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AF - 46910• � • City of Fridley, 1Vlinn, BUILDING PERMIT ��. MAY 13, 1966 �,: HAROLD BELGUM g� HARVEY PETERSOft 1, � �-� f'!'� 8824 pdcl��s _ A� 151 Glen Creek Road ft. E, � Fridley, Minnesota 55432 /9t LOCATION OF BUILDING Na � Street _._. �TM� CIRCLE ft.E. p� o! Lot Lot 23 Block _� 2 Additian or Sub-Divldan .._._. SAPDHURST ADDITION Corner Lot _ Inaide i,ot ___. R setback 5 0' ._._._ sideyard __._. 1 �'____.._......_...._ gewer E�„atim 828. 85 _� IIe�,atiar, 83 2. 85 TOP OF FOOTiftG DESCRIPTION OF BUILDING To be Usad as: RESIDEftCE �t 32 �� 32 �t 20 �. � 1, 024 �� 20� 480 .....__._..._......�. ......._._._. Front Depth Hd�ht Sq. F't _.._._......_.. Gw. F't. Z'ype of C�ictlon FBI�I� F�t. Coat �.�.�s-�- To be Campleted __._.. � � - SEWER LOCATION • 117' West of Manhole at Intersection WATER LOCATION • 126' West of Manhole at Intersection In condderation ot the issuance to me of a permit to constzu�e buildine tha p�^opo�ed work in acoordanoe with tl�e de�crlptioa abo�ve aet and itt o0 ardina�naes o! the dty oi �idley. I agree to do oroviaions of In 000�ddarattan ot t�e pe�►ment oi a fee o! 2a 1'�--. Deraait fs herebY 8ranted to HARVEY PETERSO� to eoastr�et the bui]diuS or additlan as desacibed above. Thispe rmit ia granted upo� ttis expre�s oonditUoa that the�pereon to whan it is graated aad his a�enb, �aployees and worlanen, in all work ��in, � u��said � ar a� tbaeoR. ahall aoadam in all reapecta to the oxdinaace� o� alteratta4 ��, �P� a� �8 0! buildinp 'vl� dty ]faaib and peraiit m�y bs ravoi�ed at a�► tiaoe upai violatian of any of the provisio�ns ot ss�d ALLEA G. JERSEN 8� � � dN� re1 eewr tM eeeNnrNk�, �a�IM� hr wt�t�, *1�■W� f�t Y�NM. �rw�r ee wM�r. M awr 10 s» fw MYiiy I��Nr ter MMraN �e�YM Ia fINN ih�. .. . �. � u APPT.ICATION FOR BUILDAJG PERMIT CITY OF FRID�EY, MINNESOTA OWNER' S NAI� tt� R o� ��F � G U M BUILDER ADDRESS ADDRESS �� 3/ L2�, C_��G� y� L TION OF BUILDING � N0. ` STREET PART OF LOT LOT ,� 3 BLOCK 2 ADDITION OR SIIBDIVISION S,� , fi� � t,l v R.� Ti�� 7`i e� CORNER LOT INSIDE LOT�„_SETBACR ,�D SIDE YARD l U � G � SEWER ELEVATI�I�T vZ < �'A!!!!� ELEVATION d—�� Applicant attach to this form Two Certificates � q o Lot , d proposed building location drawn on these Certificates. DESCRIPTIOIV OF BUILDIPG To be used as; � ,�� s c c{� �+ G ti Frvnt 3 dt Depth .3?� Height Sq. Ft. /Q,2 � Cu. Ft.f�'��-�_� Front Degth Height Sq. Ft. Cu. Ft. d� Type of Construction �Q __ Estimated Cos � y��% � , -- To be completed The undersigned hereby makea application for a permit far the work herein specified, agreeing to do all work in striCt accordance with the City of Fridley Ordinances and ruliags of the Department of Buildings, and hereby declares that all the facts and representationa stated in this application are true and correct. DATE � / � � SIGNATURE (Schedule of Fee Costs can be found on he Rev e Side). Q , W- .--- �--� / ,� � Gc% � �, � �, .. G ly� , �/ + r.-T � � =� �� . �"' � � / d- � I y u � , � � ,N .� d F�Y � a � �� $Ua�r. y �.a� «�F �Md� �3bp � � ,°b� � O � � � m ,� Vu vi �.�. p��u a"b;� �M� a � ��o� � °�p xb �� ay N A y �C a� O � �ti '�' y � �{.� b 'G 00 O � � A � �py a �; .� 0 E� F v � y'�'� U m�ro C v C .� �+ � � - C �O s� � '> �� C a � � � d � C y � C = 0 C� a� � V � L � � r � � � � � a � � a � � \ � a� O j ++ e m A � J h h .�. .� � p� o 0 0 0 E� o 0 0 �n � OD Y� �[i N � .r j ► '7 0 � a I � i � I � ; z � � � a � nil no `� `�' � � � " '� � � � U � � a . � % O � 41 �' � � U E � � v '° y � O �C b H w O � � � � � °o °o °o o u°� 00 N �fi �fi N � 3 0 0 a � Q a ►�" � z � z � � � � o � � � � 0 x �' a a� A w � � � � �L 1� � � il � O y � � � z �, � � � � � E+ U C� � � � � � � °o, °o u°�a �°n o°, °o, CO CO N N �[i �fi z N � a� � H Q+ � � P� � I F O E F��' a a o 0 �n �n o � N p ia iC 're z � � � x � x A � a � Y � a � U � � � � � � w U o� a� 4 S � � � • � F ca �"� a � W Z z � � x a �, a � N a � > 0 N Y t f � ti . . '� o O 0 � : : : : : : : � � : : � � t-� o. u,i : : : : : : : . � 3 : : d � � � _ � : : : : : : : � o � � : E .� U : : : : � : : : : � x : � � � m c N : : � � : : : g � p : � v, � F" : � g ° S : � g g w W � w : : : : ,_.,..� � � : : � �' � : : o � w � : : ai � � : :�� :�� o �'�3 �;� � � '� ° � . .O � W o � � E+ � Q � : ° � � f� � � F `r m V� x � o pEq � �° � c�a o o y � co � .S .o F� �: �, � o v, °o a Q � � � d �� •�, � W I ! W W � y C � o M � � � ; � c� � GG G � .� p' °o y o � � 4 a PG q`� o o � �:� ss � ] ]�'" w� � a k a � N N w �. rr � � � 'd af co a, a, pp o �A t� G, � a' �'i � � � OCi �' ro O.°� +�.+ � d'i a?3 m v� "'D c+� R� W y a� �w" �%' dd ay v�� a�i v �� E,,, d v c°� c�Nn y � � w� o c�a o(7 � dl -,. 3 � � � � � v�i , °' � � x d � '� '� a ° W x M � � ~ ~ z ° � �, i. � � �' � � � w ° ° � m � x F, � 'o c° � E" 4 E, � � � a � 3 a �a �a ° � °` .c � x o[ E„ .., ¢ �7 '� ��' a a a x� w� r� r� ��° `° o�a � w v� H w � w w � � ,� o W a � ao � x z H o z � � � o �� s w>� x w • C� • City of Fridley, 1Vlinn. BUILDING PERMIT ��: � April 7, 1969 � � ��5� N° 10167 p�• H. J. Belgum g��r _ D. W. Harstad Co�,� Inc_ �M _ p� 191 N. E. Hartman Circle A� 7101 Highway 65 ft�.�E_� �� LOCATION OF BUILDING �_ _ _ _. __�_..__ Part of Lot ��'� No. .......1.9..L_____ Street __..._. Hartman Circle_,__ .._._._____ � Lot __..23 �__ Block _._.__...._....__� Addition or Sub-Divisian .._...__ Sandhurst Addn. Corner Lot r Inside Lot Sewer Elevatian Setback �...__._._-- Sideyerd _— Foundation IIevation DESCRIPTION OF BUILDING To be Used as: __.... Addn ..__.._.— k'rant _._ 16.� . Depth 31 � 6�� Height 9�_._. Sq. F� 496 Cu. F't. __.._.._..__...___..._._...._.__� �^ont __.__....___ Depth iieight ^�_... Sq. F't. ____ Cu. F� T`ype of Conatruction _.._..___.. Ex'�e Est. Cost — 5 000 __�._....... To be Completed _..� _.._ � In cosuaideration of the issuance to me of a permit to construct the building described abo�ve, I agree to do ti� praposed work in ac�cordance with the d�escription above se�t,�1fo�th an in oompli wit� all pravisions of omdinances o� the dty of Fridley. itli GrJ, eo ai�� ` _ �'Z In cansiderati� of the p�yment of a fee of � 7• 00 ., permit is hereby granted to D• W. Hars tad to oonstruct the buflding or addition as dsscrlbed above. This permit is granted upon the express oondition that the peraon to whom it is grauted and his agenta, employees and workmen, in all work da9ne in, around and upon said building, or any part thereof, slxall conform in all respects to the oidinancea o� Fridley, Minnesota regsrding locatian� c�structioq aiteration, maintenance, repair and movin8 of bufldings within the dty limits and this permit may be revoksd at aqy time upon violation of aRy � the provisio�ns of said ordinaao�. f `. ' Y�..... Clarence Belisle NOTIGE 1Ys pM+ri1 dws wa eewr tM eo�uNvdioe, h�hNtlion fer wfrixy. piumbin�. Y+� h�NieO� s�w�r or wNa. D� sun to se� tM doiWi�Y 4�1or for s�pra� P�e�i1s for 1� �s. ,� _ e � ._ _. _�.� --'`-:,. `... APPI�ICATIGN � OR BUIL:DINC PERMIT "ITY Or FRIDLEY, MI?�NESOTA OwNEE, pS N1�ME H. J. Be,�qum BTJZL•DEx D. (U. Hwcb�ad Co., Inc. ADDRESS 191 N. �. Haniman C.i�cc�e ��RE ;S 7101 Hwy 65 N. �. LCCATIQN OF B�II�IDTC No 0 191 SLx�E�' N. �. Han,tman C.itr.cee LO'I' BLOCK A'�DITION OR SUBDIViSIQ� COR�!'ER LOT SE4+lER ELE`TATiOP: I��IDE LOT SETBA�".I� SITEYARD TOP OF ^OGTI?�G Applicant az �ach to this fc�. T��Tc !;�rtificates cf Surve,y oi Lot ard propose� buildirg loCatio�'� rra��-n o.