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AF - 43358�!/IIN�ER ENGINEERINC� Ci�.,I3�C. ENGI NEERS AtVD SURVEYORS �r.No evave.v�ao SDI�� TESTINO CIVIL 8r. MUn11Gi0AL ENQINBEAIN(i LANtD C>�.A1+ININO 6418-5GT" AVENUE N. MINNEAPOL�S 2i', M1NN. KE T- 3657 ��r��i�e�� I� !� �rs�� . ��`� q � ,� � y ,a � r„ ,� M ;� y ,; r �,r - ' `�. ,rK� % k � ,�. I"" ` �i �:' �- �ir, 'F + � ;alr, N^ib," ' , �, rr, y_. � �•• p�� "� �' -� ��+ �•4 .--k,l'�. ,t `"r `�. �f � �� 4 �i Ci .°�� c'�� ` s � � F� � � �,-' i�" # `� 1'S � w C� `�,� ..... � s�`A._ n� - �� ew `- � r � .. . � � ' r � .�� „:��: � ,,. ,�� .� �� A � L�� , ��,�� :r��a� ��-�� °��,. �iB1E KERE�Y teR71FY TNAT THIS IS A TRUE ANO CORR�GT REPRESEN'�'ATIp►J OF A SURYEY OF TFIE B�lNOAR1ES tiF Tl�E �ANp ASbYE O�SCR�SE� ANO OFTHE LOLRT�ON oF AI.� BU11.4tNG5, IF At.tY, TKTcREON, AND A1.� V1Si8lE ENCRaAtHMEN`fS, �F r.�►.�r, FRaw► oRON SAI� LAND. MINOER ENGINEERINC� CO., INC. QATED T1t�5 � O��( oF �`�p �a�!'t`+�C�'i° R.o.��59 EN1G�At�£Rg° AlID URVI2YOR /�. ^ _,N /�' —..�' �eyr�' � fC+ms../�'-.�t.." i � / � �a � � ~ � I � �. . +� 't-w? ' +s: -r ..�r , � �. � City of Fridley, Minn. BUILDING PERMIT .:- , , / I �� .�' f r � t�li1, /, ,.�.. ,� �fi+�i..rr . : i� � / . :;�:% _.. .. N° 6024 � LO TI O BUILDING No. .�� Street � !�_.._��'�—�L.-=� P t — �4�� Lot w�__ Block � Addition or Sub-Di�ion �r�� Corner Lot , 7ne�ide Lot ....� ` r---� Setback _�� _._ Sideyard _ Sewer IIevatian Founda.tion IIevation DESCRIPTIQN OF BUILDING . .. To vsed : r Front .��.. Depth _� Height �S� Sq. Ft ` Cu. Fti p� �i Front !�� Depth �� I�eight .�� _ Sq. F� Cu. Ft Type o M3on .� F�� Co� �� o be C�pieted s� In consideration of the �tssuaace to me of a percnit to construct the building described above I agree to do th� proposed work in accorda.nce with the description above aet forth and ia compliance with afl provis%ns of ordinances of the dty oP Fridley. � � In consfderation of the payment of a fee oP $�"""'�"� � permit is hereby granted to to construct the buflding or addition as descrYbed above. This permit is granted u�n the express candition that the person to whom it ia granted aad his agents, employees and worl�en, in all work flone in, around end u�n said building, or any �art thereof, shall conforan in all respects to the ordinances of Fridley, Minnesota regarding locat3on, construchon, alteration, maintenance, repair and moving of bufldings ��th�e dty limits and this permit may be revoked at aq�►��up�n violatioA.oY any of the provisions of said fi � Building Inapector NOTICE: 'nds psneh dea not eever �hs coestroeH�, teshlldiee fee �rhte�, ph�m6teg, on huHee, ssw�r o� wabr. B� wre �o sss fh� Buildiue lesp�eto� fo� ap�ral+ p�emtM Po� 16�a tt�s. _ �- � �-:w �� .� — _ -.� . s_.._,e �� . °'�r � � . � oC � .� . 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WaU Int. WaU Ceiling Roof F7oor Kind How Appli �o YCss�Pdo' 19— 'a �° '. Fl.� �:=~�,,,�;� Room � Length /� Width �,3 Height d� Fl.� Room Length �'� Widt6 �Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Helght No. o[ Llneal t. Area - Wldth Height No. ot Lineal tL Area No. ot pane o[ Dane Ifghte ot crack ep. ft. No. o[ paae o[ pane Itgbte � ot crack eQ. [4 �i u' �'- ��'' c`�- �� % �S �%0 .�- ��. �'� :� �.�� `� Coef. Btu � Coef. Btu Infiltration � � �'� �� 1n61tradon �� `,� � F� Glass .� . � •�a c.��' � ° Glaaa ci� �i / / �� F.ap. wa�t ' � � - �,� �� Fsp. wau ` � , , ° e�' � Net exp. waU �� 6 e.� �s e`� r? � Net esp. wall %� P /� ,/ 6 � Int. wall In� wall Ceiling � � Ceiling �41 � �_ Floor �° ,� � � e i° � i` Floor � , �� '�° � Total Btu. �i � Total Btu. Required sq. �t. E.D.R. or sq. ins. W.A. Leader area jZ�� $q, �, E.D.R. or aq. ins. WA. L�eader area F7 Room � Lengeh Width Height � ��j,� ��(�m ( Length Width �� Height � Windows and Daors—Crackage and Area Windows and Dcora—Crackag� an Area Wldth Helght No. ot Lineal It. Area Wldth Helght No. ot Lineal tt. Area No. ot Dane ot pane If6bta ot craak eq. ft. No. o[ yane of Dane 1lghte ot crack eq. [t. ,� �' �� '� ,� �' ,� r��° b � � 1 � �- v � Yn6ltradon Glass Eap. wall Net esp. wall Inc. wall Ceiling Floor Total Btu. � �' Caef. Btu Cflef. Btn � � .