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AF - 45600
� � City of Fridley, Minn. BUILDING PER.MIT Da�: � n@�, i, 1967 �o��� 1+�� 9571 �r: Clemron, Inc. B��r Same �� 701 Columb�.a Blvd. Same Addresa Address LOCATION OF BUILDING No. 75 Ol S�t � Haye s S t. 1Q . E._ _._._„ Part of Lot Lot ._._ 5 ..._..__ Block 2 Additian or Sub-Division ._._.__..—...�.�1,.� s 5 t'h g�dn Corner Lot � X Inside Lot _.._ Setback ��—_ Sideyard ��? � Sewer IIevation 885 .17 _ 888 17 Top of Foot3n,g DESCRIPTION OF BUILDING To be vsea as: Dwelling Front ��4.'_ Depth � Height 2.Q' Sq. Ft. L408-- t�. F't n on0 " Front Depth ITeight — Sq. Ft. Cu. F� Type of Construction Fr�e F�� Cost __.�18, 000 __ To be Completed SEWLR LOCATION 80' North of Manho7e WATER LOCATION - 10.8' North of Sewer In cons�tderation of the issuance to me of a permft to c� the P�P�� work in accardance with the descript3on above ordinancea oP the dty of Fridley. . 00. and � ewer C I agree to do provlaions of In conafderatton oE the payment of a fee of ��.00 , germit 3s hereby granted to Clemron, Inc/ to construct the buflding or addition as described above. This permit is granted nPon the expresa condition that the person to whom it is granted and h3a agea�►ta, emPioyees and workmen, ffi all work dane in, around and upon said building, or anypart thereof, shall conPorm in all respecta to the orrlfnancea of Frlciley� 11�inaesota g location, conatruction, alteration, anaintenance, repair aad moving of buflaings wlthin the dty limits�and�thia permit may be revoked at any time upon � af �ny of the . roviaiona of aeid ordinan�. � ,�;, � Official � � � � z J�' Gaster and NOTICE: 'Ihis psrmh does not eovsr �6s eoostrocHoe, MstaOdion ie� wiriae, plumbtne, ga hsaNae, saw�e e� w�ter. B� soro to � t6a Bulldie8 Inspeeto� ior separata parmlls fe� d+ess ti�ms. _ �•— APPLICATION FOR BUILDING PERMiT CI19t OF � FRIBLEY, MCNftESOTA OWNER' S NAP�E��1,a,��,����.��' . BUILDER��,��. �� � j �, ADDRESS ADDRESS LOGATION OF BOILDING N0. ���,�� ,� STREET ���� �� PART OF LOT _,,,,� r �LOT ,S'� BLOCK ADDITION OR SIIBDTVISION oU�.% .S CORNER LOT i/ INSIDE LOT SETBACR _,�S /� SIDE-YARD %�� � SEWER S,EVATION ��� �. /� FOUPDATION ELEVATYQN ��d� � f-� ,_ �.� �-- � �� , � �j Applicant attach to t`his�form �w� Certificates of Survey of Lot and propoaed building location drawn on these Ce�tificates. � ��� : � •fi � �2 � S�� � .� DESCRIPTIOA OF BUiLDING To be used as; �, t� , • ,� � / ' Front � D Depth ,�5' O Height -�'--�_- Sq. Ft._.__,%��� Cu. Ft.. ':� ,_�� c:' t�� Front Depth�� eight Sq. Ft. Cu. Ft. � Type of Construction !f ,,�/'��/ Estimated Cost� G��„% �� , To be campleted The undersigned hereby makes appli.cation for a permit ft�r the work herein specified, agree3ng to do all work in strict accordance with the Citq of Fridley Ordinances and ruiiags of the.Department of Buildings, and heseby declares that all the facts and representations stated in this application are true and correct. � DATE / � � SIGNATURE (Schedule of Fee Costs can be found on the Reversa Side). �,..), � i;�- t �.� � +��p i � � 1 � .�: � ;a � , � ' �� � r' �-+ 1 �. �, � 'q, _ y; ., ,a .�" m t?"� � � � `=0 �1 �\` � �_� �� � � F� � f'"�^"I ,f� a� � � � B � � �' � �� !, � � - - ^ ^ _ _ Land Pt�rnm� �� �'!.`�i 'fl�fit[� �CS N.E. c,�,��y,;�y M����z. Sods7rst►nq EN G I�JE� R:I N�� � 1�I �,,,/. �'1rnv�r��o/a t i�l fr .�fra�r"�n/Irrl ,'Ft�rsetd<ii0066 � �,� -- En rneers .� Surve�or� ---- . � � � c�lt�����'�� o� �►�i�Y'i� �os ���"'�!�''D/�I �/�'�`. �1' ��.. _ _ �� .�� �� _�. �.__. _ : t..�__ . � � , �.,., �_ , �:... � �� � � � _ '�,- ., �1 G�i`� � i . , ? ti,,°� . � �/ � �� N � N . � , 7G 75�" AV��JI�� hloE. • ;. . _._�.:,_: ._� Q l� A # �t � � � � C'a f� l� T 6 �. � � '� � A� � � t�� � {" s' �` ��T 5 � �.��+� �" 2 � � �d�� � �� �,���fi1���� ' A� t� �`�11�° � a: �� �� �`�.,� `r` . , / ht�r&� esrt�''y f!� lhas rs o�ua an�/ �cl� �ses�f�rfrarr a� v su�rry �'1�it br,�dsr,�ss �t''/Ix ab��r a�6�e+a� l�d, dnd q�'Ht la�r1� e�f'� durlda�r s,!Yr►rerl , a�dd/ rsi�'e e�.rnarh��r!fs .