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AF - 45536City of Fridley, Minn. � BUILDING PERMIT �o � 19 � nate: "� "� ._. ° � � � �,�� Owner: P � Builder 7 ��-_;;�' s — Address Addneas ��TION OP � DING No. ,��.� Street �' ; ��,c Part t Lot �� Block � A tion or Sub-Diviston �,J. �"��+��i�F�{ f� ��s�« Corner Lot _ 7neatde Lot —. � SEtback _�.�+ _� Sfdeyard _ � �� Sewer IIevation _ Foundation IIevation DESCRIPTION OF BUILDING To p Used • � �v . `j «'' Front -��.� Depth ..,�� Height �,� Sq. FG �� Cu. Ft �r��° - � Fron Depth eight . Ft Cu. Ft Type oP Construction �� Est, Cost f� �� Coiapieted _r�� In consideration oP tt►e issuance to me of a permft to construct the building described above I agree to do the proposed work in accordauce with the description above set forth and in compliance with afl prov3aiona of ordinances of the dty of Fridley. � In consfderation of the payment of a fee of $..��, permit is hereby granted to to construct the building or addition as described above. Thispe rmit is granted upon the express condition that the person to whom ft is granted and hia agent�, employees and workmen, in all work done in, around and upon said building, or any gart thereo� st�all conform in all respects to the ordinances of Fridley, Minnesota regarding lacation, construction, alteration, maintenance, repair aad moving of bufldings �th�e dty liamits and thia permit may be revoked at any � pon violat�of aay of the provisiona of said ,t Buildin8 Inspector NoncE: 'llds psnett does eot eerer ths eoeslrueN�, leshllatioa ie� wfri�y, �lumbieo, �a 6afte�, �w� ee w�ar. B� wn to a� t6� Buildte8 lesp�elo� fe� aparw p�rmih fee f6a� tt�na. ..... -�. � � - '' ; °" ;'' • , ,, _ = _, _ ;� Ocaner' s Addresa APELICATION FOR BUII�DING PLRM[T CITY OF FRTDLEY, MIl�]NESOTA LOCATION OF SUILDINO No. ��, Street ��.�-��_��►a�part of Lot __� Lot � B1ock�Addition or Subdiviaion �� °, Corner Lot Ineide Lot �etback ��'a Side-Yard 1 C� o �EWBS ELFVATION FOUNDATI011T �LEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these CertificaCes. DESCRIPTION OF BUILDING To be used as: � t.l.�@.��Front � �f Depth___�Height �0 1 sq. �t. ll� � cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. . Type of Construction ��,� ��, � Estimated Coat L'�`, L? a� To be Completed �. - 2'he waderaigned hereby makes applicat3on for a permit for the work herein �.spec3fied, a�reeing to do all work in strict accordaace with the City o£ Fridley Ordinancee and ruliags of the Department of Buildinga, and hereby �`� declares that all the facta and representatfone stated in thia application are true and correct. � DATE � ( '�S�GNATURB (Schedule of Fee Coets can be found on the Reverse Side). �, � ;* -- � ' - _ e BUILDTNG PERMLT FEE SCHEDUt.E Section 2. The Inspector of Buildin�a shall, before isauing anq permit far iche erection of any buildiug or structure, or for any addi�cioa to aay exisC- iag building or structure, or for any alterations or repairs to any exis�iag building or si�ructure, upon appl3caCion Cherefor, require the paymeatt by the ..applicant �for such p�rmit of feea to.th� amount herein below set forth and in �he manner.l�erein provided to-wit: � 2.1. For any such permit for the erection of any fire-proof building, other than a garage, warehouse,� factory or grain elevator, or for the erectioa of any fire-proof addition, for simi.las occupaacy, to any existing building ahall be at the rate of $1.40 for each one thousand cubic feet, og fractioa �hereof, in such cubical conteats. 