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AF - 44810• K��< ��-- City of Fridley, Minn. N° 10 30 9 BUILDING PERMIT Date: ...._._..__. June 26�. 1969 Owner: _.._..._E�mars A.._ & I�. Prieditis._._.._.._.. Builder _.._._.__._Same -----....--------------__...._-------.-----.._......_.._..____.� Address ._.._._.�4:10.__42nd Aye._.._N�.._E_�...--•-•--...._....•---_ Address _.___._ Same.__�.____.___.___.___._ LOCATION OF BUILDING No. .__6 031 -------- Street .._.---B enj amin _S t._. N__ .E ..__--------..........._. -----_. Part of I.ot ._..__.__.__..__._ _._. � SeeBelow.__ Block .__......_._.......____.._._._.........._. Addition or Sub-Division ._.---._.._..._....__.__._...._.._.._._...__..r�_.� Corner Lot -----_.__.___...._ Ins,ide Lot ._..__X...._...._.._........_ Setback ....._......_35..�---...._..... Sideyard ......__l ��..__ _._......._. Sewer Elevation __......_.._952_.77 ..---_ ....._..----955.�7_7_.....�----____.� .._..._..._._..----..........-�---�--._ Top of Footing DESCRIPTION OF BUILDING To be Use@ as: __]��...1..�4ng...._...._..__ Front 40.�6_7..!. Depth _26_.0' Height .20_..._.._.. Sq. Ft. _1059 Cu. Ft _.22.��95 Garag,e_.& Playrocnlrront ?6�--_.__ Depth _...�14�.. Height ._..10�...__ �. �, _ 364_ Lyx, �, __3822 Type of Construction _..._..._Frame----•---.._..._.._.._.. Es� Cost _.._._,�24�15.0.._00-•---••- To be Completed _.._..._._.._.. • Legal Description- N. 150' of the W. 217� of Lot 8 Auditor's Sub. No. 92, Except the South 75� thereof • SEWER LOCATION - 42' South of Manhole WATER LOCATION - Must be tapped In consideration 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 set fo and in compliance with all pravisions of ordinances of the city of Fridley. � � ___.�__. C��I%!�c��'S 5100.00 Sewer Connection Char�e In comsfderation of the payment of a fee of �...___ 45 . 00 . Elmars A. & I. .... ., pernut is hereby granted to._._.. — Pr i ed i t i s____,__�_____.___. to construct the building or addition as described above. This permit is granted upon the express 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 thereof, shall conform in all respects to the ordinaaces of Fridiey, Minnesota regardfng location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any time upon violation of provisioa�s of said ordinances. � Clarenc� Belisle NOTICE: 'Ifiis p�rmR do�s no1 eovK tlu eonsfruelion, inshllalion for wieiny. plumbino. o+s h�atin�, swv�r or waHr. !� sun to aN fh� Buitdiag In�� for s�p��ah p�rmits fo� t6a� itNns, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEk 'S NAME �� n'1 �,r r�� ri•,r .l �f' 1�2�•f � i` BUILDER Sr� ivr� � ADDRESS�� /� v.Q N�, ADDRESS Scz Ly�„� �"l �D � l�! l� ►�1 LOCATION OF BUILDING NO a�¢ p�/ STREET (j�� r a i�vi i y) S� � LOT BLOCK ADDITION OR SUBDIVISION / / CORNER LOT INSIDE LQT IO SETBACK ;3..5 v SIDEYARD� 00 _ SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building locatior� drawn. on these Certificates. �' --�- �� ' DESCRIPTION OF BUILD��TG � t }� ,, r �� ( ' ` ," , ;� .7 � `'f .� � < f.:. : � c � / �� ,k� `�r' � �� `� C .,� To Be Used As: ,. � � i ,Sth �1� GF,c.