The URL can be used to link to this page

AF - 43489,� �� . ,. .-„�.. . � ,— e—; sue�ecr P c�ty of Fridley 16 8 5 0 AT THE TOP OF THE TWINS g U i L D I N G P E R M I T r � � RE . � `L __�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � O'�O 1 ; , / � � ��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � ,•J 612-571-3450 910-F15 / / 11 12 82 JOB ADDRESS 1Q70 Gardena Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 40 4 � Parkview Marbor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ben Ewers 5680 Matterhorn Drive N.E. 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Rd CO � 4 ARCHITECT OH DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE L�CENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION [� ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS � g,pofing can be th.e 2nd layer laut not th.e third. Install ridged galvanized valleys. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. A3j�Y1d�.t THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED 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 EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX r AND ORDINANCES GOVERNING TNIS TYPE OF WORK WI�L BE COMPLIED 1 FjOO ��X Y'80 WITH WHETHER SPE IFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $� DOES NOT PRESU TO GIVE UTHOiiITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF OTH TE OR LOCAL LAW REGULATING CON- 2Ej. SO U TI OR PERF NCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE $27.30 Si ATUREOFCONTRACTORORAUTHORIZEDAGENT IDATE� WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT � ! t� SiGNATUREOFOWNERi1FOWNERBUILDERI IDATEI BLDG �NSP � E CITY OF fRIOLCY Effective �ug. 1, �9e� AI'PLICATIOE�t FOk RESIDCNTIH� BUILOlt�G PCRNiITS �Hew, Alterations. Additions. or Repairs) OWNER: //�� .._ ADDRESS: S G �o I� TEL A0: ' � . s�T i�o: , � � o BUI LOER: ��. �i�.c__ AODRCSS: �Of/� �r �, ; rv�Y TEL N0: 9ozc� - �' S3 � Construction Location sr�r: T � �_ �U HIAC7Ca ______�_ 11DDITI01�1: Corner Lot: Insiile Lot: .________ �etback: � Sideyards: 11p�licar�t attach t� this iorn two Certfficates of SUrvey of lot aa8 pzoposed building locatien drawn on certificates to scale. OESCRIPTIOf�t OF OONSTRUCTI01� � ° C�O� Front: Depth: Height: 6quare Fsets Cibic Feet: . Front: Depth: l�efght: Square Feet: Q�bic Feets Rype of Cor,structian : L% EstSmated Cost: s �6 B 6- a� Rb 8e �r.�plete8: _ . _ / / 30% � �� l�lt. A 1►lt. B Broposed Dziveti,�ay Uiiath If New Openfng Is Desiteds t' $ . . SEi REVER;E SIDE OF SHEET . . . Ziie un8�signed hereby makc� applic�tfon for a permit for the work� hereiss specified, agreeinq to cb ,all vork fr, strict accorda►nce with the City of Fridle�► Ozdinances tnd ruli»g� of the Delaaxtmc�t of Duildir�qt, and hereby declares that all the facts and represent�tiens stated in this application re ue cor ect. D��TEz i/ a- � 1/ SIGNATUiiE: Stipulatfons: � �L_, s� a6 d � � �� _...o �. . E�7ILDZ�iG PERMIT F�E 6CHEDULE The ZASpector of buildinqs shall, before issuinq pezmits for the tsection of any buildinq oz stzucture, or for any addition to any •xiatinq buildin� oz atzuctur�, or tor any altezation or repaiss to any �xistinq buildinq or stzucture. npon appiication therefore, sequise ths payseat by the applicant ioz such permit oi !'se� to the aaouat bssefn below set fortb and in th� sanner hereia provided to-wit: TOT1►L V11LU7►TIGN i1.00 � i500.o0 $SO1 t� �2.000 SZ•001 ta 525.000 �25,001 to 550,000 lEES i10.00 Minimum Fee 515.00 plus surcharqe � �10.00 �os the ffrat SS00 plus S1.50 fcr each a8ditional 5100 or fraction thereof, to and iacludir�g 52,000 i32.50 ios the fizst S2•000 plus 56.00 for each additfonal 51,000 or fraction th ereof, to and including �25,000 5170.50 for the fizst 525,000 plus S4.50 for euh additional 51,000 oz fraction thereof, to arid including 550, 000 550,001 to 5100,000 �263.00 %z the first 550,000 plus S3.00 for each additior►al $1,000 oz fraction thezeof, to and including 5100,000 s100,001 u�d up 5443.00 for the first 5100,000 plus S2.50 foz each additional $1,000 or fraction thereof PLAN t�iECR: 25 percerit of building pezmit fee DRIV�IAY DEPRESSION ESQtOW: Concrete Qirb Streets Only J�ltezaate "1�": Removeal and replacem�t of curb and gutter only Driveway width plus 6 feet z¢13.50 � J1lternate "8": Re�oval ar►d replace�osnt of curb ar�d gutter and install a 3 foot wide approach with 6 inch depth Driveway w3dth plus 6 feet x 515.75 VERIFZCATION QF FOUNDATION Permits for construction wfll be fssued a minim�n of 24 hours frcm the time of application to a21aw for proper review of the proposed �tructure and of the constxv ction site. 7� Certificate of Survey of the lot, showinq the lxation of the foundation once it has been oonstYVCted will be required before proceeding with the framing. , .� :t 0 . E � �� n � � n a a � � � o �• a m m N F4 r�- rn ° a n ° � o � o fD r� �U 1�+• W `� a � W �• � N r• n � . � d a w 0 G rr � 0 c rr Q a � � � n. � O , � �"h o, n � < m � � a rt 0 � 0 � , m � a n � 3 � � � z � a � m � ro� cz �� O '�1 �� HO L�J 70 �� x�x ��z G� � � H H N � � 0 0 m w o r W 9 � � � � � �� .