�l thus•� �ertificateso �ES'�R.Ta'� i ON C�' BLTILDING To Be Js�d As: Rezs.i.de►tit.i.u.e � /�D�� Fron+_ /� —0 Depth �quare feet Front Degth Square �eet ► �� • 3/ — G xP�gnt 9' —o Gubic �'ePt �ubic Fee+ Height Type of Constructio.nAddt�i3On ,tA dW2�.ing Es �imated Cost $$, 000. 00 To Be Completed - lune 21, 1969 The undersigned hereby makes application for a permit for the work her�in specified, agreei.�g to do all work in strict accordance wlth the City of Fridley Ordinar�c�s and rulings oi th� Depa.rtnent oi Buil3;n�s, and he�eby declares that ali the facts and rEpre�e.r�tations stated in this application are true arld correcto � �� ,�Y.4J. �� DATE — G f SiGNATURE (Schedule of Fee Costs can be found on the Reverse S eo) � �.. � � , ,,a� -�1 � >` �` . • , � � � 9 � � :F � M �" � � � x 0 � a r-1 � � ri � o �• c� m � � � � 0 � U � C � � � � M 0 . � k� O `a � O 0 � O� a� � � a a � Z � i V M .� � � � � � � Q � � 3 � i �,«w �� M � � �+ .. 1.+ �„� V �3b�� K��„m w � � � � � Q�'�� _� q u � � � aa�� °O� � � � W y .� a�', -t� �,�� a� � �� a o � � O � � � .�j m � � �� J � ; < u • z • . 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I � � � 59NIN3d0 � � r� � 3JNVM I ,« �� g '1ddV 1 I'iS svJ � +�i O aaHSVM I � � oinv sNisve � , o N�l'� � I � �i SNIYElO \ � a0o7e �I •s�rnHS I •iNno�� •�Niao � i a s�.vai � I � q � HSVM j I � � '� � d S��+is � � 00. sr�isra � a b seru i � I � � � Hiva � M s-rvNian ' � � V x 513SOTJ � N � b31VM ..�� a sauo{�� N� (.d I tr z cs tn .-`�'. N M w • � � � �6 � a� .� ai a U � .� H vl � � � O z 8 w m a � z � a �D Vi � � � O •� U p b 3 � z Y `CS w o W J � W U N W 1-- Q � J h � Q 0 �C. 0 � ♦ y d � � a � � � . � x � °a � � �� O N e-i rl f�l s� � � �i a Q � F � H � v� I vt va H� tH W a � ��M � M k k x x �e x O Iz I z w O O � O O O l� U • a • • � � � a � E+ 0 H vs v} � W � F � � 1� L a � k >C DC �r 11 �� Q vr n : � . � � H . . . . - . . . m . . . . . � . . . � � . O U : : Cyq : : o ; . . � . � . . . � � . . w . no 'a +� � � m : � � G� � �q pq : w �'� a o 0 x y � f+ y O '� " � y 3 O W � � � . � � � . k � . a x Y ti � '° 's � � L*+ ° � . H� G. x � v � �W � � � F o 5S s• p� x ti i-� �`' k o c�o ,-7 A, �,,.+ .a ►d. �' � c+ C7 +> t7 �v � x 4 'r: a g y'„' g �z M:� � 7 Z�. z U� z WH : d t7 � A y M a � o� : c��y of ��a��y s�a�E�T o ��TN __ �� AT THE TQP Qff TME TWINS B U� L D� 1 �1'� 1 E R M I T • �O� _ i ` . COMMUN4SY DEYEtOPMENT DfV. . EIPT NO. r � �� PROTECT{YE INSPECTiON SEC. �� 1 � � �� T��1 . CITY HAIL FRIOLEv 55432 NUMBER �� REY. pA7E PAGE � OP APPROVED BY �_�...�' `•� st2-56cf-3a50 910-F15 74 � � �oe n�oaESS 191 Hartman Circle N.E. 1 LEGAL LOFiHO. BLOCK 7RACTORADDITION SEEATTACHED DESCA. 23 2 Sandhurst Addition SHEET 2 PROPERTVOWNER MAILADDRESS 21P PHONE Ha�old Belgum_ 191 Hartman Circle N.E. 3 CONTRACTOA MAIL ADORESS Z�P PHONE LICENSE N0. Du3ne Peterson Lam ert Buildin Center 4 ARCWlTECTOR DESIGNER MAII ADDRESS ZIP PHONE LICENSE,NO, - 'S ENGINEER MAIL RDDRESS ZIP PHONE IICENSE NO. 6 USEOF.9UIkDIMG Sl @IItI.d�. 7 CIASS OF WORK , xJ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOYE 8 OE9CR18E WORK Construct a tool shed . ``'� 9 CHANtiE OF USf FROM T� i STIPULATI�NS , � SEPERATE �'ER"�il i � �'FQ►IIRED FOR �il��, HEATING, PL��iBiN� A�:1� SiGI�S. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIREO FOR ELECTFIGAL, PlUb1BING. HEATING. VENTILATING OR AIR CONDITIONING. WOOC� FldIG� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NlNG SQ. FT. CU. FT. AUTHQRIZED IS NOT. COMMENCED WITHIN 60 DqYS, OR !f CONSTRUCTION OR WORK IS:SllSfENOED OR ABANDONED FOR A PERIOD Of 120 DAYS AT R"1 ANY-'TIME AFtER WORK iS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY GERTIFY THAT I HAVE READ AND EXAMINED TH1S APPUCATiON � STALLS GARAGES ANU KNOW THE SAMETO BE TRUE ANO CORREGT. AlL PROV{SIONS OF LAWS VALUATION SURTAX AND OR�INANCES CaOVERNING THIS TYPE OF WORK WILL BE COMPLiEO. WITH WHETHER SPECIFIED HEREIN OR NOT. THE CaRANTlNG QF A PERMIT S1.SQ.00 . SO DOES NOT PRESUME TO GIVE AUTHORITY TO Y40LATE- OR CANCEL THE p�RMI� FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERfORMANCE QF CONSTRUCTION. � $�J.00 PLAN CHECK FEE TOTAL FEE �`�J.S� SiG uRE0FC0 HAC?ORORAUTIiOH12EDAGENT ID�TE� WHEN PROPERL VALI ATED TAIS IS YOUR PERMIT �c� �? � t ,�` i� f�. �OF OWN � UF OWNEP BWLDE � IOA7E1 BLDG. �NSP D E . f �, i • .- 0 0 � . .. . - -� � ' ti �-�1 �:� � r. � \ t � � `., �"�, t, .� �� _ x � ` � � xt �� -` -;_� `4- '_, �r � ,< t� 'tL \ -: n r., ; �'n � `-�`- 3 � EL � " � L, / �'�.1 � _ � � � � ~ � o (y, 7 r` � ; .^� C' , � -k- �.., � L:.t ��1 , �j ` . �'.i rJ � "' ` ?'J -rt , r � L� �f�',t Li.. � �- �, � � � � � � v ` t� ,`. � - e? o y � 1 � � ,� V � � y � V � `0 �, � -� �._ _ _ _, J Q --1 ,,_ � � � � i �� _ ;�- � �;.� � ' % ...__ ;i - � ��'��__ ;. �✓J ��;-j __ �.� _ #. ;. __.�_ . � �, �;-�: __ - - - �, ; � �� _ � --- --- � -� � s � _ _�__._ � !�\ -_ _ -- : .-� � T.__ �, _ �--a �; � - - --- � t1'� � � � q �: , - � r-r � _ � ;r( M � ' 'l s � y r I APPLICATION FOR RESIDENTIAL, ALTERATION, 'OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owt�Ex's rTar�: $uzLDnt: ,� ��, ca eT�rs cs�-, AnnxESS : % Q � �Q t�� n �� C�� 1 � �,nDxESS : ' ; s� � eh� e v x �� NO • . � f STREET :� c� R �� /�% �% � C_ f- --� IAT : a�- BLOCK : �-, ADDITION : CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this forsn 7.tao Certificates of Survey of Lot and proposed buildi.ng location drawn on these Certificates. ' HESCRIPTION OF BUILDING " To Be Used As :�b D��+�� Front• Depth• t� eL° ��t � ��. Square Feet: Cubic Feet: Height: Front: Depth: Height: Square Feet; Cubic Feet: � �� Type of Construction: Estimated Cost: $�� To Be Completed: The undersigned hereby makes applicativn for a permi.t for the work herein specified, agreeing to do all work in stiict 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: �� ? SIGNATURE: (See Reverse Side For Additional Information.) '� � / 6�`� �� ' �� ' �' � � �-' . _ -,�, . , �.. � � � � � SUBJECT � . c�ty of Fr�a��y , i355 AT THE TOP OF THE TWINS B U I L V I N� �� R M I T � � R PT N0. � ' CO�MUNITY DEVELOPM�NT DIV. � j u,.�� / / � PROTECTIVE INSPECTION SEC: � t , 1 . � ,l ��"'1 � CITY�HALL FRIDIEY SS432 NUMBER .� �� REV.� OATE �AGE OP APPROVED 8Y L.•«.I\�� •� 672-660-3450 / / s,aF�S � �6 �oe �►oodESS 191 Hartmari Gircle N.E. 1 IEGAL LOTNO. BLOCK TRACTORADDITION SEEATTACHED DESCR.. 23 2 $8I3(�11IrSt �C71'�LS>Tl SHEET 2 PFtOPERTVOWNER MAILADDRESS ZIP PHONE �o1a sei� i9i xa�t� c��iE x.E. 3 CONTRACTQR MAIL AQDRESS LP PHONE LICENSE NO. �@ 4- ARCkfffGT OR DESIGNEA MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILOING Sideri't].8�. 7 CI.ASS OF WOAK ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE � REMOVE 8 OESCRIBE WORK Reroof d�tell ' 9 CFfANGE OF U3E FROM TO STIPUtATIONS SEPAHATE PERMITS ARE REQUIREO FOR EIECTAlCAL, PLUM8ING, HEATING, TMPF OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATfNG QR AIR CONDITIONING. ASP�'18I� THIS PERMiT BECOMES NULL AND VOIQ IP , W.QRK UR CONSTRUCTION zONING SQ. FT. CU. F7. AUTHORIZEd 1S NOT COMMENCED 4UITHIN � GJW&, :OR FF CONSTRUCTION AA WORK)S SUSPENDED OR ABANDONEO FOR A PEiii�D OF 120 DAYS AT R'-]. AMY tlME AFTER WORK IS COMMEFICE0. NO. DWLG.