......_. Setback �:...__..�.____... Sideyard Sewer Elevation Foundation Elevation ._ ................ �� DESCRIPTtON OF BUILDING To be Used as: ..Be.si.de._.&...New..--•---._ Front ___..._._._ Depth �_.___.� Height ____._..__.__ Sq. F� Cu. Ft. W i ndow Un i t s Front ..__._...__:_ Depth __._..._..� 1H��t �_.__.___.. Sq. F't. �• � 19 7 3 Type of Construction _.._...RO:Slgb._._��:s��_..._.. Est. Cost ..._��_�--•..__.. To be Completed �. 3t3t3i3�id'�i3� A„g. l� $HX Tn consideration of the issuance to me of a permit to construci the building described above, I agree to do the proposed work in accordance with the description above s forth and in compliance with all provisions Qf Ordinances of the city of F'ridley. � _ ...._...__ � ., .50 State Surcharge In consideration of the payment of a fee of $__�...Q� _._._., permit is hereby granted to terson ....__......_.._.._........_ ........:...................__ to construct the building or addition as described above. This permii is granted upon the expxess condition that the person to whom it is granted and his agents, employees and workmen, in all woxk done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanCes Of �'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIgs yyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Said ordinances. � � -C • �� CLAItENCE BELTSEL � NOTICE: This psrmi� does hot eover the construetion, installation for wiring. plumbing, gas hsating, sswer or wat�r. B� sun To sN ths Svilding inspector for separate permits for lhese hems. � � APP�ICATION POR R�SIDENTIAL� ALT�RATION' QR AllDITION BUILD�NG P��NJIT CITY OF FRIDLEY, MINN�SOTA OWN�;R � S NAME :_� I,c /�.Q fi G A��-�o /Y� BUILDER : S�c �-P a � �. � ann�ss � �9'� 1 �� d�., �. � f �"I, �',An�ss : � 9 � / ' S l ! v No ;�9 � � s�ET :,�� ,.,,� a�.�, r LCY�,: `I G� v BLOCK: ADDITIONt CORNER LOT: INSIDE LOT: �1 SETBACK: SIDEX�t ,,.,.�....,.......,.. ,Applicant attach to this form �ao Certificates of Survey of Lot and pxop��d building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: r � Front: Depth: Height: �V r �, �� M ��l Square Feet : Cubic Feet : ' Front: Depth: Height: Square Feet; Cubic Feet: /O�� m � �pe qf Construction: � L- Estimated Cost:_�`-- � �o �e Completed; /, /C�� The undersigned hereby makes applicativn for a peiznit for t�e wc��rk �1��,�t speci�i�d, agreeing to do all work in attict accordance with the ��,�y p� FF�,d�.e�r 0=dinances and ruli�gs of the Department of Buildings, and '��by declares that all the facts aad repreaentations stated in this app�.io��t��l are true and correct. �ar�: � -- 3 / —? � sicruTVxE: (�ee I�e�rerae Side For Additional Information. ) • (v� � U .. .� �� , r ;,,�s. .�,� � _ --.. �� sue�ecr PERMIT NO. City of Fridley 2 0 4 8 0 AT THE TOP OF THE TWINS g U I L D 1 N G P E R M I T i � RE EIPT NO. � � COMMUNITY DEVELOPMENT DIV. ^ � � n /'� r � v � PROTECTIVE INSPECTION SEC. i b e y � /'�'1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED 8� �.___1l.' `.' 612-571-3450 910-F15 7/18/9.Q � � JOB ADDRESS 5991 Benjamin Street N. E. 1 IEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO �esCR. Parcel 900 (Part 14) Auditor's Subdivision #92 SHEET 2 PROPEfiTY OWNER MAIL ADDRESS ZIP PHONE Tom Zingshaim 5991 Benjamin Street N.E. 574-0411 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Remodeling 503 Andall Street, Lino Lakes� MN 55014 780-9799 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �7 AODITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 16' x 12' Deck and install patio door 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. wa��G ��-,, Before digging call tor �� all utility loc�tions SEPARAI'E PERMITS RE UfR 454-oao2 Wi�iNG, HEATING, p�� 8lN� °N oR REQUIRED BY LAW D SIGNS. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYIOAD SEPARATE PEFMITS ARE REOUIRED FOR ELECTHiCAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND YOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING { HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STA�LS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $S�GOO $Z.BO WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pEFiM1T FEE SAC CHARGE PROViS10NS OF ANY OTFiER STATE OR I.00AL LAW REGULATING CON- $81.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $83.80 51GNATUREOFCONiRACT0�70RAU�µOAIZEDAGENT IDATEI y�� PRO E V L ATED THIS IS YOUR PERM�7IT,'1 ' ,, !l /Iv VU . 7 SiGNAiURE OF OWNER i6 OWNER BU4DERi IDATEI BIOG �NSP qATE �1 [ ] Effective 1/1/90 �N [ ] R-1 AND R-2 AL'I'ER [ ] Buildir�g Permit Application Construction Address : Legal Description: � `� / OWi12Y' N3Ii1e & �PSS: / r9 ,' � 'P21. # .S %�%" v �/ � � Wn1�..LQ�i �if� as/[ j� J� O� h� P�' Y� L-h1.7ilt ��H C +�^+• # /�(J.' 4t �JC� Address: Sv3 _�no..l1 S� �i�►v la�lc5 7�3- 7454 Attach to this application, a Certificate of S'��rvey of the lot, with the p�roposed oanstnaction drawn on it to scale. DE.SQtIPTI�1 OF II�'l�C7V�TP @o�c�- LFi��: Ler�gth b� Width l�� Height �� Sq. Ft. 1 y1 C�R�E ARE�,: Lex►gth Width Heigiit Sq. Ft. D�cx AR�,: '�. ` wiatti � Hgt/Grourxl a 4'' sq. Ft. 3� y OTF�R: �4 i7 ) � O��cz • �2x I(� � �G�.,c7, �'7 ��3qS,8`�-� �Gzx Z�.By l, ��,31z� �.�s 1• n� Corner Lot [] Inside Ir�t j',� Ft. Yd Setback �> 1 Side Ya�i SetbaGks 1.S � Zj�pe of Construction: �� Estimated Cost: $ �:,��d �.� Approx. Caan�letion Date: %- 3 �- �%D �G o d Proposed Driveway Width If New I5 ired: Ft. $ $ Width + 6' See BaGk Page aA� : 7 16 �`J U �cArrr : a,Jc- z+e� .# 7d��3� `> 7� 9 , Permit Fee $ � , C� state svmharge $ ' � � g SAC Crian�e $ - Driveway Escraw $ Park Fee $ Sewer Main �arge $ �, s��3,8� ��s� �S.cx) szz�TTOrTS : � i i � . �C� CITY USE @JI,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. ��A�� or Alt. ��g'� Al�ove Fee Det.ermined b'Y E�c3ineerir�g A�ment Necessary [ J Not Neoessary [] , j—I v s+, c.� LA�^ �� a� a ov� - y5, o� �,� c� 3 6 , 00 _ $ �_�;t a _�; -_ l c-� r x t t�e ' p,- c,a :. �-I- � c c �C -tV.: I t b C. UFze.. �o- Sc-=�^� �o-��. � �J� �,�7� �fr•�titf. \ ��.5�� iY�/ L � -, a ��M, ��-� p�.� � n i+tPnf.� �)ruv^n 4vk�'.c d r Y ..76�� 5['•ro.. �ivo'� Weyerhaeuser Oesl9nCenter Scherer Bros. Lbr. - Medbery Neu Brighton, Mn 612-633-9680 � �� 2� �� % ,,p_� � ��"l� 1 �'.'t� Itil^r.�' � ia� ! m . �� a. ��e• �� +�' ;�I �� r�.,9. T N I�� x C/�. �v✓�✓_,. - _UJ. .✓ G-.� 3 /Soa t ' �t��co +o �� O + I�i� �. ,Z r�o 4. �. �., ITt..., � 3 -� .�,. �. � T�.�S � /G " o ,c" . : a x�o ` � /)f ��.'wq �/iQ. , I � �f G � `I o y% Gw. �: r- y I � -�" �� c^ 1 �y ;«�, �� G�9 5' � � ,� . �� N 3 • ,CA�vn wn.. � Legend �Beam ■Support Post T Stalr �Jo�st DRa�l Post t-' `' (Strinaera) HD�stance to center of support post fron deck outslde edge HDlstan�e to deck outside edye I� �� a !zf K c�lb' � "� U ��1C 13�� --t�-�<< 02 LoNc-<A � �� S�ale: I/8"=1' Ue[king� H Imavis Interactire Technolo5ies �} :.A� � �}L� � ��.� o� r,,�: f'� �' ��n � + ��~�l✓ � �'v : ) � . � r °6�.n n1� � � :k� �lA��.� �_�� -� � � �3P>t a ,� � � Fa �- 1 << I lU o�" �a� �'WY.�n� �C �1� � ��1 J�d� I Site Descrip 'on: You selected a 60 PSF live load and a 48" d n-Ground Pier foundati n. Sup ort Structure: Yo selected a h of 24" from the top of dec ' to level ound (the top o osts will be 23" ove leve groun Set joists at same el as beams, 16 center to ce er. Your lesper on can pro ' e inforniation f uneven or sloped gr nd. Decking an ailing: You selecte 4 ther Material decking and y u se cted LifeWood railings ith 4x4 posts (Option Be sure o fo ow fhe Deck Co truction Det ' s available from your o e salesperson. WWNIN6: OUR DESI6N RE RES BEAM CES. �OUR MATERIALS LIST IpCLWES I�CESSARI' ITEMS. SEE OECK STRUCTION OETAILS. 