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AF - 36414BUI�IDING PERMIT �illage of �'ridley, Minn. No Date •'J' •/d��1� lG' . . .. .. . . . . .. . . . . . . . . . . . . . . . Owner .��f�.,�i•6✓.��l ................. Builder .,e��r.?l�:Z..G:�<..�1�� Address .��.�3... .,•:�MF'�,�^•"•�% .. . . .. .. .. .. .. . Address ...................... LOCAT[ON OF BUILDING No. . . �.� �I. . . . . . Street . : .. - . . . . . .r. ,/�.1:"Y1.��'"�: �". >' 1 r!�.rPart of Lot . . . . , � Lot ................ Block ................ Addition or Sub-Division .................... Corner Lot . . . . . . . . . . . . Inside Lot . . . . �: . . . . . Setback . .4����%y! Sideyard �� . i DESCRIPTION OF BUILDtNG To be Used as: . .�,,.��I���f� . . . Front .�.�. . . De th . ;�.`t� T �'I" p . . ,Ieigiit %r: . . . . . . Sq. Ft. . . . . . . . .................... Front ........ Depth ........ Height ......... Sq. Ft. ....... w/� � Type of Construction �:�tF.r.6Qi�.. Est. Cost ..,�0�'+4�.Q .............. To be Completed / � �j�.f e� pC `L. j O+ I /IA•r �`' �,.�{,4e. �c.s ���(,l.���- ` r / / t�` In consideration of the issuance to me of a permit to construct the building described a the proposed work in accordance with the description above set forth and in compliance wij ordinances of the village of Fridley. I ................................. �n consideration of the payment of �a fee of $. . f'�,r. ., permit is hereby granted to .�.� , ./�. i.�L t �. ......... . to construct the building or ad dition as described above. This pern the express condition that the person to whom it is granted and his agents, employees and ws done in, around and upon said building, or any part thereof, shall conform in all respects to I Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and movin; in the village limits and this permit may be revoked at any tim� upon viol�tion of any of thf ordinances. � �` � \ . i .1.� . . ��, NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumk sewer or water. Be sure to see the Building Inspector for separate permits for these items. • • � 0 1.T1 �• � City of Fridley, Minn. BUILDING PERMIT Date :....................---�-�-Augu s t... 6.:._..19 7 0 � r �s' � � ,��a� ` N;� 10'7 7 8 \ �� Owner: ..... Mr_..__. Ken_ Korin • Same ...... ......_...._.---�--..._..---._...._ .............-�-�--��--�--............� Bmlder ..........._.. -� -�--�--�----�---........- �-�-�� ......- ..........._............._...... - ._............._..._.... Address ....._6051. -Benj.amin .Street N.E-'---..._.......- --- Address Same ...... ..........._............................_...._.........._.....---• LOCATION OF BUILDING No. ..- - 6.451 -........ Street .......B.�.xt.�.�iit- �_tx���....�I...E.. ........................................ Part of Lot ...................._...-- ---.._..--........_......-----��------------- Lot NTd%4.---9.�..._3....... B1ock ..... . .............. �-- --------------------------- Addition or Sub-Division .Aud....._S�ub.......�92--.-.--..._...---._...._......._...._.....__..._.._ Corner Lot ------_---.......----.--... Inside Lot .....---..--X.------ .............. Setback ....._.............._.-----------.. Sideyard Sewer Elevation .....- �� - - .............---...........- --...-� - - ---...._.............- � Foundation Elevation - ...._.... DESCRIPTION OF BUILDING To t� u�a as: --..F_ami.ly---$cL4m._........ Front ....1.�-�.--.----- DePth ...._�.2...'....._.. Height ---2-�?'----..._. Sq. Ft. .216..'..._.. Gii. FL ....._432Q.: ---.�ar�g.e ................................ Front .2..4..:.....-- Depth _....32.�...._.. Height .....12...'....._.. Sq. Ft. .- -�.b$.�.. G�x. F� .....�21.fi Type of Construction ---.--Fr.a.me---------......._ .............-.. Est. Cost ---....$.C.,.O.Q.Q..._o.o...---........ To be Completed ..........--.--....._.......---.._._..........._._ Provide Hardsurfaced Driveway. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. - � � �-�. In consideration of the a 31 00 � permit is hereby granted to..._Mr_.,. Ken_Korin P 3'ment of a fee of $....--.--......:._ .................. --� •- ............._..---��---..._......... ...._......._........... 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 ordinances of Fridley, Minnesota regarding 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 any of the provisions of said ordinances. 0 ?�.� � _ + Building Inspector MUHICH �j� � NOTICE: This psrmit do�� nof eovsr the eonmuclion, insfallation fo� wiring, plumbing, gas heating, snw�r or watsr. B� wn to sN th� Building Insp�efor for separaT� parmits fo� fh�se iNms. • . . � . � . n APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :__ C �^ � 7 /l u'Y ��-� BUILDER : �� 1�' f� ADDRESS : G�� �'l I? P 11 J��- r,•�, h�� � ADDRESS : 1� �-y , N� : . � G' `� S TREET : , F� Yl / c, -yy� / � �G �l . . � - f ,� � �a, �� Y � � , � � � � � ;� -- l,i;- � �� ,� ,.ry —/y >> N — � w 5 ��,., p,, � LOT : l��/l'/y �• � BLOCK: ADDITION : ° `' ' s � L� ,- , f - y ��. �: -� � y7 � � ' { � r, yC � J CORNER LOT: INSIDE LOT:�_SETBACK: SIDEYARD: Applicant attach to this form Z�ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As: � J, `=rm%��' /t'�n Front:_ �;,� Depth: /.' Height: „��i Square Feet : � Cubic Feet : i� 3�,. a � ^-=?� �i; � Front :_.'�� � Depth : � J Height : l � Square Feet; � � Cubic Feet: �`�,y/ �s' Zj�pe of Construction: ��'-? iJ�� Estimated Cost• $ 4.^ �`C'�'-�� To Be Completed: The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict 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 application are true and correct, DATE : ' S IGNAT[JRE • (See Reverse Side For Additional Information.) 0 . _ � „ ; ,.. V�.�c�� — , u � �� � • 4�' .. �.�r..._ i+r , .- . .� � � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: UNIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. T� pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average� height of the roof surface of the main gable of a pitched roof, For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dol.lars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building peztnit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. • . �' • • . • _ _ � �, � �� � ,,:�. � �"ZZ� �-• � � y � �w sp �y � �;� ���. �,� jf� / l�'!- ..�-Y , i%i '�„�'�� M P" `5 �' °� � t i � .�„- ,�, ,� � .� „�, �`� J C� '� � � � _ � . . y � r� 7 ,�°� r��` .�. � J t" �,y �i°� � f� t � %� y .� ,/� a y. . . w� � , .,:. , a�, :� � d �' � � � .�,�,. ,� ,�„ r^ �� � `��` '�`� tl ' � i � E .,, tjj � � :; � � �� � � r. �4 7 � ��; ».: �� �_� iF . �. � � � �� b f �r �t,� � � j„� ��f fr� ��1� �.t � � l � . � � � ; �" �'' �`�`` � � .5..�_ y" ���r , i.?.�' t% t.i r�rt'`: ��-r.��` r i, �� .n `wi J - � +� � / yg, ��. 2 q..� � +¢ � � *� � 4�� $ �n� °� F [ ',: `l�' �,�;,.�` V 1� � �� ,� ; :�� a�.� ,� t �r �. °� �� � l s� :� 1 t� �" � � . �,.r'p+��� } �.�m � �' �, � � .�, // � 1� � � ''' 1_ �p � � � + -�h� !k �� �% I � � � J f��, ' � � 3 �t .._.. � �,�"� � � . . � - '- / �' , ` _� �,,, , f . �' f /� � !'" b� � a4.� � , e ;�%.+"�.� r .: � -� t � ,.w�._ � �;,,�� - �H f � �, n-�* .