�lg � ront �IO,. (% epth�,6. Q uve�Height a�� i_t��4,r',tz,. � � Square feet ��J`^� Cubic Feet L�, 0`f �� —j_ T— l ' � � �' i�+^o�►�'1 0�� Front�b , p Depth j�{ • � Height ( �-�h u�"r�..e 1 �7 �.av'u.c,;es � �% Square feet L�� Cubic Feet '.3 �� , T e of Construction U,°�° yp ✓'�v� P� Estimated Cost �� c5 . 1 rr To Be Completed �ti�i The undersigned hereby makes application for a permit for the work herein specified, agreei.ng to do all work in strict accordance with the City of Fridley Ordi.na.nces and rulings of the Department of Bui,�dings, and hereby declares that all the facts and repres tations stated in this application are true and correcte � DATE .,�fl7� �.6 �G SiGNATURE - _ __Gf ��LC--?_-�f'�(�r (Schedule of Fee Costs can be found on the Reverse Side.� � �, �n.. � � � � � � t `j~ ✓ i^ F ��/��}---y .�r � /' % � �( � � 1 J` J' ` � C !� """ � / � J �� I G, i; ,a � C. .l,i f 1 � F� �_� i . .. - r ____ _� �� , �.�_. ..,_/ � / �� _ ._�� -� � � .. �� `�t � , . � , � ` •• , . ,� '� , Ci�y o$ �ridley APP�QC�st�� ;r ��c��i�g c�� %c� ��g ��r�bt .// Bspt. of Bldqe. Phono 560-34 SQ :rESCRIPTION Oi' WOR�C � ` / ' � Numh<:. Kind and Lotatioa oi Fixtures Locnrio� _- lS� �� l O✓�--� �� ' �... a £ Y ; , o w�rra i<rn N z � • • � t �' ' v� � °' Z V 2 p I � t? Z `__ __,__ o < Y - = 7 ?� s o �� s z n I N G�S CLEC. �, v, t� _ _ t'- N Ja �7 <3 U°! oz UQ Basc �' � � Ist 2nd rd 4th I- � � , � ' Fi:Suze C:.u�c :en Ope-.��s � tiew F'i�'nse, �ld Ope-�-;s i5 P(35�:e� 3ewer � Cecspool (� P��TIAL RATE SCHEDULE F�LI"Jt��I:;v r:<:`�"�.E ii.4'"�5: :7D. RATE TOTAL :�•.:�`__- Fixtures . ... __ 1% x $2.00 $ �T �� F,:-... _ �'_xti:re Oi_ _ ^.g . . . . . _ . . . . . --.�.__ x $1.50 �.� �c : .._.�e Old "--ning .... .... �.�.�.x $1.50 � C�:::-. =.__n . _ x $325 5 � s� ' R'a-_- =;ater (Ur �_ 99.000 BTLT) ...... � x $3.p0 $ J• " ,�es �._.:rd Ru:: �.? Bldg. x $3.25 $�T �� : T_:er Hea'!- _ $2.(K) � CAS FI7T:�^ ?'i9: 'd0. AA7E TOTAL ! s: . . 's•.-_res . . . . . . . � x 32.00 � CX - � Ac�`t-�=? flxtuz� ... ............ �. x $ .75 � Gas F.a�ge to 199.:�?� BT'[T .............. x a5.00 � REPAIRS !� J1'_:'iRATIOR:--Fie�er !o Cods :`:, L�esT,-__n . . ... ............ti•.... , ..........� � Tarnt, r�E $ �.., � .� 0 � city ot �aatey: Thc unciersigned hcrcby .makes application for a permit for tl�e work hc;ei. specified, agreein� to do all �r�•ork in strict accordance with the City Ordinance ai�d ruling oP the Dcpartment of Buildings, and hemby declarrs that all the tact and representalinns stated in this application are true and correct - F,-;�u�„ .linn V �d�`-' ' 195:JC� �� /1 .. .. n Qwner Kind oi Building _ � /�-zl/1�`"L, Used as To be campleted about � �� J� �� c� Fstimated Cost, $_ _ � � (� Oid New Building Permit No %� ni � 9 Pnrast No. 9� Sagne��t�%�' � _ l�t,� By�``_��/�? C� "" � �- Business Ptiune No._ S— C� J'� F20UG �N�. I— �— 7/ .�..� 4 .