� � �- Infiltration j � � � � 7 �� . � � � Glass �J �� /lj�% "� Eap. wall � ° �� c�,�� "�� Net eap. wall �,�'� B,a � r �� Int. wall Ceiling �� S �- , Floor �✓� d � c� � :- ��? � Tota� Btu. � �'> � r Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area Required aq. k. E.D.R. or aq. ins. W.A. Ltader area FI. Roam � Lengt6 � Width f�' Height FJ,� Room I(,�ngth ��-�Vidth � P Wiadows and Doors—Crackage and Area Windows and oora-Crackage and Area Wldth Height No. oL Lineal tt. Area Wtdt6 Selght Na of Liaeal LL Ares No. ot Dane ot pane Ilghte ot crack sq. tt. Na ot pane ot.pane Ilgdts ot crack ea. tt �l .�' "� .,�i � � � /� `a f1 C �-� � ��'� � N e+ � � A � �� '�' ,�� c� �. � s'�, � Coei lnfiltration ,�' � A Glaas � ��( � Eap. wall � a ; �'�✓�° Net eap. wall �'� Int. wall Ceiling � �, Floor ,� l ?� � Total Btu. � Requircd eq. Et. E.D.R. or sq. ins. W.A. [.eader arca B.D. 218 Btu � � In6ltration E� ,� a�_ Glass Eap. wall 1� � � Net eap. wall In� wall Ceiling �;,� '� Floor a Coef. Bta =v� 03� ,� : �� .5� !0 �� ' ° � d � � ,�°� ? � � �i � ,� �� k. E.D.R. or sq. ias. W.A. L.eader area �. �_ � � °' � CITY OF BLOOMINGTON %-IEAT I.OSS CA1..CULA1'IONS DEPAItTMENi' OF BUILDINGS • WeaEherstrips A.S.H.V.E, C9nstruction No. Insulatioa Guide Windows I Doors Reference Out. Wail Int. Wall Cxiling Roof Floor Kind How Yes—No Yes—No 19_ ,�Fl.� Room � Length p� � Width ��' Height Fl.� Room Leagth �' �'�-Widtb� Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area �Yldth Heighc No. o[ Llneal f. Area Width Helght No. ot Llneal it Area No. o[ pane �of pane llghte ot crack eq. ft. No. of pane of pane IlBb�e � of crack eq. ft. �� CO �1✓` r 40 I FT �� 6a, �f, ,�� Coef. Btu Infiltration ��' � e�� Wa$$ �� 6-0 � n� F.xp. wall ` �� , �- o � Net exp. wall � ��l' � �' � �' `= Int. wall Ceiling � � ,� �� L: Floor '�1 � 'I'otal Btu. �°�°� _ Required sqFft. E.D.R. or sq. ina. W.A. Leader area �' 7.� - Room � Length Width ,�° Height ' Windows and Doors—Crackage and Area WIdt6 Helgdt No. ot Llneal It. Area No. ot pane of pane . 116bta ot crack en. ft Coe£ Btu Ia6ltration � � ,�,� `� Glasa �� , � � Eup. wall � ��- � .s � n�' Net eap. wall C° � � � Int. waU Ceiling �f' � � id` - Floor Total Btu. �� ' Required sq. ft. E.D.R. or aq. ins. W.A. Leader area �. a� R� � ��, w;a� �,�-'�H��b� Windows and Doors—Crackage and Area Width Haight No. 01 Llneal tt. Ares No. ot Dane ot yane Ilghte ot craek eq. tL �2. .�° , �i� 2 �,� .� � � Coef. Btu Infiltration �� ,� � � c� �" Glaas ��, � `�� 9� a� Eap. wall � ��Y s / � Net eap. waU D�� `,f`�' Int. wall Ceilin8 ,� / � � Floor � �a<�-,� �s Total Btu. �,/ � ;�' � Required sq. ft. E.D.R. or sq. ins. Q/.A. L.eader area B.D. 218 � � Height � i � �� -' ��' r�� I Coef. Btu Wiltration � � _ � ° / �' �'' � Glaaa �' . �' � �,�'� Esp. wall }C„r►�-= � �e� Net esp. wall ��- �� 7 �� Int. wall a � Ceiling /,�,��(i �� Floor ; },�. Total Btu. �•� Required sq. k. E.D.R. or aq. ins. WA. Leader area ` Fl.l „'� " Room I Leagth �� QNidth � Height Win�ows and Doora--Crackage and Area Wldth Helght No. of Llneal tt. Area No. ot pane of pane Ilghte of crack eQ. tt Infiltratiaa Calass Eap. wall Net eap. wall Int. wall Ceiling �7oor Total Btu. � � Requued aq. f� E.D.R. ot aq. ms. W.A. l.eader area Fl.� Room I LenBth Width Height Windowa and I Wtdtb 8� No. ot nane ot � In6ltratioa Glass �p. Wau Net eap. wall In� wall Ceiling Floor - 7ota1 Btu. e and Area °�"' r Waeal LG Ares � � a �' ;°� ot crack sa. it �� ,� Coef. Btu aq. k. E.D.R. or sq. ins. WA. L.eader area v� , '� � .� o�� D m 0. � � �� C P' � � w � M �q �` a � � Q '� a1`. � o � � � U � � G Q � .� m Q � pq w O o 30 O� oa � �a a�i � W Q M � z �' �' � �� .�C � .�. a O O � � � � �U,� w°�� ro �� .� �p�� '� a p u d � .� � i� o � � � � � a � � a .� � � �°O� A��.� � � � �b�� q p (� y � % HO � Gl O �; �'�� b�o� � � � � � �b � ��F '��" �� J w � 3 < � • z • � SJNIN3d0 �� 3�JNYN SV9 'IddY sv� U3HSVM oirrv sNisve �� SNItl11O aoo� •sa�,uis •.wno� •�Niao SAVtll HSVM S71NIS �� ►uw s�vN�nn � N31VM � a ,� , � , ve `� 5 � a� �� b � � � � � � � � � � �c ? o p�q � b a o � �. o � " � z ii '•bg � .Q O DC � H r� O �C mg m� OJ � �� .. �■�■ � - ,��■ � . ��■■ :: 1�� ? ,�.. . : 1�� , q � y � av � � C� � C'�° x � � � a � � ` ��' �, o� H ° ss� � v} y� vs es � t� N O N O N f� �' .r .-i .