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AF - 41961��, �� s� City of Fridley, Minn. N° 8 9 9 9 BUILDING PERMIT Date: SEP�.'E1�ER 6, 1966 �: �� CHESTER MAC?ASZER Add��ss Addre� 6380, QUINCY STREET N'.E. FRIDLEY, NJINNESOTA 55421 LOCATION OF BUILDING No. 625 s�t FAIRMONT STREET N. E. Part oY Lot � 5 and 6 Block T Adcliti� or Sub-Division ��RVIEW TERRACE Corner Lot — In�Tde Lot g Setback 35 �� S�deyard 14 � 10 � Sewer IIevation IIeval3on 825 .68 tot� of footing DESCRIPTION OF BUILDING To � v�a �: nwEZS�G �ont 26' nepw 40' A��t 20 sq. �. 1, 04.o cu. �, 20, soo Front Depth FTefght Sq. F't. Cu. F't. Type of Conatruction � �, �$�4, 000.00 To be Completed � SEWER LOCATION - 162' West of Manhole WATER LOCATION - 11' East of Sewer i�` In c�eideratlon of the issuanae to me oP a permit to conatruct �he buflding descritsed above I agree to do the proposed work 9n acce�or�ance with the d�ecrlptton above set fo and ia ce th e'!1 provisfona oP ordinancea oP the dty of Fridley. � � �� -� In ca�aideratlon oP tl�e payment oY a Pee of 2�i 1. 00 , permit 9s hereby granted to �S�ER MAC?ASZEK to conatruct the building or additfon as deacribed above. Thispe rmit is granted u�n the express condition that thepe�on to whom it is grented and hfs agents, employ�s and worl�nen, ffi all work done fn, aroand aad upon eaid building, or aaypart thereoP, shall �ffiorm in all reapects to the ordinances of Fridley� Minnesoffi regardia locat�on, conatruction� alteration, maintenance, repa9r aad mov9ag of bufldinge within the dty ]imfts and � permit may be revoked at any ti�ne upon violation of any oE the provieions oF eaid ordinances. CLARENCE BELISLE �� r NOTIC� Tlds pqemtt doa net �nr tla eeearoaHae, ImhWtl� fer rdeWy. Plumbieq, oa huHey, awu� er waM�. B� sun to a� fM Bolldlao ImpKtor [or apnaN p�rmN� fm Htw 8�. _ ` APFLTCATION FOR $UILDING PERMIT CITY OF FRIDLEY', MINNESOTA OWNER�S NAME C!f�iE'�T�'/�' %��Z'��" �1',:�° BIrILD�R �-J�'P9 ADDRESS_ _ f �,�1� ('� f/` �6 7 /�� fDDBESS ' • LdCATION OF BUIZrDYNG .. Ka._ �� Straet �/�/%��j�/,s� Part of Lot • .....-.�� ..r�� ...��... LOT��' � _�IACR � ADDYTTON OR SUBDIVISION ��,�� 'f'//'�� !r�' /��/l�y,�' Coraer Lot`_Inside L �Setback �,5� � Side-�Fard % �� , /� SEWER ELEVATTON �, -F9�iNDA37�N ELEVi��tON " . v.�_ �,� r c' � p d� �� Applicant attach to this form Two Certificate�r'of"Su�y of Lot and�proposed building location drawn on these CertificaCes. DESCRiPTTON OF BIIILDITTG To be used as; _ � � � �' ��' ,��a, � � «� Front � � ' � nept � � Seight � c� Sq. Ft . /� .�� Cu. Ft . �O� ,�r � Front Dept _� Height, Sq. Ft. Cu. Ft. � r Tqpe of Coaetruction �� D' �`� /=��d j�'� , EstimaCed Cost ��/�'� To be completed_ �(J �� , , —.T , q'h� imdereigned hereby makes application for a permit for the work herein specified, agreeirrg eo do all work in strict accordance with the City of Fridleq Ordinan�ces and ruliage of the Department of Buildi:ags, and herebq deciares that all the factg aad representatioas stated in this application are true and correct. � / HA�E �� SIGftATII'RE P . (8chednle of Fee Coets can be found ou the Reverse Side). ,� �.�' .