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AF - 44024� � City of Fridley, Minn. BUII.DING PERMIT �te: . . . �: : . . 3 .`�. .•� . . . � . . . . . . . . . . . . . Owner... ................................. Address...................................... N° 391'7 Builder� .. . ...... ....! ... .......... Address............................................. LO�CATIO�V OF BUILDINC No. �P. � ! . .� Street .RC.�I . . . . . . . . . . � .c� . .�lJ.,l1�4 :c�: �.Part of Lot . . . . . . . . . . . . . . . . . . . . Lot . . . .�,j. .�. . . . . Btock . . . �� . . . . . . . . . . . . . Addition or Sub-Dfvision � . . . . . . .� . . . . . � � Corner Lat ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To b Used as• . i�� ,�/ '-. F r' / i y `�1 / . . Front ..i. �. � Depth ��. . � Height ./. . � � � Sq. Ft./. �!. E?.� Cu. F't. �Q�.� ri .................... F'ront ........ Depth Height .. . Sq. F't. ........ G�. Ft. ....... Type of Construction . . . . . . . . . . . . . . . . . . . Est. Cosfl.' �� [/..�./. . �'� To be Completed . . . . . . . . . . . . . .. . . . . In consideration of t'he iss�uance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ox�rlinances of the city of Fridley. � � .�?(. . � �:�: : `.'. Y:Y�. '. . . �: . . . . . . . .'C.�: �'�"..�.: . . . � _._._ In consideration of the payment of a fee of $.. �....., pernut is hereby granted to ................... ... .. .. .. .. .. .. ..... .. .. . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is gi�anted and his agents, employees and worlrnien, in �11 work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea of Fridley, Minnesota. regarding location, construction, alteration, maintenance, repafr and moving of buildings with- in the city limits and this permit may be revoked at ar►y time upon violation of any of the provisions of said ordinances. �' y� i . .. Builciing Inspector NOTICE: This permit does. not cover the const�u�tion, installation or alteration for wlriny, plumbiny, yas heatinp, sewer or water. Be sure to see the Buildinp Inspector ior aeparate permits for th�e items. . APPLICATION FOR BUILDING PERMIT CITY OF FRIULEY, MINNESOTA _ . .. , ^ � Owners Name _ Builderc;��`1:�1��'`i,. .�`��'� . _ _ � �. . �idda�ess �'' 3� �� ____ ��'�'��.ress ,� yn . . � - LOCI��TION OF BUILDING %l'. i . � . , .,. No.''�" _t� Street /.�-r , n<.,. �� . _ Part of Lot � � . _ _..�._ Lot �� . �i � � tk Block . '� �ddition or 5ub. Div. ��'�•r-a-- � ��t � �. � P��i��.�,z, Z- G� Corner Lot Tnside Lot � � Set Ba.ck 3 �f- :Appiicant attach to this form Certificate of Survey of Lc�t and proppse�. bui121irsg location. � "�`-,- � " � DESCRIPTIOAT OF BUILDING To, be used as , ��r .. � _ '" _ Front _ `.�_ Depth_=��eight . /. � . , �s'•..�r � tiu• 1'l�• ' . .� . � F`ront Depth Height . Sq. . Ft. ` Cu. Ft. " � . .. Type � o�, 'Construction��'�'''�-�---- .Estimated Cost _ ��_. Tc�. be _completed � C� �a-��; � , � The undersigned hereby .*nake application for a permit for the work herein specified, agreeing to do all work in strict accordance with,the City Ordin�.nces and.ruling of the Depa�tment of Buildings, and hereby declaxes that all the facts and representa.tions stated in this applica.tion :,: are �true and corr / ect. � • ..: . _ G, Date Si�nature 4��Ga=�L�_� 0-z�, ..c.��, (A Schedule of` Fee Costs can be found oxi the Reverse Side) 7��r.�� .-_ . � � .�' I".� � �� ,.�. _ � '�-�.�. � u.,�.�..t t� ,�.. .�.�-�--� ,m. � � -`-� � --.� .. ,�� ..� ,��=.�.,�,i �� '`-('�/ . (�l, -Q_. 8�.2,.�. .¢.ti; �0Z �"'� ✓�.�. ��-Q—,ti-v...t� . _ �LJ �^-a�,_ 7�-e� Y� �—'^�_, �-„�-c� , ,. . ., � G' �� , .- .. ��P� � • � �t-t_ i. rl'. t- v-- , •e� - ��.e��_ _. _ lHdt�%-_ . • • • City of Fridley, Minn. BUILDING PERMIT nate: ..�I.�e 28 , 196�._.._ � a 9as6 N° 8060 Ovvner: �._...im Abbett Builder RB.ndom� InC. _.�____.. ._._..._..._.......�._..__..._.._...._.. _.._._.. __.._ Ad� �.�0_Brook�iew Th�.Qe N._E.. __.._.._ Address _. �le.. Pines�_Mir�n. _.___.-- LOCATION OF BUiLDING Ivo. ___68�..0 street Brookview Drive N. E•�----._..._..._.._..._._.._ Part of t.ot ___...____ ----� Lot ....._.__ 8...�__ Bla�c ....—. 2___._..___.._..._.__. Addition or Sub-Divisi� .... Brookv3.ei� Terrace, 2nd Add. Corner Lot _--•___..._....__ Inside Lot ....._._._.._-_-_---_.. Setback .____.___._.._._.__._ Sideyard Sewer Elevation ._._...______.�._._...�....�._ _._..__.._ Founda.tion IIevation DESCRIPTION OF BUILDING To � v�a �: _____.�e�-�.._...__ Front ___.._........� Depth _.._._..._._.. Height .__...__....... Sq. F� ______... _..__._._.___ .._...._.. Front _._..__ Depth _____._.__ Height _._._._...� Sq. Ft. _____._ Type of Construction _ Fra�a ._._ _.. Es� Cost _.$1J��..(�__........ To be Coinpleted Cu. FL ____ Cu. FL _.. Reeonstr�ct to existing Fovndation. Storm da.ma�e In cansideration 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 d�scription above set and in compliance wlth all provisions of orclinances of the city of Fridley. r�� -�1/jG�'�" � !�l �-h �r � In ca�aideration of fhe paymeat of a fee of � 10�00 �.., ��t is hereby granted ��dE�1n� IliC. to construct the building or addition as described above. This permit is granted upon the expre�ss car►dition 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 oonform in all respects to the ordinances o� FridleY, Minnesota regarding location, construction, altera.tion, maintenance, repair and moving of buildin�s within the dty limits and this permit may be revoked at a�y time upon violation of any of the provisions of said ordinanc�e,s. Allen J�sea �� NOTICE: ihk p�emh dea net �ova ti� aonshu�etoe, Iesqll�Non foe w(rino, PlumbinY. Ya 6�aNn�, s�w�r o� wN�r. d� �un to a� 'I fh� duildisg la�p�eeor hr apuah p�notts for 1ha� h�ms. � � DWNER'5 ADDRESS APPLICATION FOR �UILDING PERMtT CITY OF FRIIILEY, MINNESOTA LOCATI4N OF B ILDING � �� . , 45 ,�•�-�' ,r�,z. -�n� � � � � S�st Part of Lot _ , . L��______„_�Z,OCK � ADDITION OR SUBDIVISION .�i�-c.�c� �_� � �t�--�� l Corner Lot Inside LOT Setback S�de-�Yard _..,..._.. _SB�tER EL�VATTON FOiJNT�ATIQN ELEVA�ZOI1t . . Applicant attach to this form T�d �ert �icate� of Survey of Lot and praposed building locatian tlrawn on thes� Ce�ti�i�'c�te�. DESCRIPTION OF BUILI�ING To be used as ; L�'� `�'�""""�% / � Fron� pept Height Sq. Ft. Cu, Ft. Frcmt DepCh Height -------.,._._ Sq. Ft. Cu. Ft. y �ype of Construction �._ Eetimated Cost � B�� To be completed �� / /�%� Sr''_ � �he undersigned hereby makes appiication for a permit for the work herein specified, agreeiag to do all 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 application are true and correct. DA �� S SIGNATURE (Sched e of Fee Costs can be found on the Reverse Side). �� ,� j c � � f.,,, � �. ��rs City of Fridley, Minn. N° 8913 • BUILDING PERMIT Date: _.._.....JIILY_ 1, 1966 ��__ JAMES ABBETT .._._....__.__...._.._..__......_....__..._......_ _._. Owner: .___.�..._.. ._._ Builder _.._.. S ._ 6840 BROOKVIEW DRIVE N.E.__.._._.._ Address —_.._.._.—...____...�_.._..._.__.._.._.._..�.___.._..... Address _.__.._.�._......._.�.....__T.� . . . FRIDLEY, MINNESOTA 55432 lOCATION OF BUILDING No. ..__6840__.... Street __..BROOKVIEW DRIVE N.E. . Part of Lot _.__.._..._...__.____..__.____..._ ___.__..._._._ Lot _..._..__ 8__.._._..._ Block _.�.._�_._.__.____._ Addition or Sub-Divisi� ...__.BROOKVIEW_TERRACE� 2ND ADDITION � • Corner Lot _.__...._._...____ Inside Lot .._._..X....__.___.___ Setback ._._.__.__.._..._.__._._ Sideyard _.__...r—_ ....._.._.._ Sewer Elevation ._.._...__..._.._._______._.._...__.._..�..__...______.._ Foundation Elevation DESCRIPTION OF BUILDING To be Uae�2 as: _ADDITION TO . REAl�`ront _._ 14_:. Depth _._1$..6 Height .._._�,?._._ Sq. F� ._.�.�.._.. Cu. F't _.3.�.15�$ OF HOUSE _._..___.____._.........__.......__ Front ..�_._.� Depth _.____._.___ I�eight ___..__......__ Sq. Ft. _..___._._. Cu. F't. _.�: Z�pe of Construction _.__..._.EBAME._._..._......_.___ Es� Cost _.......$1,.SS�.Q........._.._........ To be C�nPieted _..._._....._. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the propoaed work in accordance with the d�scription above set forth and in compliance with all pravisions of o�dinanoes o! the dty oP Fridley. Ea co�sideration of fhe payment of a fee o! �_ 9. 