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AF - 43289SuBJECT City of Fridley '� ? � � �, 2�,: � AT THE TOP OF THE TWINS g U I L D I N G P E R M i T � � COMMUNITY DEVELOPMENT DIV. EIPT NO. � �y'_'___', r� �� r � � PROTECTIVE INSPECTION SEC. i � , ' �'��1 � CITV HALI FRIDLEv 55032 NUMBEA REV DATE PAGE OF APPROVED 8� �""'�" �'' 612-571-3450 9�0-Ft5 1/12/95 � � J08 ADDRESS 1383 Creek Park Lane NE ' t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. Pt (� ll} Revised Sub. ��1� SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders Inc 6260 Hwy 65 NE 4�308, Fridley, MN 55432 574-9871 3440 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL AODFESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�? PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 46' x 29' Dwelling and a 32' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide sod in the front and side yards. Provide a hard surface driveway. Provide City with copy of verifying survey before capping. Paid $750.00 Park Fee. SEWER & WATER: in same trench; 82' East of Manhole. Sewer Depth 9.5', water 7'. DRIVEWAY DEPRESSION ESCROW: 22' x$13.50 =$2,9,Z.00 �THE C17Y 0� FRIDL'EY DOES NOT C:�.!�'^�"dTEE Tru� ? 'ACCURACY OF UTILI.TY LOCATIOf� - ��: .�'� t �:�'S. ��'�� THIS DAiA IS FOR INFORMAT�CI�•� i��?, �=-- ��-Y�, Before digging cali for %1ND PERSONS USING THIS INFORMA ��v :..-HOULD�- a!) utility locations yERlFY IT ON THE SITE. 454-Q002 -- ��-r� ��'R�1IIlT� REQU9RFI� F�!� REQUIRED BY LAIM 'SEPa. . � , '�,ro;:; "', ;�.r��liVG, PLUMBING ��zJ :�i�NS. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMiTS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �137,950 �6H.9H $137.95 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S7RUCTION`OR THE PERFORMANCE F CONSTRUCTION. �772.SO �H.SO.00 ` l c�. PLAN CHECK FEE TOTAL FEE 2 �/��—! � License SC $5.00 $1,834.43 +PF & DW siGNaruAEOF ON�RACTOAORAU�HOA�2EDAGENT �onrEi WHEN PiiOPERL ALIDATED THIS IS Y�,�UR PEAM17 t " � %, % c wf SiGNATUAE OF OWNEP iiF OWNER BUILOER� �OATEI BlD �NSP �1 E NEW ADDN ALTER �� [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:__ ; 3�.3 C d�CC iC ��d21C �.�-11J� Legal Descripdon: Effective 1/i/94 Owner Name & Address: b�l C K►U t=a2 (� t,� ► �� S s �'l/ C. Tel. # S%�1 - 9 S 7.t/ Contractor; i� � I C�C I'U C: � rj I� I L D�dCS �!'V C MN LICENSE # O p o 3 y y o Address: ia �(� 0 1 fC�.►� ��" � 3 Z� � Tei. #. S7 �/'�S17 / LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the iot, with the proposed constructian drawn on it to scale. DESC�PTION OF IMPR�y�EMENT �� 3.3 Length �� Width oi � Height , Length __�_ Width � Height . 71L /G= S�Lt /:t= �GC �'L f l ��Y Sq. Ft. G�iG� - Sq. Ft. 7� - �y �� DECK AREA: I.ength Width Hgt/Cnound Sq. Ft. UTHER: /��.'ir�,�J' �� :�� 1 ��G % "�� Comer Lot [ � Inside Lot j] Ft. Yd Setback Side Yard Setbacks Type of Construction: �JC� Estimated Cost: $ '.� ��,�.5�'i , Approx. Completion Dabe: � (Cost on Baak j ��>, , : - Driveway Curb Cirt Width Needed: /G Ft. + 6 Ft = Ft x =$�" �'%G�� . DATE: � — 5 - % S� APPLICANT: Tel. # S% �/ - � �7 / Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ � 72, �_ s_ 137, �� $ Gk �� , `„�_ $ � f,J $ �'% O �) CITY USE ONLY �� ,��_ �yyS,F x i�. �` = ��, �y3,� Fee Schedule on Reverse Side .�S�l �- Si� S./; �( I'�, 92 =•�; ��t ; 3� .001 of Permii Valaatian (1/�Oth%) IS��'�13�' �:�U�,,� x��•�'�=l/7, I�/.°� $.�SO!$1,000 Valuation 13y� �t 3 � � Per SAC Unit : $5.00 {State Licensed Residential Contractors) Alt. "A" or A1t. "B" Above $ $450.00 Conservation Plan Review /y/ �� 5 $ �% SC �� Fee Determined by Engineering 1�� $ '� �� `� Agreement Necessaiy j J Not Ne��es�ary �J�''� � , �a ` �. �� ii��l �/r.� � ' ��-� S��ytF, i �f�til��r - TOTAL /� �"�� it/. � SS � ��e�-'�sc'� ,, � � ; � �� STIPULATIONS: ' � � � � �._____� ._..__.... �_.