`� , , r�,, �' �� W '� a _ s 3y ( � � � 3 1 �i 1 .S� � �� U,� �I,1 .l.Ir ' SECTION 2. The Iaspector of Buildings sgiall. before isguiug anp germit for ehe ereceion of aay building or atrucCure, or for gny addition to any existing build- ing or structure, or for any alterations or repaira to any esiating building or structure, upon application tY�ereio�e, require the payment by the applicant for such perunit of fee� to Che amount herein bmlow set forth and in the.maztner herein_. provided to-wit; 2_ For any such permit for the erectiort of an�► fire-�proof buildin�, other than a garage, warehouse, facto.ry or.graia �levator, or for the erection of any fire•proof addition, for aimilar occupancy, to any ex9�ating building, shall be at the rate of $1.40 for each oae tbousaad cubic feet, or fraction thereof+ in such cubical contents." � 2.2. For anq euch permit for the erection of anp fire-proof garage, warehouee, factorq or grain•elevator, or for the erectioa of any fire-proof addition, for sim3lar occupancy, to any eacisting buildiag shall be at the rate of $1.25 for aach one thvueand cubic feet, classified as "fireproof" by Seetion 502 of the Mi.nneapolis Building Code. . . HQIISES 2.3. For anq euch permit ior •the erection of any naa-fireproof bnildin�, other than a garage, warehouse, facto�r or grain elevatog, or anp non-fireproof addition, for similar occupancy, to any existing building - permit $1.40 for each one thousand cubic feet. GARAGES � _ _ . _ _. .. � ' . _ . _.- 2•4• For any such permft for°the erection of anq non-fireproof garage, wareho se, factory_or grain elevaror, or for the.erection of any non-fireproof additian°,�for similar occupaacy, to any enisting buildin� or for each euch building or addiCion - ninety cents ($0'.90) for.each one thousand cubic feet or fraction Che�eo�,��in the"cub�ical'contents thereof with the miaimum of $4.00. For the purpose of camputing fees for buil�lin� permits, the cubical conCents of any building or addition.to a uniform height throughout by multiplyiag the �round area covered from a point six (6) ia�ches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof suxface of the maia gable of a piCched roof. 2„ 9_ �or repairs or.alterations to an eacieting s�zuceure,_the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) os�frect3oa thereof in the coat,of all proposed work. 2.6.' In�ao case a2iall the fee charged ior any germit as set fo�th in Section 2 be lese'th�n $4.00. - - - . . � �` � .. � s. ' �' � > . �. � �. • O�.U.� Gj.Ut� SSQC�CC�.��S Ul�• LAND SURVEX01�5 V v � C� � � � 10731 MIS515S{PPI B.OULEVARD N.W. COON RAP'IDS, Mt�NNESOTA. Telephone ' � 421-6340 Certificate of.Survey: � � � . ,�i'Yv1E'7�/ S ! G'a� � �' � Chet Maciaszek � � / _/ . 50.0 � q a� 4 e �� -Yt ��s �1 A�7 �y - � 6 ' . y . �: � ��/ .�� ._ � �� ` � . _ , - . � ,w,A -as,o.. . • 1 � (r � �' . • O ��,� . � ._ - . , . fl � O �'S� F = .- � ;'� � — '�645 � (Lor 9-I.o) �`� �'� 1-S-F io' `y` "615 - . ",� 5Q.0 r FAf RMONT ST. � Sca�e = I"= 30' Q�aoTes IaoNs 170Z-150 - i 5 3 Lots`� & 6, �lock T, Riverview Heights Anoka Ccunty, Minneyota• � �. _� t HEREBY CERT�FY THAT THIS IS A TRUE AND CORRE�CT RE,PRESENTATION OF A SUf�VEY OF THE BOUNDARIES OF- TME ABOVE DESCRIBED LAND, AND THE I�OCATION OF AlL BUlLDINGS, THEREON, AND ALL VISIBLE EN- CROAGMMEt�TS, IF ANY, FROM OR ON SAID LANO � AS SURd�YED BY ME TH15..3d.. ..._ .,pAY OF ... JU�e .... ...... . A.D. 1�•.b6 ,. � - N C. MOIUM ANO ASSOCI TF_5, N -!