`11NIT5 OFFSTREET PARKING I HEREBY CERTIFY THAT I-HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANQ KNOW 7HE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS yA�UATION SURTAX 'AND pRDINAN6ES GOYERNING THIS TYPE OF WORK WILL BE COMPUED y�`2� dOO ' $�.. OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT�EE SACCHARGE PROVISIONS OF At�Y 07HER STATE OR LOCA� LAW REGULATING CON- $j.2.00 STRUCTION OR TNE PERfORMANCE OF GONSTRUCTION. PLAN CHECK FEE TOTRL FEE $i3.00 .' SIGNATUREOFCANERACtO ORAUTHORIZEDAGEN7 IDATEI WHEN PROPERLY VA,,LIDATED �T 'IS IS YOUf PERMIT �%C� ` �J�p � (�a�� (� --% -�'%% � a� . SIGN�4'fU#E OF QVyNER11F NERflUILDERI IDATEI � ALDG INSP DATE � 0 API'LICATION 1�OR RLSIJ)L'NTIAL, ALTI:RATION, OR /1llI)I'I'ION BUILllING I'L;RAIIT � o CITY OF FRIDI.EY, h1INN�SOTA OWNER' S NAM� : BUILI)rR : �iri iI�1 ADDRESS : ADDRESS : �yyL�� rro • 1 q/ � s��T :�%-m t c�v �� LOT:_ �.� _BLOCK: � ADDITION: � , C4RN�R LOT: INSZDr LOT: SETBACK: SIDEYt1RD: ApplicanC aL-tach to this form �t•ro Certificatcs of Su_ rvey of �ot and proposed building location dra�an on these Certa.ficates . r 9 To Be Used As: UESCRIPTIO\� Or BUILDlI�G - ' Front: • Square Fee�: Depth: Cubic �eet• Iiezght : Fxont: Depth: � Height; Squaxe Feet; Cubic Feet: 1�pe of Constructian: � � i��, Estimated Cost: $ ��j� --r' To Be Completed: The undersi�ned liereUy malces applicatinn for a permit for thc work Iierein specified, a�rceing to do all work in strict accordance �aith the City of Fxidley Ordinauces and rulings of thc Department of Buildings, and hcreby declares that all the fact-s and representations stated in this app�.ication ttre true and correct. � � D�ATE : - �D ' � " ��, C�_ SIGNAT[JF.E : ' (See Reverse Side For Additional Information.) r �� ° � J � .� - � G� � /`� � i--+ . K . . . -s�� : . _ _ __-_��_.��.��.�3��..�_�- -_..F _. _�_._� _ ��.� ... _ . � -'' . SUBJECT ` . . . � . City of Fridley ATTHETOPOFTHETWINS BUILDI�� PERI�1_IT -; ; , � � , _ � ` __.�� OMAiUNI'FY DEVEIOPMENT OIV. � � � � PROtECTIVE-tNSPECTION SEC. . , , . , �` = i'''1'� CITY HALL FRIDLEY SS<32 NUMBER REV. DATE PAGE oF `••«1�s� " `•! g12-560-3450 910-F15 10/4/77 � � �os n�oRess - �gl ��n Circle N.E. PERMtT NA. ° 1439 . t�ECEIPT NO. ��9d3 APPROVED 8V i LEGAL �OTNO. BLOCK TRACTORADDITION SEEATTACHED DESCR. 23 2 SdI1CulllrSt SHEET ' 2 PROPEFiTY OWNER MAIL ADDRESS ZIP PHONE H�irold Belgum 191 Hart�an Circle N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE N0. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 E1lfiii+iEER MAIL ADDRESS ZIP PHONE LICENSE NO. R,esidential 7 . CLA$5 OP Y1lORK � NEW D ADDiTION � ALTERATtON ❑ REPAIA ❑ MOVE ❑ REMOVE 8' f�SGRiBE WORK In3tall clidisl tll@ 9 CHAN(i£ QF USE FROAA TO STtf�JLATiONS : Ca11 for inspection when tile in�pl�ce ... _-� -- -- ---- SEPARATE PERMITS ARE REQllVHED FOR EIECTH{CAt, PLUMBING, HEATING, VENTILATING OH AIR CONDITIONING. THIS PERMIT BECOMES NItLL AND VOIO IF WORK OR CONS;�H[iC�`^H3N; Z01�1fNG SQ. FT. AUTHORIZED IS NOT COMMENCED W�THIN 60 DAVS, OR IF CQNSiR[FCitC�ih4, . OA WORK IS SUSPENDED QR A6�lNDONED FOR A PERI(%fl Q�',�2A �3+!E3�S A`f , ANY TIME AfTEH WORK JS COMMENCED. p}p. DWCG. UNITS l HEREBY CERTIfY THAT 1 HAYE READ ANO EXAMINfD THtS APP�ICATION STALLS AND KNOW THE SAME TO BE TRUE lIND CORRECT. ALL PROVISIONS OF 1AWS VALUATfON RND ORIXNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH iNHETHER SPEC�FIEO HEREIN OR NOT. THE GRANTING OF A PERMR Sl� OOO DOES NOT PR£Si1ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVIStONS OF ANY OTHER SFATE OR LOCAL LAW REGUTATtNG CON- $TRUCifON OR THE PERFORMANCE OF CONSTRUCTION. +S7 • 5Q NCY GROUP OCCUPANCY LOAD CU. FT. STREET PARKING GARAGES ITAX $.50 PIANCHECKFEE " TOTALFEE yS8.00 S�G aTUREOFCON CTOApRAUFHORIZEDAGENt =EDAT61 ' WHEN PR ERIY VAUDATED THIS IS YOUR PERMIT r� t� !0-��? .�NATURF nf f1WNF �tlF nWN 6UILDERI IDATEI : Bt Of. INSP DATE - . . � �� . . . \ � � .. � CITY OF FRIllLEY � ' APPLIGATION FOR RESIDENTIAL BUILDING PER��IITS � ��VEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWt7ER: BUILDER: �� - Address: � Address: • Tel. No. : J� ��'_ (( Q L. No.: Street: LOT : Ol J BIACY.: p� ADDITION :�..�,� ��'- Q.�Y �,� CORAIER LOT: INSIDE LOT: S::TBl1CK: SIDEYARDS: Appli.cant attach 'to this form Tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: (� � �: Depth: Height: Square Feet: Cubic Feet: Front: Depth: � Height: � Square Feet: G�ibic FeQt: � � 6�?� Type of Construction: Estimated Cost: $�� (j O 7.b Be Completed: �-'��6��4 Alt. A Alt. B Proposed Driv�aay Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accardance 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. See reverse side far additional information. DATE: � SIGNATURE: Stipulations: � ' . �. 1i1'� . _ /�� . �� :.�,,,�� ` l.Q �1 , �a� � .�••D ��""'/ • � �& Q �1 L A Z Q Z 0 �"� Q � W .�-� � � W � z O hQ- J N w U Z > W W � A A z ¢ J tn O � C� F- N . } Z N 1- Z Q � w z z O A F- a c z N O F- U Z Q � � Q a W � Q � 0 LL Z O r Q c� J a a R 0 J � w S U N W � N i �, c � Z i � w � v .� s� w w z ai a s�i .y � � > .� � � f�1 C � � rn c � ro � .� 0 � N O o b v S.I 41 � n y o � � n, u ri � � U E h � '� v � � S., 'C7 .i U N O •-t G1 .0 U i0 � �pa�+ro$ 3 U � C � d y ro � � d a� u s� w ro a s,t� � O +i � � 3'0 � •.� d �. ro �w'rouo roo'°m S� U C � W ro ro a a� - �. C U N ro � 3a G N t� N .� .i U y ro � w � m � ro o o w N 3 +� tli ,-I Cl N E ro � N ?� O N G v b a ° �o�� .�c " Q � y � .N N a'HOn syi ro N +�+ C d � � 7 w � b d -.1 fa N F y' ro w � a 4 4 � � � � � p p O I o W p p O O � O O O � a N .-i r-II rti y. t/� N V� � ^y X �� 3w �� U � a� Q U ° a ro � �� r+ o a� � � a �n � � a� [� U � W �c VN] G{ P�0 � N U � y w � 3 d � ��"e � � .°' � � ��, a a� Q �nam m � � ro �� c� c� �r v �+ z °z °w � � a � °9a °w E Ep U m E 0 � � � � O O O r-i � N Q7 N .� N � � ;°. � .� � 0 .i '�y a O U � .� a « N LI 03 roo .iJ U � � b .�-1 `� a y � O a .'� N ',� x o O� � r-t � a x S�1 3 O m U M .,.� H w x a � O z � � � a O W � � .� O U E O U O W £ N E N W °z E � w a Z E N � a � H a N 0 aa W 2 i a\ O � � � VI ' S' z�+ v � H w '� o � � � � b G W 3 '� N X .,� � � y ai k�. 3 Q ., w o x Z L p i ;l+ M a1-.� � N ai � U ° z ¢ � w � a ,� 3 a O i a ' � }� y 1 s z � � � .� E" ro aro + � � V F O o � � N � � d � � � U �+ � � +� ro � � � � E a O vi � � N a� w C 0 .,., � U a� a � C .,.� a� x � � rt a w � C H � � 0 a � � Q � a, a � 0 p, w � � H ; � o a a w �s a x � � 1 z \N E \ •.y C1 w � • O C 'Q Z a c � W U N F a� W � � � m \l .`�� 'C � � � V z � � a, ` � \ � � � N �y\ H 1 i\ � y � �\ W V \V\ \ ro �� ro `� W U � `!� O O � � c� H H � a c� EH+ (W9 � a x U �� Ga RC wm w� � � H UI Na �a d U R c L � w a� c a �, U a v c O 0 A � w i d Y U �4 L w v � V b d N O �.. .� ti O � .� 3 U � T N 1� '� � a N O+ .� �� C � C °' �o °�' �o y � °c � C 4+ U C 0 7� N �� o �., � 4 U � � a� H .