__ � �� " c' � �� '�' �;c-�r-��v �* �* * PIONEER * eng�neering * ,� � * Certi#icate of Survey for: LAND SURVEYORS • qVIL ENdNEERS 2422 Enterprise Drive Mendota Heights, MN 55120 ;612) 681-1914•Fax 681-9488 uwo PuwNEas • uwosc�E uta�iTECrS 625 Highway 10 Northecst Blaine. MN 55434 (612) 783-1880•Fax 783-1883 g,C1C,L�iVE.L� FU/GG�',e5 _ %t/C. House Address: �383 �e� P�� e Model Name: /1�89��i�9�lrGG Cld'lh�S �:n♦ _ .83_G1J • . , S'�o.. I _ anc�oacl�es 13-3v-zy-I�-�i� �' ,,� � � �� * �� , R�� 3.8 ,t t3.78 � �� - ��°�� . v� ,8 �-,��% �/��l � '�%��'�ft�i�'� 1 � -� V��' L S� ��/,�,� f� r �� t �l�«�� °'� �.95 / rt7 i,� '� `� �"3l�✓�f � �� .... ��,� ' ----1�/Q f "�`�; �1 i�l�� '' ��" f - . _ .� + �� ' � ...,,,��a /�' � ! - f , ` _�:... � . _� - .�..._. _.. - --__:�- ...____ _... _--�---_ 3�Z 19f.$ ti _ __ --- — — T e South l�..Qr--T� vr-rn�-West one=third (W 1/3) of the East two hundred forty-nine (249) feet, front and rear, of Lots Six (6) and Fourteen (14), . Revised Auditor°s Subdivision Number 10, according to the plat thereof on file and of record in the office of the Registrar of Titles in and for Anoka County, Minnesota. x soo.o Denotes Existing Elevation PROPOSED HOUSE Ei.EVATION x� Denotes Proposed Eievation Lowest �{oor E{evation: 887.3 --- Denotes Drainage & Utility Easement Top of Block Elevation• 895, y -- Denotes Drainage Flow Direction Garage Slab Elevation• 8� —a- Deno#es Monument --�- Denotes Offiset Hub Bearings shown a�e assumed . t" , __ .. ..ry... ... . . . I hereby ce►tify that thia survey, plan or report was reparod by �m�e �or u�nder my direct supervision and that 1 am duiy Re9iatered Land Surveyor under the lawa ot the State of Mi�nesota. Dated thit� dsy of �I�SasLS� A,D. 19 �. J Scale: 1�=30� (�l 132qz.o� � . . . ,, .� � i \ , i ,_� _ 1�] .� .�.�. : ___ �_ _ , � �.I i r ut- t-FiIULtY IlvSrt�iiviv ulv. 6431 University Ave NE Fridley, MN 55432 572— 3604 ��ic�uv� v�i �aiivaiy I, IybJ APPLICATION FOR PLUMBING AND f�AS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FL�OR PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range � � r Gas Dryer _ Back Flow Preventer Required ()Yes () No Type _ -� r RATE TO7AL JOB ADDRESS � � �` � � � � ^ �' �C ,� $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ �.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 �:_ The undersigned hereby makes arpliot�tioh for a permit for the work herein speciffed agreeing !o do sll work in strict accordance with the city codes and rulings of the Buiiding Division, and hereby declares that all the facts and representations stated in this application are true and correct. �. _ � � , 199�j � r� , � � Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1�o of Value of Fixture or Appliance D�. C�; State Surcharge $ .50 Owner n Building Used As ��{�,;�� t;;,�„� � ,� � Estimated Cost ;'„�(�; � �I�% PERMIT NO. � �� "=�` PLUMBING COMPANY ° � i � � SIGNED BY-� ��„ TEL N0. �� '�-�� `% _ � ,.� Rough—In Date Final Date � �� Approved MINIMUM FEE FOR ANY PLUMBING/GAS P TOTAL FEE $ n �L' PLUS THE $.50 STATE SURCHARGE CITY OF FR1Dl.EY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 �:7�i=�3�I�7�1�� Effective On January 1, 199.�� APPLICATION FOR POWER PLANTS AND HEATING, COO[.ING, VENTIiATION, REFRIGERATION AND AIR CONDITIONlNG SYSTEMS AND DEVICES JOB ADDRESS 138�3 - �1�2�� Residentiai Fumace Sheli and Duct Work, Bumer - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All dthers/Repairs & Alterations (LIST ON BACtn 1°,b of Value of Appliance or Work Com mercial/i ndustrial 1% of Value of Appliance or Wor{c Rate TOTAL $ 20.00 O � o $10.00 $ o 0 $ 10.00 $ $ 10.00 $ $ 10.00 $ /O, b O State Surcharge TOTAL FEE The undersigned hereby makes appiication for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes arid rulings of the Building Division, and hereby decia�es that all the facts and representations stated in this application are true and correct. � - 2 -z � 94.5 OWNER BUILDlNG USED AS ESTIMATED COS��B PERMIT NO. �� 5� `-' �-�-_ � ; � • :�: � �i :►�:� $ No. of Heating ds Circle One (Steam) (Hot Wate (Warm Air Trade Name�ita�.