�+ M N M � W x �e �e x �a x � � W _ U :::::: � ' : : : : : W .. : : : � . d : : : : � � 0 J : nq : °o � Q � � •� � o � � � . � d N � � F • a, g' ° O Q '� � p .d a d �' � d O : � � � � � � � �� °4 �°°x� � � °' w v � � � � � � z w z U R z � � �� E ers err Fa � �°n, �°n, °o OG � � N k C4 °z � � � � <" `. � : � . � : H : : : b : : : : � : . . . � . . . � . � : � � : • o • • � O M . N � ��] � � � W � � � � O H � w � � a y � � � �i � e � A . � • � 4 � W sue�ecr P City of Fridley 2 0 8 2 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � ` R � `y _ _� COMMUNITY DEVELOPMENT OIV. �v�� r � � PROTECTIVE INSPECTION SEC. i i � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVEO BY �'"""� � �'� 612-571-3450 910-F15 5/17/91 � � 108 ADDRESS 235 Craigbrook 4�ay NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ZS 6 Pearsonss Craigway Estates 2nd Addn. SMEET 2 PROPERTY OWNER MAIL ADORES$ 21P PHONE Roland Peterson 235 Craigbrook Y,Tay NE 571-4835 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Scandi.navian Viking Cqnstruction 2718 Lakeshore Ave, Little Canalda 483-6078 a ApCHI7ECT OR DESIGNER MAII ADDRESS ZIP PNONE IICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW L� ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Constx'uct a 13t6" x 14� Addition anc3 a 24� x 16� Deck Addition 9 CHANOEpFUSEFROM TO STIPULATIONS See nqtations on plan. WARN�D�6 Before digging cali f�r ail utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY dROUP OCCUPANCY IOAD SEPARATE PEFiMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION �- STAILS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $13 50.0 yS`G e%S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TR CTI OR THE PERFORMANCE OF CONSTRUCTION. $�-S3.00 k'ire SC $�.3.SO ��2��A�y'� ! PLAN CHECK FEE TOTAL FEE �, � 5'-/ 8 - `�' $173.25 SIGNATUREOFCONiRACTORORAUTNORIZEDAGENT IDATEI WHEN PR PER V E HIS IS VOUR PERMIT � �r�� 11 SiGNATURE OF OWNER iiF OWNER BUIlDEf71 IDATE� • P � 1�T [ ] Effective 1/1/91 ADffi�T [ ] 1�1 AND �2 ALTER [ ] Building P�era�it Applicatiaai �:O�I]StY'l1Gt��1 AC�2^.�S L � JJ C('� ��9 a/� a� l,U a`7 �� I e y / l �t � J'r-.S' C/,3 � L�J'dl D�.,GC'1�011: Owner N�e & Ackires�: (�o�a� e�e�.�� o-..c o.s� eo�� ao�e�n�el. # 5`�1-' �'I S3S % Y83- 6o�S L'�i1t,Y'3Ct'Al: SCU��no-v t1D h �% i le t�n 4 �O�f ?'it.... ��7� •� T21. # G`r�T=�'q �U r 1�id,dre�-.�s: v4 7�/�" �� f�1'�.0 �• c�. �, e C�`��/e �'4.� �- d�. %'� � s s l�� Attach to this applicatiaal, a C'ertificate of Stinvey of the lot, with the pral�osed oo�tn�tioai drawn an it to scale. ., � r I1vII�X3 �i: ie�gth ( 3�(` wiclth t y' o" xeic�t..�--( �! o' sq. Ft. l��,� `f � � ARF�: Iergth width Height Sq. Ft. DF3CR ARF.�: I�ength �� :-o � Width /G'- U` i�gt/Grau�d �'-o ` Sq. Ft. ��F' OR'i�R: =� i�i�l S�,%� `�- I a�l S�, �2-� � e-P�v�� %o �'� Z�J�� 13, �Ir',y�a, �(�v � Corner Lot [ J Inside Iat [�/j Ft. Yd Setback Sid+e Yard Setbacks Zype of C�struction: Fsti.mated Cost: $ L°3� S� Z� Approx. Campletian Date: �� /s' -- 4 f Prop�ed Driveway Width If New Opening Is Desired: Ft. S S Width + 6' See Back Page n�: 5 -- /6 -- �l �c�,rtr: ��, � ��/�., � �. # � � 3 -- �� .t F� $ I �`3. �e� Fire Surd�rge $ 1 '3 S� State SurchaYge $ (� � `� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Q�azge $ Tor!'AL $ ' �, o� J �� ,� � `�§',�y � � i SrIPUTATI�iS: - �U$.�a CITY D8E �II,Y Fee Sc�vedule an Revezse Si�e .001 x Permit Valuatiaai (1/lOth �) $.50/$1, 000 Valuatia�l $650 per SAC Unit ' Alt. nA�� Or Alt. nB�� AbOVe Fee DeteYmit�ed by �'�g; r�ri m �t N�YY [ l No�t NeoessarY L 7 I �, � � a �C� C�--- �-(�, c� � �t�0 � � � . L s3a �ro :_�1� �_ � r �:�;�y�4�]!;�:��:i.:i:�i_��F:r �e Chief Buildinq Official shall, befa�ee issu.irig permits for tl�e erectio� of ariy �; i dir�g ar stn�c4�e, or for ariy ad�dit3aal to any existing building or structurn, or for any alt�+ratiaaz or repair to any e�dstirrg buildiriq or stzvcture� upon apPlication therefore, require tl�e payment by tl�e applicant for such permit of fees to the �t here]r1 be.lew set forth czTyd iI1 the manTwr �jn provideci to W3t: 'i�O�L VAIIJE $i to S5oo $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �� $15 (Minim� Fee is $15 plus �aYge) $15 for first $500 plus $2 for each aclditioa�al $100 or fiact3aa�1 thet�+eof, to arid irrludinq $2, 000 $45 for fiZSt $2,000 plus $9 for each additional $1,000 or fractioa'1 thex�eof, to at�d including $25, 000 $252 for fitist $25,000 plus $6.50 for each additional $1,000 or fractiaa'i the'reof, to azrl incltxliu�q $50, 000 $414.50 for first $50,000 plus $4.50 for each additioa�al $1, 000 or fractioa� th�reof, to at�d inclt�diryg $100, 000 $639. 50 for fit�st $100, 000 plus $3 . 