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AF - 356990 ^ � City of Fridley, Minn. � BUILDING PER.MIT N� Date: ..----.....�'._...�----�--..._.�._� .�..�...__...._._..___.. Owner: Address ,�. . .- � �� - -� � LOCATION OF BUILDING No. ..��--•�Street ....._._�:�.-~�.�l�r�-•--.�..__. ./.. ./..........�..... Part of Lot .---_...---_..._.....__-•-...__....__........._..._._...._.._ Lot ..... �.�........ Block ....-----..�!.........._ ................. Addition or Sub-Division ...�..�...-- �--� %� .. ... .. .. ........ .........___....._�- F $ - ' Corner Lot ....- ............. ...._.......... Inside Lot ....,�....::........_........ Setback ._.�.�..� . - • - - • - -- . p ee 0 • �-� -- -- .. Sideyard .�.(.1......-�.._. ............_....-�----...---....._.. Sewer IIevation -- -�---�._.....�----�-----------••--- -----•• �-�--•-•-------._.-•--��--- --....... Founda.tion IIevation .-•----......----..__ --- _ To be Used as: �� Type of Construction DESCRIPTIOI�! O� BUILDING i - �/� � � o •�e / v � J?a !� Front�7--••------••---.. DeAth ...._�-:...Q� Height IC._�':� Sq. F� /.�.l.�d.� Cu. F��?1..�� Front ---_ ......................_DeAth ...................._.. Height _...._....�� Sq. F� ....._............._.. Cu. F� ....._................. .......................................... ... Est. Cost...�e1..r...��..-..��'TQ be Completed ....._............._............._. In consideration of the issuance to me of a permit to construct the building described above, agree to do the proposed work in accordance with the description above set - a in compliance wi all pr sions of ordinances of the city of Fridley. r- �. p „ In considera.tion of the payment of a fee of $.!..°�.�.�....._ °, permit is hereb --.... Y gl.'anted --•-- ............._............._----......._......._.. ....___....__._..-------......----.._-------_....---...... ta construct the building or addition as described above. This pe � is grant d upon the express condition that the person to whom it is granted a,nd his agents, emplayees and workmen, • work done in, around and upon said building, or any part thereof, shall conform in all res�cts to the ardinances og Fridley, Minnesota regarding location, canstruction, alteration, maintenance, repair and moving of buildings within the city ]imits and this permit may be revoked at any tirne upon violation of any of the provisions of said ordinances. . � Bnilding Inspector NOTICE: This permh does not cover the construction, insfallation fo� wi�ing, plumbfng, gas heafing, sewer or water. Be surs fo see the Building Inspector for sepa�ate permits for fhese items. 4 � � ' �.:��. . . . , .•dPPL�C;A.TI�iV ��OR 'BUILDING PERMIT ,, ,.c�, � .... CITY OF FRIDLEY, MIlJNE5QT�. . , Owners =Name- ♦ � � t! i! Builder ��' ° � - � . Address :�'�/ � ��o�.� _ 'Addx�ess _...��aa�� .. _ - , LOG1�fiI0N OF .BUTGDING � � .��:'�. _-_:,,.. �' �,... . , . `�- . , ` No. � - Street � �� Past of Lot . _ -_ ,._ " Lot':�� Block .�'�"� _ �iddition or Sub. Div. ��ri`�i�/�� 4�a�-`., � Cprner La�� . ,�naide Lot .�. Set Ba.ck . Appl'iean-� at�a.ch to th3s form Certificate of �urvey of - Lcit and pro�osed ' ; :bu3:7:.=ding Tocation. - . ' . . : . � . . DESCRIPTION OF BUILDING " To be used as� . - �L � . � d /a-� Front `�. . : _ , . � , . .�;_ Depth � z�- He�:ght � � Sq. g`t ��,�� . Cu.. F`t�� . 32�d�/�6!aL-. � - , • ' Front :Depth Height . Sq: Ft. Cu. Ft. _ ��.,r. �. _ '. Type of Construetion. �`'�C� �' Est�,ma.t�d Cost .��- � To. be co�.plet.ed _, '� �.� � ' The 'undersigned.- hereb� makes a.ppliCation for a permit ,�or the work - herein spee3fied, agr�eing to do all work in strict aecordance w3.th the Gity Ordinances and ruling of the Department of Buildings�_and;hereby..: declares that all the facts and representatioris stated iri this applic�tion are �Grue and et�rrect Date � Signature""�'° �'� (.8. 5chedule of Fee Costs can be found on the�Revers a�,. �, �(iI � I ^ I' �� i� � /� (� a � oe � � � � ��,��ir,�� p �v.�� = �/= G'° �� n � � O � �`:-��j�°° ��o� 1b�- �rv��ti � � a 0 BUTLDING PER,MIT FEE SCHEDULE Section 2. The Inspector of Buildings sh�.7.1, before issuing any permit for the erection of any building or structure, or for an�r addition to any existing building. or, structlare, or for any alterations or rep�.irs t�o . any existing building or structure, upon applica,tion therefor, require the payment...by the a�glicant for such permi.t of fees,to the amount herein below set forth and in the manner herein provided to-wit: 2.1 For any such perr�it for the erection of any fireproof building, other than a..garage, wa,reho�xse, factory or grain elevator, or.for the .._ . erection of any fireproof t�.ddition, for similar occupancy, to any existi.ng building . sh�,11 be at the . rate of �l 440 for eaCh oz�e thousand �- cubic feet, or fra ction t,hereo�, in such cubical contents. 