� Size No. j'U,!'/oD c 4yF� BTU �'DD,�m o HP EDR $ Fuel �7�!/ ��- Tota! Connected Load„��Soc� .50 � �Z�` MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFR{GERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE RE{NSPECTION FEE $30.00 *Air Condi#ioners can not be p(aced in a side yard without written permission from adjoining property owner. Burner Trade Name BTU HP HEATING COM Appraved B ��"7_'_ ; Size No. EDR Tel No.�� 0 �7� , i Rough-in Date � ina{ Date � � FiLL OUT BACK SIDE FOR STACK VERlFICATI�N ON REPLACEMENT FURNACE � sue�ecr PER Cit of Fridle � y y ��2' AT THE TOP OF THE TWINS g U l L D I N G P E R M I T : f- -- --- -- —� ; � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. i � "" , f � v � PROTECTIVE INSPECTION SEC. !�I � � `� � � � /'�'1 • CITY HAII FRIDLE� 55432 NUMBER REV DATE PAGE UF qPPROVEO Bv �""�'� �'' 612-57t-3450 910-F15 3/14/95 � � �oe aooRESS 1383 Creek Park Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 6,14 Revised Subdivision ��10 SHEET 2 PROPERTY OWNER MAIL ADDAESS Z�P PHONE Brickner Builders 3 CON7RAC70R MAIL AODRESS Z�P PHONE UCENSE NO Fireside Corner 2700 N Fairview Ave, Roseville MN 55113 638-3304 1068 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION C� ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK Install gas fireplace (Model CIC150) 29,000 BTU 9 CHANGE OF USE FROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNI7S OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �P 1 s lOO �. 55 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @27�00 Fire SC �p1.I.O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 4� PIAN CHECK FEE TOTAL FEE License SC $5.00 $33.65 S�GNA7URE OF CON"RACTOA OA AUTHOA�ZED AGENT �OA7E� WHEN PAOPE Y VALIDATED THIS IS YOUR PERMIT 1 � 0�� lSiGNATUREOFOWNEA�IFOWNEROWIDER� IDATEi BL G�NSP ��FTE � CITY Q� FRIDLEY NEW � ADDN [ J ALTFR [ ] CohsU-ucii�m AJcfrc I.egal Dcscription: pwncr Natne & Ac 7EL� �12-571-12�7 Feb 16,94 17�14 No.016 P.02f0' Effr,cti ve 1 / 1 /94 CiTY OF FRIDI,EY. � � ' STNGLE fAYVfi[,Y AND DUPLEXES R-1 ArtD R-2 �� %�3 � . � ' Buiiding Permit Application �. .....t Cc�ntractor: FIRESIDE CORNER MH LtC�NSE ti �(`�LQ`�_—._... AddreSS: � � L1ViNG ARCA: GARAGF., AREA: DECK AREA: OTH�R: ��. Tel. � .� Aitach t� this a�plication, a Certificate of Survex �f the lot, with thc prc�osed constructi�n drawn on it to scale. DTSCRIPTION OF IMPROVEMENT Length �� Widlh�� Height Sy. Ft. Len�th ,�� Width� Heigh�� Sq. Ft. Length � Width HgtlGrounc4 �,.,,,,$q. Ft. " C�--lC1 -� �3 � Li � ' 2 • �C� G�rner L,c�t {� Insidc I.ot [ � Ft. Yd S�iback �� Side Yard Setbscks Type oi' Construclion: , Estimatui Ca�t: $� �� > •�� , A�rox. C�mpled��n Date: .. _ �-A- , . . , � (Cost on Bac� Driveway Curb Cut Widt.h Needed: Ft. + 6 Ht �� Ft x� =$�� DATE: 1 APPLICANT: c Tel. X LQ�J� �� Permit Fee Fire 5urchar�e State Surrharge SAC Charb�; License Surcharge Drivcway Escrc�w �rosion Control Park Fee Sewer Main Charge TOTAL �,ITY USE ONLY $ �.� Fee Schetiule on Rev��se Side $ .OQ1 af Permit Valualian (1/lOth9'o) $ ' S.50J$1,000 Valuation $ �800 per SAC Unit $ $�.00 (State Licenxed Residential C�ntractc�rs) $ Alt. "A" t�r Ait. "B" Aix�ve $ $450.00 Conservation Plan Review $ Fee Dctermineti by Engineering � Agrecment Necessary (� Nvt Necessary [ j �� w STIPULATTONS: "" Q�� 1� � 3� �y-q _ _ C� I [ OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNtVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 Atigust 14, 1y95 Brickner Builders 6260 Highway #65 NE #308 Fridley, MN 55432 Re: Final Reinspection at 1383 Creek Park Lane NE, Fridley Dear Sirs: A final reinspection was conducted on August 14, 1995 of the above address and all required items have been completed. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, Z. 1_t, 1..� � Barry Rie h Building spector BR/mh CIiY OF FRIpLEY INSPECTION DIV. 6431 Universfty Ave NE Fridley, MN 55432 572-3604 Stories Closet;: 6asement : Floor � Floor 2 !;:... . .. ' Floor 3 Floor 4 C��U,�� 5�� /RJ�CG� PLUMBING FIXTURE RATES APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR G�ath: : W ash ; pCink Floor G�tQh.,' Auto. Urinal Tufz:::: Shower �Sink ;: Tray Fount ;. Drain Bastri,;�� Washer c�IST�'( NO, RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required Yes () No Type $ 7.00 $ 4,00 � � $ 5.00 $ 7.00 $ 7.00 $ 7,00 $ 7,00 $10.00 $ 7.00 $10,00 $10,00 $10.00 $15,p0 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1,5% of Value of Fixture or Appliance State Surcharge T07AL FEE .50 $_�.L`-' Effective On March 1, 1996 Gas �Misc Water Heater Range �ixt Gas Elec JOB ADDRESS ;� �i3 �t� ,��,. �` lw., ,� The undersigned hereby makes application for a permit for the work herefn specified agreeing to do all work in strict accordance v�ith the city codes and rulings of the Buiiding Division, and hereby declares that all the facts and representations stated in this application are true and correct. �u ^ � %U , 1996 Owner /�«�.� � K� �s -� Building Used As Estimated Cost �� s � �� .� PERM17 NO.__ /� �'�,� PLUMBING COMPANY � St �� SIGNED BY��__��---..� TEL N0. 57.7 -Zoj � Approved By,��'/�— Rough—In Date Final Date �� -- G� --1'--� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20 00 � PLUS THE $.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. City of Fridley AT THE TOP OF ?HE TWINS r � � � � � COMMUNITY DEVELOPMENT DIV. � a. V- ""' -, r � � PROTECTIVE INSPECTtON SEC. � � i � � � �""1 � CITY HALI FRIOLE� 55432 �'""'�� ,�� 612-571-3450 SuBJECT BU ILDING PERMIT , NUMBER REV DATE PAGE Of 910-F15 4/24/96 / / J08 ADORESS 1383 Creek Park Lane NE t LEGAL LOT NO. BIOCK TRACT OR ADDITION DESCR. O,14 Revised Sub. ��10 2 PROPERTY OWNER MAIL AODRESS Dick/Joan Kruse 1383 Creek Park Lane NE 3 CONTRACTOR MAILADDRESS Archadeck of River Valley 5608 0'Brien Ave N, d ARCHITECT OR OESIGNER MAIL ADDFESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK MAIL ADDRESS ❑ NEW �O ADDITION 21P Stillwater MN ZIP ZIP $E-F�'IGiIT NO. �� 5 RECEIPT NO. / �� APPHOVED B� SEEATTACHED SHEET 572-2039 PHONE UCENSENO i82 439-1370 PHONE LICENSE NO. 20016435 PHONE LICENSE NO O ALTERATION O REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Construct an 18' x 14' Deck in Rear Yard 9 CHANGE OF USE FROM STIPULATIONS See notations on plan. TO TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OF ABANDONED FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPIICATION 1 AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WOFiK WILL BE COMPLtEO $2 � 159 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROV{SION ANY OTHEA STATE OR IOCAL LAW REGULATING CON- 74.75 STRUCTI OR HE PERfO MANC C NSTRUCTIO � PLAN CHECK FEE OCCUPANCYGROUP IOCCUPANCVLOAD SQ. FT STALLS ��_ � Lic se SC $5 SIGNATUFlE OF CON'RAC70A OA AUTHORIZED AGENT IDATEI HEN PqOPERI CU. FT. OFFSTREET PARKING IGARAGES SURTAX �1.�$ SAC CHARGE Fire SC $2.16 TOTALFEE $82.99 D,THIS IS VOUR PF�RMIT C.�(.