50 for eac� ac�ditioa'�al $1, 000 or fractiaaz thet�eof, to and including $500, 000 $500,001 to $1,000,000 $2039.50 for tl�se first $500,000 plus $3 for each additional $1, 000 or fractiaaz thereof, to arxi including $1, 000, 000 $1,000,001 ar�d up $3539.50 for th,e fir�t $1,000,000 plus $2 for each additional $1, 000 or fractia�n thereof D�tIVE�Y D�Pl�BI�T EBQiOW (Gaa�crete C�b Streets �n1Y) Alternate °A�� : Removal ar�d replac�nt of ca� and gutter only - Driveway width plus 6 feet titoes $13.50. Altexnate "B" : Re�noval ar�d replacxinent of c�rb ar�d gutter ar�d install a 3 foot wide approach with 6 irx31 de�th -�iveway width plus 6 feet times $15.75. , :�• .- � .� .,. _. �� .. .� Permits for' ooa�uctioal will be issl�ed a+�inim„� of 24 hanlz5 fi� the time of application tro allow far pr�oper review of ti�e praposed stnictur+e and of the constructia�n site. A �ertificate of S�uvey of th�e lat, st�owir�g tl�e locatiaal of the fwrdatiaaz anve it has it has been oo�.stYUCted will be required before prooeeding with the fYaming. � (�� a ! c� �o �r� i 5�� oL � � � � ,, , � : %. t . ��.. � �� C1� � � ? �� -� P.�� '�l �-�� fiS 2 �� /�� -� � �� _ �, �,��-° �� a ��c� l �r �� . 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J 3o s�fLLg $��I I�ol s�H 9 / ( ) �l�I ( ) �� Pa��auuo� s�11.Lg I�� P� - � az�s io3 s�uatuannbai apo� �ua.un� � s�aay� • S i ) oN �� Pauoddns ,�jam�as sI •� ( ) �l�t � �� Pa�Poi sl�afqo uSia�o3 ou seH • £ () oH J� sa� uoqvJOUa�ap io �scu iaozl aa.� sI •z / () o�I ��'S'a� PauimExa �C�an� uaaq seg • i i :��s io �a�q� �upsnca aq� ��q3 saguan �9a�a� Pau�tsiapun aq,L I�IOI.L��I3I��A �I�dZS Ql�td 1��I�IIAIIH� �.. ,, _ J sue�eer • P . City of Fridley 3114 6 AT THE TOP OF TME TWINS � � f L D I N G P E R M I T r ; � CEIPT NO. � `v __�� COMMUNITY DEVEIOPMENT OIV. ` , r � � PROTECTIVE INSPECTION SEC. �-.1�� 1 . ; � � `;��"; � CIFY MALL FRIDLE� SS�32 NUMBEN REV OATE PAGE Of AVPROVED BY �----� '� 612-571-3450 910-Ft5 �� / / JOB ADpRESS 235 Craigbrook Way NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACNED oesca. 18 6 Pearson's Craigway Estates, 2nd Add, SHEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PMONE Dr. R. Peterson 235 Craigbrook Way NE 3 CONTRACTOF MAIL ADDRESS 21P PHONE LICENSE NO Citywide Home Improvement, 1005 W. Broadwa ls. MN 55411 612-529-2489 3013 4 ARCMITECTOFDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADORESS 21P PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C%�1 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace siding with vinyl siding 9 CHAN�3E OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an appraved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap befare covering. �ermit Inspection �ar�is � �lill �e Ma�iled % Homeowner To pos� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAO SEPARATE PERMITS AFiE RE�UIRED FOR EIECTfiICAL. PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONiNG SO. FT CU FT AUTHORIZEO IS NOT COMMENCED V�!ITNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME Af7ER WORK IS COMMENCED. NO. gWLG. UNITS OFFSTREET PARKING 1 HEREBV CERTIFY THAT I NAVE READ ANO �XAMINEO TNIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of �AW$ yA�UATION SURTAX AND OROINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMPLIED �2.13 WITH WHETMER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �4'�2SO.00 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pEqMIT FEE SAC CNARGE PROVISIONS OF ANY 07MEF STATE OR LOCAL lAW REGULATING CON- STRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION $111 s 2rJ Fire .SC .�4. ZrJ PLAN CMECK F E TOTA EE Lice C $5 122.63 S�GNATUAE OF CON'AACTOA Op oUTMOA�ZED OGENT i0at�i E PROP VALIDATED HIS IS UR PE MIT ��( � S�GNOTUAEO�OWNEAn�OwHEt+Bw�DEp� �OATE� BL G�hSO � qifE �n , � NEw ADDN ALTER [) fl [l ConstructionAddress: Legal Description: _ Owner r Contract� Address: CITY OF FRIDLEY SINGLE FAMILY ANri D�;��%ES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1 / 1 /98 �� LIVING AREA: GARA►GE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ` Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width HgdGround Sq. Ft. Construction T e: �� YP (�� ., � Estimated Cost: $ y',��j`� , (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: `� � APPLICANT: ' Tel. � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ � �' �� Fee Schedule on Reverse Side $ �� a � .001 of Permit Valuation (1/lOth%) $ .