00 _._._._.., pexmit is hereby granted to J_._..�.�� to construct the buiiding or addition as described above. Thispe rmit is �anted upo� the expn�ss condition that thepe rson to whom it is granted and hia agents, employees and workmen, in all work done in, around and upon said building, or anypart thereof, ahall conform in all respecta to the ordinancee o� Fridley, Minnesota re8 g lacatioz�, conatructfon, alterati�, maintenance, repair and moving o! buildinSa withiu the dty limits and�this permit may be revoked a t any time upoa� violatiott oi any o! the provisians ot ta�d ordinancea. CLARENCE BELISLE By�� NOTICB�s ihM p�nnN doa nof eewr � eomtroaNen, h�all�Nen hr wie6�, PhnnbinY. �a I�Nno, �w�e er wabr. M wra fo � fh� WtWiao In�pKler fer Np�ratr p�nntn h� th�w itwa. . � APP'LYCATION FOR BVILDING PERMIT CITY OF FRID�LEY, MINN�SOTA . / �i / • i• ,. ��...• . � � r � .. � �//I � . i / � / � � � , , • � � • • , r � � s ' i ��d.ir/� LOCATION OF BUILDING.� • , N0. I� � �-I Gj S�REET ��-_. �.Q� PART OF LOT LOT c� BLOCK ! _�ADDI1'ION OR SUBDZVISION �.,-.��!r-.�_�; �L�'iVl. ��h�l/ l.��e�e:r,�.�•�-� CORNER LOT INSIDE LOT SETBACK SIDE-FARD SEWER ELEVATION FOUNDATION ELEVATI�fl Applicant attach to this form Two Certificates of Survey of Lot and propoaed building location drawn on these Certificates. DBSCRIPTION OF BUiLDING To be uaed as: ��l��c,y �2 � �� D ��Sp Front � Depth./� (e Height � � Sq. Ft. ��j� Cu. Ft._ 3� f_ �� Front Depth��Height Sq. Ft. Cu. Ft. Type of Construction Estimated Coet 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 and rulings of the Degartment o;E $uildings, and hereby declares that all the facts and representations stated i�n this application are true and correctf DATE J ��i G� SIGNATURE 1/!0 � (Sched Ie o ee Costs can be found on the Reverse Side). � �, �.'�;, � > � ' �1�, � �.. � � , `� � • • � 5 � v � � � � S � � k �� _ , � � , � � � -� � � d � � I � � � � 5 I � Z � I � � y � � T I I i I � I � 0 0�� .�� °��9'�� I � � � I � ��z d v � '' o `�` - � � > -r s o� � �, -�= ° `{" . s v- `^ '� `t- � �- s � �, -� -' a -- � � � � �k. � � v` � � � v -�.' � � ° �' �� c� � -�- o � -fi ' �� -�- s � a q � � C- �, a � o �. � 1 � � v � �n �. �'j �-�- .� � � .� x � �i � J J � � . v a i � �. � � � _ � � �ua a }`�v L( � �L . 1 W p . � � � � �,,� : ;�� •4. �� . � : �. �':; �t ..:� i' ' ;�, .:,;: ` �� : �� ` a � . ' 3'� i°'� a � � � � � , ! �i'� � � 6 �� L9 P�-o�'csS P � .i. .. gdd��},d�� .,-: _- -- , _ - _— - --- -- _> __.._ --� � - .____ -_�--, — - - �—.. , � . � f8�y . � ri t:: ; \ ` � * • `_ '�, �,• . • .. . _ � -� ,� �;` t .. "� .} � x .. �i� � :r r ,;ti. :¢ : � � x , '�:��.< �'�� `4''; _ -�- � � `'.`'� ':! �; I � j`; �: I°'� � � �., :`��;f , ' �,x , ''i _. , -- - .. � (.�. -� -�-- --=- � �� -- � ��; - - -- 4 - - �r �t ' � ., . , � F ,� SUBJECT P. R . City of Fridley � 16 8 3 3 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � r ; � RECE4 . • COMMUNITY DEVELOPMENT DIV. ' j a: —.___ , � v 1 r � � PROTECTIVE INSPECTION SEC. � � � � � r��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPROVED �"'"'�� ,�� 612-571-3450 g10-F15 10/22/82 / / JOB ADDRESS 6840 Brookview Drive N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 8 2 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P P ONE Paul Wagener 6840 Brookview Drive 57 -9484 3 CONTRACTOR MAIL ADDRESS Z�P PHONE GCENSE NO. S3ICl@ 4 ARCHITECTOR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 C�ASS OF WOFK ❑ NEW �� ADDITI N ❑ AL RATIO ❑ REPAIR ' � MO ❑ REMOVE 8 DES.CRIBE WORK Construct a 20' x 27 Garage � I 9 CHANGE QF USE FROM TO SSIPULATIONS Provide a har s fac driveway. ��.� ��` :'�,��. �r �� ' � t�'ifi � �' �>�.r� � �� i� � � � t!�s�1 . �i U'�1ti1t1PS "� T / C, P ' � �-� � � a� ��g call lnc � (I�g� ' � ��fr',��j Befcre �� ^pS E�c. �� Sl� t vr; v��t�,�� TE�EPN�3N�. -�.�FC�7t� N� �� _. �� `� �. ��`�' ��.� ;. } TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE QUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR C NDITIONING. UIOOC�{ Fl"dTae THIS PERMIT BECOM NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT OMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSP DED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER ORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTI Y THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW TH SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINA ES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED $5,550 tiS`2.%S WtTH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS`S6. SO PLAN CHECK FEE TOTAL FEE �� $59.28 SIGNATURE OF C RACTOR OR AUTHORIZED AGENT i rE� � y�,HE✓.J RROPERLY VALIDATED THIS IS VOUR PERMIT l �� SiGNATUREOFOWNERIIPOWNERBUILDERI IDATEI � BLDG iNSP �AT CITY OF FRIDLCY Effective Auq. 1, 1981 APPlICATIO�� FOii RESIDLr�TI14. 6UILDIfiG PC�u�ITS (W��. Alter�tions. Additions, or Repairs� OWNER: �I�L O �/�i��/ .j �,�� ADDRESS: ,�,�y�m�r�e�'.�v D� �� No: H- .S7y 4 ��/8� - � y�y s��q t3UI LOER : „S'�idl,�` - ADORLSS: TEL N0: Construttion Location • STJ2TTiT NO: �O �d STJtEET: ��dA,f��I� �� LOT: � HLOCIC: `�__� 1i1DnITION: p,�ilQt��i� /��P�,�(�� A� I�',01� • �v Cozner Lot: Insiiie Lotz / Setback: �� Sideyards: 1►p�licant attach to tl�is forn� two Certificates of bvrvey of lot and pzoposed buflding location drawn on certificates to scale. DESCRIPTIOi�! OF COAJSTRUCTIOt� , / � Front: ��''% Depth: g 7 Heiqht: 1 � Square Feet: ,�y� Qibic Feet: _ Front : Depth : H eight: Square Feet: a.ibic Feet: �/o X�a�3d = s�s�Z �. � . � s, s�-cro,o, !-a�� !�/� � Rype of Corstructfon : �► p Estimated Cost: S Rb Be Cbr.�pleted: ��G: �%�T ��2 l,lt. A Alt. B proposed Drivc�,�ay kidth If New Openinq Is Desired: S� S , SEE RcVERSE SIDE OF SHEET � ZS�e undersioned hereby mat;es applicr�tion for a permit fcr the work herein specified, agreeinq to cb ,a21 aork ir, strict accordance with the City of Fridley Ordinances and rulings of the Delk�rtmc�t of Duildinqs, and hereby declares that all U�e faets and repres�tatiens stated in this application are true and correct. D.�7'�: 4� /i• SIGIJATLII�: Stipulntion : � Q � ' s� . S� �' � '� �� z� . l � sue�ecr P IT NO. City of Fridley _� 17 4 5 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R TN � �y __.._ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i � � � i ' � ��'1 � CIrY HALL FRIDIE� 55432 NUMBER REV. DATE PAGE OF APPROVED 8V � ----�.' •.� 612-571-3450 910-F15 4/13/84 / / JOB ADDRESS 6840 Brookview Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT QR ADDITION SEE A7TACHED oesca. 8 2 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Wagener 6840 Brookview Drive N.E. 574-9484 3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO. S ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X X 8 DESCRIBE WORK Construct a 27' x 20` Gaxa e Addition 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Permit #16,833 VOIDED I�ARNI�G SEPERAiE PERMiTS �tEQUil�ED FOR VI/IR�hI� �f+� d��g�ing cali local utilities HEaTff�G, PI,UMB!(VG ,q�IQ S1C,�f�S. �`��'OI�E - �LECTRIC - GAS Etc. �QUIRED BY LAi�d TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDI710NING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIt3 60 DAYS, OR IF CONSTRUCTION 54O 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 S7ALLS 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 6 0 3 3. Qi DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ' STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $65. 53 SIGNATUREOFCONTRACTORORAU7HORIZEDAGEN7 IDATEI WHEN PROPER LIDATE THIS IS YOUR PE MIT �i� LC�� .. a s f . . SiGNATUAEOFOWNEF WNERBUILDER� DATEI B�DG WSP � qATE NEw I J City of Fridley Effective 4/1/8� ADDN. (,�] �R-1 AND R-2 pLTER. [ l Building Fermit Application Construction Address: � � �G� U/�� / ' Legal Deseription: �/ 8 o0'�v� ��'2 • D �d N' Property ��.�.'-� --- ,�i�D' �i�O�fr�%�� /�� Tel . # .�,�'��y Contractor • ��f�� Tel . # Address• LIVING ARFsA: GARAGE AREA: DECR AREA: OTHER: Attach to this applieation, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. AESCRIPTION OF IMPROVEMENT Length Width Height � Length � Width � � Height �._ Length Width Hgt/Ground Sq. Ft. Sq. Ft. �� Sq. Ft. ._____ Corner Lot [] Inside Lot [,� Ft. Yd. Setbaek Side Yard Setback Type of Construction: ��OQ �/F'/i�C Estimated Cost: $ � �45�. �Q Approx. Completion Date: ��%�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Baek Page for Explanation • � � � APPLICANT: �� °�- Tel. � �� DATE. CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS• � �� ' $ $ �-o� $ $ � $ !