�AND SURVEYORS . . � � � ��t'•'�d-a . . . . . . _. __ _ . . .. . . - - _ , .. .. _..... � _ _ ' •w .f ,.- s` - _ . :r -- - _ � . _ ,�-.:. .� J . .��-� � � . � � M V � � � �r o `� p � . M : x : � . m . m • N . O . a . � 0 ' � : � � � � � 1 � 1 �1 adi= ,� � � I�+ � a � � w � � � €� � � o � �° �' � � N � o � o � o $ : o . . � � . � � � � {/l �� r O Q O � � � � H � y � � � � � � � � z� � z� z x � m �. � � �, 8 ; �. 8 � y � � � � � � � � �� b � � o � y � � a �d fD � M i N : � � : en � r°oo � �' °a : �� . . . . � . . . - : � • � ' �� a �e k k x x W N W r+ F+ � �) c.Ni, p eNi� °o 0 o a � �, � � �, �, n� �+ ,� y f�. 4 i� � rt 0 a x � � v � 0 � � � � � � � p � tD D '_'I r � � m N � 2 m C r m � z � � a � � � � � � � � • � O. p ~ � ,' W `�' � Storles 8 � WATER �� : URINAtS � e�r►+ � a C ��r� a �7 .�7 I SINKS �� Wasti rRnnrs DRINK. FOUNT. SHWRS. FLOOR DRAINS GTCti [] BAStNS b �wro WASHER GAS APPL GAS � RANGE GAS j OPENINGS � • Z : "d � \ uDi D a m 8 M m P ��l�Xl I � n o � � � °' n � � � � � �. $ � � � � M y bd i�. � � � a¢� � � �� ° � �a� � y � � �oq�� •� �c � �� N�o� � ��oy � � � �� . ��-e y �, I� � �! � ��w � � �� 1o��w � m o �n, p' o p _ 1 � � � y M W � � � w � � b � � � �� '��. ��y � �� A w ��o �aoa' o � �� ' d th �� aM Rx � � p � M � � i� � � � 'b �; �. � � � � � � � {0 � �� d °� � � �� M � � � `� � � � � � m ,� . , \ �� , `�, I I f I I �� i �`� � � � a � � � N 0 � x O � � � O. D w N V �� y x z � � t" �+ �. � x�x� � �o �� `� �n � H � E� ° � .� � v N y `� � � C w a�. � °j � � N ¢ w � � o � e � � � � � ;; I fD � � � `� W W ° � y y ° w w � � o �o � 0 o ,d F'1 O ►1 fD O � � � y o � H � [ � � � ' y . . � . . . � . . . ; � . . � ' . : . � : : : : : � : I I I � � � � � � � � � x � � �� ¢a°°x � � O N o � � y a a .. � � � R° R° y `" ',`� � � � � � � � o � � x ° � o A o 0 � � � � � � � � ' M M ; � � . . � v � x �d . . o � . . � : : � � . . y . � � � x . : �a � �a o � : . . D9 � CT G� N7 N 00 00 O O Q � O O O O O O ifl iA tA � ffl &9 {fl iA {fl &9 O Y r 00 � � I � � � � 0 w m � A 0 � � z 0 � � � x � M O � bd �• � m � z O t� � � n `l"' 0 � 0 �� a `�9 `>9 � m �, x 0 � � 0 � A 0 � �° � � � � � � � � 01. �' � � �� °� � � � � � ��o �`�� w w � pa. � 0 0 � � � � o � n Q m G `D o 0 ]' 'C7 : � �' a � : y o a, � : G � O . � $ O • : O o . . . � .° : : : � N C7� d� N 00 O O O O O � � � � a ¢. � �! r�i1 y a e � � G. 'C •i � � b b � S w w � � � �'N'� � � f�° R° ; v� y �� o �� . � � � � � 0 o ZI � I � � �, v� � o � � � � ¢ �! . � . . � O : : O � . . Oq . . G : . . N � � � � O O O Q 1i! y � y �� n a�a;; � 0 .y b �, � � �. y�4V p Wp, � � � � F w"'��° �e o��. y d�� 0 ° y a ��p' � p Ff �D .'7p��C �� ro� � m bd�� V�iAn p� �8.t � O ,�aoa ]'�,o H � o'n m �� ro �a• m �, �� y �� s��N y �� Q GqM � � D � i � � m � 2 m C �m , d » M � � d�' � a A A V O � 'O � � � �' O � �O Q � �i� � �� _ D � �� . D 0.� A •r �' � � �p 03. D �v � � � ' � 0. r+ �D � p' 1�1 I I I I�� I �� -, � = � ��-�9 � D-J6 z e � �� • , HEAT LOSS CALCULATIONS DEI'AItTMENT OF INSPECTION NIINNFAPOLLS. �. Weatherstrips � A.S.H.V.E, Construction No. Iasulation Guide Windows Doors Reference Out. WaU Int. Wall Ceiling Roof F1oor Kind How Applied Yes—No Yes—No 19_ — Fl.