� I 3 $.50/$1,000 Valuation $ $1000 per SAC Unit $ � � $5.00 (State Licensed Residential Contractors) � Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ J Not Necessary [] �� $ �e22 ��1� g i a K � sue��ct P IT NO. . c�ty of Fridley AT THE TOP OF THE 7WINS g u I L D I N G P E R M I T 3 21 1 1 r ! �` _��_ COMMUNITY OEVELCP�DENT OIV. ��o�i IPT r � v � PROTECTIVE INSPECTION SEC. e� �� / � 1 . , ' � �� CITY HALL FRIOIE� SSI,$ NUMBEii 11EV DATE PAGE Of APPROVED BY � �----�: �.� 612-571-3450 9t0-F15 8/28/O1 � / JOB ADDRESS 235 Craigbrook Way � 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 Pearson's Craigway Estates, 2nd Add SFIEET 2 PROPEHTY OWNER MAIL ADQR@S$ ZIP PHONE 235 Craigbrook Way, Roland Peterson, Fridley, MN 55432 763-571-4835 3 CONTRACTOR MAII ADDRESS 21P P IICENSE NO Renewal by Andersen, 350 73rd Ave, Fridley, MN 55432 763-502-�7 20130983 4 AqCHITECT OR DESIGNEFi MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER q1AIL ADOFiE$3 ZIP PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK , � NEW ❑ ADDITION O ALTERATION 0 REPAIR O MOVE O REMOVE 8 DESCRIBE WOf;K New windows (11) 9 CHANdEOfUSEFHOM TO STIPUCATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking & flashing for all exterior openings. SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, tYP� OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIOM ZONING S�. FT CU FT. AUTHORIZED IS NOT COMMENCED VjIITHiN 80 OAYS, Oq IF CONStRUCTION OR WORK IS SUSPENOED OR ABANQONEO FOR A PERIQD OF 120 DAYS A7 " ANY TIME AFTER WORK IS COMMENCED. ' NO- DWLG. UNITS OfFSTREET PARKING I MEREBY CER7IFV 7MAT I HAVE READ ANO EXAMINEO TMIS APPLICATION STALLS GARAGES AND KNOW TME SAME TO BE TF1UE AND CORRECT. A�� PROVISIONS Of LAW$ VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L 9� CpMPLIED @ WITH WMETHEii SPECIFIED HEREIN OFi NOT. TNE GRANTiNG OF A PERMIT W7�685.00 �3.H�F DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CAMCEL ?ME pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STqUCT�ON OR THE PERFORMANCE Of CONSTRUCTION $153.25 Fire .SL' �%.69 PLAN GHECK FEE T07AL FEE ce se $ .00 $169.78 S�GNATUAE O� CON'N4CTOA OA AUTHONiZED OGENT iD�iEi ME PROPERLV VALIDAIED TNIS IS VOUR ERMIT S�GNAIUAE O� OWNEp�� OWNEii9WLDEp� IOATE� ' 6 � `'� �OG �hSP � � � qaiE �[ ] ADD1�T �� Ll [] �onstruction Address : Effective 5/10/99 :,: .: ;� � � . �, ,, � , �.�; . ;, ., : 1 �1 '�' � . �� . Legal Description: ' `''' Owner Name & Address: �0`0��► �1-e,� � (� Tel. # CoIItraCtOr:, " Renewal �y Andersen MN I,jCE1�jSE # 350-73rd Ave. NE — Address: Fridley, MN 55432 Tel. # 763-502-4777 AttaCh t0 #MN20130983 ' �e LIVING A�tEA: GAYtAGE AREA: DE� AItEA: r� � 1 • lot, with L � _ T - -- — - : ale. DESCIt.IF'�ION (9F %��4��1V�N'T _ � Length Wi3th Height Sq. Ft. Length Width �ieight Sq. Ft. Length YVidth � HgtlGround Sq, Ft. � n .w 11 A w w � 1 . • � �it � � � _ _ L [` � � _ ' _ ' _ _ • _I � A • � � c-�u1` ` 5'h "� `�4/�'t'� Construction Type: Estimated Cost: $ �� c�Y� Driveway Cutb Cut Riidth Needed: Ft. + 6 Ft =_ �t x$ —$ . n��: �. A •o ..��a�ae�,rrr: �,a•� �ei. # 9�a • �S� L�o4� Permit Fee Fare Surcliazge � s�� s��ge SAC Charge Lic�nse S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � 153.a� � �.ta9 $—�� $ $ ,�l-d� $ $ $ $ TOTAL $ /� 1�� STII'ULATIONS: crr�r us� oivY.� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%} �.soi$i,000 v�,�an $1050 per SAC Unit $5.00 (State L'zcens�d Residential Coutractors) Alt. "A" or Alt. °B" Above $450.00 Conservation Plan Review Fee Determin� by Engineeri.ng Agreement Necessazy [ ] Not Necessary [ ] , +► ' c 'r i ' a+' r : : ;�: ;:r�r The Chief Building �cial shall, before issuing germits for the ereetion of any building or structure, or for azry addition to any exisring building or structure, or for any alteration o� repair to any e�isting building or structure, upon application therefore, require ihe.payment by the applieant=for.�:suc1� permit:af fees to the amount..herein �low set forth and in the manner herein provided�o-wit: � TOTAL VALUE $1 to $500 $501 to $Z,Q00 $2,001 to $25,000 $25,001 to $50,000 $50,�1 to $lOQ,000, ---_... - FEES $23.50. $23.50_for first $SOO pins $3.05 for each additional $100 or fraction ther�of, to and•_in�lnding:.$2,Q00 - .. . ,$69,2� for fir�tt`�2;� plus $14.