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AF - 40716SUBJECT PERMIT NO. City of Fridley _ - T- AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� '± �2g�� r � � � RE�EfiFT�ND:`� _ � • COMMUNITY DEVELOPMENT DIV. � �.: ------, 7 ��0��1 r � � PROTECTIVE INSPECTION SEC. .�/ 1 = � �� /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV •"'� � ,�� 612-580-3450 910-F15 2-21-75 � � 108 ADDRESS 5564 East D� Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 2 2 Innsbruck North - 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE John Suhrbier 3 CONTRACTOR • MAIL ADDRESS ZIP PHONE LICENSE NO. Robert Lau en Homes o ated- - 4 ARCHITECTORDESIGNER MAILADDRESS Maple Grove, Minn. Z�P PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING es de a 7 CLASS OF WORK �4 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE � 8 OESCRIBE WORK � 3, � � � 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide a verifying survey before capping. SEWER L�ATION: 60' 5outh of Manhole (Inv. 946.74) Wye Elev: 947.55 7:+op of Footing: 950.55 Nlinimum WATER LOCATION: 3' South of Sewer Service ��'�ERATE PERMIiS R�Q�9�RE� ��R t�'it�ifi��: �"���tT��`��s; �9...�d��l��a �aN�i J�`i�ii�s. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCl fi8.II1(: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�1 1926 26 856 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS 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 WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �FO 7GO.00 LO.3S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. C7O.00 325.00 PLAN CHECK FEE TOTAL FEE 05.38 :+ SIGNATUREOFCON7RACTORORAUTHORIZEOAGENT IDATEI HEN PRO E LID TE THIS IS YOUR PERMIT / �{l ,� c�� ��7 � � n SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG iNSP DATE -- AP.PLICATION FOR RESIDENTIAL, ALTERATION; OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEP.' S NAME :�� ��•a •��t �1 iL F� a�1� BUILDER �aQ T�r91,t ��'i•e �'�/�vtSS a1 iv L annxESS : annxESS : 8�66 �. e�s.� ,Lg k,� �, � ���Cf ��+u�J ��iu�► . S S` 3 � e',- NO •.SS� � STREET: L��ci J T ,U/3 �v u LOT: � BLOCK: � ADDITION:�N�� ��or�►� �'`�'v CORNER LOT: NSIDE LOT: SETBACK: �7. So SIDEYARD: �S- /3 Applicant attach to this form �tao Certificates of Survey of Lot and proposed buildi.ng location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As: ��z � 7`�1 Nr� � �/ rC��Front • .� � Depth • � � `�" '' � I Height • ` � Square Feet:-' - _.� Cubic Feet: �- A2,y Front : � � Depth : � 'Z- Height : Square Feet; Cubic Feet: 7.j►pe of Construction: �,�i��� Estimated �Cost: $ i�7o�o--*� � � ��',-I . � , / � � . � _x To Be Completed; � - 1- ?S- - - . ,- , = ... . � � The undersigned hereby ma.kes appl.icativn for a permit for the work herein specif ied, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representati�ns stated in this application are true and correct. DATE: � � 13 � ? � SIGNATtTRE d� �o (See Reverse Side For Additional Information.) -� l�] _ s-1 _ _ _ �_ BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any e�cisting building or structure, or for any alteration or repairs 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 provided to-wit: tJNIFORM BUILDING CODE: 1j►pe 1, 2� 4-$2.15 for each one thousand cubic feet, or fraction thereof, i:n such cubical contents. �ipe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building pernutts, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average � �height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a mi.nimum of 24 hours from the tima of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showiag the location of the foundation, once it has been constructed, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the uae or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occup3ed until a Certificate of Occupancy has been issued. � ,. - � _ .. .. , . - , ;, , - _ .. . : .. . . , , _. _ .. _.. �, ,=_ � , _ - - _ _ ---- ___ . _ � I ,, . i � e u° s���'O � �. - �.4'� � �S���f►'EYS �4�IPA�'It � �TMa�� �. ���� 6917 IDPiH4 AVE. N. GOI.Q�N YI�1.EY, MlNIV. ' :' ' BROOKl1fRt PARK, MINRf. , M1Ni�F. R�Q. h10. 4741 . LAND S�' ''YQ�S MlNN, REG, NQ b743 BE�T$B�g tJNDBB LA'qt8 OF �TA`F� OF 1�3H�OT� . ucnvs�n asr axnnvsxc� oF crr�. o� ��a�oa.is �; iNyG�e� lVO; 4��� - 6T4i 1Af. 8r�8waq' "s3�•9S� f: B.. NO. ;,,_. �'�i' " r3 • INQUSiR1At -- JUDICIAL Mi»neapotis, Minnesota',65428 � �b � : ��"e`-"'.""" CObAMGR�tAI -- tOROC�B/VBHICAL , �,,} _ GIM LUT5 .-t. PlATTING � ����`�j(,l�jj�"� ��ix��'�� .' d.:s. QENOTF.S 1Ri7N . " � "'. �8�.�7'�8�',s ; . . � . . �'�QCiC� H1�'b S . R���RT L�1U��Ai HO�+i�S xN�., � � Far � � � � � � � . � ���x��lv����� I G�ly 1 � - . ±. � �.