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AF - 41563City of Fridley AT THE TOP OF THE TWINS r � � � � ' ' COMMUNITY DEVELOPMENT DIV. � � ti: — � j � PROTECTIVE INSPECTION SEC. 1 , i l.-_'��"" �'� CITY HALL FRIDLE� 55432 Z 612-560-3450 sue�ECT PE BU ILDING PERMIT � 12695 REC % � `1�` NUMBER REV. DATE PAGE OF APPROVED BY � 910-F15 8/23/74 � � JOB ADDRESS 196 Ely Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oescR. 45,46 12 Spring Brook Park Addition 2 PROPERTY OWNER MAIL ADDRESS Z�p North Metro Construction 5203 Central Avenue N.E 3 CONTFiACTOR MAIL ADDRESS Z�p Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�p 5 ENGINEER 6 USE OF BUILDING Residenti 7 CLASS OF WORK 8 DESCRIBE WORK MAIL ADDRESS ZIP SEEATTACHED SHEET PHONE PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. [� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Construct a z 36' x 25'4" Dwelling 9 CHANGE QF USE FROM STIPULATIONS TO Provide a verifying survey before capping. SEWER LOCATION: 5Q' East of Ma.nhole (Inv. 850.81) iniye Elev: 851.06 Top of Footing: 854.06 Minimum WATER LOCATION: 10.2' East of Sewer Service 70' S.E.of Manhole SEPERATE PERMITS REQUIRED FQR WIRfN�. NEATfNG, PLIJMBING AND SIGN5, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� FY'aItiQ THIS PERMIT BECOMES NULL AND VOID �F 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 R�1 9�.2 ZH 24O ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED c� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y1%�GOZ $,80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $34.00 �S3OO.O0 PLAN CHECK FEE T07AL FEE GNATUREOFCONTRACTORORAUTHO DAGENT (DATEI � � .�=�3 7 iG A EOFOWNER�IFOWN BUILDERI fDATE1 EN PROPERLY VALIDA INSp 42.80 F�S YO�R PERMIT TE _ _._ _.. {� � � � . . . . . '� . . � .. .. ,++6" �. �--=� �,- _ _ �;_ � AP,�'LICATION FOR RESID�NTIAL, .4LTERATIOIV, '� ' �= OR AllDITION BUILDIhG �'ERMIT , �. CITY OF FRIDLEY, btINNES(?TA i O�iNER'S NAME:�%ir� %�'%,U/�» (.o�S/%�kC/��iiDF,R: ,� ADDRE$S : �o�O.3 L��t J� lf l . ,�41 /�QR�� ADDRES S : S � %ylp r, !�!� � N, ,�"'s-'y�- / - NO:�1�_ STREET: ! . LOT ;_ s �LQCKa.....J � ADDITION • s r,` �, ,� � �� CORNER LOT: INSIDE I�OT:___SETBACK: 3S� SIDEYARD: � IG ��/ ' AFF��t attach �o tt�is form 1�o.Certificates of Survev of Lot a�d proposed i buiiding location draw�t.�n the8e Certificates. .,,,_ . ..., r .� ` DESCRIPTION OF BUILllING � -�':.� �� .s� u��a n8 : , , ;: ��.� � � � � � � � � �� . -�/ ��`�arwF�ont:_..J !� � �� ...� ;Depth:_.�...�L �i gei,ght: 5 I'�;��'!` �, �� . > � Square Feet• �c�- Cubic Feet: �, .��; � �' � ` �`" `� Front: Depth : Height : ' _�...., , .�=� � � � �--� � ; Y Squa�re F�eet • .' Cubic Feet: � � � �...� � � Z�Pe of Construction: LN�00�C—�1^Q`'%'I� ` , , Estimated �ost;�� ' �� . / / `� To Be Catnpleted ; / r� —�J� = %� %" � �r � y %� Gp : � �f� . �:.. �'he undersigned h�xeby �nakes,application for a permit for the work here�n apecified, agreei�g to do ali work in sttict accordance with the City of A Fridley Ordinancea and ruliags of the Degartment of Buildings, and hereby declaree that all the facts,and representati.c�ns sta��``in th ap l�ca on are true anfi correct. /`'G�G� i��"/��iE�✓ ,,�� y�, . D�ATE : - � /� '� � � S IGNATURE ;� � /'� , � �� ` i (See Reverse Side For A�ditio�al Info�m,,ation. } � ,,�3� '�d �' � � � ? . �� a ��" ��, � � . �� ; �� ,� �',�� ,�, � �� _,�',_ ��`�" . ��c�c� -.� :�:.`:.� �t '� � � : � . . . .. � � . . . . . . � � . � .. . . � �� :� � . � . _ y.� � .... .. . . _.. ..,C/.y. 'i . ... .�-.: ., ..., :._. � �......� ... .- �.-. . ... . . .�. B. H. 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Q w • � � (-�' � � � . � . � � � . : � : ' : : � . .�� . . . . . . . � ,. 0 0 x x K M x x k x x x t71 M N :1� Np W Wp � r � N � 8 GJi � � O Cn O � � p O � « « « � a �► �. a �. H � I ..� y i � O r �� r i I �- � o x � � � � v � � � 5' N � � �o � � a 0 a i z �o E a � � ro � 0 s � x F�i� � D � r � � � � � m v � m 1 IF • �� I^� I� �tA i � x,y i� i a � �Stories • � --- � ,� w�.�� , a.osc�5 7 � U11111ALS O � � {AT11 o x '� ",.� d � 1 �rs $�T 1 siroKs s W�, '�, �• � iMYS I DRINK. FOUNT. � ��. t F�oo� DMINS UTCM � 6151N5 �uro w�� G�5 � � �� . RANGE C1S OVENINGS .. _. ! � \ M i y T � s� � � �❑ � ► , � N o � � � �� . a � (y � y p� "�1 a� Vi � p� � b �• o » � � � � w �_ g �. � � ` �� 'R � 1 �� ►�1 C, p, ro �'j A � ^ y � � � �� r''G �� a � o A 5'` N � � ^ ��a� a. ° �� M�� r � `� b � p m A y b .it. . � � �°'ro � � n � �, o ,. r. � � .°, ��d A � g ,� A a�'� ., ��"" R N � � � � � � � ►u � A y n "1 � /6 r• n � M � �e � � � �d M �g A b� a. � �x � � p � M o �, ve � � A w � �� , � 'c�'_ � � �� o � 00 ' � i �° : � � n., � �� a� � I , � � � � 3 � � � �� - � �! � � �� A � �yW�� .f � C � �d s � � �s �� • � i � � i I •i I •.R �i � �t � Q � s a-� $ � M M N `� I I H � I � � I \� ' _ � � � r � � � C � � � r � � M � I `�� i o d � '� o � � I � � � C IU � N �n � a � A r � a � x � � W� � w �� R S � O � C � � � � A A � � � n ti � $ M � ��, ,�i� ' � a '° � 7C � � �w�>� o�:�� a a° R' � � � � � � a � ro " � � �o o S a q � � o � � � � � � � C� � � � o v' .. � � � � -�i E�A ��oo g�g� N M EA fA I t j I � I I ' I ! i � � � i � �! � I! � i; ! � � i� �� ;� ro �� i �i � ��:� �m �� ° � � � � � � � e � � � 7� w � 4 � � �� w 41 Of G: O sx��s N � I � ! � � I �� 7 � �; � �� o � �. a' � tb � � � � � � � G N i i i� � �� I � w � �� ti �. � � � ��.�� '�'1 pf ~ � �� c� � � � � � p� S q � � !R a � dg O g C G O O � � M I � � i I � °' °' y A a a� ,� �� a � I � � w � o� O. � A n � �� c �e �' ... � �� °� I y d R t' �,��`� �� an !� �,�� A *� ,�.� � � � T � ff� C H'! � �. ! �? � � . � a � � � � H ��. + e � .� ' � ►��_ , �, c� -t5 �`a . ,�r, I�`�-�.b C� ° rv �i '�� — �� k� � 3 �. .