2.2 For any auch permi-c for the erection of any fireproof gaxage, ware- house, factory�or grain elev�.tor9.or for the erection�of"any fireproof �� addition, for similar occupancy, to any existing building sh�.7.1 be at the� �� ` rate of �1.25 for each one thousand cubie feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code� HOUSES , � 2.3 For any such pernit for the erection of any non-fireproof building other than a..garage, wa.i^�house,�factory or grain elevator� or any non-fireproof addition, for si�.nilar occupancy, to any existing building. Permit �1.00 for each one thousand cubic feet. . __ • • GARA.GES �.. . . ` ,._ . . . . . . 2./� For any auch permit for the erectian of any non-fireproof gasage, warehouse, factory or grain elevator, or_for.the erection.of_any non-. . . fireproof �ddition9 for similar occupa.ncy, to any existing building or for each such b�ild7.ng or addition, Nine�iy �ents for each one� � - thousand cubic feet or fraction thereof9 in the cubical contents thereof with a minimun of �J�.00, - � � � For the purpose'of' computi.ng �fees for building pera:ita, the. �cubical �' contenta of any building or addition to a uniform hei ht throughout by multipl�ing the ground a.rea chvered from a point si.ac �6) i.n�hes be7.ow _ -- the flc�or line of the base�aen�c or cellar to the average height of the �pper surfaee,or to the ave-rag� height of the roof surface of the main� " gable of a pitched roof� 2.5 For repairs or a.lterationa to ar existing structure, the fee shall be at the rate of �3�00 for eac� Flve Huncsed Dollars (�500.00); or ` fraction thereof in the cost of 411 proposed wprk., 2.6 In no case shall the fee charged for any permit as set forth in Section 2 be less.��han�:��L��00� � � ` � ?'' „ -. . "'��^M ° -. s J � H � � � � p � • O . � : �d . ~ . O : � � � � : � • � � F� F+ m � � � �.� � � � � � �, � � � • � � � � . o • o • o � . o.. � : : � O � � � N t��+ � O O O � �' H �� n z � z x � � � a � � � �� ,� : � � � �d . O � � �� 'd : Q' � � �i � . ,� � � ¢� : ��.: n� . . bd _°o : : 0$ $ . � . . � . . . . . � . . . . �s 0 � � � � � � W N G7 i-+ ►+ ►�+ � � O � O O O !� W �s tfs �° � O y � � 0 `� 0 p � � 0 . � : �� : �, : o;� , p ,i . ° ,j r � ' � R�j � � : � � y • �� ' � �Q"� � : � I V � . � � I'�' D � m � 2 m C r m I�, •�. I� p r+ bd � � � Q' R' � � .StOT�@S ,� WATER @ cwsers � o URINAIS m � � �� Q Tuss � p � eAS�Ns � '� � SINKS F� � � WASH � rwnrs DRINK. FOUNT. SFRNRS. � �.00s DRAINS � CATCH BASINS AUfO ' wASHeR GAS APPL � GAS RANGE GAS OPENINGS a W z � � i/1 � a � � A -~7 � � J ❑ �� m ro � � I � � � �� 1 � � � A � � �a� "' � � o � � � �. • � � �o�� ti' �p fD (D � �o�°� � �o� � ��o� � � �•��. � �� : � m� � a�� p�+�o � � °p ��.,o �� '� �'� � �� N� w � �� o � m m •� F+ f+ F+ �D I � �� ;, d D� �� p b a� � x � � p � �, o� � m �� • � � � � � � � � � d � � t�► Q � M � � —��. � � 0 � � ��r� . �� b ' � � �� : ,,�� n � � � � 0 � N (n m 00 �' ro O � � R � r � � � � � � � � r � � o � � m � � ~ 4� O ��a ��x �� ,--.,_, � � � � � � � y a � Cd � � � � � `° " � o � � � � �. o � � � O � • � : : � O � �° ca � � � � � � � �a �- � w a � � � �' � o �, O y y �" �� o �� . � . . � . : � : . � . : �: � � �� : � : � . . o $�. � � � � oa �e aa o � : � � 0 � � � °o a � � °o {A {fl iA � {!� � o �� r � � w `Q � ;� �i � � � � � �, �� m � � � a � � O o m � � � o � � � � � � �. � � � � �\ �, � � C � � � � �� b r� � <� � � � ¢ � �] ��-b � `"a lD � � O � � � Q S � � � � � y O � � 0 a� � a � 0 0° �� x� �� : � � � I � �rox�d � �i�� S � � � b � �s a b � � � " �� i v� p R' icb m m�n � (�° R' � t� � � � � � � � � G � � � � � � � � � � � � � � � ro � � �� o 0 0 0 ��o � � � g � � � � � � � � � � o �1 � � � � �'' . � t� � : M o �' ¢ 5`� : � 5� �. .