�. � 3 Fee Sehedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [] Not Hecessary [ � I C ') Y � ��.� � '. � -, , �,.�� X�- li F-- ' �__ i.. __. ��. � ��.,�� f'x.>7,�� . 1 i � i �� : � t = J �Y' �� ^ _Y':" S � [L' . � � � � —___ - . ... _—_'—_"_. N ,�"_-_�__ � � � � , I ' � _I i � _—y_ _ , ; i•�, � � � —�---- _ " -I ; E — --- .� � � � T � ---- � ---. . r. � _ �i j % � rX�- .L_... . .... Fs -- �,�i-i'`�r.�* ---- ----- - � _ _ ____ . __ � ---- � � _ --- -- .._.. _ -+ - - -- � � � ---� _ __ � _. ' - ----- _ _ , - -- --- - - - -- —_ . __ -` -- _ _ � _ _._. . c. . _�_ ; , _. ' � ��r� - � ._ ._ _--- ' -- 1.. � _ - - �J � � , - --- �_ ---- -. __ ___ __. _ _ ` !�' ----- _- --- - � •- . __ - __ _ _ -- __ _ r _ �� _ ___ __ _ __ __--------------- � PAvG ldAy E��'-P G �'yo ,�prt,rF�v ,p.+t �. . r lo�� , � i . F_X7'G;tlOt; �rl�LL01'C AvLRt�Gi: •.U" COs;NU'I'J�7'IOt� 01•7N L•'R ---�'Y'K_-L__•�!v�,�r%�..C�---------------- ---------- SITE ADllS2ESS CONTITACTUR -- — ------ IIA7'E _�-,1�%-n f PiiOi.E -------- Deter�:�ine vor);i�g sqvare footage of each. 1. 1'otal er.posed v�ll area ..�� sq. it. x_�1 = �^ �_�lo.� J 2. Tot�l roofJeeilinc area .._3aO.�C��- ft. r. .02G = __ C___�.3� � ' Total iloorJc�n�, area . . _2�i� 5�. ; �. x _OS = . J • �� O��J rOt2 1 E3' JOSL� i:�l i i:: C'i: i:�JO:'n 1' 100: �____--- /�/��--- �.G! • _ �- Tota� �all �•_nco:. a:�a . . . . . . . •�. i�ota 1 Doo. �_e� . . . . . . . _�--- a��j- C. lO�c� S�:C1:�� C��c55 CG • .°-• . . . . . � ��!'�.L------ OC i:'"�c: :: . To � � 1 . � r e � 1 a � e � a 11 � : e � . . . . . . ---------= _----- . . � e. so�a� ;;�� t�r�-:;:c a;e,. !a��e:a�c 1L= ` ,---- 3��_---- f. ^otal net u��l �:ez :::,�•:� :le . .,. _ -�-�Z.7i� --- � iotr? :::, �o_st a: _z � ' __ _ , . . . . . . . . . . _�—.�...��1�---- iO�Z� .....;)GSG� .�'.:...:2.: ':� _ p� ' ✓^ ••. � -----��t1L2--- , � h. To��l fcu^��z:,^ .:z�cou �_ea . . . . . . i. 1'oLZl ne� :o��cati�� a:�� ah�ve c:zce . _ _�.� � � Ueter;,ine "U" Value o; each �.�all se;�rnt. b. __'_ �4� --- Y U� ---=�=3 — --- ��-- -----�_8L__� Y ��" , Ya = ;�� c . .._.._. y , � , -----� _ e: --- °— ------- X �. �„ ---�_---- _ _ ^-- =----- _ � _ ___��Y� --- --- . DS, _ ---� - --� �1�' -- Y .. � ,. --�.Q�- - _—!_�� '' - --- ��-^ x � � � _ --�� ° ----aLt��-- � ' - y �---- " ' � " -----��_ _ --�.�_ ,.�; ' SU$TOTAL = �/�� _ . 4. _ . TOTAL = a(�_._.] � . • �• �O� . ' ,. If item ;4 is the same as, or less, than item tl, you have met the intent of S13C GOOG (c) 2. � � 0 1'ot�l Expo:,ed Roo!/Cei l in� �,re� ______�p?6_(� __ j. 7'otal skylight area . . . . . . . . . . }:. 7'otal flac roof/ceiliny framing area ;�,�, l. Total net inslted flat roof/ceiling area . m. Total vault roof/ceiling framing area-10� n. Total net inslted vaulc roof/ceiling .irea Determine "U" value for each roof/ceiling se�ment. --- -�------ _�—��2�L_--- -----a��.Q--- )- - - x "u" -- _ 1. ----��•�-' - X ~ � � ---.��---- _ ---��-8-� -- " � � � ---- 'Q3 ---- m, x "�° _ n. ----�_-- - X .�., ---- ` ----- _ ---- -'� -- ----=a��y_-- � 5. 1'OTAL (�---r-''w ----- I L �- J If ice:� �S is the sa�e as, or le�s than ite� :2, you have net the intent of SBC 6UOfi (c) 1. Tota1 Er.�o�ed I'loor/Cant. Areas ��_--- O. lOLcl ilOO:�C2flt. iCcC11f1C area (avrg. 10L� ____/'�� __`__ ' p. Tota? �et ins;:?a:ed l�or%can�. azca ... _1n'i/,^�,/�' ---- De ��:s�ine "U" �'e�L'e �o: each fleor/can;. seemen�. ° - __2�?� __ x .. U � ------��-- � -'-`�3 -- a . __�l2 �L� '� " �' ----=�--- ° ----�2�! --- 6 . • TO?i:L = �—� �� — � If to�al of xE is �he sarr� as, or less than ;3, you have net the intent of SBC 6006 (c) 3. � ALiE?t:leTE BUILDING ENVELOPc DESIGt� To utilize the �otal envelope systen nethod, the values established by the sun of items �4, :S and :6 stiall no[ be greater than the sum of itens xl, €2. ano €3. 1- — ��-_ 2 . �'.�= 3 . _ 3. !�O = ----�r��-- 4 . _�¢/, . _ S . —_ � �.._._. 6 . ��_ _ �.�-- . Prepared By � � Da t e _�- /��, - �% -rr�y`— !'HRU STUD w% S.R. � SIDING ►Z THRU CLG. :MEMBER � /'� .r\ � � � i 1 � � � , ; / �� - , \ \ ! � lJ THRt1 CONC BLOCK Int. P.ir . G8 S.R. ,�j� Stud ��7 Shtg. a.(��j Siding ,(�� Ext. Air .17 Total "R" _ /0-g % 1/R= "U" _ � Int. Air .61 s.R. (%g") ,Slo Clg. r;emb. �% �t% Ins . ( "} ��'-,.� Still Air .61 T� ., n �, _ � r/ „�. o��l R - ..;,.r� 1/R = ��T, _ ,Ji � Iht. Air .68 c.a. c�a��, �.a� � Opt , Ins . ,$QQ Ext. Air .17 Opt. S.R. �S�v Opt. Sid. � Total "R" _ !��,� : 1 / R = " � �' _ ��.L-�--a Tt�RIJ IAIS. SiJf�LL Int. Air .6� w/ S.R. & SIDING 5.12. �y� Ins. /lGt� _ SHTG . �.OS , Siding ,(p/ ; Fxt. Air .17 , Total "x" = a3� 1/R = "U" _ � T�?RI? CI�G. Int. Air .61 INSULATIOT? S.R. (��") •S� zns. c 1�") 3�'.00 Still Air .61 Total "R" _ ��,� 1 I / 1/R = "U►' = Q \ � � � J THR11 RIM JOIST Int. Air .68 I In s . /g� 1�" Wood ,1.89 Shtg. �1.6�1 Siding � ,10/ Fxt. Air � .17 Opt. Brick. �`'�� Total "R" _ �yy� 1/R = ,�U„ =1�� ,�a.Rl;� ;Tt.�n 5/8 I'.�. S.R. AO:a : /+ i THRi) STUD w/o S.R. w/ SIDI?'G I � �� .�! I .� . I Int. Air Stud SIr�'S (Opt.) Sht�. 5/8„ S.??. /8" S.R. F,x.t. Air Tota? " " _ 1/P. _ "i1" _ TY,Rt1 M�'N;BER AT CA"?T , Int. Air Stuc� � sr.tr Si�i;,g E>;t, ir 'r' tal "R„ - � 1/� _ "�J" _ .6R T}�r�t T�1S, 5/8" F.C. S.R. AO'"U SIPFS .56 .56 .17 .68 ,17 � Int. Air .92 Carp.-Pa�l o?.p� Vinyl — Und. � 7� � Ply. '�Ov Jaist Depth //, yS Ply. ,yl Ext. Air .17 Total "R" _ ��,foj 1 / R = "1)" = L�J � ` �, �: �. ._�� .� � ��l � mu�l� I�S. I,TAJ�I. �. .� � WIO�S.R, wJ SI`, f'`' � `-.:�� ; �-. �_ , ��— J �� ' _; >-: i � .; ; "'HRtI I*'S . A�' CA1•ti� . Ir.t. �ir .6 (�pt. ) `=�t:�. Ins. 51N" .R. .56 8" S.R.. .56 Ext. Air .17 ?'otal "R" _ � �n _ ►�1�� = Lrl Ir?±. Air . E8 Ins. S}:tg si�'in� �"xt. P.ir .17 �'otal "R" _ 1/R ,_ „l>>> _ �� '' , _� � � `,` `4�. Int. Air .92 Carp. -Pa�? oJ.dcJ Vinyl — _tin� ,7� P1y. . �G°y Ins. �� P1y . , 5/7 Fxt. Air .17 Total ,�R�� _ ,�.�07 J /R= "t?" _ . � ..:.:�. i �. \ JOB: WAGENER JOB Dt: TOP CHORd. 2Xd� MSR-SPF BOT CHORD 2X4 MSR-SPF WEBS 2X4 SPF LT. BtOCK 2X4 MSR-SPF RT. BLOCK 2X4 MSR-SPF :Wt-2X4 SPF STUD THIS DESIGN HAS BEEN PREPARED FROM COMPUTER INPUT �UBMITTED BY TRU5S FABRi�ATOR. 18.D�F-1.6E 18,��'F -1 . 6 E STAND., EXCEPT AS SHOWN 165f�F -1 . 5E 165A'F-1 . 5E e A�L ?LATEc ,'.R� TO 6F CENT�=RFD 0;� Tr�t JOTtvT, LErT TO Ru�NT A�±� TOp TO BOTT:1t4, CXG�:P1' WHEP� LOC4tE►? BY CIRCLE OR OIMEt'dS10M. �EE" pR�,WIYG :3�' F�R "PIATF ! OCnTJt�PiS f�H TYFICF;G ,70IN�S. " SYM RBO►)T � I 4X7 S?.�-3X10 14-0-0 LRTE TYPE--RLPINE 0 0 0 0 0 0 00 00 O O C'i � 0 o c o O O O o � I � o • o o TRUSS ° 0 0 0-o 0 0 1.5X3 �2 �2.OU 3X12 TC v�LO^ L-R: g.29 4.G? 9.33 14.�F, 1^.5? 23.33 27.71 BC X-LOC L-R: b'.29 9.33 18.67 27.71 TRUSS DESIGNED WITH EQUAL PANELS BETWEEN INSIDE ENDS OF SCARF �UTS UNLESS OTHER.WISE NOTED. 1l IS TF'E: P,ESPONSIE?LITY CF TN[ 6!!I'�7:N� D[SIGNE!', ti'!� ,-RUSS FP.B?T!';TnR T? Rr.\11(''r/ TNIS D�'�`•�I�'�:,; : �`P. T^ �.l'TT:�'4 't.�'t�B:R -0 VFR.:FY Tt1AT AtL DA'+A, INCLUp1�G +)1M�NSIONS AND LOADS. CONFORM T� ': t;F ,0.?.CFI; � FC � �1R�t. PL,�r!S/SpF'C?F �''.i.'IONS �.ML� F,�.�� rrp7no �S Tkli�S LNYQUT. �X17 �B-0-0 OVER 2 SUPPORTS SEON--102656 FURNISH R CDPY OF THIS DESIGN TO ERECTIQN �� I MPORTRNT *� SHRILENDTGBEERESP�W5I8LECFOR [RNY WRRN I NG IN�HRNDLING,REERECTION RND OEVIRTION fRDl1 THESE SPECIFICRTIONS OR F?IY DEYIRTION FROM BRRCING.SEE "BYT-76',fBRRCING Y�00 TRUSSE5: THIS OESIGN OR RNY fRIl1NiE TO BUILD THE TRUSS IN CDt�DRI'RNCE CD1111ENTRRt FND RECOMIIENDRTIDN5-+TPI). SEE YI1H TFE 'OIIRLITY COH�ROI MFYJUHL' B`1 TPI. RLPINE CONNECTORS THI5 DESIGN FOR RDDI710M1 SPEC[Rl PEPo7R- PRE 17RNUFRCTLqED FROt1 20 GRUGE GRLYRN[ZED STEEI UN..E55 NENT BRRCING REOUIREMENTS. UNLE55 DiHERYISE OTHERYISE SHOVN, MEET[NG REOUIREHEMS DF Ffi�Tlt R446 GRRDE R. SHDYN, TOP CHDRD SHR�L 8E LflTERRLLY BRRCEO RFPLt CONNECTORS TO 89TH FflCES RT ERCH JUINT Rla LOCRTE AS 4ITH PROPERLY RTIRCHED PLYYOOD SHERTHING, SHOYN. BEHRING YIOTHS RRE 4' N0171NRL IplLESS OTHERYISE SFIOYN. BUTTp1 CHURD Y[TH RICIO CEILINC OR BRRC[NG �ESIGN SiRNDRR05 CONF�Rtl YiTH PPPLICR�E PHOVISIDNS OF RS SPECIFIFfi ON OESIGN. DO NDT USE TH75 •ND5-B2 RN� f7PI-7B OR PCT-B0. DES:GN YITH fIRE RETRRDRNT TREHTm LUMBFA. �--TPI - iRU55 PLRTE INSTITUfE. N�S - KiT[ONRL �ESIGN SPECIF[CRTIDN fOfl Y000 CONSTRUCiIqJ CONTRRCTOR zX�+ _�. =r-- _ _ �o-a-o 3X12 R-1645# Y- 5.50' REY L3.0.7 UGJIUIY LR1 I - I�Gr TC LL 40. O PSF DRTE TC DL 10 . O PSF DRVG MNUS g 9C DL 1 Q. O P5F MN -ENG TOT.LD. 60.0 PSF 0/R LEN. ouR.FRC. 1.15 PITCH SPRCING 24.D" TYPE [ SCRIE - D.SD04 �� - iaaieT 1 87215001 �8 -0 -0 2.0/12 MAl_- ,... ,.. .. _ . _ . _ _ __ . __.. _ . . _ __... _ _ ._. _.. . . _.... . _ __ _ _ _ __ _ _ . _JOBs uAGENER. J�R Dr ?HIS DESI�N HAS BEEN PREPARER FROM COMPUTKR INPUT �URM:TTEn BY TRUS� FABRTCATOR. .