�� ;�'.,� � � x ,��-` �;i' � � � - �,>��i� J'• j'.,.1 ,� ; �r .. i" e a . . ... . � , 4,"✓ 4 �d . - ` , d �. � �i � , ,� � x �� �.,�,�' . . � �� r=• ° �` r 19.�, �� � ��. ` � %� � �'" -^`- � : � �� � � �� I , Y, r• , f t % � � { � .� � � � s-`�y �''%"t f �� � �;;�` . �",,..,� . � T ` . . y, w s .� � �� � �� � .� � � . . • 0 '✓ / �i i � -� ..�: �„�! 1._. �f � , . . �_, '` �; ? - �. � �,-r yc .`., , L t'F • ? � � (`ri • 'r �I ' I I I i� I � I I �v u s U � Q � � i.:: . .:c £°��:' . ��:i'�::�:»a� ���.�ss::_ �M�vd $. wiMA::��i'w��.'yC.�i L�t'�nd:'4+'�r-�w 1Y�4la�r�t �� K�i f �G°�_�5'��? ��;�'�.� ��;# t n«s.�;t:.�':'.t�.c'F .s•t�a � ,�„ ��. . �-3 g � c�. �:.�.�,1. �.. �' ck� .�: N � � :.'�a�::. i9d'.�{r+ Fv �A�L��Fnt.s� �ym1���s zi'4::� ��.:`a c z�.�.�`i: t ��riiW. ..,. � . « +� y �ji.� �..�; .r. i 'Fa.�'� .:iY e ��"� yb=..�o.-S2i.n. 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'i;�� �:�3z`� �;=w�iZa,�t' ,"i.-.� i4T�*.�`.is: �'i;�.�r+� r"�..�..x'a�:�`�; �.i�+� �;�?.i�i,". �.'�$..' � �.�.{t `'`",t` :.�� �.T�*'�3�gs `?� :.�.�;���. z�{::� ����� i���<��"'��"i: �a�..�.[�� '.;.� �.t��'r�El�. �:e'�'' �'�'�.:1�� i:?e;.� :C3 ���G.. �L.�sw ia:.at-'�yi9t�..GS '�{y�!%ie6. �i6e:i{. � i.0 i'�li.�.�,� :�1��:.,%.� � ��4a:.t ��J ,���w�"-a�-'��.£k�� �L�' �� !�:`.w"«�.��: ��L.��a ti� �'��w`��.:..4.� � p x+? •r s �ti�•...y.,�� iza�.��:�sr: ��,i'�.t,i�s's� Y��iY�Y.�w.�L�i' Rya fr,.::e.l. �r::id z ' � i i�.•1,4.� S:zA.....`��'.'.�.�;,c:�d.:.�. �c�o'�er �3, I�71 Y�:ie, �Iie �.����rsf�,neci, property a�Yr.ers af G05�. Benj�:�n S�reet IL'.E., da iiereby ��z-ee �a delay tlze iz�.s�A11��ior� vf a hazd sux£�c� c�rivet•ray at 6E351. ren��min S�r�e� %�.�. un�il 9d �ays after the Ci�y I�us c�r���leted tha surtaeing of LenJar�a�.r, Stree�. '�re under�t�znd �h±� .ur£�zcirg ;`a�S i�eerz tentati�te�y schedu2ect ��r t��e �id�2e cf �972. �'� . I;��: I:QR��i � _._. t:;;�>`? . i� I: �'.;����T.I'�: 7�iLt� Applicatia� �or Pow�r Ploets and H�aNng� Cooling, Yentilation. RefEig�rcrtion and Air Conditioning SysNn�s ond Devic�s PARTIAL RATE SCHEDULE G�l�V?TY WARM AIR: 11J1T� TOTAL Fliraace She11 dc Duct Work a10.00 = Replacement of Ftirnace g pp ; Repairs & Alterations—ap to s500.00 g,pp a_ _ __ Repairs dc Alterations each add. s500.00 . 3 W =—__ __ _. l[ECH. W�RM AIA biu'nace Shell dt DuM Work to 1�0,000 BTU each add. A0,000 BTU . .. .. .. .. . . . . . Replacement of F�rnace Repairs dc Alterations--up to ;500.00 Repairs & Alterations each add. :500.00 . $10 00 �---- 3.W ; 6.00 E s.00 a— 3.00 s -- STEAM oz H01' W11TEA SYSTEI�[ Furnace Shell & Lines—to 400 sq. tt. F.DR Steam ?:0.00 �_____ ____ Ftirnace Shell & Line--to 640 sq. ft. EDR Hot Water 20.00 �_ __ _ ___ Each add. 200 sq. ft. EDR Steam �,� �. _ ___ Each add. 320 sq. ft. EDR Hot Water 3,pp �____ OIL BIIRI�iER—to 3 gal. per hour g.pp a_ __ __ over 3 gal. per hour�ee Fee Schedule GAS BURNER �up to 199,000 BTU) wer 199,000 BTC1 3ee Fs� Seh�dul� GAS FITTING FEES: lst 3 F�xtures _ Additional Fiatures Gas Range to 199,000 _ AIR COlfDITI0i1IltG FAN HEATIRG SYSTE�[ VEI�TILATIIfG aYSTElI ALTERA?IOPiS t REPAIRS ROU(3H _ 5.00 ; '� , �' c . NO Rl►TE T07AL � ��' - Xa 20o a �L � --- - x .76 ;— -- _ z= b.0� ; _ � SN FN sc6�dn1� � C� C_� roTni. � i '.�_ (S�`RCrIA �GE $_.5�}) Dspt. of Bldqs. Phon� S60_3490 �;� �' �� ; /j�j �!� i Lonlien � � �.. .f �,.�.,. � �, ...��� � ' , A ' � j f�._ � r.�� 1 C � City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Departm�nt of Buildings, and hereby declares that aIl the lact� and representations stated in this application are true and correct. � Fl�idley, Minn�' s�i � 18 �� Owner ..