2.2. For any such permit for the erection of anq fire-proof garage, warehouse, f�.ctosy or graia elevator, or for the erection of any fire-proof addition, for similar occupancy, to any existing buildiag shall be at the rate of $1.25 for each one thousand cubic feet, classified as °1fireproof" by Section 502 of the Minaeapolis Building Code. L�OUSES 2.3. For any such permit for the erection of eany non-fireproof building other then a.garage, warehouse, factory or grain elevator, or aay aoa-£ireproof addition, for similar occupency, to any existiag buildiag - permit $1.00 for each one thousaad cubic feet. r�[ _ �7:� 2.4. For,any such permit for the erectioa of any aon-firegroof garage, warehouse, factory or grain elevator, or for the erec�ion of any non-fireproof addition, for similar occupaacy, to any existiag building or for each such building or addition - nine�y cents ($0.90) for each one �housaad cubic feet or fraction thereof, in the cubical contents thereof with a minim� of $4.00, For the purpose of computing fees for building permits, the cubical con-tents of any building or addition to a uniform height throughout by multiplyin� the ground area covered fram a poi�t six (6} iaches below the floox line of the basement or cellar to the average heigh� of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alteration� to an exis�ing structure, the fee shall be at �he rate of $3.00 per each Fiv� Hundred Dollars ($500.00) or fraction thereof in the cost of aZl propased work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. _ - - „ � � � �. _ ,,, �I.OGK 1, PARKV(EW Qp�KS FIRST Ab�, ', � . � y.:. i� . . . . . . . . - � ' . , INDLfTR1AL � C• E• C O U L T E R rlATT11N I •USIN[f! � � IA11M W11V[rf �'l cirr �on LAND SURVEYOR �wKisNOSt � roroo�w�N�e w��r�rw REGiiTEREO UNDER LAWS OF 57ATE OF MINNliOTA �YO�cu� � � LICtNf[D �Y OIICINANC[� Of CITr Oi MINN[A►OLIi � II 3300 LYND/1LE AVE. 50. MINNEAPOLIS 9. MINN. , TAYLOR 4A370 sutz�l�Y fcr M1LL CtiTY SLCi�'S� � � lrurbYpor'�c lCcrtiticnte . �ao� ,r1Ro� — � i i;�� ,�-- _._ �s,a---- - -�; z��.a ti , � � � . / V SGALE �� = 30� i . � • ��.��tA?1fl�15 AR� ASSUMEG DATUM � L a� 5°� • � l.�J � � 9a i ' 44,0 % � � i`! 1-S-F II � PROp05E.p RES , o , • � (►J4T STAKED) � o' . � �.141Z4� � ( � . .�`a� _ L��'� - ` 3'��S r� "_� „L,j,S � • tZ1,5 ,` ZZ3. `iAQD GRAbE , � � �� p� � ' ,9� lttou , - �-�S.G __ -- � � t � 1rto►J � 03� f`. - f � -�,o ' ' �, ��S,S STORRA SE�vBR- j -- APPSCOx, 6 LE�I. '�t Saoti�R i . U�q� HpLE G� � v ; � (�] �Ra�A -SOUT4l 'StiDEJ i I � '�OP �, � r,�,�, 5t��,, .-WAZER f . 1 5i'+�IER--r'* .��,0 - � i • ` . ZOO.� . ; - � -25,3-._ + �I1.5 --6i- - � " � - B" E�d�P 5/�151TAi2`( SEWER ' `�IG�'' t4��'� -- -- -'20�Z.C-- • - -' ,I� t�11�1 . �'.�rv'� ��4G . N`AN �7 VLE �NV, i�3,a� �I'c NATNAWAY 1.ANE -' ��P `y�--- � �N�, ' °5� . ., �:�, � . , :r .. I hereby certify that the above is a true and correct plat of a�urvey oft Lot 5, Alocac 1, PARi�VILW OAg5 FIRS� ADDITIOH, �ka Count�, Minneaota. ,. .� f. - As stu�veyed by ms �his 13th day of August 19b2 �.D. ! Sigaed .C.a� � tt :' � �s.t.�:'�i < ..� -- — . ti:innesota Registration tte. 2581� — — — - - -- .