'f1iE STED DES26N IS f SFiED BUILDIN6 PLAN. TTIE 51166ESTE0 OESI6N 1S DN 0.40 D 6RADE 2 OR R SOUTHERN �ELLOY PIi� L i0R ALL MOOD COMPOIIE THE OECK. OTHER M000 MATERIALS NAY BE SUBSTITUTE OR DECKI , STAIR TREADS, RAILIN6 TOPS, 801TOMS Al10 BAl ItS, BUT TF�SE MATER S ST BE AT LEAST EQUIYALENT TO 6RADE 2 OR BETTER 0.40 TEO P NOEROSA PINE. �OU RESPONSIBLE FOR ALL l�ASUREMENTS BEIN6 CORRE , FOR RIFYIN6 TW1T THE SU66ESTEp DESI6N OR ANY SUBSTIMIONS DIfICATIONS MEET ALL BUILOIN6 CODES ANO REQIiIRE11ENTS, fOR VERI IN6 TW1T SU66ESTED OESI6N OR ANIf SUBSTIMIONS OR MOOIFICATI CONSISTENT MITH COND IONS AT T11E CONSTRUCTION SITE, FOR PROPER CTIQN AMO Of lIATERIALS, A1� FOR THE COMPIfTED STRUCTIlRE. t� OESI6N MIiH rWMt ARCH CT. 1 . . _ _. _ _ _. _ . _ _ _ _ � V` _ _ _ _ _ __ _ _ ��,,� L� � S� N �. __ _ _ _ _ __ _ ��' ao� ;� . / _ _ �,Z� _ _ _ . _ �,Z� _ _ _ �'Z.'� �U�%.(i1�A.�! C _ _ _ _ _ _ _ -- - ._ _ . _ _ . . __ _ _ _ ___ � Po�_ _ �a��s . _ _ _ ____ _ _---- ------- ___ _ __ _----____. _�_-- --: . __ __ ._ _ _ _ ___ . �. � �� ?� - � �z�6c' <c� �r.� f vBf ��;. � ryt� I "� -2.c-��i2 S os-.. c� � � �7 c: : � !�' C �t � � ' � � � �o-!'.vl i 'C �t7 . � 3 (v � � � ��91 "8�.��.,� .� r� i�P- c'i7�6�Y �C� �� '�/ ' �� s�e�ecT PERMIT NO. City of Fridley � � �5 AT THE TOP OF THE 7WINS g U I L D I N G P E R M I T r ; � R NO. � COMMUNITY DEVELOPMENT OIV � � r � v � PROTECTIVE INSPECTION SEC. 3Z„�� i � 1 i � �� /'�'1 � CITY HALL FRIDLE� 55432 NUMBEF REV DATE PAGE OF AaaROVED 8� � ----�•' '•' 8/25/95 612-571-3450 9�0-Ft5 / / JOB ADDRESS 5991 Benjamin Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED �ESCa. Parcel 90 Auditor's Subdivision ��92 SHEET 2 PROPERTY OWNER MAII AODRESS ZIP PHONE Jon Haukaas 5991 Benjamin Street NE 571-7537 3 CON7RACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Same 4 ARCHITECT OR DESIGNEF MAIL ADDRESS 21P PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION �l REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace chimney with Class B Flue; Remove and replace sheetrock and insulation on upper eve 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. ► � TYPEOFCONST. OCCUPANCYGFOUP OCCUPANCVLOAD I SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, ' VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NUI.L AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKiNG I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 1� OOO �. SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TNE PERfORMANCE OF CONS7RUC710N. $.3�F. 75 Fire SC � 1. �� PLAN CHECK FEE TOTAL FEE $36.25 SIGN UAEOFCON'RACT RAUT R12EDAGENT IDATEi E P L VALIDATED THIS IS YOUR PERMIT -,�_ _ �' ZS �L�j - ATUf7E OF pWNE IF OWNER BUILOERi � T 1 �.� BLDG �NSP �1a7E NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ' Building Permit Application � Z S� Construction Address: 5 �i i��v.��n i n� S� N L �� zc � Legal Description: � Owner Name & Address: � o � k� Tel. # 5 �- / � �-53 � Contractor: Address: MN LICENSE # Attach to this applicadon, a Cerkificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMP'ROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECg AREA: Length Width Hgt/Ground Sq. Ft. OTHER: IZ�,-no-r� �rtr�K �rFr m n�� Y - 12 c�p��-eE u'� f Z,q. ss �'F � v � _ !Z�o,�� N�-�x ��s��n� � �'�P�� Z-v� -- j2�� //��) Corner Lot [] Inside Lot [] Ft. Yd Setback Type of Construction: Approx. Campletion Date: Side Yard Setbacks Estimated C�t: $ �i /eod (Cost on Back) Driveway Curb Cut Width Needed: Ft. -� 6 Ft =��t x$ _$ DATE: � z 5 5 APPLICANT: �s---� -- Tel. # 5��% -�S 3� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Coatrol Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �� , S- $ l 0� .