��9' �-_ -�"� �" t, �' '�► ULATIONS �PARTM�r� �F gU1LDINGS va«►�E a` �, T L058 CALC z �- }�~ �� Insulation . . Weatl�entrips A • . Coa�troction No. Guide Kind �'�OM' �� Windows Doors Reference Oat. Wall Jnt. �IsU GeJin� Roof F1oor Yes I�o I a.._. 19____ Fl � , Roo�n L.en� Widtl+ � .� m Len�th �� L � Area '`� Windows and Doors—�Cracksse a ,� Windows and Doors—Cracka`e and Atca �a�n H.�set ro. oc Lin��l tt. Arw ; \Vla.th HN��t No. e! a�a AMS ��, . at p�n� ot D�n� lt�bU ot craet �Y• � ; . Na ot Oa�� ot Wn• 11�At� •t cnck �C. t� '''� . ,:.��:?. �i. ' ;;.. #�:,. �� ]niLttstiop �� ..4y 4r,,Air,':.w..C� �� sc 7�k�i1� I,��aef ai'N ,..____..-.— ll►ra�� „_,._.__._�._.,.._ ..,..._._..�.�.... � �;�,a .�r. R . at �a. i�u. �.�. iu �r � �.� r�� _. . � �.� earrll�t . ��i�� . �� =,;�, , � � .�. � � '+� �.�SI�" �`�'�� .�. � � �'t e,: 4� � �� 3`'� � , � ��r��.�/�f'�?� �� : � � ��,: � �, �..: ,;.� :�....` ; � � �.�F,<- �,.. �:� . �: L � .:�n 1�� t �sJ L�e. w r _��_ ;�i11Tld W h. E.�.R. Oi �. q!{. �.A. Ll:idlT ifl� Fl.I Room I Len�eh Widc6 �/• Doon—�Crukase and An�► , dt! Nfb� o. �t Inw ft. An� - Na o! M sf y�n� 11 kq �t c�►ek .�� .- � ; «. t -A x • * ,� ��1011 _ �t►t:.�t:�►[�.a�■�G :1 R•�°��:' �� G►Zl�� "+� .� + � � . „_,,...,.,,,,.,� I'�i ra � C .' ' "' � � � � �� i�E��__� �_-___ �____-�* . ��tT,t��w� �) :.: -. �� b r�,��r�� ; ��.� � � . F�, � . �.��"�r:..� ' .�. " /,F;�t+�'1�/,��°� � �-� _ _ r'/l\/L"�!/�".�,'..�; . w. fR. E.D.R o� w. ie.. W.A. Leade� a�sa _� , . ,�-�:- ;�, , � u;• SUBJECT City of Fridley PER"' . AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • 13'735 r � � � � COMMUNITY DEVELOPMENT DIV. RECEIPT NO. � . � � �: - r j � PROTECTIVE INSPECTION SEC. � � 1 , 1 �' � �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY '�—'�� ,�� 612-560-3450 910-F15 9/2/76 � � JOB ADDRESS 196 Ely Street N. E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED oescR. 45, 46 12 Spring Brook Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gary Anderson 196 Ely Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Western Construction 6950 Wayzata Boulevard, Mpls. 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Garage 9 CHANGEQFUSEFROM TO STIPULATIONS provide a hard surface driveway. �--tMP�RTANT-- NOTt�'Y THE FRtOLEY ENGR. DiVISlON R£GAftl?!NG CURB REMOYAL ANO REPIACEMENT A7 DRtVEWAY OPENINGS, ER�1TE PERMtTS RE(?t!lREO FtiR �fRiNt�. V�� SEP �ef�pre di�ging c,�lt loca{ ut�l�ties NEATING. P�tlMBING AN� 5i�NS. TECEi�iON� - FIEC'fR�C • GAS Etc. R�c�ujR�b BY l�+►w SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. WOOC� FY3Iq(: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $4,262.40 yS2.13 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23.04 ST CT N OR THE PERFORMANCE OF CONSTRUCTION. �' PLAN CHECK FEE TOTA� FEE � $25.17 Si�Nnr EOFCONiRACTORORAUTHORI2EDAGENT Ipnrei WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ��-- �': .� _ 9 a- �� _'� •'�— iGNATUREOF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP DATE . G1 I T �:?r rrcA UL. _ t APPLICATIUfd FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR QUILDI�IG PER�IIT OWNER'S NArIC�: � FI%��/ f�R-�1��,(�5�� BUILDER: (,�;c�S lc� 2'�-� ��(�� i ADDRESS : I �1��0 � l �G� ��( K'�cs ! ADDRESS : %o�� %i�r�1 �l l _l� i I� � �l/t�, /i'1 �!_ r _ l. .S'-�/�o NO:. f�(,; STR�ET: � I_�t � i��`f� i� LOT :� �I� . ��BLOCK : �:�1 ADDITION : � i�� A.� � .� �lJ(�i� �y� � [� COP.NER LOT: INSIAE LOT• �l SETBACK• SI.DEYARD: Applicant attach ta this form Ztao Certificates of Survey of Lot and pxaposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �f l�'��1-��'. Front: �� Depth: �� Height: �� Square I'eet: dr;a Cubic Feet• �'?(o� Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction; Jl; � ��C%(�1� �-,� d�� d�l l� _ �stimated Cost:_ $ °�� ;�� . �� To Be Completed; �� ( �'1!`? /� . %-� � The undersigned hereby ma,kes applicatian for a permit for the work herein specified, agreeing to do a1T work in str`ict accordance with the City of Fridley Ordinances and ruliiigs of the Department of Buildings, and her�by declares that all the facts and representations stated in this application are true and correct. � 4 �- DATE : � - vZ � � S IGNATURE : ", , " ��,��z c� � (See Rever.se Side For Additional Informati.on.) --. r�,� ;' — � ` �� t1 � y'-�, , �} �-�L;�r F�1 C� �i�'� i;c ''v"✓'� I , .� ;� _ .� �1 �-'� �.. � , 1 '� � ��-, (�� `..-- � f,--°� ,� , I � ,. .. � � -- ` J _� t�� p� S , �BUILDING 1'ERMIT FL'•I: SC1iLDULL S�CTION 2. The Inspector of Bui].dings shall, before issuing permits for the erection of any building or stxucture, ox for any addition to any existing building or structuxe, or for any altexati�n or repairs to any existing building or structure, upon application thexefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and�in the ma.nner herein provided to-wit: �VEW CONSTRUC�ION: Si.ng�.e Family Iiomes and Garages: $�.00/1000 cubic feet PLAN CHECK: 25 percent o£ building permit fee. w _y ADDITIONAL INFORb�tATION For the pu•rpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covex'ed frcm 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 xate 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 �$7.50. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 2� hours from the time of application, to allo� for proper review of the proposed structure and of the construction site. A Cextified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the fxaming. CERTIFICATE OF OCCUPA\CY Application for a Certificate o� Occupancy shall be ma.de ten (10) days prior to the use or occupancy of any structure for which a builcling pe.rmit has been issued; and said structuxe sliall not be us�d or occupied unti.l a Certificate of Occupancy has been issued. � � . - , . . . . ,�,,, . .. > . . . . . ..