__ _-_ _ -- -- ----- -; � s � � � y i �^ . ti 61gt � 33o/1ZZ � - _ � � C � � � '�� r o '� p ,,M,, : y : x : � . m . m : M : o . a �: � : � • � \ N � � � 4� y `. y � � W � � � � � � o � � °•° N � . o � o � o�: o . bd : : � . : I I I x 0 aa id �a t� r � °o 0 0 � e� �s en \ O � � � � a x � t� � � � m � � � z � � � � n � � � � � � � a�� 'ad y : O � � 8 p 'd � � L*1 a� N : �- �' : rA W o : � : OR � . � . . ' � . . . . : bd : : : : : � : : : : V \O �a �a ae k k x w N w � � � '�1 eN» o e�n °o 0 0'by t�s tn ts� vs tn tn !�l M • O � � � 0 A x ° \ D � r � � m � n 2 m C r m � � 4 z � � O � a � � o � vC'h � � � � � a% � g � � Z L � � 9 \ z � l� \ � � � , � � 6 � �' e.a m l .7 � � o �::: . 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V � � o � W � � "" A �� A e � � � � � `C � � I� ��Y � a — � E� A � � r � � O V. x � N T �� ti � w � p A �� M � �� y � � o RP � � � � � � � � � � � � � � � � � � D � � � � � \. ;O � � � � � � ° � e, �� • � -a � �� a � O Z v O� � � w a9• � � ��w� w ' �� ►- o � . .. 0 o�: �:: � � � � „ „ oa o N � G o p � � � �O � � a � 0 a � � � C O � O ro � � � � I � � �� f2 ' th � � �, �, a . � ►°r ybd o � G � � � oe � �� I w � � � �� o �� : �: �� : �. � O � � � � i� �i � S � � � z �z 0 1 � � � x M O � �� o ° � � �� : N � � � Cti � O fO O O O O a � ai °� � � � � � � � � � � �. � � ° fo 0 �n � � � S � � � ;!^ t � � � � � � � � � �� c�� c��°g � � � � � � � � � � . � � � � � � � iS � � � �� " � � �� .�� :� ; �g� �� : : � ��; � ��:: � ��: � � ��. : � �: : . � : : : : � ::: : �::: � ;�;:; :��: c : : : : . . � : : � � �� N � � � � o g o o� �� d�� n �i, � � � � �� T' � � ;� m � � �� t� �s �� r ,�,b � ^ � � .� � �� g� �p ro M p O* �'a ,� ��(gr R! � • "' � ��b o��m ` p �y \ � ��p ��L��o M �o ^S � � � �a `� �* a. � �•� L' � �► ��h s'�� o � �' " `° cr �° r, I �� M W b 0 � b � A 0 � � d � � � 4' � o � � �• � �` ! •Y � � d � � � w�� _I � � � � � � .7 0. , �� _ � �if. �� , �'��r `�. -t . - � �� .�'� �y� 4. ,s� s, � � � � -' � �! lYi6 � v � � �'. ,� �4�%/� .� � .�.�� d'"� �"'� - � � a." HEAT LOSS CALCULATIONS DEPAR'IMENT OF BUILDINGS NIINNEAPOLIS. MINI�i. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Cxiling Roof F1oor Kind How Applied Yes—No Y`e�—No 19— ' -, Fl.�' : Room � Length � i: Width r�� Height f�;: <d F1.� =" -.' Room Length '' -� Width ".' Height Windows �and Doors—Crackage and Area Windows and Doors—Crackage and Area 1Vidth Hetght No. of. Llneal ft. Area Wldth Height No. ot Lineal ft. Area No. of pane o[ pane lighte of crack eq, ft. -' No. ot pane o[ pane llBbte ot crack eq. tt. � ,� � £. , �� ..� ,�� y.. .. .� _�� . - �'•`�'2 � . .. �•.� ' � +a. _ �'-'�r Y Coef. Btu Inhltration � � b' - �-:d-y:, Glass „' 4,• ° ERP. Wal� a y r Net exp. wall � : � �: <� Int. wall Ceiling � E �a . Floor N Z'otal ��u. � ;:�... • � �` �;�. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � r, Fl.� .,, _,, �,..:, Room I Length � Width Height : Windows and Doors—Crackage and Area Wldth Helght No. of Llneal ft. Area No. ot pane ot pene lighte ot crack eq. ft. �, :�t � �, �: 01,,t' � .. ' Coef. Bha Infiltration � " Glass � - > Exp, wall " � �: Net esp. wall ' ;'. E Int. wall Ceiling ;,� �, � P _ s Floor � Total Btu. � �':' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � FI. ,.';', Room � Length Width Height Windows and Doors—Crackage and Area Wldth Helght No. ot LSneal ft. Area No. ot pane o[ pane 116hta ot crack eq. ft. � X: � �- .:..