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MINDER ENGINEERING CO., INC.
ENGINEERS AND SURVEYORS
tJaNO 8vave�nnim . SOIL1 TBSTINC�
GIVIL d. MuNIGIDA,. flN31NEEfi1N0 ' � • LANp PLANNINO
6418-56T" AVENVE N.
MiNNfAPOUS 7i. M1NN. r
KE T� 363T �
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+NE HEREBY CERTIFY TNAT THIS IS A TRUE AND CDRREGT REPRE�ENITATIORf OF A SURYEV bF THE B011N1pAR►ES. OF'fHE
Lptip A$OYE �ESCR10Ep ANO OF THE LOCA710W OF ALL B111lDINGS � IF ANY, THEREON , AND A1.� V{Sl9LE ENCROAtNMEtJTS,
,F,�„r, FQOM.ORON 5At0 LAN�. MINDER ENGtNEERING CO., lNC.
OATED TN19 OI�YOF �' h'O.t5j9 E13Ci1tJ AMD SVR YO
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City of Fridley, Minn.
� BUILDING PEI�MIT N° . 5 6 8 4
Date: "" ..-,.. ,�,, /`
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ow�: ~�- . . ,� � �_�� �f.���� s,�a� .,��...,- �.��.-��� � —�
��—�---, =�— �—
%! Addres�''`� Address — —
I,lOC�aTIOiV ��.B LD6IVG
No. ��'s" Street --w..�k" � '' ,�`--'+�"�`' � ' �f • — Part f Lot —
Lot �-_ Block =�����yyy Addil3on or Sub- vision:` x����^��_—.�.� ;��
� .� Ftli: � � �
Corner Lot _ Inside Loi Setback �.�' Y... Sideyard �t:�_
Sewer IIevation :
Foundatlon IIevation
DESCRIPTION OF BUILDING
, �- ,s�
T� ; v�a , � - ,� ,, ,,�.��� .� � :�
.�o�� ,��-`-�{ Front ��� Depth -�- Height �� Sq. Ft. .•�.�� Cn. F't �-�-"t��.
,�� ,
''� Frqpt ��.•�'��-�-- Depth ��"..:! Heigh; '*' 's/' C�q. Ft '�� Cu' Ft' t'`r� j��
Type of f nstruction '�����=�-� F.st. Co"st ���....�+°��---_ To be C omp le t e d .—
In consfderation oP the issuance to me oP a permit to construct the building described above, I agree to do
t'he proposed work in accorrlance with the description above set forth and in compliance with all provisione of
ordinances of the dt3� of Frfdley.
�
�i ,-' a;�,s„
In conaiderat%n of the payment of a fee oP $�..--, P�t �S hereby granted to
to construct the building or-addition as descxibed above. This permit is gran'ted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
c�one in, around and upon said btulding, or any part thereof, sha11 coniorm in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, rePair and moving of buildings
within the dty limits and this permit may be revoked at any time u viol,a�ion of any of the pro�risions of said
ordinances. � � '� �!
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' � �
- i� � f �� r � , '`�- '" �' 1. "'' , % "� gu3lding Inapector
N01'ICE:
ihis permtt doea aot eovee fhs construe�ion, ieata�eHon for wtring, plumbine. eaa heaHng, sewee or walor. Be sure �o aee
�6s Buildfeg laspector fo� seperate permlts for these Ptema
�— � � � 4 ,�
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�Pa�ic�„Tao�v �o� auz�,na�� PE�uT
Ci'I'X 0�' �TtTDLEY, 1�.iNNES�I'A
�
awner's Name Builder !�! iU �h-�i—�-
Aaaress Aaaress _ 1 r � — � � ��;
LOCATION O�' BUIi,DING
Noe ��� Street ��'R� � of Lot �,�
_��'� t �r
Lo�t � Block � Addit on or Subdivision �a�: l:rr��
� � �
Co�cne�c �,ot inside Lot Setback� iie-Yari /��
SEiiJE�2 ELEVATIOLV FOUNDATION ELEVATIOL�T
Applicant a�tach to �this so�cnt Certiiicate o� Survey of Zot and
proposea building loca�ion.
DE�CRIPTTON OF BiJILDI]�G
�A �,� As M�d� �.�- - 7� � `— �y�► ��y �;
To be used aso � 1��
9 �p� s
�� �L��rr/� �'ront `� Depth �-�� I3eight � �
� ._._- --.-----
Sq. Ft. /�� Cu. �'t.