� � _ � _' . . � �2 eva��.on cl��um as,�t�mec� � ' � - - - - „- �-�+ . . ea�'.� , � `�: � , �� '� � , � +� �. ' . �. �. . , ' � =i W . ' �`.'� � . � . .►:, . " � . ��. � �� . ' . ., ; , � ,�' . . _, _ . - �40' �., � ! � , . .� � � .i , ; .� . : ,+.� . :r�.c a � . _ � _ � � � � � � ����r : � � _ ,� � _ �.� ,,, . : � �, _ ' .- � A � �� ,�. . � . , ` � w � � �� � ..� ��' �,., _ i� � . . . +�`� ? �.�''� �� � , �.� �� . �17'.f,o e�' �` !d' � : � ��. � F . �. �� �'t ?t , ... . . ' ., `-• 3 F 4�' ' �,�� : �;. -� , ',���, o ��. • ,, }. , �� ' �, , - 'F�,� 4 � �r,r,1 '���' , ,, ��; _ - - -� � . - . _ . - _ __ �:, � .� -� , ,. ,. � -_ - .� _ . , �. . . - F", ra' f n . . _ �*� „+��,� f ��� . � • f. t o`� ' �� `° � . �e ���,,��,�� _ !� 1' �... ' !G'��� :' � ; . � `��',� � ; ' . . "� �„� ��� ,�',� . .,� � - . � sb 5� .� � �� � ,; Lot �, Alr�c� 2:, ��dN rBRU��€: ��i�'�'�. �1�:II ADi�:E`�'�� � " . t . , ;: . . , � ' � �_. Amec�ded ta 5ho�r `i'oune��t�.�n �ia��h 1�, 1'9 ��,,2 ' � We l+areby csrFify tbaf thia t� a trve aael car'ect repre�ia?icn ,''r' ��: �`�. of a s u r v e y o�F the bom�daries nf fhe ebova desctihes! lard end ,.,`" .,,, • � ihb (ocatlon c+� a11. bnitdings end visi6le eACraa+r�ments. i% any� � �%n � r= � Y�'� � ,;,"� fwm or on said laad. . �_`'�.�-" "�`�-�"" �£ � p, � - Swvey >; �� . ` � : .. ,�,,.. . . � ed by ` us �� �day o� �3eC 893"�e:Z' i� ��' - ' IA�� SU�i�YEYS� Cti�IriPAN3� ` ,', _ . �:: - . � 4x.: � . . . � � . . - . � � . � . `k � 4'.f 30Q�pSWMC1��1V� S. L�� ������ C�P�� �yi�l-�p ;!►y� -. � °� , , 6�1.iiEt�1 YAt�EY. AAINN. BROOKLYN P�ARif, t�UNN. . MINN. RE6. t+t0. 4741 L�D S���� M1NN. REG. NO. 6743 �,;. �8(i18T��iD IIZID�R I,►O8 Ot BTA�S O! ]ON1iR811TI1 . - trcexesa $i o�x;�xcs o� crrx or �NS�,►ro�s t�to� wa ' �463 7– !' ' 574�" W. 8roedway 533-99Z2 q�, Np, 1�.i7"��� � �� INDl15TRf�1l -- JUDICl/�l Minneepolis, Minnssota 55428 4� �'�r COMMHtCU1L — T�P�GR/1PH1Gll . �� �" s CiTY LOTS — PLHTTiNG ���p�jtr� ��'�u�� O — DENOTES IRON . (� " � B230'� � S ;.: WOOC� HU�S � ROB�RT .LAUvEN HOM�S INC . Fo�r 4'. � ` Excavation „ Only ,° `;>. :°�: ==:��. n � y�,� � � � � � � � � E2, evat z on datum �ssumed. �� �� . -� a, �rc�•.7 . . . . . � ) , ~V. ' Qi. � ' - � . . . . . . � � � . . � . � � . � . � . . * $. CJ ! �' � � . , �,,.'� . � .. ���� - �z . . l" �� ' •�,�� - - � - . . , � . . . . . . . � . ..,^-k 4a� � . ::w W . . . . � . /{ � �C . � .� - �� � . . �� � . . . . /J . .. . . ,�� f C � � ' lp0,(� (, �✓r % � ��� , Y ; ; V . r 9 ��2p., `d �•�r �. 3 . �` ; �r �,,_ -s�r..l � '4�' .P,, � ��, �''S" , � I G � � �- � ��^. � ` �u�'�l �t." 'a� '1�^� / �' Q �r»' . � b� � � � t�' � Saf' ry'�` a6,, �s2,' ,o�� � , io�. � � � �� �'l,iD ,� '8' a � �V .� � � 9f� � s P� �� � „ ",' R�.,��'os• ,� Q �� r . �j�, � ,� dN -a'f��d �� ,�,, S'c _ 1'�''� �� j,�' o; , t 1 , , v� • ' iDZ. j � . , '.��s � ' i, - � -,a ., � v, � ; !l ! ~� ��, �' �q " rt�`7 — '7 �e � . 'ya S- ck� SSSt. � 36.� ic,, �7 � "� � � �' . . . . , . .p., Lot 2� Bl�ck 2� INI�;�BF�EIGK NORTH �NU ADDITIOAI ^, r. _ ,f , Wf h�nby urtify tha# tklt is e tnre end core�Ct representstion / �` of � swvsy of the boundaris� of fhe above described land end ' fh� loceiion of all buiMin end visibls sncroachments, if eny. i� '�/ �I'�, / ��` hom or on said land. � sl�� � �:_:.--��: �i�� :.eP.' �P�'�,.'.�"/� . -`�•�+y'w''=„��....,_.:: -.� Sunsyed by �� �,n�dey of. Decernbar 19 ?4 3URVEYS COMPANY � . r" ♦ .,_ , , , .•. .. � Seu� e � ! S,. C� � ��'l . 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Wall Ceiling Roof F7oor Kind How Yes—No Yes—No 19_ 1 Fl.� ,•', .,��^ . Room Leagth /' Width / Height `� �' J_Fl.� ��.�C �; Room � Length /,� Wideha Windows and Doors—Crackage and Area Windows an� Doore—Crackage and Area Nldth Helght -No. ol Llneal tt. Are� { Wldth Ha16bt No. o[ Llnesl tt. Are� � No. ot p�ne o( Dane Ilghta ot crack �q. tt. P�.� 1 No, of Daoa ot pane ilght� ot crack �C. tt. 'T' !. fs' � �..- �� '� `" _ " � P' 'Ql _ �-7 F� � �. , �f,�A � � �i,; . 1= . Coef. Btu Inbltration .� � �. � - ;^"-, % Glass . !� � �'y �, �° Eup. wall : ,%' � Net c:p. wall _p ,� �- �% `' Ins. wall Ceiling f/ ,�t f,.� FI•�or � "" � ' Total Btu. � `� � � ' � Required sq. ft. E.D.R. or sq.'ins. W.A. l.eader area �: FI.V"''. -� Room � L.eagth �-! Width Height �s 4%� Windows�and Doors—Crackage aed Arca � Width He1�At No. ot Llneal tt. Are� No. of pane o[�D��e ll�ht� o[ cr�ek sp. tt. � `7 P � �� . +7 / � ° e4 • � Coef. Btu lnfiltration � ` ��"� `%' �;. Glaaa � � 6� �� P �., , Ezp. wall ,� 1+ � Net ezp. wall i°c.e) i� p. G� Int. waU � r - Ceiling ....'-. � �J 1 ' '�' ;,� Floor f; �� �. l�.. p Toeal Bcu. �' - , - '3.