���:i_.� .-'--�'.� t'=. ,��� � — /j � /' � r Kind of Building . _. _ . �T;, -- �r �C ,� �___ t � . . � Used as _ _ _ -- - — -- —� To Fie completed about ___ — Z��- Estimated Cost, �_ _ _ �� �-_ .� _________ Old—New. Building Permit No. __ Psrmit No. _ �/� � DESCRIPTIOIi OF WOM HEATING or POWER F'I.ANTS-�yPam, Hot Woter, Warm Air—No. ,'; , ' lr�;i'_ Trade Name ��:'..'.rC��= � Size No Capacity—__ — Sq- pY, E.D.R BTU gp Tota� Connected Load Kind ot !1u � 1---T `��? e BURNER — Trade N � Siu No Capacity -- S9. lrt. D.A BTU �► �°2��d ��� .-� � Q U� �.�-t) _ <_ . � �... .. . 1 i `= ,) �l t � '� , �xu. �� /— /—,`7 �4— �- C. �� /� (REMARI(S-OVER) Sigeed _ By Business P6one No MEMO T0: Curt Dahlberg MEMO FORM: Dick Sobiech P4EM0 DATE: June 11, 1973 SUBJECT: 6051 Benjamin Street-Restoration of property affected by Street Improvement Project ST. 197�-1 As per the on site investigation of the referenced property on June 8, 1973, by Nasim and myself, it has been decided to proceed with restoration of the property affected by the street project. We are aware of the property owner's objection to any restoration other than a retaining wall; however, normal street project restoration is the only feasible method. Therefore proceed with the normal method of property restoration as soon as circumstances permit. RS/p 1 �� _ - .sr " �� , � /" ' '��� � / i. �r� ����' t'�Z - ./� ° -� RICHARD SOBIECH Assistant Engineer T� __r�r�in _ --- - - — - --- - --- I Date _ 6/ 7/ 7 r� �ed Messa�� , , From_D�_ :�. � Subject Complaint from Ken Korin, 6051 Beniamin St. ____. Attached_�lease find cnr�esgondence_fn�_�nur information please commeat whether this should be forwarded on to the insurance company in the way of a ciai�. — Actua�3�►; �r��ea�fng �te i-�t , � amount of $$$, but indicates that if things don't improve, he will. Wilson Jones Company (�.il<'i I �.!vE FONRt � �,-POO . n��l .i. 19" ..PRiNrI"[l IN J 5 P� Siqned j � � � ����>�`-5�=� _ 6051 Benjamin Street Nort� Friciley, Minnesota� 55432 Ju�e 15, 197$ City •f Fridl�y, �gineerir�g Departarent 6431 University Avenue Nort�i E;�st Fridley, Minnesata Dear Sir: Eas t � .� ._`: _ �� � f .% iC� i' Tk�is letter is in regard to damages done to �ny praperty at 6051 Be�jamir� Street North �ast in Fridley. During the past two years, Dailey Hvmes has started arsd only half fittislaed, as far as I'm concerned, a housing project around my property. Before it was started there was a plan on wl�ere the water around my property would drain but Dailey didn't abide by the eriginal plaxi. Due to poor grarling by Dailey Homes, all the vrater far t�ae past year has drained directly into my back yard. During t�e rains of the Memorial Day weekend, there was no less than tw� feet of standin� water covering my entire backyard and there is now approximately one foot of out-wash dirt covering the lewer ,poition mf my fence. If this dirt is not removed and the bottom of rny fenc� exposed, it will saon rot away. Al�o, if the rains hadn't quit whe� they did, I'm sure I would have Y�ad water in my basemen t which could have caused dama�e ta my house. I feel that one year is more tl�an a reasona.ble amount of time tes correct a mistake which should never have been made in the first place. I feel that I�m the recipient of water, dirt arid silt I shouldn't have to take and was told I didM't have to take. If the dirt is not removed soor� and the situatio� corrected, I uvill assune that you have �e interition af correcting