-. . . . ;.-...�.�. .. ._� .. . .:. .- .,'.; - r`-:.. . . . � �.. .. - -. _ , _. _. . _... ., . - . - � . . �. : �-...�; -. - . _ . . . .. . ..._ . .__.....,.- � . . . .s.--� ._. . _.� . . ..�..t_�.,�,f.,�„J� . . � . . .. . . . . . .... � , . . . . . . � � �� '. . `ti 6- H. BRADLEY � - � CtVIL ENOIM::!! AND lUAVRYpR � � � � � ' _ J/� �� . - �U�-�/e y �o� QGtid� !s G��-,� �.,�- �� 3axa . urn wvENUt souTti �� j , MIWMfA�'QiR MMM'�MTA S/1M . � . . . . s / . � . _ ,:,,z,,,, __ .3".: a�? ��r 77�a!/ . �}'•vG � � . , L V } . _ � � _ - �` /A/ � � � _ .. �� // - . . � � . . � , . . ' � . . 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Q _:-_:- �, . . � _ � �, -� _ . ;, _:; QT 'y^ti 3 0 ' c � � �- .'�'► .� , ,4 •� _. � . � . : ~ 6�� .,. . � � - �� ' '`-..~ �" � l ��y � � - . �� _� _., / _ - � � - . -a _. SUBJECT PERMIT N CitY of Fridle AT THE TOP OF THE TWINSy ° 147 ; , BU ILDING PERMIT ' � RECE . ' • COMMUNITY DEVELOPMENT DIV. ' j L ""'-� r � PROTECTIVE INSPECTION SEC. Q�]O �� ! Gi � , i `( � /'��1 � CITY HALL FRIDIEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ��_� / �.J 612-560-3450 910-F15 6/21/78 � � JOB ADDRESS 196 Ely St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 5,46, 12 Spring Brook Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gary D. Anderson Same 786-4523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Deck 10'X6' 9 CHANGE QF USE FROM TO STIPULATIONS Provide 36" high 9u,�.��.-/ % ';� �. � � �a{ ;,�.��r;•��tiEi�;, �,� � � . . , i-i; �' t.w ' .� � .r '� i � r°' � g� �H� ! $ � ., � ` a .. � . �., r.'" � � � f ,,. _ . i "�!! �- �s.'�r �t�`��.o ��` . .. � ,- fib � : : �� r'�. .� , � �- - � �Y � N i.� r .. . • . . y.,G, , . . . � � �� :� aEfOtE dtg��ct� �a�4 }Lca1 U►;,�; : � . �:. E�.Evi�Ei; - C�t�`� ` -'� . i�.IEPNON�- •� ;��',•`,`x. ,� ��Ri�� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. O PANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �Ck 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 R� 12H OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ��O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- %, SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE K 4 $ H. OO I lATURE CoN7 C7 aoa THOR12EDAGENT �DATEI �n/ N P PERLY VALIDATED THIS IS YOUR PERMIT � SIGNAIU E� OWNERUFOWNERBUILDERI IDATEI BLDG WSP ��ATE� C�TY O(= f=fZIU�CY n�p�.r cn�rr or� r-orz �es z»cr�JT I/1L BU 11_ll I t�� f'ER1�1I'1'S ��'�CW, �LTL=RliTIOfJS, /�DDITIOf�d�, 0(Z REPAIRS) OWt��R: V��Z„ ��.�:�_f��° %ZS' D l� F3UZLD}:R: -�T�•' �f - Address :� g� C� C �/ S ir", /e,# �"`` nddress : Sl�i°°�''�'l �' � Tel. No. %�'�i ` Y� �-�, . ,' No.. �,OT : CORIdER LOT: Sir eet : BIACY.: 11DDITION: INSIDE IlJT: S�,TBACY.: SIDLYT�1�5: Applicant attach to this foYm ZWo Certificates of Survey of LoL- and proposed bu�.ldiny locatioi� drawn on these Certificates. DESCRI PTIO(V OF BUI LDI NG ' To I3e Used As : • ��--1�, Front: � �� Depth: /�� Height: �p� Square Feet: � 2 Y Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost• $ �b IIe Completed: Alt. A Alt. B Proposed Driveway ��Tidth If New Opening Is Desired $ $ (SEr R�VERSE SIDE OF SHEET) The undersigned hereby makes applicai�ion for a permit for the �.ork herein speciiied, agrceing to do all c,=ork in strict acco�.da�lce with the City of Fridlcy Ordinances ai�d ruliiie�s of the Depariment of- Buildings, and }�ereby declares i:hat all the facts and re��resentations si:ated in this application are true at�d correct. See reverse side for aclditiona 'nfo�mation, DA7'i : _ .i (i1N��' o� /� % �� ! S I GNATU I'�E : .�-/ �=�, StS.pulai:ions : ��U� �i e � g �� << �� , �f �'�,�..�-- • ��. � � l� � , � � � � y-� �. � � BUILDIfJG PERt�1IT FE� SCiiEDUL� SECTION 2. The Inspector of IIuitdings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, oz for any alteration or repairs to any existing building or structure, upon application therefore, require ttie payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: NEW COt3STRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CH�CK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: Removal and replacement of concrete curb and gutter and instail a 3 foot wide approach with 6 inch depth; Driveway wi.dth plus 6 fe�t x$17.20 ADDITIONAL INFORMATION For the purpose of computing fees for building permits, 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 th� 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• af all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIO� OF FOUNDATION NOT�: 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 been constructed ti�ill be required before proceedir.g with the framing. Ct�TIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or�occupaney of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . .. � . B. H. BRADLEY CIVIL ENGIN66R AND SURVEYOR 3829 - 24TN AYENUE SOUTH MINNPAPOLI6. MINN680TA 8540! 724-2189 �} � � � � � �� n �. �,,� � i �� * , r� ,, � t,�^` �� l1f�Y�'y �a�- �i C�Idt /S L7�rl��i~ ��..� i� .�.y� % t�/► /__,�� y�'b �"� ��: J r�! �V 1W.i ! i� i i� ,� �'• � el �//�/J�� /J � (/ 's � � f � �� v ` ,�..,. � � ��a ��'o � � � , `: E � � .. ,,t � � ''" '`. �`� �� '� � ; � � o �,,; � � � ;, .� a� i � c� � � � ; : � �� t � � , . �'�� ,�► � � � � � � <..� � . ' � �, �c ``� ✓ -� � , � �,, � � � � � ! q -- � �' �,� � ___ ; � � ��° � �. � � � �' � � � . � _ 4� � �'. � � �� , v � �� i : `� ``� �� ° � . � � � � �. � `�� , .