� � N° 4995 �� Permit for PLUMBING AND GAS F ING `�� — N.B. When work covered b this Perxnit y permit is ready, the Plumbing Ordinance requires that request for I F� $� 7, � inspection shall be phoned in to the plumbing Inspector, 560-3450 givi.ng number of this permit., DESCRIPTION OF WORg II NumhPr_ Kind and T.ncn#inn nf Fivfnrna .5'tOT1QS Basement lst 2nd 3rd 4th W W Q .... ... _.. Z N = N y F' y Z = tll Y >' 2 z' a° rc a� a Z a� a o 3 u � m r m a 3� a a — � � I J 1 � _� � Connected with Sewer-Cesspool N W � Z = Z 3 tJ WATER HTR. 3 � U Z y U J � O O Q I- N � y K N a N Z N J� Q a a❑ Q h a Q GAS ELEC. LL p U m � J i It U' Q (9 K � � Gas Piping for � Openings Permission is hereby granted ` . to do the plumbing and gas fitting in the building described in the statement tcereto att ed, upon the express condition that the person to whom this permit is granted, and icis agents, employees and workmen, in the plumbing or gas fctting of said building shall conform in all respects to ordznances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date 7nspector. Finallnspection Date �� 4 z i �a—b.ss-v �� City of Fridley (�c-c , . � / ,19� Owner __ iac� 3 / �-c_,..� Location _____ �=7��n�,�L��. ��,, Kind of Building� � � Used as �-�� o d e� • To be Completed ,9—�-5� , 19 �� , Estimated Cost $ �� a'-D ' � Old-New. Building Permit No. �� Date Inspector of Buildings. �� , � PERMIT for Power �ants a - nd Heat�ng� Cool ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DE',SCRIPTICN OF WORK No. of_ % Heuting Plants to be ns lle ltered—repaired Make � F �� , Sixe � e�d� �' – � � � ; Oil fired ; Coal fired ; Gas fired �; Gas Authorization No. Remarks',�,. � �� -c� C1J � � (�, n� .�1 �1,vt� a � Approaed by. Final Inspcction Date , 19_. Inspector � soZ3y P�°'t N° 4660 Fee $ �rl. Q d - Of�ice of the Inspector of Buildings City of Fridley City of Fridley, Minn., �� a , 19 '.LD Owner ��I�.�L�. ,��,� , - Location f2o.31 .Q�itIJR/'!7i/1% Kind of Building /��/�� How Occupied L�c�/c. LL.I R/ Co Work to be Commenced ,19_ To be Completed �� ,19� Estimated Cost, $ /�� Old ew Building Permit Permission is hereby granted to � ` to instatl—erect—use t%e material and deuices described in t)ce above statement. This permit is granted upon the express condition that the person wkom it is granted, and tcis agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing th.e work to be done and th.e operation of the devices herein named, and to the specific ons set forth in the approved application for tlzis permit on file in tlae ofj'ice of the Inspector of Buildings. ��:�� w AZ zM �i-s� v , Inspector of Buildings sue�ecr PE T NO. City of Fridley '- 16 5 41 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ' � cEi . � ; � _ COMMUtJITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEG �Q O 1 � � i 1 A� �"�1 � CITY HAL� FRIDLEV 55432 NUMBER REV. 0/{TE�G�O� PAGE OF APPROVEO BV �.��J \./ �� `t U O 612-57?-3450 910-Ff5 Z� / / JOB ADDRESS 6031 Ben j ami n Street n. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. 8 A. S. �92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmars Prieditis 6031 Benjamin St. 571-7230 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE UCENSENO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW C3_ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK passive solar greenhouse 9 CHANGE QF USE FROM TO S7IPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAp SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED 300�400 .'rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- C STRUCTION OR THE PERFORMANCE.OF CONSTRUCTION. �:J.00 PLAN CHECK FEE TOT,A��F.