+,�'a�, �nrn ar rrr sa�d /aid. As sur-RS�rd by► nr� �Irs '°'" �°br� 'J� � t,�� `` ��': � �.� "�,�. St,18 UR'�AN ENGIIVEERING , lIVC. �n � S fr' w`rer�rr'J �� , ���L� �'s~�i�' iy �- � r—�� �•,�, � �" � �.�'. ��, . - - a.-= --- f ---,._'��°�'�'—.�'_ . � . . � -__. -. , land .ql�rnning � ��i'lf'��'G"(�'GTi�"� 15875 Highway No.bS t+l.�. La�d.Su►veying . � �U • • r Mianeapalis� Soils Testing l!ij �f����'�'ti�/� ) �C• H1inn. 95432 - Civif Engineening � " Telephone 784-6066 Municipal Engineering • En�"1Y188TS SL Surveyors arep Code 412 Certificate of �urvey far �,'+:����'� ��..�,�����y���=:� _.._ � .N �� � � �� � t�� �, � � . � .� . ��� � � � �� ��� . � �'(.���: ���*. Q.O k � �4 11J 1� � �� �� � � O �: r°l�T�- �Ir��r1 ti���t'iLet�ti1�.� �°e` � dCY�G'�E� �Y�'c�tj�o::M;�C S� l�tl � I1��,� [Gx:��Yr`i ;.'r"i� � , _ �,o.� — _ ,y :_s - ---- -- — — � — --- ' �, .�-- - - -- - ,�, ' r� s9 u� �, �� S� v+ 25 Z5_ . , n-�-- _—.- . �; � �ay � �. il . ° � �� N � ' � � n � Ui �: �. i .� � �. 15 �5., �I,I , �e� . . 'g � � d } `./t � ./ �E i' T —\�' �q l/�����.'_ .�,-'�0,(J '_ I �75t�, �.��/�.P�J�J�.- i�J �-. �=, P r� °� , � i�; �, � �,>iT-1 �°�1 ��i .� , ������° �. ; ��..�� � � � � , ,�►�,1� � Gb �. � y.A 1Nt�1 E SC�TA 1 hereby certify thot this is a troe a�rd correcf� representation of a survey of the baandaries of the obave described lond. and of tk�e location of oll buildings, fhereon� cnd atG visible encroacHments� if tiny� frorr� or on said lansl. As survey�d by me this 'Z��` day of (J1��! A.D: 14�0. - - SUBURBAN ENGlNEERING,INC. f�bineers � b � � , v I�Yors �.k. ,.��_ `t�,�.._�.,�,. �c � f � n '� ��-7 �� . / �:Al'A� - _ - .� % � � G � � �° o '� p � : � : °x : � . � : m : M ' o � w . m � . � . � � � N :�`�. � ��J�� I �i- � ' 6 � �`: -, �'.: „ � � � � c� �� � pz � m�� z z �n o �1 � � � '�+ p' � � � fi] �p �� xm ���6° � � � � � o w "' �i a' y �' � �j �.., . x ��'d : O � � � � � � � � � o � y � � � � a ° � � � � � .. �y ' ' Od � : �. � : Q : : a g : � : . . oa � . . . : : : � bd : : : : : : : : � : : : : o ` o �4 i4 i4 • M 5! �4 k 57 i� i4 • � � � � � � � � � � � �d � en � � � � � �' � o � � � sA fn tA er� i� �-O] W � H � � � � � � O Q x N , � � � D � r D � m �^ l' 2 m C r m a � o � � w fD � � � a � � s� � � � � � � � g. � o� � � C � � � � � G z������ st��� 8 � w�rpe � m a.os�rs � � uaiw��s � enrH � � � � p �. ews�� R7 � � �° SiNKS � �, ,� wa�+ � ra�rs �� 8 M ❑ ❑ ti1: a a. � M Fp�b y o� � �� r r�, � � ; � c �' Z DRINK. Founrt. sr+was. ,� FLOOR DRAINS �� ��� Auro WASHER GAS APPL GAS RANGE GAS OPENINGS a • z • � � � � � � � aa� � � �� � � ��'�° � �� ��� $��� � ���N � o���� ���� �o� � � � � �' � $ `° � �°�y � o� �' w � � � �• b � � � � ���m p � �' o � � O � `.r�,0 � ��a�� r � ����.� � � �. la��� ���y ���� �� � � ~ � M � � f'' fD .7 � ro A �� ��� � �' � 7� � � � � m0 R� & �°n p � M � � � � � �1 � � (`, �. �� �• ' � , : � � � � � � � � � o � � a � � � x 0 m � � �. � �� \ �� z � � > � 0 Q x � � � � p � �� 1 o,�o r��� � x x � y r � z ozy�y ���o '���z ���� � �• fA "� _ � y � h° � �� � ��� z � � i�. m � 3 z pl • s � Z G � m � m "� � D � � � � M w y y � y � � � x � w x �1 ����g?° � � $ � � 1i� o �+ k y � g r+ � � � $� O � � Mj O [ : : N� : : � . : : � .... : : : �: : : : �, : : : : � ' I I I m � � � � x . �'��° : � � � � � �.�� � � 0 � w ro m � � � � �d �� �` �=i_ � >� � � � o w � � � m � � � I n � � � �' z � � � s� �� � 1 �, � � t� .� ���° F�o `y �� 1,� �. � � a 1�, �� � � ��� a � � °"� o� � > � � ��ti �� � u` .,� .r � 0 r m � '�d � C � � I w �W A7 Qq �� � H � �" y O �y ,�y O V, y � �. f�D � � • � � a� � � ' � � � � � w � z � .7 ry � ���� � � �. �� � 0 � � � �� o � 1� O �� �� � � e� � � a a 00 � � � � � � x� c�+ � � � M ' � � � fi ~ �° x � o co y G �° � � �A � � �� O 0 � � � �g' s3 � wwoo � � S g ���� � � � x �7 O � O a z '� � �I � Y � � � ro � 0 �' � m �, 0 � w w R. n � 0 � O N `r�. g � '�,� � , ��� �'� �� `\ ,;, ,tA � � ,�^� ,'� , -� � :�' � � ���' � f'� c ° � ' � , � � A b b � � � � � R° R° � $ � � ���'�'� � ��,�,�� 0 0 �' �n � � O e? � � � �'"' � gvr �, � � �y o p, � : G � o . . � O o . . � O � ' : : � � w��wo o $ o o S �.