� ��o�=t *�,' Room � Length Width / Height FI.� Room Length Widt6 Height Windows aqd- oors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Halght No. ot Llneal ft. Area Wldth Helght No. ot Llneal ft. Area Na. ot pane o[ pane Iighte o[ crack eq. Yt. No. ot pane ot pane llghte of crack eq. tt. C�! r -!/ / f0 �� o Z�' � 3 o S / � /9 � � � ?�� Coef. Btu Coef. Btu In6ltratioa � � ��p � () Infiltration g' � l � � Glass � � %Sd G1ass / � �P% O Fap. wall Exp. wall 7i Net exp. wall °l�D Net esp. wall / b / Z� ! i —In�wall� -- — =_— —_— —== —= _ _ ._ - -- -- _-- --int: watt—= — -- �_— � __—: � — - -- = —_ _ _ . -� Ceiling Ceiling Floor �� 9 � Floor � � �� j Total Btu. 'y �� Z'otal Btu. �� 6 Required sq. ft. E.D.R. or sq. ias. W.A. Leader area Required s. ft. E.D.R. or sq. ins. W.A. Laeader area F1.� Room � Length // Width Height ��,� Room I Len�th � 2Width Height Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area Wldth Flelght No. of Llaeal tt. Aree Wtdth Helght No. of Llneal tt. Area No. ot pane ot Dane Ifghte o[ crack eq. ft. No. ot Dgne ot pane 1lghte ot crac4 eq. Yt. / 2 / �i /% / �(o / l 2. f!e /d Coef. Btu Infiltration f' � Glasa f 7 O •S F�cp. wall �� 111et esp. waD � ' � l� Int. wall Ceiling F�oor � 9 c _�oEalBtt�,. _ — . _ _ —,-��= -_— -�_ � �� Zequired sq. ft. E.D.R. or aq. ins. W.A. Leader area Fl m � Length �/ Width /� Height Windows and Doors—Cracicage and Area Wldth Helght No. o[ Llneal tt. Area No. ot osne o[ pane 116hte ot crack eq. tt �nfiltration I �liY> . tfG 6'ilaas � G �xp. wall �let eap. wall %C� ➢nt. wall Ceiling � loor / � Total Btu. Required aq. ft. E.D.R. or sq. ins. W.A. Leader area � Infiltration Glass Net exp. wall �6 / D �J� C5 Int. wall Ceiling ' Floor l3 � ��o `L � �,-��ta�Btu.----- --_= — - _ ___ Require � or sq. iris. W.A. Leader area Fl.� oom I Length // Width Height f' Windows and Doors—Crackage and Area Width Helght �No. of L1nea1 tt. Area No. of Dgne of pene ItBhte of crack ea. tt � � � (� � � �o / g � f t ! C� �G Btu / LO Infiltratioa %p Q Glass Eap. wall 9 BB Net exp. wall Int. wall Ceiling / � Floor 72.•O 7'otal Btu. Btu �� ft. E.D.R. oe sq. ins. WA. Leader area m � � � � � z � � N 0 � x � M y x x � `� � � � y y Y 0 Z �,yy M � � � O �� t�y�� M � ^ �� '�v�-' �n � o $, � � 0 � � � . r � ",� M G1 a y H � ¢ � � ¢ W � � � � � � � � � o � � � N � H o� o � o � : 0 Gd : �" : x � �e o N � 0 0 0 � fn �n t» � � �O �r�., � � � � � � � � 0 � W � � � t+l � � � 0 � 0 0 0 a 0 H � � 0 0 � _ \ O 0 0 r bd � � C � K � w � W � � � � M � y x o � � o � � � � A <D • �: �. �: H A H � w � m � � k � �(� � W � �� b ' � � a � : � �. � � �� o �� 4 � b � � � � � � � �' �' � a � w w � � �°+ � a � � � � � O N o ��,�,,, � 'j oa� �� °�� d e � � � �d � o �. '� � � � o 0 r. � � :� � � � M y � ,a� : : � � � x �' . . o � . � : : � � . . M � N N � � °o 0 0 °o °o f» �n t» �n �» � � � x 0 M O � a � m � a � � � � � � � � o O m � 0 .� �., � � 0 m O � � � g � � � ,� � � !` �' � �'�' � � R° R° �p Pt � � � �° � �� '� � � "'at�ao a��'� �� o� n � � � S � a � � �y o a � : G •- v+ o : � � �p O $ O � . . � o . . . � .