� �a s « � � John T. Payne 191 Hartman Circle Minneapolis, MN. 55432 jtpayne@ix.netcom.com 612.571.2089 July 27,1998 Mr. Barry Riesch, Building Inspector City of Fridley 6431 University Ave. NE. Fridley, MN. 55432 RE: 191 Hartman Circle Dear Mr. Riesch: I am very frustrated by your apparent lack of interest in following through on a proposed garage and entry project for my home in Fridley. The following is to memorialize my dealings with you so far and hope you will take action to move the permit process along. Last September I stopped by the city offices and met with you and Scott Hickok to discuss adding a garage to my home. At that time, I was told a variance would be required to build the garage on the east side due to a city storm drain easement. Mr. Hickok went on to tell me the application would need to be heard in at least three meetings prior to approval and if okayed, would be subject to a waiting period of another 30 days. That would put me breaking ground in February of 1998. Since the timing was impractical, I decided to wait until this spring. In late December, I received the "Abstract of Title" to my home and was amazed to find that in 1966 the City of Fridley had granted an easement variance for the very same purpose of building a garage! A copy is attached for your records. The variance is still in force and was to be made a part of the building inspection file. Why wasn't I made aware of this when we met in September? You should also understand that the original homeowner, Mrs. Merrilyn Belgum and her realtor Dave Ryan were told the same thing by your department in late 1996. As a result, they spent a lot of time and money going fihrough your process to have another site approved in an effort to make the property more marketable. This spring I called to let you know a proper variance was already granted and that I wanted a preliminary inspection, so the planning and permitting process would go smoothly. We agreed to meet at the home Monday, May 11 at 8:30 am. Prior to the meeting, I staked and roped-off the area for the garage addition and excavated in front so you could view the e�cisting foundation for the proposed entry. .�'" � Page 2 The morning we were to meet I waited until almost 9 am. , but you still had not arrived, so I left a note to call me and went to work. Later in the day my roommate found an "Inspection Report" on the door and called to let me know. I then called you to discuss the findings. A copy is attached for your reference. You indicated a concern over the load bearing capabilities of the existing "cement hollow core slabs" (called "I-Core") and wanted a letter from a structural engineer to verify it would support a car and garage. I had the areas inspected by Mac McCalla, a P.E. specializing in structural concrete and he found the "I-Core" sound. His site inspection is attached. On June 24 I stopped by your office to drop off a copy of the engineer's report, basic drawing of the proposed garage and a photo of the area involved. You were out on inspections, so I gave the items to Mary. I asked that you call me by the end of the month so any changes could be addressed before going to final plans. Mary suggested that a letter from you would be better and I agreed. When I returned from vacation in mid July I expected there would be a letter or call from you. There was not, so I went to your office July 16 to find out what was going on. No one was available from your department, so I spoke to the city receptionist. She made a copy of the title entry detailing the easement variance. I asked her to have you call me by the following Monday. On Monday July 20 you called me at 9:40 am. I returned the call at 9:50 am. only to find out you had already left on inspections. I asked that you please call me back. A week has gone by and I still haven't heard from you. IYs almost August and what began last year doesn't look any closer to reality now, than back then. Barry, I understand people get busy, but I have been more than patient. Getting construction done this time of year is very difficult and I shouldn't have to wrangle with you as well. You can reach me at 571-2089. I am looking forward to your call. Sincerely, John T. Payne cc: Mr. Scott Hickok enc: Variance Recording Report #127684 Inspection Letter INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (612) 572-3604 ADDRESS OWNER BUILDER DATE .� —// _ DESCRIPTION DATE PERMIT NO. %d% l!/� � .R r_ �: ,� � N4 � f� ; t.i �� INSPECTION REPORT REPORT , ..XJ ��-�� f/t�-� ir�1 S: �5 ctJ �c f�� a�.G ��..�' �7-� =► �� ...�! � �� If no correctior►s are listed above, approval is hereby given to proceed. You wili be in violation ot the ordinance if you do not call for the proper inspections and make correc- tior►s as called for. � W.T. (Mec) McCella, PE. 6600 75�/2 Avenue North, Brooklyn Park, MN 55428 (612) 560-7446 May 30, 1998 Mr. John T. Payne 191 Hartman Circle Fridley MN 55432 Re: Site inspection Above address WTM Job No. 788. Dear Mr. Payne: This is to certify that I inspected the above May 19, 1998 in your presence. In my opinion, the modiScations you warn to make, including the garage, front entrance and the bearing wall on the river side aze all OK. The hollow core plank will be OK for a garage floor, but you should plan on cleaning the top of the plank thoroughly and then placing topping of 2 inch minimum and sloping to drain. Please feel free to call me when you have specific questions as you get fiuther along in yow planning. Very truly yours, � ��Gi�� W. T. McCalla, P. Eng. �// � Structural Consultant Bridges • Structural Concrete • Expert Testimony I LceeY aatdy tliart this Pim, �e�Scatim or �epoR was prepa�ad by me or inda my dire� supavisim and t6aR I am a�ty Registued Fngu�ea unda the larvs afUie State of Mmnesat � �m �. �os� ws�cc� PERM City of Fridley 3 i 391 AT THE TOP OF TME TWINS g� � L D 1 N� P E R M I T r � � COMMUNITY DEVELOPMENT DIY. c�� O : ; � ---_--. .��9� f � � PpOTEC7IVE INSPECTION SEC. J � . . � � �"'1 � CITY MALL fR10LE� SS�32 NUM�El1 NEV OATE v�GE Or �►vROVEO Br �"""�" �'' 612-571-3450 9t0-Ft5 9/13/00 / / �oe �ooaess 191 Hartman Circle NE 1 LEGAL ��T NO. BLOCK TiiACT Oii AODITION SEE ATTACHEO oesca. 23 2 Saadhurst Addition SNEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE John Payne 191 Hartman Circle NE 763-571-2089 3 CON7qACTOR MAIL AODRESS ZIP PHONE LICENSE NO Same 4 ARCNITECT OR OESIGNER MAI� AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AOORESS ZIP PMONE LICENSE NO 8 USE OP BUIL0ING Resider.tiai 7 CIASS OF WORK O NEW G� ADDITION �J AL?ERATION O REPAIR O MOVE O REMOVE 9 �ESCRIBE WORK Construct a 31.5� x 24' Garage; a 7' x 10' Entry; Change flat roof to pitched roof on t ree sec ions o ouse 9 CHANGE Of USE FIiOM TO STIPULATIONS See notatior�s on plan. Construct a hard surface driveway. SEPARATE PERMtTS WAR N 1 N G R�aUlRED FOR: WIRiN� H�ATING Before digging cal{ for PLUMt�INL� 14NC� SIG�IIS a�� tY �ocations 454-0002 REQUIRED BY LAW TYPE Of CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARA7E PERMITS ARE REOUIREO FOR EIECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONpIT10NING TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. f7 CU FT AUTHpR12ED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION OR WOAK IS SUSPENDED OR ABANDONEO fOii A PER100 Of 120 pAVS AT ANV 71ME AfTER WONK IS COMMENCED NO OWLG. UNITS OfFSTREE7 PARKING 1 MEREBY CERTIFY TMAT 1 HAVE READ ANO E%AMINEO TNIS APP�IGA710N 1 STA�LS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PFOVISIONS Of LAWS yALUATION SURTAX ANO ORDINANCES GOVEqNING TMIS TYPE OF WORK WIIL BE COMP�IEO WITH WME7MEA SPEGFIEO MEREIN Ofi NOL TME GRANTING OF A PERMIT �20�000 �IO.00 OOES NOT PRESUME TO GIVE AUTMOR17Y TO VIOIATE OR CANCEL 7HE pEpMIT FEE SAC CMARGE PROVISIONS OF ANV OTMEp STATE OR IOCAI lAW REGULATING CON- @ STRUCTION OR TME PERfOfiMANCE OF CONSTRUC710N y�321 . ZS F� 2 SC �ZO.00 PLAN GMECK f TO A FEE 1.25 S�GN�ru �C TOpOp�UTMOA�ZE GEht �D�iE� ' E p p VA�IO TMIS I �P�fi � n �-" / S�G U O�OwwEp��%p NEABU4DE � O�TEi Bl �NS �i�TE tt N EW [ ] Effective 1 /1 /2000 ADDN � CITY OF FRIDLEY (763) 572�6Q4 Bidg Insp ALTER � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: / 9'/ /�if�i,�� "��,%p Legal Description: � r�� , ��n /� ! �� -�/�/, Owner Name & Address: � _��► � Contractor: "�701 �1 % � Lr1/l7c� MN LICENSE # l �?'� �'�1'�� /" Address: � Tel. # �/,�.—�'7��-,,�.oh�' � �� .