♦ � /�
'¢�"�°� Fgont �YDep•�h �Height _ /8
Sq. Ft., S� Cua Ft.
����, Estimated Cos•��� �
�ype of Construcicion '7�
To be Com]oletecl ���-i"� � �
Y
The unders�.gnecl hereby makes application for a permit �or the woxk
he�cein speci�cied, a�ree�.ng to do all work in strict accordance with
the C�.�ty of Fridloy Ord�.nances and ruling o� the Depar�nent of 8uild-
�ngs, and hereby declarea that all the facts and represenica�cions
s�ated in this ap�lication are true and corr� .
D�ITE / � �o SSGNATURE /�
�
(Schedule o£ Fee Costs ca� be round on the Reverse Side).
� � �� � � �
f r �
�uzLna�G P��a� � se�DUr�
sec�tion 2. The ��spector o�E Buildin�s shall, before issuing any
per��� �or tYle escec�ion of any �u3.lding or struc�ure, or fcor .any
addi�ion to any ox�sting building or sfacuc�ure, or for any alterations
or repa�.rs to any c�cis�ing build�.ng or structcu�e. upon appl3cation
�hareior, require �he pay�nent by the a�plicant �o� such perm3t of
�ees to the amount here3.n below set �o=th and in the manne�c here�:n
prov�.ded to wito
?.la �or any such pea�nit for the erect�.on o� any f3re-ptcoo:� building,
°���' �� a 9ara9ra, vuarehouse, �acto�cy or grain elevator, or �or �he
erec�ion or any r�re-p�oo� addition, for s�lmmilar occupancy, to any
exist��g buildi�g shaZ1 be at the ra�te o� $1.�0 for each one thousaad
cubic �eet, or �raction theseof, in such cub,ical conten�s.
2-� �o� �Y s�� perm�� �or �che or�c�ion o� any fire-p�oor gaacage,
wa:rehouse, facfio�cy o�c graia elevato�, or �or the erection o� ariy fire-
prooi ado�i��.on, io� s�►.i.lalc occupar�cy, �o any existing bu��.ding sha11
be at the ra�a or $1.25 �or each one thousand ct�b ic feet, classi�iecl
as "�3reproo�° by Sec�ion 502 0� tha M�.nneapclis Building Coc1e.
HOr
a�,3. For any such perm�.t for the �rection of any non-�ireproof build-
ing o�her than a garac�e, warehouse, dac�ory or grain elevator, or any
non�rireproo�E addi��en, gor $imila�. occupancy, to any exis�ing buildinge
Permit $1.00 forc each one thousand cubic �eet. _
C�ZRAGE�
2•a. �'or any sueh �e����t for the erection or any noa-fireproo�E
garage•, warehousa, �actory or g�ain e]�eva�or, or for the erection of
as�y nos�-f�reproo�E add�tior�, for eisnilar occupancy, to any ex3st�.ng
building or �or each such building or add�,tione Ninoty Cen�ts fo� each
one �h,ousand cubic �=ee�t or fraction fihereo�, in the eubical, contents
thereof w�.fiYi a min�munn o:c $4,00 0
ror the pu,rpose o�r co�ou��.ng fees for bu3lding permit�s the cubical con-
ten�s o� any building or addition �to a�uni�ror�► height throughou� by
�nult�.ply3ng the g�cound a�ea �covered ,roYn a point six (6) inches �ielow
the cloor line of �he basentent or cellar to the average height o� �he
uPper surface or �a che average heigh� of the roof eur�ace o� the main
gat�le oi a p3.tched roo�.
2+ 5. Fotc repairs or alterat3ons to an exist9.tiq stsucture, the aee
shal]. be at �he ra�e of $3.00 per each Five Hundr�d Dollars ($500.00j
or �raction thereoi in �the cos� o� all proposed v�ork.
Z; in no case shall the fcee charged for any perm3.t as set forth in
s�ction 2 be less th� $4.00. ^ �
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sue�ECr PERNIT��VQ_.
City of Fridley � 3369 3 a
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
�
i � tE O.