� � � ro � o � C Fa+ � o �° rt ro n rt � m 0 c w � N � tp ro 0 a rt m x m � w R7 fD n rt 0 � h] m m � � � 0 O � N rt �a ft � � � r+ Q ? � w m � � � � o � c � � � x ro rt � a � � � � � � � rHt m '" K w n J � � m O � s � 'i z 8 A ro fD a .� z � ° �� rn � � � � o � O '� � ~ � � Q ;* � � � 0 c� � �°n r� 7tl a c�y t!� M T� N• � C� �C m a � a � ' � � � � � o ~' w �f � � M F+ 7. O C ro ro � � Q � � r �o o z M A C � � r N � M N ro ~ r � � n � K 0 ri � � � � � � n �O � M f�D a C N rt I�-� `A O �ro w o �� w � �' a �a ~ � I-' N- �� m Mrt O � M N x :o r 0 0 O � � ��+ f�l� O CCl1 N � v N � O O � � � � � � ° �v c G0 A � N H VOi H O � y � � � � t. � � H C o I_ t`°n �3 M H O � c� c� c� oo � v� w w roN n n d r � � t�f � � p �r al � H W r�i m � w � � r tn (D � O Y � f' m �~ a a � ' �� '� � rt � K � ~y C/� 0 c� n � � � i d � � f'1 vr ia _�o •m 0 0 0 0 � . . y 0 0 0 o t� O o p p � � � � O p ►�'��, O p L'� 0 p M w m y �� n p' cfDi � ~ �e a � c rrn � x o � a rw � �nro� a� a a ��n� K N W ry W W� nr°u�w om� ��w °' �� ro s n ,� � n o � �' rn N fD h+ � �P � M mM� m �' n. o. �°n n a � r x �o � � c �.ro, m �• a r. n N � �av, a r. 5 t~n 7 M F�+� 'C � ro � � � � m �aao • n w o " z ;� ��aro � � N 7 � • h] i a �e m a � f�D N M �' � a � � � � 1 �Kn� � � m m m � a�� + �nKx � w � � N r t�o ��m � �~�5 �,r w m 0 rr � K N N fll O J 0 d rn � 1 (Tl y �v � � f') D � O Z � 0 � "C O � m z a � z � Z C") '-I O cn Z C D •• z � d O S � y � � .. cn c�i � � � -i c� '�' o° N r z cZi C � m m C �n m � N -a O z � m T z G� m z D � 0 z D z C n � -< 0 -n T .-O ty r � m � � m � � < r� oOi (�D 3 'G �o w w CHIMt�EY AN� STACK VERIFICATION � � The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,✓� No O. � . 2. Is free from rust or deterioration Yes (�%j� 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 connected Yes (,/� No O 6. Has To tal hea ting BTU's of 7 U, a v � All other BTU's � y, Q o� TOTAL / � ��, � o � Rema rk s Com pa ny Signed B Da te .•�1 _ _;,_ sua�ecT PERMIT NO. c�ty of Fr�aley �� s 2 s � AT THE TOP OF THE TWtNS g U i L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' � �. ----- � r � � PROTECTIVE INSPECTION SEC. /� y(� �,., i � �--•.� ��'��;,, CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APCROVED 8Y 612-571-3450 9�0-F15 10/8/85 � � JOB ADDRESS 1070 Gardena Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 4O 4 Parkview Manor SHEET 2 PROPEHTY OWNER MAIL ADDRESS ZIP PHONE Lloyd Johnson 1070 Gardena Avenue N.E. 926-2972 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 0 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUIIDING Residential 7 CLASS OF WORK � NEW �] ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a 20� x 4' Storage Shed Addition to Garage 9 CHANGEOFUSEFROM TO S�IPULATIONS EPARATE P�R � M17S REQUIR� TEBefore d'�gir��`�� lRING, �l�AT1i�iG, F'�i1�%��VC � FOR R EPy�y£.F� �a��`�� N� �1G�i�; FQ(�jR� ��TRi�� y,�j�,t,�S D � j, Fr '�9 °'� ��' SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OP CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING � HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO 8E TfiUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ,OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9OO $. SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. �`IF).00 ' PLAW CHECK FEE TOTA� FEE � $16.50 SIGNATUREOFCONiRACTORORAUTNORI2EDAGENT IDATEI WHEN PROPERLY A IDATED THIS IS YOUR PERMIT o� �. 10 8 � — SiGNATUR F OW ER iIF OW BUILDERi �DATEi BLDG �NS� qa E NEW [] City of Fridley Effective 4/1/8u ADDN. kC.] R-1 AIiD R-2 �1L,TER. [ ] Building Permit Application Construction Address: �� 7D �°�� v� ' � Legal Descriptfon: /QL��'�l�E�C'� � Owner Name � Address: � L �� ' �-� ��S � � Tel. � Contractor : 6 �/J�K " � � Tel . � � 2 7 Z Address: -�� z4' f�-880T% }?t/� S° . E.t�l`N Ia, �1/I�, S..S-4 l4 . LIVIIiG AREA: GARAGE AREA: DECB AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCRIPTIOp OF IMPROiEIrIIENT Length Width _ Height Sq. Ft. Length _ Width _ Height Sq. Ft. Length liidth _ Hgt/Ground Sq. Ft. _ �`TOIZ h'� 6 � S/`f �.D �� ' � � - Inside Lot QC7 Ft. Yd. Setback _ Side Yard Setback �/ Type of Construction: �� Approx. Completion Date: ��G • � � ��'� Est imated Cost :� 9�0 oD Alt. A Alt B Proposed Driverray Width If Ne�r Opening Is Desired: See Back Page for Explanation DATE: l� `8 -8S APPLICANT: L-�01�p �� `1 �� Tel. # �� _2�7 Z Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Nain Charge TOT�I. STIPULATIONS• CITY QSE ONLY � ��V Fee Schedule on Reverse Side � '--� 25x of Building Permit Fee a ��U i.50/�1,000 Yaluation � _ _ =425 per SAC Unit � Fee Determined by Engineering � Agreement Necessary [ j Not Hecessary [] � . BIIII.DING PERNIT FEE SCHfiDDLE The Chief Building Official shall, before is�suing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for an} alteration or repair to any existing building or structure, upon application therefore, require Lhe payment by the applicant for such permit of fees to the amount herein belo�r set forth and in the manner herein provided to-xit: - Total Valuation =1.00 to =500.00 �50,.0o to a2,000.00 �2�001.00 to a25�000.00 �25,001.00 to �50,000.00 Fees =10.00 (Minimum Fee is �15.00) n �10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof� to and including a2�000. �32•50 for the first a2,000 plus �6.00 for each additional �1�000 or fraction thereof, to and including �25�000. �170.50 for tbe first a25,000 plus �4.50 for,each additional �1,000 or fraction thereof, to and including �50,000. 