���.� Q �,C O ¢ a � m 0 y m r.o � � � � � b b b � S � � ~ � y, (�p � � � � � a � � � � � o " ro b g� y O� � �� � � � � � � �, a � � �,�. �„ . �•°: O 0 . . Cq . . G . . . . . � �° W � � o � 0 0 0 0 0 0 0 0 � 0 � ��� � a. c+. � ��� �, � ��� � w�V A� p��� a � � w � o�p�°' � � d�� ',�� �� o �. ��°� � � �o "a' � ��e � � 0 �� ��� � � �� ���� � y �v�i n n ; p� �a ,I �aop w e+ A �, y ��N6'�At � � �b : ��, co , ,, a� �� �� �. � ���� ��'� :''�f� � ��� � G�o ��� � � � �� ��� � ��� D ""' D r � � T y _ T C T d � t�i. � `� x � m � � � � O. � � O � �o o �"' �o o. � o' � ;� _ � �� 3 � h 0 � 0.� � � n' � � �i O � 70 �. � �• � D � � \ , �� � C � �. � �� p � • � : °x : � . m . � • M ; O . � r7 . � . � • . 0 � N � � � � � � � � p� � m � � z x � � � � �� " � � � � � � °° �° � �� ���m�.� " � � � a '�' : � � � � c� � � � � � . A' p � � S � ; � a ° ; � � : ,e�,n G � : � � : � � . . . � � . . . . : : . . � : : : : . . . . � . . . . � � 0 �a aa aa � " �a oe �e � � �a � C� � Np Np� Wp � h�p+� �,�p-`� N � O O�i O � O� O C7� O O S ;,� �a sn �s � t� �» tn &a tss rfl � W .j H o a � � � M � `� \ 0 v N 0 � x D '_'1 r D "� m � � 2 m C r m I � � w �C o I--� � � � � � � � .. ...■1 : ���1 : s NI � � ■■., • • ■�■, � .�.' ����� �� 8 8 N O m � t�D a+ °' O "y o � �M' W � � �C � }�y 11 � o. ��V � � I � � m y WATER � URINALS �� Tu� usus SINKS was►+ rw�rs DRtNK. FOUNT. SHVYRS. FLOOR DRAINS UTCFI BASINS nuro WASFIER GAS MPL GAS RANGE GAS OPENINGS a � z • � � A m � � A aa� � ,� � � °�, ��� � : �.°�� � o ��'� ��o�. � ��o� �. � � ��e�a � ��°� � m � �' b ��� � b �N—' w � � � 0 � � m p�y�'o ���� � �' �, o ���w � a���. � o��� ���y � ��� �� � � ��o �as�' � � co r, � � 3�� G �' d �A M aM Rx & �°n p � M � � i� � � ,�a �. �� Oi '� � � � � � � �7 � � � � :y � � � M � � � � x '� 0 m � � �. � OD � �O � ~ � a � � E� � � � � � � ro � m w � p A 0 � x rt��M y x x � y r � o � xxx� w � � o ���z ���� � � � �N �n $ � o � � � m � �� �o s ; Z � . � Z i�l � � _ _/; .� � G7 0 4� � � � M w w a9. � H 'a�d � a .. x �o W cx, � � � ���� t�n � � C'1 r+ '� o �,i � .v�i � o I� � y • � � �� � �� � : : N� : : � . : : ►y . : : � � : : : : �„: : : : �.� i iJ i m � � � � x � ,e � o � S �� y � -o r 0 r o� � C � �° � w oa " w p� �� '� � � x o � � o �� fD y � . N �. �: �� E: �o � � � � N� � O AAi �! � � w w " n � � � � � � � � � � � � �' V � :� � ` e� e� � � � � .� � o � � �� �� � �s�� � � � K � � � o � o � O . �� ��� � b � . �� � � .o"'. a 00 � si � � dd � � x� �. � � � M ' � �� � ti � � x � y � R° � � � � � � � 0 0 � S� � � � M �° ,� ,� � � w � � �� �� � � � � � ����`�� o R, � � ro a � �: ���Q� m � � o � � '� : o� � �. � � � �.�: �.. �p QO • ; o O o . . � . : : : � � � b b b � S m m m m � � y � � � � f� R° ; v� y a�.� � �`� °��� p1�y, rwj. � M ����� c � � ° a � � � a �' . . cn . . � o : : O 0 . . O . . � . . . w w o o w e� e� w o w co ao o�y � � o o � � o °o °o °o °o 0 0 �'1 ���� ���,� .� � 0 � � � �° � °x ° O � � y y y � � a � � a � � � � o � � .� � C' � CA . o b � E � '' a � � � �. � � ro � � � � � G o � , � � ,� � m� q. z 0 � � aa� �� ��G;� O b � ��'`� � pp�� O�+ Wro�� �4 ��w�. � y ��� � �� � � �� � � o � v� a � �� � � rv ���� � „m ��'�b � w��� � �ViO� ! p� `�� � idaop �a .+, F��y �9 �7 � �p � rP� ¢i � m� � A °� a o ��� � rs yf�pM a �� �f�D � ��� � � a � � � � �. ro � !. ni� r"li � D � rD- � "'i m � 2 m C m 'b� �o. � � � O � �O o �' �o �d 0 �. � �� �� ���, a � 0.