�° Required se�. ft. �.D.R. or sq. ine. W.A. l.eader area 0 ' Fl. ,�'_, • - �'�; ��oom Lengeh Width �= ° Height - � t='. Windowa and Doora—Craekage and Area Wldth Hd�bt - No. Ol Linaal tt. Acea No. of pane ot Dsne Il�ets ot cnck W tt. % .�/S i� �+� � .� oY . a:,'-.. lnbltration - Glitfs m Fsp. waU d� , �, s Net acp. wall lnt. wall Ceiling -� ,�' " }� loor . Total �tu. Required sq. ft. E.D.R. or . ��Y'i e ..� v�,r� -F�� � Windows and Doora-1 w�ein H�li�l 1 , No. ot yans ot pane I t�� Coef.� Btu Inhitration � � Glass '°► Exp. wall � � �° � �°a . Nec e:p. wall `� � � Int. •+all Ce��ing y-/ Z- . 1 tl�' Floor 7�otal Btu. � Required sq. ft. E.D.R. or aq. ina. W.A. Leader area FI.I (,�a•_e(� °�� �Room I Leagth,,-�? _. Q/idth/-� Windows and Doors—Crackage and Area Width Helght No. ot Lfneel tt. Ares No. ot Dans ot Dane ltB�t� ot crack eQ. [t• , � . ' �4� � c�" � . � "� ,� E_ Infiltration GlBSa Exp. wall �� - � P � Net exp. wall Int. wall I Cei�ing . ,� . Floor �� Total Btu. Coef. Btu ,� ^,. ,� �" + . ✓ �� �' � p '°�' `r ° `:;_ • , � .- —��' �(�'t y, i�' ,k p� , 15 ` /U � �, ias. W.A. L.eader ares 1 p f su�th _.� V�Iidth _/. Height r' F' " � �ckage and Area I o[ Llneal tt. Are� U� ot crack ��p. ft. , Infiltration � ,� � f F' � � Glaa " / Eup. wsll � ` ° / r Net exp. waU / ` "'" `�` Int. wall `t � Ceiling ! / - ,�"�'f Floor � ` Total Btu. Required aq. ft. E.D:R. or aq, ina. QI.A. L.eader area � '� . 'ar,i �.. . . . . . . .l'k�.___ _ —' _—__— _— �3� _ �..�..:�. . . � . .. Btu �... , �.� +? � �„_ � � !:. �- � t!-; z°�, / s�° � � ,°� �'� a �- � �: � � .� �a h � �7 C Required sq. ft. E.D.R. or eq. IDl. W.A. Lssder ares �/ _ � F7•� �;L.�,.:.:�.,' Room I Length Width /�� . He�gae ,� Windowa and 'boora—Cracicage and Area WIdtD He1QAt No. at Llae�l ft. Area o, No. ot Dgne ot D�ne Ilght■ ot crack tp. tt• -� �� � �'�s� F" � r �}� p+�+ •��' � 1 � � �` 1 �, �� i �!� � �'` � Goef. Btu CJaa� Exp. wall °' �` Nee exp. wall Int, wall I Ceiling .;a: a� �^-�, Floor � ;° � _ � _. _ % �...- �°� Total Bcu. /, �a �,/`� I Required sq. ft. E.D.R. or aq. ins. WA. Ltatkt area % Fl.�,%; ' fRoom I Length ,:�, Rlidth Height .� ' Windows aad Doore--Cracicage amd Axs — Wldth He1QAt No. ot � Llneal tt.� Are� No. ot Dane o! D�ne Il�ht� o[ 0raek �p. tt• l � � i ! D �' 9� ..�`f; � � �� ? !O ; � � c Coef. �3tu Infiltration � � � � > Glaes � Exp. wall ='�:�," m INec exp. wall Int. wall � Ceiling �..,� � Floor `� ..,-;w . �f � :� � i ��� II Total Btu. Required aq. ft. E.D.R. or sq. ina. WA. L.eade� area � _ E i,� I� • :� , �. �r '' ` �Hfa►T lASS �l�C1Jl�1TlON9 . ;; .�� Weather�triq G�� � Construction No. Windows Doo� Referertce Out. Wall Int. Wall Ceilins RooE Floor Yss—No I Yes— 19_. % E7•� ' ` Room Lensth a Width,/ _ Hei�ht �' FI.� KIAd Room I I Wmdows and Doors—Crackage and Area Window� and Door �Vldth Hel��t No. �[ Llnul tt. Arc� � � � WIGtd Helsht ��� � No. ot p�ne ot p�n� � Il�ht• of crack sp. tt. � No. ot pan� ot Dan� � r C.� S?'- Coef. Bcu lnfil ' � �..:, . ln�ulation How Applied � ength Width ckage and Area ot L1nw1 ft. Ana t� ot crack M. tt. trahon Infiltration Glass c�,-S �; Glaas Exp. wall �� '�' � , Exp. wal) Net exp. wall L � Net e:p. wall Int. wall • Int. •+all Ceiling Ca�ing , Fl:,or � Floor Total Btu. Total Bm. • Required sq. ft. E.D.R. or p: ins. W.A. L.eader area � Required sq. ft. E.D.R. or sq. in�. W.A. Leader are� Fl.� �.,,�.., : Roou+ I Len�h ;. . W;d�h He�Ehc i"'�-- Fl.I Room I L.ength Width � Windo � and Doo�t--Crackage and Area Windows aad Door�—Cncka�e and Area � � WIAth N�l� t Ne. el Llneal ft. Are� � WIdtA Hel�ht � No. ot Llnpl ft. An� �� �� No. of pane ot p�n• � � Ilt�t• ot cr�ck p. tl. - � No. ot paes ot pan� U�Ab ot cr�cA p. tt. � •� � � � � � �'!', ` COtF. Bt1t ( � . In6ltration ""' In6ltration �' Caiass �,� •`-'� c:r. Glasa �; �� Fsp. wall -+ � ' r"- Ezp. wall - � t Net e:p. wall �, /' C" Net exp. wali Iet. wall ��t lnt. wall ,...� Ceiling �• Ceiling . �� ci,..._ .. ...� __, ?�'i ` : �ou� n�u. �' Required sq. ft. E.0 4 ' . ,�'f �'� 'G' � �1/ � Windows and Db � wiain x:i� -- s� No. ot ptn� . ot D� +' 7 or �q, ins. W.A. Leade� area m l.ensth,��' ; Width; ',„. , —Cnckage and Area Np, ot L1nea1 tt. Are� � II��t1 ot crack �a. [t . � a ''� O � �, � � In6ltratioa �, Glaa � Etcp. waU :,, ` �, _Net exp. wall lat. wall Btu x.= .,������� �� hloor � � �1 � �'` Total Btu. ' �" _ Required aq. ft. E.9.R. or �q. ias. W.A. Leader area /� �� �• --�m �� Width Height �'` � Windows snd Doorr-Crackage aad Ana �� - � Wldtn Htlsht No. ot L1ntal�tt. Are� . , �� � � , No. ot pae� ot D�n• U�At• ot er�ck �p• tt. .� - . . . . . � . :�� :� �� COlI. B�U s?; , �Qll�t�at100 ' �' Glau �- . Fap. wall . ''�# Net e:p. vraq - i� : Int. wall � � Ceiling �'±� " floor � " Total Btu. � Required �q. ft. E.D.R. or p. ia�. W.A. Ltader area � , ,�, , - a a . �.,.r 1�--'-� •�•n � �..R.