°� : � , o � � • �: . � �'o: . � o : : � � o . . � � . . o o g : : � � � : 4 0 . . � 4 : : : � $ : : : � : : : : : : : : : � : : : : : : : : : al n� ni co 00 o° o 0 0 0 69 b} {!3 4fl {A rdn � � ro x M 0 � t� er cn w o0 cn o 0 0 0 0 0 0 0 0 fA 4fl t�i ifl _ � � � y G � � � � o y m �' �' m z ,, °+ a � � •, � � � � �: �� cp �' -`Y' ¢, p � � � � on $' ro � � 0 �. � �� Q �� @ � � �� . F+ I�+ I I �� n c o 0 O o O p fA $� � � aa� �- � l�Dy� � � fbyD �"P+ o� � �� e �� t-�' � � F7+L�p � N � 5 � ��a � �H'y � � �� r•€B �� ..p�� m ��ap a �� f y � �� O � ��e:� � � � y M :°i �� o R' jd ({� � � � � � � � � i � ""' r � --� m N _ m C m e » M � � � _� � � � . � � a� 'i � � � � � � �� O �y. � �� v< e, � � � � � �. � �. � � d n�_� °� �� Resideatial Commetcial DONALD 1�. PUNG Ger�eral Contractor 974b PORTSMOUTM • HOUSTON 27, TEXAS April 5 1962 City of Fridley 6431 University Avenue N.E. Minneapolis, 21� Minneaota Suhje 58b7 �entral 6venue N..�. Gent�emea: �� _ � � . �;r �� , �s� �s ��4'. � :�fi'`' �" �� . It has been brought to my attention that the malfunctioning sanitary seWer in the rear of properties along the 5800 block of Central Avenue haa cauaed certain back up, flooding- and damage to the homes and With particular attention to the above address. � Because of the damage caused as well as the vell being of the occupants, thiir property end health, I can only deltgate the reaponsibilty of such damages to the City of Fridley. The exteat of the damages are unknoWn to me at this time, this serving as particular reference of same. Further , I wish to refer you to my letter of January 6 1962 ss Well as my letter of October 1 1959, both of which I never ha�e had the courtesy of a reply. As to the letter of Oetober 1 1959 I reported as " The saniatary sewer serving the property is of such unsatisfactory condition that the reelidences served are subject to serious health and damage hazarda" �ecause of the condition, the damage caused, I feel that the City of Fridley has a vital responsibility concerned and are liable for any damages, health or property invol�ed. Pleaee refer to my letter of October 1 1959 vhere I pleaded for you proper maintenance. I further currently direct • your attention to the above address to see to it that no residu�� health hazard exists from the recent sewer beck up. Yburs t �� onald Pung �_ � G �..,��- /� . �- �� ` .�'-� �.. c c D J P �^^'� �� Gv.�t� � b`'.�^�„' � c6 �-c.,�.cA �� I � � — -- �� N � F � � �- � � 4� � � '' 9'= V ry >- C' �� a U � �. Q t`' M � �A1 � � 1 � a � � � N o r � � ~ � � [ � y � m rA x � t" O "' Q � yM 1.� � A7 R+ eyT N � M M y ML � x � x � �, � y�c�o �'� � g AP � �A .x., � �'. � M �, ro � � � � p �K'J, � N e� o b�� y •�r � � � � : � � �y: �� . . y � . . � : : .� . `��' . • . N . � . . . � . a� "� I I I m � � �� I� � � �� V r °% � �' �1+) � � e.�.," � �� r"' ; � � � � o ` $. � '� � � � O 1 I I x �,��o � � � � � � �-� � � 0 � r f� b0 �' t� � !� � � � ;a � � � � � cND 0 0 c2 � � � ro � �4 � � � � � !d �, � � 0 r b0 C: e� <; �' o w oa W �� .'y° M � � ,� o V� y � � � �D • � � � � ; � � � � � � m � � O � � � � �• o � z � � � H w w � � � �' � m�� ,c�''. a `° `° x � � o 0 0 � � y ,,�� , i R° R° y ��'�� x p � Q � o 0 M � � � � � � M H ' 'r � : � � : : � � � � o � . . �,. �' : : � � . y . � w � o 0 � � o $ �-�� v 0 � � � �� x � 0 � � y z � � � � �(/� �• V+ � � � � o _ �m p. 0 V ,, � � � � � O b � � g � � � � � � ,� � � x �• �• � � � �'° �° Sp Ot � � � � " � G � ro � � � 0 0 � � �o� � Q ��°� �, � � � o � � : � 1�+ � o ; . � O o . . Q O . . . � � � � � W o o S o � $ �� -c^-� �v q a �, � y � �S M � � � � � � M b b � � S .r � �� a�.� � ,tDy °H, � �' � ad �� a � � ° � � � � � � . . � . . e�i� ,°o : : O � . . Gp . . P : . . . . � �° W � � o 0 0 o S r� � 0 � o�.a� � � �� , yO�R V '� � w�� o�p� `4 � d�� , �b o ��o � � p a =�a �� .0 v�i• �.q �C9 � �� 'w m,��'�° � �n ii � o- .+p7 p��: � R�� p '7 y O �! C7� � � 'd fD �� f�DH �� o � � � � �. w �� . D � i � m N _ m C m � fi � � `� x y m � � � T �� V � 0• 7 � O � � �! o o � �o �d � _ ... D � � � �� A � o.:° v .c �• �. � �i � � � � � � � �. � � � ,'i � / . \ SUBJECT P IT . �, City of Fridley 13725 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � ' � RECE COMMUNITY DEVELOPMENT DIV. � ; L ------ �� r � PROTECTIVE INSPECTION SEC. 1 �` � �' �'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'�'� ,�� 612-580-3450 910-F15 8/26/76 � � JOB ADDRESS 5867 Central Avenue N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 34 g Pc7YICV].E.'W M1AOr SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ron Julien 5867 Central Avenue N.E. 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Same 4.ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING ReSj.C1G�i1't.7.3�. 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install fireplace 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. M3SOI1TI7 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED y5`%OO �S`. �JO WITH 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 FEGULATING CON- �r7, 5O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE yS`8. 