� ° e� �� � � �. � 70 �: � e � , � 0. HOUSE HEATING TEST RECORD ADDRESS •�` � APT. L OR UBURB � OCCUPANT pW�ER �= HEAT LOSS DATE HTG. INST. ^AS C0. METER BADG # SOLD BY INSTALLED BY Eleetrlcol Work By Gas Line By TYPE OF HEAT GA FA � STEAM SPACE HTR. UNIT HTR. OTHER GAS D IGN CONVERSION MAKE MAKE OF BURNER Madal o � Model Serial -�ay�s Max. BTU Rating INPUT �� MAKE OF FURNACE Model C NTROLS � THERAAOSTAT �at Plug Vent Size Valve KIND OF LINER IZ NONE Limit �%' Droh Hood Regulomr Limit Ssfting Filters Size Number Fan Setting -� ���� Chimner Location Inside L� Outaida Pilot Type - Ch(mney Construetion Pilot Make Pilot Modal '�Z Smoke Bomb Wiring �� Pilot Tim(ng Draft � Tsst Tag +'� L.W. Cut Off oor Pressurs Lighting Inst. e� � � e Pressure ��' . Psrce �CQ 2 Date Tsated �^' '� Input CFH � PerceBf ��02 �- a Company Testing Stack Temp. Pereont CO � e Name of Testar Form 235 City of Fridley, Minn. BUILDING PERMIT Da�; June 1 1970 p�r; Robert Gaxber g��r Same Ad�ess �1 Ha�es Street A�S Same �� s �sa� N �0674 LOCATION OF BUILDING � No. 7501 g�t Hayes Street N.E. Part oP Lot Lot 5 _ Block 2 Addition or Sub-Dfvisian Don's 5th Addition Corner Lot _ X Inside Lot — Sstback �. Sideyard Sewer IIevation � Foundation IIevation DESCRIPTION OF BUILDING To be Used as: Garage �t 24' �p� 25 � Height 10' �. � 600' �� 6, 000' Porch , Front 12 � Depth 24 � I�eight 10 � Sq. F't. 288' Cu. F't. �.? a�� � 1�pe of Construction �x�e F�tt, Cost — 2 200.Q0 _ To be Completed June 1971 Provide flardsurfaced Driveway In consideratton of the fssuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the descrlption above set forth and 9n compliance th provisiona of ordinances of the dty oP Fridley. � Ea considerat[on of the payment of a fee of $ 17 . 00 � p�t is hereby granted to Robert Garber to construct the buflding or addition as desc�ibed above. This permit is granted upon the express condition that the person to whom ft is granted and hia agents, employees and workmen, fn all work doae fn, around and upon said building, or any gart thereof, sball conform in all respects to the ordinance� of Frldley, Minnesota regardiug locat3on, canatruction, alteration, maintenaace, repair and moving of buildfnSa wltbin the dty limits and thia permit may be revoked at any time up� violation of a�}► of the provl�itona of said ordinanc�s. � I�ARENCE BEL �� _ y NOTIC� '�hb psem(t d�s eot eovsr ths �on�trueHoe, ieshqation fo� wririeg, Plumbtng, Aa 6eaNng, �wer or wds�. B� wn fo a� t6a BuiWi� lespsetoe for mp�rab oarmih Por fhas h�r. C ��\ �, �. �, APLICATION FOR RBSIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S . NAME : />G�.21 � �� C�� / � ✓ BUILDER :_ �� �' � ADDRESS : '�C� � //���.s �'7` ADD�RESS : NO : . ��� STREET : / /� y � s �`��� e � LOT: � BLOCK: -� ADDITION: �a h s � t����� iG ,-� CORNER I.(iT: � 5 INSIDE LOT: SETBACR: SIDEYARD: " �ipplicant attach to thia form �ao Certificatea of Surveq of Lot and proposed building �ocation drawn on theae Certificates. HESCRIPTION OF BUILDING To Be Used A�: \ '` � � �Gj �� Front : � 7 Depth • � � Seight • �� Square Feet :� D� Cubic Feeic a � d�� �� / � "/ � � D �e �2 Front: �� Depth: � T Height: �� Square Feet; o� �� Cubic Feet : � C��f� v� �pe of Constxuction: �a �� � Estimated Coet: $ `�� ��� '' To Be Completed: ���'e ��%/ The uadereigaed hereby �alces applicatinn for a permit for the work herei,n ape�i�ied, agreeing to do all work in ettict accordaace with the City o� Fridley Ordiaances and ruli�ge of the Depart�nt of Buildiags, and hereby declares that all the facts and represeatatione etated iu thie app].icatioa are true and correct. �ATE: � — �— % SIGNATURE: °? (See Aaverae Side For Additional Iaformation.) � '���,T - �<. r f _ _ � �1 � � , . _�y , �. _. . .� . ,. .,._ _.� -.,- �. : "'::.. �•-.� . . . r ... . � _ - - � s._-. • . . .- . . ' _ . .. ._ " i ' - _ �. _ f",,,�,r - :a - _ - .� � _ ,I • . , � . , , : ,, : . , . A ,: , :;: . , , , . , . - .. _ , ,: , ;� tand� Pln�ning ���Q�'��,�?''i ' `68�5 FI►g�iwa�r [�o b5-�1,E. La�d Surrsring. . � � � ` �" h��'�• � ' " Mit�ne�potis�.. j :Soils 'Fmg�in�} � , ' � ����"��'i/G � . ���.: , Mint't. -5*.�43Z Civil. �ngine�rin� �� - �� . ' Tefep�iqne, T84b¢06b, '" Mu�tieipql.Ertgineering �+"..3t�"��LE�1E?T�i : �r '►gt�I'V��i't'3!'l� . Area Ca�te�d3�' : � , . .Certif�ca�te of � �ur��y., �ia►r �i�t���4�� � ���;��°'� ' � , � . �� _ .. - � . � :.� __ � � . � ' � - � �,a.q --.. � . 