� $ . �0 $ $ $ $ $ $ $ - �S� �ITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/1(k,h%) $.50/$1,000 Valuadon $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ } Not Necessary [ ] � � /'°'"" � � �� ---.... �'-.`�,� r _. .— _._.�� I �N � � �� t��i �-�-f��1��1�,5 �� '�r�� -��-� � _ _. . �� ,c� � r+��:�r r�o�.� �.� N�v��r�cr� 12��a��` w� r.3� � _.._ _.�, �,�-�-� ��.-� �4-�..�. � � , -____� ! ,- . � _�__ _ _____.__ .. . . . � ; l,�" �,�� ., �� ;. �'ntC�'�" `�1�.�G1' !d/ jY�l�~'i�;�l`r � i . JC �`�Z /� G �� .�'`7�� T3 4» LC., � t.. � �,;' � - � �� _ . � .. :. , _ �, -_.. :. __. _.. . :.. ,,..-� � . ,.. __. ,__,..._ - _.-,...�...__.� ..__._, _�. ,..._. _...._. __..__ .. --.. �•.-_ �.� _ .._ _., + � j- t� A 1 1�.. t7�._ .-� �-�'�-t� �t.t� .� M � ��i�'S � �D - "� _ _ _ �� fcoc��"i £'�1-- � �,} � ;.� :�.,� � .0 � �- �`�Z., '; � � '1 �-�. .- ``� ; --�i �ES�� < � c�7 �U-1 ��('— ��u��_. r ��L��' � '��a�t:° � �+r ►� ►�y— t�� A�t� w� F 4. UL`. k.L"'Q ��- r �2 � �-c�... �LrrGff� � �f�dvT - R�.o,�rc C� �.N.K �j -�-+d3 ='�` I�ox �/oo�c Y�� 1�.;� � C��.��T Q.._ . �� 1� ��"7 1 ��y�.,� ; � j� �� ., 4�,� � �t� � ,�` � � �r� �-�G� . ,,'. �. _:::._. . _._ _ , _...�_ . ___. �. . .. I ��. , �3i2�►>>; y , ; ; � f � ' � SUBJECT ��'�"--•�--..� � � c�ty of Fridley 2�4$ 8 ' �, AT THE TOP OF TME TWfNS g � I L D I N G P E R M I T i � RECEIPT NO. � � COMMUNITY DEVELOPMENT DIV. r�] �� r � L � PROTECTIVE INSPECTION SEC. jv � � �'��1 � CITY HALL FRIDIE� 55432 NUMBER pEV DATE . PAGE OF APPROVED�BY �'""�'� �'' 612-571-3450 9�0-Ft5 9/1/98 � / �oe a�oRess 5991 Ben'amin Street NE 1 LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. Par. 9�� Aud. Silb. ��92 SHEET 2 PROPERTY OWNER MAIL ADOfiESS ZIP PHONE Jon Haukaas 1- 7 3 CONTRACTOR MAII ADORESS Z1P PHONE LICENSE NO Owner 4 ARCHI7ECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION p ALTERATION � REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof house and ara e 16 Tear- ff• Raise nd han e roof desi n on house 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the StaCe Building Code. TYPE OF CONST. OCCUPAIVCY GROUP OCCUPANCY LOAD SEPAFIATE PERMITS ARE REOUIRED FOR ELECTfiICAL, PLUMBING, HEATING, VENTILATING OR AIFi CONOITIONING. THIS PERMiT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION yONING SQ. FT. CU. fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WpRK IS SUSPENDED OA ABANDONED POR A PERIOD OF 120 DAYS AT ANV TIME AFTEA WONK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICA710N STAI,LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PqOVISIONS Of IAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT 2,8]1 1.�}3 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OF CANCEL THE pEfiM1T FEE SAC CMARGE PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. ]/{. ]S Fire C 2. H% PLAN CHECK FEE TOTAL P S�GNA RE OF CON" AC O UTHOR�ZED AGENT IDATEI p PER V IDATE T IS Y PERMIT �.�.._�_.. � � �. �r d A URE O� OWNEA i�f OWNEF BU�LOER� iOATEi BIDG 5� ��4TE NEW � ADDN ALTER [ `l L] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� ConstructionAddress: -�j�%/ �„ `c�,,,►.