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AF - 42004N ARLEIGH C. SMITH Registered Professiogal Engineer aad Land Surveyor 16215 Wapzata Soulevard Wapaata, Minaeao3a PLAT OF SuI�VEY OF PR;OPERTY OF �.�� ,��+��':�'��F � � 9�'at�` �s�'►�t� ,�,� �v �b/' ,�' ';k J� +%��'�1 described as follows�� ;,'�'" �" � �„� � �� r +�� ,�_ E 8 9 � Scale: 1 inCh�_�ee� e' � � � � � �� , s �� 4 � � � �'�.� :� � . � .�.,�..,A.P. � CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY I hereby certi4y that o� , 19— I hereby certify that o � { -,�-�—, 19� I made a survey of the proposed location of the building I surveyed the property descr bed above and that the above on the above described property and that the location of said building is correctly shown on the above plat. 1 � �,�,� �t 6 � �..,� � , !� ry ,¢�• i.. 1 �, � - �`�; plat is a correct representation of said survey. j/� j' sg ``f +-.�.. - .-d� •�t,.v+'�S+`6°"�i8 'j i�Mi � t�;°y-�'.� _� , City of Fridley, Min.n.. Bur�naNG P��r N° 5 3 8 8 Date: "" � � � � ✓; ' Owner: ' '- �_. � � , �+' �,�•' Btulder _ Adtlress ' Address f �_ ,, LO TI ��, B IL 9 G , No. � Street �..,, ` Part of Lot � Lot _____ Block Addition or Sub-Divfsion �..�.��i��!'. � �: � Corner Lot _ Inside Lot � Setback ��" !.—_ Sideyard .—� Sewer IIevation �— Founda.tion IIevation DESCRIPTION OF BUILDLNG To Used � ''R ps�� '` p� �r,,� ,� �•�' �` "'• Front ��°= ° Depth ., °�.s�.. Height .,�:._� Sq. Ft �'�'u. Ft a��d�� Depth Height ___.�,_�. Sq. Ft Cu. Ft 1j►pe oP Qonstruction _��!`°�'`��'� F�t. Cost ��_� '"�`�To be Completed In considerai3on of the issuance to me of a germit to construct the buiidin� described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances oP the city of Fridley. �� *. � " In consideral3on of the payment of a fee of $�� , permit is hereby granted to to construct the building or addition e� descxlbed above. This permit is granted upon �he express condition that the person to whom it ia granted and lus agents, employees and workmen, in all work done iu, around and upon said bwllding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding l�ation, conatruction, altera.hon, maintenance, repair and moving of buildinga within the dty limita snd this permit may be revoked st any time upon violation o� any of the pmvisions of satd ordiaancea _ � Building Ins�ctor NOTIC� • This permit does not aover �hs conafruetioe, inatallatioe for wiring, ptumbing, eas 6eating, sewer oe wate�. Be sure to sss ths Bnildin8 Inspeetar for saparate permi� foe �heae ttems. � 4 � � _ .._ •NS ,��. �--� , ' APPLICATION F8R BIIILDIATG PFd�T CITY �F FRIDLEY, MIl�NESOTg Owner's RTame„�-.��1��,�� HtxiZder ��.�� - - � - -- - . �ddress «� �9 �.,.f' .r�� `.` 8t1c]ress /� � c� - �.0. �., `%/� � �j-c��,f L4CATI�AT OF BUILDING �� ` . Part of I�ot S � No. � _, Str��t,_ T �� _ � Lot ,/ Block Addit3on or Subdivisio��'� �� . Corner Lot � side Lot�_, - 38tback ��_Side-Yard,�, ` .� � SEWER ELEVA.TION FOOI�ID�TION ELEVATION �'s4' �' ��-re-� ,� �pplicant atta.ch to th3s form CertiY3c�,te of Sarveg of Lot and proposed building loeation. DE5CRIPTION OF HIIILDIIVG ___ _ _. _- - -- - --- - - _- - --_ _ ---- _ _. — - -- - - - - ----- = -- - - _ --_-- -- - - _ -t _ � -- -�-._ To be uasd as: -- _,, l' - - _�.. �� - Tgpe of To be Completed � q � � Sq. Ft. �'�`�.� �" �s�` �Gu. Ft. Front_ Depth Height Sq. Ft. Cu. Ft. �� Estimated Cost „�, l� � � The uadersigned hereby makes applic�.tion for a permit for the work herein apecified, agreein� tv do all work in afi�rict accordance wi.th the City Drdinan_cea-and ruling of_ the Department of Build3.rige, and hereby declares that aLl the faota and representations statad in this applioation are true arid correct. (g 3chedule of Fee Costa can be fouad on the Reverse Side.) n �. a :c ,r �"� - - - ,� � � � � HUIId)ING PERMIT FEE SCI�DIII� Section 2. The Inspector of Buildings sha7.l, before issuing any pez`m3t for the erection of any building.or structure, or for any addition to`an�p existing bui].d- ---�=••ing or �tructure, or for any altarations or repaira to any�exiating building or structure, upon application therefor, requixe the pe.yment by the applicant for .-_==--$uch permit o� fees to the amount herein below set forth end in the m8nner herein provided to-wit: 2.1. For any such permi.t for the erection of any fire-proof building, other than a garage, wareYtouse, factor� or gra3.� elevator, or-for the erect3.on of any fire- --- proof addition, for aimilar occupancy, to ang existin� bu3lding shall be at the rate of $�..40 for each one thousand cubic feet, or fraction thereof, 3.n such -� cubical contents. � 2.2. For a,ny such permit for the erection of any fireproof garage, �rez°ehouse, factory or gra3.n elevator, or for the erection of auy i'ireproof addition, fofi ' sim37.er occupancy, to a.ny exi.sting building shell be at the rate o� �7..25 for each one thousend cubic £eet, classified as ��fireproof"� by Section 502 of the Minneapolis Build3.ng Code. HOUSES , t-� _ - - -- 2:3: For eny such permi� for t�ie erection of an�r- non-firep�oof buiiding ot�i�r= than a gaz�age, warehouse, factory or grain elevator, or any nor� fireproof addition, for similer occupancy, to any exiat3.ng build3ng. Permit $]..00 for each one thousand cubic feet. GAI�AGES ..