*..�-+..; �+.R � ,, . � �nr.arwr:-.a�natr�rrsc.�wwn�.w �•or � �'Mna;,' ^>, ;�sa��r �s�a.. ± . ,� , Tc' x. ,g . , �... _, . � � .- +►r � l OC L,—R. 6►. _' "i . 6 �' � . f� � ! . " ., M , ! J .� � '! 1 :?'1 ? 1 BOT CHpRO 2Xfi MSR-SPF � 8.�k7 -} . 5E �iFgfi 2fta SPF �TA�J�. ,B�' X-�.Q� �-R: !�.Z� �i.59 9.3, 1�.;:�" 1R.a.5 27.3� ?_7.71 j " NO 1JANE, KNO7T, SKIAS ciR �TFli:R pEFECTS S4ALL OC.";UR �� 2 Cp;�;��FT�E Ti�USSES RE_�v.LR�LJ ��------=L--=—� THE P,.ATE CnN ACT f.REA �R ��'ARfED ARi:A OF W1F6 �1�MBEaS. IAIt PLATES ARE T� 8� CC:M'tES<EO CN THti JOIN':, L�FT TO RIGHT ANO Ter �-e ';G�T�;+, L�;C[E" L�'�': ": ��C'�,Tl"� Y CIr.C:�.� ^F, uTh�CyS��ly. SE€ QitAWTN� i3g FOR "PI.AT� �qrATIaN� �t� 7YPICAL �QINTS." IT IS THE �RESPONSIBILIT�Y 4F THE BUII.DIN�� ±E�IGNC(? ��rp rRUss FABR1CkTOR T:1 RFVIEW T+iJS t?RAWIT�G PRIOrt TO CUT7lhir L��76EF Tf.1 YEP.IFY TFEAT ALL DATA, TNCLUnING AIMENSI�►NS ANG ;_�f,LS, CQNFORM TO THF /�RCHITEC':URAL PI.ANS/SPFCTFIC!!TLOyS ANQ Fr'16RICATOR'S , TRUSS L�',!'CJT , � FAS?'N TOGCTNFR WI"fh c t6D NaTls TQ C�{ __-•--------------- 9" O.C. ir��t ..__-•.__.. _..,,------ �', (i... 'sa� t�ry ----�----------_-- i�° �.c. NO �: (J) 1l2" DJR. THRU RbLT A'� 8F ^�16STIT'!T�G Ff3R E23-i6D �yAILS IN EITNER TO? hP. 8�i7"OM CHCRDS. TQP GNC�RD BUI T S!'Ar_Z�,G NOT TG EXCE�D :�" O.C.. SPEr.IaL LOA�JNG i----•---•-cr��Tirrpt�i�s t �;�C--------�/---COy�EP1TR.RTE� LOADS---\ --�D- �.-PLF LF �NDPOIpIj --ID- X-LOC MAG T� 1 11A';B..Q' �Id�_0 ZS.B1i TL' 1 1�..0'!rc !6$A' �Y� Rc � z�.;� z�.,� 2s..�0� RBOU i � I ' 7wE� � �. _ __ ---'' _ `. r � _ { .�``.___,--- �.._ �_- -- '�T`� � t �_„__ - =-�...� 3;� `� , i�.l �.. I �` \ --_. _ _ --� '_�� _� � � _� .� � nr� � C r) ` t 1r... • " � / I ; \ `��- j � ... ' '--�_: - --- - � � � �� E �`�'` ��' --.... �~�`?-' _ �~ `",.--- __ ?'J t ? � �� . � \ I 1 „ �„�., I I ' - � �--.,""'��.:I-_._.._ . i ' ..,�`� . , , ' �.� _ . __ � � �.�-�;_ �.,'`��. a._ . - ....__. _... . �_� �.. _.' "'_._ ... " .' ' _ . _ r .. . _.__ . . . ..' "_.. . _ . . S -. . . . '_ _ '.. _"_ _—_.. . . �.. - . 'T j I . . . . . �_ . . .. . � . .' � t' , ' ... _ .. __'__"._... __ _,. 7_ _...'.. _'____ ..__' ....... _... . ... " '.._ _ ___ . . ,_.._' __ ' _ ..__.... _ . �. ""__.. . _. ._ ._ _. . ..._. _. .._.._._ ._ .._. _... . "_'_._'.. _ .�.."' _' . . �') ,�",� . _.,_� �� 'fi— �_� i � �. _ ''—� 7 ✓�' '�Yr, �t,��-ti ,, Z, `�"I 14 -0 -D � 28-0-0 FURNI� R COPY OFT THIS DES R-2485# Y- 5.50' ERECTI�N CONTRRCTOR aEV i3.o.� � � � .� � � �+�IMPORTRNT�� °� ��E � `� WRRNING IN �I►�;�`ENEC7ION �wo o O o o p�IflTIQN FROII 1'IESE 9PECIF[qiTI0N5 OR PN'f OEtl]RTION FR011 DRACIN6.SEE '811T-iS', IBRRCiNG Y0� TRUSSES: Yfl � a �� THiS OESI6N OR Ri'/ FRIIUqE 10 BU1LU T{IE TtiUSS 1N CONFORI'RMCE CDfM'IE71THRt RA RF.COFRIEI�RTIONS-�TPI). SEE . O O O O YITH T1f 'OIM�.[TT COHfROL IR�1HL' BT TPI. F�P1lE COMIECTOR6 THIS OE9I6N Fdt f�DITIqiN. SpECIRL PEIiMR- O O O G7 HRE I�Nb`ACTLi1EU FI�M 20 6R116E GHLYf�1IZED 6TE0. UN.ESS IENT BRRCING REOUIFEMENTS. UILE95 OiHENYI3E p t p OT?E1N1� SFUYNr I�ETIMS IIEWI0.EIIENTS OF }�TM R445 GRR�E H. SFIDYN� TOP C}DND SHRLI � LflTERfLLY ERFCED � � � IIPPL'1 COMiEG10RS TO 80TH FRCES RT EPCiI.AINT HI�D LOCRTE NS YI7H PROPEPL'f BTTRCIIEO PL'fY00D SFfRiH1NG, 0 � SHDVN. BENR]NC Y[OTHS RNE 9' PqM11�FL UNLESS OTIERYISE SFAMN. EOTiOM CIIOND YITH RI6I0 CEILINC OR �diCl►� ^„ � _,._, OES16N SiR1OFiiD6 CONF'URB YITH iPPLICRBI.E PHOYISIONS OF AS SPECIFIm ON OESIQI. 00 NDT I�^E 7HIS � c� o 0 3 ....r.,e. � . 0 TC LL 40. 0 P� TC OL 10. O PSF e BC DL 10 . 0 PS� TOT. LD. 60 . 0 PSF sca.E - o.smo R� ERi -- DATE 08I03/87 DRVG I�ERt 87215002 I'fN-EI� 0/H �EM. 28 -0 -0 SPRCING 24.0' 1 TYPE COMM-- .'OB: WAGENF.R JOR DC THIS D[SIGM HAS BEEN PR.EPAr�EO FR�M �OMPUT£F INPUT �;_'RMITTED nY T�!1SS FAER:CATOR. �" ..�..r.r.n.-� «e�vma�..,�es�.�.r�e.�. . . .�.w.,.. , ,.o..ra,s� °,'OP Cii^RD 2X4, F1a�••Sf F 1656'F-1.5E T� X�-t.7^ L-R: W.l9 Q.5? ?.S�.t '?.30' , �=�OT CHORD ZX4 MSR-SPf 165.0E-1.5E � y, WEBS 2X4 SPF STAND., EXCEPT AS SHOWN BC X-LOC L-R: .0'.29 9..0'4 13.9;� 13.9i0' `LT. BLOCK 2X4 MSR-SPF 165�'F-1.5E :W1-2X4 SPF STUD ALL PLATFS ARE TO BE r.ENTEREG ON 7NF JOINT, LEFT TO RIGHT AND TOP TO BOTTOM, EXCEPT WHEN LOCATED BY CIRC!E OR JIMENSION. SEE DRAWING 131� fOR "PLATE LOCATIONS ON TYPICAL JOINTS." 0-B-0 � TRUSS DFSI6NED WITH E�llAL PANE�S BETWEEN INSIDE ENDS OF SCARF CUTS UNLESS OTHERWISE NOTED. IT IS THE R.ESPONSIBI!ITY OF THE BUILDING DESIGNER AND TRUSS FA6RICATOP, ;'0 REVIFW ''HI� DftA`�II'�G PRIOk �'0 CUT1"ING LUMBEZ TO VERIFY THAT ALL DAiA, INCLUDING DIMENS:ONS AND LOADS, CONFORM TO THE ARCHITECTURAL PLANS/SPECIFICATION5 AND FABRICATOR'S TRUSS LAYOUT. �x� 3X6 - - j R-815ri Y- 5.50" R-612# W- 3.00' 14-1-12 QVER 2 SUPPORTS --RLPINE SE�N--102669 FURNISH R CDPY OF THIS DESIGN TO ERECTION CONTRWCTOR � o � a o 0 0 0 0 0 0 0 � o C o O O O O p o o IN o ° TRU5S ° 0 0 0 0 0 0 '�� I M P ORTRNT �'� SNHLLENOTGBEERSPONS�BLECFDR IRNY DEYIRTION FROM THESE SPECIF[CRTIINS OR PAIY OEVIHT[ON FROM TH[5 DES?GN OR RNY FR[LURE TO BUILO THE TPo15S IN CONFORrtiNCE YITH Ttf 'WRIITY CONTROL MPNUHL' BY TP1. RLPINE CONNECTDR5 RRE MF;JUFRCTUiED FROM 20 GRUGE� GRLYRNIZEO STEEL U11.E55 OTHERYISE SH�YN, MEEiINC REDUIREMENfS OF RSTfl R446 CRROE R. RPPLY CWMECTORS TD BOTH FRCE5 RT ERCH JOINT HPD IUCRTE flS SFI�YN. BERRING YIOTHS RRE 4" N011INFi UNLES.� OTHERYI5E SHOYN. DESICN STANDRROS CONFORtl YITH FPPLICRBI.E PRDVISI�NS UF fNDS-62 RND fTPI-7B OR PC7-80. r--TpI - iRU55 PLR7E INSTITUfE. A�OS • NiTiDNRL DES TRUSSES REOUIRE EXTREME CRRE 4iRRN I NG IN HRNDLING, ERE�T[ON RNp BRRCING.SEE 'BYT-76",[BBRCING NUOD TRU55ES� COHI7ENTRRY FND REC01'111ENDRTI0N5-ETPI). SEE THIS �ESIGN FOH F�D[TIOIAL 5PECIRL PERRR- NENT BRflLING REOUIREttENTS. UNLE55 OiHERY[SE SHUYN, TOP CtWRO SHRIL BE LRTERF�LY BRRCED YI1H PROPERLY flTTRCHEO PLYYDOD SHERTHIN6� 80Tiq1 CHORD YITH RICIU CEILING OR BRRCINC RS SPECIFIQ ON DESIGN. OD NDT USE THIS DESIGN YITH FIRE RETRRpRNT TRERTm LUIIBER. �N SPECIF[CPiIDN FOR YODD CDN5TRUCTION REV 13.0.7 TC LL 40. O PSF TC DL 10. O PSF BC DL 10 . Q PSF TOT. LD. 60 . O PSF ouR.FRC. i .15 SPRCING 24.0" � � I z-i�-ii � � SCRLE - 0.3750 REF ERl -- OFiTE 08t03187 DRIIG MINUSERi 672i5003 MN-ENG 0/R LEN. 14-1-12 TYPE MUNU - - SUBJECT PE . City of Fridley � 19120 AT THE TOP OF THE TWINS ' g U I L D I N G P E R M I T ; � ECEIPT NO � • COMMUNITY DEVELOPMENT DIV. ' � �: - r � � PROTECTNE INSPECTION SEC. �� p „� y � � , 1l � �"'1 � CITY HALL FRIOLE� 55432 NUMBER REV. DATE � PAGE OK APPROVED 8V `..��i �.J � 612-571-3450 910-Ft 5 g/17 87 � 1� 1 DC JOB ADDRESS 6840 Brookview Drive N. E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Brookview Terrace Second Addition sHeer 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul and Jean Wagener 6840 Brookview Drive N.E. 55432 574-9484 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUI�DING Dwelling 7 CLASS OF WORK O NEW O ADDITION a ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Alter roof from flat to itched. 9 CHANGE OF USE FROM TO STIPULATIONS None SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDIT�ONING. THIS PERMIT BECOMES NULL AND VOID IF WOFK OFi CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OF 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 LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMP�IED WI7H WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT S. SO � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE p RMI Fy�� SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- f� 0.