550,001.00 to a100,000.00 #283.00 for the first a50,000 plus �3.00 for each additional �1,000 or f raction thereof� to and including �100,000. �100,001.00 and up ��33•00 for the first �100,000 plus �2.50 for each additional �1,000 or fractfon thereof. DRIVEiiAY DEPRESSION ESCRO'H (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveuay width plus 6 feet times ;13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With 6 inch depth - DriveWay �idth plus 6 feet times �15.75 VERIFICATION OF FOUNDATIOH Permits for construction Will be issued a minimum of 24 hours from the time of application to allow for proper revieW of the proposed strueture and of the construction site. A CertiPioate of Survey of the lot, sho�►ing the locati�n oi the foundation onee it haa been oenstructed will be required before proceeding �ith the framing.. ( — � 1 � �. � o) � 0 � �� s � � � h � � � � . * � ._ �.� — — /� � -^— — — — --- — � l� � �L 1 - r • � — — \ � �L _ 1� ;_ �� ; f �i .. � a y � � � r� F� AT r��r� ov�R ) r �� 8k 8 Lo �+C 2�T� �i�� O � 1 /�O \ sue�ecr P City of Fridley 7�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � ♦y ��, r � � PROTECTIVE INSPECTION SEC. � Q� � 1 i lJ , � �'��1 � CITY HALL FRIDLE� SS432 NUMBER NEV DATE PAGE OF pPPRpVED B� �----�; �.' 612-571-3450 9�0-Ft5 6/27/96 / / JOB ADDRESS 1070 Gardena Avenue NE 1 LEGAL �OT NO. BIOCK TRACT OH ADOITION SEE ATTACMED DESCR. /{O 4 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Kathleen Sraenson 1070 Gardena Avenue NE 571-8301 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Jansick Inc 6480 Squire Dr NE, Fridley, MN 55432 574-9679 8618 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAiL AUDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK CI NEW � ADDITION O ALTEFiATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Construct a 14' x 16' Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. VVAR��i 8efore digging calt �Or SEPARATE PERMITS REQUIRED FOR a11 utility locations .WIRING, HEATiNG� pLUMBENG AND SiG RE UIRED BY LAW n�s. Q TYPE �F CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMiTS ARE REOUtRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. fT. AUTHOR12ED IS NOT COMMENCED WITHIN 60 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS yq�VAT10N SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WOFK WILL 8E COMPLIED WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �S�HOO �2.90 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING CON- � 112. 2S Fire SC �S . HO STRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. r PLAN CHECKFEE TOTALFEE ,�,� �p oZ %- y�o Li en S 5. 0 $125 . 95 SIGNA7U CON'AACTOAOAAUTNOR�ZEDAGENT IDATEI p qLY ATED THIS �S�VO� PERMIT _ � („� / G - r� S�GNA�URE OF pWNER i�� OWNEA BUILDEAi �OATEi (� 1/.� �14TE S NEW ADDN ALTER [l [J [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: /� %?� Cor9�eDE'�lA �� Legal Description: (�C7i L� , L. �, PR 2K �/�� 02 Effective 3/1/96 �z ��z Owner Name & Address: f�4}�j �e e n s/,ver15 a� Tel. #�7/ -�3O / Contractor: �Gt YI S i c..k ,� n/e, MN LICENSE # 8(� /I' Address: [�� Q[,�i t'e � • 7'l � ,' Fr�`c�%e,�, %'yJN ��_Tel. # �7S1 9l0 7�j ,, r., LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length 1� Width /!P Height Sq. Ft. �`' i �' Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [) Inside Lot [� Ft. Yd Setback Side Yard Setbacks Tyge of Construction: Fstimated Cost: , d Approx. Completion Date: ./ 0�01 ¢•�a,S��- � c��Oc�. D� . (Cos t on Back) Driveway C�rb C�t Width Needed: Ft. + 6 F= Ft x$ _$ DATE: t� af� Q� �P�c�rrr: �-' Tel. #�7s� 9�7� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Gharge TOTAL STIPULATIONS: $ /ia. as' � ,��0 $ U $ $ S•Dv $ $ $ $ $l S � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII,DING PERMIT �'EE SCHEDULE The Chief Building Official shall, before issuing permits �or 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 stntcture, 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OU0,000 $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 fust $2,000 plus $12.50 for each additional $1, 000 or fraction thereof, to and including $25,000 $349.75 for fust $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to a� including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and inciuding $100,000 $887.25 for first $100,000 plus $5.00 for each additional �$1,400 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 first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets On1y) Alternate "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 $15. 