�- a.��s7.3,� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ��1ANE'r AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT ! / Length % Width �_ Height �� Sq. Ft. Length 3/. S� Width c��/ Height l0 � Sq. Ft. Length Width Hgt/Ground Sq. Ft. seGY=1d1T.S� -z� /¢a.✓� !?�/ Construction Type: (7o e, Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �'�--%— �� APPUCANT: Tel. #�'� �S�/�-,?-�.�' CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Pertnit Fees if mailing in application $�� Fee Schedule on Reverse Side $ �. �p .001 of Permit Valuation (1/10th°!o) $ ,/�. �U $.50/$1,000 Valuation $ �— $1100 per SAC Unit $ �— $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: � $ a - - ~ rn rn rn T t� � C l0 � C 0 m > � N W � c-� � � �- 0 � f, � . ,°�-- �� > � Z O w � W Z Z �j ¢ r�i o �� u' > � o u, �c � O � � c� } � I E,? � ti � . � � � w � 0 0 Q �m O � � v � � � O � c�� _ J w H � � �o z � J � � � � � � � � d x U LL o � d Z � � � J a c r v , O V 3 � : � U ' L m � r � r � Y . � 3 E m . �N U a c � � . -o � � 0 0 • � v o � a t'i • U � �a � a c � y : tll � m O ' � 3 � C � � 0 : a � . Gi . m o � r m � c c m ' � � . m � v �° c m =. � = t a F- N � � 7 � � m c 3 O G ¢ � m a� � rn c � m 0 -J � F- � � W � O � V 1 � N 0 U � °: � E w lv � _� A � � � � � c � (��T � Q \ 0 � � O C Z u. � Z' ¢ a � O U � m z o m w � Z � � a v� 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 r: v,ri i: r: r: ti o �: o 0 o ui � � � � � � � � � � � � � I I I I I I I I I I I(Z I ai } v m .� m a� � � C U � �C Y � •L * � u- � 'a, �i �' a� 3 m H a°� � � Z d c �� rn W � �i � � � m� c�� c-� •m m a`> s s a c � m � � m y� m � Q�= 2 c m o LL, °- � O� 3 0, �� p LL a m � m � o a � � � � � � � F' zommc�a�m333c�c7m •I w � � z O a � � J Q p v Q � � �a Q a ¢ = a `o � w o � � O � � � � L1 m � o m Z ,� a � � W > � � o � � � � Q � a� � 0 c 1 L � 7 0 Q a m v a� 0 a a Q 0 � � N � a`s L � � � a� � � � u) � � w w LL � H 0 NEw [ I ADON ( ] �rER t I ,� �+ �59d � CITY OF FRIDLEY EttecOnre 1h/2002 6431 University Ave NE. Fridley, MN 55432 (763) 5T2,3604 BIdB Insp SINGIE FAMILY AND DUPIEXES R-1 AND R 2 BUILDING PERMITAPPLICATION XConstrvction Address: / �'/ _,�� /�'� �►/��,d_ Legai Description: XOwner Name 8 Address: �%r�� Tei. #�� S'%f�,��Of Contrador. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: OECK AREA: OTHER: Attach to this application. a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Lengih VYdth . Height Sq. Ft Length Wid� Heght Sq. F� Length Width HgUGround Sq. Ft Construction Type: Estimated Cos� $ Driveway Curb Cut Width Needed� + Ft x Z> =� ��S"r--�- � DATE:��+,�.��D.�APPUCANT: Tel. # Call (763) 5T2�604 for Permit Fees if mai �ng in application or Fax to 763-571-1287 if using credit card and we will call you tor card numbe�. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Dr'sveway Escrow Erosion Control Park Fee Sewer Main Cha�ge TOTAL $ $ $ $ $ $ $ $ $ � �� l��v�l� �� r //`/L�P.Gl1 � ��!/�°� � �.�` � .• '7��,�� - CiTY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee DeteRnined by�Engineering Agreement Necessary [ J Not Necessary [ STIPULATIONS: t/ � - sue�ecr MIT Np. c�ty of Fridley 3 3 2 81 AT THE 70P OF TNE TWINS g � I L D I N G P E R M I T � ` RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. � ; V �� ' r � � PROTECTIVE INSPEC710N SEC. ��- � � �'�'� � CITY MALL FFIOLE� 55132 Nu►�lEn nEV O�TE P�GE Oi �vvnOVEO Br ��'""�� '' 763-571-3450 s�aF�s 11/26/02 / / JOB ADDRESS 191 HARTMAN CZRCLE NE 1 LEGAL �OT NO. BLOCK TAACT Ofi AOOITION SEE A7TACHED DESCR. 23 2 Sandhurst Addition SNEET 2 PROPERTY OWNEp MAIL AODRE55 ZIP PMONE John Payne 191 Hartman CircZe NE � CONTRACTOR MAIL ADDiiESS ZIV PHONE LICENSE NO Gates Roofing & Siding 4640 Ximines Lane N PZ outh 1�iN 55442 763-550-0043 � AiiCHITECT OR DES�GNER MAII ADDRESS ZIP PMONE IICENSE NO 6793 5 ENGINEER MAII ADORESS ZIP PMONE LICENSE NO 6 USE OF BUILOING Residential 7 CIASS OF WORK O NEW O ADDITION Q ALTERATION � REPAIR ❑ MOVE O REMOVE B OESCRIBE WORK Reroof House (14 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Build�ng Code. ��rmif Inspecfion Will Be Catds To Home Mailed owner To Posf TYPE OF CONST OCCUPANC� GROUQ OCCUPANCV IOAp S£PARATE PERMITS ARE REOUIqED FOR ELECTRiCAL. PLUM8ING. MEATING. VENTI�ATING OR Alfi CONOITIONING THIS PERMIT BECOMES NUIL ANO VOIO IF WORK OR CONSTRUCTION ZpNING . SO. fT CU FT AUTHORIZED 15 NOT COMMENCED WIT►11N 60 OAYS. OR If CONSTRUC710N OA WORK IS SUSPENOED OR ABANDONEO FOFl A PER100 Of 120 pAYS AT ANV TIME AfTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFY TNAT 1 MAVE READ ANO EXAMINEO TMIS APP�ICATION 1 STAI,LS GARAGES AND KNOW TME SAME TO BE TRUE ANO COpRECT ALL PROVISIONS Of �AWS VA�UATION SURTAz ANO OROINANCES GOVERNING THIS YYPE OF WORK WI�� BE COMPLIED @ WITri WMETHER SPECIFIED HEREIN OR NOT TME GRANTING OF A PEFMIT W2siSO �.HI �OES NO7 PFiESUME TQ GIVE AUTMORITY TO YIOIATE OR CANCEI TME pEpMIT FEE SAC CHARGE PqOVISIONS OF ANY OTHER STA7E Op LOCAL lAW FEGULATING CON• @6�.1� Fire .SC, �1.62 $TRUCTION OA TME PERfORMANCE OF CONSTfiUCT10N w PLAN CNECK FEE TOTA� FEE :�ice C 5 0 $67.53 $�GN4TUREOFCON"A�CTQFOa�UltiOQ�1EO�GEN� �D�iE� ME p RlY VAU TED THIS IS YOU�i PERMIT � �l-�G-�r -- S�GNn�uQE O� OwNEQ��F ON�NEp BU�IDEp� iDATE� , B G�h �i��E aEw ADOPI ALTE-�i t l cxr�r oF Fwn�r E�ec�ivt �nrloo2 6431 Unire�sily 11�re NE, ��idliy. MN 55a32 1753� 57Z�3� �H �P ( l SIN(s�.E Fw1d.Y AI�D DtlP�E7�S R-1 AND R� eu�.on� � �lc�►n� Construc�ian add�+ess: t �t 1 '� C�.e.Et � '�,c.� � ( �--� � � rJ , �� Ow�'1er N81t1e &/�dd►�ess: '�� u� � 1q t ��Crr�n.�.�.�..� C-i � TeL i CantraC�or' �.�'�' � �+-T � g t � � MN LJCENSE � �o� � � ` �i rM r� Tel. � 7G�. -SSV —oo �3 Addr�s- .�L 11O !�t Kr l�vc C E—N �, ►�-i . _ . _ _ l.IVIWG AREI►: t�ARAGE AREA: or�t nnFn: on�: -- ,A�h t��is app6cat�o�. a certifi�te of survsy of tt� fot, with the proposed oor�trur.�ion dra�wll On it t0 SCaJe. � �.:-«-„1�.._, . �.�•.:=_. ,u Length Width }teic�ht sq. �. Lergm V�idth Megi�t ______� S9. Ft ----_-- ��,�t,,�__�__�_r__ vu� �aG�ound Sq. Ft Consftt�ction Type: �2�° � Estimated Coat: S Z 1SD , oa priveway Curb Cut VVidth Needeck �t + 6 Ft = Et x S__�___.__^^ � S DATE•Z.� ►�k� J� L APPLICAN'% �� `��`°� ��=�- Tsl. ��o i 2� 3 b�- 7 0 6� Cali r/63j 5TZ�604 tor Psmat Rees if m�qq"ling in appficatioo o� Rax to 76357�'M 128! � using cr�dit card and w�e w�l Cill you tor C711it IWit1b0►. qTY USE ONLY- Permit Fee Fire S�arge State Sur�charge SAC Cha�ge L.icer�se Sur+chargc Oriveway Escxaa Erosion Gontrol Patic Fee Sewet N1�in Charge TOTAL �� o. l'O Fee Sct�edute on ReMerse Side $ l�� Z .001 of Pemtit Vaitrahon (1M Oth96) s . $ � a.soVS�,000 va�ua�ion � �iZ00 pe{ SAC Unit S .� • o� $5.00 (Sta�e Licensed R�.sidentiai Contracborsj $ Alt. "A' or AiL 'B" �1bo�re $ 5450.00 Co�uervafion Plan Review $ Fee Determir�ed by�Er�gineerm9 a A�greeme� Nec�anr t l rv� We�.�ssary t l s ��-�� i.�.L� .��rrt �� r'� � � i'1 t.lf'f]!J T T•?T ?Ca?-U-}4:i 'S� �' �� '� �� '� � ��r�' � '�� ,� z _ ^ ��':ti i' „ie . Z;�4a " iSr?� - "f � �C,:. + i•� ••�' ��►�w"'�� :l � e�'SriEM ' 3= 1�1i� �.;< ��Pa�i��l�l�El��'�s. � � �� , s;� � _t-3�_ .��_ �; _ 3�� _; . :. -^^'-lf►W1��M�.. - - E'�"' =i'-�`w�we` -� �.,��- � � 'Y � � �� v ,.�— � + � �� i �- ��f�` `�' ,�4�.,•�.�' - s;�n . ,i __ _�a �•.�� ', _.. t, ; : c' .i :< _, 's �` .�^ �'t,..��°!!."?!�� - c� �) 'c.t•• �.�El��Ci ^�°� �� .'�_. ._ �` i 0 a.� _ : .. r� '.:. �•� `.-� � - T-> !: 'r ''z �� "pGqs�7� �s Sti1�rl�s� M]Mp1 ML piippR'�R rr� . • > ' '� �� ._ ., -�'- i_:'� - - - .: �/�IG `�� y' t -z ..