� �'� .i ,k . d . . , � •:�.. . , , . , , Floor Tota! Btu. Required �q. ft. E.D.R. or �q. iris. QI.A. Le�der are� F7.� Room I L.enath Qlidth Windows and Doors—Cnekage and Area �Wldih Hel�ht No. ot Ltn��l ft. Art� No. ot pan• ot D�n� IIiYt• o! c�atk p. tt. &a Height BW Glaae : . Esp. wall Net exp. wall Int. waU Ceiling Floor Tota) Btu. Required sq. ft. E.D.R. or sQ. in�. WA. l.eadu area � Fl•I Room I L.ength Width Height Windows and Doon---Cnckase and Area WIdRh Hal�ht No. ol Llnaal ft. Aro� � � .. No. ot Dan� o[ D�n• Il�bt� o! craclt a. tt. . �. COtE. HtY Infiltration . Glass E Exp. wall Net exp. wall Int. wall ' Ceiling Floor _ Total Btu. Required sq. ft. 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Q ' � � : � 00 � � W C' • . . . � t%1 . � o. . 'O . . . e7 • • c� W ; ° � : ° o � ; � 8 • H � ��C n . o A� � � $► O i a h � z : :? a x � � " � • W � '' � • '' v � vi d i�•. « e� • p'� ic 7 N '° �-4 W � a °eeet��� ��� e� H �„ x '� °: �:+ �.. x q �. � A. w � � U � � � � � M ; 3 pq -, a � x � � � � � � �, Y � � b x z� z u 3 r� N�< � o� . � � � ' ' �-- � �.- �- T � �� �� �� ���� 560-3450 if � ���t�� � � ANOKA COUN7Y 6431 UNIVER5ITY AVENUE NE FRIDLEY, M{NFI�SOTA 55421 June 18, 1975 Robert I�augen Homes, Incorporated 6866 East Fish Lake Road Maple Grove, Minnesota 55369 Re: Finals Inspection @ 5564 East Danube Gentlemen: After making an inspection at the above captioned �ddress, the followinq corrections must be made before a Certificate of Occupancy can be issued. l. Joist Hangers on header off floor joist by stairwell.. 2. Nail up bridging on east side. 3. Sod front and side yards. 4, House number missing. After making these corrections, please call for a re- inspection. � Thank you. , � -����� �ti�. DARREL CLARK Community Development Administrator� Building Official DC/cs � �4 ��r� � �.� (k�" >�� �. a � ���� �-�_� ' x ..'�,k-. �q�r � _ 4 `�^.�.� < �,5� : ��. �� � � �* x � �� �- �� � ��F , 5�� �r,.���?�' .e W� � `��,�: �. �°,�� , '.��� . :�;_�� ,,: �: � -� ��F: �� . �'� �:�� � : "� ' 6431 UPIIVERSITY A!/EPJUE td.E., FFtIDLEY, MIPJNE30TA 5543F TELEPHOfdE (612)57f-3450 Apri1 30, 1981 TO WHOM IT MAY CONCERN: We were called to i.nspect the basement of a house at 5564 East Danube Raad N.E. to determine the cause of a damp basement. . On November 1Z, 1g80 we inspected the si.te and there was evidence of moisture stains along the front wall of the basement. The most probable cause of this comes from improper grading alorig the front of t�he house. The grade is lower at the foundation, causing surface water to run toward �tlie founda.tion when it rai.ns or thaws�. �f you have any further questions on th:i.s matter, please feel free to contact me at 571-3450. Sincerely, DARREI, G. CI,ARIC Chief Building Official DGC/mh sus�ecT PER O. City of Fridley -16 3 4 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R IPT . � `� _ _ _ COMMUNITY DEVELOPMENT DIV. �o � r � � PROTECTIVE INSPECTION SEC. � _ � � /"�1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,`� 612-571-3450 910-F15 / / 8/1�4/81 JOB ADDRESS 5564 East Danube Road N•E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Innsbruck 2nd SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE �� Daniel G. Kordiak 5564 East Danube Road N.E. 571-5419 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING R@S].a@lltl.�l 7 CLASS OF WORK ❑ NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WOFiK ConstruCt a l6° x 6° + a 9' x 6' + a 20° x 16' DeCk 9 CHANGEQFUSEFROM TO STIPULATIONS �,� y�+�' f �ARNING ���u�� ���e ����1 �a�� r� �1'is �N� 5�� �EIEPtl�iyE. ElECt1tle � utilt�ies �� ���,� �,�� C�S Ebc. ��p ��NG, e�� IRE� $y Z,�1�1i ��.P TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OFi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT f HAVE READ AND EXAMINED THIS APPLICATION l. STALLS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yS`3 OOO �`�.. 'rJO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .,53$. rjO NONE PLAN CHECKFEE TOTALFEE ' 9.63 49.63 SIGNATUHEOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT c���' ��;�-'/� � ��' �/' s (�%.�Q � � G�L�� � � �` �° �f�F,.� /I /3w Y ,.--- SfGNATUAEOFOWNER�IFO NERBUILDER� IDATEI BLOG iNSP �AT S CITY OF FRIDLEY Effective Aug. l, 1981 APPLICt1TIa� FOf; RCSIDLf�TIRL QUILDItiG PEFti�iTTS (�de�•r, Alter.�tions, Additions, or Repairs) ONJ��ER: ,g�ei �� �- /�ro�!�� ADORESS: ,a ,��/y ,� ,�'�.