� 2.4. For any auch permit.for the erection of any nor�-fireproof garage, werehouse, factor� or gra3n elevator, or for the erection of any non-fireproof addition, for simi]_ar occupancy, to any exi,sting building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fract3on thereof, in the cubical con�ents thereof with a min�.mum o£ $4.00. - For the purpoae of computing fees for building permits the cubical contents of a.tiy building or addition to a uniform height throughout by mu.].tiplying the ground area covered from s. point aix (6) inches below i:he floor line of the ba,sement or cellar to the avera�e height af the upper-surface or to the avera�e hei�ht of.the roaf surf�ca of the main gable of a pitched rooE. 2.5. For repairs or alterations to an existing structure, the fee shell be at the rate of �3.00 for each Five Hundred Dol�ars ($500.00), or fraction thereof in the cost of all propoaed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less thau �1�.00. ' � �, r""� /'� _ , - _ .-_,� � � d � � � O � p � . M . �i . � . m . m • M . O . a 0 ' � � � • � s 0 � �� N � �i �� w � �� s' � � m N � O • O � . o . . bd : : � . . � 0 �E 70 E4 N h�+ � O Q Q a �i � � \ H � � � b � � � � W fZP � Z � 8 � n � n�y � �y •�' � � ri � ��`° � � � � � � � �r � . 0 � N � � Q � �/ � o a � � � : � � N : � �� : � l�i r°oo ; �' : � � . . . ' � . . . . : � : : ' : p1 O pd pd pd >9 >S pd C.� [v W ►+ r+ ►�+ ,� C� p C�7� O O O � tsi {A t» t'� f� s� �r �� G�� D = r � � m t/f � 2 m C r m � ,: ■�i�i - _ ■■..1 , : �� ; : ��i�1� • �: ■��, .: : ��1 �� 0 � r M � o ° �' o y �° � p I �' °' � � x � � n Yn b y � a °� bd ' � � a � � � � � w � v � g � � � � � � z � pq o � � G� m � � � N � � � o � I_ m . � � WATER d.O5ET5 URINALS nArH TU65 �,� SINKS WASH rrsavs DRINK. FOUNT. SF11YR5. FLOOR oaniNs urcri BASINS nuro WASHER GAS MPL GAS RANGE GAS OPENINGS �1 • z • � � i A � � � �'� � �� M �' ¢' � � oa o � �e � � A � �:. ��o� �� 0 �' � � � �oe�� ,d � 'd O y � � p � o � a ° p �" '�, o M � � � w � a� �� 8��" ��ti � �� o� � � � � `� �� M � � � q' M � � � � � a� A x �� p � M � �� -p � � � � • 3. � � �' � � � � � � m � �� O M . � �. ro � \� � a � �v ' � , � � 0 � x � � __._. � � �� N � � �� o � �� O �� .�� -- � . � � � � � � � P � � y (A � p t� o � � s�, r � � �1 � � . � �� d � � � � � � . y 0 0 o�. �, : : � : : .z �a„„o N � O O O � � 0 0.�' � � p1 � , I m � � � � � � o ;V � � b 0 0 0 0 0 � � C O � �� ¢7 � � O `� � .. �, m ;-F b� � a ° Od � � 'n, � � � � <� �I W W w � �� : �: E: �. � G O 'f/! � -<=�o �m � ��, � w a � R x ��a�-��y oo�� °�°� ��'� ��.� � ° �� °� � � � � � � : ; � � : � � � : : � � : : � : � � � � � �' . �y V � � W � � o � x �. � � � 8 � �' �� 0 O � N � � W t7� t7� O O O O O O t�ri' cn � � � � � �r a 4nC-�' � 1� � � ro �. � 0 � � , �V � � � z 0 � \ O � � �. � g � � � �� ' � �� .� �'�'� ;R �� a R° f� � � � • � � R° � � � ��"'�''� ��° � � °��° ° � �� p �o � � � �� s� � �� ,� ° � �, ,� � D -g � ; �� m �� m �': �� $� � r � P� � ; . '.' : : � �� : . � � . ' : � Q o $ m . .° ; : : � � : : : �' : : : ' � : : : : �,2 � � : : : : � ; : : C � � : : : : : ' : : : ri—n � ��N�p ��p�� O O O O O p O O p � A � p i `�: � � � `� � ��_. � �. . y � � . � _ _s� - - - - = yy' _-- _ � ,r�� r � � aa� � � � � � o " ~ �CP �°s � �� y.�� vi � �� '� � o �� ` br � � �� .` �r � �� $ e�pt�p �p �. .,a � � ¢+ � � "a' � �� '" 70 V � � "a ��'� � lD �~'y �. � � '�� ro � . . O��m � � - �� Op � � �' � �� a �� n o. co �, � �� y Sh � � P" �QO � h� �, r+ �D � �y' m � I?• ine�.� � a� � � / ' : ass � .�.4Z j4_ � HEAT �LOSS CALCULATIONS DEPARTMENT OF BUILDINGS �/ �� FRIDLEY, MINN. Weatherstrips �►•S.H.V.E. Conatruction No. Inatilation Guide Windows I Doors Referente Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied Ye No Yes�No 19� � a�� a Fl•� ' Room � Length Width Height Fl. � oom Length % Width // Height Windows and Doors—Crackage and Area Wiadows and Doors—Crackage and Area tVldth Helght No. ot Llneal it. Area Wldth Halght No. o[ Llneal it Ares No. o[ pane o[ Dane _ Iighte ot crack ep. tt. No. ot oane ot �ane liahte o! crack ea. [t. Coef. Btu � Coef. Btu � Inhltration O � Infiltration !'/ � T��! Glass � 0 Glass ' Eap. wall � ° G ' J Net exp. II .,� � � �P• wall — Int. wall Net eap. wall ip�. Wau Ceiling �/ � Ceiling Floor 3 Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area j Required sq. ft. E.D.R. or aq. ins. WA. Leader area F1.� � e Room � Length � Width ,,2 Height �,� Room ( LenBth � Width � Windows and Doors—Crackage and Area yVindows,and Doors--Crackage and Area Wtdth Helght No. ot Llneal 1t. Area Wldth Helght No. ot Llneal It. Area No. of pane of pane llghts ot crack ep. tG No. ot pane ot psne Ilghte of crack eQ. [t. � �/i � %w o� 7 / / � � ri.' _ . _- --_ _ . . _....� � ` �� ?� � vTiO �;r Coef. Btu Iafiltration � Glaaa � Exp. wall � °L ,C � Net eap. wall Int. wall Ceiling � / � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area FI. �,e Room � Length Width ; Windows and Doors—Crackage and Area ' Wldth Helght No. oL Llneal tt. Area No. ot pane ot Dane Ilghts ot crack ea. [t. � Infiltration Glaas Exp. wall Nec eap. w Int. wall Ceiling Hloor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A�. L.eader area Btu L�� %� � � In6ltration Glaas Eap. wall Net eap. � Int. wall Ceiling �oor Total Btu. Requ'ued aq. k. E.D.R, or aq. ina. W.A. Leader area FI.