4�� �,- � . . ii.; ____ _ _ -- V t---- -- �-�--�� -- -- � �.l.i: �: �. ' � 55: 2 t 25.25 " � � . V ,.. �, � . ' � q� C e _ � � V ���'. ,;� •,, , . � cd � °� `j � ., � r • t . r+ $ � a �' � � � '�: �. _ W � z;; � - • �' . `/ __ _- ��=, � ��- `� . ' � �..� � ,�_._ . . , � � ^ . - � � , ��M��►,+.�(� ���;�� . . � � �- _ ` � _ � ; � ? � , '� a! d ._ r. o � 5ca�: i "� 4c�' � �?°, -ae� ._ � g r '_ _ ` ��,.� _ . - . - _ o D�tiio-�-� i rort t�n �� �`tt�s-,n � �° �� �� A_ � Dehc���� �rc�i�:�:�e �. - � 7�= 1-�,�����" �,� . . U'�"i�t�t� ���ter��n'�- � • ; � � l_JT� °r-J ,� �a! ��'.!� 2.: � �I�l' � ��''` �����"I�i� " : " Aa�c��.�. c�:'. � �+c��a��arq," ° '. 1 Bereby certiiy thoR this is a�ru�_ and tarre,c} repre9e+►tntion of a surveg of the boundories of the t�boire deacribcd lnnd� ansl of the losation oi a�ll burilditt�si thereon,� and all ri�ibt� encroqEhMe�fs� if: prr�ri. #rtiat tir,,on sa�d : iancl: As surveyed by me fhis 21 �ajr af ��t� � !1. D.; 39?�+. _ _ � - ` :. SU,��LiRBAN:: E�tstNEER:��t�,-1NC� . , Engi.t�eerffi � v �►oru ��C9�ja � :- bY p 4� ' �:'�t� f�` �w��tr�. w _ > c s � ( } 1} �f � /7 . . 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O r � � � � I W � �� �� �- �, �� �� •9 � � � � � id E � � � � �� ,� ,' � � "� � �� � �, a � � � � �� �� �' � �s � � � � �� �� � R � � � � � � �� � � � � � � � �:��� ���� M iM 1fl I I I ' I � � � � : � 0 � � '3 � � � E � �' � �� �� � � q � � � �°� � ����� 7 � � � � � � : � � � � � � . . � � � � � � ����� � � � v I � �, �m � A � � a m � � �� � i� I � �.. � ��1� �� ��� ; � � � $ I � ', A \ ` � 7 �� � �� � ` � � � � � � � � g � � � � � � � � � b�� �� ����se ����.� � � � 4d. 9 � � � � � � � � ' �� � � w � n �$��� O.P'�x � e�� � i � i � �I ���� � a�� � ���� � �6� �� `� � O Q � � m eo� � � C fD 9 � y �s� � �� �� � �� �� 0 ��� � ���� �� A y ��� � m� � �e...� � a�� �� �� �� R� � ���� �, � � ��� � ��� �� �� w ��� � . o���� �� � �� , �� ���� �,:; � � � 0 . � � ��D (i"� �� � �� ���� ,�, ��.�� �� �9 �,� � � � � c� ��� rr'` .� i`r l c`;,� ��� `?::✓' �� � �* L� F;� �� �� � �� �, �r�;� ��' (td `� `'' � � � �• � � �� �� � �� � � � � � . � _. SUBJECT PE� ���_ City of Fridley � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � ; � CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � � ��; ------� � � r � � PROTECTIVE INSPECTION SEC. 1 .1 � � 1 /'��'1 � CITY HALL FRIDLEY 55432 NUMBER HEV. DATE PAGE OF APPROVED BY �.---� • •,' 612-560-3450 910-F15 7/31/73 / / JOB ADDRESS 7501 Hayes Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. rj 2 Don's 5th Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Mx. Roberir Garber 7501 Hayes Street N.E. 3 CONTRACTOR MAIL ADDRESS 21P PHONE UCENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUIIDING ges idential 7 CLASSOFWORK � NEW ❑ ADDITION �] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Enclose Roofed Porch 9 CHANGE OF USE FROM TO STIPULATIONS TE r?"RM[TS REQUfRE�- FOR . �`�'1�1��l�C SEPERA ��p,Tl���, ; L��BING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCl Fi�E THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R�1 OR WOHK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �$OO.00 . SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $(�,OO STRUCTION O THE PERFORMANC OF CONSTRUCTION. � � PLAN CHECKFEE TOTALFEE % ��%� 6 . 50 SIGNATUREOFCOfVTRACTORORAUTHORIZEDAGENT (DnTE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � .,.,� l �.� � '�i � ��i_s- �`��'l �s h o�g � �—� ` SIGNATURE OF OWNER UF OWNER BUILDERI IDATEI BLDG INSP � TE .r ♦: � ..�> A�PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :��J' �,� � ��/� / BUILDER • ��� p ADDRESS :_�c�G'� �/�S �� ��ADDRESS : N0 : . �� � STREET : ��z-° S S`v � �1' . �� LOT : BLOCK : � � ADDITION : � � at .S � CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to thia form Zfao Certificates of Survey of Lot and proposed building location drawn on theae Certificates. �ESCRIPTION OF BUILDING To Be Ueed As: �i�C/O�� �ToQ r� %�O /'C Front : I "2- Depth : %� 3 Height : Square Feet: Cubic Feet: Front: Depth• Height• Square Feet; Cubic Feet: !