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AF - 44805a��=�� City of Fridley, Minn. BUILDING PERMIT N� � l 0 5 • -- , Date: _�_.._..'�._�.a�....._:'±.� _.._.__...�_........_._._.._._...... �7 t / L Owner: . ...__. x..__._ _ -. ._.__ Buiider .._.. .._.. ._....._.... ..... .:.... . ... _. ........_.1...._._ ._._ `'�'�- -��-- . . _ Address.._._._.__...._.....__._�._.____._....__._..._.__._..._............_.._..._......._.__. Address _.__....._..._.__....._._.......____.._ ............._....---.._._..._._.__._...___._ � • L�CATIAN O UILDING No. ..� .... ' s��•--�. Part o Lo . ...�` �.. Street ..��9��=-f.�'�.... ._�a��._. ...._.�.._...._......._....__....._...___..._._._ _ � / Lot .•--•-••--,�.._..___ Elock ._._....---._..-- `-----�--._......... Addition or Sub-Division .._..._...____.._ ._..... ._._ ......... Corner Lot ...__....._..._._.... Inside Lot .... ._----...._. _._. _. ' � � .Y .. . .... Setback ...,.�.�.._._.---••---.. Sideyard ....1.___.._.._.._.____..._.__._..__�_..�. . , ^, �' Sewer Elevation ._._..._._ .. � .. Z .:..�?..�_...__.._....�.__.._...------.--.._.._ �em�ivn-�3evation .....__.._.� ..,5_...�.._•.�..._�_._._. J�,r� ' � '° /4'� "s e� � 4 6 0. 34 � �or� .� f ��-o fi; � - . , � DESCRIPTION OF BUILDING T��-... __ Front _.�,,2�.._.� DePth _... r,�-......�. Height ....�..a.� Scl. F� ...7.� Cu. F��D.�� _.._.._.._..____..__.....�._ Front _.....__....__ Depth _..___.._... I�eight _..._......._.... Sq. Ft. _.._..._....._. Cu. F� _._._.____ i �� ^ �� Type of Construction'��l�:a�rs�t.�._._._.. Est. Cos ._......�.1.._..�..1�...1.�._......_ To be Completed _..._..._._.—_..__�.....______ In consideration of the issuance to me of a permit to consiruct the building described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. ,� if ,, '// o, �� . In co�sideration of the payment of a fee of �..,�.� .....__....._.., pernut is hereby gra.nted to_._..._...._ ._.._.._._.._ •...._....,.•._.__...._..._......_.:..._....___. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom ft is granted and his agents, employees and workmen, in all work 8one in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances af 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 upo� violation of a�y of the provisians of said OrdinBri(:e8. � A ,. �, Buildiag Inspector NOTICE: 'lhis pKmit doa no1 eow� tlu eonslrue,iioe, inthilation fo� wir�y. Plumbin�, yas h�Ntn�, pw�r or wN�r. M wn to sN fh� dviWiog In�p�eM� for aparaN p�rmfls for fha� ibms. �,,c.^,.�C ,�...�.tit,� �'/� /G � ., . . .,, � APPLICATION FOR BUILIIING PERMIT CITY OF FRI�3LEY, MINNESOTA OWNi�' S NAME��l�a% �-.�. � � � BUILDER ADI3RE8S ADDRESS LOCATION OF BUILDING � / No. �� Street� part of Lot Lot Block Addition or Subdi ision Corner Lot Inside Lot Setback Side Yard SEWLR ELEVATION FOUNDATION ELEVATION Applicant attach to this foroa Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConsCruction EstimaCed Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances an3 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. BATE (Schedule of Fee Costs can be found on the tteverse Side). . . . ."� � • � w - • . . , � . . . _ � . . � , City of Fridley Application for P'lumbing and Gas Fitting Permit Dept, oi Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK � D o� O Number, Kind and Locaiian of Fixtures Location . N w � U' WATER HTR. �G% G' � � {/� N Y Y- G' Z S� W ? � � Z S Z n� Z Y � O Z F=- m y`� Z �}`y� Z� 3 S o� ~`� ��'� ao,� Z< �°' F N GAS ELEC. � ;� 7 �� ad N ; 1- O� V=1 LL O S m ��i U' ` U' N U' O Base � � � Ist / � � � 2nd 3rd 4th _L_ � • Future Conaection Openings Connected wifh I Sewer jf(j * New Fixture, Old Openiaga Cesspool�0 PARTIAL RATE SCHEDULE PI.IIMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . , . . . . —�� x $1.50 $ � V � �� Future Fixture Opening ................ x 1.20 $ New Fixiure Old Opening .............. x 1.00 $ Catch Basin . . . . . . . . . . . . x 3.25 $ Water Heater (Up ta 200,000 BT[J) . . . . . . � x 2.00 $ � - 9 0 New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures ..........................�_ x $1.5Q $ �" �b Additional Fixtures . . .. . ........... .... x .50 $ Gas Range to 200,000 BTU ............ .. x 2.00 � REPAIRS 8c ALTERATIONS—Refer !o Code ' Description ................................................$ TOTAL FEE $ /'y � i City of F`ridley: �: �, � �� 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. � '— � � y 19—/ `-C n .� , A � Owner � U Kind of Building �. /�/��2 Used as To be completed about n Estimated Cost, $ Old—ATew. Building Permit No._ ��_� Permit No�..�� __ S1gI18 � r By Business Phone No. �a� — �93 a ROUGH � � 5 ^ � � FINAL 42 • • � City of Fridley, Minn. BUILDING PERMIT AUGIIST 15, 1966 Date: _._._._...__._._Y �..._ Owner: ___. WILLIAM A. P�IILLIPS Builder _.._..._._.___SAME Addn►sa _.._.... 6 02 0�,�NJAM,IN ST . N E.._._..._.._._.._ Address FRIDLEY. MINNESOTA 55421 �� y��a- N° 8964 LOCATION OF BUILDING No. ___C.020.__... Street _._..$.�� 5�..._.�`L.�.._�.._.__..__._._.._._.._. Part o! Lot ...__.._._....._ _��_...._ Lot _.._.._....... 5._._.__ Block _._..._.._._....?� ......._..__.._._ Additioa or Sub-Divieicn ._._.......SAKARIASON'' S ADDITION _ Corner Lot _.__......_.._...__ Inaide Lot ._._._.._�...._....._.._ Setback ____.._._.___..._...__.... Sideyard __._.W____.... -�._________�_. Sewer Elevation .__......_.._.._.._.._...._._.._.._.._...___�__....._____._ Foundation Elevation ..__..._._..�..._..._.__ ...r._. DESCRIPTION OF BUILDING To be Used as: W DET. GARAGE w_ Fro�t _.??._._. Depth _..._..24..._ Height ._..�10__. Sq. F� 528 �� 5, 280 .._...._.._____.._......_.__.____ F�ont �.._..� Depth ____�..... Height _.._.._.___ Sq. F� _.�...._..._ Cu. Ft Type oP Construction _._.._. F� _._..._.._r... Ea� Coat ...._._..�.� � 3 00.....�...._.._.... To be Completed _� In consideration of ti►e issuance to me of a permit to construct the building described above I agree to do the propoeed work in accordance with the description abave se�t forth d in compliance wlth a'll provisiona ordinancea of the dty oi Fridley. � ' ` . . In caa�sideratiaai of the payment oP a fee of � 5.00 ._�._.., p�t is hereby granted to....._�L�M A. ��'Ips to construct the building or addition as descrlbed above. This permit i"s'grat►ted up�► the express condition that thepe rson to whom it is granted and his agents, employees and workmen, fn all work done fn, around and upon said building, or a�ypsrt thereof, shall conform in all respects to the ordinances o� Fridley, Min:►eaota regarding lacation, construction, alteration, maintenaace, repafr and maving of buil� within the dty limits an+d thia permit may be revoked a t a�y time upa� violation oP aqy o! the Provisians oi ea�d ordiaancea CLARENCE BELISLE B�� NOTICE 'llds p�emh dea nef eew� 11w eenslroaHen, Intl�1l�Nen ta �widso, plunibtno, on h�Mino, w�e ee w�la. M wn te � th� luiWieo intp�eter fer ap�raq pn+aiN fo� fh� INna. � �� APPLICATION FOR BUILDING PERMIT CITY OF FRIIiLEY, MINNESOTA , i„ � . � t � , � OWNER' S NAME �%�;� ,y�." -.: � � . , ,�.-,i r.r. ��; ; ..,� . BUILDER �� J�.l�' . l�l l. �/ � : , t ADDRESS � �, �, �; ; . . , _ � , �. ADDRESS ,.�;?< <�= � . c�_ `` L �i•,`� t�: . .�'�y�. J . -- �� OCATION OF BUILDII� N0, ;�� ?,-; (� STREET �:�„_ s.,�;,�,.� y� �`•, i PART OF LOT�,� ,_,�,,, . — LOT � BLOCK / ADDITION QR SUBDIVISION � ` CORNER LOT INSIDE LOT�_SETBACK SIDE-YARD SEWER ELEVATION FOUNDATION ELEVATIQN Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIOft OF BUILAING To be used as; �,y��f j Front ,� �' � Depth ,�%l � Height � 0 / ��- (/ Sq. Ft. �� Cu. Ft. � �- � Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estim,ated Cost� %'^/ �;�-:�' l. �"" � , To be completed !� �'- � % � -� , , . �. -,.. � = ... . ,s : � �. r . �.- . `- . ..