� � � �� 5 i � _,. � C! , �lJ�� 1 � � � �- � . � �,�� ti q 1� ,�'"Q �°` �` � � � ,� � � � �' �`"�- ` � �. L� L � �1 � •�r. � � � sua�ecr PE City of Fridley 15 5 7 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. i iL��'�� , r � � PROTECTIVE INSPECTION SEC. � '1 � 1 � li `�'- i `' � �'��1 � CITY HAL� FRIDLE� 55432 NUMBER REV. DATE PAGE OF AP ROVED BV �_�_�.� �.J 612-571-3450 910-F15 11/28/79 / / �oe Ao�Ress 196 Ely Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCa. 45, 46 12 Spring Brook Park SHEET 2 PROPERTYOWNER MAILADDFiESS ZIP PHONE Gary Anderson 196 E1 Street N.E. 786-4523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S ame 4 ARCHITECTOR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK n n 9 CHANGEQFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR 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 I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAT�ON SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED b WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT YSOO y�. SO 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y$%, SO PLAN CHECKFEE TOTALFEE $8.00 si ATUREOF orv'a oao THORIZEDAGENT ion7Ei WHEN PROPERLY VALIDATED THIS IS YOUR ERMIT � �i' � %� � �''"� � �} �� . SiGNATU W EAIIF OWNER BUIlDER1 IDATEI BLDG INSP pAT � CITY 0(" FRIDLEY ARPLICIITION FOR RESIDENTIAL (3UILDIPdG PERMITS � (fdew, Altera�:ions, Addii;ians, or Repairs) OWfdER: � I N' SQ N BUI LDER : ��=}✓�� c� `_._._t_"'' . . ADDRESS : C� �v �L.�_ S?'� j�/�" ADDRESS: - TEL i�0: Z(v —�,.5�<2� TEL N0: ' Construction Location STRSET NO : 1 q G STFtEE2': � L� S�%` � /� � LO�': ,S BLOCK :� ADDITION :�P lN G L�1Z�' �/�-I�JC Corner Lot: �� Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. �� DESCRIPTIO�d OF CONSTRUCTION ��,��.� �� (,,�,ICX��I �J �, — O � �� ont: Depth: Height: � ' - --.-- � �i ��". �� --�C� Squa�e- Feet: Clibic Feet: Front: Depth: Square• Feet: Cubic Feet: H eight: Type of Construction• � Estimated Cost: $ �� ! � • Zb Be Oompleted: �(�°�� Alt. A AIt. B Proposed Driveway Width If New Opening Is Desised: $� $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit �or the work herein speciiied, agreeing to clo all work in strict accordance with the City of Fridley OYdinances and rul.inqs of tlie Department. of Buildinqs, and hereby declares that all tlie facts and representations stated an this application are true �j1 correct. DATE: I1 "'"��'� %� SIGNATUI2E : Stipulatians: � �� ` �� '� C�� 0 BUJLnIi�G PCRt�11T I"C�� SCHEDULF , SJ:C'!.'TON 2. 'She 7nr;��ector. or 13ui1Qiri�J:� :.h��).1, before z:;suirig penniL-s for ttie erecLion af any buil.d:i.nc� or :sL�.uct.urc, or. for any adcli.Li.�n Lo any er.i�tinc� l�uilding or stnicL-urc, ar. for any a1L-cratio» or re��air.s Lo •any cy:a_�Lii�g l�u.i.lclirig or st-ructure, u��ori application thcr..efor.c, rcquirc t�ie ��aymenL- by tl�e apJ�licanL• for. such permit of fees to tlie amount herein bel.aw set fortti aild iri t.he manner herein prova.cicd L-o-wiL: � I�I.Pi COI•dSTP.UC�'ION: Sing].e l�ami7.y iIomes and Garages: $4.UU/1,UOU cubic �eet. PLAN CIiLCY.: 7.5 percent of hui.lding penniL- fee. DRIV�t411Y D�PRL•'5SIOi1: (Concr.ete, Curb SLrceLs Only) � • Alter_nai.e A: Ttemoval and repl.ac�meni: of concreLe curb and gutL-er only; Driveway width plus 6 feeL x Y�,�,.75 7�l.ternate II: Removal. and replacemenL- of concrete curb and . ' gutter and instalJ. a 3 fooi. �vide approach with �� ' . 6 inch depth; Driveway width plus 6 ieet x$17.85 ADDI T I0�/�l� I NFOR�IA'r I ON I'or the purpose of computing fees for building permits, the cubical contents of any building or addition, a.s deLermined by rnultiplying L-he ground ar_ea cover.ed from a point six (6) inches below t=he floor line of the basement or th� cellar to the average heiqhts of the upper surface or to the average height of the roof surf_ace oi the nain gabl.e of a pitched roof. For xepairs or alterations i�o an existi.ng structure, the fee shall be at the rate of $3.00 rer each five hundred dollars�($500.00) or fraction thereof in t-he cost oi all proposed work. . In�no case shal.l the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. ' V�RIFICATIOV OF FOUND/1TIOf� NOTE: ��ermits �or construction will be issued a minimum of 24 hours trom the time of application to allow for proper review of the proposed structure and of the construction site. 11 Certificate of Survey of the 1ot, showing the location of the foundation once it iias been constnicted wi11 be required before pr.oceeding with the irami.ng. CtRTIFICATE QF OCG�PANCY ' 1lpplicata.on for_ a Certificate o� Oceupancy sha11 be made t-en (10) clays prior to the use or occupancy oi' aiiy structure for wllicil a buildiiig perntit has been issued; and said structure shall not be used or occupied unL-il a Certificate of Occupancy has been 9.ssued. �� DHS-2722 (9-85) PZ-02722-02 �� -� 7-�� STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICE3 444 LAFAYETTE ROAO �, �J-� ST. PAUL. MINNESOTA Ss101 � ��i o Date L� ning Auth ity �`�`� % � �l,�'-,' ��.�1�� /.�t/ . treet Address City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Sub j ec t : ��l',s��c�i?,�1��•��--' Name of Day Care Home Applicant �� . � � ��% Street dress City State Zip Code Type of License: Family Day Care �(' Group Family Day Care Licensed Capacity % Phone No. _ %,�� /�_ This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi-family residential use of property for purposes of zoning. If we do not hear will consider the your local zoning Sincerely, from you within above-mentioned code. / / r %L � � i �✓� - • • - � ' � Street Address 30 days after receipt of this letter, we day care home to be in compliance with i�AMMUNf'1Y �AtTH � SOCTA�+ ��RViCES DEPARTMENT C �MP17Y OF ANOKA �:�1)�'itbt!�6. F6tJRTH RLOOR Name o �ization City State Zip Code �-E?�� .'.��-C-C-�� 1G?