�� .o f � r/ SiGNATUAEOFOWNERUFpWNEABU�LDEA� �OATEi • BLDG WSP ql.TE NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: � � � � � e �� Legal Description: I d � 1.01 �1 ) L) ('� e 1S U�� io� *k ) d Effective 311/96 � � L �� '�/ I" Owner Name & Address: `UC,�'�l i� l,��i � ��L Tel. # � � � � � �q Contractor: _ i��il�� j1)�/') ��/ MN LICENSE# o�� -1 c3� Address: �QV �� E� �l�E � � �Jl l��Lt,�Te°1 � � ►rU `' �el. # ��—�3 /CJ LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length 1 � Width Height Length Width Height Length _�� Width ) �` Hgt/Ground �o Sq. Ft. Sq. Ft. Sq. Ft. o��o �C �'! J�� =� /�, (4L% Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: �C�1e�c��e, j�.eAje `J�fP• Estimated Cost: $ ,,.y� a��% G`� ,�. , Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. Ft = Ft x$ _$ DATE: �'i � ( � '� �Q APPLICANT; Tel. # �% �� ") � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � , $ � �, >G $ �` $ $ � Q'U $ $ $ $ � 2 99 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Deterrnined by Engineering Agreement Necessary [ ] Not Necessary [ ] . - a-. �� ' �' ! �:t.`d �� ; � �* '�y . . _� � ;* PIONEEA a-:��: ' u„o �,R�,�s • dHL ENdNEERS ,, * �ng neer ng . � �N�S . �o�,� ��,��,� � * �. * . � Certificate of Survey:: for: __�,L%C�/V�.L� �jU/L� :,,,, , House Address: /383 �� P�� Q �� 2422 Enterprise Drive Mendoto Hetghts, MN 55120 g12) 681-1914�Fax 681-9488 625 Highway 14 Northeost Bloine. MN 55434 612) 783-1880•Fax 783-1883 Model Name: � �� , � � �`� \ �/89�/��SE' C��+h•� 1:�.. .83.c� ' S�e.l �\' �93�y Pei. .neroe��es ' ' 893.8 l'= �� . � x�93�1� � D�843.7 $ k t�C�� qt ._ �.8931,.r� 4. I�I� 89 va l8 q3� 89t• Z, j� y4.o �'�/ � 8 �( j � o'P2c��o sC- i� o�� ,� ♦ ` Zy , a; � 1-tnUSL o i I� � � � P�� ° ° � � 1f � iy � ,� � 8•0 oi 1`f.o , . �I v 8Q3 C.o w. � b� � � I I �,�,0 89V�3 � cv � � � C�A�Z, �°�, . , o I I � N N 3,Z �11•0 �12.n o vs ' � � gq zoo —. —�� 9y,95 ` "893.6 �2 �� x$9 y, y ' $ . � I O �$lY C• P� � O ' � � � M M , � � � l 89L.t x 893�Z " •ica pq i q � . . . .� �yr� �� , � � House Wal! (�ail Trim� 2 x 2 (�ail Cap: S/4 x 6 � Rail: 2 x 4 � , -� Flashing '' � � , ��J Picket: 2 x 2 House Band: 2 x 10 � • Decking: S/4 x 6 Rail:� 2 x 4 Rail Post: 4 x 4 � Joist Span � Cantilever �� Ledger: 2 x 2 Deck Trim: 1 x 4 ;�'(S Joist: 2 x 8 . � Beam: (2l 2 x 10 - � � ,� Top of Grade �L ----____ ; 1 O'S OO 1994 11. 5. 5 truct'ures. Inc. Footing� 1' x 1' x 8" min. .° .- : � �a . �a ��,�� P� ` TY�1GA�� S��TI�N Column: 4 x 4, 4 x 6, 6 x 6 . •,� , .3� � �1� - - ,� ��,LI �� ti� �� v v4a _ �. a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 37 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D • • • E • • • F • • • G • • • H • • • � . . . � . . . K • • • M • • • N • • • O • • • p . . . Q . . . R • • � S • • • T • • • U • • • V • • • W . . . x • � � Y • • • Z • • • BB� . . EE FF 1 I � �� 5 � oo. ti v� . . ro . . . . . t . . 'Q. . . '`C . . q.,. �, � � . . . . . . . . . . . - �X��i'�C�-_ .��5?�t.1G�.�. . . . . . . .�"'�`-'° . . . . . . . . . . . . . . . . . . . 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P.�.R1�45 $�'�C i .T� .� . . �g_p. This drawing shall not be duplicated without the express written consent of U. S. Structures, Inc. p 1990, 1995 U. S. Structures, Inc. � 0 �O � . ---- ------- _;__ __; _. ��=--.��.-� . '. . a1d�aded� U. S. STRUCTURES, INC. CONSTRUCTION SUPPORT DATE C� OZ � OFFICE ��`�(E`T�.."�11A�.�.�Y _-- _. JOB NO. 9�j' ��'�' -L�.a� JOB NAME �.TZ U �� GENERAL NOTES: - ALL FRAMING LUMBER TO BE #2 SYP OR BETTER, PRESSURE TREATED WITH CCA TYPE C, U.N.O. - ALL IN-GRADE DESIGN VALUES BASED ON THE NFoPA. - OECK FRAMING LIVE LOAD =� PSF. - DESIGN LIVE LOAD =�OPSF. - ALL FOOTINGS �" SQUARE BY S" THICK, CAST IN PLACE, OR EQUIVALENT, U.N.O. - �" X �" COLUMNS, U.N.O. - (2) 2X10 BEAM(S), U.N.O. - �"X � "JOIST�16"O.C.AND�. 12" O.C. iN 2' AND 3' BAYS, U.N.O. - - PROVIDE JOIST HANGERS (B� ALL FLUSH FRAME CONDITIONS. - 640CK JOISTS (g� MID-SPAN fOR SPANS OF �O��OR GREATER. i� S 1�'�� e�5 �£Q� �_ � SE'E SALE.S t�1�A W'�'r - FC�t. FtJ�:'Tki-E'�z. I N �p. 