75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper. review of the proposed structure and of the constiuction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has be�n constructed will be required before proceeding with the framing. � a 1 �' ,. �$� PLOT INFO FQR 10�4 GAR�EN� +4DDING �—SEASON POI�CH 1�4' QUT 16' �IDE 16' � •K�Ci.tt`\5.1.'ivt::t�t}'i'iiI}4'i«<j:�i�:i.. }vf,rs!'�:i:r;;.; }�: f i •. ti.0 R.,�f. . C:. kn r.: i. .f,...•::': �`.•:>:f..;i•.:.•'r.'::-;2+ �t`-`-f�{'=:\`.��{ � ....?r :..y�t#?:`•viv: :yti. � fYf�� . ....; s.:k ,,,ili1.,✓==: 14� :� lf � `<:;:�'•:-``�"• ' �>i< :> ��:.. r : <:�:, . . « �. ir . � _..�....}{._,.,:.v,..<:�i<��<:< {$' \4��;:::}µ�.� '�:�.:.. :4;.i .f%f;ffi'�?hi'{: ...�:x:::n. � '•...��... S�ALE 1 "-15' � � �° 11'► �A �VII�G Before d ging cafl for all util y locations REQUIR�p BY LAW � ansicl� �c THE RIGHT CHOICE FOR �4LL 1�OUf� BUIL�I�lG NEEDS 6480 SClUIRE DR. FRIDLE'�, Mi�. 5543 PH5�4-96?9 LIG. �JQ. 8� 18 C u s�-o-vv� �e.r : � a `�-�l I -� e ✓� � w -e. ✓1 S o v� �' % �- �.3 ° / /D 70 ��-,�o�� E �� dt� �c�le 1l4,. = 1�_�.. i i � � i 2 - 2}�1( TRE�TE[ BE�h1S C AND FRC FOOTI 12" D COLU� FLARE AT BQTTI 2X 1� TREATED LEDGER L�4GGED T� HOUSE � JOISTS H�NGEI�S �N �OTH ENDS OF JQI�TS J� I ST HANGERS BOTH ENC�S �F FLOOR J01 STS 2}� 10 LEDGER LAGGED TQ HOLISE. ✓ �}� 10 TREATED ,JOI STS 16" OlC •� 14' 8' 16' � � ' � ALUMINUM �0 �� SQFFITS S� s 1� � � O�NERS PQRCH �INDO�S . FI�ERGLAS SHINGLES 1 �'� FELT I CE +4ND ��,TER SH I ELD 11� LP B0�4RD ROOF SHEATHING. SCI�S�RS TRUSSES �4" QfG R-�0 IN�UL�TIQN IN CEILING 8 RS PLYV�OOD ON CEILING 4 STUD �lALLS R-1 1 I NSUL�T I ON FIBERBOAR� �1ALL SHE+4TH HARD 80�41�D S I D I NG 5!S" RS PL�f ON INTERIOf� '��4LL� FLaOR 3�4" TS�G RLY 2�{ 10 TREATED FLO�QR JOISTS 11�" PL� ON BaTTQM R-30 I NSULAT I ON �}�6 TREATED POSTS 12" D I A}� 42" COIVCRETE FQOTINGS. 70 rn Z � -D m n ---! � Z T m m � � N O 0 _ � � m r= -o r n � � c� m � � � � � < Q f?i D � n � � --�1 T� �" `c -n v� � � C p z m D " ( c� z m �co � T�. c < '� m i � _ � J � ll � D r' � � 3 � , Z � � z Z 0 -n 7 � N � `` p+ v fD ( N W � \� 4 v � � t� i? -i Gi O p, D�D r � -2, c m o m � cn � � � D D .n � ,� 1' � � � 3 �� p � n' � " o � a o Q p�o 3 0 � � �N7�o �° o -. N � � � `� � � Q -ma 1D � < n � ` Q N � � � � � 0� �� N N j Z A �N N m � .� o � � m � � � n� r_• > 0 0. � cfl � y �-� a' i � � � Q D r. tS� -� Qo D Q?� � Q � 1 � pi p�' D - � O j � � Tn � � S C � t c� �S `� � m � W m p` m � o " �� m �, -, o �� T � v o� �'�� 3-- � � U� 3 x � � � � � Q I A L � � �D C�3 � ycf' • � c� � �•1 0 � � = w a� -n � -+ z ; ,� -t c -� N � II' � � C� i— �C e o � � Z T � � � � n Q � v Q � � � { -�p � C D 3 ? Z � � m � I = _ � -, � cl � � o � � C O � r � � � � � O N � � � I z o m 3 rn � � � ° _ � � Q � C G m � � � 3 D v� � � � � r� � 1 1. G: cn o 0 0 0 � 0 0 0 0 0 � 0 0 0 0 0 � f� �� c� t� � � � o • �. � m G� � S -�i m � C� O � -i � m 70 � =i Z � ti '�1 � � e � z ! �� m Z � � � � � , � � �; -�t � 3 � m m � °_ �. <D N (D � � � � � 9i -+ • t� �� O � � � s-, m � o = 3 Q � � � � � r. � Q� � m 3 v o -�- <' sy =3 P> Su ? O m � ... ;� N -a m � � � zs w � �� - � '' A 3 m � � �.��o � � A ...,, -� m O O � A � m m m p' � � � 3 � v � � � � 3 n � � -' O p� -' � � S 0 m O :' S � S � � � � n `< O �, o � �,�� . � nwm � ; m 3 cp � rn fl- � D --1 m � n _ m �v C r m � � � n N Q GJ � � � � w `< C O o � T A Z � � N N• � �� m w D � N � _ Z L n � (Tt n --! O z 0 < � y m � � � � r � n m D � � �-Di O O � Z �'! D� Z � � � D O � � nm �� z� . °� _� Z o� _ z c� Z .A � Z �' CA v O � � S � � T� p m D � � ~ � C� � m D� � � C) � � � � m � �( �% � � < m � z � D , J (� U � Z �� rn � m � <� (D � 7 N n ? � rn _ . ..._ .. Y. . . ... . _ , ., <.,,.. _ , .. . .>,>,. . CHIMNEY AND STAC� VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefuily 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 connected Yes O No O 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes O No O 8. Has combustion air been provided for water heater � Yes () No (�) . Remarks: List ALTERATIONS Bein Done• HEATING CO: Signed By: Date: V ' � sus�ctf P T NO. ' c�ty of Fr�a�ey s . AT TME TOP OF TME TW�NS g � I l D I N G P E R M I T 2 4 9 7 � � COMMUNITV OEVELOPlriENT OIV. R E N O. � � ; V �'�� , . . '` /� r � � PROTECTIVE INSPECTION SEC. �� 1 � � � �"'1 � C�TY NALI FRIDLf� SS�32 NUM/EA NEV OATE ►AGE Oi A►vROVED !v �.__.11.• •,, 61 �-571-3450 910-Ft 5 11/3/98 � � JOB ADDRESS 1070 Gardenia Avenue t LEGA� LOT NO. BIOCK TNACT Oii AOOITION SEE ATTACNED oesca. 