�,..,F.,: _ lnfiltration Glass Exp. wall Net eap. wall Int. wall Ceiling Floor Total E �� -� �� - �� -- � sq. ft. E.D.R. or sq. ins. W.A. l.eader area �"' I Infiltration Calass �P. wa�� .. Net eap. wall Int. wall Ceiling� � Floor � Total Btu. °. P ,_� ,_� �_� ,-- �� Required sq. k. E.D.R. or sq. ins. W.A. Leader area r, -- FI.I • Room ( Length �� Width �� Height r` Windows and Doors—Crackage and Area Wldth Iiefght No. ot Llneal ft. Area No. of pane ot pane Iighte ot creck eq. fL � . ,. > � �y � . }� In6ltration - - ` `� = Glass :� �=�' Exp. wall � ,, � �: - Net exp. wa ' - Int. wall Ceiling �� ' - � Floor Total B`tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � F1 �-. -�--:�_ Room I Length ��.- Width `�'' Windows and Doora—Crackage and Area Wldth Helght No. of Llneal Lt. Ares No. of pane ot�pane lighte ot crack ep. tt. a Coef. Btu Infiltration +�� " .. ' Glass � "� Eap. wall Net exp. wall - ' Int. wall Ceiling ; � � Floor � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. I.eader ana sue�ecr P IT N O. City of Fridley o 18 3 90 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � R . � • COMMUNITY DEVELOPMENT DIV. � � � � j V �'�� r � � PROTECTIVE INSPECTION SEC. � / t = � � /'�'1 � CITY HALL FRIDIEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY �""� � ,�� 612-571-3450 9t0-F15 4/21/86 � � J08 ADDRESS 1233 Hathaway Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �j 1 Parkview 03�CS First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doyle Mullins 1233 Hathaway Iane N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. T. J. Roo�'ing #5 Innser Drive, Circle Pines 786-9687 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING Reroof Dwellin 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTEFiATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCHIBE WORK Reroo� Dwelling 9 CHAN(iE OF USE FROM TO STIPULATIONS Rpo� can be the 2nd layer but not the 3rd. Z�i� Tnsta.11 ridged galvanized vallegs. TYPEOFCONST. OCCUPANCY(3ROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. F1bEY�J�.cLS3 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY TIFY THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION ], STALLS GARAGES D KNO T SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND, RDNANC S GOVEiiNING THIS TYPE OF WORK WILL BE COMPLIED WITH THER ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,350 5•68 DOES N PRES E TO AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIO OF A Y HER ST OR LOCAL LAW REGULATING CON- TR TIO R TH P RFORMANCE F CONSTRUCTIO . $23. SO LAN CHECK FEE TOTAL FEE <- $24.18 SIGNATURE FC N'a CTO RAUTNOAI2EDAGENT DAT WHEN PROPERLY LIDATED THIS IS YOUR PERMIT e � � � SiGNATURE OF OWNER iIF OWNER BU�LDERi IDATEI BLOG iNSP riai NEW [ ] ADDN. [ ] pLTER. [ ] Construction Addre Legal Description: Owner Name & Addre Contractor:�� Address LIVING AREA: GARAGE AREA: DECR AREA: OTHER: City of Fridley Effective 4/1/86 � R-1 AND R-2 Building Permit Application � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROYEMENT Width . 47,�� L� � � Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek �� ^� �c. Type of Construction: � `�- Estimated Cost: $��J".� � Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � ,�� DATE: � APPLICANT. � Tel. ��LO�'R�'� t CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• $ �>� - �� $ $ �a � � $ � g �� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BIIII.DING PERMIT FEE SCHEDOLE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein beloW set forth and in the manner herein provided to-wit: Total Valuation $1.00 to $500.00 Fees $10.00 (M3nimum Fee is $15.00) �501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraetion thereof, to and including $2,000. $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up �32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and ineluding $25,000. $170.50 for the first $25,000 plus $�.50 for each additional $1,000 or fraction thereof, to and ineluding $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCROiI (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh with 6 ineh depth - DriveWay width plus 6 feet times $15.75 VERIFICATION OF FOONDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. � - _« * * n O � � � � � O � Z D � c � A � O � � � � r T � m m "� � � O < v m v � H! tfl m � c � a O � � n � O z A r � ^y C Z tn � D C ° m � D � � m m o m rn � i m O D ""'1 � � ►�n z Z ,� � N � � � � n c � ni a o�o c�o � Z o m � C� � 2 � m m cn � � . 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O�i .+ m � �, a � d D c N N pt � � '� n 3 � -o v_� � � .. m o'v�dcn°1 a'�C(np �D � � •' cc � O � � .��r �. � o-"'Tv =c ds � ' '� C p� � � ��o � �2 A ?� � � � � v W � c � � � 1 � 0 O O � � 0 0 � 0 0 �' cD 69 if� Efi �--I l.+I � O � r v m N � a � m v O N � � � � � 0 G � m � � � z O � .� � N c� 2 m v C r � � g° `o � D z � o � � rn m �1 N � � I � v�rnn �% �. �Ai ,� r N� � O t„��<•T � Z (� � ��N.� �� m w � -� N c� Z z� m �° m . � � Z v � D � � Z � r �� o �� Z O Z � 0 � D� � n� vz .� v o= zm Z -� �Z �� m� N O aZ Z � -v < v r'' Z C� n S N O Z � m f� < m O � � a� � C d �G N 0 0 � COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existinsf furance, the u�dersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( No ( Th� venting system is plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No (� The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existing combustion ai� is sized and installed to mee4 the cuRent codes and manufacturers specifications. When required to install a new combustion air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes ( �No ( Yes ( ) No ( ) Yes()No() When installing a new ventina system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and mao�ufacture�'s specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( No () Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input ' Fan Assisted or Nat _ Appliance #2 Type BTU Input Fan Assisted or Nat _ Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input e Common Vent Type Vent Height _ Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: ' Signed By: Date : SuB�ECT , c�ty of Fridley 3 3 9 7 4 AT THE TOP OF TME TWINS g � i L D I N G P E R M I T r ; � RECEIPT NO. � �,� _ COMMUNITY DEVELOPMENT DIV. �� r � � � PROTECTIVE INSPECTION SEC. � . � i.__•� ��"','; CITY NALL FRIOLE� SS132 NUIIBER pEV O�TE P�GE O� � NOvEO Br 1 763-571-3450 9t0-Ft5 10/16/03 / / JOB ADORESS 1233 Hathaway Lan.e NE 1 LEGAL LOT NO. BLOCK TFACT OR AODITION SEE ATTACNED OESCR. 