° : : : � t� w e,n w ao o °o °o °o o° tn w tn rn tn 0 � � 8 w o ti fn y � € � � � VC m � � '�d � '�C � � � � � � � � m � o � �R° R° � � � � o � � � '°�°� m �. � O p � I m � �, b � o A. � � � a b' . � . . � ° : : O � . . Cp . . O . . . N � � � � er o 0 0 0 0 0 0 � � O t" aA.� c b �,a� ro y � V W � �� • � � �oa � � �, �b � �� °� � pp►`C �� m bi�'� �� O y K � p�� a�p ��a� �7 ¢t y ry a,n W � �� y ��w� �� D � r � � rii H 2 m C r m � M � � 1+ � m A � V O � 'O � � � O � � �� O � .7 0 � d � .T' � � �� A � 3 O � 0.� v< e� w� � •• = � �� 0 � 70 � � � ' 9 f�. � ,.-.., � ,� City of Fridley, Minn. BUILDING PERMIT Date: �y 13, 1969 pwner; Philip L. Neese B��r Owner Address 6 25 Fa i,rmont S t. N. E., Ad�s S ame �7��/ N° 1022s LOCATION OP BUILDING No. 625 S.�t Fairmont St . N. E. Part of Lot Lot 5& 6 _ gl� T Addition or Sub-Division Riverview Tieights Corner Lat , Ins�tde Lot �. X Setback � Sideyard Sewer IIevatian — Foundation IIevation DESCRIPTION OF BUILDING To be Used as: Ga.ra�e �nt 22 � Depth 26 � Height 10'. �. � 572 �� 5720 Front Depth fTeight Sq. Ft. Cu. FL 7.j►pe of Conatruction Frame �� _ $1, 000 To be Completed In consideration of the issuaace to me oP a permit to construct the building described above, I agr+ee to do the proposed work in acc�rdance with the descrlption above aet fo� and in com ce with all provisions oP ordinances oE the dty of FrTdley. o.� / a�� In consfderat[on of the payment oP a fee oP $__�._.�._�Q permft fs hereby granted to P�ilip L. N'eese to construct the builc�ing or addition as described above. Thisperau t is granted upon the express condition that the peraon to whom it is granted and hia agents, employees and worl�en, 3n all work dane fn, around and upon said building, or any part thereof, ahall conform in all respecta to the orrlinances oP Frldley, BZinnesota regarding location, construction, alteration, maintenaace, repair and moving of bufldinga within the dty ]imits and thia perrmit may be revoked at a�y► time upon violation of any of the provi�tona of said o�dinanc�. //' -� _ i , / ��8 � NoncE: '�hls psemti des� eol eovsr t6s �onstwcti�, ieatalla�lon fer whh�e, plumbiee, gn hsadng, saru or water. B� sun to a� t6s Bufldiu8 lnsp�to� for �paral� pann(ts Por fhe�s �. ' .._ � � � 9�.'PI,IC9TION FOR BUILDING PE[�l�T CITY OF F'RIDLEY, MINNESOTg or� �s rur� ,��,'� �. /11e�.s � B�z�n� � �.�' r� e � ADDR.F�S ��.�^ �� /'1 !✓i o �/ � .f� /y� ADDRESS ��` s' ^ �o�� i' /� B �r 7' S�` /j/�' LOCATION OF BIIILDING NO . (� � -S� ST'REE'1' �o�' � �i d �/ %� s� ��_ � �.r,.--.-� ^ LOT �� o �L` OCR T A�DITION OR SIIBJaIVISION i 0 C�� /�"�� / ./jj�P r,� q� 7��i � f/ CORNER LOT TNSIDE LOT�SETBACK ��' ST.UEY$I�D�� ` /'6� SEWER E]',EV$TIQN TOP OF FOOTING 9p�lio�ta.t attaph to this form Two C�rtificate� of Survey of Lot an.d proposed building locatio�: drawn on these Certificates. DESCRIPTION OF BIIILDING To.Be U�ed As: �. �i . �"ron� . �— Depth � (� Height / � ��_��' �.. � �� fiquexe �ee�t Cubic Feet F'ron� Depth Height � Square feet Cubic Feet Type pf Conetruction Eatimated Coat�� (�,,� � a To $e Compls��d � � �1 , The und�a�si�led h�xeby make� application for a permit for the wor$ hereita. s�eqif7ted, agxe�in.g to do all work in strict accordaneq with the Ci�y of Fridley Or�.iriances and rulin.ga of the Department of Bui],dings, a�.d hereby deGla:�es that all the facts and representatio�s ata�ed it2 this applipa�ion ar� true and correcte DATE � � — /cJ `� �/ SiGNATURE i:/ � _ ° ' _ _ (Schaduls pf �'�� Costs can be fourid on the Reverse Sideo) �� __`,. � r� `'i � �a . ',' �-.E-` � �7 � � 1'' �loJ � '� � � __._ � -- - - {,, , % I 1 •� .s 0 ��P P �P �� . ��° � / � BIIILDING PERMIT�FF� SC�DIILE SECTION�Z. The Inspector of Buildings sha.119 before i�suin.