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN HECKFEE TOTALFEE $ 21.63 $ 113.63 S� URE OF CONTFACTOR OR AU7HORIZED AGEN7 1 i7Ei . WHEN PROPER Y V LIOATED THIS IS YOUR� (iM� � _ �'. � / iGNATURE OF OWNER iIF NER BUILDEA� �DATEi BLDG iNSP ��TE / � ��1 [ � ADDN. [ ] ALTER. [� City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/86 Construction Address: t� �� /�/��0/�Ill�� !fi£� �� Legal Description: �T � ��,OG'M •� .C3�iri�'�'JJr�t�/,�� .PP �D ,�QA Owner Name & Address: � v / �' ��,� !�'��l/� Tel . # �ZC��-,�`Ll Contractor • ��L-/C Tel . # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROYEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Lenrzth n Width ..._. Hgt�G�ap�nd Sq. Ft. Corner Lot [] Inside Lot [-�� Ft. Yd. Setback Side Yard Setbaek Type of Construction: � Approx. Completion Date: 4� �� OD Estimated Cost: $ �� d�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: �� $ $ See Baek Page for Explanation DATE: � I �' APPLICANT: i� Tel. � CITY IISE 0 Y s'B L' �s��.��'—�r�'T �-�`i Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � $ $ `� . '�'�J� � $ � $ .4�3 Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation � 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . � I/�a�U a�a�,:� �a.s� �� r.00 , � ��,�c� \ ) BDII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or strueture, or for any alteration or repair to any existing building or structure, upon applicatio n 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: Total Valuation $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to �25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and including $2,000. �32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and fneluding $25,000. $170.50 for the first $25,000 plus $4.50 for each additional �1,000 or fraetion thereof, �o and including $50,000. $283.00 for the first $50,000 pins $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. ��33.00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCRO�i (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach wiih 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 2�1 hours from the time of application to allow for proper review of the proposed structure and of the construciion site. � A Certificate of Survey of the lot, showing the location of the foundation onee it has been eonstructed will be required before proceeding With the framing. � + �,..... ....\ �/. �: � `• � - -�. �. �` , �._._ _.. _.__ r � _.._......_.�.. _..____._ ___.__...�._- ._ __ _ . .._ •---- �- -- --• - _ _ • . /. - -- _.. . _ _ ,-.. �� ___._ - .. _ _.._ _ - _ ,. __ _. i -- ____ f t _ __ ______ i � - --- -----_ - _ _ _ ___ _ � � � __.J�, i � ,�w,� ---__ __ ---�- - -. . _ . �. � ,�w.� � : -_. --- y� _:_ ._ .. — — -- ------__ �__ _ _.___ _. __ , __ i- i'^- _.__ .. 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JOB NAME: LC?CATION: SALESMAN: _\A \ 11 � y. � R, �\ � �` � � 1 � � � � � J � � � JOB # _ ---------- SHEET --- ---- --- BY - -- OF _ DATE: TRUS J015T CORPO�TIt�I � ;�� .:� � - , ,� . , �� ,� °��, .. , . , .�.. • _ , _ _. ..__ r _., ; : ___._._ _ � y � �- , �xy t�xG� � JOB NAME: LOCATION: SALESMAN: � /� i� � �z �x� sr��rt'r S��z� 3/�'' � ' j _ � �„YID /G'�O�C. _� �____. __. ----. .� _ STv� tN�« 9x y �G o. c .... � --- ------- --- SHEET ' BY __ , ., ' . � ,�T Rad,� I 9�f�1 B�G' l�vAtL _ OF _ DATE: _ � TRUS JOISi CORPORATION � � , � : : �� . , � � ; : . _ � � . . , : � � � , ,f _ , _ � * +�. M � � � � e �! �, 3 � � �� a � � � v ��,�c �j; ° o x �� : { � � � � � �� i � { _4 ( j_ i � j �Y -i - � \ ,�', 3,. 4 � � : � ;. a � � � % � ? � �' � � ti •• �' � ;�u �� `� �� '` '_ = � � _._. �. �. �. i, _ � ��, I F t � � �1 `v �� }� �/� ` I " 4 �► �'s. 1� +.� i�! � j � � .. � . . � a � �1 "� `�t t—= �'j :-" 1 � � I' 3 Y ' � c� �.a � ��., I m •a ,' .� ' ti'` � .. 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City of Fridley _-- - AT THE TOP OF THE TWINS g � I L D I N G P E R M l T � 2 2 4 6 4� r � � � � COMMUNITV DEVELOPMENT DIV. v PROTECTIVE 1NSPECTION SEC. � ; �"�'; � � �"'1 � CITY HALL FRIDLE� 55432 NuMBER �""'�'� �'' 612-571-3450 9t0-Ft5 JOB ADDFlESS 6840 Brookview Drive NE t LEGAL LOT NO. BLOCK TRACT OR A�DIT�ON DESCR. 8 2 Brookview 2 PROPERTY OWNER MAIL ADDRESS Paul Wagener 6840 Brookview Driv 3 CONTRACTOR MAILADDRESS S8iri2 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 8 DESCRIBEWORK (10 Squares) Changed 5/3/94 Reroof House (�/Sal�i�Y�S) Tear-off REV DATE 5/2/94 2nd Addi i ZIP ZIP ZIP 9 CHANGE OF USE FROM STIPULATIONS TO I(oi�-/l PAGE OF APPROVED BV � � SEE ATTACHEO SHEET PHONE F7G_A�RL� PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. REPAIR ❑ MOVE O REMOVE Underlayment must meet the State Building Code. TYPE OF CONST. OCCUPAIJCY SEPARATE PEFMITS ARE REQUIRED FOR ELECTRICAL, PLUMB�NG, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. AUTHORI2ED 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. DW�G. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION WN H WHETHER SPECOI IED HEREINtOR NOTOTHE GRANTING Of AO ERMIDT �%+/S� %SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW f1EGULATING CON- STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. ��' ' ZI.00 )F CON'RA OR AUTHORIZED AGENT IOATEI i W EN PROPER�Y +/ ! �'��" -- ` I��. < fOWNERi1FO.�E%�JEABU�LDEA� iDATEi "�y._�'�.. BL(�G�iN - ROUP OCCUPANCYLOAD CU. FT. QFFSTREET PARKING IGARAGES SURTAX $.50 SAC CHARGE Fire SC $� �+f � , �� TOTALFEE �/��/•A� $ 22 . 25 :D THIS IS VOUR PEFMIT �� '-3- � �i rlaTE �EW � 1 Effective 1 / 1 /94 ADDN ( � CITY OF FRIDLEY ��19 ALTER ( � S(NGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Q ��L�l�y/ /JJ��-- ---------------- --- C,egal Description: __ __ _ _ Owner Name &c Address: ��'dL �/�Gr�� ' .5�� Tel. # � %y ��,� Contractor: �fL� MN L[CEI�iSE # Adciress 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 HgtlGround Sq. Ft. OTHER: ��5 %��Gr4 ��.� � ��i .�',�/�l��.,.. �'_=,/�,�/'�Ol�� ..�� _ Corner Lot [] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction: Approx. Completion Date: _ Estimated Cost: $ �� (Cost on BackJ Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ _$ DATE: � � APPLICANT: (/ Tel. # T � � �;/�/9`/ ��,,:t`l��'��' CITY USE ONLY ' l �U � Permit Fee �� $ � S�� Fee Schedule on Reverse Side Fire Surcharge ' �'Z� $ - �i� .001 of Permit Valuation (1/lOth%) State Surcharge � %�$ � S �� $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Conh'ol $ $450.00 Conservation Plan Review Park Fee $ Fee Deternuned by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary [) � � � -^ TOTAL � � $ � � � �� STIPULATIONS: sue�ec� P �. , City of Fridley 2 � 4 �� AT THE TOP Of THE TWINS g U I L D I N G P E R --� f � ` RECEIPT NO. � • COMMUNITV DEVELOPMENT DIV. `�� ' �v ___"', r � � PqOTECTIVE INSPECTION SEC. � � � � � ( � /"�1 � CITY HALL FRIOLEV 55032 NUMBER pEV DATE PAGE OF APPROVED BY �'""'�� '' 612-571-3450 910-Ft5 8/31 j98 � � 10B ADDRESS 6840 Brookview Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNEii MAIL ADORESS ZIP PHONE Rox Lindse 71- 2 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Kastle Co. Cor . 80 E - 4 AFCHITECT OR DESIGNEH MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ AODITION ❑ ALTERATION C�X REPAIR O MOVE O REMOVE 8 OESCRIBE WOHK Reroof house and ara e 26 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. ?YPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTqUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION STAILS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z.IGH �I.OH DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFI THE PERFORMANCE OF CONSTRUCTION. �7�F.7S Fire SC �2.16 /' � r PLAN CHECKFEE TOTALFEE , /'� ' �J �� _ License C $5. '82.99 ATUAE OF CONTRACTOA OA AUTHOR12ED AGENT 10ATE1 E PR Y VA ED THIS IS VOUR PER I � S�GNATUREOFOWNER�iFOWNEABUiIDEAI IOATEI OG iN$P �i�T NEW " ADDN ALTER 'i l [l Ll CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �, D �� Legal Description: Effective 1 / 1 /98 �,\ . � VC � �� b J Owner Name & Address: � Tel. # .,��/ � %%� '7 ,��T Contractor: �S % � C �� ) � �%�- � l _ �' ��j G (, MN LICENSE # ao0 � �'S 3 � Address: � °% �� `��' �` 1/f/I�� S Tel. # ��"' 3��c� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. I.ength _ W' h Hgt/Ground Sq. Ft. __— �� .