0� sic aeoFC NT CTO ORAUTHO 2eonceNT (OATEI WHEN PAOPERLY VALIDATED THIS IS YOUR PERMIT � �� _ ��? . � �' t� �2 �c � �� —'I(� S NATURE OF OWN F UF O BUILDERI (DATEI BLOG INSP DATE k w' ,y J � CITY O(= FRIDLEY ��` �u� APPLICATION FOR RESIDENTIAL ALTERATION, �`�'� ADDITION, OR REPAIR BUILDING PERPIIT �� OWNER' S NAME :,�O �I P J� f�� BU ILDER : J s�'I �I �°- ADDRES S: j`� ��• C L° � T�f� L ADDRES S• r f NO : . �' �I � �? STREET • _� � �L/ ( f�°d4 C. �U E' %�i� , � � LOT: 3�_BLOCK: t.�' ADDITION: �� CORNER LOTs INSIDE LOT:_��SETBACK: SIDEYARD: Applicant attach to this form �ao Certificates of Survey of Lot and pxoposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be TJsed As : �OC�� Fxont: Depth: Height: Square Feet: Cubic Feet: ,� Front�o Depth : � Height : Square Feet; Cubic Feet: 6 � Type of Constxuction: ��" Estima.ted Cost: $�f pd To Be Completed: (JC' % / , % °l ��c,, The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict accordance with the City of �ridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and rep�resentations stated in this application are true and correct. DATE : � � � � � � � � � SIGNATURE : , (See Reverse Side For Additional Information.) ��%� . le�� O � � � q 6• e � . -, m`.'*.,.`�$"�",y� �-a.h I s `� a �1 � 13UILDING PERMIT PLL SCfI�llUL�; SECTION 2. The Inspector of Buildings sha11, before issuing permits for the erection of any building ox structure, or for any addition to any existing building ar structure, or for any alteration or repairs to any exisL-ing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to th.e amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUC�IOI3: Si.�g�,a Family Homes and Garages: $�.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATI�ON T'or the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered �rom a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper suxface or to trie average..- height of the roof surface of the ma,in gable of a pitched roof. For repaixs or alterations to an existing stxuc�ure, the fee shall be at the rate of $3.00 per each five hundxed dollars ($500.00) or fraction thereof in the cost of all pxopased work. In no case sha11 the fee charged for any permit as set foxth in Section 2 be less than $'d.50. ° VERIFICATION OF FOUNDATION , NOTE< Permits for eonstruction will be issued a minimum of 24 hours fxom the t�.me of application, to a11ow for proper xeview of the proposed stxucture and of the canstruction site. A Cextified Survey of the lot, showing the location of the foundation, once it ha� been constructed, wi11 be required before proceedin� with the fxaming. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any stxucture for «hich a building permit has been issued; and said structure sliall no� be used or occupied until a Certificate of Occupancy has been issued. ' � � �. Nov�nber 18, 1985 Mr . Ralph Voll4nan Superintendent of Public Works City of Fridley 6431 University Avenue NE Fridley, Nlinnesota 55432 DeCzr Mr . �%]]�an : Alvin & Ramona (Holmes) Weber 5875 Central Avenue NE Fridley, Nlinnesota 55432 Duane Otterness 5867 Central Avenue NE Fridley, Minnesota 55432 a This is in reply to your letters regarding the fence that Mr. Duane Otterness i.nstalled on the southernly border of our properties. We both understand that there is a five foot easement on Mr. Otterness's property as well as a fifteen foot easement on the Mr. & Mrs. Alvin Weber's property for maintaining the city sewer which runs along the property. Both of us (Mr. Otterness and Mr. & Mrs. Alvin Weber) give the City of F'ridley permission to take down the fence if a situation arises where you need to reach the sewer with city equipment and excavation is necessary. For general maintenance of the sewer line Mr. & Mrs. Alvin weber give the City of Fridley permission to gain access fran their side of the fence. It is also our understanding that the city will leave the praperty in the same condition that it was in before any access to the sewer was made. Yours Truly, �� ane Otterness � r��fiA -�.. / ✓ ��_.�1' � .. -,..