5 1 Parkview Oaks First Addition SMEET 2 PROPEFTY OWNER MAIL ADDRESS ZIP PMONE Stephanie & Jason Johnson 1233 Hathawa Lane NE 763-286-7861 J CONTRACTOR MAII ADDRESS ZIP PMONE LICENSE NO Sk line Exteriors 6491 Arthur St NE, Fridle MN 55432 763-574-1531 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 20215480 5 ENGINEER MAIL ADORESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS Of WORK O NEW O AODITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Re lace 13 windows within existin openings; Install soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform. Building Code. Caulk and flash all exterior openings. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO FOR ELECTiiICAL, PIUMBING, HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION 20NING SO. fT CU FT. AUTHOFIZED IS NOT COMMENCEO WITHIN 80 DAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY T�ME AF7ER WOHK IS COMMENCED. NO DWLG. UNITS OfFSTFEET PARKING I HEREBY CEfiTIFV TMAT I MAVE READ ANO E%AMINED TNIS APPLICATION 1 STALLS GAFAGES ANO KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMP�IED @ WITH WMETHER SPECIFIED MEREIN Ofl NOT. TME GqANTING OF A PERMIT W6,550 �3.ZS DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TME pERM17 fEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OFi IOCAL LAW REGULATING coN- �139.ZS Fire SC �G.SO TRU TION OR TNE PERFORMANCE Of CONSTRUCTION P�AN CMECKFEE TOTA�FEE �� ' Licen SC $5.00 $154.00 S�GNATUpEO�CON'AGCTOAOp4UTNOA�2ED4GENT iO�iEi HEN PROPERLV VALIDATED TMIS IS VO PER IT S�GNaTUAE O� OWNEp�iF QWNEp BU4DEp� IDATE� B D � S r�T � b� NEW ADDN ALTER [] CITY OF FRIDLEY Effective 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: i% 2 wZ �.�. �✓� �� i"�� l..e Legal Description: Owner Name 8� Address: �`��%�°-� d� J�z,a� ��s� � Tei. #�3_�� ( Contractor: �`� �� °� � ��`'�� '�°� S MN UCENSE # �°� �S y 8� Address: Lo y� < /��fi�� J � ✓li � �r, �1-�-,� Tel. # �G3-�-`� s� -/S-3 / LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Length Width Height Sq. Ft. Width HgUGround Sq. Ft. J4l�.v�n �'03�9� �- �2�,cZ e, Construction Type: f 3- U��^ti l✓-ei°�Z�-�-v�� Ze��-�•� Estimated Cost: $(s�.�S O` "= Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �a �� .� APPLICANT: ��=/1/�.�a C�°2�15� "1 Tel. #�3 S?Y'� � � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - � � '� $ . S?� $ . �� $ $ � • DC� $ $ $ $ $ � . �U Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ �TZl1I`�i � ► BiJII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,Q00,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,0(?0 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT E5CROW (Concrete Curb Streets Only) Removal' and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv v �, � SuB�ECT . . City of Fridley 33954 � AT TNE TOP OF THE TWINS g � I L D I N G P E R M I T � �' COMMUNITY OEVELOPMENT DIV. � � j V — r � � PROTECTIVE INSPECTION SEC. 1 . � i.-_- w ��'��,•� CITY NALL FRIDLE� SSIJ� NUMBER NEV OATE PAGE OF �VPROVED B� L �� 763-571-3450 siaF�S 10/8/03 / / JOB ADDRESS 1233 Iiathaway Lane NE t LEGAI L07 NO. BLOCK TfiACT OR AODITION SEE ATTACHED DESCR. S 1 Parkview Oaks First Addition SMEET 2 PROPERTY OWNER MAIL ADDRESS 21P PMONE Stephanie/Jason Johason 1233 Hathawa Lane NE 763-286-7861 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Skyline Exteriors 6491 Arthur St NE Fridle MN 55432 763-574-1531 20215480 4 AiiCHITECT OR DESIGNER MAIL AOORESS ZIP PFIONE LICENSE NO. 5 ENGINEER MAIL AOORESS 21P PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS Of WORK O NEW O ADDITION O ALTERATION p REPAIR O MOVE ❑ REMOVE X B DESCRIBE WOHK Reside House 9 CHANGE OF USE FFiOM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering._- Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTtON ZONING SO. FT CU FT AUTHOR12ED IS N07 COMMENCEO WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AF7ER WORK IS COMMENCEO. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CER7IFV TNAT I HAVE READ ANO EXAMINEO THIS APPLICA710N 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING TNIS TVPE OF WOqK WILL BE COMPLIED WITM WHE7MER SPECIFIEO HEREIN OF NOT. TNE GRANTING OF A PERMIT $9,330 ��{.66 DOES NOT PRESUME TO GIVE AUTMOFiITV TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• STR N OR TME PERFORMANCE OF CONSTRUC710N �181.25 Fire SCi �9.33 PLAN CMECK FEE TpTA� FEE , � Licen e SC $5.00 $200.24 S�GNeTUpEO�CON'AACTOpOpeUTHpqIjEDoGENt IOATE� EN PROPERIY VALIDATED THIS IS VOUR PERMIT S�GN4TUQEO�OWNEp��FOWNEpBU�LDEp� iDATE� � � �� . LOG �NS� f�pTt NEW ADDN ALTER [] Il Il Construction Address: /�� 3 CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 /1 /2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Legal Description: Owner Name � Address: �'�°��i�a,q; -� � �zSar �o%,�s� v� Tel. # �3 a��°-7�� Contractor. ��N ��d��'�'�f��S MN LICENSE #�o� JSy 8� AddreSS: ��l °I/ .�i%'��-r � �_ ��n�I�z, �5�.�� Tel. # ?�� s-7��/J�3 / LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the �� lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. c, v'' Construction Type: ��s�P� � �o�✓f°� _ Estimated Cost: $ /�� Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: %� ' o ' O�J APPLICANT: �P�1�'1 iS � 2��Sa�v� Tel. # %63 575� ^ /�^3 � Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-571-9287 if using credit card and we will cali you for card rlumber. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - � � a�S $ �• � �' $ , �.T F� $ $ � �C�� $ $ $ $ $ � �>�'� � �� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _ •� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,Q00 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3 .OS for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,Q00 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,0(?0 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv , sue�¢cT MIT N�' . City of Fridley 3 4 017 `�� AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � ; � RECEIPT NO. � �y _ _ COMMUNITY DEVELOPMENT DIV. �� ` � r � � PROTECTIVE INSPECTION SEC. �� i . � ( � ��'�1 � CITY MALL FRIDLE� SS�SZ NUMBER pEV DATE PAGE OF AVPROVED BY �'"""�� 763-571-3450 910-F15 11 / 7 /03 / / JOB ADORESS 1233 Hathaway Lane NE t LEGAL LOT NO. BLOCK TRACT OR AOOITION SEE ATTACNED oESCa. 5 1 Parkview Oaks First Addition SNEET 2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE Jason & Styphanie Johnson 1233 Hathawa Lane NE 763-571-0407 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Same 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW � ADDiTION ❑ ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 20' x 16' Deck 9 CHANCiE OF USE FROM TO STIPULATIONS See notations on plan. � .;. 