� pe�mita for the erection of �ny building or sta.^ucture9 0� for any addition to any �xietin� structure or building, or.for ar�.y alteration or repairs to e«ny existing building or structurey upon application therefore, requixe the payment by the applicant for such permit of fee� to the amoun� hexein below set forth and in the ma.nner herein provided to-wit: IIniform Buildi_ng Code: Type 1y 2, & 4-$1a75 for each one thousand cubic feet, or fraction thereof, in such cubical c.nntents. Type 3& 5- $1e50 for each one thousa.nd cubic feeto For the purpose of comgutit�g fees for building permits, the Qub�cal c�snt�nts a�' �"b'�`i�i�'�"'azidit�.�i°'��'°'�, utii'form hei�°�`k�ta.�Yi�t�"� �y�-- '- multiplying the �round axea covered from a point six (6) i.nches below the floor line of the basement or the cellar to the average heig'ht of the upper suxface or to the average height of the roof sur�aae oi the ma.in �a,ble of a pitched roof . For repaira or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollara (�500.00� or fraction thereof in the cost of all proposed worko In no case sha.11 the fee charged for any pea^mit as set forth in S�ctio�. 2 be less tha,n �5.00. NSSSD Conn.ection Chargea based on location - Area 1 or 2. �� I 1 � T .� " L. a � SuBJECT City of Fridley AT THE TOP Of THE TWINS g U I L D I N G P E R M I T f � � � � � • COMMUNITY DEVELOPMENT OIV. � � �: ------� r � � PROTECTIVE INSPECTION SEC. � � �"'1 � CITY HALL FRIDLEv 55432 NUMBER AEV DATE �""� � �'' 612-571-3450 910-F15 1/20/95 JOB ADDRESS 625 Fairmont Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. S,6 T Riverview Heights 2 PROPERTY OWNER MAII ADDRESS Edward/Margaret Piersak 625 Fairmont Street NE 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential ZIP IIP ZIP PAGE OF � / ��8 RECEIPT NO. � l� APPROVED BY SEE ATTACHED SHEET PHONE 786-7545 PHONE UCENSE NO- PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASSOFWORK � NEW O ADDITION O ALTERATION f�l REPAIR O MOVE ❑ REMOVE 8 OESCRIBE WORK Reside dwelling; soffi� & fascia 9 CHANGE OF USE fROM STIPULATIONS TO Provide attic ventilation to comply with State Building Code. TYPE OF CO SEPAFiA7E PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO. DWLG. I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT 4 OO� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION. 63.0� TURE OF �pNiRACTOR OR A Ri AGENT IDATE� � � �DATE� < STALLS � UP OCCUPANCVLOAO CU. FT. FSTREET PARKING IGARAGES CHARGE Lre SC $4.00 AL FEE 669.00 r11S IS YOUR PERMIT �z3-�� - ��,E NEW ADDN ALTER [l [l [l ConstructionAddress: Lega1 Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � �.�� ✓ �� !� 1��`i� � ,° S 7- � �.� Effective 1/1/95 Owner Name & Address: � � �,- ;� � .1� �J �- /�� -. e L,j�- n j 7��'l� /'-�'�� Tel. # �.