� z,,. S-{ J(% Legal Description: Owner Name & Address: --�o� �I�-� Tel. # 5�� '�S3 � Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length /O � Width _ �'_ Height � f GARAGE AREA: I.ength Width Height DECK AREA: Length Width Hgt/Ground Tel. # Sq. Ft. �D Sq. Ft. Sa,. Ft. OTHER: �� : �e.r'at� - lL- t� �5�� r ��i,�G� � + C�� S l �c N ` �� o/�� ' -�'s �, �n �s�. Construction Type: �� Estimated Cost: $ � -� � �� j��'`�� (Fee Schedul e on Back) 0��7 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: % � APPLICANT: _- .,. _ Tel. # S�� "�S3 �'" Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $��.� � ��`�`I � 1. `i3 $ $ $ $ $ $ � $ .�s 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 [ ] STIPULATIONS: � / '� � � � �_ � � � P.� t �, - --� `. �-�L ,� �'� , �.,r s �n 0 h' �L� \ � CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January t, 1998 Water 8ath.;: Wash Drink. Floor Catch Auto. Gas Gas Misc. Water Neater Stories Closet Urinal Tub ;' Shower Sink' Tray Fount Drain Basin Washer Appl. Range FixL Gas Elec Basement Floor 1 Floor 2 � ; � � ' Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures � Old Opening, New Fixture Beer Dispenser Blow Off 8asin 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 �llJ $ 7.00 � , $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.596 of Value of Fixtuse or Appliance State Surcharge TOTAL FEE $ .50 $`�� JOB ADDRESS �G% /� i�e-n��n ►� Sr A/G/ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. �� , 1998 r ./ Owner �L> >'-� Building Used As Estimated Cost �� i �>f�G�` PERM!T NO. � �� '�� PLUMBING COMPq(JY � � SIGNED BY TEL N0. ��/ J� / j Approved By/f( Y� Rough—In nate Final MINIMUM FEE �OR ANY PLUMBING/GAS PERMIT IS PLUS THE S.5o STATE SURCFIAF�GE '� **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SCl INCHES. sue�ecr City of Fridley AT TME TOP OF THE TWINS g�J � L D I�1 G P E R M I T r � . � � � ' COMMUNITY OEYEIOPMENT DIV. � `�: - f � � � PROTECTIVE INSPEC710N SEC. i `•-__�'��"';•� CITY NAIL FRIDLE� SS�J2 NUM8Ei1 pEV O�TE i 612-571-3450 9t0-Ft5 6/21/02 JOB ADDRESS 5991 Benjamin Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION oescA. Pt Lot 14 Auditor's Subdivision ��92 2 PROPERTY OWNER Jon Haukaas 3 CON7RACTOR Same MAIL AODqES$ 5991 Benjamin Street NE l ARCNITECT OR DESIGNER 5 ENGINEER 6 USE Of BUILDING Residential � c�nss oF woa►c � NEW MAIL ADORESS 21P ZIP ❑ AD�ITION O ALTERATION O REPAIR B OESCRIBE WORK Remove existing 20' x 22' Garage; Corstruct a 38' x 26' Garage 9 CHANGE Of USE FROM TO PAGE OF � � ___. �_ PER� � � I RECEIPT NO. �.�a/ �PPROVED BY SEE ATTACHED SHEET PMONE 763-571-7537 PHONE LICENSE NO PHONE LICENSE NO. PMONE IICENSE NQ O MOVE � REMOVE STIPULATIONS See notations on plan. Provide a hard surfaced driveway. �EpA�ATE PERMITS REQUIRED FOR: WIRING HEATING �LUMBlNG� ANO SI6�VS �� Sefore di � aU trtili�g�o 9 call to� 4�� iions �'��'��R�'D g r l.AVM TYPE OF CONST OCCUPI SEPARATE PEfiMITS AqE REQUIRED FOfi ELECTNICAL. PLUMBING. MEATING, VENTILATING OR AIF CONOITIONING THIS PEfiM1T BECOMES NUII AND VOIO IF WORK OR CONSTRUCTION 20NING SQ. fT AUTMpqIZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONS7pUC71pN OR WORK IS SUSPENDEO OR ABANQONED FOR A PER100 Of 120 DAYS A7 � ANY TIME AFTER WORK IS COMMENCED. ' NO OWLG. UNItS I NEREBY CERTIfV THAT I HAVE READ AND EXAMINEO 7MIS APPLICA71pN 1 STAI,LS ANO KNOW THE SAME TO BE TF1UE AND CORRECT. ALl PROVISlONS Of LAWS VALUATION AND OHOINANCES GOVERNING 7HIS TVPE OF WORK WILI BE COMPUED �22 358 WITH WHETMER SPECIFIED MEREIN OR N07. TNE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pE:iMITfEE PROVISIONS OF ANV O7HER STATE OR LOCAL LAW REGULATING coN- �363. ZS STRUCTION OR TME PERFOfiMANCE OF CONSTRUCTION .