� A1Viri Weber %l�ll ' � L[JL�� R na (Holmes) Weber � City of Fridley S�B�E`T � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;� ; �L __�_�_ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. , ; . ��-�-� ��"' �•� CITY HALL FRIDLE� 55432 NUMBER REV. 612-571-3450 910-F15 JOB ADDRESS 5867 Central Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3[j 4 Parkview Manor 2 PROPERTY OWNER MAIL ADDRESS Duane Otterness 5867 Central Avenue N.E. � 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS DATE 4/25/86 ZIP ZIP ZIP PAGE OF � / _18397 �o�9y APPROVED BY SEE ATTACHED SHEET PHONE 571-4233 PHONE LICENSE NO. PHONE UCENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING , Residenti.al 7 CLASS OF WORK ❑ NEW q� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26k x 10' Porch and a 30'' x 8` �ck 9 CHAN(iE OF USE FROM TO STI PU LATION S 5ee notati.ons on plan SEPARA�'E PERMI�P UM� �NG AIVD SiGNS� 1NIRING, HEATiNG, �2�� 1,�'�'�� ;� �E1E��g ��;r� �� ° � �d� ��,� r �d t -�, �� +�� ' �;�ia� �'rF: J � �. � � � � ;3 ar i� � �.,y�� k {';k�: SEPARATE PERMITS ARE REQUIRED FOR ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUP� VENTILATING OR AIR CONDITIONING. jl�OQd �'r�e THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STAILS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�S�I.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $rj6. JrO �ATU��O RAC O AUTHORIZEDAGENT ��/ IDATEI WHEN PROPERL Y'/��,6, . �`�r��a ( iROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING IGARAGES SURTAX $2.55 SAC CHARGE TOTALFEE $73.18 D_THIS IS YOUR PERMIT \ \ X NEW [ ] ADDN. [ ] pLTER. [ ] Construction Addre Legal Description: City of Fridley Effeetive �/1/86 R-1 AND R-2 Building Permit Application Owner Naane & Address : �� ' � T ��5 Tel . � � ri�Z�3 Contractor: ��f/� �� %% ��/U�SS Tel . � Address• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �a�� DESCRIPTION OF IMPROVEMENT /" L EA: Length '�� Width f� � Height Sq. Ft. �_ GARAGE AREA: Length Width Height Sq. Ft. DECR AREA: Length � Width �`��gt/Ground Sq. Ft. ,�� '. s' .^ OTHER: ` �C��o I .b� � � .� � .3c�$ • Corner Lot [] Inside Lot [] t. Yd. �etback Side Yard Setbaek Type of Construction: Estimated Cost: $ _ �i� Q- Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: � Z� �� APPLICANT: Tel. � ��'�� 3 �3D-�993 CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: _f . ,�,_ .,��.� - -�..,.�!�it ��a � Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $�75 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Ci� �� V U 2 v c, �-= 3.?,�Z � �0 C oZ . . _ 6 +�� r 7 BIIII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erectio n of any building or strueture, or for any addition to any existing building or strueture, or for any alteration or repair to any existing building or strueture, upon application therefore, require the payment by the applicant for sueh 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 each additional $1,000 or fraction thereof, to and ineluding $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraetion thereof, to and ineluding $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. $u33•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. . DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement caf 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 with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOONDATION 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 Certificate of Survey �of the lot, shoWing the location of the foundation onee it has been constructed will be required before proceeding with the framing. F • ..,.�, . z ,..� i 4� e 0�� n i e 1 Y c 9!� a s a� a�� Y �� s> �� 1�� a I Y J� ��....�. i� i.. i v� J I � � , . tl e . , . , � /! 2 _ I� , , . - � . ._-- - , •.• • ';� � _ . R _ ._ _---__ _.. _ � � t -- ; ; i � � I 4 I N I x � ' � • ` w -�.. 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' �- - -- _ fi. u�+ _ _ _ ----� t - __ - - - � ,�(� ! -- � - ---. _ _ - --- -__ -__ _--- -- ---___- m o o - -. --=-- _ __ � __ �_--- -�, _ _ - ----- - ----- _ _ - - -- - - n � ------ _ _ -- -------- ---_ _ �..__ _ � i ----- ---_______..�_ __. _ __.__.. ---- -- � ' �. __----� ----- - — — _- --- __� _ __.__ _ _ -- --.��__ --�.-� _ N --- -- Q�� . - ----- � � - --- ---- - ,`� ° . � e r + � � F. C. JACKSON • uwo suRV�rae Il[fjliT[R[D UND[R LAM�s O/ �ATi Ot MINN[iOTA LIC[Ni[D f1f OROINAlIC= OF CITr OF MIMN[Ar01J� / 8�� 5616 EAST S3TN �REET OREXEL 4681 _\�� qtbcpot'g tttffitatt \' � � S��l.� . �,� �e� �, . � � • �: � . . �,�( rr.oi c� •. � " �,� . �:' , °�' • . � � 4,. ��i s �� o. e •� . J� � ♦� (, �. `� � �' � �► . � •�,w3 Scale �,, : 30� • = Zren I NER[BV CERTIFY TNAT TME A�OVE li A TRN[ AND ODRRCCT RAT OR A SURY[Y OF Lot 34 31ock 4 Parrcvi�• �anor qy.6/ ---- 0 l�t :� . �Pt . 1955 .