� `v _ _ COMMUNITY OEVELOPMENT OIV. �� � �
r � � PROTECTIVE INSPECTION SEC
1 = �
� �'�'1 � CITY HALL FRIOLE� 53��2 NUMBEF REv DATE P�GE Oi APPROVED B�
�'""'� � �'� 763-571-3450 910-Fi 5 7/ 11 / 03 / /
�oe Aooaess 170 Craigbrook Way NE
1 LEGAI, �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
OESCR. 2 7 Pearson's Crai a Estates 2nd Addition SMEET
2 PHOPERTY OWNER MAIL ADDRESS ZIP PMONE
Peter Mutua 170 Craigbrook Wa NE 763-571-3719
J CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO
Lifetime S�ding & Remodelin �nc 355 21 St Ne ort MN 55055 651-458-0844 1780
4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO
5 ENGINEER MAII ADOFiES3 ZIP PNONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION 0 ALTERATION ❑ REPAIR O MOVE O REMOVE
x
8 OESCRIBE WORK
Replace windows withia existi�. o enin s
8 CHANGE Of USE FROM TO
STIPULATIONS
Provide smoke detectors in ai� sleeping rooms and on a�l levels of the dwe�ling
per Section 310.9.1.2 of the 1997 Uziform Building Code. Cau�.k and flash all
Extez�ior openings.
SEPARATE PERMITS ARE REOUIRED FOFi EIECTRICAL. PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD
VENTI�ATING OR AIR CONDITIONING.
THIS PEFiM1T BECOMES NULL ANO VOID IF WORK OR CONSTqUCT10N 20NING SQ. FT CU FT.
AUTHORIZED IS NOT COMMENCED WITNIN 80 DAYS, OR IF CONSTRUCTFON
OR WORK IS SUSPENOEO OR ABANDONED FOR A PER100 OF 120 DAVS AT
ANY TtME AfTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING
1 HEFEBY CERTIFY TFIAT I MAVE AEAD ANO EXAMINEO THIS APPLICATION 1 STA�LS GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORREC7. ALl PROVISIONS OF LAWS yALUATION SURTAX
AND Ofi01NANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED @
WITM WHETMEii SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT y+S�IO9 �Z.SS
OOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL TME pERMl7 fEE SAC CMARGE
PROV�SIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON•
STRUC7�ON OR THE PERFORMANCE OF CONSTFUCTION �L�S.ZS Fire SC �S.ZO
LAN CMECK FEE TOTAL FEE
Li nse $5.00 $137.90
$�GNGTUpE OF CON'WACTOp OA AU�MOpIjEO AGEN1 �OATE� N PpOPEpIV VA�IDA7E0 TMIS IS VOUii ERMI
S�GNeTUAE O� OwNEQ��F QWNEp BU�LOEpi �DAtE� 9l �NS� ��1 �
00
�rEw i ] cm vF FRw�r � ��e �nr�oo�
ADQN l� (783j b7Z�604 �Id�q Insp
�-� [ 1 $1Nt'aLE FAWHLY AND DUPLpCES R-7 AND R 2
6UIWIPtG PERMITAPNLICATIpN
E
c��� �adress: 1��� � �� �� 9 ��� �✓���/� l��
Legal pa�rlpi�on: ` �
C� Name 8 Addr�: � t-��� , T�i. �
CO�t�"dGtOY. ��" � � � r � � MN LlCE�VBE �
Addr�: ��� � % � < `� c�� �
Tel. �,
� p�N� Ai#� te this a�plic�iidn, a Csrtlficate of $urvey � the
�ot, w�h the pro�aed c.ca�on drawn on it to sc:ale.