� / S�GNAiUAE FCON'RA(;TO ,��1�A �� IzED�GENl I TQi ^ � � � i HaiuAE OF p EQ��F OWNEpBU�IOERi •TE� � HEN ROP VA �� a� , so ti i FOUP OCCUPANCVLOAD CU FT OFFSTREET PARKING IGARAGES SURTAX $11.17 Fire SC $22.35 10TA�FEE � $396.77 D TMIS I$ YOUR PERMIi — �'--X�O�- r�nrE NEW ADDN ALTER [) CITY OF FRIOLEY Effective 1/1/2002 ( j 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bidg Insp [] SINGLE FAM{LY AND DUPLFJCES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Add Legal Description: _� T Owner Name 8 Address: Contractor. LIVING AREA: GARAGE /�iREA: DECK AREA: OTHER: Tel. # MN LICENSE # Tei. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length 3� � Width �� Height Sq. Ft HgUGround S�. Ft ��xZ2. 63 : � 3s�3. a` Construction Type: �� Estimated Cost: $�%2�°'e°�' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � � � Z APPLICANT: ��G" Tel. # -� S�/-�s 3 � Call (763) 572�604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you �or card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge D�iveway Escrow Erosion Control Park Fee Sewer Main Charge C1TY USE ONLY - $�� 3. ZS J Fee Schedule on Reverse Side $ �Z. 3�' .001 of Permit Valuation (1/10th%) $ l/.-/ 7 $.50/$1,000 Valuation $ ---� $1200 per SAC Unit $ ��" $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �9�• �7 STIPULATIONS: � � �� . �. { � 41 ,\ � . ' � '� � �. ' <.+<. --- �J e �� w � ; .. W � �, F-. ' `� . d^��' `r a � �` . 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I ..I_.-..� -..+-'_� � �- �� - J� J U �> <� �'�n W �' ° m m ,.. c°c a -�LL3a W �,�;� '-�_.f � SITE P�AN � � � ., . � FiEIQ �vn �� i , �� 6� -z�-�i�•- � I i�~ � --- _ _ I � ' � --- ____ __ _ _ . _ ___ _ ,.__. _. _ __ .__ • ,.;� i "—' i 4 � � I i � � I � � I � _ i � i I ; I � n � � �I ' a � � � � , :1 � ; - ; , _ ; ► � � � I' �S;Ee vDiM T C I —'I• �� t ( I � I I S'EP fDTr� t \ i ( ~ � � ' __"' — � I � � � � �� f � ! � - '�— - o � �a ' , . � o . �, -- --- -_ – -- _. __ _ �-- _ _ _---- ._ _ _ _._ � .�.�- ;� i � - - –� . . ; � �� -- ----- �0 _ __.__ F�CJUNDATI�N P�AN 6 x 6 1Di�� vvw � � �I/�' PER CT.� I -% B!i b Mi� va.� . T_ ---T=— vwvp4 g�aalEa p .� =�,o ��/��—�--4 :t� .s cro�r. , .� caNC .vaa+ V/ M[SM R[I�. �1 SI.aB EDGE DETAI� �1 APRpN DETaf� �� 5 x 6 �8f.0 vv i� , i -" __ °�--��= , �� v 6 �Il �POI•� —y�y- i vnaOR BARaIEa //� .� �' S�N� =USHI'WiJ ..: _...I.�-�' •� � � -, <�) �S CW+T�_ � S�aB EDGE QETAIL ��X'�• �js �.C, �i✓��' '��T% /y�/^� o? f"�'�_ �/GL . �t./i..� /a.'� ��O/Li L�/VOj - - - - — - -- — - — - - - ' Building BUILDING Pe�lt N°.:�bo� r-'i Inspections RESIDENTIAL APPLICATION Received By:� 763-572-3604 CITY OF FRIDLEY Date Re�'d: `-- ;� DATE �� '��D � SITE ADDRE3S s � TH1S APPLICANT IS: YOUR E-MAIL ADDRESS S7 N� F�- rD �> �OWNER ❑CONTR.ACTOR •� � c ,'. �.��e,q � »r K . � s � PROPERTY OWNER/ N�E; .� o�U �GA� l�t� TENANT ADDRESS: 'rv�� --J�'"1 �"r Sr�� CITY �'�� STATE!ht.�IP SS 3Z PHONE: �3 57�/ �"S 3 � CONTRACTOR SUBMIT A COPY OF YOUR STATE LICEN5E WITH APPLICATION PROPERTY TYPE PERMIT TYPE NAME: STATE LICENSE # ADDRESS: �SINGLE FAMILY/NF ❑ TWO FAMILY/NEW ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: � ��'�' ❑ MAII� DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING Vinyl � Alummum � Other _ _ EXP DATE FAX KUCTION SI� CTION ST ❑ GARAGE/SHED ❑ ROOF �SIDING ❑ SWIMMING POOL � ADDITION S��-a . w�� s WINDOWS IN EXISTING OPENINGS �1'es ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & T"�'°� ^� WINDOW TO BE INSTALLED ❑ DRAIN TILE / �!'OTHER — �C. �Fa..� 0 LENGTH WIDTH HEIGHT ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOC�T�ON QF�WjND,Q�S l s c7c.