�� -� '�3� Contractar: - �� G �%� � � ��% �i L /� MN LICENSE � Address: S ��' ��'i � Tel. # Attach to this application, a Certificate of Survey of the lof, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Length Length /�I �/ � L Corner Lot [] Inside Lot [] Ft. Yd Setback Type of Construction: Approx. Completion Date: _ Width Width Width � �� 1,!�' �-- , _ � Height Height Hgt/Ground _ � � ��_ _ �_ Side Yard Setbacks Estimated Cost: $ Sq. �t. Sq. Ft. Sq. Ft. ,��r � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x =$ ��'� �' �� DATE: �' �� ' `�) APPLICANT: �� Tel. # 7�'� % g'`�Ss Permit Fee Fire Surcharge Sta.te Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �� >. L �;' $ �- , C:p � $ c.'. < <" $ $ $ $ $ $ $ ir- �6 � '�-� CITY USE ONLY Fee Schedule on Reverse Side . 001 of Permit Valuation (1 / l Oth %) $.50/$l,a)0 Valuation $850 per S�C 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 [ ] STIPULATIONS: � �;ui�.u�rvc; �>c�tn�t-�- rcr_ sc�ir_ntl�r_ "i'hc: Lhi�t� t3uilding Utticial shall, tx;lorc issuing permits for ihc ercction of any huilding or stniclurc, ur ti�r any :i�iclitic�n tu any cxisting building or structurc, or for any alteration or rcpair to any cxistin�; l>uiliiing <�r s�ructure, u�n a�plica[ipn iherefore, require tfie payment by d�e applicant for such Permit c�t I�c;ti tc> the amount hercin I�elbw set forih and in the lnanner herein �rovi�ii;c1 to-wit_ "1�0"I'AL VALU(: � I to $500 �501 to �2,000 $2,001 to �25,000 �25;OO1 to �50,000 $SO,OQ 1 to $100,000 $100,001 to SS00,000 $500,001 to $I,000,000� $I,000,001 and up I=rf:S $IS (Minimum Foe is $15 plus surcharge) $15 for first $SUO pius $2 for each additional $100 or fracct�ion thereof, to and including $2,000 - -$45 for fiist $2,000 plus $9 for each additional $1;000 or fraction theroof, to and including $25,000 � - $252 �for first $ZS,Q00 pt�s $6.SQ for each additional $1;C?00 or fraction thereof, to. and including $50,000 $414_50 for first $50,000 plus $4S0 for each additional $1,000 or fraction ti�eof, to and-including $lIX?,000 $63950 far €icst -$100,000 plus� $�_SO for each additional� $1,000 or fraction thereof, to and includi.ng -$500,000 $2039_50 for tf� first $�O,OOQ plus �$3 for each additional $1,000 or frac�an thereof, to and including $I,000,000 $3539_SO for the fust $1,OOO,Q00 plus $2 for each additional $1,OU0 or fraction i#�ereof - DR[VEWAY DEPRESSiOId ESCROR% (Concrete Curb Streets Ouly) Alternate "A": Removat and re�lacement of curb and gutter only - Driveway width plus 6 feet times S13_S0. Alternate "B": Removal and replacement of curb and guttec and instalI a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15_75_ VLR[FICA"C(ON OF FOUNDAT[O[Y Permits for cor�stiuction will be issued a minimum of 24 hours from the time of application to allow f�r proper revic;w of the proposed struclure and of the coastruction site_ A Lertitic:atc of Survey of die lot, showing the Imcation of the foundation oncc it h�.e it has becr� conswcte�i �vili t�e rcyuired (�efi�re proceecliag with tt�e framing_ � ADDRE5S PIN LEGAL DESC PERMTT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 s�z-36u4 r�aat: : 625 FAIRMONT ST NE : 033024230199 : UNAVAILABLE : LOT BLOCK : BUILDING : RESIDENTIAL : WINDOW/DOOR REPL 571-1287 ' _°��-�. PERMIT NO.: 2004-00880 ` DATE ISS � . /2004 VALUATION : $ 4,265.