��� ��, �(� [3UI LDER : �,�%� � ADDRESS: TEL N0: S 7/— S�/g' TEL ��d0: Construction Location STRI�T NO: 3-S�y STI2EET: � 4� ,��i,�a., �i �s� LOT: � BLOQC: ,� ADAITION: �...s�r�, � �s, � Corner Lot: Insicie Lot: � SetbacY.: Sideyards: /S��}� Apglicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. � DESCRIPTIOid F C4��S P•U TIOPa � �Q ( �, : � � t,� � �3� : � Front: � Detth: Height: a� �� Square. �'eet: �u Qibic Fcet: � / �U �L� � � �?� �LA-SS Front: Depth: Height: ��1 Square� Feet: Cvbic I'eet: �� �� `�.� -� �� �c��9 '� ��� e�- Type of Construction: ����,��c_�r,�r Estiunated Cost: $,3�Qp�' Zb Be Oor.�pleted: ' Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $ $ , SE� i�VER�E SIDE OF SHEET , Riie undexsigned hereby ma};e� application for a permit for the �:ork� herein specified, agreeing to do,all work in strict accordance with the City of I'ridley Ordinances �id rulings of �the Departmc�nt of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. D�7T�: G, % �� SIG1Q11TUitE: i� �� /1 Stipulations: �s c��� �� � , P.� �°� � � L �B �� u �� • �-= `� � � � �e BtJILDING PE�RMIT F�EE SCHEDU�LE The Inspector of buildings shall, before issuing permits .for the erection of any building or structure, or for any addition to any bxisting buildinq or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 'PO'PAL VALUATION $1.00 to $500.00 $501 t�o $2, 000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 and up FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 ior the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction th.ereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $443.00 for the first $100, 000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building pennit fee DRIVEWAY DEPRESSION ESC�tOW: Concrete C�rb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B"; Renoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATI�ON Permits for construction will be issued a minim� of 24 hours froan the time of application to allow for proper review of the proposed structure and di the construction site. A Certificate of Suxvey of the lot, shawing the location of the foundation once it has been constructed will be required before proceeding with.the framing. s � �- . 5�,� �� -� � . +_ � � �� '� � � , �-` 'ti n` ti •.e :ti , -�._ ''�Y ��°. , o. � -, � � i ;, ,�y � � ^`1 � fv ) J_ {� ` �--� ---�-`_---,-- - �------------- l �4f , ' �. ____ _ __ , � � , ` r�3-- - - - � _ . � `��---� --_ _ _— --- - `') _ . _ . ---�- �� � - - ----------- .� , _- ---- � � �---- - — -- ---- - - �. ., — - - - — — --- - � .. � _ . _ _ .-_ - � - � - — _. - --- ..� � ---_ -- � ; - -- - -- — ---- --- - � _ � -- ------ — . --- - � - — - -_ _ � �`�. - _ _ _ _ - — — � — �- -- -- � ---�� . , - —�_� — _ _ - � �_ - - c✓ ,,� ._. - - - -- --- - — . �.� -- - - ---- - - . -- --;` � _ _ . .._ . . _ _ __ . __ _ _-_ _ _ _ ' ^� ) ,�J _ _ ___--__—_ __ _ _. _ ..-- .�f► - -- �J = . _ � - -- - - \••j3., r, . r y` . 1. ) - -- - . 1�� �� � - � _. _ - - -- - . _ d \� 3s ' ' ,'��,� � � _ __ - — -- - -_ _ � . _� � r�� � � . � � � y .� ��`� � --- -- - - - ;.�--- -���. � _�-' - � � . � � -1 D,� - . ' -»- ' ,; � �. c�� - -: - I �- - - - -� � J- - -- '- �-- - -....�, - - - - .�' � • i 1 ,� � ., � _.. p . . . . - _ _ _-- - — -- --- --- - . - -- —•�� �.� _ t _ '. -: •- � f � :-- � , . _ � " -� --- -----= 1 - _ _-- --___ . --- - .� _- �_ , - �� - - - _ _ _ �� - ? -- _ ___- -- - - - � �- - _ _ �j -..�- - _ _ - � -__ _ ` �_ . .� - - - - �� , . �� - - - -- - ,� =' - -- -- - - � - . ,, � _ _ __ -_ _ - _ - � _ .__ _ ___. _ . . _ � __. � � � _. . � . , J _ ___ _ _ _ .r• _. ._. _-' ' _..___ _- . __.. _ _ -r _ . _._. __..___ _c_ • �r � . . � __ .'__.. _'_._ - _ ___.",._.2 -'.. _ �_i ___ —.. _.. . ____--_ -- � � �. ..� • f ___ -____._ _-'_ _- -. __ - _ : _r _ _�'�+ - _' __ _ _---' , '____ __-'- _ . � � ` . _ __ _"_ - � • , , , � �' _ _ ' __ _.. - _ -_ _. _' "' _ _ _ ^' _ � . ' __ ._" '_.__v_ __.___...._' _._. .__ +. .�_ ._ . e - '-- __-_-_ _ __-_' -. • y r 1 r s, ^ 1-.� _ • ' . r . . . - . � . ' _ _. �.� '. _ _ ' ' ' ...�. _.. . _ . '_� . _-' '__ ' - - __'__.,_ _. ...._ - ..'_� ___'- 9l _ . ` � - -- - - - - - - .� -� -• - - - - - ---- -- t� 19 ti 0� �ti � rl+ �� S� 00�4:1'� � ���� ���, � x � QV� � ze��°L � �,s =��� � �1,b =%x�� �yfl��, ��J �� � +� P�� �� � 1 � � �0� Xt Z �� 91 � ��Z• � � -� � �� g� � _ �-�:.-_ .�.__�..... � � r�1 � , , • ;,� � s� � � � � � � � x� � � . r . � --- � .� , - = ' ff.�=-�- T� _ . ... �^_v �y.. -• � � - _'�, �_ ti � R�� {, c � L'� ` , a y �y 9 p ��� --� 4 ti �� � 1� r � _ � � . 6ERALD T. COYNE 300 BRUNSWICK AVE. S. 60LDEN VALLEY, MINN. MINN. REG. NO. 4741 tNDUSTRIAI — JUDICi/1l COMMERCIAL — TOPOGRAPHIGNL CITY LOTS — PV►TTING I ► � i � ; 1 I �� � �OT SURVEYS COMPANY LAND SURVEYORS QBfil8TS8SD UNDEB LAWS OF BTATS OF I�NNE80TA UCBNBED BY OSDIN�IVC6 O! Ci7'Y OF lQNNEAPOLlB 5747 W. 6roedwsy 533-9922 Minneepolis, Minnesote 55428 " �urnp�nrs �rrtifu��e ��B�:.T iAUJ�;tJ HOT�'::,� I?