� .� Room I Length ,3'� Width f Windowa an Doors—Crackage and Area Wldth HefsAt No. ot Lineal tt. Ares No. of paae ot D►ne Ilshb o! crack �Q. tt. � ' Ia6ltratioa Glass F�p. wall � 1� tv�� p. Wau Int. wall Ceiling F7oor Total Btu. Required aq. h. E.D.R or sq. ins. WA. �' Coef.l Btu area � ` OFFICE GF THE CITY I�AIVAGER CITY OF FRI�I_EY MEMO N0. DS= 218 � Respond by: �!5/75 ��EMOR�IidOU�i Fi�OP� THE CITY MAidA6ER �.Cont. to: lo—I'%-7S � T0: - ��—//-��' PUBLIC Wi1RhS DIRECTUR . llATE: JUi�dE 3, 1975 _ � . �RE; WAIVkR ilF ASSESSME(VTS UNTIL USE OF STREET BY PROPERTY OW�JER . .AT 1541 FERN�ALE��. . . ' . Please see that an agreement.is written by the City in which it is provided tnat the person woul.d not use 61st Avenue as an " access or for any. other purpose, and request the City that he not _ be assessed at this time for 61st AVeriue improvement, with the understanding that he, or the future property owners, wo.uld have io pay tne street assessment if they used this street for access . . or any other purpose. . � ' Work with Marvin on�this. � � � �, Thank you for your assistance. • . � P�iNQ/ms ' � � . � June 16, 1975 Have reviewed the referenced agreement with Marvin B. T.he agreement has been prepared and is in the process of being executed by the'�prope-r.ty owners: RNS/ j m _ " 7=8-75 --- See attached�executed agrsement. 0 0 � RNS/.jm � . 9 �� . '�: . ,{„. STATE OF MINNES07:A COUN'tY OF ANOICA CITY OF FP.IDLEY 1 A WAIVEP. OF ASSESSt�NT AGR�:EI�NT THIS AGREEMENT entered into this f✓�� day of .1 (�t 1��' 1975, by and between� 1e=�1-,l O�c' �. �•S ,�, �i C�G ,��D ��= � � �1 �'G� husband and. wife, hereinafter refer'red to as the "Owners", and the City of Fridley, a municipal corporation, Anoka County, Minnesota, hereinafter referred to as the "City". . WHEREAS, the owners of the property addressed as 1541 Ferndale Avenue (The East 75 feet of Lat 1, Auditor's Subdivision No. 92) have no desire to split the property. Under the cixcumstances this consequent�.y negates any fundamental use by the owners of that part of 61st Avenue which abuts their property, and � WHE�EAS, since the intent of the Owners is not to use 61st Avenue, the City will waiver the assessment costs for the owners share of the improvement of 61st Elvenue. (ST. 1975-1 Addendum �l) NOW, THEP.EFORE, it is mutually agreed among the two parties that each �will comply with its respective,above-described circumstan.ces, interations . � ' . . - • . �� : . . . -and obligations, an.d FURT�IER, it is agreed that if the oGmers should use 61st Avenue for , , . access, egress, or for any other purpose the City wi11 assess the owners the total amount of the owners share for the street improvements made on 61st Avenue. (ST. 1975-1 Addendum �Z) FURTHER, it is agreed that the owners will inform the future owner of the referenced property of the contents of this waiver. 0 � r� IN WITN�SS TfiERr.OF, the parties hereto have set their hands and seals �7 rt •--- this f� day of J L•til.l� = , 1975. � � ��2 WITNESS �p � � WI � 'SS WITNESS - WITNESS CITY OF FIiIDLEY � .,: •. , G�� (�. _ , �. ` �.. f� ? ��" -i'�C�'�y�'r/ . ` T �-fiN�SS ' � l.�i'!✓� �. �`. �"�'`� FEE OIJI�TER-HUSBEIND , � 0 .-WIFE �� • COPdTRACT FOR DEED HOLDER-HUSBAidD / 1/./7'. COi�TRACT FOR DEE� iiOLDER—WIFE �1 ��'Lf/L ' MAYOR -- � • CITY I�NAGER o .. � , �.: STATE OF 24INNESOTA) )ss. COUNTY OF ANOY.A. ) On this�day of �1:�:2,i� , 1975 be£ore me, ' ' a Notary Public w'ithin and for said County and State, personally appeared � �.-�/A��/_ .� �, �!C E At�n �/z 1'� �a � C � (Husband & Wife), to me known to be the same persons described in and who executed the foregoing instrument, and acknowledged thaC - they executed �*� their free act and deed. � N►�RAy� . . ;�,�o•o+''°� p��,y•L� �.sotn . . �`"w. C�� Y P�BU� � t+ti►�TM , - �!.-"��, �y�3 N�� p'�(A C�gN 2p�1980 • . �� m��,�v+ °� .� " � ` � ,-� Notar Public . � � � STATE OF MINNESOTA) )ss. COUNTX.OF ANOKA ) �N � . . On this 7 day of Jv�Y , I975, - before me, a Notary Public within and for said County, ' personally agpeared.William J. Nee and Nasim M. Qureshi, to - .� . - ; .. me personally �.nown., who, being each by me duly sworn they , � did say that they are xespectively the Mayor and the City . Ma.nager fo�-the City of Fridley, the municipal corporation named , in the foregoing instrument, and that the sg� affixed to said instrument is the corporate seal of said municipal corporation, and said William J. Nee and Nasim M. Qureshi acknowledged said instrument to be the free act and deed of said municipal corporation. G /� ' Notary uhlic SUBJECT City of Fridley o 19492 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � t � `v ______ COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. �� `1 �j 1 � �°° i ' /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � ,•� 612-571-3450 9�0-F15 5/25/88 � � J08 ADDFiESS 1541 Fernda.le Avenue N. E. 1 LEGAL �OT NO. BLOCK TRACT OH ADDITION SEE ATTACHED DESCR. �. Atld. Sllb. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles E. Rice 1541 Ferndale Avenue N.E. 571-4054 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION C� ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFK Install siding, Re�oof House, Kitchen Cabinets, Freestanding Fireplace(Majestic WM 36A - fallow NER- 81 Specs 9 CHAN�E OF USE FROM TO STIPULATIONS See notations on plans ��AR�T� ��BaTS �� E��::;tiV^, ��:��T�i��, �L�� j�� l F��, ��'� � � � � •� ��s Before d� �� f� �- T��Ep ��'n�� ea11 !o HOIVE.feECT �� u�i�es R�C��J�R�D � ��' ��s Efc. Y t,� � SEPARATE,PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY 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 CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED FOF 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 �- STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S5 �OOO S2. r'JO DOES NOT PFiESUME 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. S%Z.00 PLAN CHECKFEE TOTALFEE $74.50 \, 51GNATUREOFCONTRACTORORAUTNORIZEDAGENT IDATEi WHEN PROPERLY ALIDATED THIS IS YOUR P RMIT \` '�� sl�s �P ' � � % SiGNA URE OF OWNEFiiIF OWNER BUILDERi IDATEI BLDG iNSP �A7E � �� City of Fridley EEfective 5/L88 � � � R-1 ArID R-2 ALTER [ ] Building Permit Application Constructian Address:-- I �N � ��_�,�.,�� ,,_��a� �, , ,�1.�,. Legal Description: L�� 1�,��,, 6�,�, �� Owner N�ne & Address: �,��5 E . ``�,`e �c� Tel. # ��l-��y Coritr actor : S � �� Tel. # Adclress : Attach to this appl ication, a Certif icate aF Sluvey of the 1�, with the proposoed construction drawn on it to scale. � •� r• •� • � �� • :� �a� r•�11� AREA: Length Width Height r'+:� ;� � �;M; ; ; �+. �1 y, i �+; .. - . Length Length �, o _ �, a �, r w.�� Insia�e Lot [ ] �pe� of Constructian: A�rox. Completion Date: Width Hei�t Wl�l �, fi� ��GiOIII'ICl ,�oT�+a. 9q. Ft. 9q. I�t. 9Cj. Ft. � �, � ,� � � �1�� -i8J SP�s F't. Yd Setback Side Yard Setbacks Fstimated Cost : S �� 0 0O i Proposed Driveway Width If New Opening Is Desired: S_ Width + 6' DATE : �I � � � APPL IC�NP : � � � �S'�- Pe�i.t F1ee State Surcharge SAC �arge Driveway Escraw Park I�ee ee Sewet Main Qiarge TOTAL STIPULA�I�11.S: s �� c� S �.�� $ S � �� •�� p�.c.t� � � G.� 2s = � U ��, �0 Ro��.. /� � �.c�� l� -�"-d��,o�a � � �� ,.d , � � (�.TY OSE �Y Alt. A Alt. B S_ See Back Page Tel. # �� l� L'1�5� F�ee Schedule on Reverse Sic1e 5.50/51,000 Valuation 5550 per SAC Unit Al� '�," or Alt. '�" Above F�ee Determirnd by Ehgirieering Agreenent Neaessary [ ] Nat Neoessary [ ] S �� o� G. 1�r�%►aFr.� -� �. � ' �. �� O UCT- �� o� �� =:�1 �. �. ' �i�v 4r ��I �M:1�1�. 1 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 rep�ir to any existing building or structure, upon application therefore, require the p�yirent by the applicant for such permit of _ fees to the amount herein belaw set forth and in the manner hereira prowided to-wit: Z�TAL VALUE $1 to 5500 5501 to $2,000 S2, 001 to $25, p00 525,001 to $50,000 550,001 to $100,000 5100,001 to 5500,000 5500,001 to 51,000,000 51,000,001 and up �� S15 (Minim�n Fee is S15 plus surcharge) � $15 for first �500 plu� $2 for each additional $100 or f raction thereof, to and irsclud.ing S2, 000 �45 for f irst �2, 000 plus S9 for each additional S1, 000 or fraction thereof, to and including 525,000 5252 for first $25,000 plus 56.50 for each ac3�itional. 51,000 or fraction thereof, to and including $50,000 5414.50 for first 550,000 plus $4.50 for each ack7itional $1,000 or fraction thereof, to and including 5100,000 $639.50 for f irst S100o 000 plus S3. 50 for ea�i additional S1, 000 or fraction thereof, to and including 5500;000 ';� �2039.50 for the first 5500, 000 p1us, S3. for �:each additional $l, 000 or fraction thereof, to and including $�, 000, 000 53539.50 for the first 51,000,000 plus $2 for each additional 51,000 or fraction thereof -: ; ��v� n�R.F��rn� ��rar� '�� ' � �� `�` (Concrete Curb Streets Only) �;� �ti` Alternate "A": R�nwal and replavement o� curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": 1t�naval and replaoement o�f c�rb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times 515.75. VERTFT[`ATTON OF �ATT[�N Permits for construction will be issued� a aninimum of 24 hours f rom the time of ap�lication to allow for proper review of the proposed structure and of the oonstruction site. A Certif icate of Siirvey of the lot, shawing the location of the foundation once it has been oonstructed will be required before.proce�ding with the fr�aing. ---- a�eC.� _ �oB� -------�.��1--�5 -� --J-5--�-��5 - ------ �� ^-��cr� rn� SP�i �!� - - '"�---- - -- -- ------ � ---- —alX� i,�°�o�}— tY'�t�I3c�0 -- --- �__ t3 ��b t- Na� a,�8 w�- ��.��. - ---- "Dr�, G�if' - -- ----- R�,�o�E_S:�;v�s.� — --. _ �\`LE AC� -- ,.— �1►�-3_�_— ------ ------ � — — — ; �._ . � �---- �.� ► �D�l�,SE � � � � 1 ��q �TW� k � �( � � ----� ��S �3" �l� ForrtN 4� g p , s Y, '4e. « ;�!SL . � � y to�J `^� - � �rt � �- *� �r'��, ARLEIGH �. �MITH R��ea �f�o� �� a r�na s�r i�ia a� s�..� W��., � PLAT �'tF �CVR�TEY �� y�i �� - �� = � ��. �_. _,�, x ° .�': .�� r� � ,��'_�='=- w`:� �;� ,�=:��:r �-.--: _ .-_ _ � � � � � � � � , � � ��,�,. � � �3 CEHTffICA1'E OF LOCATION OF SIIII.DIFG hereby oertify that o*+ , 18 aale a eurvey of the propo�ed locatiom ad the building he above described pa�operty and that the location oi building is caazectly showa on the above plat �� `7 . �aaa.