�_fo� each additional $1,OOQ or fraction thereof, t� and including $25,� $391.25 for first $25,000 plus $10.10 for each additional $1,� or firaction thereof,. to and inclu�,ing $50,�0 -. $643.75 for first $50,400.p1us $7.0(3 for each additional $1,000 or fraction thereaf, to and including $100,000 $100,001 to�$5(�,000 ��93.75 for first $100,0(}0 pins �5.60 foir each additional $1,000 or fraedon thereo�, ta and including $�OO,ODO . . $5�,001 to $1,0OO,OUO $1,fl00,001 and up $3,233.75 for the first $500,000 plus $4.75 for each additional $1,Op0 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof I)18g��VAY I)EPRESSION ESC�tOW . (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 5 feet times $15.50. Alternate "B": Remova�.and. replacc�ent of eurb and gutter and::instali a 3 foot:-wide:: .° . .- approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VE�iCA�ON OI+" a+'�UNDA�"ION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of xhe construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has i� has b�n �o �11 be required�before proceeding with the framing. � � ' ' A . � � SU9JEGT < � City of Fridley AT THE TOP OF THE TWINS � � ��, D 1 N G P E R M I T ;, .� � ; y �� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � j �'�'1 � CITY NALL FRIOLE� SS132 NuM9EN REV OATE PAGE OP �'""'�� '� 612-571-34b0 et0-F15 10/29/O1 / / lOB ADDRESS 235 Craigbrook Way NE 322�4 �/l� �ROVED Br 1 LEGAL �OT NO. BLOCK TiiACT OR AODITION SEE ATTACHED oescR. 18 6 Pearson's Craigway Estates 2nd Addn SMEET p PiiOPERTY OWNER MAII AOORES$ 21P PMONE Roland Peterson 235 Craigbrook Way NE 763-571-4835 3 CONTRACTOR MAIL ADDRESS iIP PMONE IICENSE NO Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 763-502-4777 e AACHITECT OR OESIGNER MAIL AOORESB ZIP PMONE LICENSE NO. 20130983 5 ENGINEER MAIL ADQRESS ZIP PHONE LICENSE NO Residential 7 CIASS OF WOIiK ❑ NEW O ADDITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace two windows within existing openings 9 CHAN(3E OF USE FROM STIPULATIONS TO Provide smoke detectors i� all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all extesi.or openings. P�rmit Insp��tion Cards I��II �e ailed To Homeowne� �� Past SEPARATE PERMITS ARE REGUIREO FOii EIECTRICAL, PIUMBING, FIEATING. �'r �� vv•�. VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED fOR A PERIOO OF 120 pAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBV CERTIFV 7HAT I MAVE REAO ANO EXAMINEO TMIS APPLICA710N 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TVPE OP WORK WI�I, BE COMPLIED @2 g65 WITH WHETMER SPECIFIED HEREIN OFi NOT. TME GRANTING OF A PERMIT `Y � DOES N07 PRESUME TO GIVE AUTHORITV TO VIOLATE OFi CANCEI T►�IE pERM1T FEE PROVISIONS Of ANY OTMEFi STATE OR IOCAL LAW REGUTATING CON• STRUCTION OR THE PERFOFiMANCE OF CONSTFUCTION �83 . LS PLAN CNECKfEE �icer.s S S�GNATUAE O� CON'AACTOp OR nUTMOpiIED eGENT IDAiEt �u � SO. STALLS $5 NCYGROUP �OCCUPANCVLOAD CU fT OFFSTREET PARKIN< IGARAGES $1.43 SAC CMARGE Fire SC $2.87 TOTA� FE $9 .55 )ATED 7H IS YOUp PERMIT . /�� f�iTE �[ ] AI�DN AL1'�t Effective 5/1O/99 � 1 C� �F i+�Y�I.E� L l S�tG� �A1�.Y � D«�� R� A1etD R 2 BUILDING PERMiT APPLICATIOI+T �onstruction Address: � o� 3� C.0 �.a.lot�K. c� � . Legal Description: ' Owner Name & Address: �n`q.'(�► �.�r}�SQ��i � Tel. # ��p� •$�-i • (�$'�J COIItr'dCtOi: . Renewal By Andersen MN IrICENSE # � 350-73rd Ave. NE AddleSS: Fridley, MN 55432 Tel. # 763-502-4777 At #�20130983 uvey of the � l01_ ___�_ _ n it to scale. DESC�I�I'd t�F� ��4��N� . � � LIV�TG A�A. GAgtAGE AREA: I3EC� AREA: r� . � . . Construction Type: Length Wisith Height Sq. Ft. Length Width Height Sq. Ft. Length Vdidtli � Hgt/Ground Sq. Ft. Est�mated Cost: $ p� , �p5 Driveway Curb C�t Widtli Need+�d: Ft. + 6 Ft =_ Ft x$_ —$ . naa�: a� ��01 a��Lie�: � � r� ��. � ��i. # 9�•�I.S � C�ay� Permit Fee Fire Surcliarge State Surcharge SAC Charge License S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAd. STIPULATIONS: $ �.a� � a •8�~ �_ � •�}�J $ $ �,Ob $ $ $ $ $ `�a � crr� us� oivg.x Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.SQ/$1,000 Valuation $1050 per SAC Unit $5.� (State Licensed Residential Conttactors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Deter�mined by Engineering Agreement Necessary [ J Not Necessary [] sue�ecr ' . Np- —_ City of Fridle� 27 � AT TME TOP OF TME TW1NS g� � L D I N� P E R M I T r � � RECEIPT NO. � `v _�_�__ COMMUNITY OEVELOpMENT DIV. f � � PAOTECTIVE INSPECTION SEC. �� i = . � ��'1 � CITY HALL fRIDLEv sj13P NUYBEN NEV OATE PAGE Oi APPRpVEO BY �----� ' �•' 612-571-3450 910-Ft 5 6 / 19 /02 � � JOB ADDRESS 235 Craigbrook Way NE t LEGAL L07 NO. BLOCK TRACT OR AOOITION SEE ATTACNED oesca. 