�C. RAYMOND A. �RASCH 6917 IDAHO AVE. �:. BROOKLYN P/1R K, M � ra N. MINN. REG. NO. 6743 iNVOicE ao. 46� 7 F. !. NO. 'r+ _ � SCAIi 1" � �' � , , Q — DENOTES IRON C7 — Denct es 'vlood Huts �'or Ex�avatior. Only Eleva:.ion datum assti:med. .� sb � .� � �---� ��C r. LoL ?. � Bloc�c 2, IhAISIIRUCk NORTH 2ND �JDITI�iV �� 1��� - � %; , /�, � _ O a� � �/ � .� �J �'� / �rc. 47 pr�e;.oe� ta ::!�io� foundatior. I�arch 1J. l�i?�7 � We Aereby cerfify Met this K a hus eed conecf ropresentation f . � of a �urvey of fha bounderies of fhe ebove described lend end � / �� / fh� locetion of aN buildings end visible encroachmsnh, if eny, /,��� 1 � � from o� on ssid lend. 5.�� ` � ����.%,i`' . �' . �f -" �� �••'' � Sunsysd by �� +��:�dey � Deceaber 19 74 LO'P�SURVEYS COMPANY �� TO: FROM: DATE: SUBJECT: En9meenn9 SewCr WelCr Parks Slreets Mainlenancc William W. Bums, City Manager John G. F1ora,�Public Works Director June 19, 1995 Sump Pump Chazges �J(�� � .�raNV�� F� �- -� � -�. ,��- � ��� �, ,-� ' ` � � J PW95-161 We have been mailing out letters to properties of known sump pumps plus those adjoining properties to advise them of the need to inspect their property and disconnect the sump pumps from the sanitary system. In that process, we have been scheduling a number of appointments to verify the existence or disconnection of the sump pump system. We have currently received two requests for exemption to the July 1 date. One is from the property at 556�East Danube. The male resident is out of the country until August and, therefore, they aze requesting an extension of the disconnection completion until the end of August. The second is for the resident at 5435 East Brenner Pass, who is contracting the work which is to be completed by July 15. Unless the Council has some concems, we will be honoring these requests and delaying submittal of a sump pump fee until these properties have been inspected and based upon the dates provided. JGF:cz i��� „.. r... , � � �� � z���� , �Q �� � Ur�,� ��--�..� LJ�_�+� t . � c� �� ��b�c5�-�%`�'' �w� � ���., � �,,�r`�`��.Y-,d ��. c�-G-��,.�,�,� `� ��� l� � ` �-� i�� 1�+ �-� %� c� �C�f���o .,� �`�"�� � .> � �-�.�.�- ���,.�- �-�c�. ---�' � c��C:� r-�� o� c9---r-� .����i, �r-1 , `��`V� -� �-��,�S-r�� w.� � � � �_ c�� o�-Y�. �c`.�--� ci�.�.� v�`� � �Ct� � � ,:� �,� l �`} cs �_��� � ���� . ��� � �-�-� �- � � �� � � ���r�-��.� ����� �,�, � ' 1 � �r�--� � � C�v��,ti�i.1� ,tiZ i � ���� � �--� �,�._�- � �., �� �,.� . J � � � �` `�\r �, � �l` _ � � r^+ �� �-�t.i`� ����' wV �-�l ��Q��l�� ' ^ � �� � �� v Y1 � � T � �/ � `� ` VJ`�V�A_ �V �JF�� � ��� � �Y�.. ' `�- `� o.� L, rr,�. � � �4� �� �,KY��� c.���.� 1��� � .� �� .� � l��-�: ��} �Q � ' . � ° �� � ���1 � r� ���.� � . � � � � cD—� ,S�-�`�-e._�r�.�-� � �,� �� \� `���'i`� ��-�" r � �C�t �.� � \ ,��� � � a��o� � c� c��. � �� U C�� �,� �.c�,'�� v �¢, �-�v,�, . � � `��0� ���-�` v� �� � �k ���--r�`�-� � �`.'��� �,�._. ��`�� \ \ `��,-�sz -�- �-� � ,��� LLU��rY`F,,,,� �!�.-�- � c (��`c�-�. C�� �� C�-� �� CQ�_� ��CLi b� ��:`.,1 � .����l.,�rr�i� , ����� � . � ��`-=�._,�.� . _ �-�-� �� J �-����� �v � ��� � , ��.�.� �� �.�'�� Y`c� �i ��-I� �� �� � ���� .. . . . , , . , .. . . 4k . . . . . .., ,i> :.. . . . ... . . .:i: . . . . . . .,. . . . .. , , . . .,.<.>. , , . . . ,_ . . .,. . . . ... , , . . . ... ., _ . . .. � � T N � � a O � � w Z O � Z W � � a U OW V0 � Z � Q W LLI � _ �� � Z �z 0 �o az W U � � OQ �p � � � Z � � oa V � a� e� � � Z 0 U w aW Nz ' z �, � N a � �� ���� O > ;. c+�D� � a ii�u u � � � W � � � g m O � � . � � ..� � � � t � � � Y � N � U � ��ta m U a L N ,��, +: L .� — � �s;� � � � � 1 m y � � _ � � � � � � o `o �i « o � � � a � +� � c � � � 'gm� � �s., c � v � Y � Q � � c � � � o � �—��� � �^op5 � � dr,0,, C d � �a � c � m c m L m O � � � � c � u�i � N m � c �' a t�-�2� � GC W � O Q 0 W N � cs � � m ��J �., ��,� �� O Z F_ � � W a '� � � U � ,Q � N w ' i � (Q � t� 0 Q 2 o p e' � W � � N J � � � � V ... � m C. � O O V U p U a F' _ -._ � � � _ � C � m , iz o m � � z° ��� c°a � « a� � � ` � 9 � C ; W �- : : ZO �G-,', �; �'a ccl:�� m Q �� �; N - p vf � ��c� L� N° J ��l�i � � 0 0 a �� � } � � '�a U � � Z c Q m m 2 � a m 'm ,i ' b , "� � W.. �-� _. _ . . . _. �. �,. ::�� '� . � �. e � � � � F . � r� �r �r r� � v� � n� .� � °o, o 0 0 0 0 0 0 0 �ri M P � P- N - c� � v} t�s � � m � 7 m i � � 0 � � � N � � m 'o � m � 2 � a � � Y '� � 3 N m C � � � �o � m�� � m Z �i > � /m� � a^ y. W ii, a c� m a� c � Q � �7 Z' � � C� N N a i L� c c a � � _ � U � Y Q m z O � � � df � O � � m a� �i �- �� m m � � �� 0 a '� Y � O d V c c� � Q. : � �, a � o c m C � �� m o E c`3 U � � � � U �� � LL �'n Q � o � � � �� — � �--_ ��-. «: `z-° � o � c 11. Z O z O «:. �"" � LL I � t � � � � Q � W U �" z W � � � i � Y Z o m � � � U �� a - I � ,.