�� AN EQUAL OPPORTUNITY EMPLOYER City of Fridley AT THE TOP OF THE TWINS r � � � � ' ' COMMUNITY DEVELOPMENT DIV. � LV � r � ' ' PROTECTIVE INSPECTION SEC. � � � l••_-��"' �'� CITY NALL FRIDLE� 55432 i 612-571-3450 SUBJECT BU ILDING PERMIT ` NUMBER REV OATE PAGE Oi 910-F15 8/6/97 � � JOB ADDRESS 196 Ely Street NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION DESCR. �}5,46 12 Spring Brook Park Addition 2 PROPERTY OWNER MAII ADDRESS Lauri Standal 196 Ely Street NE 3 CON7qACTOR MAILADDRESS OTL Installations 16170 Hyland Ave S, Lakeville MN 4 ARCHITECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION 8 DESCRIBE WORK Install garage soffit & fascia ❑ ALTEAATION 9 CHANGE OF USE FROM TO STIPULATIONS 25351 REC IPT NO. / ':J � APPROVEO BY SEE ATTACHED SHEET 785-2328 Z�P PHONE LICENSE NO. 55044 953-4141 ZIP PHONE LICENSE NO. 20074151 Z�P PHONE LICENSE NO. C� REPAIR ❑ MOVE O REMOVE SEPARATE PERMITS ARE REOUIRED FOR ELECTR�CAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUL� AND VOID IF WORK OF CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �SOO WITH WHETHER SPECIFIED HEREIN OR NOT. TFIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTI �21.00 ,,. f r u PLAN CNECK FEE l�� SIGNATU�7E OF CON'RA TOR OA AUTMOAIZED AGE T �DATE� fT STA�LS HEN PROPERL _ � SiGNATUAE OF OWNEFl uf OWNER BU4DERi IOATEI BLOG NSo GHOUP OCCUPANCVLOAD CU. FT. OFfSTREET PARKING IGARAGES $.50 AC CHARGE Fire SC $.50 �TAL FEE �22.�� THIS IS YOUR PERMIT - --�/� � / _ OaiE NEW ADDN ALTER ll � l �l ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1/1/97 ��# -� � �lj � :� Owner Name & Address: � a �,, ; ,s'�LQ _ � � / 9G �/� Tel. # 7��5 = �� ., �_ Contractor: � 7',� Z'A � �L �� ,L� Onl MN LICENSE#�ao 7.,�js-/ Address: /G/�o .�,. �an ��,P S � ;�,.��a,`� .s'S'D H� Tel. # 953-'S�/ �{/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT �n� Width Height Sq. Ft. �n� Width Height Sq. Ft. �ng� Width Hgt/Ground Sq. Ft. Construction Type: Ga,�,��, ,� S,�;C_ fd. �� c�� timated Cost: $ s'O d°� (F'ee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft �x $ -$ DATE: ` • � � 7 APPLICANT: Tel. # S3-'f/ � / y�-� � -. .�Gs Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ST[P[JLATIONS: $ $ $ $ $_ $_ $ $_ $ �/. U C� � �� , C7 � .��. �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ ] � a [3U[LDiNG PERM[T FEE SCFIEDUt,t: "l�he Chief I3uiiding Official shall, before issuing permits for the erection c�f� any building or structure, or f�c�r any addition to any existing buitding or structure, or for any alteration or repair to any existing buildinU e�r stiucture, upon application tlierefore, require the payment by the applicant for such permit of fees to the amo�rnt herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $5�1 t0 $2,00� $2,001 to $25,000 $25,001 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 $21 (Minimum Fee is $21 plus surcharge) Y $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,0� or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereaf, to and including $1p0,000 , r - $887.25 for fust $100,00U plus $5.00 for each additional $1;000 or fraction thereo�,�.to and including $500,000 � $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof,��to and including $1,000,000 $501225 for the first $1,000,000 plus $2.75 for. each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�0 Alternate "B": Removal and replacement of curb and gutter and instali a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION I'ea-n�its for construction wi(I be issued a minimum of 24 hours from the time of application to ailow ior proner i-evie�v ot the proposed structure ai�d of the construction site. �� Cei-tii�icate of� Survey of tlie loi; showin� the location of tlie foundatioi� ��rice� it has it }ias�been c��nstr-uc,-_�_i ',��!!': �,� rec�uired hef<�re I�i�{��ecdiz�� «�iil1 The frri�nin«_ � D 17 , r m r �� O � o � � o = � m ° < � a� * � cn n m D � � p Z � � � � A � � � N � � O � � � m o p m o � _ Z m D D � � � ]7 --I n '� � � � � Z _ � �' � � D � � � � W m m m � D � � � Q < z 0 � m � � � � � m � c I � °� �, � � �� o � m n � O z � ° � � -�D cn D C Z � Z � D � C m pm ° m � o� � D � � � � m r 'cn R1 m o rn � D � � � � D Z m z �o � o C C � � C� _ � � � w - � � � � � � p�i W W � Z � —I � � � � sv w o Q m r m � T 0 � m m m � � � � p � � � �D o '� � _ _ -� � � � � ° � X o� I � � � � � � � m � W � � c Z � � � m m m �� su � � � � � �� Z' r N. � � � � I' � � � � � � Q . 7 (D � —xi m N � � n�i � � � — 7 �7 37 � �j' j � X' frl � �p � —I �' m a � � m � °�If'�Illil��° cn <n 0 0 � r c � W z � n O � v D z -< � 7 0 � � j � ' tfl tfl cfl � tfl tfl sri � ts� tfl tfl c� D 0 0 0 � o � V V v cn A v m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I � � O i � f� � � W O 3 fl- � � � � m � Q- C � N �o �D � � o D � iN r v� � n V` -F, �.� i� m � � � cfl � Z m v� G � cn m � � O D � � � Z � 1 � n = m � � � m -p ' � � � �. w � � � v �D o � � N � � � Z c o � "� p- � o � °Z1 �:,s � j� `f ;, 1�; n . � r °� � r n� w �n � � 3 � � � p a a m m � 1 1 �, m c = � D 0 .� m � � m p � � � � � � � m �° Cmn �'. s �D. m � cn � `� � � � � � � o m w �- � � m � o `� 6�' Q� � � < � 3 � O � � .�� o w ? 5� -a � � � � � � n� Q � � � � s . � cu o' `,1. 0 0 � � m o � ff o O �G Q m Q �, w �. � � � c o � m `° °' `° 3 � m ?. � � °- � � o 0 3' 3. � �. � �' m � �:. �� o m Q � i �a �; a � c,� m m _ (A y � � �. � � � � � � � � 0 0 0 0� p 0 0 0 0 � A W N � � y � C �� C/� . D � � � ' � Z � C � � � : '� � m � � <o -�, „ � � c �` �" m � � � O 0.... Q.; � � � : � � m � Z <� ,0 � D � o r � ° m 0 � � 0 � � D <>: c� ,� D �, � „ N o r � O � �� N w � v, _ m � m �' �� SuBJECT "-` City of Fridley � g � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � � � RECE � ; y __�� COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. ��7 i , i 1 /'��1 � CITY HALL FRIOLE� 55032 NUMBEF i1EV OATE PAGE Of AVPROVEO BY �---_�•' '•� 612-571-3450 9�0-Ft5 9/11/97 � � JOB ADDRESS 196 ELY STREET NE t LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACHED oESCR. 