18 6 Pearson's Craigway Estates 2nd Addition SMEET 2 PROPERTY OWNER MAIL AOORES$ ZIP PMONE t�oland Peterson 235 Craigbrook Way NE 763-571-4835 3 CONTRACTOF MAIL ADORESS 21P PMONE UCENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 a ARCNITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADORESS IIP PMONE LICENSE NO 8 USE OF BUILOING Residential 7 CI.ASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �] REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Replace 3 windows within existing open.ings 9 CHANGE OF USE FqOM TO STIPULATIONS � Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. ��rm�t I�Spe� �, �N�11 Be �� a�ds �'� �to�c� Ma►Ied � ��r T� P�s� ' TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PEiiMITS ARE REOUIRED FOF ELECTAICAL, PLUMBING, NEATINCa, VENTILATING Op AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTIOM zpNIN(3 SQ. FT CU FT AUTHORIZED IS NOT COMMENCED V`IITMIN 80 OAYS. OR IF CONSTRUCTtpN OR WORK IS SUSPENOEO OR ABANQONED FOR A PER100 OF 1p0 DAYS A7 ` ANY TIME AFTER WORK IS COMMENCED ` NO: DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIFV TMAT I MAVE READ ANO EXAM�NEO THIS APPLICA710N 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND COQRECT. A�L PROVISIONS OF LAW$ yq�UATION SURTAX AND OROINANCES GOVERNING THIS TVPE OF WpRK WILL QE CpMPLIED WITH WHETMER SPECIFIED MEREIN OR NOT. TNE GRANTING OF A pERMIT �3sSC.5 �I..7S DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLATE OR CAMCEL THE pERMIT FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- @ STRUCTION OR THE PERfOfiMANCE Of CONSTRUCTION �{+97.25 Fire S�,' �3..r77 PLAN CNECK FEE TOiAL FEE Licens $5.00 107.60 SiGNGTUpEO�CON:RACTOaOAAU1MOp�ZEDOGEN� iD�iEi EN OPE LIOAT D,.- IS IS VQUii VERM1� _ 6� � � S�GN4TUAE 0� OWNEpi�� OWNEp BUROEA� iD�iE� �' - sB�O �h5p � � �[ ] ADDN ALTER Il [] Effec;tive 5/10/99 CITY OF FRIDLEY SIl�TGLE FAMII,Y AND DUPLEXES R i AND R 2 BLJILDING PERNIIT APPLICATION �onstruction Address: � 3S C�f o�.qb�oo'� ��I I.egal Deseription: - Owner Name & Address: �o1atV.�l .e,�-c� �o�N J Tel. # � l0 3 •✓r�" I • �l $3 � Contractor:; 1�t�.wo�� 'lUV, A� �rc�.�� MN IjICENSE # o"�OI�j09�� Address: 19 a1 o Cot,�n� 1c ao►d C W�e, �: ��-,,:1k �'nnt� S�S I1� Tel. �(��l • alo4 • 4�'�- Attacli� to� xhis app�cation, a� Certif cate� of �Survey. of--t�e � lot, with the :�roposed �constir�ctioa. drawri°.on �it to scale. � , LIVING AREA: GAR.AGE AREA: DECB AREA: 01'��R: DESC�.�fiT'QF ��ib�E1VI�NT - Length Width Height � Sq. Ft. ��h Width Height Sq. Ft. ��h � VVidtli � Hgt/Ground Sq. Ft. :� . ., _ .. e . Construction Type: Estimated Cost: $ 3,5(oS Driveway C�rb C�t Width Needed: Ft. + 6 Ft =_ Ft x$ —$ DATE: )�{ ��Svrio • 0 0� APPLICANT: �Gv�,O�. Tel. # 9S a•3�S • i1�i �' Permit Fee Fire Surcl�iai�ge � State Surcharge SAC Charge License S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ q�. �S � 3.5� $ �� $ $ 5:•00 $ $ $ $ $ �D 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 Licens�d Residential Contractors) Alt. "A" or Alt. 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PERMIT�I� 2004-01609 �`� - _�_ =� DATE ISSUED: 09/15/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 235 CRAIGBROOK WAY NE PIN : 033024430030 LEGAL DESC : PEARSONS CRAIGWAY ESTATES 2 : LOT 18 BLOCK 6 PERNIIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 400.00 NOTE: COMBUSTION AIlZ SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENII�TGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 400 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERNIIT MINIMUM FEE 0.00 NORBLOM PLUMBING CO PLBG FIXTURES (NEW OPENINGS) 0.00 2905 GARFIELD AVE S PLBG FIXTURES (EXIST OPENII�TGS) 0.00 MINNEAPOLIS, MN 55408-2173 WATER TREATMENT APPLIANCE 0.00 (612) 827-4033 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE 0.00 OWNER GAS DRYER FEE 0.00 PETERSON ROLAND L& RUBY G PLBG REPAIR/ALTERATIONS 0.00 235 CRAIGBROOK WAY NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 35.50 PAID WITH CHECK # 29083 AGREEMENT AND SWORN STATEMENT This pemut 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 th�ave read and examined this application and know e same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating co s ction or the performance of construction. Applicant Date Bldg Insp Dat � � SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. NEW ADDN ALTER Construc Legal De Owner � Contract Address: � � 0 l V [l �� CITY OF FRIDLEY 6431 Ur�iversity Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION , � P� �� Effective 1 /1 /2002 °d� (763) 572-3604 Bldg n��"� ��. "�b E r 11 � r nLr � ; �v � ^ I.NING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEIIAENT Length Width Height Sq. F� Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: ��, ,� j�� Constn.iction Type: ��,�i �� 1�C _2�-- � ��;�stimated Cost: $ � s �:� S� — � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ D�ATE: V� APPLICANT: a" l� Tel. # �Z� � � �S � i � �.-. � Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � �3- a $ v� � $ I. �# � $ $ � 1�U $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ � TOTAL $ ��• �� STIPULATIONS:� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,OQ0 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES- $23.50 $23.50 for first $S00 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fracdon thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100, 000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the fust $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 fur each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concreee C�ub Streets Only) � Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "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 $23.25. VERIFICATION OF FOUNDATION Pernuts 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 once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv Building Inspections 763-572-3604 DATE � �" `Q SITE ADDRESS c THiS APPL[CANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS `� �d�� /�/` ❑ O ER 4�JCONTRA�TOR NAME: G� Q /� ADDRESS: a � TY /- PHONE: � G NAME:�� _ /�/l'/�j� STATE L[CENSE #� ��i EXP DATE 1 � ' ADDRESS: � � li-P � _ %� CITY� PHONE /y� /� � D O��/ S FAX ❑ NEW FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE DETAILED DESCRIPTION OF WORK Permit No.; Received By: ATE ��IP, 'ATF�'%%' ZIP �� PER MS 16B.665 the permit fee is a minimum of $I5.00 or 5% of the total cost up to $500.00, whichever is greaxer, for the improvement, installation or replacement of a residential fixture, excluding the fix� .(This should reflect only the cost of labor ) Labor cost under $300 =$I5.00. Labor cost between $300 to $500 = cost of labor J. x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (WDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV FLOOR DRAINS SHOWER _�R PIPING _ BATHTUB _ GAS PIPING rNl:�a�ri�rur•r,n.5i:) SWIMMING POOL ATER SOFINER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRR►GATION _ WATER METER OTHER Permit Fee $ Surcharge TOTAL DUE $ Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fiactures @ $35.00 � x $35.00 = $ `,� State Surcharge = $ 50 Total = $ � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 acknowledge that the informatian above is complete and accwrate; 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 al ork which r q ires review and approval of plan . SIGNATURE OF APPLICANT PRINT NAME �� E�"�' "� DATE � Z�/ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �uilding Inspections 763-572-3604 763-502-4977 FAX nA� r`l ' l - SITE ADDRESS THIS APPLICANT IS: �� J 1`��1��1�1 � ��EI�T'�`�14L A�P�LICA'�'�OI�T CI'�'�' ��' � ��,E� ❑ OWNER YOUR E-MA�L ADDRESS PI�OPEIiTY NAME: �l C! fnQ �'�-,'!�—LL�� OWNER/ ADDRESS: C[TY, '�ENANT PHONE: IP�� I 3S � - • I � � ��1 � � � � - - . : �li;! ,,► �!.:� 1 � . �. :y .; �` CON'I�Y�CTOR NAME: SUBMIT A COPY OF STATE LICENSE # u Q� ��rx ;;a�A YOUR STATE .�-o-�,—, , EXP DATE LICENSE, BOND AND STATE BOND # �,ri1-'3F�iri-'9 P�c�afl EXP DATE CERTTFICATE OF ,a,DDx�ss: 3670 Dod� �"c:fl CITY STATE ZIP INSLTRANCE pHONE Eagan, �{� �f,r i%� � FAX PE�YI'I' TYP'E TYPE O� VVOI2Y{: SINGLE FAMILY ❑ NEW ❑ TWO FAMILY ❑ TOWNHOUSE `�EPLACEMENT DETAILED DESCRIPTION OF WORK P� .��D1J i�'/� L� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IND[CATE TOTAL NUMBER OF EACH BELOW). MINiMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTI�S WASHER � KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) DISHWASHER LAUNDRY 112.AY _WATER I�ATER ($35) FOR IRRIGATION WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 Conslruction 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 on site; 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 ��y �� -gal�y ��n�fl�n�g ��sg�ec�n�ns ��partanent 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 ' FAX: 763-502-4977 DATE�' ` � — 1 �J