- `:.+i�'^ �� 7 Hc�t��'�'3�''0 ; ,' .�`� .y.::'�'� •�� ' ^� �-�►:: H=.� _ _ UZYOF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 Febivary 7, 2003 Mr. John Payne 191 Harttnan Circle NE Fridley, MN 55432 Re: Final Inspection at 191 Hart�nan Circle NE Contractor: Barnes Plumbing Co Inc Dear Mr. Payne: A plumbing pennit was issued on November 26, 2001 to relocate the gas line at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to malce sure the work was completed according to the Codes. We will keep your permit ogen 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 acdon. To set up the inspection or to have any quesdons answered, please contact the Building Inspection Division at (763) 572-3604. Cinrerelv DJ/mh Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE YOUR E-MAIL A.DDRESS �SITE ADDRESS THIS APPLICANT IS: _ ❑ OWNER OCONTRACTOR PROPERTY OWNER/ � TENANT ✓ CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: NAME: STATE LICENSB # CTI'1' EXP DATE Permit No.: Received By: Date Rec' d: ADDRESS: CITY STATE ZIP PHONE_ FAX_ ❑ SINGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ ADDTfION ❑ GARAGE/SHED ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ ADDTTION o �MOnE� O DRAIN TILE ❑ OT'f�R �� DBSCRIBE WORK BEING DONE: �I��I� C,(/� fi SIZE OF IMPROVEMENT LENGTH � WIDTH_ ---- HEIGHT Sq. Ft. n��r.�rwin � n vnrt�a n�n v NUMBER OF SQUARES _ GARAGES PROPOSED SJZE: PROPOSED HEIGHT: SIDING ❑ Vinyl D Aluminum ❑ Otl�er WINDOWS IN EXISTING OPENMGS DYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE OSoffit � Trim � Fascia LOCATION OF WINDOWS NUMBER OF BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floot plan 3. List of structural members to be used FOR NEW C�NSTRUCTiON INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERLALS: (USING THE 1997 U.B.0 FEE SEHEDULE) TOTAL JOB VALUATION $ OC+CUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10°l0) �5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to NiWCC for determination) ft+6ft= ftx$20=$ 5450 Conservarion Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach TEIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNfII. PROCESSED 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 fo a pe d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which�require view a�d approval of plans. SIGNATURB OP APPLICANT/ XIII/l/� //V�i!!�/ _PRINT NAME DATE JOB ADDRESS: APPLICATION # 07-��0 CITY OF FRIDLEY 2007 LOAD LIMIT MODIFICATION PERMIT 9 � / dar7�''''► G n �'r , DATE: MATERIAL TO BE HAULED: Co r+ c r�-f e BEING HAULED BY: � e�'"� S 7�°'ti � PERMIT REQUESTED BY: G N�u rM � e e- DATES OF DELIVERY: 3`� 3'�� o h c r L�� c � (Up To 3 Days) 3-as- �7 THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXLE TO FIVE (5) TONS PER AXLE OVER TI� FOLLOWIl�TG DESIGNATED ROUTE: NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to 5:00 pm. See Resolution # O1-2004 and State Statute Section 169.87 PERNIIT FEE: $25.00 RECEIPT # ISSUED BY Copies Give: �ngineering [✓J� __'� �� Signature of Applicant Building • Inspections 763-572=3b04 DATE_�ZI1� � SITE ADDRESS _ THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Y�UR �^�L ADDRESS �� li OCONTRACTOR PROPERTY OWNE� Nqt,,�. � TENANT qDDRESS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WI'TH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: STATE UCENSE it Permit No.: Received By: Date Rec' d: .\Y C: VCTTY STA � b51 �� ia15 �r � � �� ADDRESS: CITY PHONE FAX SINGLE FAMILY/NEW CONSTRUCI70N SI7,E ❑ TWO FAMII.Y/NEW CONSTRUGTION STORIES ❑ ADDTfION ❑ GARAGFJSF�D Q WII�IDOWS ❑ BASEMErTT F[NISH ❑ ROOF ❑ DRAAi'ITLE �DECK ❑ SNWG ❑ OTHER ❑ SWA�RvIING POOL f• DESCRIBE WORK BEING SIZE OF IMPROVEMENT_ ROOFWG NUMBER OF SQUARE,S GARAGFS PROPOSED SIZE: PROPOSED HEIGHT: ❑ ADDITION 0 REMODELI • LENGTH ❑ HOUSE ONLY ❑ HOUSE dc GARAGE ❑ ATTACHED GARAGE O DEiACHED GARAGE ,�-►.�r��r:� ATE_ZIP / X HEIGHT BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of swctura! membus to be used � SIDIIVG FOR NEW CONSTRUCf10N INCLUDMG DECKS, ❑ Vinyl OSoBit ADDI'l10NS. & PORCHFS SUBI�9T: 0 Alwninum ' ❑ Trim 1. Site PlanlSurvey showing the existing stcuctures ❑ Other . � ❑ Fascia and P�� ProJ� WINDOWS 2. Two sets of constructian plans 1N EXISTING OPENIIJGS ❑Yes �No LOCATION OF WINDOWS 3' �� 0� OR FOR NEW OPF�IINGS-DESCRIBE SIZE OF OPENiNG CI�iA]1GES & TYPE OF WII�IDOW TO BE WSTALLED NUMBER OF�WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�I Cp%• DO OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Sarchazge License Surcharge SAC Charge G�rb Cut Escrow Erosion Control Park Fee Sewer Main Charge Tota! Due � Ld?�,�J $ 3° `�i $ � � �u $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the wtal job valuation .0005 x Pennit Valuation Minimum $.50 $5.00 (State Licensed Residenrial Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftxS21 =S 5450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridlev THIS IS AN APPLICATION FOR A PERM17'-NOT YALID UNTIL PROCESSED Attach 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 fo a pe d work is not to start without a Qermit; that the work will be in accordance with the approved plan in the case of all work whic require iew approval of plans. � SIGNATURE OF APPLIC PRfNT NAN� VY 1` �1`— DATE �� ! Th�Home Depot # 2847 /�� m�� 99 NOR7HTOWN DRIVE, BLAINE, MN 55434 "-1 / /� (763� 795-2060 � � '"Tf �u Aug 09 16:02:55 2007 ,,� This Project c�nnot be priced because not all materials are carried in stock. (/`� J 1 7� S` �/' /�`� S ee St ore Associate for prices on non-stock items shown in Bill-of-Materials. �P KELLY/JONI SI.ACK DECK 2007 4257 3D View . � ,�. .. ��;�� ° - BLDG D(� -(�' ��- G�/:�C� � " aV� �� r� �s�� a� S� � -��e I�US� dn/, . �� «� t �t'trJC� d c��.1 ��av1S. � 'M�t.1. \\� _ w�„��q : ��h - !�! . � ��, �� `� � c�o � �3��s �� . � �a � S �T�S . �a" ov�e h�� w,� . , �d , � ��' ��r.�.c� � _�r^_.__ i � 1 � y� .. DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND SUILDING INSPECTOR. ' THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE REQSONABLE AND ACCURATE. Th�'Home Depot # 2847 99 NORTHTOWN DRIVE, BLAfNE, MN 55434 �763p 795-2060 Tr�u Aug 09 16:02:55 2007 This Project c�nnnot be priced because not all materials are carried in stock. , See Stcare Associate for prices on non-stock items shown in Bi�l-of-Materials. KELLY/JON4 SLACK DECK 2007 4257 Post Layout for Deck 1 N 3' 10" 4" BasePoint N N N N - - — -- - 13� 8�� _ - - - �- --- --- - --- ■ - --------- - -�---^----_�4" I I -- N _ . _ _ _ . _ . _ ._._ ---- ap --- --------- � — �-- I� _ � W l0 W� � � ' ' !