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TF� DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENII�TGS. REPLACE 7 WINDOWS WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT RMA HOME SERVICES INC 3200 COBB GALLERIA PKWY #200 ATLANTA, GA 30339- OWNER PIERSAK EDWARD J & MARGARET 625 FAIItMONT ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All . provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons�uction or the performance of construction. �_ � � S�i��` �, :�1;� BUILDING PERNIIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 35564 ��rmi� �r�� w�� B tit�� ,�� ►►� e Mailed �°�n'er i'o �P�� SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 111.25 4.27 2.13 5.00 122.65 04/02/2004 FRI 13:21 FAg �-�� ELDER JONES N�A► ADDN ALTER � � � � CITY OF FRIDLEY I I 6431 University Ave NE, Frid.ley, MN 55432 L 2 S1NGL.E FAMILY AND DUPLaES R-'( AND R-Z BU{LDING PERMIT APPLICATION l�j 001/001 . .�. �• • • • , •� .. Effective 4/1/2004 (763) 572-36Q4 Bidg Insp (763) 571-128q Pax �OO`�- �C��c�� Construction Address: �a'S ��'� ,� ��.}-.. S�. . Legal Description: , OwnerName S�Address:�;r�..�;�¢,CSo��. � Te�#clSa�yg,3b9 Contractor. � � HOME SERVICES INC. _ MN LICENS� # -' Home Depot Installed Sales Addf�ss:__ 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 763-542-8826 �flcate of Survey of the Bc-2o26s2s� �n drawn on it to scale. LMNC�1 AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPiiON OF IMPROVEMENi Length � Widt� � Height� Sq, F�t LengEh _ Wdth __ Height Sq. Fi Length �dth HgtlGround Sq. Ft ,� . _. � Construction Type: Estimated Cos� $�. a� 5°% priveway Curb Cut Wtdth N�ed�d: F� + 6 Ft = Ft x$ _$ DATE:$' V'f�Q"�� APPLICAIIFT':,,,��a.( .L1�Oi,n `i Tel.� �15a�3�1S-�0��{� Call (763) 672-36Q4 for Permit Fees if mailing in applicaf;on. Faoc to 763-577-'f287 i# using credit card and we will call you for card number. Permit Fee Plan Review �re Surc(�arge - State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer �Main Charge rorai. �, � Il►.a� � $_ y . a� $ �.13 $_ e� $ 5. 00 $ $ $ $ $ laa�-s CtTY USE ONLY - Fee Schedu(e on Reverse Side 65°/a of Permit Fee .Q01 of Permi# Vafuation (1/10�F�%) $.50/$1,000 Valuation � � $1350 per SAC Unit $5.00 (State Licensed Residential Contractors� Alt "A" or Aft. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) STIPULATIpNS: � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57"L-36U4 N'AX: (763) 571-1Zif7 PERNIIT NO.: 2004-02048 DATE ISSUED: 11/15/2004 ADDRESS : 625 FAIItMONT ST NE PIN : 033024230199 LEGAL DESC : UNAVAII.ABLE : LOT BLOCK PERMIT TYPE : BUII.,DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 2,884.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENII�TGS. REPLACE 5 WINDOWS H.O. #952-448-3699 STATE LICENSED CONTRACTOR APPLICANT RMA HOME SERVICES INC 3200 COBB GALLERIA PKWY #200 ATLANTA, GA 30339- OWNER PIERSAK EDWARD J & MARGARET 625 FAIRMONT ST NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date BUII,DING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 37945 ��raxAr� r�xm�r� xr;c�uu�ll r�ux wu� u�rt�x �rr�.vv ll��t;�n�:ll wt3UVr;. 83.25 2.88 1.44 5.00 92.57