•f4x �C {�,�1. W ,v� dw.s NUMBBR OF ATE ZIP Ft. BASEMENT REMODELING SUBMIT: 1. Existing F7oor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of constrvction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING T�i� 1997 U.B.0 FEE SCHEDULE) TnTAL JOB VALUATION $ d,�� OCCUPANCY TYPE Pernut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ � $ ��.p0 $ ,S � �L� $ $ $ $ $ $ $ �Ij -� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Pernut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for detemunation) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LJNTIL PROCESSED Attach 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 City of Fridley and with the Minnesota Construction Codes; that I understand this is not a pemut but only an application fo a permit a�d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whic requ' s w and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �c`rJ 1�-�-,�-=�'�� DATE �/ S �- I� VO � `� � � � � � � � �� ___ ., ,�, � . .- t\+ \ �-^ �/�'� ♦ � �,/� �r Y � L- - V � `� �I � ��= -'� � � r o �� ` � v ~� �j � ��` � -�.._ �� ,�1 0 _=� :% `r '0 ? Q� � --t; � �� °� °� --� - �, /,�-- �-�.� � � �~ ...n c� �� . �� w , �� .� �� _ _ , � � � � -� W�� z.' z" � �'-� " � . � �j�Z� �: ��,�, �`�� X 3�`� CP*5tmt.r�T �:r3, M•:, �cst..� C� �,y' �✓!�,v� �' `a*',��a �� 1 3�:�� a,a �; ��,,T�..� �`��t.��. � � t�� „� �_�„ J Project: _ �'- Subject: _ S E H Dace: _ Checked by: Sheet No: By: Date: Office: k� ? � i. �-.,:�„_ .��,. ��:�� Q,S-.��, �� . `:�v.�2�p � ��::�.� / ;'L � ±u%�..�_. ��,1`r� <n.l3,.. r`' f S - � ��, � �� , .. . � % -�j d G �/�V `J SEH #: File #: Cr�l:� I� 5: G�,a �/ 5 y`�'� s'� � CT� ti �v=��'�S � r � � 3ovd + 5 ��o � �� 0 U d Q,�uZC�`�c �Pct�3 'E��C�1E� W��._' ��5�;��. s�� -�._ � �s�.�-�c `� "�.03 .a (�`� �, v�sp��►., � b��l�.' ��.. , w� ��. � � �a � . �o rJ l � � ��.�5 �.is a � �� Q `�O3 �� a REV(E'Jil�D FQ� CQDE � I.,PLiAVrE lr�s Building MECHANICAL PermitNo.:� � ` - �- Inspections RESIDENTIAL APPLICATION Received By: -- 763-572-3604 CITY OF FRIDLEY vate xec'ct: o�o DATE /\ � SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ❑ OWNER COMPANY NAME: CONTACT PERSON: STATE LICENSE # PHONE YOUR E-MAIL ADDRESS �CONTRACTOR �INGLE FAMILY [J TWO FAMILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK EXP DATE N,p,; CTfY� F,��3-s�a.otb� ❑ TOWNHOUSE ❑ ALTERATION/REMODEL � $,� ATE�ZIPw � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $S00 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FA'TURFS: (INDICATE TOTAL NLTMBER OF EACH BELOV� p� i ,/� SIZEBTU 7 EquipmentInstalled MFG: �_ MODEL: ��i95L(.o�`K MFG: MODEL: SIZEBTU �G: MODEL: SIZE/BTU `A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 T�FURNACE $35.00 _GAS LRJIT HTR 510.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 _,.� . .. .,.;.� . . ,� :�,.-.� � � _..�,��- P« � .:, � , ., a. ..__._ __ .. _ Permit Fee $ .� Number of fixtures @$10.00 x$10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ .l� Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 � x $35.00 = $� State Surchazge = $ .50 Tota1= $ S.5 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge that the information 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-Construction Codes; that I understand this is not a permit but only an appiication 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 all wo wh' requires rev' and approval of pl s. . n Q � IAII%I PRINT NAME EV IAI V• ��DATE /� - - SIGNATURE OF APPLICANf �,,, ty of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977 REQU{RED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPUCATfON HVAC ❑ NEW HOMES/ADDiTIONS EXISTlMG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combust�on Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a.. IMC Chapter 5 with MN Axnendments 3. Venti.ng a. Gas appliances IFGC Chapter 5 with MN Amendmen.ts b. Fuel other than gas IMC Chapter 8 with MN