-� l0 I-� - � ' The Home Depot # 2847 �9 NbRTHTOWN DRIVE, BLAINE, MN 55434 (763) 795-2060 Thu Aug 09 16:03:05 2007 KELLY/JO�11 SLACK DECK 2007 4257 Construction Specifications deck 1: Construction Method = Beam on Top of Post Footing Type = Pier 1n-Ground Live Load = 40 Dead Load = 10 Decking Spacing = 0 1l4" Joist Spacing = 12" Beam Spacing = 164" Post Spacing = 72" Decking = 5/4X6 - Western Cedars No. 2 Beams = 2X10 Treated Southern Pine No. 2 Joists = 2X10 Treated Southern Pine No. 2 Posts = 6X6 Treated Southern Pine No. 2 Deck Height = 96" Diagonal Bracing = Yes Deck Skirt = No Joist Overhang = 0" Beam Overhang = 24" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Pref Decking Size = ML5/4x6x12 Pref Joist Size = 2x10 Pref Beam Size = 2x10 Pref Post Size = 6x6 Diag Brace Height 1= 24" in Diag Brace Height 2= 24" in Railing 4: Railing Height = 36" Baluster Spacing = 3 3/4" Railing 1: Railing Height = 36" Baluster Spacing = 3 3/4" _ _ U"IYOE FRIDLEY FRIDLEY MiJNICIPAL CENTER • 6431 UNIVERSII'Y AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, understand that the State of Minnesota requi�es that alt residential building contractors, remodeiers and roofers obtain a state license unless they qualify for a spec' i exemption from the licensing requirements. As the owner of the property at (a � _ _ _ _ _ _ ��lQ , Fridtey, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthecmore, 1 acknow{edge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Name � Date (�' �[�� Building � PLUMBING Permit No.: - �/ Inspections RESIDENTIAL APPLICATION Received By:/ 763-572-3604 CITY OF FRIDLEY D��'� - 5 DATE % 7� - S' 0 % YOUR E-MAIL ADDRESS SITE ADDRESS �� 1 �i�.r�n., s�. -'� C r G� N► E- THIS APPLICANT IS: ❑ OWNER BC'6NTR.ACTOR PROPERTY NAME: OWNER/ pDDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR Np�,�: �v►-Y i� f� 6 s ��i�-s SUBMIT A COPY OF STATE LICENSE #�3�3/ 1e EXP DATE YOUR STATE nDD�ss:/� os o 2��i :+� �E . crr�r .S� Nt/cu.gE'L STATE�N ZIP Ss3 7� LICENSE WITH pHOt�tE �(Q �—''rR 7- 20 3/ FAX `�CO3-- 5ig�- 7'rt'?d APPLICATION PERMIT TYPE "{�"`rvGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: E�'`� O REPLACEMENT DETAILED DESCRIPTION OF WORK Q�� /hU`S�F� l%u, a�'� '-�v I��t�.�e�no.�►¢ PEK MS 16B.665 the permit fee is a minimum of 515.00 or 5% of t6e total cost ap to $500.00, 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.OS = FOR PROJECTS WFiERE LABOR EXCEEDS S500, FEES ARE BASED ON S10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IIdDiCATE TOTAL NUMBER OF EACH BELAVI� I BATH SINK/LAV FLOOR DRAINS L SHOWER WATER PIPING I BATHTUB ! GAS PIPING (iv�n c:ttrucE•vsE) SWIMMING POOL � WATER SOFTNER (S35) CIATHES WASHER � KTfCHEN SINK L WATER CLOSET BACKFLOW PREV. (S15) � DISHWASHER LAUNDRY TRAY WATER HEATER (S35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ S 10.00 x$10.00 = S� , Ob Surchar e .50 Number of fixtures @$ I 5.00 x$15.00 =$ TOTAL DUE $ Number of fiactures @$35.00 x$35.00 =$ State Surcharge = $ 50 Tota1= $ (7� � THiS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED 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 Fridiey 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT /�.,-.�• PRINT NAME ��''� �E�NinJG DATE /.� - S'� 7 City of Fridley Building Inspections Department 6431 University Avenue NE, Fzidley, MN 55432 ?63-572-3604 FAX: 763-502-4977 Building Inspections 7.63-572-3604 DA7'E I � �' STI'E ADDRESS ,1.� 'CEiIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUgMI'T A COPY OF YOUR STATE LICENSE WI'I'H APPLICATION PERNIIT TYPE �rYrE oF woRx: DETAII.ED 'L" - MECHANICAL RESIDENTIAL APPLICA'�I(�N CITY OF FRIDLEY YOUR E-MA11- ADDRESS O OWNER �CONTRACfOR � - • i.T:i��%�? . _ . � : -.. , �,� ;�.� r: L� xn�: � � STA'I'E ZIP ADDRESS: PHONE: co�arnr xr�: �''l� D p/u.�Y,ti e FI.�A�: OONTACI' PFRSOTJ: /`� ;�{ ,Da r., ,�_ STATE LCENSE A �S i Ca _ EXP DATE I�—�/— 4 7 . ..,..,,-��. . �.� t7i rJ �_� � s.j :.t .c L �YE CI7Y�S-�- /`7.'c-�e.i.,c i STATE�' ,�7� .S33iG PHO`7L�?(.3� �,lgi–�D� 1 F �( SINGLE FANID�Y ❑ 7�V0 FANIILY o r�w ❑ x��.cE�-xr ❑ TOWNHOUSE � �u�w,now�o�- oF woxx ' o�..� � i'�,�.H� ��-c �P S�o,�/ � eP-� �w�yi - (' ��,� . PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost op to S500.00, whichever is greater, for the improv�nent, installation or replacement of a residential fixtvre, excluding tho ftttures. (This should r�flect only thc cost of labor ) Labor cost under $300 =$15.00. Labor cost between S300 to $500 = cost of labor x.OS = FOR PROJEC'fS WHFRE ]ABOR IXCFEDS S50�, FEES ARE BASID ON S l 0.00 PFR FIXTURE, FJCCEPT W�RE NOTID. flXi�R�S' (�IDI�'TE T�TAL NUMBER OF EACH BELOW} SIZEBTU !D Oc� 13 i.( EquiPmcntlnstalled . MFG: !3 •°� MODEL:3l2Alfli /�O S17FJBTU� �: MODEL: MfG: MODII.: SIZFJBTU A!C 525.00 FIREPI.ACE (GAS) S15.00 GAS RANGFJC)YEt1 S10.OQ _AIR TO AIR EXCHANGIDt S15 �FIREPL.HCE (WOOD) 535.00 NEW GAS GRIIl. 510.00 FIJRNACE S3i.00 ,_GAS UTIIT HTR S10.00 BG'HTMNEY LINER S10.00 ' �GAS DRYER 510.00 POOL HFATER 535.00 1 DUCf WORK SI0.00 LGAS PIPTNG S] 0.00 _ -- — VE�TIi1-A'TOR 515.00 - --� s�:�•�� a3 , ��-+1� = �n�.v.�,±��.,•,-....,.. . . - - Permit Fee S Number of fixtures (a� 510.00 x S10.Ua= (�. S��e � .50 Number of 5xtures (r� 515.00 � x S15.00 =$/�. Oo 'I'OTAL DtJE S Number of fi�ctures (a3 $25.00 x 525.00 = S Number of fixri�res Q$35.00 � x$35.00 = S�'�D� State Surcharge = $ .50 Tota1= $� 71�g IS qN APPLICATION FOR A PERMIT NOT VALID UM'[L PROCESSm I hereby apply for a building permit and I ac�owledge 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; thax Z understand this is not a permit but only an applicaiion 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 work which requires review and approval of plans. SIGNATUREOFAPPLICANTy/� �- ��c-�i'i'� PRINTNAMEf'��-��-cl D�I�r,�4t•r•. DATEIZ—.S' �'� City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridl,ey, IvfN 55432 763-572-3604 FAX: 763-502-4977 — �3uilding In�pections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: Date �a�:� DA'fE Y UR �MAIL ADDRESS �v'�\ � 1l�1- F-+ �: �l� 1 V IC�CI�� ' t�� -� SITE ADDRESS � 1� THIS APPLICANT IS: ❑ OWhIER OCONTRACTOR � PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE YERMTT TYPE TYPE OF WORK: STATE LICENSE # ADDRESS: FAX � SINGLE FAMILY/NE ❑ TWO FAIvIILY/NEW EXP DATE � C1TY STATE_ZIP 0 ADDITTON ❑ GARAGFJSHED ❑ WINDOWS j�BASEMENT FIAiISi-i O ROOF O DRAW TILE ❑ DECK ❑ SID1NG ❑ OTHER ❑ SWA9vIIAIG POOL ❑ NEW O MAIIJTENANCE/REPAIR D�scx�E woxx BEn�� DorrE: SIZE OF IIvIPROVEMENT � ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGH'f: SIDING ❑ Vinyl ❑ Aluminum ❑ Otha WIIVDOWS IN EXISTWG OPENINGS OYes OTto OR FOR NEW OPENINGS-DESCRIB£ SIZE OF OPENING CHANGES 8c TYPE OF WII�iDOW TO BE INSTALLED m LENGTH ❑ HOUSE ONI.Y O HOUSE dc GARAGE � ATTACf�D GARAGE 0 DEfACHED GARAGE �Soffrt ❑ Trim ❑ Fascia IACAT'ION OF WINDOWS NUMBER OF � WIDTH � � � HEIGHT BASEMENT REMODELING SUBNDT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of strucwial mcmbas to be used Ft FOR NEW CONSTRUCTION WCLUDING DECKS, ADDTTIONS. � PORCHES SUBMiT: 1. Site Plan/Survey showing the cxisting shvctiues and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSIN THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S�( L� C�. OCCUPANCY TYPE Permit Fee Plan Review Swcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne _ $ �� f,� 5 See Back Page for Fee Schedule S �/ 7,�/ 65% of Building Permit Fee � ��n — (M1 tim�s the tt�tal ioh valuatinn $ � — .0005 x Permit Valuation Minimum $.50 S 55.00 (State Licensed Residential Contractors) $ 51675 per SAC Unit (Plans to MWCC for determination) $ R+6ft= ftxS21=� S $450 Conservation Plan Review $ � Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ � I , 6� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNT[L PROCFSSED 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 Consirucrion Codes; that I understat�d this is not a permit but only an application fo a pe tland work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which require�r view'and ` proval of plans. SIGNATURE OF APPLICANT �� PRINT NAME�_ �11 �� .� L DATE I�_ '�� t�� t��"b��►'�(l� ti'� �. lY�` �' 1. . ,� � i �.� S��tPI � Va�� / ,, t �t1��0 � ;j THIS JOB COFY �;�N� � �^`" �. _� r_;�. AVAI��."� � �� -� :,,.-. {� 'r'--C �..,t i r':: ��;.',) �..-.t?