40 4 Parkview Manor SMEET 2 PROPERTY OWNER MAIL AOpRQS$ ZIP PNONE a ARCHITECT OR DESIGNER 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WOfiK 8 OESCRIBE WORK MAIL ADORESS MAIL ADDRESS 1 PIIONE PHONE �301 LICENSE NO 20055664 LICENSE NO. LICENSE NO ❑ NEW O ADDITION O ALTERATIQN � REPAIR O MOVE O REMOVE 9 CHANGE OF USE FROM TO STIPULATIONS _,,... Underlayment must compiy with the State Building Code. SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF VENTILATING OR AIR CONOITIONING. THIS PEfiM1T BECOMES NULL AND VOIO IF WORK OR CQNSTRUCTION ZONING AUTMOqIZED IS NOT COMMENCED VR!ITHIN d0 OAVS. Oii IF CONS7RUCTION OFl WOiiK IS SUSPEN�EO OR ABANOONED FOR A PERIQO OF 120 DAYS AJ ANV TIME AF7ER WORK IS COMMENCEO. NO OW 1 HEREBY CERTIFV TMAT I HAVE READ ANO �XAMIN�D THIS APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. ALL PROVISIQN$ Of LAWS VALUATI AND ORDINANCES OOVERNING TMIS TVPE OF W(�RK WILL gE COMP�IEO WITH WHE7HER SPECIFIEO HEREIN OF NOT. TME GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMORITY 70 VIOUTE OR CANCEI TME pEqMtT i PRO 1 S OF ANY OTMER STATE Op IOCAL lAW REGUlA71NG CON• ST UC 1 N OR T E PERfO f CONSTAUC710N i PLAN CM 3 ` �� GNATUpE O� CON'RA(;TOp Op �UTMOp�1ED �GENt IDA f� S�GN�TUAE O� OWNEp�� OWNEPBwLOEp� �DATE� � � i SG. fT STA�LS ROUP OCCUPANCVlOAO CU FT. OffSTREET PARKING IGARAGES SUFTAX $.94 SAC CNARGE Fir SC 1.88 TOT � EE TI�IS IS Yp R PERMI �/ � r �)LTF NEW ` ADDN ALTER "[ l �l [� ConstructionAddress: Legal Description: Owner Name & Address: � Contractor: �, �� 11'►v CITY OF FRIDLEY SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUILDiNG PERMIT APPLICATION ��-/C,�P ^/'4' Sw�.�,sU .,.� Effective 1/1/98 a� 0� � q�� \ Tel. # ,��% ��j MN LICENSE # �� Address: `�� %/ ��,'v� S� ��l Tel. � 2� �'7� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GAR.AGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length W idth Height Length Width Height I.ength �vy idth Hgt/Ground � a , � �Y �` C - r f�-� • aF� Sq. Ft. Sq. Ft. Sq. Ft. V ' � Construction Type: � Estimated Cost: $ % c.�� (Fee•Schedule on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x$ _$ DATE: l � � � �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $_.L( , ^ $ � -� $ • �� $ $ h�v $ $ $ $ $ 3Z CITY USE ONLY Fee Schedule on Reverse Side Tel. # .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] y. _� •�uiui�.z3 aq� qlinn �uipaa�o.�d a.�o�aq pa.zmbaz aq iiinn pa��n.�asuo� uaaq s�u �i s�u �i a�uo uoi��puno3 aq13o uop��oi au� �uinnous `�oi a� �o �an.zns �o a��i�za� d •a�is uop�nz�suo� aq13o pu� ain��nx�s pasodo.�d a� 3o nnainai .zado.�d .�03 nnoii� o� uoi�e�iidd� 3o acup au� mo.z3 s.�nou bZ 3o tunuiiutuz � panss► aq ii�nn uoi��n.z�suo� �03 satuuad I�iOI.L�'Ql�if103 30 I�IOI,L�'�I.�RI�t1 'SL'Si$ sawt� �aa� 9 snjd u�pTnn ��nnani�Q -�dap u�ui q u�tnn u��o.�dd� aptnn �003 £� il�a�I pu� iaa�n� pu� q�n� 3o auau�a��Jda.� pu� i�nouiag :,,g„ a��uia�i�l 'OS'£i$ sau,tt� �aa� 9 snld q�pinn �f�nnanuQ -�Ciuo .�a�an� pu� qin� �o �uauia��ida.� pu� J�nouiag :,,d„ a��u.za�id (�Ciup saaa.z�s qm� a�a.��uo�) MO?I�S� I�IOISS�d�Q 1��'AA�AI2IQ 3oa.�au� uoi»�.�3 .�o ppp`i$ i�uoT�ippe u��a io3 SL'Z$ snid ppp`ppp` i$ as�g aq� l03 SZ'ZIOS$ 000`000`t$ �uipni�ut pu� 01 `3oaiaui uoi��3 .�o ppp`I$ I�uoi�►pp� u��a .�o� SZ'�$ Snid 000`OOS$ �s�� aul .�03 SZ'L88Z$ 000`OOS$ �ucpn��u� pa� o� `3oaiaqa uoii��a3 .zo ppp` T$ j�uoiaipp� u��a ao3 00'S$ Snid 000`OOi$ �s�� 03 SZ'L88$ p00`ppi$ �uipnj�ui pu� o� `3oa.zau� uoTa��a� �o ppp`i$ Ieuoi�Tpp� u�ea .�o� SZ'9$ Snid 000`OS$ �s�g �03 SL'tiLS$ 000`OS$ $uipni�ui pue oa `3oaiau� uoi��.�3 .�o 000`i$ I�uot�ipp� q��a .�03 00'6$ Snld 000`SZ$ is.zy .�03 SL'6t�£$ ppp`SZ$ �uipni�ut pu� o� `�oa.�aq1 uotl��i3 .zo 000`i$ i�uotlipp� q��a io3 OS'ZI$ snid ppp`z$ �s13 1O3 SZ'Z9$ ppp`z$ �utpni�ut pu� 01 `�oa.�aqa uoq�e.z3 .zo 00i$ I�uoiY�pp� q��a �03 SL'Z$ Snld OOS$ as�� .�03 iZ$ (a�.��u�.�ns snid i Z$ si aa3 wnuiiuTy�) i Z$ S�� dn pu� I00`000` I$ 000`000`I$ ol I00`OOS$ 000`OOS$ °� I00`OOI$ 000`OOI$ o� IOObS$ � 000`OS$ �� T00`SZ$ 000`SZ$ o� i00`Z$ 000`Z$ o� IOS$ OOS$ 03 I $ ; �n�dn zdioi :�inn-o� papino.�d uTaiau .�auu�u� a� ui pue c�o� �as nnoiaq uiaiaq aunoure aq� 01 saa3 3o aiur.�ad u�ns so3 �u��ildde aq� �Cq �uau��ied a� a.�mba.z `a.�o3a.�a� uoil��tidd� uodn `asn��nias ao �utpimq �uT�sixa �Cu� o� .�i�dai .�o uoT��a�i� �Cu� io3 io `a.�n��ni�s ao �uiplmq �ut�sixa �Cu� o� uoi�ipp� �u� .�o� .�o `a.�na�cu�s .�o �uipimq �u� �o uot��a.za aq� .zo� saTUUad �utnsst a�o�aq `jl�us i�i�t��p �utpimg �aiq� auZ �'If1Q�H�S �� ,LIL1RI�d �1�IIQ'IIRg SW�ECi City of Fridley ��` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T 3 i 5 6 0 r ; � RECEIPT NO. � `v __�� COMMUNITY OEVEIOPMENT DIV. �� r � � PfiOTECTIVE INSPECTION SEC. 1 ; � i_-•.�� "' �'; CITY NALI FRIOLEV �1�2 NUMBEN pEV OATE v�GE ot �vpppvEO Br L 612-571-3450 9/0-Ft S 11 / 14/00 � � JOB ADDRE55 1070 Gardena Avenue NE 1 IEGAI �OT NO. BIOCK TRACT ON ADOITION SEE ATTACMEO oescR. 