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AF - 45541City of Fridley, Minn. BUILDING PE�IT N° 50'75 Date: ..� � �;:�'� "o`' ,,p� � `"° a � �.�+' d� r�„v}�'� : Jc �� < r �` ,, r a.�s 3; �„�, � v. Owaer: • � _ .� r .+.F a�-� �,w, _ � � �a ..:�-:a' auilder ._._. Address Address —a��' �- - , ` „,; •�� '" ��,,,�C�4TION O�ILDING No. `' � Street _.. ._,��-_�'� `.�.� '-�� °% � �-=.,.�s.L�:� part � �� ,�'� Lot ��_ Block � A� tion or Sub-Divi�tan ��:"�`�r...��'t��;:.;� ��rr�-��` Coraer Lot — Inside Lot �""� Setback - ,:." •�° � � Sideyard __�e'_� � Sewer IIeval3on � Fo�mdation IIevaialon DESCRIPTION OF BUILDING � T� U�'°/�� l ,�t�° � � j.� "' `;�,'� .� �--f, �;,�..,�, +:af.�, �, .>,<,�.��-� Front ��L �" Depth f'a ��'�' Height �'<` Sq. Ft � Cu. F't.;�_�____�.,,. , Front Depth ` H t�� i. � Sq. Ft Cu. Ft Type oP Construction �,.:� 3 ��' - Est Cost .��f +•��J r�'�.� � To be Completed In consfderation of the issuance to me of a permit to construci tt�e building described above, I agree to do the .proposed work in accordance with the description above set forth a.nd in compliance with all provisiona of orditiancea of the dty of Fridley. A,` r' �; a, In consfderation of the payment of a fee oP $..�a':�': m �, permit is hereby granted to to construct the building or addition as described above. This permit is granted upan the express condition that the person to whom it is granted and his agents� employees and worlmnen, in all work done in, around and upon said building, or any part thereoP, shall conform in all respect� to the ordinances of Fridley, Minnesota regarding loeation, conatruction, alteration, maintenance, repair and moving of buildinga ��th�e dty limits and this permit may be revoked at any tune upon�viola�f eny of the provlsiona of said -��'!$uiltlin8 7s�spector NOTICE: 'lhis permM doas aot �over the eonstrueHon, IastalleMon fo� wWag, plambiag, gas 6eaNng, sewer or watsr. Bs sun M ses t6s Bnildies Inipeetor for ssparate psrmHr for t6eas itsms. �� `v . +=�:.� �4 ^ �y�- ,x!'�; APPLIGATION FOR BIIII�ING PE'L�IIT CITY OF FAIDIEY, P�SOTg O�,rner's Name �'v� ^' ��'�S'�6 �D�' � der �i�,— �ddress �'� �, - i ��,�( � LOCATION OF BUILDING No. �� 3t�reet _/��s4°� �� Part o£ Lot O Lot � Block � Addition or Subdivision ��'� �°�S s� . Corner Lot Inside Lot � Setback �� / Side-Yard O'� ��'°'�% SEWER ELEV�.TION FOIINDATION ELEIigTION ��plicant attach 'to this form Certificate of Survey of Zot and propoaed 'bui].ding location. To be used as: DESCRIPTIOIV OF BIITLDiA1G . ° �q. Ft. �� _,,,Cu. � Ft. %9, ��-�,�,� �`� ..�._ . - � F'ront Depth Height Sq. Ft. Cu. Ft. Type of ConstruGtion �� Estimated Cost ��i�"�'� To be Completed ��, c��-rr / %�/� �,% •; . The undersigned hereby makes applic�it3on for a permit for the work herein specified, agreeing to do all work in strict accordance with the City ardinances and ruling of the Departmeat of Buildinga, and hereby declares tha.t all the facts and representationa stated in this appl3cat3on are true and correct. DATE % �� SIGNB.T[1RS e°�/o��%� �� ° �4'�� . , _ (A Schedule of Fee Coets can be found on the Reverse Side.) � �, �y ��/�� . �, ___: �,.a. flIIII�II+1G PLRMTT FEE SCt�DIII�: Section 2. The inspector of Bu3l.din�$ ehall, before issu3ng er�r perm3t for the ere�tioa of any building or atructure, or for an�y e�ddition to any existiu� bui].d- ing or atructure, or for ang alterations