� � G i�� T`:` �:, r' x.1 � R!:�. �...._. _ ._ t i�� '. 4 r) i 1�'-, 'J �i�D F{tvH;! l;t;:��.0 vEC;,�",�,. - . Q�,�� =�SS �S�i��•. � � SEPARATE PERl�1TS REQU�ED i�i: "� PI�U�N� �D � �'�� „---- —.., REVIEtJVEQ �'°� � F�R CODE $�LiAtVC� t` �, '. . � �� N —�-� £ `: BLD lr�sp{ �ys�5 ` � �_____ .._ S 1/-s'�y � . ,�;,; � _ -� . . d . � j`/ �� I � ' '___(.' L ��i' .' _ _ -. • � - ' . : - ♦ � i � � � _; ,� �_�� , .: ; ��, , �1 I,' (` I' � . J�/�.`.:�--+. f � _ S � d�� `t�1 : �� 2a v�S `� � �. �, --� � � -� ��s � � v �ct`�g cs�v-�n�. ce�`c�► �� r w t s� �. a-� �-d`2w� �� M� N �.—lc. �' c�e �i� «s�s��'�� • . � ��L �� ut2� � , ♦+vS �.. � ats �, _ .. . �^��''� �<�2`� _�t.��1w��.,.__ �►��m �--- , ___ ---- ��P , OCT-31-2007 15:42 From:hldRDIC INSULATION 753 784 6931 To:76357�0131 P.��1 r� • � _�/ � » �Yt� � � � � � tvoKOtc �n+sue.wr�on�, rNC. ,� ISSQ 91"" Lsee NE ' t�l�e, Mfa�aM� SSN9 PM: (�63) 784-'f893 FAX: (963) 7A4-b4�1 ONober 3l � 2007 !'FlUPU9AL SUDMITP):n ro. c�y wc�c �ro ps r�iros�a�n n•r: Nar� Bnnnachio 8uildcn Inc. Strta: C'ity: 1'ha�: 763•574-0131 1'�c: SartM 1'_mai1- gbettna�io(�,�ri ulwo,com S�rou: 1�911�lenmun Circle N� City FrlAler. MN 3�J2 1'Im; RanodeNae 1tp�iAsncc� Rlack We herohy pnypo�o lo tLmish dl tho ma�erioU� m�d �+eribtm �1) Ihe lobnr ne�raary li+r Itfc rnmpiction of in:a�irl iuu. Ronm tIndcr Ganec• Ceilingi 3" sprny polyur�ethene R19 insmlltd to prec�se eeiling (we will inbtuil thorn�wc whe�e die 2 hent nuu are gaing w be) F��a w�tig: 2�i� � sw�ay �iy�red,e� a16 �s�u�d .tlalSE PRIf.`E:� 52.�8.R.N Ceiling: 4'/�" 4pmY palyurothxne R30 inetallod to prccaet ceiling A�A T4 HA3B 1'R10E: S7SI�AA Ceiling: 5" sprey polyurethane R38 in9ta11cd to ptecast ceilirig ADn T4 8A3E �R(C.�: 51.26�.Ad S27 eq. R. sea .�. rt. S2� �q. R. 52� aq. A, N4T�: Hatting flf building to ensteli �y poiyurethnne nt tempaMu�s bebw 40 dog�+eea to be supplied by builder. Sprny polyurethano foams mu�1 be covered by ar+ approved t S minuro thorrrrsl �rtior taxcopt rim joat). Roam price includes caulking sll crecks Netwccn froming mcmbcrs. All mstcri�t i� guwnuxd w Ae os spxifiod. a�d the olwve we+rk to b�e performeA in acecxdonce with �fic drswing� nnd speqifianioN wemittaf for the ihoye wurt aad oanplded M a�ndv woebnr�►11ke mna►a fer tAe aan ot M�Ilen (f l Witb paymcnt In Ac �npdo r fdlows: �po� awplotiw Any olt«atic�a �r deviacion fmm tAo n1+�v� specifia�tic+ns invotving qalrn Cosq, will he Atec�ited anly upon w►iva► aderl. ond wiil baon�e �n ozern cAorde ovH �nd �6ovo this e�faqta Aq n{�amony oomindertt upnn sttlke� eoeidcMt � dclq�rs bey�o�d cn� cnnanl. Ow�ie► W corty Qte, tom�cb �ad ott�e� �y ittsutpwue an 1ha utxive work_ Warbem'e Campa�saden wd WAiic t.iaYiliqr Imannoc oa abo+ro worlc 10 6c �a out �r Nwdic in�uletion. lat �tespeutnrly �unnrxee N.tik �arw.Ne.. Me. 1'Cfr,�Q.�1�1i��C�..-T- r-�, .. �.� NOl'fi. Thii pn�irul �y ho wilhdrawn hy w if swn rCCeptc+l withln �,4syr. ACClir1'ANCIi Qi ►NOrOSAI. lbo roMe �iaer, p�tioar ad aandit� re Nai�awry md rn c�raby iaoqrad. YMr r�a wnRa�ia� k� An tka xork a+ �oeified. itiyaRnt �vill be nNdc e orNiiad Uow ACCBPI'� HY: qA'� � J i � Building PLUMBING Permit No.: �% 0� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CjTY OF FRIDLEY Da��}d� `� � 2� 763-502-4977 FAX EF�crrvE i-i-os DATE Z� YOUR E-MAIL AD/DRESS SITE ADDRESS I G��'(�r.+ _��f1G� u THIS APPL[CANT IS: � OWNER �CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: ��! L—�f),Ir"� WY.l�fl � CITY STATFUVI�IP r) cSLi TENANT pHONE: �,.�) '— % SS— Li�I 7� CONTRACTOR NAME:�S �Of r�� A�(�� S'i/CS SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: �W Q�'i Gt�t A�l Cx�Ii�,CITY (!� 4�'�' STATE�ZIP �5�� INSURANCE pHONE lW � ' �ZO � `7 �% / FAX �/1 S I � � r ' �35,� PERMIT TYPE �INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF W ORK: � NEW �I REPLACEMENT DETAILED DESCRIPTION OF WORK (�.u�� CQ.�.I� �/�/14�, (�� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fi�cture, 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.OS = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED C1TY LIC) SWIMMING POOL WATER SOFTNER (S35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. (S15) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER (S35) FOR IRRIGATION _ WATER METER _ OTHER °l�� .' . � � �C �; �'*�''S �Q� �3NDER 5504 -, , , . , �. : • { : '.=�'Eit1�+iT"�' F�� FO1t �ROJECFS OVER $504 Permit Fee $ Number of fixtures @$10.00 x$10.00 = S Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 � x$35.00 =$�� State Surcharge = $ .5 MINIMUM $15.50 3S .� � MINIMUM $15.50 Total = $ . THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED 1 hereby apply for a plumbing 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 appl' tion 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 t ca e of all work which uires review and approv j of plans. SIGNATURE OF APPLICANT PRINT NAME Jl� /!� � � I�/IQA:�'� /�! �9 APPROVED BY DATE �°��' ��E1�I�2'T�� .,S�PARATE PERMITS:ARE RE tFIRED FOR'BUIL.`D�I�TG, E�,��TRTCA�, AND MECHANICA#.. WQRK :-� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 2�9^Sonds Filed by Plumbing Contractors, Water Conditioning Cor�tractons, and Certified Pipe Layers .. � Busineaa Name Addreas, Cfty, State City, State Boad Number Ysar BOEDEKER PLUMBING 3 HEATiNG BOEDEKER, CHESTER � RLI447167 Zppg 2905 GARFfELD AVE S MINNEAPOLIS, MN 55408 57958-PM (PM001236) No restrictions on plumbing work in the state of Minnesota. BOENING BROTHERS CONSTRUCTION SERVICE LLP 117 STATE HWY 22 N MAPLETON, MN 56065 BOEVAAG PLUMBING INC 218+t EAGLE CREEK BLVD SHAKOPEE, MN 55379 BOHNSACK EXCAVATING INC 17072 REVERE WAY PRfOR LAKE, MN 55372 BOILER SERVICES INC 10327 FLANDERS ST NE BLAINE, MN 55449 BONFES PLUMBING HFJ►TING AND AIR SERVICE INC 505 RANDOLPH AVE ST PAUL, MN 55102 BOOKER ROYAI A 23005 CNTY 12 AKELEY, MN 56433 BORGYS PLt7MBING 13579 MEREDITH DR BAXTER, MN 56425 SORN WELL DRILIING INC 1401 S STATE ST WASECA, MN 56093 BOUGALIS CONSTRUCTION INC 2114E41STST HIBBING, MN 55746 BOULDER EXCAVATINCa 12068 72ND AVE NW LAPORTE, MN 56461 BOUTIN PLUMBING LLC 114631901/2 LN NW PO BOX 328 ELK RIVER, MN 55330 BOENING, GARY A RLI 493602 2ppg Ce►tified Pipe Layer May instalf building sewer and water service pipes anywhere in state. JOVAAG, JEFFREY S RLI602839 2009 62966-PM (PM006262) No restridions on plumbing work in the state of Minnesota. BOHNSACK, MIKE L Q96067 2009 Certified Pipe Layer May install building sewer and water service pipes anywhere in state. WATKINS, JEREMY L RLI 565303 65006-PM (PM005769) No restrictions on plumbing work in the state of Minnesota. BONFE, WALTER J 141527046 58195-PM (PM002784) No restrictions on plumbing worlc in the state of Minnesota. BOOKER, ROYAL A 69992592 57277-INR Plumbing license invalid in cities/towns over 5,000 population. BORGSTROM, LARRY S RLI618029 d2609-PM (PM006340) No restrictions on plumbing work in the state of Minnesota. 2009 2009 2009 2009 BORN, RODNEY D 9360588 2009 75502-MR Certified Pipe Layer Plumbing license invalid in ciGesltowns over 5,000 population. May install buifding se�wer and water service pipes anywhere in state. BOUGALIS, NICKOUIS G 1A908718 2009 64915-PM (PM006389) No restrictions on plumbing work in the state of Minnesota. SPROESSIG, CHARLES A 70524837 2009 Certified Pipe Laye� May install building sewer and water service pipes anywhere in stata. BOUTIN, JAMES G 70083376 2009 58201-PM (PM002413) No restrictions o� plumbing work in the state of Minnesota. January 28, 2009 Page 16 of 132