�O 1 SiGNni EOFC RACTORO nu ORIZEDAGEN7 IDnTEi N PROPERLY V IDATED THIS IS YOUR ERMIT r` 1 �� \ ��;,�/�/"� . <,.. (�. Y�� `Z 1� �y �. SiGNATUREOFOWNERIIFOWNERBUILDEPo ID EI BLDG INSP DATE \ ; `�O � � 2 � 'I N � �' ��. N �� — � � ��,`� �, r 4 � � % �� 0 0 �—� �' � \ �� . ,< 3' `l , �I, 4 !� .I � N',t, . � � J >' �� a 3� 9 ,� r _N . '� o� o0 � 0 •1 d :� ■ � r�� '� • •ri.'41RIi , r •'��»�•� � � L� � � �J J I � -�.-►: ... - ' �PI.�SCi�R.�`2JA�F �NEh7't�6 i � - �N ' z'�6 P'�',��/�_ �L�MF�t� �T' t °. � , �1JT'tE�._ _ = � _ .- _ / � , ' � . ccr��ar wn� �F cx v��,c. " _' � - - -- k I � +�'r�YlicE�-C�f , � ( � . � . . . 9.. - � Q � �� -- -- _��ti � � �4 I i .v �) , � , � � , � . • . �j� i � � j 7� —wa�. � �' , � • - '1 _ _ � ; � . � � � , . . . II � . . -� = , . ___.-�--� \J.. �X/`1T . Rbl1 VJo oU IZOt l,I►✓6 � `" I _ ` 1n � � . �� I - " , ! i � ' . i �Xtsr�7t�t-• I I �sr_�� i , - - � ��JCfS� Zc/0 JSTS --. 6�sr 2xg �srs . —. - � ��' i'� ' ' -�------- -- ____ � ijt �q(Sf � i' — ��' �. �'J ";,� ` - � �� !�— �`�' t", " ---=r .C, CiST . D►►,n . 7� I I" k �wST D�M • Q� 4" �' a�.�c:; � 1� 1 Ir • ,7`�L'AL� � . �- � �7 _ � . � CITY QF FRIDLCY Effective Aug. 1, 1981 AS'PLICIITIO:y �Of; itESIDEi�Tllli_ E3t1IlDIf�G PL-iL''�I75 (t�c�l, Alterations, Additions, or Repairs) ONJI�ER: G°t�.S ��1�✓ ��1 PG'�+ � .� ADDRESS: Q� �t! � � TEL N0: Si%' %�� I3UILOER: � /IDDRCSS: TEL f�0: Consfiruction Location - ST]tI�T NO : �0 � ' STREET: �,p i � r_�� IAT: �� BLOCZC: Corner Lot: Insic3e Lot: � . � ADAITION: � � � q SetbacY.: Sideyards: Ap�lieant attach to this form Lwo Certificates af Svrvey of lot and prop�sed building �ocatian drawn on certificates to scale. DESCRIPTIOi� OF C01•�STP.UCTIOW � � �� Q� /� i ,S CC�' � �v�ront: � � Depth: % �� Height: U (� Square Feet: Qibic Feet: _ Front: Depth: Height: Squar.e FePt: Cvbic reet: Zype of Cor,struction :��G( �_��," � %�� Estimated Cost: S 3� �- 4a � Zb Be Cbr,�pleted: � �-2 A lt. A A1 t. B Proposed Drive��ay Width If New Openinq Is Desired: $� $ , SE� REVERSE SIDE OF SHEET . �iie undersianed hereb�► mal;e� application for a permit fcr the �:nrk herein specified, aqreeing to c� ,all work it� strict accordance with the City of T'ridley Ordii�ances ai�d xuling� of tlie Department. of Buildings, and h eby declares that all tl�e fact� and representatiens stated in this application tru d correct. D.1T�: L% ^�� '� � 2 SIGNATUF�C : ? � r � L�Y"2 _ — .� Stipulations: � ��,� � � '��5� j�� V .... SUBJECT - �" ' .''� ,...._._..""�"__-. . . c�cy of Fridley 2 2 212 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � �A.�CEIPT.N.(l:�' � � COMMUNITY OEVELOPMENT OIV. ..-.�^� L- � C/CS r � � PROTECTIVE INSPECTION SEC. 1 � � REY. DATE PAGE Of APPqOVEO BY � i-"1 � CITY HALL FRIDLE� 55432 NUMBEH �""'�'� ,', 612-571-3450 910-Ft5 10/2�/93 � � JOB ADDRESS 6031 Benj amin Street NE 1 LEGAL �OT NO. BLOCK TRACT Oq ADDITION SEE ATTACHED DESCR. Pt. 8 Auditor � s S1]I� .