or repa3rs to any �ixist3.tig �buildi.n� or structurs, upon e.pplicat3on therefor, requ�re the payment by the applicant for auch perm3.t of fees to the amount laerein be].ow aet forth and in f•he m8�ner herein provided to-w3t: 2.1. For aa9 such perani.t for the erection of ang fire-proof build�ln�� other 'than e. g�rage, wershouse, factory or .grain eleeatflr, or for the erect3.on oP any fir�- proof Q.dd3tion, for sim3lar occuper�.cy, to aay e�d.sting bu31d3.ng ehell 'be et the rate of �1.40 for eacas one thousaad eub3c Seet, or fract3on thereof, i.n such cubical contents. 2.2. For any euch perm3t for the erectian of any fireproof �are�ge, warehouse, fac�tory or gre.in elevator, or for the erection of an� firepraof addition, for similer occupsucy, to any existing bui].ding shall 'be at the rate of �1.25 for each one thouaand cubic feet, classified as "firep�oof" b�r Section 502 of the Minneapol3e Build3.ng Code. HOUS�S 2.3. For ar� such permit for the erection of aa�r non-fireproof bui].d9,ng other �he.n a garage, wesehouse, factory or grain eleea.tor, or eay norr-firepz�ooP addition, for similar occupaney, to any existing buildin�. Permit �7..00 Por each one thouse.nd cubic £eet. GARAGES 2e4. For any such per�m3t for the erection of any noYr-fireproof garage, warehot�se, factory or grain elevator, or for the erection of any aorr-fireproo� e,ddition, fer simi].sr occupancg, to an�r exist3ng buildin� or for ea.ch �uch build� or addit�on. N3nety Cents for each one thousand cub3c feet or f'ract3or� thereof, in the cubieal con�enta thereof w3th a minimum of �l�.00. For the pvrpfla� cf computin� feea for bu3lding permits the cubical c�ntent� of es�y bui3di.ng or addition to a un3form height throughout by muZtiplyin� the ground erea, covered from a point a3x (6) 3nchea below the �`loor line of the i�.s�ment or asllar - to the anerage height of the upper surface or to the average he3ght of the roef surface of the main ge.ble of a p3tched roof. 2.5. For repaira or alterat3ons to an exist3ng strncture, the fee ahell be st the rate of �3.00 for each Five Hundred Dollars (�5�fl.00), or fraation thereof in the cost of all propoaed vork. 2.6. In. no ca.se shs11 the fee charged for an�r permit ae set �orth in Section 2 be less than �4.0�. /"� � � .� �.� .-� � Ri nrtr 1 I��ckv�cv�i [�sY� G�t��e ��n�-r�n�t INDLfTR1AL �U�tNR/ a�tr t+o�'a TQrOORAPNIC MA►rM0 � _,_, ---- , - ...- - - ---- - ---- C. E. COULTER LAND SURVE1fOR REGISTERED UNDHR LAWB OF STATE OF MINNEBOTA LIC6NBHD oY ORDIIVANCH OP CITY OP YINNG?OLIS 3300 LYNDALE AVE. 50. MIWNEAPOLI3 6. MINN. TAYLOR 4-0870 SURVEY �or �R�J1D �., CQRL�ON � SQN� ItJC� £r�gpr'a tttrrii#iratr LRON "15.0 ��RON - ----��_� "s Drain�o,¢ � Uliliiy Easamant / V SCALE � I" � 30' L �Y � � 9 °- � � °� � 41 --- PROP4SED � RES10€NCf� �g o e� (StAKE�) � � N � rLATTtNO wA11M SURYtllB uReswons JUDICIAL +�oN-,�1 t 'IS,o i lr►Rok �`� � NATNAWAY LANE I hereby certify that the above is a true and correct pla� of a survey of: Lot Six (6) , Block One (1) , PARI{SiiEW:.OAKS FIRST ADDITION, Anoka County, Minnesota. - As surveyed by me this 7th day of December 1960 A. D. � �� `'r 3igned.,= � � .