+�+i.s�: : aa�.1Ui . CEAtIFICAiE OF S�SYEY 6 I hereby eertify that 1� I s�m►eye�l t,�eep�perty des bed above end that the above plat is a carrect representation ai said aurveq. ., i ' =. D � � �� 0 � o �ii', � O y 7 � o � 3 � a~ `o g � � � m � � � O � � � y � � � � �a g � 0 c � �� D r O nc � m z� �� v Zm D � c� � m � n � < m � � n � i Z � m Z � v n � Z m m w 0 °o a '� � 0 � a � � � 0 c � � i � v � � � � v � m^ v Y � v, ^�- 1 � m � a � � _ a � Z � c� � a Z � O �' -�1 � m i v� C m � m �� 3 �, m <Q m � C m � �' c � � � � � � � o� � �O <m � � m � 0. A� D rn � � p� D � m �' � O = � � �� 2 D � � � � � � � O � � c3 � � n. m Z 3 m _ � � m z 0 O � ;Z :y o a c� �, � � �� n n m � �m m � N � �� o m 3 a�o^ 31 • _ � N � � 1 ��i 1 D i�i 0 � a a 5 m > � m tA � N v m � � � � 3 m � � � � � � 0 0 0 0 0 0 0 0 0 � � � m � 3 � m v n � � � _� � � m � 3 Z O � � � T_ ao v Z � c � m v � � ao � a � s � � c 3 A ..m.. � 0 c 0 � i Z >� � � w� m . °1 N 0� : � m m � �a e ° � � � o � m c 3 � � � o � o m � � O � � �� -• c� � � m �'� � � � � � > > a •-• m rn a �� aa�3�H ;m � a m � '��' � c � a a � �° ? '� ,•w. � a � �� m ��a�� o �a�, � �� o� �o��^� e � a ° � � �r. �, � � � � o � m � � o � �� Q a � ��o �..ag� Q n'� � � � � � � � m � � 0 m � J � ..a D m n 2 v C � � m ��,�� Naw� m o�i � C O °A�� Z y � �' ,�O r m N � '� zZ mN � n � Z v_ < �� r � A � m �� O � zv > � Z � vp > � �'p m n � � � 2 � 0 � N O D Z Z �v 2 �z �� D A Z g v C < < nm mZ N � � o � z m � m O � � � c � J � � J CHI1rII�SY Pi�1D BTAC� VBRIFICATIOH The undersiqned hereby verifie� that the existing chimney or stack: 1. Has been carefully examined Yes � No () 2. Is free from rust or deterioration Yes � No () 3. Has no foreign objects lodged within Yes (�. No () 4. Is securely supported Yes (�° No () 5. Meets all current Code requirements for size and total BTU's connecte� Yes (��' No O 6. Has total heatinq BTU's of �° � Al1 other BTU's � � � TOTAL BTU's �i � � Remarks �-- �� -- � � � � � �� List Alterations Being Dcne: HEATING COMPANY Signed By Date � D � n , O �a � O w � w �� o � 3 � �, o a �. o m � �a co c°'i 'io ma O � � � � � y �� w � � a� � � � C K �� _r �, �_� � � .., � �� '�o rr- O m -c+ m � �� v z R' A T n O rn� � D n � < m � T D � O Z � z � m Z � � n � O Z � m m. � 0 d / �� n . �i � D -a -o 0 m a. � � � O C m � � 7 v w � � � w O � �-- �� . � �_, . a. . � ., ' � � ✓� � . � � � - �7 � `j n � c � � �' Z � �� + � o � 3 °. 3 <� m n C � � � �• � � a '0 .N,F �_� m � 0 � 0 � � � � � � � � C m s a � � �� 0 .Dy, S � �N m� (-�p �. � .g,� v t� � � A � m � 0 0 �� N o � X N �"1 0 Z � n 3 � n �. �; 0 � j cfl t � � � � m � N N � , m N � -� �D � � ,v�' 7 � z � a � a � � m c 3 m A v � � m o � � m � � � � L! � � �. 3 � m °i � � .. c. �° � � � o x W C � fD � Fn � cr� t� cs �.► �. ...► j N � Q � Q Q � 0 � 0 � Q � � � fA Efl �fl !fl (fl 1A � � �; O � (� tj O f'_ �1 rD �Z o D ;n : � � i c.n Ui � W ��; rL.l M � ,� � � �� 0 c? 0 :t� � � � � � � �. m z � � 2 � N ID Z O m v 7D , c W � Z � �Q� m o, z= m � 3 � � � � c � N O � � �, n '(7 O o � � � � � � fD Q (/� N o m 3 �. � Q = 0 � � w m v � � D m m � � � v c� 0 � � � � 0 'U m 70 -�i Z O � W c ►= Q Z � c � m 0 D � � N W � ro � � 0 z m � x w n � N � t+] � I �• N 0 �n � r N � w � � � � � � � 0 7 O � _ b`i � � � � 3 � o �o �° co' � v► W �. (D �-.s � �-�-� � N � O � a � Q �m, 3 0 0 .� s �' �' 3 �• �• � � N ? O fD � � � L9 (�' �L` 3 'a a �. � 'a : Q� •1� �:' � � � r�i w � � � � cp O O c o � � ro �u � su j y A (�p a ,. � � n 3 � O A;, � "' � ?' � ° � � W s (D ('� N �� o v, n x �v Q � d y � � � a n 2 rn � 0 W D v O � m � .� r tn � � Ntj r7 a w � � C N � m C�J Bu�lding BUILDING Perrnitivo::?�q- 1�}� Inspectibns RESIDENTIAL APPLICATION �te '�� 763-572-3604 ,� , CITY OF FRIDLEY Da��Erec d. 763-502-4977 FAX EFFECTIVE 8-19-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NpME: ` TENANT qDDRESS: � -+ — CITY � STATE�ZIP PHOATE:'i�a�� '7/r =-�0 � ��V� 11f .F. CONTRACTOR NA1v[E: SQt- 3YJBMIT A COPY OF STATE LICENSE # QO � EXP DATE YOUR STATE LICENSE (� � /��—�_�\ �, s.� AND CERTIFICATE OF ADDRESS: a`�J�",� K('2CDl.,l��IU �J1A.tJC2 �� CITY TATE�(�IP� INSURANCE PHONE �^ � FAX PROPERTY TYPE O SINGLEFAMILY/NEW CONSTRUCI'ION SIZE �e[-� j� Z.�ioP ❑ TWO FAMILY/IVEW CONSTRUCTION STORIES PERMIT TYPE O ADDITlON ARAG HED ❑ WINDOWS � BASEMEfVT FINISH ❑ ROOF ❑ DRAIN TILE O DECK O SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUC7'fON ❑ ADDTfION n�, � ❑ MAINTENANCFJREPAIR O REMODELING �� Q.¢k'�C�UG � � DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMINT LENGTH � WIDTH o�Co B HEIGHT � S FT "''' � ROOFING O HOUSE ONLY BASEMENT REMOD6LING SUBMIT: NUMBER OF SQUARES O HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACMED GARAGE 2. Proposed floor plan PROPOSED SIZE: , O DETACHED GARAGE 3. List of strvctural members to � used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCT[ON INCLUDING DECKS, � Viiryl OSoffit ADDITIONS_ & PORCHES SUBMIT: O Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures and proposed project. ❑ Other 0 Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes OIVo LOCAT[ON OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPEIVINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ^ ALL FEES ARE BASED ON VALUATION, iNCLUDING THE C05T OF LABOR AND MATERIALS: (USING THE 19 7 5B.��F� �S �HEDULE) TOTAL JOB VALUATION S��-P _[�� .� �� 1 � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $�,`� , a-7 $ 31 . 0 $ 15.