#92 SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Elmars Prieditis 6431 Benjamin Street NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Rayco Construction 3801 5th 5t NE, Minnea olis MN 55421 781--6092 4 ARCNITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAILADDpESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Res identi a l 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (Tear-of�) 14 Squares 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must cqmply with. the State Building Code. Provide adequate attic ventilation� �rovide smoke detectors as per UBC 121� adjacent to all sleeping areas and in base�ent. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTHICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONfNG SQ. FT. CU. FT. AUTHORIZE� 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 OFFSTFEET PARKING I NEFiEBY CERTIFV THAT 1 HAVE FiEAD AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yAlUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPUED $2 � 745 $1..37 WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIO OF ANY OTHER STATE OR �OCA AW RE ULATING coN- $54.00 Fire SC $2. %5 STRUCTI R THE PERFOf;MANCE OP CO � PLAN CHECKFEE TOTALFEE �(�-Z�j�j Licens.e SC $5..00 $63.12 S�GNATURE OF CON � AACTOR OF AUTHOR�2ED AGENT fDATE1 WHE P PER ALIDATED THlS IS YOUR PERM17 - 6- Zq SiGNATUREOFOWNERUFOWNERBUI�DER1 IDATEI F B i O�TE rrEw ADDN �.�t [l [l [l CITY UF FRtDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit A�lication Const�vction Address: �o � � � C:�.. � � S � �(/ C L.egal Description: � � - ---1a � e,�„� `-�-- �� S t s ; de o �, � ---- Owner Name & Address: �/,�►-,�,e� /�2; e� ;�;� 5 Tel. � Contractor: �x, � c „� S'�`2�,� c�.� �� MN LICENSE # Addtess: � i� C� 1-� S� 5�-- l�l � Tel. #�7�i 1-6 a g z- Attach to this application, a Certificate of Survey of the lot, with the proposed �uction drawQ on it to scaie. Effective 5/26/93 -� �� -� LIVING AREA: Leng�th GARAGE AREA: Length DECK AREA: Lengt� OTHER: �-_� DESCRIP'CION OF IMPROVEMENT _ Width Height Width Height _ Wi Hgt/Ground --- � ti � = c �` �/ --C � �, Y � Corner Lot [ j Inside Lot [] Ft. Yd Setback 'i�e of Constructwn: Approx. Completion Date: Driveway Curb C�et Width Needed: Ft. + 6 Ft = DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Sarcharge Driveway Escrow Erosion Contml Park Fee Sewer Main Charge T4TAL APPLICANT: Sq. Ft. Sq. Ft. Sq, Ft. Sicie Yard Setbacks � Estimateci Cost: � � '�7 S ! (Cost on Back) Ft x $ �ITY USE ONLY ,�� C� $ �� Fee Schedule on Reverse Side $��-� ---��-c---'.001 of Permit Valuation (1/lOth9�) $� � �- $.50/$1,000 Valuation $ $750 per SAC Unit $ ,,,—. c`' C $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary ( ] Not Necessary [ ] S �'� �'� STIPULATIONS: � _$ Tel. # CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION F��R POWER PLANTS AND HEATING, COOLING. VENTII.ATION. 572-3604 REFRIGERATIO`J AND AIR CONDITIONING S'fSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Ngeded with new furnace) Gas Range Gas Dryer R�ite TOTAL o� $ 20.