A.men.dments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No.:2�YJ(� -� Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY Date Rec'd: �' a a� �� DATE � O r` YOUR E-MAIL ADDRESS ��`� Cr - i ty �,�, �r . cJ; SITE ADDRESS � r ��}�,.r� � "� �s /IJ�T � � � �,� THIS APPLICANT IS: �OWNER ❑CONTRACTOR PROPERTY N�: �S o� KA� OWNER/ �DRESS: �� a+4��S� CITY �117LG� STATE M�ZIP'��Z TENANT pHONE: � � S � ) � 5 � �' CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH pgp� FAX APPLICATION PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY � TOWNHOUSE TYPE OF WORK: � ��''' ��pLACEMENT DETAILED DESCRIPTION OF WORK � �� e $ � � ��°" �� '� � �� +`� 'uP �" �`9"` '� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 $15.00. abor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING � BATHTUB GAS PIPING R✓� clrrcicFrrs� SWIMMING POOL _ WATER SOFTNER ($35) ' CLOTHES WASHER � KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15) ~ DISHWASHER LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION — WATER METER _ OTHER ��' ��'��.��v� T��'��._ .. .. ' '' �E ``- _ � , , . , �. ., �... _ .., . . .w. , �� - � � � � >,� _ - . , � � . . , . : � . � �., Permit Fee �S $�a Number of fixture 10.00 x$10.00 -$ Surchar e .50 Number of fixtures @$1 . x$15.00 =$ TOTAL DUE ,�g� Sc$ • 5a Number of fixtures @$35.00 x 00 =$ - State Surcharge .50 Tota1= $ THIS IS 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 a.nd 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 all wo whi/ • review and approval of plans. SIGNATURE OF APPLICANT � ' PRINI' NAME -�"� i�f'�//�_DATE ��7 � e � �z. ��.�„��,�� _ , ._ . ,.�, �..�r�.. .e... ,�. ...,. „ �� .,, . ..:� - , ; „ r � ,. _ �. .�.,. ... x . . a ... �; ��... , m. . w ... , . �. ,. � ,�. : :. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 F.AX: 763-502-4977 Building Inspections 763-572-�6U4 DATE SITE ADDRESS _ THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY UF FRIDLEY YOUR E-MAIL ADDRESS 1�.OWNER �CONTRACTOR Permit No.: Received By: Date Rec'd: PROPERTY OWNER/ Nqp,�: �..�a,� F-(�u1�A�S TENANT qpDRESS: 5`�LI 1 � t c�..�. M S-� � CITY FY ��`� STATE �!IJZIP 551/3Z PHONE: � 3 � S� 1—�" S 3� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: STATE L[CENSE # EXP DATE ADDRESS: CITY, ZILY/NEW CONSTRUCTI( YMEW CONSTRUCTION ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT /DV 5 F OF SQUARES GARAG S PROPOSED SIZE: PROPOSED HEIGHT: ❑ ROOF ❑ SIDING O S WIMMING POOL ADDITION ❑ REMODELING LENGTH 2O � ❑ I-IOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE sro�uEs O DRAIN TILE �OTHEI2 � �onf Par� � WIDTH s � HEIGHT STATE ZIP Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION [NCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: O Aluminum ❑ Trim 1. Site P1an/Survey showing the existing structures ��ef � p p,��$ and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS �Yes ONo LACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WMDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3�� OCCUPANCY TYPE _ Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due _ _ $ �;�j. �j See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ , .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (P1ans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ (' Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information 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 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 wiIl be in accordance with the approved plan in the case of all work whic require evi and approval of plans. SIGNATURE OF APPi,ICANT PRMT NAME �`T'�"� DATE �D p� �� tN G�t �asT � o �tR. a,� �x �s T�� 'tn��h'ion� wJ°rt-C.