�. _ � _ Construction Type: / C� � � �'�t � Estimated Cost: $ � �/� � _ (Fee Schedule c�n Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: � ? APPLICANT: � � Tel. # v �9' �5�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ %� r � ,.;1. / � $ /. � � $ $ ��C�C� $ $ $ $ � ��- t �" CITY U5E 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 AIt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �` CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE ��/_ � 3 � ll� Fridley, MN 55432 572-30"04 asp � APPLICATION FOR PLUMBING AND GAS FITTING PERM{1' Effective On January 1, 1999 MARK NUMBER OF FIXTURES TO 6E INSTALLED ON EACH FLOOR . PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Oid Opening, New Fixture Beer Dispenser Blow Off Basin Catch 3asin Rain Water �eader Sump/Receiving Tank Water Treating Appliance Water Heater — Electric ° Water Heater — Gas** �_ Gas Range** Gas Dryer** Back Fl�w Preventer Required ( jYes () No Type ___ $ 7.00 $ 4.00 _ $ 5.00 $ 7.00 $ 7.00 _ $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 �U . �'� $10.00 _ $10.00 $15.00 Reinspection Fee $42.0o/Hr ALL OTHERS AND/OR flEPAfflS AND ALTERATIONS 1.5� af Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDEiESS � c� 7 0 �� rOO K �% ( 'e(�.� �� (� / , � �` The undersigned hereby makes ap�lication 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. ��p. � �, Owner Rox�nn� �-( �� 5��-� Building Used As �£�'� �� Estimated Cost ��J�� f PE�1 �7�f,yQ E� '!h� 6"� 1 Zth A��enue South PLUMBING COMPANY �„ns,; pnti �� n � . �.—v SIGNED BY Approved By J� Rough—In Date MINIMUM FEE F�R ANY PLUMBING/ $�`�� PLUS TNE $.50 STAl'E SURCHARG� TELNO. ��a 7iD Final Date '��°� **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO lNCHES. _ _ CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 August 21, 2000 Ms. Roxanne Lindsey 6840 Brookview Dr NE Fridley, MN 55432 Re: Final Reinspection at 6840 Brookview Drive NE Contractor: McGuire and Sons Dear Ms. Lindsey: A plumbing final was conducted on June 21, 2000 for the gas water heater installed at your address. This inspection noted the following items that needed to be corrected before the permit could be finaled; 1. The backflow pipe must be a maximum 18 inches off the floor. 2. Size the existing vent flue per the GAMA tables. 3. Turn the water meter so that it is level. A final reinspection needs to be conducted to determine compliance with the State Plumbing Code. If these corrections have been completed, please contact us within thirty (30) days from receipt of this letter to set up the final inspection. Please contact your contractor if these items have not been corrected. Contact me at 763-572-3603 with any questions concerning this matter. DJ/mh sue�etr PER c�ty of F��a�ey 215 8� AT THE TOP OF THE TWINS g u I L D I�1 G P E R�II I T ' ` RECEI - , � ��°3�� ( . � • COMMUNITY DEVEIOPN►ENT DIV. � /��J � ; V ��.� , . . . ��I � r � � PROTECTIVE INSPECTION SEC. � • , l__-- �,��;'� CITY HALI FRIOLE� 55�32 NUMBER NEV OATE PAGE Of APGNOVEO 8Y � f� 612-57�-3450 s�aF�s 9/12/01 � � �oe aooaess 6840 Brookview Drive NE r t IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCA. 8 2 Brookview Te�race 2nd Addition SHEET 2 PROPEfiTY OWNEFi MAIL ADORESS ZIP PMONE ROxy Lindsey 6840 Brookview Drive NE 3 CONTRACTOR MAII ADDNESS ZIP PHONE LICENSE fY0 Fridley Roofing 830 W Main S� ��105, Ancka, MN 55303 763-780-6210 < ARCHI7ECT OR OESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO 5 ENG�NEER MAIL ADORESS IIP PHONE UCENSE NO 6 USE OF BUIlO1NG Residentiai 7 CIASS OF WORK ❑ NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (16 Sq) Tear-off 9 CNANGEOFUSEFROM TO STIPULATIONS Underlayment must camply with the St�te Bui�dang Code. TVPEOfCONST. OCCUPANCVGROUP OCCUPANCVlOAO SEPARATE PERMITS AflE fiEOUIREO fOF ELEC7RICAl. PLUM8ING, NEATING, VENTI�ATING OR AIR CONOITIONING TMIS PERMIT BECOMES NUII ANO VOIO IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO OFi ABANOONEO FOR A PERI00 OF 120 DAYS A7 ANY TIME AfTER WOfiK IS COMMENCED. ' NO DWLG. UN17S OffSTREET PARK�NG 1 MEREBY CERTIfV THAT 1 HAVE NEAO AND EXAMINEO THIS APPlICA710N 1 STALI$ GARAGES AND KNOW THE SAME TO BE 7FiUE ANO COAfiECr. ALL PqOVIStONS OF �AWS yq�VAT10N SUfiTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L B� COMPUED @ 1� 71S �.86 WiTH WMETMER SPECIf1�0 MEREIN OR NOT. THE GRANTING OF A PERMIT W DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE Ofi CANCEI THE pEqM1T f EE SAC CHARGE PFOVtSIONS O: ANY OTHEfi STATE OA LOCAI LAW flEGULATING coN- �63.15 Fire SC �1.%2 STRUCTION OF TME PERFORMANCE OF CONSTRUCTION ^ P�AN CNECK FE TOiAL FEE �5/ ,e�� O) Lice $5. 70.73 $�GNAT�JpE OF CON"AACTOQ OA AUTMOAIIEO �GENT iD rE� EN OPE Al10A THIS IS R PER / � YIYr� S�GN4TUQE O� OWNEQ ��c OwHEQ du��OEQ� �DATE� � � � Bl � �ti$o � � ��STE N� [ ) Effective 1/1/2001 ADDN [ J . CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � D l (� ��c� � P � .0 � . Legal Description: Owner Name & Address: Contractor: LIVING AREA: GARAGE A�REA: DECK AREA: OTHER: ,n . � D� Tel. # MN LICENSE # Tel. #��'��i� �/lO �C0�1 C�1 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 Width Height Length Width Sq. Ft. � Ft. � _�%� Construction Type: �(`�� `/ Estimated Cost: $ .-,�-�f� ��/S Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: O/ APPLICANT: Tel. # G3 � 7 ��I d CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ (c�3- �S� Fee Schedule on Reverse Side $ /� %2 .001 of Permit Valuation (1/10th%) $ . c�3 �� $.50/$1,000 Valuation $ $1150 per SAC Unit $ � �C� $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 [ ] $__,o_._��•� SuB�ECf City of Fridley 3 3 2 3. � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � ` RECEIPT NO. � • COMMUNITV OEVEIOPMENT OIV. � ; �----.- . /6 3 r � � PROTECTIVE INSPECTION SEC. � � � � �"�1 � CITY NALI FRIDLE� SSI$Z NUMBEF NEV DATE PAGE OF AVPROVEO BY� �""'�"� ��' 763-571-3450 910•F15 11/5/02 / / �oe nooaess 6840 Brookview Drive NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED oesca. 8 2 Brookview Terrace 2nd Addition SNEET 2 PiiOPERTY OWNEF MAIL ADDRESS ZIP PHONE Pete Pierce 6840 Brookview Drive NE 763-571-7045 3 CONTRACTOR MAIL AODRESS ZIP PHONE UCENSE NO Renewal By Andersen 1920 Co Rd C W, Rosevilie, MN 55113 651-264-4777 � ARCHITECT OR DESIGNER MAIL AODFESS ZIP PMONE UCENSE NO 20130983 5 ENGINEER MAII ADDiiESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O AODITION ❑ ALTERATION �] REPAIR p MOVE ❑ REMOVE 8 OESCRIBE WORK Rep�ace door with�n existing opening 9 CMANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sieeping rooms and oa all levels of the dweilir.g per Section 310.9.1.2 of the 1997 Ur.iform Bui�ding Code. CauZk and flash all exterior openings. �ermit �nsp��tion Cards Wiii Be Mailed To Homeowner To Post tYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE FEOUIRED FOF EIECTFICAL, PLUMBING. HEATING. VENTI�ATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULI ANO VOID If WORK Of; CONSTRUCTION 20NING SO. fT CU fT AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK tS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 OAYS A7 ANV TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS OfFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. AlL PROVISIONS Of �AWS VALUATION SURTAX AND ORDINANCES GOVEFNING TMIS TVPE OF WORK WILL 8E COMPLIED WITM WMETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT �2 �$1$ � 1.41 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OA CANCEL THE pEqMtT FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGULATING CON- $TRUC71pN OR 7HE PERfORMANCE Of CONSTqUCTION �S3.ZS Fire SC �L.HZ PI,AN CMECK FEE TOTA� FEE License $5.00 $92 8 $�GN�TUAEOFCON7FA(;TOQOAAUTMOAiZEO�GENT �D�iE� � pqpp � ALIOATED TH IS VOUR PEQMIT v � � ��" S^ ^e� �'-" S�GN4TUAE OF OwaER�� OwtiEaBwIOER� iDATE� B OG iti5� �- ��<<E ,; y . � rrEw [ � ADDN ALTER [l [l Effective 5/10/99 CITY OF �'RIDLEY SINGLE FAMII,Y AND DUPLEXES R-i AND R-2 BiJII.DING PERMTT APPLICATION �onstruction Address: � �0$y � �j ( mk�..Q �,�, `b, ( � V�.