40 4 Parkview Manor SMEET 2 PROPEfiTY OWNER MAIL AOORES$ ZIP PMONE Kathy Swenson 1070 Gardena Avenue NE 763-571-8301 3 CONTRACTOR MAIL ADDRESS ZIP PMONE UCENSE NO David Schweich Construction 21716 Kenrick Ave S, Lakeville, MN 55044 952-469-3222 � AiiCHITECT OR DESIGNER MAII, ADORESS 21P PHONE LICENSE NO. 3607 5 ENGINEER MAII ADDRESS 21F PMONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION p REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Install egress window 9 CHANGE OF USE fROM TO STIPULATIONS Window to meet the State Egress Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAp SEPARATE PERMITS ARE REOUIqEO FOR ELECTRICAL, PLUMBING. MEATING, VENTILATING OR AIF CONOITIONING. TMIS PERMIT BECOMES NUIL ANO VOIO If WORK OF CONSTRUCTION 20NING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR If CONSTRUCTION ON WORK IS SUSPENOEO OR ABANOONEO FOR A PERIO� Of 120 DAYS AT ANV TIME AfTER WORK t5 COMMENCED. NO, DWIG. UNITS OiFSTREET PARKING I HEREBY CERTIfV THAT I MAVE REAO ANO EXAMINEO TNI$ ACPLICATION STAILS GAiiAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PqOVIS10NS OF �AWS yALUATION SUiiTAX ANO OROINANCES GOVERNING THIS TVPE Of WORK WI�� BE COMPLIED @ @ WITM WMETMER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT W 1� 6OO �Y • 80 OOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLATE OA CANCEL THE pEpMIT f EE SAC CMARGE PROVISIONS Of ANY OTNER STATE OR LOCAL LAW REGULATING CON• �S7.OS Fire SC �p1.6O STRUCTION OR TME PERfORMANCE OF CONSTRUC710N PLAN CMECK FEE T A� FEE Lice SC 0 $64.45 � •� E O� CON' CTOp AUiMOp� •GENt iO�rE� M P � VALIO EO TMIS IS �OUp PEpMI !� r r� S�GN��uaE O O EA�� OWNEN BuaDEp� �OATE �h5 �i E .� NEW [] ADDN [] ALTER [ j Construction Address: _ Legal Description: Owner Name & Address: Contractor: , n�Q J 1 � � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT' APPLICATION lL x ► Effective 1/1/2000 (763) 572�3604 Bldg Insp ►��✓l�-,�Y17 Tel. # 7� 3��% %��'3 b 1 �d� ST MN UCENSE # 3L D� t/� _ C Te�. # 9S2 � Ll �g' � ��-..� ��,Ur � �� S �°�� Attach to this app ication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: ��N b4 � Constn.iction Type: %/!/S%AG L_ % • �� Estimated Cost: $ �, � d � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ $ ��r.� �d9>32�z DATE: i � y b � APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ c�% 0 S Fee Schedule on Reverse Side $ �� (00 .001 of Permit Valuation (1/10th%) $ , � $.50/$1,000 Valuation $ $1100 per SAC Unit $ �� C� $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 [ ] $ � <<� w. � - R BUII,DING PERMIT FEE SCHEDULE The Ghief Building Official shall, before issuing pernuts 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.OS for each additional $100 or fraction ther�of, to and including $2,000 $69.25 for first $2,000 plus'$�14:00 for each additional $1,000 or fraction thereof, to and �ncluding $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to a� including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for i'irst $100,000 plus $5.60 for each addidonal $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for prope� review of the proposed structure. and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv w�. � -� = � �r � 7 � 3 a N � �. � O N � � O � 3 ' w d � O_,0 �' �� N `c �- 3 � � � � � .� � � Q. � � � c 00 O w A � �/i � m � � rn fSS � V C C _ � i rr. � � � � �% � m p i �+ � � 1 �y ��, � a ..� m ►' p y v'� o o C� 04 O O �r o '� -'� �D 7 � �. �C '� t1 ��. n:� �: � � N f�D 7 <D C 0 y W '�°. � a � � �D p, � !I Q° D 'II �+ p� , p � sY � I, � N 3 �p ', � � � O ' .�+ o .� �. o x' � � � � � � a* z T � . � � � n A rn � x � � � � $ ��I ,( � � � �c�''� � � � � A �� Q ,�y .Di. n' (D .�-« ''�' � y p� ps � OR H �� y _ �� LL � �: 04 � �� o -� n. Q �. �•po� � < � �{ ? tA � x y�+ � a N � � � � ci �y,$ � � � � O � A« ,.► � �� m � � o R � 1 ��,�� o. � � 3 O � "' + ��o � � � 1 :�, ^� <� �' � ci �D s� � o N � � d � � c�i. � �. �� N a�i p�j p C �A N N VI O� i.� � �7 '_,0.� 7G @ � � � � � � � � � �y A � Y: � r� G �p cp � �j i � CD o � ' .3+� � �' � C �7 � ��d �' ��ao�o �� v � dA � fD � � � �, � �- ►-� � w 0 o p O � $ 8 g o � � � ��. t o � � a� o0 �� , � a. ta � � _ 'a 1 � �a z 0 4 I � -�W� o � C Q . l��° Z � � fl> � � � � ao � � I y I ��G C � � n � � n �� ai � f O 3 � � � � N .., ^ � � �F � � r j n+' °' Q.�'Z� �o� a � � � 1 � : � 3 � � u rn � D a ('►1 v O � � 3 -� Z O � 1 � W C r= � 2 G7 C N rn v o � � � 2 _ � � �% ��y•�� W G' 41 � V 1� V � 7 O W Z m �D g�� A � wD N � � Z N m� n � � z 0 C N � � '0 2 b � �'� .� � � Z� a o c� �� ` o � �- G�, � � �� v .o �� o� �v i�r � � "N'� O � � y �z oc a � R1 „�,� N � z0iI0'd S09868L Ol 1.3�QI21� �tJ �ll[� WO?J� 6S:Zt �-tZ-f10N � m cl �' O � L N � c �► � 0 0 Z0 ' d `iti101 CO T YENT CQ NECTOR D S O FlCATiO When r��lacias� aa existing�nnce, the undersigned hereby verifies that the verKing has been examined and ls t�ee fror►� rust. deter3oration, obstnx�ions. �nd is securely supported and firestopped where requfred. Yes ( y No () The ventinq system is plastic/PVC and meets ai1 cuRent codes and manufacturer apecifications incfuding sizing, iertgth, number of eitaows and terminatiort. Yes O No O The undersigned also verifles tF►at the teplacement unit is a iisted assembiy and meets the aurent oodes a�d manutaciur�rs specNications: This does inctude AOA-GAMA