1 � Y � > ��k�� a��r�� :,�II Y�� 9� �ilat� 6ocats�r�� ,10�� , �� `� SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTfiUCTION 20NING SO. fT CU FT. AUTHORI2ED IS NOT COMMENCEO WITHIN 80 DAYS. OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNI7S OiFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yq�UATION SUR7A% AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED @ W�TH WMETMER SPECIFIED HEREIN Oii NOT. THE GRANTING OF A PERMIT W3�97�F �1.99 DOES NOT PiiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• STRUCTION OR THE PERFORMANCE Of CONSTRUCTION �97.25 Fire .5�,' �3.9% PLAN CMECK FEE TOiAL FEE $103.21 SiGN4 . TQ OA EDAGENr �DaiE� EN PROPEFILV VALIDATEO THIS IS VOUR PERMIT �y �/i / � �� `. �1J�i�` ', � \ \ � \ O➢ � O� OWNEA�� OwNEaBU��DEp� �7 D�iE� BLOG �N50 r��E NEW I l ADDN [ ] ALTER [ ] Construction Address: Legal Description: _ Owner Name & Add Contractor: LNING AREA: GARAGE AREA: DECK AREA: OTHER: /�33 CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � � � �ll�e Effe�tive 1 /1 /2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax � . Te�. # 7Co3 �7/-D�/v� MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length � � �dth � QC _ HgUGround �= v� � Sq. Ft. 3�� -� '"' Construction Type: i•.��•�-� h.✓—� Estimated Cost: $ ZZ-O°� ��1 ��_ Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$ �--`^ DATE: �� r a APPLICANT Tel. #�� 3%�' ��lv% Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we wili call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ ,, $ � °-.-- ��1 $ I ° ��' $ $ $ $ $ $ $ �� <�� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .� _ •► BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,(�1 to $1,000,000 $1,000,001 and up �� $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $SO,OQO plus $7.00 for each additional $1,OQ0 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the. proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey af the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv ; � I. !:: .�vy sa.1 v... , .� .. .-.,.. �I.OGK 1, PARKVIEW Op,KS FIRS'T AbD .:o INDYiTQML C. E. C O U L T� E R � •UBIN[f� urr �ors LAND SURVEYOR ro►OO�w�M�C t��NO REGISTEREO UNDEN LAWS OF STATE OF MINNESOTA LIC[NSEO �� 01101NANC[E OF CITY Oi MINN6A►OLI{ 3300 LYNDALE AVE. SO. MINNEAPOLIS B. MINN. TAYLOR 4•0370 . SUe.�lEY fa�- MIL� CITY BLCRS. . �burbepor'g QLertiticate �ao►�� ! z,�. � / V SGp.�.E - �� _ .� � �l.�dATt01�iS ARE ASSVME.b DATUh1 :.aa,�—; , i Z�� 'L .� d� s ,_� � i . __�s,o--.. ,r taoai � z��,a � � � � Z� � � – � o,o � � �° '�J' ° b� 1,� f.. 44,0 . % , PROs�jSFD RES, ; a � ( NOT STAKE:�� o � `' $._�c _ - '� • .5 `.^ ` . ., .90 N 1-S-F ��,' N4 \24+g ►LATTINO IA11M fURV[Y• lAlt[�M011[ �uoiu�� 1 "� ,_ '�,T � 2Z3 '1 ' � ARD GRADE I . � �,,. �� p �O'L i4 - c^, I J 1RO�t _ �f - -�5,� _ � /,.� � � r^ 1RGW , I�a3 �1�\ ,�. �(\°�4,b � ,�{11S•S s-�oa►,� s�.N�–; -- �Prsco�, s �Ev. �= ��..�� -- T — � u �. � 1AW1 Hd �6 . . � � Sw3� :-WATER p � TCP :.�� (R�r�1-�.,OJ�N S,DEJ I SE`NER --. �• �� , � -'�°1,0 - � 'Z00.� � � . _ �8' ES1�P Sh►�51TAF2`l SE'�I�R �' 123,3- - �--t`- - 1�1PJ�1 !i�'�c , ; - - - Z�2 .0 - - • - _ - ` ��;"� � It�v. i'i�.ot] � NA'�"NAWAY LANE -" ►�A�'�ot.t Z�►' Z'�0,0_,�� ' '►J`}. _��'_�1� I he�reby certify that the above ia a true and correct plat of a surve� ofa Lot 5i �ock l� PARKVIE'W OAKS FIftST �ITION, �lztoka Count;T, Minnesota. �. • As stu�vpyed by me this 13th day of �lugust 19bz 1'.. 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