` ``' ljipe of Construct�on: �� ���� Estimated Cos ;_� �D� �`� To Be Crnapleted: ��— � „S Tha undersigned hereby ma.kes applicativn for a permit for the work herein speeified, a�reeing to do all work in stiict accordance with the City of Fridley Ordinaacee and rulinga of the Depaa�nent of Buildings, and hereby declares that all the facta and representa��.ona stated ia this application are true aad coxrect. . ��: , � 3/- � � S�G�►� • � � (See Rever�e Side Far Additioaal Inform,ation.) � � , � �� L� L",1 �, , ��?�'' �l.C'_ �=---�° �-��' �- � sue�ecr PER - ---- c�ty of Fridley o i2832 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIPT N r � `y _ �_ COMMUNITY DEVELOPMENT DIV. � � r � � PROTECTIVE INSPECTION SEC. 1 . �l �� /"'1 � CITY HALL FRIDLEv 55432 NUMBER REV. UATE PAGE OF APPROVED BY L.__�J \�/ �`� 612'56U-345U 910-F15 12/9/74 � � JOB ADDRESS 7501 Hayes Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. rj 2 Don's 5th Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Robert Garber 7501 Hayes Street NaE. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Swanson Construction 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct fireplace 9 CHANGE QF USE FROM TO STIPULATIONS �EP��?��E �'��i��T.; ����a�i��[� r �J� !�'i�6P��, Nc��l����� �L'_��,'��3���u d����l� �4��5. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED POR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. CO11Cl"@'tC.' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION .ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S%S.00 .5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. G• OO F PLAN CHECKFEE TOTALFEE $6.50 ., E FCO A AUr AG �o E� WHEN PROPERLY VALIDATED THIS IS YOUA PERMIT r � �;� � � � C° c�� a� ���� 5iu T REOF OWNERIIF OWNER BUILDERI 1 ATEI BLDG iNSP DAT APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : � ��� �/�/C��TILDER ��/ °/% � S %�� C ��S' � . �,nDxESS : ��/ e� .�/���,nDxESS : --S /� � � �iC f NO:. ��0� STREET: �S �� c ZOT• BLOCK• � ADDITION:� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form 7.tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. BESCRIPTION OF BUILDING To Be Used As: �� s �' � ✓ /�`-e- � �Front : Depth : Height : Square Feet: Cubic Feet: Front: Depth• Height: E Square Feet; Cubic Feet: � �' �/ cC. ljrpe of Construction: .'e �'Cr': Estimated Cost: $ �/' �� � To Be Completed: ��� The undersigned hereby ma.kes applicatinn for a permit for the work herein specif ied, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declaxes that all the facts and representations stated in this application are true and correct. �-� a (� /' DATE : /`� �7 S IGNAT[1RE : � ^ - �� ' l � (See Reverse Side For Additional Information.) � ��� ,, s-� _ .__ - -cd -`-_� : �i�� 6 i� D� � � � , � .'-,".i-�� � '-s sue�ecT PE City of Fridley 15 8 7 7 AT THE TOP OF THE TWINS gU I L D I N G P E R M � r ; � RECEIPT NO COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. t , 1 . � � � /'��l � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'""� � �'' 612-571-3450 9�0-F15 � -l� 8� � � JOB ADDRESS �� � I � � ��� �-2�-��� 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � � � � l� �� ���,'f SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE '��r �. 1� a �a � �. S �r�.� 7��-�'i�� �1 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. S �,n� �z_ 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING � rZ�,,Ze 7 CLASS OF WORK L� NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �i� X 1 � ��-9C� 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION �` � OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUA SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 pERM1T FEE ^`. A SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �.� d�, �_ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE — - � � ��d C.NATUREOFCONTR R AUTHORIZEDAGENT DATEI HEN PF P A IDA D THIS IS YOUR PERMIT �!