�� Legal Description: ' Owner Name & Address�'� ,�, �'�,p � � Q _ � Tel. # �(p3� ��J. ,�' Contractor:;'�.t�,Wa� ��,, Atrcl.e,�S�, MN LICENSE # vi01309�3 Address: J9 2l � �.Ov��n� �oo.d C. W�.S�: �.nSC.�� 11t ��c1� 5►S l�Tel. #(,c`� 1• alo4 � y��' Attach to this appl;cation, a'Certificate of Survey of-the lot, witli the proposed �c�nstruction drawn` on it to scale. LIVING AREA: GARAGE ABEA: DECK A,REA: / � � Construction Type: DESCitIF'�i.ON'OF ��!1��E11�NT _ ' 1-ength Wi�th Heigbx Sq. Ft. I.ength Width Height Sq. Ft. Length Widtli Hgt/Ground Sq. Ft. �"f� _ .� 11 /�. _ � � �1 �.� r P . � . � A _ � . � . � � a _� � h r�n _ _ � Estimated Cost: $ o�, �l � °� - , . Driveway Curb Ciit Width Needed: Ft. + 6 Ft = Ft x$ _$ - DA'I'E: �� • da APPLICA.NT: Tel. #_�}Cja •3�i.S • ll�i �- Pemut Fee rire Surcharge State Surcharge SAC Charge Lic�nse Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLJI,ATIONS: � � .a � a. � a � l.yl $ $ ,.�,Db $ $ $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State L�censed Residential Gontractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �� $ /l S' �'- .* � SuB�ECT City of Fridley 3 3 4 2 6 AT TNE TOP OF TME TWINS g � � L D I N G P E R M I T � � � q � � � • COMMUNITV DEVELOPMENT OIV. � ; y �'•��' r � � PROTECTIVE INSPECTION SEC. 1 � � i.---�,��"' �'� CIiY HA�L FFIDLE� 55�32 NUMBER REV O�TE v�GE Oc �vn Ov 8r 1 763-571-3450 9t0-Ft5 4/14/03 / / J09 ADDRESS 6840 Brookview Drive NE t IEGAL LOT NO. BLOCK TiiACT OR ADOITION SEE ATTACHED oescR. 8 2 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL AOORESS ZIP PMONE Peter Pierce 6840 Brookview Drive NE 3 CONTpACTOR MAII ADDRESS L�P PHONE LICENSE NO Alistar Construction 8401 73 Ave N, Brookl r. Park, Mn 55428 763-593-5325 � ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII AODqESS ZIP PMONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION L� fiEPA1R O MOVE O REMOVE 8 DESCRIBE WORK Repair Roof 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFGONST. OCCUPANCVGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE fiEOUIRED FOR ELECTqICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT AUTHORIZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED Oi; ABANDONEO FOR A PER100 OF 120 DAVS AT ANY 71ME AF7Efi WOpK IS COMMENCED. NO� OWIG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I HAVE READ ANO EXAMINEO TMI$ APP�ICATION 1 5?A�LS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT ALl PROVISIONS OF LAWS VALUATION SUfiTA% ANO OpDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMP�IED WITH WME7HER SPECIFIED MEpE1N OR NOT THE GRANTING OF A VERMIT �2 �OOO �1 .00 OOES NOt PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL THE pEqMITfEE SACCHARGE PROVISIONS OF ANY pTMER STATE OR LOCAL LAW FEGUTATING CON- @ $7RUCTION Ofl THE PERF MANC Of CONS7RUCTION �pO9.LS Fire SC �L.00 P�AN CHECK FEE TOTA� FEE / � ice e SC $5.00 $77.2 4 �GN4 OFC .PACTORORAUTMORIjEO�GEtii D♦ i EN PROPERI� VA�IOATED TNIS�V Up� M.�T � -{ � U S�GNai E O� OwtiEQ ��f OwtiEQ Bui�DEQ� �O�TE� B� G�ti5� �� NEW ADDN ALTER [] CITY OF FRIDLEY Effective 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �,c� �� '��1� �P� �y' Legal Description: Owner Name & Address: �e �� 1 � ,c�'C � Tel. # Contractor: / � MN LICENSE # �� 7 Address: a n��/� � �/"' � � Tel. # ��3 ;r-�/� J�,��.5_ �s�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �'"��?� �` r- �`�(� � LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: Construction Type: Estimated Cost: $,�� ____ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � �7 ��APPLICANT: ,�l��T%1`v' ls��S � Tel # � 1`��-�o�✓ Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ ��a ` $ � t� c3 $ / a c� $ $ ^� � c�� $ $ $ $ $ �%.�,Pl Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1;000 Valuation $1275 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 [ ] •► C� � �kg�i C� CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out 6ack) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/C OLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard withbut written permission from adjoining property owner. Effective January 1, 2003 JOB ADDRESS��v �'IX�U� �� I�(' ./L�� OWNER ��-2 P�� .e TOTAL ` BUILDING USEDAS ��'S�c��'�-- � 30.�0 ESTIMATED COST ' S�C�•� PERMIT N0. '� j $ DESCRIPTION OF FURNACE AND OR BURNER $ $ � �s� $ � $ .50 � 55� �(� No. of Heating Units_� Circle One (Steam) ( ot Wat (War Air) Trade Name ��r��f Size No: SS�U�id�U-/�� BTU ��r�, tSt� HP EDR Fuel N�afur��r G�ct.s Total Connected Load Burner Trade Name Size No. BTU HP EDR � �� G4 %'/! �� G ..' 35� �`1C �' U � -- 3 � 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 an rulings of the Building Division, and hereby declares that atl the facts and representations stated in this application are true and correct. DATE ��%�l� CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed e��e�e, �- � � 763-757=6202 FAX # 763-757-6701 �� Approved By _ Rough-In Date Final Date S(�-� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPLICATION WILL BE RETURNED rnti��nnn� ��tiT �!�,v�i nn��A�F^Tr1R /a1�D G�MF3lISTI�N AIR VFRIFICA21�1 When , the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes (Xi No () and is securely supported and firestopped where required. The venting system is plastiGPVC and meets all current codes and manufacturer Yes X1 No () specifications including sizing, length, number of efbows anci terrnination. ( The undersigned also verifies that the replacement unit is a listed assembly and meets the current code�s al Central F muace Vent ngCTa�bl s for� f noes i n c l u d e A G A- G A M A C a t e g ry Y e s (� ) N o () assisted and natural draft appliances. Ths ' is sized and installed to meet the current codes �eS �� No f) and manufacturer's specifications. When requUed to ' ' ' it will be sized and installed to maet the current codes and manufacturers specifications. Yes � ) No ( ) �en �� , the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's spe 'caftcations. This does include AGA-GAMA Categ li nces.ntral Fumace Yes �) No () Venting Tables for fan assisted and natural draft app ' Is the common vent and vent connectors sized: and installed correctly after an appliance has been removed from the common vent and vented Yes (X) Na () separately as per current codes. e....,o --' �'ap/Cnmmen ��n+ and Vpnt Cnnnprter Infnm�tiflll AI�1 Appliance #1 Type � BTU Input � an Assi ed or Nat __. A liance #2 Type ��—�r BTU Input �_ F ssisted or�a? pP BTU Input __ Fan Assisted or Nat Appliance #3 Ty�e Total Btu Input Total AppGances _______, � Common Vent Type Vent Height /� � Diameter � _ inches Appliance #1 Vent Gonnector Height _�ft Length �_ft Diameter ��_in Type P/� Appliance #2 Vent Connector Height ft Length ft Diameter in Type _-- Appliance #3 Vent Connector Height ft Length ft Diameter in Type � � ' � �•► �- r•- HEATING CO: CenterPoint Fnervv M�nnn��s� 13562 Central Ave �1E, Anoka, MN 55304 Signed By: � �-�� Date : �� -� �Cent�rPbintTM �� Minnegasco .� 1 ADDRESS ✓ J �-�I OCCUPANT HeAT LOSS Yes , DATE HTG. INST. SOLD BY CentBrPoint Energy Minneflasco Electricai Woric By 1 1 TYPE OF HEAT FA •''� SPACE N7R. � GAS DESIGN MAKE Model G ' Serial NPUT ��C7 ONTROLS THERMOSTA n �i Fieat Plug Value � Limit fb Limit Settin 6► Fan Setting i� Pilot Type � e. Piiot Make �� ,r r. ( Pilot Mode! ,�� 7 Pilot TiminA t��sc G Pressure • Peroent COZ �% nput CFH �, �� Percent OZ Sr - i Stack Temp. S%�" � Percent GO—e�--� HOUSE HEATING TEST RECORD A 7�. FLOOR �_ CI7Y !� � OWNEI� �i-r CG� tNSTALLED BY CenterPoint Energy M�•nneaasco Gas Line By j �, , UNIT NTR. OTHER CONVERSION /� Vent Size KIND OF IINER NONE —� DraR Hood Filters Size Chimney Locaiiat Inside Chimney Construction SIZE y�� Regulator Number 1 __„ _ Outside �" Wiring %�` Test Tag �^�' Lighting inst. '� Date Tested Company Tesbng ' t n Name of Tester �� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r�aa�: : 6840 BROOKVIEW DR NE : 133024220020 : BROOKVIEW TERRACE 2ND ADD : LOT 8 BLOCK 2 : BUILDING : RESIDENTIAL : ROOFING 571-1"LtS7 VALUATION : $ 1,200.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. PARTIAL ROOF REPAIR IS APPLICANT A CONTRACTOR? 