� - � �: ^ � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and'hereby declares that all the facts and representations stated in this applicatian are true and correct. t j� '� ' '�''� � , DATE •�� " ;`=� SIGNATURE ' ' `/� ��-' �, _ f� :�- �� /�f� -��' s� � e (Schedule of Fee Costs can be found on the Reverse Side). C� r Q � '/i �� ' . � ' � �. -. , , .� • . . . , Y ` CITY GF FRIDLEY aPPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRI�ERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCNEDULE �� . GR4VITY WARtit AIR: RAT� T01'AL Job Pddress �p�G Furnace Shell & Duct Work $17..00 $ Replacement of Furnace �•�� $ Repairs & Alterations-up to $500.00 7•�� $ Department of Buildinqs Repairs & Alterations each add. $500.00 `f•00 $ City of Fridley Tel. #571-3450 MECHANICAL WARD1 AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 5G,000 BTU Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STEAi�1 OR HOT R4'�TER SYSTE,'�l: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BUR.'v'ER- to 3 gal. per hour each add. 3 gal. per hour The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $�. �—p facts and representations stazed in this application are true and correct. '1.00 $ —7 /' 4.00 $ F ey, Minn. � �-� . 19!i° � � _n � � �D ��.'-- $12..00 $ 4.00 $ 'J.00 $ 6.00 $ $10.00 $ 10.00 $ GAS BURNER- from 100, 000 BTU to 199, 999 BTU $1Cr. 00 $ d• D ff (over 199,9�9 BTU see Fee Schedule) $ GAS FITTING F�'ES: lst 3 Fixtures x$ 3.00 $ Additionai Fixtures x $ 1.00 $ Gas Fange to 199,000 BTU x$10.00 $ AIR CONDITIO\'I�'�G �, S FAN HEATING SYSTE�IS � See Fee Scnedule $ -- VENTILATING SYSTE�IS $ ALTER4TIONS $ REPAIRS � S - State Surcharge $ .50 TOT�T, FEE $1�D RfJJGH INSP Date FINAL INSP. -1 ' % Date APPROVAL FOR PERMIT � RETNSPECTION FEE (.$10.00) MINIMUM FEE FOR ANY HEA�ING PER'�IIT IS $7.50 Or1PdER KIND OF BUILDING 0 USED AS TO BE COMPLETED ABOUT �� '- �� 7 r� ESTIMATED COST � ( J � OLD NnW BUILDING PERMIT NO. _ PERMIT NO. / DESCRIPTION OF rURNACE/BL'RNER H�ATING or POWER PLANTS, Steam, Hot Water Warm Ai No. Trzde Nante � ' Size No. ��d� �� Capacity Sq. Ft. EDR BTU �O'� 4"2�"D HP Total Connected Load �� f" y Kind of Fuel � BURNER - Trade Name Capacity Sq. Ft � � �� Size No. EDR BTU HP i �Company Signed By�� Tel. No. / � � �� - r �� r� �� DHS-2722 (9-85) PZ-02722-02 � -�� -�� STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 44a LAFAYETTE ROAD �,�' � ST. PAU1.. MINNESOTA SS101 Date � Z ning Authority � � � � �� , Street Address , � (� . � 5 �I 3 �- City tate Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR S u b j e c t: �� .,��,,,_._, Nam of Da Care ome Applicant d� v � ,I�F Street Address � � r-�-�-� �1 PJ . S 5`� 3�— City �� State Zip Code LICENSURE Type of License: Family Day Care Group Family Day Care � Licensed Capacity ( � Phone No. 5 � � — O � (� � This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly 5tandards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi-family residential use of property for purposes of zoning. If we do not hear will consider the your local zoning Sincerely, from you within above-mentioned code. 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT F CONNTY OF ANOKA �COVRTHOUBE. FOURTH FLOOR ANOKA.MINNESOTA 6530i Licensing Work r �� Name of Agency/Organization '� U Street Address City State Zip Code �� ` � � v � `---� - ��-�� j��- � c�ti LQ-^°� `� �� AN EQUAL OPPORTUNITY EMPLOYER sue�ecr P c�ty of Fridley 216 �' 7 ' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T REC NO. r � � � • COMMUNITY DEVEIOPMENT DIV. �' � � ' `1: ----- � r � � PROTECTIVE INSPECTfON SEC. � � � � � � � �"'1 � CITY HA�L FRIDLE� SS43T NUMBER REV. DATE PAGE OF APPROVEO BV �""'�`� ,�� 612-571-3450 910-F15 11/24/92 / / JOB ADDRESS 6020 Benjamin Street NE t LEGAL �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACHED DESCR. 