� : 13 � � � ��-13�- �'� SIGNATUREOFOWNERIIFOWNEABUILD RI IDA 1 BLDG INSP �ATE 0 CITY OF FRIDLEY • ARPLICATIOPJ FOR ftESIDENTIt�L BUILDIP�G PERMITS .(Pdew, Alter�tions, Additions, or Repairs) � OWWER: �w�es ��u�� 11DORESS: 7�(`j/ 1�IQc,��s� S� ,I�/ t TEL �IO: '7�6—�1'd7�' BUI LDER :.-J LI wl�. S Tr' �, �tq � ADDRESS: %S�! �LG�,g S� /�/ � TEL N0: 7SG —�� 77 Construction Location STRE'�T NO : % SC� � 5TREET: � �' z Lo�e: � � Bi.oc�c: Corner Lot: ✓ Insicle Lot: ��� • ��� a�z � ��. Setback: Sid�yar.ds: Applicant attach to this form two Certificates o� Su'rvey of lot and proposed building location drawn on certificates to scale. _' • DESCRIPTIOtd OF CONSTRUCTION � ' �12 Front: Z. O �eo � �P� : / � �e,�'� Height: � � t Yoeh� e Squa�e. Feet: 2$�j Clibic Feet: Front: Depth: Height: � Square• Feet: Cubic Feet: Type of Construction :�.� �Ot�G'� Estimated Cost: $ Z(�".'j 7.b Be Cbmpleted: � � � �� 1G'( $ (� Alt. A Alt. B Proposed Driveway Width If New Opening Is Aesirede $� $ SEE REVERSE SIDE OF SHEET' • mhe undersigned hereby makes application for a permit for the vrork herein speciiied, agreeing �.o do all. work in strict accordance with the City of k'ridley Ordinances and rulings of the Depar�ment oi Buildings, and hereby declares that all the facts and representations stated in this applica�ion are true and correct. DATE: � � SIGNATURE: Stipulations: �I � .�U . � ,u 9�' '� Q �v �6� . �� R ; . G ,_ � . . .- -- !. , � . _ s�_ 1i - r . , ,. d � ►. i- � ,� � �-J { �, � �-�--,.- � ° � . . :_ _ . _� _ _. _: . . y _ . \� _ - . :. � , , . -� � Q �- . � , . - �,� a �� w . . � - � N , - '� " I � ' _._ _ i � � � . � � J /.5 � _ -T- s�- ' � t c- _ � x o (,�► \ s '� � � ' ° i' 1 � n lT' � . = � � � � � ._ _ � " � , E�.a► � i �. r� . . . - .... C UAl\l \ 00 ' ` ��` � ..... . _ . YVN� �Y� ' _ " ` -. _ ., . -., \ - ' ' 1 . . 000 _ � ... 4MI�N Si2 t. .. . . . -. - .� _ _ .. . mea . . . . .. . � � � _ _ . 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DATE VAGE Of APPROVED BV �'"'"� � �'� 612-571-3450 910-F15 7/14/92 / / 10B ADDRESS 7501 Hayes �treet NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Don � s 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lloyd Poepping 7501 Hayes Street NE 780-5928 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. D& D Home Impro��ent 7401 Central Avenue NE, Fridley 55432 784--7543 4840 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � ❑ NEW O ADDITION O. ALTERATION {�7 REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroo£ House C24 Sq,uares) Teax�of.f 8 CHAN�E OF USE FROM TO � STIPULATIONS Undexlayment must camply v�-ith �tate $uildi.ng Code. . riPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTIiUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-1272 5.64 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISION F ANY OTHER STATE OR LOCA� LAW REGULATING CON- STRUCTIO O THE PERFORMA CE OF CONSTRUCTION. $3�-.00 Fire SC yfi1..2% PLAN CHECK FEE TOTAL FEE � License SC $5.00 $37.91 SIGNATUREOFCON7RACTOiiORAUTHORI ENT IDATE� ME P ER Y(AL ATED THIS IS YOUR PERMIT � L�� � ' �-/�-- � � SiGNATUREOFOWNERIIiOWNERBUILDERI �DATEI - BLDG �NSP OATE NEW [ ] Effective 3/ 1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Build.ing Pernait Application Construction Address: Lega1 Description: Owner Name & Address: ����11I� ��P%��X�i Tel. � %� 59z8 Contractor. �%�b�� �/��i� �/] MN LICENSE # ��'�{0 Address: °� / _���i/�JZl��� /L�_ Tel. # ��SS� �.�"�y Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IIVII�RUVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd` Sexback Side Yard Setbacks Ty� of Construction: t� � — f N�l i2 �%�� Estimat:ed Cost: $/� �� "� Approx. Completion Date: K �� s�. �- (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # Permit Fee $ '�� � u Fire Surcharge $ l. � j' State Surcharge � ° �' `� SAC Charge $ License Surcharge $ � � � Driveway Escrow $ Park Fe,e $ Sewer Main Charge $ TOTAL $ � `�- � � STIPULATIONS: �!