�i, $ �j � OC� $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN17L PR�ESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of�v work which r ires review and approval of plans. SIGNATURE OF APPLICANT \��V N I'l �9UC� �,�ln � PRINT NAME '='1 ��P �O'U!l DATE �^ 2.2 � o� O/ Page 2- Building Residential Application BUILDING PERNIIT 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 permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1� $50,000 plus $7 for each additional $1,000 or fraction to and inciudin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 forthe l�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION O� FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MM 55432 763-572-3604 Fax: 763-5�2-4977 � FIRST ----� LANDMARK ; ` BUILDERS, INC. j � i . r._.:._...� _:.. 255 E. ROSEIAWN AVE., SUITE 48 �•• • MAPLEWOOD, MINNESOTA 55117 ; OFFICE 651-699-3135 : FAX 651-699-9740 � 4 I •� � '- _;� ' ,._. ; �CJ�+ .: PLOT PLAN � , �.� ) �► — 1�►� �' .�. . 3 � •i _ t � : � NAME i°°--•- � ` . i ( . . 1 � • ,..�..,...a.. ,_ ._ ..............._.....,: . ._,.. ,. ADDRESS ; I �'� I ' ��,M�o� �r�c ��. __. _ ._. _ � C I TY -C 1 ,� � � . SSY3 z �. LEGAL DESCRIPTION LOT: BLOCK ADDITION: LOT 51 ZE: HOUSE SIZE: CROSS STREETS: � w � Di R ECTI ON 3' ��XZ�' /+� x �b' � �� T * �� ,,'f , "S� f. . � �� "�- 2 �' 'S`�g a �'� � � _. - . _�, .� f � / /�` / / / % �,: � / / � �� . / %r' / / ' / / / ��, ��1� 2 � � � ' �11�I � � (�� I �� ` VI/tl't.� �O I�t�N C� c�1d l.�a� .. __ : t ,�� f ��- •1 � I (�� : � _-- --------.______....._� ST� � `� `w J �� . , , ,� .. , From: 651-699-9740 Pa�e:2l4 � �Date: 9/28/200910:56:27 AM FIRST LANDMARK BUILDERS, INC. � R�O�p�. VABL VERSE GABLE HIP EAVc OVERHAf�G �� t RAKEOVERHANG. w SEAL DOWN SHINGLFS L�rITH PLYWOOD OR OXBOARD R�OF SriF:;T�iI�G AND 15 LB. �ELT � RootSheath�nQ,� , � � ��'v � V� � �,� b� Seal pown Shrngles � �..��.� � � — se sr a Manutactured Trusses �--� 2" x a° poub�e Top Plate f �� .W'••°.'!!'� Manutactured trusses engineered to m�n�mum +�' 40� I�ve load per sq toot �F�S f' � �� .c�.�� ..�.. t ' ,,,�..�.vr OF y�K�E� • ��{N N 0 �i1 � � .. �,.. �� c� � '� v►� l � ` NOTE � � � � 1� Roof appro.ea by Muin State Buildmg Dept. � meeUng Minn. State Code Requirements of �sn ;�load. t * " , s �es , x rafters and no plywood gusseu are used. RAFTERS: russes @ 24" O.C. 2x6 16" O.C. 24" O.0 STUDS: ' z4" 16" O.C. 24" O� "�d WALL SHEATHING � � +� N �� I � I l� �� "'' SIDING. �� ' OVERHEA � DER� o Q�`C�j.Ya „ !�� a-1 � � �„ � � x ��r Q�—�r� S�e o�st�..ct�on approved per Mmnesota State CociP Refer to Sia�e i 8uilainy Coae Lei�er Number 1 t $l.A� 4" WITF1 MESH 6 X 6 n�0 Gauge , � �_ �r�:�t'` �� ' . IM ��s s�, � �. �� _ � � FI � e �-�. � G' Tnm `— Fasc�a i xfi Rabbited Soffu Redwood �° cove 2" x 4" Studs S�dmg � : y� '-�" x 7" AnChor Bolt 2' x 4" 7reated Boltam Piate ' - io Grade a ` � o a5 P �/�.'� ��// �� ,e ��ti^I�, �,,� 1• ►►`b� � � �{f�� • I�q �� p 1 � ♦ �� i r � �� e m. � ci From:651-699-9740 � ...�. ...,_. "..... _.. ...., . . . ..., .. , ... . , " . �., . ., w . Pa�,e� 3/4 � �Date: 9/28/200910:56:28 AM `„,, WORK ORDER FIRST HOME PHOIdE� 63 "S"►,- ud?.�� ILANDMARK BiJII�DERS, INC. svs. PHONE� 651-699-3135 � ` o �t �+ �a .9 �I 0 ^ �f � o a Nann�. C� 0. n� o, Lc..� PLegal Description JOB ADDRE3S �-�. ��A,/��%G� Yv , i�tCJ�� BLDG CODE AREA '�,Q, iaQ � P_ Blk Q Add'n SALESMAN 4� CONTRACT DATE v�I D� � 5��K 7� Value • 1ypeConst. F01�OFFlCEUSEDNLY ... ....�_..,,...* ... .., .,._.._...,. OBy R►'S1 LBrldmark _. ......._.._..,__.. � ....,. ...� .,._. . `_, ...�.,. . .. } _ , . . , ...... � _ .{ •, O By owner Approx. ,�",�_, -- � ' ; -••��a:.F:�� ,€ �r.<-.�. �� : O In �� " • : 2-STARTINQ POINT3 ONLY � � ; :'• ' i B.P.L. ? teleic�"�`r �w�c.,�P.�jl'L;. } ' : s.s.P� : • ; � , � � R.��.. .o..,. . �. _.. . . . . , ....... � �� H � ,�. �qO ,�°`�=.4�i ��°� ..�.�+ R� � - . 4e F ssre�c . — �, � � , : .r. ..�. .�. "°°�., .„.,,e"'..�..,.r. ��u �A.�.+ Olher • °' °"' � j �j,t;1 p (�- C73c�are With . �, �`r°' ❑3odRem.-�Y , ,. . . . , ,.,.... w... .<.. ..��.,..;��''°": .. ... � ........ '-__.... , �.-,. .___.. pas.0 ._._...... --0.. . .. . . . ,� ,_°_ ... •, � . O � Cir�e Point . . °�"'"''"' �� • � �� Q Condutt � � � � � ' ' p� iA� 0 Bloci�: ❑ By Oamer [I By FtM ; . V�'�� ": '" �� Q.� 0 wtr �oo�: D �5+ own. D sy F� �� . O Bacicfin: O BY owner O Bv � Q Malntaln B' Totel Wall Height • • �••J� • ^ � - • ' /� Inctuding8locksOR `'�7�0'� _� � .� • „�,..:.... �.� � � Malntein e' Wall Helght on g� '- `""'""" '-"`� : . � Top ot Blocks ��.. v e w s ,m .-.n. • . � . .�, -+- 81ock 81ze (fop course) � .".'•� 'i�� j�Lw�.• b��i� T'�t.�- . � hQ/�. 0 8, � e. � 4a � , _ .,,�,.. _... -- . - �.�. �� Hs�h� oth�th�, 8a _. . .. ��9�� Q Fr�ne with full wail height , sold OR �� . . . ❑ Cut sluds � required tor 1 / � � • - � �� L OHD clearance �'l �t � ! �ikf �. ❑ O.H. Dr Offset ��piC �, �. Q i!� t.v' . ❑ 3.D. LocaUon �„1 �; S s. ° , ❑ Windows . . .. .., . ,,. < . :�._. � Atteched t3aarage Roof Tte-In Drewn on attached plctures � �<...�,.-a .,- - . <_,�- . '-�. . a_. . � , - ��. .;, .. � �- . ..�. _.. y1�� 3�t � Fxisting gerage: IVo O �_ �Q � QDataahed �Altached Yes❑ • S`iO4fr��"' ,"�� i 81ze ot exlsting: X '�,L.t� +�� '+�'} Faclsting gerage wfll be: � � ... . ............. .. .,.,,,"......, .. , Q Left es Is . . . . . . .. . . � . . � . ❑ Comerted to L.B. - By Owrrer ; � I )� �%�/� ❑ Rerr�wed by: O Owner O FLM � � ( �1� C � � � ( a � !