5 1 S.akariason � s Addition SHEET 2 PROPERTY OWNEFi MAIL ADDRESS ZIP PHONE Todd Jerdin 6020 Benjamin Street NE 574-0968 3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO. Same d ARCHITECT OR DESIGNER MAIL ADDFiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADD1710N ❑ ALTEAATION � REPAIR ❑ MOVE O REMOVE 8 OESCR�BE WORK Reroo�' House & Gaxage (21 Squares) �ar-of£ 9 CHANGE OF USE f ROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY l,OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AtR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIU 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 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPIICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT +��-! 1�-3 S. 55 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OR CANCEI THE pERM1T FEE SAC CHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S29 t 00. k'ire SC $�-. �-�- �� PIAN CHECK FEE TOTAL FEE ' �' � ' Z $3�.66 SIGNAT RE OF CO � AC OA OR AUTH iZED nGENt iDATEi HfN �ROP LV. VA�. Ip D THIS IS YOUR PERMIT .� // 2� = �, � --SiGNATUREOFOWNEPi�FOWNERBUILDERI �DATEI LDG ��5P pFTE NEW [ ] ADDN [ J ALTER [ j Const�uction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applicadon _ , r-,/ � ♦� 7 � Effective 3/1/92 ' (� 07,0 �� ;iv�� r� �"•��Tel. # 5 % -��` (04 Owner Name & Address: �'dc� Je� rd 1 Vl Contractor: MN LICENSE # Address: Te1. # Attach to this application, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: �a,� o�rf � Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � O�' �-- �o � 5 4 e Comer Lot ( J Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ I/ I 3 m— Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x$ _$ �` 2-�{- 9 2-- � Tel. # S%-7 ` b9 (�� DATE: � APPLICANT: l ��G�G��`C - ('ITY USE ONLY Permit Fee $ Fire Surcharge $ State Surcharge � SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL '2 �7 �� Fee Schedule on Reverse Side /'- .001 of Permit Valuation (1 / lOth 9b) � � s� $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Cantractors� Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 6 $ 3 O, -, STIPULATIONS: . �� sue�ecT PERMIT NO. City of Fridley � � � � 4 AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T f � � i �` ____ COMMUNITV OEVELOPMENT OIV .^ � `j r � ti � PFiOTECTIVE INSPECTION SEC. —� � � � � � `J , � ��I � CITY H ALl FRIOLEV 55432 NUMBEF REV DATE PAGE OF APPROVED 9V �""'�"� ,'� 612-571-3450 910-F15 8/16/96 � � )OB, ADDRESS 6020 Benj amin Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDI710N SEE ATTACHEO DESCR. S 1 Sakariason's Addition SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Bill CLemens 6020 Benjamin Street NE 572-0640 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same d ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE 1,ICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION C7 ALTERATION px REPAIFi O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Garage (9 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS TYPEOfCONST. OCCUPANCYGROUP OCCUPANCY�OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION 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 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICA710N 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT �742 �. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.25 Fire SC �.%�i STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TO A FEE $30.49 S�GNj�AT REOFCON-RACTORORAUTHOAI2EDAGENT IDATEI AOP VALI T HIS IS V R PER IT, �9C . _ � � � �- 9� ' �� SIGNATUF) OFOWNEFlUFOWNEABUI�DER� IOATEi INSP q4TE NEW ADDN ALTER [l �� [] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application � ConstructionAddress: �� :_ � � Effective 3/1/96 Legal Description: �Owner Name & Address: �j�� CL �� NS Tel. # �%? � D 6 /0 Contractor: p r.r�.v �2 MN LICENSE # Address: G�� 0�E.��-,� r� , N ;�' �/_ E" Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. �OTHER: G•4>z.p G�' ,e E�'o o F — 9,S�r ��,v ,e FS - 7'� a�- o FF Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: � , Estimated Cost: $ �� . Approx. Completion Date: � (Cost on Back) Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ �.�(DATE: �' /�' 9� APPLICANT: ��ll,,,� ��%'- �s,n.� Tel. # 7�'� �� 9��' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ � J-�-� Fee Schedule on Reverse Side $ . .001 of Permit Valuation (1/lOth%) $ - � $.50/$1,000 Valuation $ $900 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 [ ] � �� y w ✓�h...._ sue�ett NO. City of Fridle� 32480 AT TNE TOP OF TME TWINS g� � L D I N G P E R M I T r ; � CEIPT NO. � ; y � COMMUMITY DEVELOPMENT DIV. / � r � •� � PROTECTIVE INSPECTION SEC. � � � . , � � �"'1 � CITY MALI fR10LE� SS132 NuMBEfi nEV O�7E v�GE O: AvvnOVEO Br �""�� 612-571-3450 910-F15 3/27/02 � � 108 ADDfiESS 6020 Benjamin Street NE t LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED oesca. 5 1 Sakariason's Addition SHEET 2 PROPEFiTY OWNER , MAIL AOORES$ tIP PMONE William Clemens 6020 Ben'amin Street NE 3 CONTiiACTOR MAIL ADORESS ZIP PHONE LICENSE NO West hal Roofin 486 141 Ln NW Andover MN 55304 76 -786-7000 7 4 ARCHITECT OR OESIGNER MAI� AODRESS ZIP PHONE UCENSE NO 5 ENGINEER MAtI ADORESS 21P PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS Of WOFiK ❑ NEW O ADDITION O ALTERATIQN ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Reside House 9 CHANGEOfUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resist�ve barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions ior this provision�would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Viny� siding is not a weatherproof coveri�g ur.less th�e manufacturer st�tes th�s in their application guidelines. Call for inspection of wrap before covering. Caulk and flash a11 _ .. ,. ., exterior openings. TYPB OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PERMITS ARE REQUIFEO FOR ELECTfiICAI. PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTMORIZED IS NOT COMMENCED WITHIN 60 DAYS. Oii IF CONS7pUCTION OR WORK IS SUSPENDED OR ABANQONEO FOfi A PER100 OF 120 OAVS AT ` ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 MAVE FiEAO ANO EXAMINEO TMIS APPLICA710N 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECi. ALl PROVISIONS Of LAWS VA�UATION SUpTAX ANO ORDINANCES GOVERNING THIS TVPE Of WORK WI�L BE COMPUED @ WITH WHETMER SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PEFMIT W4� ZOO �Z..OS DOES NOT PRESUME TO GIVE AU7HORI7Y TO VIOLATE Oii CANCEL THE pEqMIT FEE SAC CMARGE PAOVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON- $TRUCTI OR THE PE CE OF CONSTRUCTIO �111.25 Fire SC ��F.IO PLAN CHECK FEE TOTA� FEE �'` � License SC $5.00 $122.40 $�GNGfUqE QF CQN"PA�TOQ OA oUTNOAIzED OGEN1 iDATE� HEN PROPERLV VALIOATED TMIS IS YOUR PER IT � � a � S�Gan�uQEO�OwtiEQ��OwHEpBw�DEQ� iO�iE� � ' BiOG itiSP � ��iE NEW (j AODN [ j ALTER � ] Construction Address: CITY OF FRIDLEY Effective 1/12002 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � � %��= � � Legal Description: � Owner Name & Address: Gl? � G� � c�. �� re �� Tel. # Contractor. S �..L MN UCENSE # �,� � � Address: � � l l � � � .k � 1� � Tel. # �G-3 ��Ye �D� � LNING AREA: GARAGE AREA: DECK AREA Attach to this application, a Certificate of Survey of the lot, with the proposed constnaction drawn on it to scale. DESCRlPT10N OF IMPROVEMENT Length Width Height Sq. Ft length Width Height Sq. Ft Length Width HgUGround Sq. Ft OTHER: � �/ c� G Construction Type: J/ o �� 'i Estimated Cost: $ u �° � `� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �' � a � � � ` APPLICANT: �,�� 7�(./�/, Tel. # � ��C 2 Q� C� Call (763) 572�604 for Permit Fees if maili�g in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ �%�- af � Fee Schedule on Reverse Side $ � /�0 .001 of Permit Valuation (4/10th%) $ �1, [�,�� $.50/$1,000 Valuation $ $1200 per SAC Unit _ $ � D� $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 $ I��. D STIPULATIONS: 0