Catagory 1 Certtrai Fumace Venting Tables fot fan assisted and natural drdlt appliances. The exbti� combustion air;s sized and instalkd to meet the cument codes arxi manutac��ers speci�c2tions. UVhen �equired to instalf � nr=w combustion air. it wil! be sized a�d instaAed To meet the current codes and :nanutacture�s spea!'iCations. Yes()No() Yes()No() Yes()No() When instafling a new venting system, tlie undeisigned hereby verifies i�inat it is a listed assembty and meets the currcnt codes and manut�ctur�r's speafic�rtions. This does indude AGA-GAMA Category i Certtral Fumace V�ntirlg Tabtes for fan assisted and natura) ckaft appfiarlces. Yes {) No () is the common vent and ver�t c:onnedors s"¢ed and instaAed correctty aiter an appliance has been� removed fiom the :.�mmon vent and vented separately as per cuRent codes. Yea () No () Aur�liance�'yos and S�ommo�t Vent and xent Coaneetor Infotraatioq Appliance #1 Type � BTU Input Fan Assisted or Nat A�p6ance #2 Type BTU lnput Fan Assisted or N�t �, Appliance #3 Type � BTU Input Fon Assisted or Nat Total Applia�ces _ Totat Btu Inpu! Common Vent Type _� Ve� Height Diameter � inches Appliance #1 Vent Connec�or Height ft Length ft piameter ��n Type Appfiance #2 V�t Connector Heigt� ft Length fi Diameter,,,� jn Type ,�,,,,^, Ap�liance #Ki Vent Connector H�ight � Length ft Diamete� ____,_in Type --;, . _ , : � � r� ' 1 ii�� i �� (/. ! � � � ► ` • � 1�. �►1 C � i:i1. �l . - . : �,!fi�1,�:��i I�'�:: . . - � �giz0 ' d S09868L Ol A3�Q I 21� �0 J+l I � WOZ4� 8S : Z1 000�-tiZ-�ON _ _ CIlYOE FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 31, 2003 Ms. Kathy Swenson 1070 Gardena Avenue NE Fridley, MN 55432 Re: Final Inspection at 1070 Gardena Avenue NE Contractor: Daves Heating & Air Conditioning Dear Ms. Swenson: A mechanical pernvt was issued on July 16, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspecdon to make sure the work was completed according to the Codes. We will keep your pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the pernut "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh � �uilding Inspections 763-572-3604 763-502-4977 FAX DATE cJ /a SITE ADDRESS � THIS APPLICANT IS BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 E-MAIL ADDRESS ❑ OWNER BLONTRACTOR PROPERTY OWNER/ Na�tE:_ TENANT ppDRESS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PHONE � J� �- _CITY f"Y'/d L� �03 --35oa. CITY. FAX STATE LICENSE #�� ,2D/ 3�GJ� S EXP DATE PROPERTY TYPE I�SINGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMiLY/NEW CONSTRUCTION STORIES / PERMIT TYPE TYPE OF WORK: ❑ ADDITION ❑ GARAGE/sHED �q wwuuw5 O BASEMENT FINISH ❑ ROOF � ❑ DRAM TILE ❑ DECK ❑ SIDING � ❑ OTHER ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION O MAINTENANCE/REPAIR �il'REMODELMG DESCRIBE WORK BEiNG DONE: SIZE OF [MPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SiZE: PROPOSED HEIGHT: SIDIN O Vinyl � Aluminum ❑ Other WINDOWS �! IN EXISTING OPENINGS laaYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED�� LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE Permit Received By: �.-.. �� ATE/"/�• ZIP ATF�i�ZIP 5s33 i FT BASEMENT REMODELING SUBMIT: 1. Existing Floor Ptan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION 1NCLUDING DECKS, �Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing swctures O Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCA ON O WINDOWS ��a�� ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION S_ �_�, c17 7. � I OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due I hereby apply for a building�r�( of the City of Fridley and with i permit on site; that the work will SIGNATURE OF APP�II APPROVED BY $ " /l/, �5' $ $ — $ , $ $ $ $ $ $ $ . , � 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach Stipulai THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED and I acknowledge that the information above is comple[e and accurate; that the work will be in conformance with the ordinances and codes Minnesota ConsW ion C � at I understand this is not a permit but only an application for a permit and work is not to start without a in cord e with ov in the case of all work which requirds review and approval of plans. N PRINT NAME .�o �,,ti, r�� DATE .3 � c -� `- , Page 2- Building Residential Application ' F .. BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or r'epaiF to any existing building or structure, upon appiication there�ore, r�quire the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provide�d to-wit: • � ' ' - • - - :y.�:k-- . _ . . .. ,. ., . - . , ; -_�:c. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow 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. Nevv Hous�es Onlv .`- ,,, - , . , City of Fridley Building Inspections Department � � � • 6431 University Avenue NE Fridley, MN 55432 � 763-572-3604 Faz: 763-502-4977 . •- ., Minnesota Commerce � riealr��ar�r ar � ..�C�MB�B Energy Info Center � News Releases � Contact Us ( RSS Feeds ( Page 1 of 1 Commerce Home � North Star Home � Commerce Site Ma� Friday, March 28, 20i � ��rr�r��a rts�t°th �� Advanced Search � Search Topics �� All NorthStar ( Q Commerce Site Only Consumer Industry Licenses, Info and Info and Registration, Services Services Certification License Detail Unclaimed Heating Weights & Minnesota petrofund Property Assistance Measures Relay Here are the details for the license you are currently looking for: Licensee Name: JUDSON ENTERPRISES INC (DBA: K DESIGNERS ) Licensee Address: 2440 GOLD RIVER RD , SUITE 100 City State Zip: GOLD RIVER , CA 956700000 License Number: 20138685 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: Jun 15, 1998 License ExpiratioNRenewal Date: Mar 31, 2008 Qualifying Person: BRIAN VIDLOCK Number of hours of continuing education required to renew license: 7.0 Enforcement Action: No D,_ Hn��iher i_. �4�:up Copyright 2000 North Star, Minnesota State Government Online State Uf Minnesota � About Us ( Get Acrobat North Star is led by the Office of Enterprise Technology Reader � This site best viewed with 1024X768 or greater and with Netscape 4.7 or internet Explorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NUM=20138685&LIC ... 3/28/2008 Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 DATE 1� b� \ vU YOUR E-MAIL ADDRESS SITE ADDRESS (U 7O r�✓� t��oj i�`C -�%- e. THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ I NAME:� � TENANT annRFSS• /1�7U -- 3-�'�- Permit No.: Received By: Dat@�e�� STATE��iLIP 3^� CONTRACTOR a,DDxESS:_,3�� W: �L,� CITY I�Gt/✓f S v� (( � STATL�`vZIP .55 .33 ; SUBMIT A COPY OF pHONE °lSa- —�`1 �j/ —� Cc�-(; ' p,� YOUR STATE LICENSE STATE LICENSE # r}o J 3.�/[p �S EXP DATE � ,3 � PROPERTY TYPE �SINGLE FAMILYiNEW CONSTRUCTION TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE o AnD�TioN ❑ c,aRA� ❑ BASEMENT FMISH ❑ ROOF O DECK ❑ SIDING ❑ SWIMM TYPE OF WORK: I O NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR DESCRIBE WORK BEING OF ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS �� IN EXISTING OPENINGS �1'es ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED i/' C SIZE STORIES � i/SHED WINDOWS , ❑ DRAIN TILE ❑ OTHER NG POOL ❑ ADDITION � REMODELING =c � V t.� Y i.v :"l w.} WIDTH HEIGHT SO FT ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit � Trim ❑ Fascia LAiC—AT ON OF W WS/� , � _—f.L�� `i I vl ✓'c:trwt � � v, ns C�7�l�dlhi�:�l:7.� BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculazions ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $�3.�j�-� �NS�� THE 1997 UBC FEE SCHE OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ G/'�/. � � $ $ $ $ �i7)C� $ 7 $ $ $ $ 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering _ Agreement necessary ( ) Non Necessary ( Make checks pavable to: Citv of Fridlev THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach Stipulations I hereby apply for a building permit and I acknowledge that the informadon 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 1 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 an m the case of all work which requires review and roval of plans. SIGNATURE OF APPLICA /; ,� � PRINT NAME T I � Ja�h S� yj DATE /�` �a ��'' � J ' , . . . • � : _ — �" �"�'�� -- - - / - Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 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 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: 763-502-4977 _ __.___ __ __ _. _ _ _. _ _ _ Building Inspections 763-572-3604 DATE� % SITE ADDRESS ____ THIS APPLICATIT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: pLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS •,�� u�,� /P (� F ❑ OWNER �1CONTRAC'tOR ,�' h� ^ 5: CITY�� 7�, 2 - . r► � - O 2-- Permit No.:� Received By: Da1�' � p,TE�IP, r,a�t: �mp�on STATE LICENSE � EXP DATE � 2� CTTY STATE ZIP, ADDRESS: , PHONE G9nan I��N .r+51�$p'k';�A �51NGLE FA2vIILY ❑ NEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY ❑ TOWNHOUSE �REPLACEMEN'f t.ti PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.05= FOR PROJEGTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT W1�RE NOTED. FIXTURES: iiNDIGATE TOTAL NLIMBER OF EACH BELOV� FLOOR DRAINS SHOWER _ WATER PIPING _ BATH SINK/LAV `— GAS pIPING (Ne�n r✓n'uc�n's� SWIMivIING POOL _ WATER SOFTNER ($35) BATHTUB �TCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15) CLOTHES WASHER _ WATER HEATER (S35) FOR IRRIGATION _ DtSHWASHER _ LAiJNDRY TRAY �--- WA,� �R _ OTF�R Permit Fee $ Surcharge TOTAL DUE $ .�p Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $ . � Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $_,:50 Tota1= $ THIS IS AN APPLiCATION FOR A PERNIIT-NOT VALID UNTIL PROCFSSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; �a t��de standlth s is conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all vvark which requires review an8 approval of plans. � PRINf NAME vG�h Q� DATE SIGNATURE OF APPLICANT . City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� 6��