-�`.' 1 II�S� � I � �Jl! � S JuMc A�rst Se Rsmoved BY flw�r `'F'S �) . Gi l N ❑ epedfy remwals by L.andmark � � '�tt dr ZOn `� � � . ownar - treea, bushes, etc. �' . ❑ 8how approx. dlstance gerage to � . . .. . �i'� .. . . ` .. ....,. .... . . . . . .. hOUSe and ap propstty Iines .,. .. 10� st��,��e - o Y� o � �G ss � � �d � �� Ib � _ � � 6 i b f survey avenab+a - o Yeg o�do a aood °�-.�°°°' - p3peclal InstrucUcns irom owner. � � rj •3( NI �� 1/ ►, O Fa'rr 1� I O Poor � � � � ��% � V L., � ..._ ... . : ......... . . _. . . .. �.... ...._. . , .. . ...... ..; PURCHASER'S INITIALSt � � l � DIREC710N �� Glo ' l i z, 1.."'- ° ROOF �aBLE EVERSE GAB�i HIP FIRST EAV OVERHHh'G;2' � LANDMARK RAK OVERHA(VG.I�� , BUILDERS, INC. - SEAL DOWN SHINGLF� \1,ITH PLYWOOD OR _ ' OXBOARD ROOF Sr�� =`��i�:C aND 15 LB. FELT . Roof S �ath�rq �Z� D � Seal Down Sh�ngies p�t ��uc' ci'q��.'' ��F- rLK Manutactured Trusses�--� 2" x 4" Doubie 1op Plate tilanufactured trusses engineered to min�mum aQ= i�ve !caa per sq foot ^•;OTE ?� �cor aparo�eo by M�nn State Build�ng Dept. as meeting Minn. State Code Requirements of 301b. snow load. . 2� H�p r�o1s consist of 2" x G" rafters, 2" x 6" cross ties 48" O.C., Z"' x 8" hip rafters and no plywood gussets are used. RAFTERS. Trusses @ 24" O.C. 2x6 16" O.C. 24" O.0 STUDS: 2" xd7' 16" O.C' 24" O.C. 1,1�ALL SHEATHI\G �� ro`9 OS�, SIDING 1.�`` ��,.�i OVERHEAD DOOR HEADER: D.e�l luelam beam x _... � � � n!C i�.o� � � � �� a►�1 � �� =�� cr gra�? cc^s�� .�!�on app�oved per M�nnesotd State Code ter to Sta;e =.. _ ^; C_:2 L"c'�fr PJ�,mber 1� jLAB 4" WITH MESH 6' x 6 a'G Ga��ge �.- � 3(�' x ' ' ` �.vL� �. �p�l �� ; r � � `��I � ` vI 8' I �-�1 Tr�m G�1C.LM-- �— Fasc�a i x6 Rabb�ted Redwood — sotf�t �� " Cove ��OC� Z x � Studs i�o � S�dmg � �� U U� � ,,° x 7" Anchor Bolt � � �j 2" x(p' Treated Bottom Piate 'IgQ-�C'�"✓ � Grade — Q �/%!��// o �� 0 From: 651-699-9740 ,..._. �.. �..,... .... ..,., . . . ..... . , _, ... . " w ._., . . ... s � FIRST LANDMARK BUILDERS INC. 651-699-3135 Pa�e: 4l4 � �Date: 9/28/200910:56:28 AM `, �,, W�RK ORDER � HOME PHONE;� �P3 "•.S'�% � �O '�i �f $U3. PHONE: �o Ia►'� �O � tf �l O f� NAME M � t , • c¢� l aJ Pem�it bY JOB ADDRESS I S t"� I�' �o�flX„t�LL, �'�✓ � L,• � lagal DescripUon �ot BLDACODEAREA_�r .+ t ��P.�� 84k �� SALFSMAN� CONTRACT DATE �^�� SIZE � � �kZ�e � 7j�pe const FOR OFFICE USE ONLY ❑ByFlrslL.andrr�ark .,..,...,..,,�.., ..'. ..,,.. .....,. .,,; ..._..._...,.� l...i........ ... ..{ ........................... : ...,.......,., O By Owreer Approx. � � i � O �n l ; Q� ! ' 2-STARTINO POIM'8 ONLY `� �� ` `� � ' � �` ° � ; � S.P.L i ; i 3.S.P.L . ��±1�;.�. � i R.P.L ,. , ....,.. ._.. , ... ��"` r .. .. .................... _.................: Allsy ' � > � + House , tZ�• � � F. 3tr�t � Other ' ' ; i O�WareWitl� : : � , ` �9odRem.-By .....�..... .. .�bQ�. ' . ......�...... ... .,. ._... .., ... . ... 1. �........ . _ .. ��}� ��.��:i QA.B.U. ' . � ��,.`�� . ,t., .+ .l"'' ❑� Orads Pofnt . > , Q Cof►duft t�, �,,,�,, • t � ' � Q Btocks: ❑ BY Owrrer C] BY FLM , r�* �� , ❑ Wtr. proaf: O BY Own. O By FLM ❑ Bacldill: ❑ By Owner p By FLM � QMaintaln 8' Total Well Helght _._....._ _... ... . . . .; t .. �,..• ...., . . . Includirtg 6locks OR . � a,�;f•��q�' Q Maintain 8' Wait Helght on � Top of Blacks ' ; �r$ � Block byze (Top Cou►sey � • �� : p a° O s" O 4" �"W�t.a� ��' Wall Helghtothel`than 8� ,.. . . .. .. ...._..... , .,. . ......... � Frams wfth tull wall helght .. .. � , � . � � . �� / 1. . �'`.. . p. �, .,!J_�� . Sold OR ' 1*Z�� ►"' " ❑ Cut studs as ►equtr�l ior OHD clearance � .t ' � O.H. Dr OTfset , a ' :`�.� : ' 0 S.D. locatlon � . �p ' . . O Windows J < t V .. . ��. ,o,� . . . .. _ . . . � . �;�►:aps; ,...,. O Attach�i Oarage Roof Tie-in ��j�Q ` '� Drawn on ettachsd pfctures � '• ' , 12"�01� � Existin9 8�9e: No O � �'� 3��b 0 o�,a�h� a,ane�d r�a yy�,� ..�� 31ze oi exisUng: x • ; ExisUng garaga wip ba: � � � . ._, e . . . . Q Left as is • ' � • . Q Converted to L.S. - By Qwner � �� _ � G, °. � ; ❑ Removed by: ❑ Owner O FLM �"`�-' �� Jrmk Must Be Removed By Ownar �i�s"�. 0 gPBCIfY ►emovels by Landmark . �'' �,Ot�i � . Owner - tre�, bushes, etc. � Q3how approx. distance garage to .... ...... .. .. . . . ... >.. �. . . . , ... ,.. ..... . . . ..,.. . . � .... .. . house end 80 prope►'tY Iines 3takes vfslble - ❑ Yes 0 No CESS � • 8urvey avapable - f� Yes O �vo � p speclal Instnictions trom owner, O Fau . . f� Poor . .... ..... .: ._ .. .. . . � ; ... .. _._ ... . .. .. ...... ... .. .. . . . _ _ PURCHASER'S INITIALS: DIRECTION � Licensc I��okup > Lic�n:��/Certificate Detail Her� �� r} the details for the license/certifcate you are currently looking for: License n��me: FIRST LANDMARK BUILDERS INC License doing business as: License ;�ddress: 255 ROSELAWN AVE E, SUITE 48 City �tat� zip: ST PAUL, MN 55117 License �,,umber: 1992 L��, �. RESIDENTIAL BUILDING CONTR Compan;� structure: CORPORATION License s;aWS: ISSUED Licens� criginal issue date: 1/3/1992 Li�en:. .