�; �� 3� . _._ .��_�, ��.�_ , .. � O 0 � w � Z O U W n. � Z w � � 0 � 3 -� � � � y, c � o �� � � m c � 0 d � lSf C Q �� Q �� .� � o � � � � 0 O � :� � o a U � � CHI EY AND STA K VERIFICATION The undersigned hereby verifies that t�e existing ciumney or stack: i. Has b�n carefully examined Yes () No () 2. Is free &om rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is s�urely supgort,ed � Yes () No () 5. Meets all current Code requirements for size and tohai B i U's conn�ted i'es () ltio () 6 Has total heating BTU's of � All other BTU's TOTAL BTU's 7. Has a liner b�n provided for water heater S. Has combustion air been provided for water heater Remarks: List ALTER.ATIONS Bein,g Done- HEATING CO: Sign� By; Date: �A�'��RQ HEATIII�� AND AIR CON�mONING C0. �... ...- � i LF1[{E ST���=T �E�'��`"-.`.; :;�I�, PriN 5�40�-29$8 PFiOfVE �j4-2656 � � Yes()No() Yes()No() � E-- � f:.�' Ha.: 410 W. LAKE ST. MINNEAPOLIS, MN 55408-2998 612/824-2656 ' ° ' -. E,, ' -� " - t , , .. = c <.�;�,,-ia.hp,«.-N -.. . _ , . . . HEATI .NG AND �Ih �ONDI,'�QNING CO iServinP 77te Twin Cities �ip�i�38" ORSAT TEST RE�CQ�tQ 1072 PAYNE AVE. ST. PAU L, M N 55101-3892 612/772-2449 � ADDRESS .SS'��f �p�-�� ,���_ CITY ����Sl � „�. --- OCCUPANT - '"`�'°"' � pWNER ,P d ;, DATE HTG. INST. /�--S'� INSTALLED BY . � GAS LINE BY �,�s� TYPE OF HEAT: GA F� HW STEAM SPACE HTR. UNIT HTR. OTHER `'�'"'°� GAS DESIGN MAKE MAKE MODEL �,�' l.�Q / G- ,�! MQDEL SERIAL ��-'Q Y��'�..�" 7l�''`,,�'� MAX. I NPUT �/��O ��' MAKE � OF BURNER BTU RATI CONVERSION CONTROLS "°"" THERMOSTAT HEAT PLUG��v��'�f��Gt�,L�/ENT SIZE `,r'� VALVE �,P KINO OF LINER �/p�-� SIZE �a NONE LIMIT ��,�--,.�r DRAFT HOOD - - REGULATOR LIMIT_ ES TTING i'� OG CHIMNEY CONSTRUCTION ��./'��� FAN SETTING r� ,� DRAFT ��1�,Q���c�'EST TAC p� �s G%�o PILOT TYPE � � LIGHTIN� TNST.�,,7 �D��-- ���� P I LOT MAKE r----�� PILOT MODEL '� PILOT TIMING ������'�,� PRESSURE � r,� � PERCENT INPUT CFH /�/� � PERCEN? STACK TEMP.,�„�"C PERCENT CO2 �� / DATE �2 �i .3 C �� NAM E � .�� .�. � � ��,:� _ .��:_ _, ��� �r- sua�ecr c�ty of Fr�a�ey AT TNE TOP Of TNE TWINS � �� L D 1 N G P E R M I T ;, ,� � ; y __��� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . i � j �"'1 � CITY MALL FRIOLE� SS�32 NUMqER pEV O�TE �""'� � �'' 612-571-3450 910-F15 3/22/O1 JOB ADpRESS 5564 East Danube Road NE t LEGAI �OT NO. BLOCK TfiACT OR AODITION oescR. 2 2 Innsbruck North 2nd Addition 2 PROPERTY OWNER MAII ADORE$$ 21P Christopher Menon 5564 East Danube Road NE 3 CONTRACTOR MAIL AODRESS ZIP Same 4 AHCHITECT OR DESIGNER MAIL ADDRESS ZIP 5 ENGINEER MAIL ADDRESS ZIP � � 3 i 696 �e� / � sA 6vnovEO Br SEE ATTACMED SNEET PNONE 763-572-9659 PHONE LICENSE NO PMONE LICENSE NO. PNONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOqK O NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CHANOE OF USE TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTfiICAL, PIUMBING, HEATING, VENT�LATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CpNSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED V�!ITNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 OAYS AT ANY TIME Af7ER WORK IS COMMENCED. NO DWIG. UNITS 1 HEREBY CERTIfV THAT I NAVE READ AND �XAMINEO THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WI7H WHETHER SPECIFIEO MEREIN OF NOT. TME GRANTING OF A pERM1T �Z,454 DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEFiMIT FEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON• STRUCTION OR 7ME PERFORMANCE OF CONSTNUCT�ON �S3 . LS PLAN CMECK FEE � � �_ . S�GNATUaE CO�N'QnC Op AUTMOp�ZEO AGENT 910�TE� e E�I�i FT STA�LS OCCUPANCVLOAO OFFSTREET PAiiKIN( IGARAGES $1.23 SAC CMAFGE Fire SC $2.45 TOTALfEE $86.93 IDATEO THIS IS VOUR PERMI' NEW [ ] ADDN [ ] ALTER [ ] Construction Address � S � Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal Description: Owner Name & Address: � (�ZI S �� �1�� � AP� r^� Tel. #_ 7� . '-� '7 2- " �J 6 5 � Contractor. � �n� �J�V'` MN LICENSE # Address:_ � (�ll„V�n� Tel. # � � 3 �--� �� -��, � �' LNING 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 IMPROVEMENT Length Width Height Sq. Ft.. Length Width Height Sq. Ft. DECK AREA: Length OTHER: � Width Hgt/Ground Sq. Ft. �i e.9,-e_ � Ci S' G% � .-'�-��g�v" Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ _$ �'�� �7 . DATE: � APPLICANT: Tel. # 7�b .� �� �" � G � P� I CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ �O - a�� Fee Schedule on Reverse Side $ . �Sr .001 of Permit Valuation (1/10th%) $ 1 _ a 3 $.50/$1,000 Valuation $ $1150 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 [ ] $ ��-�.� � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemut of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OOO,Q00 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1(}0 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 fraction 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 first $SOO,OQO plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,OOO,Q00 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "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 Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � NEW [ j CITY OF FRIDLEY Effective 4/1/2004 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION REC'D � C T 1�0 2007 Construction Address: S� �� �'.• � ^��� 1�C-1 �� / � l � � � Legal Description: Owner Name 8 Address: �o��a� aM�.�c9� Tel. �7co3� �� Z-rl�oS�7 Contractor. (��. n. �,� ►>..cS.o w�� , MN LICENSE # Z� .�i �% Z— Address: �IfX`� t���v.A.��� ( �o y � � �-�� �� �IU SS�(2� Tel. #(���� ���� Z�°� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cert�cate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRiPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Length Width HgUGround Sq. FL Construction Type: 5����iCc� ` Estimated Cost: $ ��2� ��� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: c0 �� � APPLICANT: Tel. ���r��ZZS —�(�C(� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5T1-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ �•�� $ $ $ ��� $ .� ���� $ � $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 $ (1� ,�� STIPULATIONS: BUII..DING PERNIIT FEE SCHEDULE The Chief Building Official sha,llll, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteradon or repair to any existing building or structure, upon applicadon therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 �o $Z�,� - -- $25,001 to $50,000 $50,001 to $100,OQ0 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEF,S $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 -$6� ���#i��t-$''t,t�0 plus�i�flQ for�aciradditi6naY��;888----- or fraction thereof, to and including $25,�0 $391.25 for first $25,000 plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each addidonal $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 $5�,000 $3,233.75 for the first $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 for each additional $1,000 or fraction thereof CUi� ��J'��S�CR� (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv Building Inspections 763-572=3604 DATE I O � ( S � SITE ADDRESS _� THIS APPLICANT 1S: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE �rE oa� wo�c: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER ADDRESS � No Re d Date ec' YOUR E-MAIL ADDRESS 5 P1 �P,(SO � iIC�N,�, ��(��p.�,�p r� ��,QGT •CoN- r1 STATE LICENS� # 7 ��1�.1 Q�� Z EXP DATE ADDRESS:� 100 l�l�oln _wQ4 Iv� �J ❑ BASEMENT FINISH ❑ DECK � ❑ RQOF ❑ SIDING �ri `l2 `-�( STATF�I+�IP�3Z Cfi'1' N�CW L'FOD'� STATEI�I�LIP SS4,Z $� 7�-'20 U � � DRAIN TILE � OTHER DESCRIBE WORK BEING DONE:_ P�2 olq c.i..•. c t�1 ...e L�e� .� c(�� r-� o n.l �� � SIZE OF .. .. ....... ..... .� ._ ' . SQUARES GARAGES PROPOSED SIZ.E: PROPOSED HEIGHT: SIDIIVG O Vinyl ❑ Aluminum ' ❑ Otl►er . WINDOWS IN EXISTING OPENINGS I�tYes CINo OR FOR NEW OPENINGS-DESCRIBE STZE OF OPEND�G CHANGES & V►'ID7'H HEIGNT U HOUSE ONLY ❑ HOUSE & GARAGE O ATTACHED GARAGE � DETACHED GARAGE IJSog'it ❑ Trim 0 Fascia LOCATION OF WINBOWS SLQpt r l•ea.g� rQq. �- p� h o.�t.1-Q_ BASEMENT IZFMODELING SUBMiT• I. Existing Floor Plan 2. Proposed fl�r pian 3. List of structural members to be osed F� FOR NEW CONSTRUC'['ION MCLUDING DECKS, ADDITIONS & PORCliES Ct��• 1• Sitc P1an/Survey showing the existing srrucmres and proposed project 2. Two sets of construction plans 3. Energy Ealculations TYPE �F WIt�TBUW TO BE IIJSTALLED NUMBER OF'WINDOWS I �. .�u.L rr.�� tuc� �pia�D UN VALDATION, INCLUDING THE COST OF LABOR AND MATERIALS; (USING TIiE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � 20'1. o J OCCUPANCY TYPE Permrt l�ee Plan Review Fire Surchazge Surcharge License Swcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ /, � � $ .�� $ ��,Ul� $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuatian .0005 x P�rmit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6g= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attar THIS [S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED ulations 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 a pe 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 whi�requi��review and approval of plans. 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