� Minnesota Registration No. 2584 � _ � bo �� T � � � � .. � N � � . . ,,, � � � � H 7 � � ��,�� H x x x � m � 4� O ��y�a �� m $ � o $�, � � 0 � � � a �.J n ro � � � � � � � � � � � O � O �, n v %r N� � � �� 3 D ;��,� ? n O � � ox ro I � 'h 4� ''a ''' H � � � � � � � � � � � " ~ � o� � �� N� o� o � o�: o . �:: � : : i i i � pe �a �e O � � o° o � %� iA t� if3 � �� r � � m � � � � � I � � � ¢ � �' � � � � � � �� d � � ��r. � � N M yG� o � G � i �� ro � � t9 � � � � 0 0 0 � 5 � 0 0 � � � m 0 r b9 "�0 C° � H w� � � �� 0 �� . A � �. �. � � � z � � 0 0 {fl � � � �� o � �o � �� . W w � � �r � � m� A7 A7 f� f� ~ a,�°'. `° `° �C � � O w N t3' Cr ,,� 0 0 � � � �� °�°� �� oQ�� o � � � � � � � � : � g� : : � � • • o � . . � : : � � : : �g : N N m w ca 'vi o 0 0 0 0 0 tA �fl �'A Efl �� ro � � � � �� '' c� o � ��o � o � $ � m � � Q� � : �� : � �, . . � o. � Op . . Q 4 0 : : Q � : � : � w cn cn n� o0 0 0° o° o° °o � � � � � � y � � � � Q' @ �. t� � Ow h'1 8 � � � � � � � a � .� � � � g ro � �. d � � � o . � �o c� � � �' x c �, � � \� � � � � I � m I r • , ' � ,� �° ,� � S �� R� � � � � a. m � �� w "' �' � �° �� a, ° : . �, � . . � . . � °C � : O o . . s::: N � � � � cn o 0 0 p o o p 0 � a. aro � � �� o � � �y V¢ � � � � �,q� � � - o � � �° � ��o � , ��°� � � �� y � m ��'� � ��;�ro ` � y \ a' b €zu�,'n�'� p- `*� w �`� �iR.�p ,� �-�-�' � �' y N' C'J �c� wy � �� b fD , --� ¢� ��. � �� .� � G p DG � �p7 � W C7 M I � iR �' > � � � '� m N _ m C T d » M m � b 0 � � � 0 � �� . -�' � . � � � ;� �� .'w �f � �N� � � � � d =� � A e � �� 0. o� �• -� � � ni !y � _ � � ��`L �� « `4- �/�!i/ � � ` �J%��.r sG� � JOit% ! ILf� /V �'S��sv''�' � � 'S�il�` �r �+ �.E't,�SS � �!J �ar Loss c.a.cuu►►noNS DEPAR1bff.l�fT OF BUll.DINCS v�c,E �spr. �o'rm, �i�m�rx. Weat6eratrips � Constractioa No. Iasnlation ►Vindows ( ra Refvence Out. Wap Int. Wall Ce�ing Roof Floor Kind How 'sd 19 '� , . L s -o�..� �•b,,�, �` , .�m t�� w;a� > H�,t Fl.��` �m �� w�a� �� Windowa and Doora—Cracksge and Area j�.►� Windowa and Doora—Crackage and Area �,� tVtdth He16ht No. o lneal f. Aroa ,,ry �� Wldt6 Hol�ht Na ot tne�t tt Aeaa �l No. ot pene ol psne Iights ot craok p. [t (� No. of ptoe ot yaae llshb of craak p. tf. y ��' � a .�`� �/ � � `,� � � - ,� . Coef. Bcu Coef. I�h In6ltratioa �'� 3 �r-'�� 1n61tration � Glaaa .,�,y ' °"' �� Fsp. wall ' �y � �' o , . Eap. wall � -. - -__ __ _ _ _ _ �_,_ — —_ _ _: — - -- — --- -- -- --_ - - - - Net eap. wall l�let ezp. wal,� /,�' q /.� -�' 1nt. wall Ceiling Floor a� /',,.�' - � ` �`'' �•.� Total Btu. �/ i Required eq. k. E.D.R or eq. iaa. WA. I.eader area C�• ,��,� t�m t��, i w�a� ,� ;.� H��t � Windowa ad Doors—Crackage and Area Width Helsbt No. o[ Llneal tt Are� �� No. ot pane ot paae Il�ht� ot craok p. ft / � � �: � � � � 1� �� / �e /% In6ltration � �388 ,�j �;� e E7IJ1. W8ll �Y° .� �� lVet eZp. WeD �' Int. wall i Ceiling Floor '�!' ,,� I'otal Btu. Required aq. k. E.D.R. or aq. ins. W.A. �.eader ana f FI. — Room ( Length Width Wiadows and Doora—Crackage and Area Wldth , He1gAt No. ot Llnaal ta Are� �o. ot Dane ot Dsas IIR6b ot enck w. [L 8tu y Height �%' �� Coef. Btu In6ltration � �Iasa � �� Eup. well - �` - __ --- - '- Net ezp. wall � j Int. wall ;.tiling F loor ' y' 7.'`- � Total Btu. � '� Required �q. k. E.D.R. or �q. ias. W.A. Leader �rea: InG wall Ceiling Floor ' I Total Btu. Required sq. k. E.D.R. or aq. ina. W.A. Leader area � ��o �m�u dows and Doors—Crac Wldth He186t No. a ot oana ot vane llcht I� Infiltration I Nec eap. wall Int. wall Ceiling v,� Floor � Total Btu. � ' wYa� and Arca neal tt. Ares ' enck w. it �� Requued aq. k. ED.R. or sq� ina. W.A. Leader area F7.