�' AS fJoY[r[D f� M[ TMIi_--'- —" � _.o�r or— —�►.o._----- f � SI6NED— -�� F. G. J GKS� MIMNC�OT, �� N 93.0� � '"� . - - p�Tl^JN. N • C sue�ecT E�IG(�IT NO. � City of Fridley `` 217 9� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' � REC . � • COMMUNITY DEVELOPMENT DIV. ' ; y _ � � r � � PROTECTIVE INSPECTION SEC. Z Z 1 i 1 � /"'1 � �CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROYEO BV �----� • •�J 612-571-3450 910-Ft5 4/2Q/�3 / / JOB AODRESS 5867 Central Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 34 4 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Otterness 5867 Central � Aue NE 571--4233 3 CONTHACTOR MAIL ADDRESS ZIP PHONE LICEN E O. American Renlodeling 37Q0 Annapolis Lane, Suite 145, Plymouth 55447 2�OG 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE IICENSE NO. 553�0020 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Res ide nti al 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside d�zelling 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIHED FOR ELECTRiCAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINC3 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO 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 WILL BE COMPLIED $'� gOO $3e 95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $��•�n Fire SC $%.9O P�AN CHECKFEE TOTALFEE Li.cense SC $5, 00. $115 .85 S�GNATUREOFCON'RACTOROFlAUTHORIZEDAGENT IOATEI HEN P OP lY VA DI�T THIS IS YOUR PERMIT � -Z D � �� SiGNATUREOFOWNFR�iFOWNERBWIDERi iDATEi �. .-B�JG INSP pa'rE NEW [ j �� i�.'�e c� �a<�c� %� �� , Et�ective 3/ 1/92 � 2 s A D D N [ J C I T Y O F F R I D L E Y c� ALTER [ j SINGLE FAMILY AND 1)UPLEXES R-1 AND R-2 Building Perm�it Application Constivction Address: �8� � �-, `�C� � � �G'�. �� I.egal Description: � Owner Name Address: LIVING AREA: GARAGE AREA: DEC� AREA: ! 1 ' 0 Tel. % MN LICENSE #�°��(o /� Tel. # ��' 11��'j Aitach to this application, a Certificate of Sur�e� of the� lot, with the propos� const�uction drawn on it to scaie. DESCRIPTION OF IMPROVEMENT Length 1�Vidth Height Length Width Height Length Wi� Hgt/Ground i) _ _n `n .o �la � i � Sq. Ft Sq. F� Sq. Ft Corner Lot [ J Inside Lot [ j Ft Yd Se,tback Side Yard Setbacks Type of Con.struction: �� a �� Approx. Completion Date: �/D ' � J (Cost on Back) Driveway Curb Cut Width Needed: F� + b Ft = Ft x$ _$ � /9 9� APPLIC �� '�.C�-C� f TeI. # `-�' ��f� DATE: - M r �� Permit Fee $�g �� Fee Schedule on Reverse Side Fire Surcharge $ �� .001 of Pe�mit Valuation (1/lOth%) State Surcharge S -�� $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ °o � $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] � � , � TOTAL $ //� � g� S'PIPULATIONS: . � � rn � � Z � O � � a m m � � � �• � O N � Z o N � � � m - -.. n� m o = t� - � O � ,.* v °1 0 o � o �• a = �' � � Oq n fD � � O � � �' �N � Q o fD � � �-. a ? 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J n �a CNJ1 � � � o �. � � � Q C o � D _ � °' c�' � n c� 0 � O � o � � �'- D m - r � rn � � rn ;. 01 � N � � � � o _ -��N-� m 'o �• c�o c�o � n � �Oq �;C y N � � � � O a �p t� a; * �' N O o � � oq' N � �, CD ('n c�a "� � �� - '� m � �' o � � Q °o � �- � � oo� ,�5fl'3 � v�" � m �NO�� . � O N � �'m�� m .��A ay� � � � � n � • fl! �m��± � � � ='�' � �� n � "�`�' � tD Q n "'�` � �e� h � o 0 � c�+ °� � c ��—, n. a� � �� t � 1130 � Q S � � .�+ � � � h � � .'�� , �o � � � m � �-+ CD C7 � N �G O H O � � � S N � Q y (�D � �. � � O o � <� d N � m m � °. � D N� � �' a m � o �; � o �� N � r � � 0 Z W D n v � WW C � m � a� a m Z � � 2 � � N� cfl z 0 0 � D n 0 � a � � D N c� N {79 N ()'I O O Efi G� G� G� �-n e�p N Uf tp y � y � .� ��N � .� � a v? m � � `�° � � � � 3 d p-�<ro m � � � � � � Q , � � o� � � � -� � �; (� j rt - m� s � � � � po cAU o � � � � �� v � v � � � � � n = <D � �69 �69 ia9 fiA O C� O O � O O O O ''" cu 69 �69 69 {�H I � --� 0 I � � -noo-+z m � � � — � o c� �, Z = � }3 � � cu =� � � � c b '� _ � o � c? � � � � c� m o p ... � � � (p fD .n-r ^ fD � a ��r rv ar"z� 0 �o,� �'' � � � � � m v � � D m � -� D � m � � O � --� � 0 � 'o m � � � Z O �N � W C r 0 Z � c � m 0 � n � � �47 - � � � � � m v C r m o � � O � � � � ,� , � 1 � V � �,C� N Q W �� O� � � � ° II +�� T � Z ro � � � � �� m C''�cD� "' �, z z� rn � m n � � z � < � a � � z '� r � � � � � m Z \ � � o —1 � O � Z� Z � � a� � oN za vz_ �v o=: Zm Z � '� Z N (� '� O N O z � Z� vrn v� <� na N � z � c� .