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K/ / r � � PFOTECTIVE INSPECTtON SEC. 1 � � � /"�1 � CITY MAL� FRIOLE� SSI�Z NUMBER pEV O�TE PAGE O� APPROVEO BY �----�•' �•' 612-571-3450 9�0-Ft5 2/2/99 / / J08 ADDRESS 1383 Creek Park Lane NE t LEGA� �OT NO. BLOCK TRACT OR AOOITION SEE ATTACNED oesca. pt 6,14 Revised Aud. Sub. 4�'10 SNEET 2 PHOPERTY OWNER MAIL ADOR�SS 21� PHONE Richard Kruse 1383 Creek Park Lane NE 572-2039 3 CONTRACTOR MAIL ADORESS ZIP PMONE IICENSE NO Master Remodeling Inc 32 10 Ave S, Ho kins, MN 55343 932-9311 20012916 � AHCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS Of WORK O NEW O ADDITION ❑ ALTERATION C� REPAIR p MOVE O REMOVE e oescR�ee woA►c Reside; repairs 9 CHANGEOFUSEFHOM TO STIPULATIONS Call for building wrap inspection before covering. TVPEOFCONSL OCCUPANCVGROUP OCCUPANCV�OAO SEPARA7E PERMITS ARE REQUIRED FOR ELECTpICA�, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTMORIZED IS NOT COMMENCE� WITMIN 60 OAYS, OFi IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOfi A PER100 OF ti0 DAYS A7 ANV TIME AFTER WOFK IS COMMENCED. NO DWLG. UN17S OFFSTREET PARKING I HEiiEBV CERT�fV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STA�L$ GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAI( aND ORDINANCES GOVERNING TMIS TvPE OF WORK WILI BE COMPUED $3,500 $1.%S WIThi WMETMER SPECIFIED HEREtN Oii NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHEF STATE OR LOCA� LAW REGULATING CON• $87 � 25 Fire S �3. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CNECKfEE TOTA�F Lice C $5. .50 S�GNRiUQE OF CON"AACTOQ OA AUTMORIjEO OGENT iD�IE, EN ROPE ALIOATE T IS VOUR PERMIT ♦ I fj SiGNATU�7EO�OWNEQ�if�WNEpBU�lDEF1� IDAiE� � B�D �NSO � f�ifE NEW ADDN ALTER [) [l �l �( � � s� CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 0� 0� �� a ConstructionAddress: _ � � �,3 �"2EZ�.� ��/Z,C �,Qi✓� �/�i�L c�Y Legal Description: Owner Name & Address: �gg�nn�� Tel. # �7� — ad 3 9 �'�A�c� sou�n Contractor: Eteet�,. •.�.,,� �_,� .._ MN LICENSE # Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �°�� 1 Attach to this application, a��ertificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: /��,'�,,�'� ��.�q ��/r2 Estimated Cost: $ �� --, • (Fee Schedule on Back) Driveway Curb C�t Width Nee�ed: F�6 Ft = Ft x$ _$ DATE: % �6 q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �7.��'" $ 3 � SC� $ �75� $ � $�S�v� $ $ $ $ $ � SL� Tel. # %4/— �Sc%�f CITY USE ONLY Fee Schedule on Reverse Side .0�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 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 [ ] �uilding rnspections 7b3-572-3604 :��TE � � l� �ITE ADDRESS TNIS APPLICANT IS: �'Rt7t ERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: : BUILDING Permit No.�7 -�x 3t a RESIDENTIAL APPLICATION Received By: � CITY OF FRIDLEY Date Rec'd: 3 C� Y,o�L3R B-MAIL DRESS ��0 C� � S c� e( d�`��. on.� s_ t �� r�e � � n f r< �. ct ,� �. - OWNER PH�NE: �CONTRACTOR �ec(c �-2� N�E:_ RENEWAL BY ANDERSEN STATE LICE 1920 COUNTY RD. "C" WEST aDDxESS:_ ROSEVILLE, MN 55113 pxorrE 651-264-4777 sINGLE F LICENSE #20130983 TWO FAI�_ ❑ BASEMENT FINISH ❑ DECK ❑NEW rcp [� MAINTEI�TANCE/R�PAIR DESCRIBE WORK BEING DONE: 3[,� !!1C �IZE OF IMPROVEMENT x OOFING .r.;LIMBER OF SQUARES _ GARAGES ?ROPOSED SIZE: ?ROPOSED HEIGHT: �FDIIVG ❑ Vinyl � Aluminum ❑ Other J'INDOWS rN EXISTING OPENINGS �Yes �No OR FOR NEW OP£N1NGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ ROOF O SIDING � SWIMMING PC � � ADDITION ❑ REMODELING (o�) e� C. LENGTH ❑ HOUSE ONLY 0 HOUSE & GARAGE � ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia LOCATI N OF OWS /�r� (�l Q 1 Y f �f`ou1}� � 6 i�-1^7 [.c NUMBER � �3� CITY STATE_ZIP. ❑ DRAIN TILE ❑ OTF�R �� HT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCI�S SUBMIT: 1. Site Pian/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERLALS: (USING�HE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ , l I'v� OCCUPANCY TYPE ?ermit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow �,rosion Control °ark Fee Sewer Main Charge Total Due $ �(i. �'� $ $ a. o $ ti.