� Room I Length '� Width Height Q�indaws and Doors—Crackage and Area a ��r Wldeb Helsbt Na of Llneal t� An� �� o�� e 1� t� ot �/ �� I Infiltration C,lass �Y�y►�-- Net ezp. w to�. Weu c��upg Floor '�otal &n. . Rcquired sq. or sq. ina. W.A. L.eader arra 8tu O � � m m m m � c 0 s w � m �� o. CP� in c� o D � v < m a m 0 c cn � I � v � m i � :� � O 7 \ � N �' m � � N � m � m � z m � � A � � o m m o o -o ? D � v � � � z � v � m � O z � n � � � � � � N � 0 o (�j o ` � � m � � � � � � z n � � o z � c°'i N N °* °'* � °-'• °'* ° o- � v� v�o m m m� � 3. � v 0� � � � � N (�D m n � � � 'y0 j � -o » fD* m m � � � � �i > > m -� �F -� -� 7 2� � y. fA �C f!1 � I I � � w � � Z m m y c� o. m •'► p�j m � '� � � N * C.�, - � -n � * o � �' � .o m m c m a .�. m � I� I I�) I I I I I I I I r� � c� r� �a � st� �_�n_ tt� d► �� 71 O O O V p V V.V �I �71 A V 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O O p O O O O O o 0 � C y � O = � a � � Z Q C m � � n m n � o, � �( � � y �T J��! sa D ! � z � � � � � ��, v " �. �/1 -i m r z 0 � I � � � � �. m �" � � �. U � Z � O � � � � �� y � � � r � J � � � i � � s a m co i c ?E c � �a°� > � IQ y : °. � c° : 3 � �m � � � a � � �° o � , a�-s �� o m . � � o �, � ? � a � � !� �. � a c„�' a�; : ? � w o i -. � � � � � �w 1 � a � ' a c+ �' . ' c�i c�i �m � y ,��.' '"F' � � r. s -� �'�° ' ?�- m � � � o m i � � O . � o � �, m m y y � fD � V C � � z � 'n � � m � � z O � m O � � 0 � v v � � � �v 11� � n � � z C � � m � O � � � m � � O m m z � �r r v 0 z � � x � r O O � V � � � N C. � � '� j � .�p � �� l Z m � UI h, � A`� ,.r,�, W D ::� N � Z Z m � n O z v < � � r n � � Z � O � ro c �. � Z � a z v � N � � �Z � 'o m � 3 -a � m � m O m� � C � � co � � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 1+'AX: : 1249 HATHAWAY LN NE : 243024310051 : PARKVIEWOAKS 1STADD : LOT 6 BLOCK 1 : BUII.,DING : RESIDENTIAL : ROOFING 571-1Zif7 PERNIIT NO : 2004-00750 DATE ISSUED: OS/20/2004 VALUATION : $ 2,315.00 NOTE: UNDERLAYMENT AS PER STATE BUII.,DING CODE. REROOF HOUSE & GARAGE (20 SQ) TEAR-OFF. STATE LICENSED CONTRACTOR 1 APPLICANT NETKO DAN EXTERIORS INC (20060494) 1305 104 LANE NE BLAINE, MN 55434-3616 (763) 784-0227 � .I� � SONSTEGARD ROGER R& M E 1249 HATHAWAY LN NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or locallaw regulating construction or the performance of construction. BUII,DING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL Bldg Insp Date r� - SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 83.25 2.32 1.16 5.00 91.73 NEW [) ADDN [] ALTER .[�j,' CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION � ��.�b�s� Construction Address: � a�°l f�� w�l L-`► �� Legal Description: Owner Name 8 Address: ��qP.df' s��tSf2��'d Tel. #�6 3- 5'7J -�asJ Contractor. D� 1U 2�-dC,O �LfP.vi 6y5 MN LICENSE # a��b ��Li Address: / �DS' - /0�fsl�-r /�-� NE 81�,.ihe .5�5��Lf Tel.# �63-?��f-D�d-7 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length ; Wi�th Hgt/Ground Sq. Ft � � �� J! Constn.iction Type: T-��`�� `�r�'�Dr Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: APPLICANT: ��'1 �i%i�� Tel. # 7b3� %�-Oa-�-% Call (763) 572-3604 for PeRnit Fees ff mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. ' CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � ,�� S $ — � . $ /• �� $ $ �. C�U $ $ $ $ $ l, � Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] � STIPULATIONS: