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AF - 46405i City of F�idley, Minn. � BUII.DING PERMIT N°• 3814 Date: ....1....�.�.-.�.1••.......... � Owner ....................................... Builder ��-^!f�W.//71.�-��7R....��. C� Address...................................... Address ............................................. LOCATION OF BU[LDING No. ��.y�... S� ..��.. �.......... p� �_ �- `..........hy/7�f'�� Lot ...�... Bkock .......J....V..... Addftioa or Sub�QD�ivi.s�on��C�4�K.li.4Gta.eT.y...��.!!".•!.`.'�j. Coraer Lot . . . .. .. .... . 7asIde I.ot . .t�... ..... 3etback +.dJ'.�.. . SideYard . �¢. � � .. .. .. .... .. .. .. .. � urcd ,�.... Ty�pe of Cons4�uction DESGRIPT[ON OF BUILDING ..� � i/ � '�!a;:4 � a�`=!o ��t .l.l a��,. �/oa.� �om �.`�.�:.4 �� .�i.:�. H�/� /.6'�. S9. �a9..Y.. .............. Fat Cast. �.3.If�.�"... To be Completed Cu. /�'t..7".:'.'.'!.'!�— �. �.��Y.a In coneideration of the is�ance W me of a permit W amistn�ct the building deaiFfed above, I agee to do tlie propaed work ia accordenrn with The d�xiP�n abwe set Porth d in complience wlffi all Prov3siaoe of ord3nances of the dtS of E7id1eY. .,r�..... . ..�� 1%��+�1'/'�'�%..i • Ea rnneiderat[on of the payment of a fee of ;.�I... .�~. - permit is hereby grentVed to ... .. .. .... .... .. .. ......................... to rnnstruct the building or addition as described above. This peimit is �anted upoo the exprnss crondition that the person to whom it is gxanted and h�is s¢eats. �ployees and worlmten. in all w�k done in, around and upon said building, or any. part thereof, shall conform in all respects to the ordinancea of FridleY. �� re8�'�� location, construction, alteration, maintenance, rnpair and moving of buildin� wtth- in the dty llmtts and Uva per[nit may be revoked at any time upoa violation of any of tl�e provisiaos of said ordinances. . � � NOTICE: Thim permit does nat cove� She wnatruoYlon, Inslallation or alteration for wfAnp, i �wer or water. •BO aure to see the Builtllny inspeclo� for separate permib Tor tha�e ..... BuildlnS Inspecbor yaa heatlny, g�-�� O . � � � . � �. m > 0 � � V � �� O� _ �� a � � � � � � \`1 � m � � O � W ...I � 0 {17 U H W C J � a �� F y �� O aAm d^yN �V� °� w � ��b� ��a � ��ti s�.�� a „ o ,� �iu ° a� � � Q"ba �� A� xb�� '�� "�" a �.�� wa ��m� � �'�� 0 E � g o o m � ae rti ri w _ : g e O � � � m B $ � � �� °�� $ a� .n � � � � � �! III � � � 1 � � WI � W � � 5 � o° o° °o $ °n ad oi w w d � e0 N s B � � '� $d A �i � � � Qg $ . 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City of Fridley 13333 r� "TT"ET°°o``"ET"'�"S gUILDiNG PERMIT ' �, �. � � � . � � ECEIPTNO. �' � • COMMUNITY DEVELOPMENT DIV. � � ry � PROTECTIVE �NSPECTION SEC. r ,, �l �� '�'\ � CITY HALL FRIDLEV 55J32 NUMBER PEV- O�TE PAGE �� OF �AVVROVED BV j_--•�+� �. �'•� Btb680-7a5a � 910-F15 � 12/29/75 � � � ioe aooness 1041 Fiackmann Circle N.E. � 1 LECaAL �6T NO. BLOCK . TMCT OR ADDITION SEE ATTACHED oescA. 5 1 Parkview Heights SHEET 2 PROPEflTYOWNER � MAILA�ORESS ZIP PNONE Terry Eberhardt 1041 Hacl�ann Circle 3 fQNTRACTQR � MAtL AODRESS Z�P PHONE LICENSE NO. Leo O. Sanders 7813 Jackson Street N.B. d ARCHITECTOPOESIGNER MAtLADDHESS � ZIP PHONE UCENSENO. . 5 ENGINEEP MAILAQDRESS � ZIP PHONE LICENSENO. � 8 USEOPBUILDING � ' � �� Residential � 7 CUSS OF WORK ❑ NEW. ❑ ADDITION ❑ ALTERATION �l REPAIR ❑ MOVE ❑ REMOVE 6 DESGfi18EWORK Install draintile 8 CHANGEQFU6EFROM . TO � � sT�au�ariows � � TYPEOFCANST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMlTS ARE REOUIRED FOR ELECTRICAL, PlUM81NG, HEATMG, VENTILATWG OB��AIR CONDITIONING. THIS PERMIT�BECOMES NULL AND VOID IP WOPK OR CONSTFUCTION ZONIXG � SQ.FT. CU.FT. AUTHORIZED IS NOT COMMENCED WITNIN BD DAYS, OR IF CONSTRUCTION OR WOliK 13 SUSPENDEO OR ABANOONED FOR A PEPoOD OF 120 DA�S AT ANY TIME AFTER WOflK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEHTIFY TNAT 1 HAVE REAO AND EXAMINED THIS APPLICATION j. STAlLS � GARAGES ANDKNOWTHESAME706ETRUEANDCORRECT.AILPROVIS10NStlFLAWS ypLUATION � SURTAX � AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILL pE COMPLIE� $1�BOO. � .9O WITH WHETHER SPEqF1ED HEREIN OR NOT. TNE ONANTING OF A PERMIT � DOES NOT PRESUME TO �IVE AUTMORITV TO VIOLATE OF CANCEL THE pERMITFEE � � SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING �CON- �G].Z.00 � STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � � � - � PUNCHECKFEE..��. TOTACFEE $12.90 �� SiGn rtEOrGOprppGrO � UTHOR2EDR (On*EI WHER PPOPERLV VALIDATED THIS IS VOUR PERMIT v� � c- /� �- �. NATUREOFOWNERfIFOWNEP9UI�DEAI I�ATEI BIDG INSO . D0.TE S� � �_ APpLICATION POR 12L•SIDL'hTIAL, ALTERATION, OR AllllITION ]3UILDING PLRMIT CITY OP FRIllLL'Y, b1INNESOTA OWNER`S NAME: . ADDRESS :/ b�{/ f/��: ;�=„� , C�� ADDRES S; 7�/,� a��Qp,z_ 1j�� f' NO:. �C)�/ STR�ET: �-tI�C;�/nAitJU �,fiPC.CF LOT: cS BLOCK: � ADDITION: Pf}lFKU/ �W Y-f� ��-F� CORNER LOT: INSIDE LOT: ✓ SETBACK: SIDEYARD: Applicant attach to this form 7tao_Certificates of Survev of Lot and proposed building location drawn on these Certificates. To Be Used As: UESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Eront: Depth: Aeight: Square Feet; bic Feet Type of Construction: ��,/1�.��, �� Estimated Cost: $/,�D O� �� '7-- To Be Completed: ��_�� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st'rict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �, 2 C� STGNATITRE: � � � =s�� (See Reverse Side For Additional Information.) �� q0 /� D�� i � �; � � ; �� sue�ect PER r�c��y of Fridley _ � 79 � ATTMETOPOFTHEiWINS gUILDIN�G PERMIT ; � � RECEIPT � � _�� _ COMMUNITV OEVELOPMENT DIV. r � y PROTECTIVE INSPECTION SEC. 7� 1 1 j /'�9 � CITY HALL FRIOLE� SS132 MIIMBER PEV. O�TE PAGE O� APVqOYED BV L.__.Jl.' '•� 612-571-3450 9io-F15 5/13/85 � / lOB ADDRESS 1041 Hackmann Circle . 1 LEGAL �OTND. BLOCK TRACTORADDITION SEEATTACMED DESCF. 5 1 Parkview Heights Addition SHEET 2 PROPEPTYOWNER MAILADDRESS ZIP PNONE Bruce M. Cerepak 1041 Hackmann Circle 574-0233 3 GONTRACTOR MAILAODRESS ZIP � PHONE LICENSENO. Same d pRCHITECTORDESIGNER MAIl.ADDRESS ZIP PNONE IICENSENO. 5 ENGINEER MAIIADORESS I�P PHONE IICENSENO. B USEOFBUILOIN[3 � � Residentia7 7 CLASS OF WOHK . . ❑ NEW ❑ ADDITION X7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK . Convert existing garage to living area. construct a 30' x 24' Garage 9 CMANGEOFUSEFROM TO STIPULATION5 - Provide a hard surface driveway. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPAHATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATING. VENTIIATING OR AIP CONDITIONING. (i ram THIS PEfiM1T BECOMES NULL AND V010 IF WORK OR CONSTRUCTION ZONING SO.FT. CU.FT. AUTHORIZE� IS NQT COMMENCED WITHIN 6� OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEfiIOD OF 120 DAYS AT � ANV TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES ANDKNOWTMESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS yp�UATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WOAK WILL 9E COMPLIEO C8776 �8Q $4.39 WiTM WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERLIIT '� DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OH CANCEL THE pENMITFE6��. SACCHAFGE PROV�SIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATINCa CON- $74.50 � STRUCTION OR THE PERFORMANCE'OF CONSTRUCTION. P�pNCHECKFEE TOTA�FEE $78.89 S�GeaTmREO�CONTReCTOROeaUTNOn¢EOnGEN* roATE� WHEN PROPERLV VALIDATED THIS IS VOUR PERMIT S S ��/`tl�l ('.ICi/tt �1�' SiGNOT�qEOPOWNERpFO ABW�pERi �D�TE� BIOG iNS� Dni� N�},� City of Fridley Effective 4/1/8L ADDN. ] a-1 �1D R-2 u,Tgp, [ ] Building Permit Application Constr Legal owner etame c aaaress :�d� m� E�2EPAI,' — s�4f%'I E^ _ Tel .#.5��/-023 3 Contraotor• Tel. � LIYIBG ARSA: GARAGE AREA: D8ClC ARBA: arHSa: Attach to this application, a Certlficate of Survey of the lot, Nith the proposed construction draxa oa it to acele. DESCRIPTI01 OF I!l�EOY�IiT Length WidtL Height Length � Width � Height ��_ Length Width fIgt/Ground _ Sq. Ft. Sq. Ft. % 2 O Sq. Ft. Corner Lot [ j Inside Lot [X] Ft. Yd. Setback Side Yard Setback Type of Construction: ��D� I-rQm�. Estimated Cost: _�77� e�� Approx. Completion Date: �o �'/D/t�T�%S Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: O•� E � See Back Page for Explanation DATE: y�l�/� ap�I��T� �"r� �f� t�"�� Te�. t 375�'0233 Permit Fee Plan Check Stete Surcharge 3AC Charge Park Fee Sever !lain Charge iOTAL STIPULATIONS: CITZ OSE OIa.Y _ %��! Fee Schedule on Reverse Side S �� 25i of 8uilding Permit Fee j �.3 =.50/;1.000 ValuatioII _ =425 per SAC Unit ; Fee Determined by Engineeriag _ _�� Agreement Necessary [] Noy Necessary [ 7 GK . CERTIFiCATE OF SURVEY $WENSON LAND SURVEYING 827 Norwood Street . RONALD j. SWENSON Anoka, MinnesoU 55303 � REGISTERED LAND SURVEYOR � qo a a O� �o SURVEY FOR: gRUCE CEREPAK �64 F / '' W � m N m N 3 �a oN � 2 T I ti � � � J � • w. W �o c � Z 9 �� 4 �9 ti N � � � � o . i ' ; 'i �O V � � Z�lq m v 3� q 9�r h N O � � � a = Z�.�r. o YS'� N5E N / N � � �L�� az.85 5 tr �r 4= 3'/O 38 � in � �0.3� <. � . __ _��4 6� ' h NACKMAtJlVS TELEPHONE (612) 447-1020 O Denotes Iron Monuments Scale 1(nch equal� 5O feet Book �� Page Z� Invoice No. /�57 R,�� IRCLE � 1 hereby certify that this is a true and wrrect represenwtion o( a survey of the boundaries of: Lot 5, �lack 1, PI1kKVIEW HEICHTS F1DD1TLOtJ, l�noka County, Minnesota accortling to the recorded plat thereof. And of the location of all buildings, chereun, and all viiible encroachments, if any from or on said land. As surveyed by me [his �ZT� day of /Do'e��- - 1985. Ronald J. Swens�red Land Surveyor Minnesota Regis7aUon No. 13297 y r , u SuBJECi PE M . City of Fridley o � 8499 � ;� aTTNE'°`°`THE'W'NS gUILDING PERMIT RE EIP � ; y �_�� _ COMMl1NITV DEVELOPMENT DIV. � r � PROTECTIVE INSPECTION SEC. �� ,..-.� �"'�'� CITY HALL FRIDIE� SS132 NUMBEa aEY. o�TE PnGE Of �aPnDVED BY � L 612-571-3450 910-F15 6/16(86 � � JOB ADDRESS 1041 Heckmdnn CirCle N,E. � 1 LEGAL �OTNO. BLOCK TRACTORADDITION SEEATTACHED DESCR. 5 1 Parkview Heights Addition SNEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Bruce M, Cere ak same 574-0233 3 COMTRACTOR � MAILADORESS Z�P PHONE LICENSENO. same � ANCNITECTORDESIGNER MAILADORESS ZIP PMONE �ICENSENO. 5 ENGINEER MAILADDRESS ZIP PNONE UCENSENO. 6 USEOFBU�LOING � Residential � cussoFwoaK ❑ NEW ❑ ADDITION Cfi ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK ConVert garage to living area. 9 CHANOE OF USE FNOM TO STIPULATIONS � 1, Use treated moisture resistent wood for floor framing, TYPEOFCONST. OCCUPANCYGROUV OCCUPANCYLOAD SEPARqTE PERMITS ARE HEOUIREO FOR ELECTflICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ.FT. C0. FT. AUTNORIZED IS NOT COMMENCED W�THIN 80 DAYS, OR li CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A 7EHV00 Of 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFV THAT I HAVE READ AND E%AMINEO THIS APPLICATION STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. aLL PROVISIONS OF LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 JQO � e45 DOES NOT PRESUME TO GIVE A1ITMORITY TO VIOLATE OR CANCEL TME PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PIAN CMECKFEE TOTALFEE 31 45 51 NpTUFEOFCON'RACTOR RGUTMOR�ZEDAGENT ID�ITEI WHEN PROPER A�IDATE THIS IS OU PERM / �NPiIIPEOFOWNERifOWN U14DE1 � 10� BLDGiNSO � /IY VV n< c NEW [] City of Fridley Effective A/1/86 ADDN. [ 7 �R-t AHD R-2 pyTER. I�1 Building Permit Application Construction Address Legal Description Owner Name & Address Address LIVING AREA: GARAGE AREA: DECR AAEA: OTHEH: Corner Lot [ ) Attach to this apglication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length Inside Lot [ ] DSSCRIPTIOA OF IMPROYEMENT Nidth Width Nidth / t. (7Crl �"ts ti Ft. Yd. Setback Type of Construction: Approx. Completion Date: -1LC �7 � Y Proposed Driveway Width If NeW Opening Is Desired: > - -• Te1. � S?5�`D233�� Tel. I Height Sq. Ft. Height Sq. Ft. Hgt/Ground _ Sq. Ft. Side Yard Setback Estimated Cost: � �. �-Q 0 Alt. A Alt B $ $ _ See Back Page for Explanation DATE: ��A APPLICANT`��•�i ��fl, ��it.r�I Tel. #J17 �Z,3� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sexer Main Charge TD'fAL CITY USE OM.Y $ � V Fee Schedule on Reverse Side $ ��, 25i of Bu3lding Permit Fee $ !Z �! $.50/57,000 Valuation y - �475 per SAC Unit $ __ Fee Determined by Engineering $ � Agreement Necessary [ ] Not Necessary [ ] $ STIPULATIONS: � /�`r°"' �" - +� �� ` � C � S � 4 � Y � � _ t _ O r _ _ � C � � ¢ _ 0 F S"' W u 2 > > c Y 0 J - = 4 G� J N LL O W u r LL N � t9 N 2 Y f � � V = = o= r c o _ � O � � z d ¢ � � S d Q W z O H u J s � 1 � x H i e n �. O �f V s•� � • y• V � s LI : Y � � �o � Yp Y � 4 � 7 U Y � M . � � Y r • y Y N Y � \ 1 r i O Y \ ` � C � O ` • a � i Y = Y � C ti E " gs ° � M � • • � � i i v c � a ' V N r � C i. Y __.�.�' � C � • � � ■ �. �. O O p O .i o u s iy, Q + :=:. � E •5. 1t �oa° O F � E � p Y � � � O T C Y Y w� N w Y O 6 C � v /1 Y � R Y ci-� v co $p�; �E�`e Y L• � Y O G� F u O U � V F � e � E w � 6 � � � � 4 O F � � \ z � � � 9 "s [�O � � Y ([�5 O � � FS �+ K p Y L � � � a=�c � � s� O l'n� I I I I 1�� Y1 N Yl N N N �� ol ol e) o) N N N N xE L $ � u �' Y y� u c � � � gY $ O $' _ ti S9 L"1 P• «7 NS C � Y Y w P • Fs UeY .a+� C 4 N CC 6wQ O � 1� O [w! ` C�! V' � w ol 0 0 N Y Oi � Y .� Yp •C Z Y • M ..ra C � � tM� U g a� � ° e�� .�t c. C • O� K v g�� a O CL � G �.�i M y � .-�1 C � O R > u° ° � c o y .-1 N < < � � • (% S °s ��:�J��I Y ` � �' S � c � � y � : ` IG N � � I I 2 7 P ` Y Y O ,�O � ✓ C d � 4 � � �ai w � y � u � � N 6 g ' 6 Z �✓ O � Y V y c F � > O � = u � u a f E...� u ° � a = x a � m a N1 `�� HI N H m P M tl � H tq � O � Y a Y � O O N � 8 � u a • C O s � � y � 4 \ 4 � � Y � d Y O a a .. � ■ .�. « a > °� c a �.. a s m c c a z 6E c p � u LI Yl f 0 0 0 N N F K � a $� 4� � z� z� 6N �F Wy 0. � = y H rZi .�i � d `M�1 _� \` n� ,\ u E � 4 J e � c ' � � i V Ce Y C p a U ' Y ,Sy ? Q � . y Y • � 5 D � E `¢ � r= F �. O J � c � O Y y C V w u c 0 4 Y 'f. 7 4 q • ° E u � i Y � c � ` u � • j � y . N y t � i sua�ccr �7 . � City of Fridley 2 6 9 7 3 � , qTTMETOPOFfNETWINS gUILDING PERMIT o ' . � ` � COMMUNITY DEVELOPMENT DIV. ' / � � �� PROTECTIVE INSPEGT�ON.SEQ L[��I(% % � � � � � � � /��'1 • CITY HALL FRI�L�V 53132 MUMBEA MEV DAiE O�GE Of �PVROVED BY �°�� '� 612-571-3a50 giaFis 8/4/98 / / JOB pDDAESS 1041 Hacl�ann Cir NE 1 LEGAL �OTNO. BIOCK TR�CIONADDITION SEE�TTACMED DESCR. r) 1 Yarkview Hei hts SHEET 2 PROPENTYOWNEH MAIL�DDPE55 2�P PHONE Joe fi Cher 1 Fredrickson 10 1 c ann 'r 572-9080 3 CONTRACTON � MAIL ADDNESS UP PHONE LICENSE NO. Owner < APCXITECTORDESIGNER MAILAODRESS ZIP PHONE UCENSENO. 5 ENGINEER MAILADDRE55 ZIP PHONE LICENSENO. 8 USE OF BUILDING � Residential 7 ClASS Oi WORN ❑ NEW ❑ AODITION ❑ ALTERATION C$ qEPA�R ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement e ress windows 9 CNANGE OF USE FROM TO STIPUTATIONS Window must camply with the State Egress Code. TVPEOFCONST. OCCUPANC�GROUP OCCUPANCY�OAD SEPARATE PERMITS ARE REOUIqED FOR ELECTRICAL, PLUMBING. HEATINO. VENTILATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO.FT. CU.FT. AU7HORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSiRUCiION ON WORK IS SUSPENDED OR ABANOONED FOF A CERIOD OF 120 DAVS AT ANY TIME AFiER WORK IS COMMENGED. � NO. DW�G. UNRS OFFSTREET PARNING I HEREBY CERTIFY THAT 1 NRVE REaD ANO EX►M4NE0 THIS APPLICPTION STAllS GARqGES ANDNNOWTHESAMETOBETPUEANDCORRECT.ALIVROVISIONSOFLAWS yp�URTION SUNTA% nND ORDINANCE$ GOVERNING TNIS TYPE OF WORK WIIL BE GOMPl1ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFlMIT O . S DDES NOT PRESUME TO GIVE AUTHORITY TO ��OLATE OH LANCEL TME pENM1iiEE SACCNARGE PROVIS�ONS OF ANY OTHER STATE OR LOCAL LAW REGULAIING CON• � STRl1CTION OR THE PERFppMANCE OF CONSTRVCTION. ZZ 0 Fire SC .3S GLAN CHEGNiEE TOTALFEE 2 8 5�+aru O ONTRaCTOAOPPUTHOA�2ED4GEN1 �DaiE� WNEN PROPEFLY V •TED TNIS IS VOUR ERMIT �(3�� N� UAE i WNEP�aOWNEABwIDEAi iD-- AtEi gl M5� ��t�k � . �; ,,�.;I�tEVV `ADDN ALTER C] [] tl CTPI' OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ��'�� b �� ConstructionAddress: ��'� ��-k�"�q-^'^' d« N6 �(4a�c.�( �'l1� S'�'S2 Legal Description: Owner Name & Address: �- CNF�-�L �cEoc�ck�J Tel. / 6i2 s� z-�io d�o Contractor: - MN IdCENSE f� Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: 01'i�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length I.ength I.ength DESCRIPTIOI�i OF Il�iPROVEMEI�IT Width Height Sq. Ft. Width Height Sq. Ft. Width HgtlGround _ Sq. Ft. inys�tr,�kc� `��956�E�f- �62E�S l.v�.�+�ow u.7 Consuuction Type: Estimated Cost: $ �iSa lFee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =,�Ft x S =$ DATE: � 31� �b APPLICANT: Permit Fee Fire Surcharge State Sureharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULAITONS: $ �/. �d $ • .� $ � 5(� $ $ $ Tel. # S�Z 90�� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuarion $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A' or Alt. "B" Above $450.00 Conservadon Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] g �/-c�.� .� :z 57�y of�Fridley �E3t� THE TWINS COMMUNITY OEVELOPMENT DIV. �� FNOTECTIVE INSPEC71pN SEC. i` `� '°�'� CITYMALL FNIDIE� SS��i 612-571-3450 lOB ADDRESS I LEGAL � pESCR. ADDRESS 5 SuUEC� BUILDING PERMIT 2839 '7l,r� �/EP MEV D��E v��E Of �VSppYEO !Y 910-fl5 in/�z/ou � � SEEATTACMEO SHEET NO ❑ NEW ❑ AODITION O ALTERATION }� REPAIR O MOVE ❑ REMOVE 9 STIPULATIONS Underlayment must comply with the State Building Code. TYPE SEPqPATE PERMITS ARE AEOU�RED FOR ELECTPICAL. PLUMBING. MEATING. YENTIIA�ING OR AIR CONOITIONING � TNIS PERMIT BECOMES NULL AND VOID �F WORK OR CONSTRUCTION ZONI AUTMOAIZED IS NOT COMMENCE� W�TNIN 80 DAYS. OR IF CONSTRUCTION ON WOAN IS SUSPENOEO OR �BANDONE� FOR � PERIOD OF lZp DAYS AT ANY TIME RFTER WORM IS COMMENCED. NO � MEpEBY CERTIFY TMAT I MAVE PEAD ANO EXAMINEO THIS APP�IL�TION AN�KNOWTHE511METOBETRUEANDCORRECT.ALIPROVIS10N50FLAWS yAIU nN0 OAOINANCES GOVENNING TMIS TYPE OF WORN WILL 8E COMP�IED iM WME7MER S�ECIFIEO HEREIN OR NOT. TNE GRANTING Of A PERMIT Z7 00 OT PRESUME Tp GIVE Rl1TMOHITY TO YIOUTE OR CANCEL TM! vENb PROYIS F �NY OTMER STATE OR LOCAI L4W REGVI�TING CON� TqUCT O �ME VEa�OBMANCE OF CONSTRUCTtON ]/{ ^ � I PLA� D�CON'R�(iOAOA�Y�MOA� O��+fNl �� p�T(1 Lic STAlLS CU FEE RAGES ^� VVn CnMi� - �0�3-9� � _ NEVV [ l ADDN [ ] .a�..�x t � ConstructionAddress: 0 Legal Description: _ Owner Name & Add� Contractor: �_ Address: � � %� LIVING AREA: GARAGE AREA: DECB AREA: OTFIER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 b �$�q�� 1 Tel. � �j �t� - Q�Ri MN LICENSE 11 oZ(`� /lvOyD Tel. il �02��-,S�/ ^//1f Attach ta this application, a Certificateiof Survey of the lot, with the pmposed construction drawn on it to scale. Length I,ength I.ength DESCRIPTION OF Il�iPROVEMENT Width Height Sq. Ft. �� Width Height Sq. Ft. Width HgdGround _ Sq. Ft. C�- �7�/ Construction Type: ��Qpe�� Fstimated Cost: $,� . O �/i-Z (Fee ScheduZe on Back) Driveway Curb Cut Width Needed: �+ 6�= _Ft x$ _$ DATE: I� � 3 � o Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPTJLATIONS: Tel. fl � �y"/// S $ ��% �� Fee Schedule on Reverse 5ide $ o� 001 of Permit Valuation (1/lOth!) $_____� $.50/$1,000 Valuadon $ $1000 per SAC Unit $ 5 , (�O $5.00 (State Licensed Residenual Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Deternuned by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �3-f�6 � _ N O ' N • � � A a c ' R C . . _ _. O ' _ .._ N . n � U W � � Z � O N Q W � J ; Z W wn — - > o �- � a r° 2 N � O W W �,- N C Z � Q W Z C io o }- a° W� y o � Zv w ag � Ja¢ W Z �a z a� �Q O� W Z C7 O� U � J a z a o `� � > � Z � H U W W a Z � Z � M Q W T� � J = � i � � t�i.� ZN t. O � � 1n �y N � F}--M'�t�D �U�liv W J � 0 S U h Q C � � � w N � G.7 Z � J � m .,�1,\ W (¢ l�- E v / v� � � .� • 3 Z 0 F- m v p Q-' �Z � N . W... G R N . J a Q � N N � v a`�i Q � C Z C O O Q � U O � � � o U a F-° 0 � Z O W Q � � W a o � � V3 bh 64 ;; o 0 0 m o 0 0 � M o 0 tfT (ft - . EfT � Im C � S� Z O � a A Z h 0 � KT 64 °o °o O N ui vi L G1 U � � � i � m ^w C Y � - � N-0]. C N . .. � �p j .0 l0 V i Q � fl. � � - 3 � 0 LL LL V c = • � c d t+ N � ��?� ��a�� m � i: N Sl U._ C N y � p_ T N N � `-' U. �' O ,a C D N N N � ti 4 C7 C7 C7 N N N ¢ m c 'c 0 9 C O U Q C C � N C d d A L O.N U ; � @ � V � ' .' Y.NrL-�.0 t - y'. i +- R � wt. � 0 « !-' R' U a'. £3�'O � N V y N . O . .. Q'.N i � z `° � N 'O V Y N � U � C1 in o A � m` � U d O V ` L '_ � A - N Q -Q U a � c a _ � � C N `Y° 3 .° � E ip> C >. O 0 '_ d � m� � dw =_� L � N m � c� �� Z � 'a� [� `^ c N Op i N O a • oos' � i � Y y.R.. ~ C N y CI C 7 '(j OCO d �� a 3� t d. Ql CO F N i i � Y U m z 0 F- � v � O C � O L O � � G1 V � C Q � d1 a � 4 @ O a N d � � � � i 7 L O � � Q ~ � iS � !!} 69 i O � O N U C N A a 'w ¢ N 0 7 a a� c � \ j m i O d o � � � N U � 0�0 m r W ° w � � � J N � `° o v� f- � U � Z H ¢ w 2 � q � N � � l�i N. � � - m c LL � I J w r N R � c i M 7 1 � c 1m � N �. O l4i Q _ � O O n V s9� w W LL z O U W d � Z W � � 0 L 3 � L � d � 3 a � O � y �y � a� m n G � � Q N p� U C � C 0,._ O . � �D N C � c ° m U C N O L N � N c � 0 � � C �' O C U Y .` ¢ 3 �� . : �ea � •� �CF' :eCB pau6ig '�b��"'�i1�`tl� C� _ '�'N 'HAtl ltl!'1N30 'L9SSl 'O� �JNIlY�H . . - - '�C:i "17313 �/d 'F]1N 3NIb`i9 -•� -•� �• ' - ad�tl ui �a3aweiQ u c{i6ual u 3U6iaH lo�auuo�;uaq £# aousi�ddy ad/�l w �a3awei4 � t�6ua� �} ;y6iaH �o�auuo�;uan Z# a�uepddy ad�(1'w �a;aweid � y�6ua� u }y6iaH �o�auuo�;uan {,# aouei�ddy satpui �a;aweip �y6iaH;ua� ad�(l;ua� uowwo� , ;ndul ��8 lelol saauei�ddy 1e3o1 -- }eN �o pa�ssy ue��ul-(�l�- ��ae!tdd�__ ;eN �o pa;sissy ue� ;ndu� �18 ad�C� � a�uegddy , •}ro�t 7eN �o paasissy ue� �Q ��ndul f118 �� ed�Cl �# a�ueijddy V' 1�•lna�v[atn ru1!.r-nuuL�t.r-n�.m��.r-nvvl�nn[.yir-»�y.P1�-1�h\r-Y1�181f4�G/ () oN�) sa,� •sapo� 3uaLrr� �ad se l�a;e�edas pa}uan pue }uan uowwo� a� wo�� panowa� uaaq sey a�ue��dde ue �a}}e �i�a��o� pa��e�sw pue pazis s�o�auuo�;uan pue luan uowwo� a� s� ( ) oN E• j saA ( ) oN �sa� ( ) oN � sa� �saoue��dde ue�p �e�n3eu pue pa;sisse ue; �o� sa�qel6uRua� a�ewn� �eryua� � Ao6ale� yy�y�-y�y apn�ui saop siyl �suoge�yqads s�am}�e;nuew pue sapo�;uaLn� a� s;aaw pue I(�qwasse pa;si� e si;i le� saquan ,(qa�ay pau6is�apun a� ' . . , uayM suo�e�yr�ads s�a�n�e►nuew pue sapa� luayrr� a�;aaw o; pape3sw pus paz�s aq ��w� .. . , o; pa�mba� uay�/y •suoge�yr�ads s�a�n}�e;nuew pue sapo�;uaLrx� a� aaaw ol pap�sui pue paz�s si , , ., ayl --__ _ -- - = — -- __ ___ - - - -------- -- - _ (� oN sa,� �sa�uei� e ue�p �e.irqeu pue pa;sisse ue; �o} sa�qel 8uguan aoewn� �e�ua� � tio6a;e� yyyy�-y�y apn�ui saop siyl •suoge�yr�ads s,�am�s;nuew pue sapo�;uaLn� a� slaaw pue �C�qwasse pa}si� e s� �tun;uawa�e�da� a�;ey� sa�uan os�2 pau6is�apun ayl, O aN �sa,� vogewuLa; pue snnoq�a;o �aqwnu 'y�6ua� `6ums 6uipn�w suoReogr�ads �am�e;nuew pue sapm 3uayn� ��e s;aaw pue ��dp�sa�d si wa3s�is 6uguan ay�, O oN �sa,� ' •pa�mba� a�aynn paddoua�� pue pa�oddns �(�a�noas si pue 'suo�n.qsqo '�oge�oua;ap �sru wa; aa�; si pue pauiwexa uaaq sey 6uguan ayl �eyi saguan Xqa�ay pau6is�apun ayl ' .. , uayq/� a3N21f113L139'1�IM IVOIl\/�llddt/ 3H1210 S3�NtJ1'1ddY/'JNlN2lt1813f1� �JNiatfld32i N3HM NI a3lll� 391Sf1W MO139 3Hl � . g��'N� ANDCEOLECTRIC,II� C. ADDRESS 14 ` OCCUPANT _IeSPr F�,(1 ' HEATLOSS OATE HlG.INST. SOLD BY Electrical Work Bv 1 Ad '!� �E G_ TYPE OF HEAT G!L_ F{5� HW_ STEANL_ SPACE HTR._ . l � �—.�-!�� a iQ�//�IY/l� }r - � I / J' i J l�/ Z'[if1 ►IIPf�. CAHTNOLS _ Fieat Fan L.W. Cut Ott Pressure • 0_ Q�roantCO.. • InpatCFH� S�r Perrsnt0. IO��y SteckTemo.1l.y_� - f � PeroentCO �J/� HOUSE HEATING TEST RECORD APT. FLOOH CITY 1 1'��SUBURB OWNER INS7ALlEDBY��Qfi%Pi l�UGI`� Gas Line By �1'S% � UNfT HTR. OTHER CONVEHSION vem she „ P. I/: G. KINDOFLINER_,�� SIZEy� NIXJE iAaftHood _--_ ._...Aegu4ator—__ .-_.. Filters Size Number i ChimneyLocauon Inside� Outside Chimney Cons[ruction s � 1/2/1 SmdceBomb Winrg V _ Oraft Tes[ Tay Dow Pressure lghung Ins�. � Da[e Tested � c Company Tesli Name of Testet J'fL[L 7 Percent COi Input CFH Percent Oz Stack Temp. Percen[ CO �oos -b�3�- � PLUMBING RESIDENTIAL APPLICATION City of Fridley NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN TH� PERMIT. DATE YOUR E-MAIL ADDRESS SREADDRESS THE APPLICANT IS: (CIRCLE ONE) PROPERTY OW NERJ TENANT CONTRACTOR PERMIT TYPE TYPE OF WORK NAME - Z��vi-•... ADDRES cirr PHONE # NAME ADDRESS O- CITY �iO`�L�L— PHONE71 - QI SINGLE FAMILY Q' NEW DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $70.00 PER FIXTURE, EXCHPT WHER�NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH S�NKILAV FLOOR DRAINS _BATH7U6 _GAS PIPING (Need Cify license) _CLOTHES WASHER _KITCHEN SINK _DISHWASHER _LAUNDRYTRAY Permit Fee Plan Review Surcharge TOTAL DUE S �.S � E s .so S , .S� 7W0 FAMILY ❑ REPLACEMENT � SHOWER _SWIMMING POOL _WATER CLOSET _WATER HiR (S35) �WATER METER � • ZIP LICENSE # �I PI ZIP � � � ' TOWNHOUSE _WATER PIPING _WATER SOFTENER (535) _BACKFLOW PREV. (S75) FOR IRRIGATION OTHER MINIMUM: i15.00 or 5% of cost of the improvement-whichever is greater on work less than 5300 �' Make checks payable,to: City of Fridley �.�ww..�...rru...+..vnr�ne�rcmm�—nv� re��um��rnwoa�cv I he2by apply for a plumbing permit and I adcnowledge ihat the information above is compleffi and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with Ne Minnesoha Construction Codes; that I undershand Nis is not a permit but only an applicatlon for a pertnit and work is not to start wittrout a pe ik that the work will be in accordance with the approved plan in the nse of all work which requfres review and approval of pla s. t NAME OF APPLICANT � � ^ -- �� - -_-` �%"' DATE v /I SIGNATURE OF 6431 UNIVESITY qVENUE NE, FRIDIEY, MN 55432 n�a� s�z-asaa