45,46 12 Spring Brook Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Lori Standal 196 Ely Street NE 785-2328 3 CONTRACTOR MAIL ADDRESS Z�F PHONE LICENSE NO Handyman Express Inc 9100 W Bloomington Frwy, Bloomington MN 55431 5876 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 881-5456 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION C3� ALTEFiATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install egress window in basement bedroom; finish basement bath; two doors 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. $EPARAtE PERMITS REQU�RED FOR WIRING. HEAT{NG, PLUMBtWG AP1D SIGNS. SEPARATE PERMITS ARE REQUIRED fOR ELECTqICAL, PLUMBING, HEATING, TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICA710N 1 STA�I.$ GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOfiK WILL 8E COMPUEO WITH WHETHER SPECIFIED HEREIN OF NOT. THE GFiANTING Of A PERMIT �lO�OOO �S.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERM1T FEE SAC CHARGE PfiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION Ofi THE PERFORMANCE OF CONSTRUCTION �16Z.ZS Fire SC �I.O.00 ��M� PLAN CHECK FEE TOTAL FEE '�"� License SC $5.00 $182.25 S�GNATUREOFCON'RACTQRO ORiZEDAGENT . �OA7E� WHEN PFOPERIY IDAT D THIS IS VOUR P RMIT - ' ! c SiGNATUAEOFOWNEAiiFOWNEABU�LDEA� iDAiE� B G�NSP � r�cTE NEW ADDN ALTER [l �) �l CITY OF FRIDLEY ' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 --�1 ��'-�i/ �� ConstructionAddress: _ i � (� ��y/ �T % ,hl,L� �� 1 �� i,�/ , Legal Description: Owner Name & Address: �o� S'7`,��lf,/�� Tel. #� �'�S� ��' � Contractor: �,4�'�� /��t �x��rs• r MN LICENSE # .��► ,�` �537� Address: �/Q 4 cc� f3/oa�, ��, �r � T"�, �e �, � /�%o.� ,�. 1�o�r ,,,N Tel. # .ss"' S ✓ SS�S � Attach to this application, a Certificate of Survey of the ��'� S'� ��'� � lot, with the proposed construction drawn on it to scale. f� �'��''�s� '�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width ' �ieigni Sq. Ft. �ng� Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �%�'S l-J S ��l�K �� r yV �Y�SC A7N/�� (% f''��ld�% � cY D�P /.JGF$��PAj ��°N. • � �ti� �t Construction Type:_6C��n��- Driveway C�rb Cut Width Needed o • . � Estimated Cost: $ �� (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ —$ DATE: f� 7�Y% APpLICANT: �� `�.-�'� - Tel. # S 3 S- S�� C� �, Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL S'I'IPULnTIONS: � 2, �� /U. � $ '.5�� $ $ 5! `'� $ $ $ $ � /gZ .Z� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Ab�ve $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary j] t�v<<,��vc, f�fi;EiNtt�r cEE scH�;r�t;�E,E�, 1�Ile Ctiief Building Official shall, beiore issuing pennits for the erection of any buildi�g c�r st�ucture, or f<�r ai�y �iddition to any existing buiiding or sttucture, or for any alteration or repair to any existin� buildins� 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 mannef herein provided to-wit: TOTAL VALUE $1 to $500 $�O1 to $2,000 �2,001 to $25,000 $25,001 to $50,000 $�Q,�O1 t� �:00,000 $ lOQ,001 to $SOQ,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2_75 for each additional $100 or fraction thereof, to and including $2,000 $62_25 for first $2,000 plus $12_SO for each additional $1,000 or fraction thereof, to and incluc�ing $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $�0,000 $5; +.75 for iirst $50,000 pius $0.25 �or eacn additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each addition�.l $1,U00 or fraction thereof,.to and inciuding $500,000 $2887.25 for the first $SOO,U00 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012_25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROVV (Concrete C�rb Streets Only) Atternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.�0. Alternate "B": Removal and repiacement of curb and gutter and install a� foot wide approach with 6 inch depth - Driveway width plus 6 feet tirnes $15.75. VERIFICATION OF FOUNDATIOti' F'crmits for construction wil! be issued a minimum of 24 hours from the time of application to allow �or pro��r i�cvie«- of the pre�{�osed sttucture and of tlie construction site. i� Certificatc of Surv�v ��f� the (ot, showinn the location of the f�undatio�: �>?ice it has it has hc��n c��nstruc-:��.�.i ,�.,��; h�_� r�c�uirc�; l��ci�,�r: I�r�,.:��iiii�� t�iti� the tramin��. � �� :-�� /�i � L�?/�S, ��,�C��- �/�-� �/w /�it, ,S�'L�'�i�r-� �� ., � � .�Z �( ,� vc �' � � �+�y /� a � �', �OCK .�A�IS, �f ,� pc Y c�;�/�5, _ ----�_ . _ � �/� s%�� ,%l.�� .m��. _ __--_-- ', j �, _ ( _ _ ___ ��', � �t��, �;,��u U ; i ! � � �; -___ ---- , � -- �,�-�'� �' � � � ----------- ;� �� , --�- ,' � � �� _ S ( � i ; i � i � ; ,� �/z ��^� �� . � ��, �c. i � . ,� I �t� ��' ; �.�� I ny t�h� r✓i.`iNN L ��`': � � � i' / '' �v�" ' 1� (`� ,,�'d7? � �.�`� ` �' ` i -t-�—�— <: f.. � �, �:s. ... '%�w �?1� o� , �� G �5� � � %�p �, �,.�� Z �,�C i , �. ��5 ` � I ; �� Q'n , �,�� 4,�T �?'�-c ; ; �iNC Of�f .fj�l�M.CJ �'t'c, . � .� . �r ' � �.� � �� ) .l � �� • •°-= �. ., ; ' c � rt+� t` 's� <�- ____� _-- � _ ,, __ _, --- --_ _ ___ „� �. �a sL' f �� t11 �� ,, �' -2�sS � j. % �, . Gl� � �" �/� y µ.�� _ y y�� c% �- ��n9 /�1� �� n � � C � � Z D :i7 � D r r � m � � O v m v -v m � c � � m n -_i O z cn � D Z v a � r m rn ,D � � � � O Z rn Z � z T O O� z D n � � v m � � m � c -� � � � � r � � m m � � � D �7 � �( D �� o � 'Np ° = c�i !11 � � c � � o Z N v �o� c � o �' m = o .o ., D � a � °� D � �v D � m � 0 Z � D f!