�iration date: 3/31/2010 Licer;� �;rint date: 3/9/2009 G�u� � F�erson: EUGENE W. MARKOWSKI Cor7; ;_;; education hours required to renew license: 7 C, r . :> �hone number: 651-6993135 En`: -: �r :;�t action: No __. _ �y � ,ther LOQkUp� i htt,�: , •�.�r�.doli.state.mn.us/licensing/licensing.aspx Page 1 of 1 9/29/2009 Building BUILDING Permit No:�'i�'r��1 Inspections RESIDENTIAL APPLICATION Received By�� `�' 763-572-3604 CITY OF FRIDLEY Date ��,1cP 9 763-5�2-4977 FAX EFFECTIVE 8-19-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY OWNER/ NAME: � TENANT �D�s: ��► c�. l^ �'Qn�n.�i o� r�� crrY ��' STATE 'r"� 1'un�IP�2 PHONE:�C� Z �^ s'�S %Ir `'�t� ��" �AJ� N%� CONTRACTOR NAME: `' SUBMIT A COPY OF � YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: a. I,�.�i �,� R�v�� ,�� c�,q,�,��'� �cQ CITY � TATE ZIP�� INSURANCE pHONE - P .� /� � FAX � �° �' ,, PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE � TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION ❑ GARAGF/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE O DECK ❑ SIDING O OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUC7'ION � ADDITTON ❑ MAINTENANCF/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES � HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HE[GHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vi►ryl ❑Soffit ADDI7'IONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures and proposed proj�t ❑ Other ❑ Fascia � 2. Two sets of construction plans WINDOWS �`'� .,, �,'� 3. Energy Calculations IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS `� ,(� FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPEMNGS-DESCRIBE SIZE OF MANUFACTURE S7'ICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL N1:1;5 ARL BASEll UN VALUA"17UN, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 6� D OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surchazge License Surcharge SAC Charge Curb Cut Escrow - Erosion Control Park Fee Sewer Main Charge Total Due J$ z� � See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ .�'� .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ fr+6ft= ftx$22=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �� Make checks nayable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pertnit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica i for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of work whic ey es review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME ��P �� / DATE Page 2- Building Residential Application BUILDING PERNIIT 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 permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) � $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $] 00 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for l� $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for l�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 forthe ]�` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certifcate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE J SITE ADDRESS _ TEiIS APPLICAid'f IS PROPERTY OWNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFEC'I'NE 1-I-2010 0 OWNER CONTRACTOR NAME: SUBMIT A COPY OF STATE YOUR STATE LICENSE AND CERTIFTCATE OF ADDRE INSURANCE pHONE PROPERTY TYPE PERNIIT TYPE E-MAIL � SINGLE FAMII,Y/NEW CONSTRUCTION ❑ TWO FAMII,Y/NEW CONSTRUGTION O BASEMENT FIIJISH ❑ DECK TYPE OF WORK: O NEW HOIvIE CONSTRUCfION DESCRIBE WORK BEING SIZE OF IMPROVENIENT ROOFWG NUMBER OF SQUARES O GARAGES PROPOSID SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl � Aluuininwn ninwn ❑ Od�et wnvnows IN E3QSTWG OPENINGS es �No OR FOR AiEW OPENINGS- ESCRIBE SIZE OF OPENING CHANGES & TYPE OF WDVDOWTO BE INSTALLFna'%� 1i �CROOF ❑ SIDING ❑ SW[MMIIJG POOL ❑ ADDITION . ❑ REMODEL] �OUSE ONLY , 0 HOUSE & GARAGE ❑ ATfACHED GARAGE ❑ DETACI-�D GARAGE EXP DATE �%�7�� Soffit ❑ Trim 0 Fascia � � � � ��o oF w�rrDOwS� �7v��' GI r�l�D l�% I� lA �c)tlnd pLA) r � � ALL FEES ARE BASED ON VALUA COTAL JOB VALUATION $ � I Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dae ❑ DRAIN TILE � OTHER Pernut No.: Received %�s , � �EMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHFS SUBMIT• 1. Site PlaniSurvey showing the existing strucdues and proposed project. 2. Two sets of construction plans 3. Energy Celculationc FOR WiNDOWS - PROVIDE U-VALUE AND MANUFAC'NRE STICKER ON WIN�W, �- NiJNIDER OF WWDOWS TWV � CION, INCLUDING THE CO5T OF LABOR AATD MATERIALS: THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE $ $ .`� $ ��a $ i°U'1� — $ $ $ $ $ $ l?1Z,�ii� S� Back Page for Fee Schedule 65% of Building Pemut Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the appFOVed plan in the case of all work which req ' es review and approval of plans. SIGIQATURE OF APPLICANT � -� PRINT NAME�i'I S-�C� � I�� Z`Z (pA� �r �"% I V � Page 2- Building Residential Application BUII..DING PERNIIT 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 a.ny alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge� $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fi-action, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each additiona) $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 �for l�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional$1,Q00 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional$1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-SQ2-4977