DESCWPTION OF �ROVEMENT
LMNG AREA: L$ngth �_ 1(1�dth �__ H�� Sq. Ft
C�AA�dAGE AREA: l.ength Width -�_ �9�..._.___ Sq. Ft
DECfC AREA: �engfh � Wfdfh rQ�d
� � , �G _ Sc1. Ft
QTH�2: " i �,_ .��_�?( �-�('rr _ �_ '< E+ _ .�(`,, � � �
I
con�vt�on Ty�: Estimated eos� � �� ��-�`�
driveweY Curb Cut Wkittr Needed: Ft. + Ft = Ft x$ _$
�
DATE: � /l' �` ��� h ,
A� � � Tef. �
�
C!'iY USE ONLY - Call (76�.3604 far Pe�nit F�s � mailing in appilc,atiot� �
Perm�t F�e $ .�'�� `° � t��,=F� Schedule on Rev�r�e Side �
Fir� Surc�ter8e $ ;� . 9,-) .00'E of PeRnit Veluatian (111 C�°/a) �
State Surch�rge $ ' �
= � �� �� � �.SO/$1,OtJd V�Iua�Ion
SAC Chan,ge � $14 5t� per SAC Unit
License Surcherge $ �-� o'"` $S.QO (Sta� licensed Re,siderrtial Con4ractors)
Driveway Esc�ow $ Alt. "A" or Att "B�� Abav�
Erosion �,ontrof $ $45A.00 Conserve�on Ptan Reviev++
Park Fee $ Fee� �7efermined by Engin�rtng
Sewer Msin Ch�r9� $ Agreemerrt We�cessa�Y j 1 Not M1ie►cess�ry [ j
TaTAL
ST1PlJL�1T10NS
�� `�� s.
$ � � �
iG
/� � �
�0/�0'd S98t8�biS9 Ol d31QI'c� �0 .11I� W� SS:80 SOH�-G0-H3�
t�Ulltllllb
Inspections
763�57�-3604
76�-502-4977 FAX
�� �.. �� �C,�
�������'� �����:1��'���
���'� ((�� �'�1��.,EY
DATE �' ��� � � YOUR E-MAIL ADDRESS
SITE ADDI�ESS I%�= �-R �lL A t� V.J �4•�
�.
THIS APPLICANT IS: 0 OWNER �CONTRACTOR
Yernut No.: � ��
Received By:
Date R�:P fl � � r�► 9 d, '7
PROPERTY NAME: J� r� ' `� p�.ps,�
OwNER/ ADDRESS: �% O C,' Y�.+4 1 C W��., C1TY F2 i PJ (�, STATE �"I N ZIP � SU3 L
TENANT pHONE:''j 6'� S°7�F DS � R
CONTRACTOR COMPANY NAME:_ I�,ils � � C� �^y� Sln �l � b''t l.� n-- t
SUBMIT A COPY OF CONTACT PERSON: c�^ �� � 12,� '
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH ,�Dx�ss: �d9 o a-�a��► 5� N� ct� F,�e,�tt STATE N�' ZIP SS�3L
APPLICATION pHONE '7 6 3� S�-} ���`� FAX
PERNIIT TYPE
TYPE OF WORK:
❑ SINGLE FAMILY ❑ TWO FAMILY
� NEW � f�REPLACEMENT
❑ T�WNHOUSE
❑ ALTERAI'ION/REMODEL
DETAILED DESCRIPTION OF WORK �h .��( / �2.a.,o ( e., c.,�, t-� -�� A ��R„ C a� :� ��- � s'�'�`'
FEES ARE BASED ON 510.00 PER.FIXTURE, EXCEPT WHERE NOTED. . FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI7
EquipmentInstalled MFG: f2�+v+� MODEL: vA�i`_--r��,p-y SIZEBTU c3.'�i'f��
MFG:
MODEL:
SIZElBTU
MFG: MODEL: SIZE/BTU
� A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $]0.00
BOILER $35.00 FURNACE $35.00 GAS LJNIT HTR $10.00
CHI1VII�IEY LINER $10.00 GAS DRYER $10.00 POOL HEA1'ER $35.00
DUCT W9RK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
,� . ,.....� .�. , .... , ..., . _ . . ,
� > _ , _ _ ,,, _ ,
THIS IS AN APPLICATION FOR A PERMIT-NOT VAL1D UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge 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 APPLICANT C��►-i � R-a� y,y�p PRINT NAME C� �'! S / c� y0(J DATE �f �a - v�j
_ P.i*.°Fa:CF1�iF1T�"�� C'F�?AT2ki1;�?'T�PF!RIUR?'G Ai2Rl2FC"STi%i?�TS�"i�'lI7'RTTT1':'f`SfiNt'* �f..Ff':`t'R,T�AI':':;A�T9:°1V1�('Ta'A7�TC'.�T:�C'!RI�`' '>
Q� �, • � �
v
� ����� ��J
����
�Cit� �� �r�dle�
�uiiding ynspe�taons �e�a�°a�ne�t
6�31 TJniversity �venue NE, rridley, MN 5�432
763-�72-3604 FA��: 763-502-4977
I'
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