it. Should this be the case� I will call in a landscaper to correct the dama�es do�e to �y property and send tlte bill to the parties that are liable. This unfortur�ate situation could have been avoided if Dail�y Homes would have graded the Zander Addition according to the original plar� which was decided upon at the areeting v��ith the Planning Commission. cc/ Planning Commissior� Dailey �Iomes Thank You, f�� %��-z--�:. Ken Korin � � � . � � , � �D � � ,. V . �� d 0 � ' . lv� Sj CITY OF FRIDLEY M E M 0 R A N D U M T0: RICHARD N. SOBIECH, PUBLIC WORKS DIRECTOR FROM: MARVIN C. BRUNSELL, ASST. CITY MGR./FIN. DIR, SUBJECT: LETTER FROM KEN KORIN DATE: JUNE 28, 1978 I have reviewed the letter from Ken Korin, 6051 Benjamin Street Northeast, dated June 15, 1978. It appears that Mr. Korin's complaint has to do with grading property surrounding or adjacent to his property, and the subsequent drainage of water onto his property. From reading his letter, it does not appear that his letter consitutes a notice of claim. He appears to be asking for relief from the drainage problem. He apparently has spent no money up to this time. He appears to be putting us on notice that money will be spent to correct the problem if something else is not done. I am not familiar with the circumstances surrounding the grading of the property in the general area. It would appear that this is the basic problem. Perhaps some attention should be given to reviewing the question he has raised, and to alleviating the potential problem, if that is possible. MCB:sh Attachment cc: Nasim M. Qureshi, City Manager � REGULAR MEETING OF JULY 10, 1978 PAuE UPON A ROLL CALI. VOTE 7AY.EP� ON THE MOTION, Mayor Nee> Councilman Qa ette, Councilman Schneider and Counci'man Hamernik voted in favor. Coun lman Fitzpatrick voted against tiie moi:ion. Mayor Nee declared the mot' n carried by a 4 to 1 vote. OLD BUSIhESS: ORDINANCE N0. 682 RELATING TO THE SALE OF REAL ESTATE OW��ED�BY THE CITY OF NOTION by Councilman Schneider to waive the second readi g of Ordinance 682 and adopt it on the second reading and publish. Secon d by Councilman Barnette. Upon a voice vote, all voting aye, Mayor N declared the motion carried unanimously. NEW BUSINESS: NSIDERATION OF FIRST READING OF AN ORDIfJANCE ES�ABI_ISHING NEW CHAPTER 3 OF Councilman Barnette questioned how other rel' iou� holidays not covered in the ordinance, would be handled for persons who o not celebrate the ones outlined. Mr. Qureshi stated, basically, they woulc�adhere to what Council authorized by the ordinance. .�' Mr. Herrick, City Attorney, stated �jt'ates and cities have adopted certain legal holidays and didn't thir,k the City ught to be in the forefront of resolving a question of this nature. He sta d he doesn't recall this question coming up as far as the City is concerned, Councilman Qarnette stated on the basis of personal 1 Councilman Barnette also knows that in the School District it is handled tioned the reasons for the changes. C�uncilman Fitzpatric felt some of the reasons for the changes were covered in the memo on page 3 of the agenda book. MOTION by Councilm�'S Hamernik to waive the ►•eading and approve the ordinance upon first readinc�'� Seconded by Councilman Barnette. Upon a voice vote, all voting aye, Mayor��Nee declared the motion carried unanimously. RECEIVING THE NUTES OF THE PLANNING COMMISSION MEETING OF JUNE 21, 1978: tdOTION by Co cilrran Schneider to receive the minutes of the Planning Corrmission meeting of ne 21, 1978. Seconded by