�l $ S o� $ $ $ $ $ $ r �� .4a See Back Page for Fee Schedule 65% of Building Permit Fee (.4005} times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED lations 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 require re iew and approval of plans. 81�rNATURE OF APPLICANT � PRINT NAME T� m SC.I� �]n/f�- DATE �� Building Inspections 763-572-3604 DATE � `J' U (�''i� - SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLCCATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS � 3 G�t -e..-ck. �o.� V�. l�. � o ❑ OWNER �ONTRACTOR NAME:�'��(u� ��R.� ADDRESS: � nunwrc. �) n� --� . � �. ... NAME: STATE LICENSE # ADDRESS: PHONE ❑ SINGLE FAMILYlNE� ❑ TWn FAMII VMFw r Renewal By Andersen 1920 County Road "C" West Roseville, MN 55113 License #20130983 651-264-4777 ❑ BASEMENT FINISH O ROOF V O DECK ❑ SIDING Nt: W DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT OFSQUARES GA-� PROPOSED SIZE: PROPOSED HEIGHT: SIDIN�, ❑ Vinyl ❑ Aluminum ❑ Other ADDITION LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia WINDOWc IN EX[STING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPENING CHANGES & Pernut No.: Received By: � �� T 1 2007 'ATE ZIP ATE ZIP ❑ DRAIN TILE ❑ OTHER ;ri� HEIGHT BA M NT FMOD .tN cI1RMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NE W CONSTRUCTION INCLUDING DECKS, ADDITIONS 8r, PORCHFC S[ gti�IT• 1. Site Plan/Survey showing the existing structure and proposed project. 2. Two seu of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � � �- �i —' n�� ro � i►r�•., ....,.... Permit Fee � 1 � � Plan Review Fire Surchazge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge $ $ �.�- _$ I.�t4 $ �' �-L_ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make c6ecks payable to: City of Fridlev AttArl� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID 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 i� conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not ; 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 approvec plan in the case of all work which requir s review and approval of plans. SIGNATURE OF APPLICANT �(i�, [1 �^i,�� PRINT NAME 's DATE Building Inspections 763-572-3604 DATE SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WiTH APPLICATION PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: � �» t : �i� YOUR E-MAIL ADDRESS WSC�,`��CJ Q QQ�•[ C• il !� L. L/'"� v� n ❑ OWNER �BCONTRACTOR ADDRESS: � � CITY PHONE: �� " NAME: STATE LICENSE # ADDRESS: u SINGLE FAMILY O TWO FAMILY/NI Renewal By Andersen 1920 County Road "C" West Roseville, MN 55113 License #20130983 651-264-4777 ❑ ADDITION D GARAG ❑ BASEMEN7' FINISH ❑ ROOF ❑ DECK ❑ SIDING TYPE OF WORK: I O NEW ❑ MAINI DESCRIBE WORK BEING DONE: OFIMPROVEMENT NUMBER OF SQUARES _ A A .FC PROPOSED SIZE: PROPOSED HEIGHT: SiDIN� ❑ Vinyl ❑ Aluminum ❑ Other � u HpUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPENINGS OYes ❑No I.00ATION OF W[NDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ATE ZIP ATE ZIP, ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER 3A MENT FMOD . IN . c► Bb"[T• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, AQDITIONS_ &. PORGHES BMIT• 1. Site Plan/Survey showing the existing structure and proposed project. 2. Two sets of construction plans 3. Energy Calculations • witvuVw TO BE INSTALLED NUMBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION, INCLUDIIVG THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALLIATI[�N e 9_ nM —� .,.......,.,.....� ..._,.... Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ d (� $ $ ,S. $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residentiai Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= Rx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of F�d�p� s*r9� TH1S IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the inforrnation above is complete and accurate; that the work will be i� conformance with the ordinances and codes of the City of Fridley and with the Minnesota Constrvction Codes; that I understand this is not ; permit but only an application o a permit and work is not to start without a permit; that the work will be in accordance with the approve< plan in the case of all work whi requires rev' w and approval of plans. SIGNATURE OF APPLiCANT Gl�PRINT NAMEQ �Qi� . v�Gn y�� DATE��u�/ � Building BUILDING Permit No.: �0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY nate xec'd: �- �� EFFECTIVE 8-19-09 DATE -! ,� �J �/ YOUR E-MAIL ADDRESS �M�}� C�4�P��.(7R''/ C° COMCA57- /�%�7 SITE ADDRESS �3 8� G�� E�� R"�K L,�l%- � �R /O LCvf , M�/ .�� J� j Z 0 THIS APPLICANT IS: ❑ OWNER j�CONTRACTOR PROPERTY OWNER/ NAME: DA��4.�/� .�.r' J,4-��7 �rEf/ LBAG/-f TENANT ADDRESS: ��83 CREEK PA�/4 L�/ CITY ��A�-��'/ STATEM�iZIP.�S�'3 Z PHONE: 6�.Z � 3f�16 — 4'� 02 4- CONTRACTOR NAME: .JD� PH/LLi.a� — /M,A-L� CfyCP�ZV7R`� /ie,yE /�-fP - SUBMIT A COPY OF STATE LICENSE # p� �SO % S O 6 EXP DATE '3 '� ! oZ �/O YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: �36 � C.4E�� P�M/� [:,�/ CITY �i0�-t�-j STATEM�ZIPS3�3� INSURANCE pHONE 763 aa?.6 - 78 7o FAX PROPERTY TYPE �SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES � PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ',�d'$ASEMENT FINISH ❑ ROOF ❑ DRAIN TILE � DECK ❑ SIDING � OTHER ❑ SWIMMING POOL 1'YPE OF WORK: O NEW HOME CONSTRUCTION ❑ ADDITION D MAINTENANCE/REPAIR �:REMODELING DESCRIBE WORK BEING DONE: GR�A7� �l S�-7JKOU�-1 � S7��f%Y�- �O�-f /�% Ti4fc BA��'/�N7 SIZE OF IMPROVEMENT LENGTH �3 ^ 3�� WIDTH �oZ � HEIGHT �/ S FT �6 � ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITTONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes QNo LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�aoo ,�� OCCUPANCY TYPE �� 5- Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks uavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID 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 on site; that the work will be in accordance with the approved plan in the case of all y✓di-k which e ir�s review and approval of plans. SIGNATURE OF APPLICANT 1�'l �C��— PRINT NAME v�� P��-�-��5 DATE "1 �� 3/� Building MECHANICAL Permit No.. � Inspections RESIDENTIAL APPLICATION Received By: _ 763-572-3604 CITY OF FRIDLEY ' 763-502-4977 FAX EFFECTIVE 2-19-09 D�� ' ' DATE �(J '�O� D/ YOUR E-MAIL ADDRESS Y�C!]� t. s�C a-�-r' �!1 �� 1^ I�YI'EL.�1 A'YIIC'd� ) Y1C •�O rY► sITE ADDRESS 1 � £S3 1--1�h'l-Q.i THIS APPLICAN IT S: ❑ OWNER �SCONTRACTOR PROPERTY tvnME: ��1. : . < . ; : ,�� vIti OWNER/ ADDRESS: CITY STATE ZIP TENANT pHONE: �jl �J � � �- - � � 7 � CONTRACTOR COMPANY NAME: v SUBMIT A COPY OF CONTACT PERSON: YOUR STATE �ICENSE # �0�, - EXP DATE b LICENSE WITH ADDRESS: � 1. CITY STAT��ZIP��C{ APPLICATION pHONE `7 y (� - � `] � FAX �? �� ` �,— � (� �4 3 �{—� [o g �i PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' � NEW ❑ REPLACEMENT �ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK - S ` - ci,r_�_�4-S�.Y`ct��[�ci- • _. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBN _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 $10.00 BOILER $35.00 FURNACE $35.00 GAS LJNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $I5.00 Number of%xtures @ $1Q,00 x $10.00 = $ Number of fixtures @;$15.00 x $15.00 = $ Number of fixtures � $25,Ot1 x $25.0(? � $� Number of fixtures @ $35.00 x $35.00 = $ Sta#e Surcharge = $ .50 � IMUM FEE $3550 Tota.� _ $ � ` � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID 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 vst rk which re ires review and approval of plans. SIGNATURE OF APPLICANT T NAME DATE �� !/ � �/ PLEASE NOTE: S TE PERA-IITS ARE UIREI3 FOR BUILDII�iG, ELECTRICAL A�ID MECHt1IdfCAL W(3RK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977