� �° z0 c. � � W � � 0 c �n � 7 � � c� � m �' r � z 0 0 �. � � N � � �/� � �i � � '-I (� y N� G G C� N W��(D �G 7�- v N N � � � � -i O � fD o� �' _ _ -i � � oo � � v -n � Cp (p (p �` fp Ort C1 �'` N ? � '� '� � N (rtD �-_�«, � � 7� � > >. N -. � -, -, � <' r- v>, � � tn � � � cQ �' � S c� Z m <c � � � � � � � "' V� rt 'D nl '�+ * �. �• 7 T N � C=i � C .o m � . __ . m _ _ . . a v�� .. . _. . .. m � � z �. � w 0 0 v r c � � Z c� � O � D � �I I I I( I I � t s � � � c � � a t � v � c � � + � <» o� a� o v v � v cn ai � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 m � � M a � 0 � �o � 'o m � � � z 0 va6 �` L�J W a 5' � C � � a �� O j � � � � a a � � -+ m 2 �; � I � �' a a c�'D �' to N rt � � �. °.', s �. m rn :U � � � � � ? V �mz N `W o c� cODi, � "� °D � n: 0 °- w��r o,co n> 3 ��r"c �� g �- 5 O � -+ m ? vi -+ v�i w o � �• _ �� m �' a c�i' �i vDi � �' v o -� o' � � � v � o � .� Q � 2 � � c�u m w � � n� c� �, rt � v, ? -� a ,.. 5 s � � �. c� � ..i � n� �, cu ^` � � � O U`i ro � �- -^ a m � N � �� N (Op W � r C W Z � -X.i c Z7 m � -a m. �_. z 0 � m � O r � O � D 0 v � 1 � � � cn �1 w � , v �. � N n. W ^� � rn� C � � � �, T Z c�D � �� N � � cD Z Z mv D � � z C � � m A � � � � n n � A n � � > n � � �� ) 1 ) ) � D � -v r a � 0 z � O � 'o r C � z � a z v a � � � Z � � rn � 3 zi �I c� �. <� ; � oi� �I w � �i ai O I O I COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existin� furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes O No O The venting ,system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. ' Yes O No O The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No () The existin� combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No () When requir�d to in�taif a new combastion �ir,-it wifl be si��ci and inst�ife�i To meet the current codes and manufacturer's specifications. Yes () No () When installin� a new ventin� svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacture�'s specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance,has been-removed from the common vent and vented separately as;per current codes. Yes O No O A liance T e and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat'_ Appliance #2 Type BTU Input _ Fan Assisted or Nat _______ Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type �� Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describel HEATING CO: Signed By: ! Date : e � ., � PERMIT# 1 ' i OUSE� TING TEST REC ADDRESS , CITY OCCUPANT OWNER HEAT LOSS y�►�� DATE TG. INST. �`"� a� �-3 INSTALLED BY ELECTRICAL WORK BY I��' rr,' J O�t TYPE OF HEAT GA _ FA HW _ STEAM SPACE HTR. UNIT HTR OTHER GAS DESIGN MAKE ' � ,3 ' � `� � � � � SERIAL MODEL INPUT(BTU) C�NTR�LS /� KIND OF LINER SIZE NONE COMPANY TESTINGC.�(/l Q/V � FILTERS SIZE ��- � NUMBER �_ NAME OF TESTER PRESSURE � �� PERCENT CO2 �� INPUT CFH PERCENT 02 '� INPUT �Q D 0� � � Q7� STACK TEMP _�,� �-' � sue�ecT PERMIL N{3:� City of Fridley � 3; 8 3 � AT THE TOP OF TME TWINS g U I L D i N G P E R M I T r � � � � ' ' COMMUNITY DEVELOPMENT DIV. nn �,/�1 � r � y � PROTECTIVE INSPECTION SEC �C,A� � , � I � � i l-___ �;��;•� CITY HA�L fRIOLE� 55�32 NUMBER NEV OATE PAGE Of APPqOVEO BY L l\ 763-571-3450 910-F15 8/27/03 / / J08 ADDRESS 196 Ely Street NE t LEGAL �OT NO. BIOCK TRACT OR AODITION SEE AT7ACME0 DESCR. L}5,46 12 Spring Brook Park Addition SMEET 2 PiiOPERTY OWNER MAIL ADDRESS 21P PMONE Laure 5tandal 196 Eiy Street NE 763-785-2328 � CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Window Lite Home Improvement 8400 89 Ave N STE 460, Brookl n Park, MN 55445 A ARCMITECT OR DESIGNER MAI� ADDRESS ZIP PHONE �ICENSE NO. 763-425-2227 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUIl01NG Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requ�res that a weather resist�ve barrier be placed over exterior sheathi�g to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or wher� the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their app�ication guidelines. Ca�l for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REOUIREO FOR ELECTFICAL, PLUMBING, MEATtNG, 7YPE Of CONST OCCUPANCY GROUP OCCUPANCv lOAO VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WOFK OH CONS7RUCTtON 20NING SO. fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. Ofi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AfTER WOqK IS COMMENCED NO DWIG. UNITS OFFSTREET PARKING I MEREBY CERTIFV THAT I HAVE READ ANO EXAMINEO THIS APP�ICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO COARECi. ALL PROVISIONS OF �AWS yq�UAT10N $URTAI( ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMP�IED WITM WHETHER SPECIFIED MEREIN OA NOT. THE GRANTING Of A PERMIT �C),992 �3.SO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEiiM1T fEE � - SAC CMAqGE PROVISION ANV OTHER STATE OR LOCAL LAW REGULATING CON- STR N OR ME PERFO E CONSTRUCTION $139.25 $139.2.5 IF Fire .SC. �6..5� PLAN CHECK FEE TOTAL FEE ��`" '��'0 Licen e SC $5.00 $293.50 ' �GN4fUAEOF�O 4CTOQOQAUTHOA�2EOOGENT �o�rE� MEN PROPERLV VALIOATED T►+iS IS vOUfi PEQ iT S�Gtia7UAE O� OwNEQ�� OWNEp BWIOER� �O�TEi .iti5� ��tE + � .. r. ` ' .., .-.. �_ � - ^ -- � NEw �Q �� ' �_.-a- G ` Z�J - . �ffective 1 / 1 /99 � ' , AI�DN - - I l � �' : � ' CITX OF FRIDLEY . - ; _ �� ;_ w ALTER [] 3INGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � _ :. : _ _ .� A . . . ,- _ ' ConstructionAddress: �� !�l � : .._. ` EN,I �I� �� la � j [��''�j . �' �I �Sf �/t�� Lega1 Description: Owner Name & Address: ��,/ n � �'�l.� � � I �I (o �U S�" N� Tel. # <%� 3 r �I�l,s-��{� --..—.� �_...+—� Contractor: ��/� f� MN LICENSE #��X�a� Address:�'�� j�1� �� %�✓ �_(.