Councilman Barnette. HILLCREST ADDITION, P.S. #78-05: MOTION y Councilman Fitzpatrick to set the public hearing for July 17, 1978. Seco d by Councilman Schneider. Upon a voice vote, all voting aye, Mayor Nee dec red the motion carried unanimously. RECEIVE LETTER FROM MR. KEN:Y,bR .. _ MOTION by Councilman Schneider to receive-th�-l�t�er���rom Mr. Korin and request a report from the staff. Seconded by Councilman Harnernik. Mr. Sobiech, Public Works Director, stated staff could make a verbal report at ' this time, if the Council so desired. He stated the City staff has met with all p�rties involved regarding development of the remaining parcel of property i by Dailey Homes in the Zander Addition. He stated a building permit has now I been taken out for that remaining parcel and construction will begin on the � home. Mr. Sobiech stated he believes Mr. Korin is satisfied with this action ; and the City will keep in touch with him. , � UPON A VOICE VOTE TAKEN ON THE MOTION, all voted aye, and Mayor Nee declared ; the motion carried unanimously. i I I L—.----- - --- --- � li�l - - -- �. �ertt,le�rcea: T c�n wru�.�rz� c�vu �v 2ec�ue.�.t #h.a,t. �vu �`�Nv %'cvcf�.in.g" .�.i.�rv� vn. vu�c. 6vcc�eva�rd vrc �h,e rw�,tJz �.i.de v� vwc .Lv� � v2 �lze �vc�th. �.ide v� 6/.�� flveruie and aen�:curun. S�rcee� a� .Cvng cv� lw,l� v� �te ��ii.ee� a.l�.ead� h.ad �lz.em. l rcvr,h�. / ;''�, / � _ Q.�2= � - - �i Kerur.e�h. Kvrwc 60,5�/ ljen�arn.�n S�ir.ee# Nv2#hecv�.t F�,Le�, r�l.inn.e�v�a 55�32 ,r7� -8�03 Building MECHANICAL Permit No.• � t� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date��: /�U Q 763-502-4977 FAX EFFECTivE z-�9-o9 DATE �) `) Z'(,' ( YOUR E-MAIL ADDRESS �" � � � � SITE ADDRESS �(1 )( �ic � � C• M n ' 4_ THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAMt;: [ L..J . I�� � h � ct.'� i�, OWNER/ ADDRESS: TENANT -f�-� �` '"� j=--�r- �_ � � - CITY � �r � c; I � STATE�ZIP S,S��jL PHONE: /--e ��Z� Z, - �, �,' C, � CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: eSl E+I� I� 1 YOUR STATE STATE LICENSG # AI� OI� It Q�a��� �C• LICENSE WITH ADDRESS: �$'i� ESSt 4�St Stfe@t'ITY STATE ZIP APPLICATION pHONE Minri�ap�t�►, MN 55�407 PERMIT TYPE � S[NGLE FAMILY ❑ TWO FAM[LY ❑ TOWNHOUSE TYPE OF WORK: � NEW �9 REPLACEMENT ❑ ALTERAT[ON/REMODEL DETAILED DESCRIPTION OF WORK �� �, � 1 c.� �,z -�„ � r.� ��_ •z [,,, � FEES ARE BASED ON $10.00 PER FIXTURE, F,XCEPT WHERE NOTED. FIXTURE:S: (INDICATE TOTAL NUMBER OF EACH BELON� Equipment [nstalled MFG: (' i� �' f��� MODEI,: S S'^J �(� �,(� SIZEBTU �. �,� � C� MFG: yL�p�'i MODEL: SIZE/BTU MFG: MODEI.: SIZE/BTII 1CA/C $25.00 1'IREPLACE (GAS) $I5.00 GAS RANGE/OVEN $10.00 AIR TO AIR F,XCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILGR $35.00 �FURNACE $35.00 GAS UNIT HTR $10.00 C'HIMNEY LINER $10.00 GnS DRYF.R � 10.00 POOL IIEATER $35.00 DUC'"� w'ORK 510.00 GAS PIPING � 10.00 VF.N"fILnTOR S I5.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ •• . .50 , , � � �`� �� MINIMUM FEE $35.50 Tota1= $ `�` � THIS IS AN APPLICAT[ON POR A PE?RMIT-NOT VAL[D UNTIL PRO('ESSED I hereby apply for a building p it and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinanc 5 nd codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic ti n for a p '� an ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of al w rk whic uir eview and approval of plans. , ' SIGNA'1'URE OF' nPPLICANT PRINT NAM�i'_�^ n �L ��!�l DA'I I: �' � Z- � PLEASE NOTE: SEP TE PE TTS ARE RE UIRED FOR BUII,DING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977