��r <' cn O � � � � O � � � � s �,. ' �` CHIlVINEY AND STACK VERIFICATION The undersigned hezeby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (� Nq () 2. Is. free from rust or.deterioration Yes (� No O 3. Has no foreign objects lodged within Yes (� No () 4. Is securely supported Yes �) Ioio (:) 5. Meets all cunent Code requirements for size and sotal �TU's connected Yes (� No (� 6 Has total heating BTU's of � r�� All otfier BTU's � �D4� TOTAL BTU's l �o,�� 7. Has a liner been provided for water heater Yes (� No () 8. Has combustion air been provided for water heater Yes (�j No () Remarks: �DD 9 � ce.�s- � � d- cr��,� ��-y � List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Sl9PER1�� P9��°�� y,� u 6121 42nd Av�n�� i�o. Cryst86, F�Bet b5��c 9 � � J_�v49 �C1��. �� °' kDDRESS HOUSE HEATING TEST RECORD S C !�� % APT. FLOOR CITY SUBURB �� 't �� 7 �,�� % pCQ1PANT e-- � OWNER HEAT LOSS DATE HTG. INST. SOLD BY �� _ INSTALLED El.ctrieol Wwk Br 4 Gos Lin. By TYPE OF HEAT GA FA STEAM SPACE HTR. _ � / GAS DESIGN MAKE ��%� MAKE Mod•I Gf d�-07�/� u�/La� — Model S.rta I /"/J S-JJ�F3199' �a�¢% .� Max. INPUT a�� K Modsl �CONTROLS / THERMOSTAT `� � Heat P��w - S Valve �� Limit �/ - Limit S�ttiny °�� Fan Ssttin9 °� Pilot Trps Pilot I�AAaks ��' Pilot Model OF BURNER BTU Ratiny — E OF FURNACE BY �oaT ,�i� �� t� _.UNIT HTR. OTHER CONVERSION V�nt Sizs � KIND OF LINER SIZE�NONF Droh Hood R°9��OTO� Filt�rs Sizs ��'��1 Numbsr�� Chimn�y Loeation leside � Outsids Chim�r Conatrudion � °�� ;�• Ptle� Timina / a� Drait �.w. Cut Off 7 Pressur� 3'3 P�rcent COZ � ut CFH �5 Pereent OZ 7 S Staek Temp. �°�'� � Pm��t CO Form 23S Door �"'fl'",� Bo b Wirinp � � _Test T�: Presswe Lightin� Inst. �� te Tssted a � � Company Teating Name of Teater% _ CIIYOF FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Duane Otterness 5867 Central Avenue NE Fridley, MN 55432 Re: Final Inspection at 5867 Central Avenue NE Contractor: Superior Contractors Inc Dear Mr. Otterness: A mechanical permit was issued on November 9, 1999 for the installation of a gas furnace for your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, _NSEN Inspector DJ/mh n O � � O Z < rn z � Z � O O z W D n � � v m � v. � N � � o � � � � m m � � � , o � D v v < m a � � ...► � � � � �� m o, 2 c� N � 7 �T o Z � -* v �� OV c � o � �o 0 � _ � � 'a Cn �v � m � 0 z � � � Z m 0 W � nWi �� 2� � c n�i ani o cWO Q m �c � �' �' m m m � � i � �D � 'v � ;0 � -� -� � � � p .o 'Tl m o ,� � � � � � � .� � �; � � � *� pl p) � (� tD N. W(�D j' -Ci � � � f��D f��D � �� r� t�n, N� tA � � � D � a 9 ro � 7 p� (D �p --� N � m �► � � w � -n � ` � � '� �, ,n m m C Q �� m � � z I ( I I I I I I i � �� (7� O O O y O V�I �l �I t71 A�I °o °o °o °o 0 0° °o °o °o °o °o °o o° � 0 � -o C � 00 Z � m � a�i m a n 0 M � v m � � =a �.1 � � c � � c � m o. 0 f � m � � � � � N � � � r C W z "il � C � m � m � z 0 � m -a O D r � O W D O v � m � � Fv � �� n `% Q ' � N cn =< �+ O N�� G'� Z @� �% � � � �� N � � c� ZZ � m� v � � � J O � Z o v < m � m � < m 0 � � d � � N O O W `�HE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPUANCES OR THE ;APPLICATION WILL BE RETURNED , .. .- ,,. •„_ r•► � : : � •► N�)1�1�1'll�l\��1.7N��'I.1►��n��i��i��.�'.�_...-�-.-....- - ---- - - � When ten�acina an pxi_ctin0 fi�yce, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes No and is securely supported and firestopped where required. () �� The venting system is plastidPVC and meets all current codes and manufacturer speciflcations including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. -me B•Y�� Q�eme ,_�nn air is sized and installed to meet the current codes and manufacturer's spec.ifications. When required to �n�t�u a n_�•� cemb�ctien air� it will be Sized and 'Itlstalled to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes() No() Yes( ) No( ) �@n in� Ili_n,e� � ne�•a ��ntin0yy� m, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( �No( ). � . . , � � - . � . . � � i � • � - � . � . - � • � � - • � • r � � . • � AppUance #1 Type BTU Input Fan Assisted or Nat Appfiance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances _ Total Btu Input _ Common Vent Type Vent Height _ Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type AppGance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type , �_ ;., ._ ..- - HEATING CO: Signed By: Date : _ _ C[TYOF FRtDLEY � FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 30, 2004 Mr. Mervat Fouad 5867 Central Avenue NE Fridley, MN 55432 Re: Final Inspecrion at 5867 Central Avenue NE Contractor: Gordon Meyer Plumbing Dear Mr. Fouad: A plumbing pernut was issued on August 19, 2003 to install a water softener at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection sha11 be conducted on the work authorized by this pemut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and expire the permit. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DA NSEN Build' Inspector DJ/mh Building PLUMBING Pernut No.: c Inspections RESIDEN�IAL APPLICATION Received By: 763-572-3604 CITY OF F12�DLEY Date xec'c1: �- ` DATE � _ � '� — SITE ADDRESS �� THIS APPLICANT IS: PROPERTY owr�xi TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WIT`H APPLICATION PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS r'l e tr tJ c,� �G _� �✓l S M_ C c� �w� 'u^:I�L•'e—:a�lt�! r% • ■ • . ' PHONE:� ,�� 5' 2 l��? STATE LICENSE #. �v� - crrx EXP DATE _ aTE h�z�� 2 ADDRESS: CTfY STATE ZIP PHONE � SWGLE FAMII.Y � NEW DETAILED DESCRII'TION OF WORK FAX ❑ TWO FAMILY � REPLACEMENT 0 TOWNHOUSE PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost ap to $500.00, whichever is greater, for the improvement, installaxion or replacement of a residential fixture, excluding the fnctures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT W1�RE NOTED. FIX'fURES: (INDICATE TOTAL NUMBER OF EACH BELOV� BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING BATHTUB GAS PIPING (n��o cm'uC� SWIMA�IING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHII�T SINK WATER CLOSET _BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IItRIGATION — WATER METER _ OTHER Permit Fee TOTAL DUE �,. ... ,�., _. . .. $ f � , � Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $ $ , ,s�j Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLIC PR1Nf NAME � P d' Uo� T—Ov.tt o� DATE 2—�� l�I�_ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Cnspections 763-572=36U4 �ATE � � � C? _— � >ITE ADDRESS � 1'HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLIGATION PROPERTY TYPE PERNIIT TYPE BUILDING RESIDEl�TTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAII. ADDRESS � OWNER �CONTRACTOR Pemut No.: Received By: PxortE: �7� z_�1 a 2- c'r� r7 7 �d 3- 3 oe� - a 5•2-ta . STATE LICENSE EXP DATE .��3 Z ADDRESS: CITY STATE ZIP, � SINGLE FAARILY/NE 0 TWO FAA�ID.YlNEW ❑ BASEMENT FWISH �'ROUF ❑ DECK � SIDING ❑ SWII� TYPE OF WORK: I � �'' DESCRIBE FdORK BEING DONE: SIZE OF INlPROVEMENT. oF sQu�s _ ?`�7 GAt2AGES PROPOSED SIZE: PROPOSED HEIGHT: SIDIlVG ❑ Vinyl ❑ Alwninum ' ❑ �titer . R'WAOWS IN E}QSTIl�TG OPEI�IINGS DYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�IDOW TO BE INSTALLED ❑ HOUSE & GARAGE ❑ ATTACF�D GARAGE O DEfACHED GAR.AGE �Soffit ❑ Trim ❑ Fascia L.�ATION OF WII�IDO�'S NUMBER OF �WINI ❑ DRAW TII.E O OTHER .f�� F� BASEMENT REMOAELWG SUBMIT: 1. F.xistmg Floor Plan 2. Proposed floor pian 3. List of structural members to be used �i FQR NEW CONSTRUCTION IIdCLUDING DECKS, ADDTI'IO�IS. 8c 1�?RCHES SLJBMIT: 1. Site Plen/Swvey showing the existing strucnues and FroPos�d ProJect- 2. Two seLc of consi�udion plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING TFIE COST OF LASOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �J�I�LP OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Gharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �1� �5 $ � 3�- $ /: [,eLP $ $ $ $ � $ m s,� -, -. -z See Back Page for Fee Schedule 65% of Building Permit Fee .001 tunes the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SACUnit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) checks navable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMiT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and �pprova.l of plans. SIGNATURE OF APPLICANf C C! PRINT NAME� �� c� t�.cal dl DATE q.— `�6 � d� Page 2 - $uilding Residen�ial Application BUILDING PERMIT FEE SCHEDULE The Chief Bui.lding 'Official shall, before issuing permifs for the erection of any building or sixucture, or for any addition to any exisiing building or structure, or for any alteration or repai.r to any existing build.ing or structure, upon application fherefore, require ihe payment by the applicant for such permit of fees to the amount herein below set forth and in ihe manner herein provided to-wit: VERIFICATION OF FOUNDATION Peimits for construction will be issued a minimum of 24 hours from the time of application to allow for praper review of proposed structure a.nd of the construction site. A Certificate of Survey of t�e lot, showing the location of the existing found.a.tion will be required before proceed.ing with the framing. New Houses Onlv City of Fridley Buildi.ng Inspections Department 6431 University Avenue NE Fridley, NIN 55432 763-572-3604 Fax: 763-502-4977