( �.t_. �flt�l �l��l'1 �/yL Tel. # ��a:S ��7 . LIVING AREA: GARAGE AREA: DECK AREA: "" � 1 � Attach to this application, a Certificate o�"Survey of the lot, with the proposed construction drawn on it to scale. . DESCRIPTION OF IMPROVEMENT I.ength Length Length Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��, �C2�g Estimated Cost: $ � 9�� .� (Fee Schedule on Back) Driveway Curb Ct�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DAT'E: � � �l' � APPLICANT: �J//� %�,�1��C�,J��( Tel. # "%��' �a-s'a�-7 . Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 1 ; ' �� CITY USE ONLY �- $ �3�-�� $ �-�v $ ,3 • 5� $ $ , (�� $ $ $ $ $ � %' . S� Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1050 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 [ ] � -xr t' , � � .. .. .. .. i: . . . . . . - . BLJILDING 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 e�usting building or structure, or for any alteration or repair to any existiing 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 ia the manner herein provided to-wit: � -�� =�.�� T R ��3 :: ` .ya . TOTAL VALUE FEES $1 to $500 _ __. $501 to $2,OQ0 $2,001 to $25,000 $25,001 to $50,000 .� . $50,001 to $100,000 - $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up $21 (Minimum Fee is $21 plus surcharge) _.r . ,... . . $21 for first $500 pius $2.75 for each additional $100 or '' fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the fust $1,000,000 plus $2.75 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 $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. * � D � � � O a � � Q 3" o N' � vf, � Q� N _ �.. A � a� o � 3 � 0 v "~ a� 0 �� a �� 00 � CD a � O � t a v � N - � a o `� �� Q _ - � -< � O c � � r r O C � D I� � �� D � � 0 < m a Q � � 0 on � � �7 y � ?t v � y (D � m Z � n'" � .� O:. �.: z � . . m _ ...:._ m E�9 +� V .. _ .. 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N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 April 13, 2004 Ms. Laura Standal 196 Ely Street NE Fridley, MN 55432 Re: Final Inspection at 196 Ely Street NE Contractor: Window Lite Home Imp., Cronstroms & Norblom Plumbing Co Dear Ms. Standal: Building, mechanical and plumbing permits were issued in 2003 to install siding, a furnace, air conditioner and a gas water heater at your address. According to the State Codes, final inspections shall be conducted on the work authorized by these permits. A final inspection on January 13, 2004 noted the following corrections which need to be corrected before we can final the pernuts : 1) Size common vent per manufacturer's instructions. 2) Provide house numbers. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspections, we will mark the permit "no inspection called for by homeowner after notification and the permits will be expired. To set up the inspections or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh ��- �I.'� � 3u��ding :nspections 163-� / 2-36�4 )AZ'E y --� �? '" OC� iITE ADDRE$S � 7i1S APPLICATIT 15; PRO��RTY d`WNEJt/ T�NAN'�' cox�r�cro�. strBMrr A co�Y o� Ypi3Tt STAT£ L�C�NSE WITH APPLICA'I'ION P�tOPLiLTY TX�$ ; pL�itMIT '�'XPE CITY OF FRIDLEY : a � �I 1] !►Cl� k�errnit NO.. � .� `�� G �'.ESYDENTYAL A►�'�'Y.YCA.�ION� Rec�ivea By: ` CIT'� O�+` FI��1s:Y Date �Zec'a.: � '�' � _ YOUR E-MAIL AADRFSS o awi�tt �carrxw+crox .. c�. u r %e- Sfi...� ADDRESS� G1TY SFAi� ZI? PHONE: S7ATE LICENSE #��.�.SI � N �J' �ATE /� �,�j�� wnnnrec- S% !�I� �%1�/LI/}/E�/�� /`7��, N. �iiY�%^tLLM/il/�1S$TA1F��-�saL5-�1J� � C ■: �i t _. � T'YPE OF WO1tK: � Q --� DESGRIB� WQRK BEING DONE:, SIZE sa��s /�' 3�3 S0, GAi2ACyES PROP'OSfiD SIZE:�� PROPOSED i�EG1Fl7': � .,�,,,ti�IlVG p Vsny! Cl Alutninum f� Oth«� �� ,f�1�.�.�rr.Ri� � SIDT�il3 ❑ SWIIvIIvID�G POOL p A,pT}TI70N �Aaa o �OD!EL�G � ✓" C9 � r C� s LENGTH � O HOUSE OIAt[..Y ❑ HOUSE Bt GA�AG� 0 A'FTAG�EA GARAGE O DExACI-lED GARAGE QSoflit Lf Trim ❑ Fascia wnvnows FN F�QS�1Cx OPENiNGS �Yes ❑No LOCATIOts OF WINDOWS OR �'C]R PiEW OP�1QS-DESCRI$E SiZE OF OPENIAiG C�At�IGES & - - -- --- -- -, �►ItE AL JUB V, Plaz� �evievv Surcharg� �ue Surchazge License SuFCharge SAC Charge Gbsb Gut Esctow Erosion Control Park Fee Sewer Ma�in Charge Totsl Due a ARAIN T�r.F ❑ OTE�Z ON VALUAT�QN, �IC�.UA�iG '�'HE COS'�I' OF fUSIN� T� X997 U.B.0 �'EE SC�'iEbUI.E) Ft. s�aa�r �'� 1. Sxistu�g �1oor PSan 2. Propo�d $oor plan 3. List o�ssrucL»al members to bc used FOR Nfi'W CdNS"�'RUGT'fON iNQ.UDING C>ECKS, A1bDiTlOIJS. ��.Si7$MTt: l. 5iu P1a�JSiaveY showing thc acisdnP structures and prap�oscd prqja�. 2. Two scts o£cOrtstnxtion Qlarts 3. Enagy Catculations �� - $ S Sce Back Page �or �ee Schedule $ 65% of Building Permit �c:e $ �. 3 3_ (.0005) tin�es the total job valuation — Min�ian� �.50 $ .001 x Peamit Valxtstion (i/lU%) $ � - fw . $5.00 (Stat,e Licensed Residential Cantractors) $ $1450 per SAC Unit (Pians to M'�VCC for deter�mination) $ �ft+6&=,.,,_f�x$20=$ $ $450 Gonservatian Pla�a Review $ � �'ee Aete�nined by Engi�neering $ Agreament necessary ( ) Non Necessary ( ) $ (, 7 Make checks a ble t�: Ci � of k�'iridl Attac THIS XS AN APPLICA�U'k1 FpR A PERMT'f-NOT VALID ZiN"CIL PROCF55� I hereby a�piy �or a buildiz►g p�rmit and I ackr�owledge t�at the information above is c�mplete and accnrate; that the work wil! be in conformane� with she ozriinences and codes of the City of Fridley and wish the Maxunesota Constxuction Codes; that I u�derstand this is not a per�tit but only an applicadon fox a perntiit and work is not ta start without a�ermit; that t�e work wili be in accordance with the approved ptan in t14te case of a11 wor�C wbi review and approvai of plans- 3 � �/o� ..3 0_� G SIGNAT[!RE OF APPLICANT PRINT NAM£ �C � U pATE �