+�0 ��_ � 10.00 � s �o.00 $ a 10.00 $ "Air Conditioning - All Sizes $ 10.00 a All Othe�s/Fiepairs 8 Alterations (LIST ON BACK) 19�6 of Value of Appliance or Work a CommerdaUlndustrial 19�6 of Value of Appliance or Work State Surchar3e TOTAL FEE � � .50 a1v,s° MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATIONlAIR CONDITIONING PERMIT IS 15.00 PLUS THE �.50 STATE SURCHARGE REINSPECTION FEE a30.00 "Air Conditio�ers can not be placed in a side yard without written permission from adjoining property owner. JOB The �ndersigned hereby makes application for a permit fo� the work herein specified agreeing to do all work in strict accordance with the city c:odes and ruling of the Builcling Division, and hereby declares that all the facts and representations stated in this application a�e true and correct. , ,�D—1 � ,199� �'ii. � �/it�l BUILDING USED � ESTIMATED COST �//[/� PERMIT NO. �� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units � Circle One (Steam) (Hot Water) � T�ade Name /�i��dX Size No. BTU //�l,:�Y� HP _ EDR Fuel� S Total Connected Load Bumer Trade Name ��%�/O� Size No. �� //J� BTU //��,�/>i/ HP EDR HEATING COMPANY Signed By � � Tel No. �� //�l� Approved �y��--� Rough-•In Date Final Date �� 3 �� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE gU$�,��Cp�j��p,, 8419 C�NTF$D$IV& 1�NN�APOL18►� � SUBJEC� • City of Fridley 2 6 45 4 ' , AT THE ?OP OF TNE TWINS g U I L D I N G P E R M I T RE T NO. r � �` __�._ COMMUNITY DEVELOPMENT DIV. ��0� � v � PROTECTIVE INSPECTION SEC. r � , i_.-- �,��"';,j CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF AVPqOVED BV Z �� 612-571-3450 9t0-Ft5 7/6/98 / / JOB ADORESS 6031 Benjamin Street NE 1 LEGA� LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. Pt g Auditor's Sllb. ��92 SHEET 2 PROPERTV OWNER MAIL ADORESS ZIP PHONE Elmars Prieditis 6031 Ben'amin Street NE 572-0431 3 CON7RAC70R MAIL ADDRESS Z�P PHONE IICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential � CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR D MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof House (14 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REpUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONOITIONING. ?HIS PERM17 BECOMES NULL AND YOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHOR12E� IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I,AWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT �l � 16� �.SH OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �(�O.ZS Fire SC �1.16 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $41.99 SiGNaTU O ON'RACTOAOR ur a4EDnGEN �DA7E� WHEN PFOPER VAUDATED THIS IS VOUR PERMIT � -�9�-e-.�_`� %�' 7-�%`l� SiGN U�7E OF OH'NEA UF OWNEA BUILDEA� �DATE� BlD �NS ��TE NEW �DDN ALTER [] Ll �J �ConstructionAddress: � Legal Description: � Owner Name & Address: �ontractor: Address: LIVING AREA: GARAGE AREA: �ECK AREA: �OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -° �N J�-M 1 �l � 1 '�� Zi Effective 1/1/98 r�5 � c �� , ,; �V1�, . �5�. # 6 � 2 �7Z- �}�'1' 7-✓� MN LICENSE # Attach to this application, a Certiiicate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width • _ . Height Height Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. V � rV �u A:S�I A� �H�,t��E R�fi�nf6► , A��',�.00� � �r16(� �t'fi �f2�A HuWS`�� . "onstruction Type: / �� Estimated Cost: $ �! �n / (Fee Schedule on Back) Jriveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ 1 TE: �� `� b � �8 APPLICAI�TT• l�i�:�/ /��.,., Tel. �# �� 572-0 �1 � � (, �krnl ,- I'�12'[ � r �zr Permit Fee Fire Surcharge �tate Surcharge �AC Charge ..icense Surcharge i)riveway Escrow ' ;c•osion Control ?ark Fee 'iewer Main Charge TOTAL >' �'IPULATIONS: CITY USE ONLY � $ d•� Fee Schedule on Reverse Side $ , / .001 of Permit Valuation (1/lOth%) $ . � $.50/$1,000 Vatuation $ $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 [ ] $ ��-� Building MECHAN��AL r'�'�� No_: � ,�' P+� ��DENiIAL APFLICATTO �"'� &�': � Ins �ons 763-572-36U4 Da�c Rec•a: �' � �_ e�r� aF �r�LE� _ _ _ �� SCTSitlSDREtB l Q_� THI$ Ai"PUCANi TS' ^ PRQP�:RTY UWl�TF1tI T.'F.T�iANT �► „ , � ► �: �.t�_:��v�,��s,�...... — .�. I � - _ .., �i. � , . i: ' �I • � � � ►': ' '� � / IA' I �t1 � � ♦ � . .� . � c.vtr3'icw�-rvtc c�A�ANY?+iA11�: .,�l�C��'Ql tl f�� _ s«x��rrr A anpv o� caarrncr�rr: ¢ ro� f_ IPa� �-1 P, _ YOUtt SI'AT� 8rw'sS 11CBN3lt B 9tp DATE L1C�HfSE W!7'H ,wnu�ssl C� c7( ��- �- _ cr�r Z�S a�p[.tc�r�arr rr�r¢ -� _ _.� � ��I rt FAX-----�..� _--- �s�r �rx�� Tvr� o� wag$; 9�+iCLEFAAdELY t]2'W(JPA1�.Y EYit3WI�4l�i0ii3E � - ------- -- - ------ 1'/�w (7 RRpLAf�lu16NT O A3.78RA1'��iiilEM0A�1. n�rArt.� n��oN c� woRs �� , , �s. PBR M�! 6B 66S du pormir. foe � a wlaizya�n at 3i S.dD or 5� ot thc t�l oort ap a► �l1. whichever ea � for rhe improv�scnens, itt�tetlatian or replacenvent o�a roaidmnial fiatuce, axcludies� the fi�cturaa. (Thie d re8ect arily 1hs oo� of lebar ) Lgbor cost ts�d� S3Q0 s f15.Q0. Lahor co�t bstwoan �340 to sSOb - c�. oClsbvr F8R FAQO&Ct9 WFlBBB Lt80[lSXCB"�S iSf�0. FS58 Atl6 8A85D 4H S18A0 VIDi. �C['llKE. ERLL+PT W!� biC1AiAER OF EAC� n�LOWf Fqn1�t� Im�llcd Mi�a��„�,�� td0�9� ��_� �c kcoras�.• MFO �"�— Al�l.: AIC 575_fl0 ...- - FlRBPLACB (GASi s15 OA ^_ �AII�'['0 AEARXCW1t�t3�8t1 i15 �FIR�PLACE(WDOi7j f33.OD _ SOi�.EH 533.00 FU�NAGB i35.00 _ _ C',�pbdFiBY 1Q1� i16.� _ f1A5 DILYfiIt =iQ00 _ Permit Fee Surchm�ga TOTAL DU� �--,- — s --' .as = aNa�. rnrrv�: tn��►te�r�ru. 81Z�1[T!'V .. .._ .� �r.u;IH�u _. SIZFJBT'tl _.. _..__. RAN�V6�1 S1A06 [�ns �tta.L a� o.00 llt+!►l !�. �ID OU : �iT�lt i13.� . . .. ... _ .. ��:��#��.T�rtr7_�_�:� Nu�bet oP f a�i $ I Q.OD _ x S10.OD - i_ _ Numbes ot � 315.00 x Sl S.UO °� N��r or � s�s.00 �. x szs.00 - s�s.� � Number o[ Gxt (r� S3S.00 „_,_ x S3S.00 = i smce � - s .so rotel � s �,S.�b 'ItilS IS AN A3�7.fCAtf�iJ FGQ 4 Dfa'RR/IT.idOT VARI�? IlN'Ft4 I her�Y egp1Y far a bnifding permit ard ��cicnourledge ri� tt�e i�fumtot� abvno ii wmpl and uauca�e; rhat �he wortr 9n'q be u► cx�f fornaance vritA the arcli�mttaee and aod�ee of tha City oi Fntllay ant! aidh tha Minna�nte C ation Codemr, that t�in�L��nd ihni i� not a parmit but ca�ty � for e pexmi� end wurtc ie rwt w u�t withau! a pormit; timt fho evork wi�! be us aooadaeao witb t6e , appror�d pl� u[ iha c�e o huh raqni ' � o! ��,�� -- n�'��N,��.1��__ D�� - City of Fridle� �rtfidL�g Lispect�ns Depart�nent 643 � Universify Avenue NE, Frid[ey, MN SS 7b3-572-3604 FA�Y: 763»502-�4477