1 APPLICANT MIDWEST ROOFING SIDING WINDOWS INC 313 JEFFERSON HWY CHAMPLIN, MN 55316- (763)427-9696 LINDSEY R NNE L 6840 BRO KVIEW DR NE FRIDL , MN 55432 %�/�i�- AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give autharity to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Annli anc�"t \/1 Date 1 i Bldg Insp PERMIT NO.: 2004-00150 DATE ISSUED: 02/04/2004 BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL � SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 44.85 1.20 0.60 5.00 51.65 Feb 04 04 11:42a Theresa @ Midwest 763-427-9001 p.l C , �-� �� "rL-I � %l � I N� � � ClTY pF FRiDLEY ` ADON [ J 6431 University qye NE. Fridley. MN 55432 E��e ��03 AL1'ER [ J SINGI,.E FqMtLY AND DUPLEXES R-t A11fD R-� �� 572�60+L Btqg Insp BUlLDING PERMIT APP�tCATiON �� _�� ' C� p� Construction Addness: (� l r� o �/ ; e w � �, Legal Description: Otimer Name 8� Address: �--i-e.� '�� 1 � Tel_# 7to3 S7/ 7o5/S COntrdCLOr � cl,-.� ¢5 '�- �� o , j - "`� � �� "`► MN LICENSE # � O� I � o� % % . -�._ Add�ess: .31 3� Q rs�►'� C�ia.� �: Tet. �e �to 3�(a � i(o9(P L�VING qREq; GARAGE AREp; DECK AREA: oTHER: Att��t1 to �h�s �pp�iCation, a CertiflCSte of Sutvey of the lot, With the proposect construcbon drawrl On it to 5c�le. DESCRIPTION QF IMPROVEMENT Length Width � Height Sq. Ft. Len9� y YYtYU1 �� M S`�_ �.� �n�� d�► �� Hgt/Ground Sq. Ft. � Construction Type,,�Q.� �-Qad, r � Estimated Cost• $ J�C�a .` Driveway Curb Cut Width Needed: F� + 6 Ft = Ft x S _- g DATE• y O APPUCANT• �r.251 � ��,..��5 �' Tel. # il� 3 `�J.� 9G�� Gall (763) 572�604 for Permit FeES if maiiing io application. Fax M 7fi3�i1-1287 if using credit eard and we wil! cafl you for tard number. Permit Fee Fire SurcF�arge State Siucharge SAC Charge Lioense Surcharge Curb Cut Escrow Erosion Control Par�c Fee Sewer Main Charge To7n� $ $ $---- . $ $ $ $ $ $ - $ C1TY USE ONLy - Fee ScFtedule on Reverse Side .001 af Permit Valuation (9/10th��) $•50�$9,000 Valuation $1275 per SAC Urutt $5.00 (State Licensed Residecrtial Cor�ac�ws) Alt "q�� o► Aft "g�� Abbve �45�.00 Conservation Plan Review Fe�e Oetermined by Engineering Agreement Necessary [] Nat Nec�ssary [ j � �t1�i1 •, 1 From: 952 997 6344 Page: 1/1 Date: 9/8/2009 9:02:35 AM ....N...,.......,... �.. ..N.....��..�y� ...,,...�.,��.. .,.,� ...., .... � � Building BUILDING Pe�n�t uo : ; �inspections RESII)ENT�IA�L APPLICATIaN Received By:, 7b3-s�2-3� CITY OF FRIDLE'Y n�e ��°� 763-502-4977 FAX �,.�.,� . , M DATE JCY � 6 SifE ADDRESS ____ il-IIS APPLFCANT T5: YOUR &14fAiL ADI3RFSS Cfi i�1� j �� QWI+iER D�ONTRACTOR �ROPERTY UWNER/ �Ax�ce: ASoN � H r+'i ER TENANT nvex�ss: G pYn taac v �f c�+ �ii rxoivE: 763- s?Z- 2 Yz �1 SiJBMT]' A COPY OF YOLJR STATE LICBNSE AND CERTJkTCATE 4F tNSU�vr.� PROPBRTY TYPE 'TICPE TYPE QF DGSCRIBE Wali[C BF1NG PliONE �O S/ �o ��l' �' .Z 7.: ($ SIIdGLC FAlMQLY/NL:4' CONSTRUCCiON O'tW0 FAbfILYlN�VJ CONSTRUCtION i] BASFMEN'f FINLSFi L7 ItOOF d DECK O S�ING O l�EW tiOME COPiSTRL3CTEONf ROOF4'�EG x�sEx op sQu�s x GARaGEs PROP�SED SLZE: PROPt75ED HE[GHT: � ❑ Vinyi 0 Al�mioum ❑ Other 14'(ND4W5 IN 8XI3TWG OPEFF�(CrS j�1Ces C1No OR FOR NEW DFIIVINCiS-DESCRIB�E SIZ£ OF �rnnn'rs .�13//2oae � crryr �'/d6ftX.j sr� Q Fax 9Sz-- �'i � — 63s�Y STLE STORiES ls�n •wn�raows O DRMV TSl.� ❑ Q1HER 7�TG POOL 0 ADDIilOS� ❑ 6EMOD&LQIG ❑ HClUSE 4NLY CJ tIOUSFi 8c GARAOE ❑ ATTACHED GARAGE ❑ DkTACHED GARAGE N,� �S�MENT REMO�ELIlYG SUBMIT� 1_ FacisEing F'loor P1an 2 Propasal floar plen 3_ L�t a�strw�ual membeis �a be usod FU1t NEW CONSTRLiC'l70N JNCLUDING DF�CKS, Clsofta annrr[tu�rs_ � roec�S sUBwtrr ❑ Tricrt 1. Site PI�IS�aveyr showag t1c e�Ging saucoures Q Fascia �d P� P�J�- 2. 'hvo sds of construeoan phcs 3_ EnagyCalm[allotn LOCATION QF WQQDOWS OPET(lNG CHANGL-S 8c I TYPEaF 1VINDOW 7'O BE 1NSTALLED NUMBIIiOF WIND0IYS %� AI.L l� EES ARE BASED ON YALDA170N, INCI.UDIMG THE COST OF LABOR A�ID MATEiiIALS: g (fJSIIVG THE 1997 U S.0 �EE SCI�DULE} ''OTALJOS VAL,UA17dN S lJ� 9or � (]fY"iIPANrY 'i'VPF Permit Fce Plau Review Fire Surcharge Suroh�ge Licanse Surct�arge SAC Gharge Curb Cut Escrow Erasi� Conuol Park Pex Sewe�r Main Charge � ��`7 � a1 J 5ee Back Page for Fee Sched�e � � 65°/a ofBuilding Peimit Pee � .U01 times ti�e tofal job valuation � .{I005 x Permit Valuation Minimum $.50 S SS.00 (State Licensed Residentia) Conhaaars) $ $2000 per SAC Unit (Alans ta MWCC fur determination) $ ft+6 ft= ftx$2i =$ $ $450 Conservation Plan Reveew � Pee D�ermi�d bY �b"�ee� $ Agre�nen# necessaiY () N� IVeces.sarY i) � d� �. /� Matu chedrs pavable to: GStv ef Fridler Attac ��(� �� (p TFIIS 3S ADI APPi.ICATIQI@ FOR A PERHllT-NOT VAi.iD UN17I. PROCESSED 2 l�ereby apPly for a�ilding peimit and L ac[mowledge that the i�ormation above is complete �d aoc�ate; thaR the work will be in confiorneance with the ordinanoes and codes of t6e City of Fridley and with the Mi�esota Consavetion Co�s; that I waderstand this is not a permit but orily an application for a ermit aad work is not to stazt withaut a permit a► site; tl�t the woxic w�71 be in accordance with the approved plan in die casc of w ich rava! of lan4. aPP Pfij� [PdCf�,/L �� SIGNATURB �P APPLICANT PRll�FT NAME C.f( �ls%�/tl� �r DA'C'E �/ // vp V�s� �2�fG 3is� 5��1 Y�1o7 �'uP �� JI �� =c� /� 55't 23 ZrP�*� 20a� � From: 6514377478 Pa e: 215 Date: 3/11/201010:34:44 AM rrom:MCFlamara l:onstruction b�i�:�ir�r� U;i/111�U1U ll:t� �/:i;i r.UUY/UUb Building BUILDING Permit No.: �o� �xa.spections RESIDENTLA►L APPLICATION R��ea By: 763-572T3604 CITY OF FRIDLEY D 'd:nn n n� r�n 763-SQ2-4977 FAX ' ' ��v� 1-�-zolo �°"=^�7.�u n I , _ Y .-. _ r. . . .. , � _ DATE iJ/ 1 V V 3T1'E ADDRES3 ,� TFIiS AI'PLICANT IS, PROPERTY OWNER/ TENANT susNnT A car�r oF YOUR STATE LICENSE AND CERTIFICATE OF INSiJRANCE PROPERTY TYPE P��MIT TYPE TXP� OF WORK: O OWNER PHON&: STATE YOUR &MAIL ADDRES& .,,� . , �. PHONB t,i�.7 1— `C b V`" I� LO lQ �SIlJaLB FAM[LY/NEW CONSTRLICTION O TWO FAhID,Y/N�W CONS'TRUCTION U ADDTf'ION O (3ARAG ❑s�ssNmv�r �rsx o xooF �'ba�[c ❑ sIDnaa ❑ NEW HOME CONSTRUClION O MAII�TSNANCEJRSPAllt EJCP DATE ■ �• � � � ■ .Jy��. f�DDTfION ^- �GK. ❑ RFMODSLIN(3 DFSCRIRE WORK BEING DON6: V� L� SIZ60F IIvIPROVIINENT �� O O 1Ll 1'H 1ZOOFING 0 HOUSE ONLY NUMHER OF SQUARES 4 HOUSE & GARAGE GARAGES � ATTACH6D CiARAC3E PROPOSED SIZE: O DETACFIED GARAGS PROPOSED HEIGHT: SIDYNG � Vinyl � OSoffrt ❑ Aluminwn Q'IYim � � Other . � Fascia WIlYDOWS IN E7CISTING OPENINGS ❑Yes L7No LOCATipN OF WIN�'JOW3 pR FOR NEW OPENIN(33-DESL:RIS& SIZE OF OPENING CHANGES & � WINDOW TO BS ALL FEItS AR TOTAL dOB VALi] Parmit Fee Plan Review Fire Suroharge Surcharge License Surcharge SAC Charge Curb G}ut Escrow Erosion Control Park Feo Sewer Main Charge Total Due $ ' SG►J f BASEMENT RSMODELING 3UBMIT: 1. Bxistiag F7oor Plmt 2. Propoeed 800r plan 3. i,ist of shactursl mambere to be wSOd FUR N8W CONSTRUCTION INQ.UDING AECKS, ADDTfIONS. dt PORCHES SUBMIT: �. SIbC PIBII/SIIIVEj� BIIOWIRg fE1C WU811I1$ BhUCtI]ICe � P�'oP� ProJ� 2. 1\w ects of construction plans 3. Enorgy Calwlatim�s FOR WIIdDOWS — PROVIDS U-VALUE AND MANUFAG`1'UR� STICKER ON WiNDOW. TION, INCLUDING TaE COST OF LABOR AND MATERUIL3: :� 1997 U.B.0 FEE SCHEDULE) n[_[`iIPANCY TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation ' .0005 x Permit Valuation Miaimum $.50 $5.00 (State Licensed Itesidential Contractors) $2100 per SAC Unit (Plans to MWCC for deternunation) R+6ft= ftx$22=$ $450 Conservation Plan Review p , Fce Determined by Engineering Ag�eement aecessary ( ) Non Necessary ( } � THIS IS AN APPLICATION FOR A PERMIT-N()T VALID UNTII. PItOCESSED I hereby apply for a building pe and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance witt� the ordinaa d codes o City of Fridley and with the M'u�nesota Construction Codes; that I understand this is not a permit but only an appli ' m r a work is not to start withwt a p 't on site; tha the work will be in accordance with the approved plan in the case a wor ires �+eview approval of SIGNATURE OF APPLICANT _ PRiNT NAME , L�`t' � ��DAT6 � /�/ � /a From: 6514377478 Pa9e: 3/5 Date: 3111l201010:34:45 AM rrom:MCnamara l;onstruction ti514�114Etl U�/11/YUIU ll:��i A1�� r.UU3/UU5 ��'j� =� :� :�: ��.�: �e� �: p� �' _ + � �' � �. ��` ;�I . :� :'1�1 �. 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