��iii����� F� Sch�ule on Reverse Side .Wi of Permit valuation (i/lOth%) $.50/$1,0� Valuation $7� per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 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Fridley, MN 55432 To Whom It May Concern: It has come to my attention that there is a city ordinance requiring my approval of the location of my neighbor's air conditioning system be on file with the city. I do hereby give the approval for Chris Kocinski's (7501 Hayes Street IV.E.) system to be placed on the north side of her home. Sincerely, ��� � � Don & Pauline Park 7507 Hayes Street N. E. Fridley, MN 55432 �� - - ��� f � ' � � � SuBJFCT • � ' � , c;ty of F��d��� 32706 AT THE TOP OF TME TWINS g u I L D I N G P E R M I T r � � • RECEIPT NO. � ; L __���_ COMMUNITY DEVElOPN1ENT DIV. r � � PROTECTIVE INSPECTION SEC. �� 1 = , � /'�'1 � CITY MALL FRIDLE� SS�.�2 NUMB@R NEV OATfl PAGE OF APPNOVED BY �----� • •', 612-571-3450 910-F15 6/19/02 / / JOB ADDRESS 7501 Hayes Street NE . 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 5 2 Don's 5th Addition SMEET 2 PROPEiiTY OWNEH MAIL ADpR�S$ iIP PFIONE Christine Kocinski 7501 Hayes Street NE 763-7�6-8022 J CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Pella Windows & Doars 1.5300 25 Ave N STE 4�100, Plymouth, MN 55447 763-745-1400 4 AFiCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 20165884 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE � O FiEMOVE 8 DESCRIBE WORK Replace 1 pa�io door wifihin existing opening 9 CHAN(iE OF USE FFiOM TO STIPULATIONS Provide smoke detectors in alI sleeping rooms and on all levels of the dwealing per Section 310.9.1.2 of the 1997 U�ifdrm Buildi�g Code. �ermit Inspec�ion Cards Will B� nllailed To Homeowner To Post SEPARA7E PERMITS ARE FiEQUIRED FOFi ELECTRICAL, PlUMe1NG. HEATING, TVP� OF CONST. OCCUPANCY GROUP OCCUPANCV �OAO VEN7ILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTtiUCTION ;ONING SG. FT CU fT. AUTHORIZED IS NOT COMMENCEO V�IITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONEO fOR A PERIOO OF 120 DAYS A7 ' ANY TIME AfTER WOiiK IS COMMENCED " NO DWLG. UNITS OFfSTREET PARKING I HEFEBY CERTIFV TNAT I MAVE FEAO ANO EXAMIN�D TNIS APPLICAT►ON 1 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. A�L PROVISIONS Of LAW$ yqLUATION SURTAx AND OROINANCES GOVERNING THIS TYPE Of WpRK WILL 8E C(�MPlIED WITH WHE7HER SPECIfIED MEREIN OR NOT. TNE GRANi1NG OF A PERMIT �3fOOO �I.SO DOES NOT PRESUME TO GIVE AUTMONI7Y TO VIOIATE OR CAMCEL TME pERMIT FEE SAC CMARGE PqOVIS10NS OF ANY OTHER STATE OF LOCAL LAW REGULATING CON- @ STqUCTION OR TME PERFORMANCE Of CONSTRUCTION y�H3.2S Fire SC �3.00 PLAN CNECK FEE TO L FEE Lice e C $5. . 92.75 - S�GN4TUAEOFCON:AACTOpOAOUTMOp�ZEDAGENT �D�iE� ME PR V VALID 0 TMIS IS V fi PEfiMIT � �O S�GN4T Uq E O� O W N EA��f O W N E A BWl D E � 1i i 0A1Ei . '� BL G� �NS� ' qaTE a N� [ l ADDN ALT'F.R Effective 5/10/99 [ l CITY OF I+'RIDLEY [ l SINGLE FAIVIILY AND DUPLEXES R i AND R:2 BUII,DING PERMIT APPLICATION �onstivction Address: J�:�t... .. . . . Legal Description: ' � Owner Name & Address: Ch��st„�, �oc:nsK� '�OI �owtS �.N.� . Tel. # �103 •��(o • B��'a ----- -- --- . COIIh'dCtOI:; PELLA WINDOWS & DOORS jyjj�j j;j�IN�E #-. Address: 15300-25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 Tel. # Attac �63-745-1400 e of t�e � LICENSE #20165884 Y LIVING AREA: GARAGE ABEA: DECK AREA: OTI�R: lot, v . . -------- ,_.. . ...: to scale. . DESC��.flfiT C1F ��?%�1V�NT � _ . � ' Length Width Height � Sq. Ft. Length Width Height Sq. Ft: Length � Widt�i `� Hgt/Ground Sq. Ft. �� �O�.C_2 � '�3..�n -�t�J un`1�►�v. . � JX ; ��1�; r�. r►��m: r�4� . � - construction Type: Fstimar,ea cost: $ 3, 000 _ Driveway (.iirb C�t Width Needed: Ft. + 6 Ft =_ Ft ic $_ � _$ . DATE: � / � APPLICANT: Tel. # �.� ;3 �% ° ��'% Permit Fee Fire Surcliaazge � State Surcharge SAC Charge License S�zcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � 3.� $ 3.�C� $ � � GJ� $ $ � ,�.• �U $ $ $ $ � �S $ CIT'Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State I,�cens,�d Residential.Co�actors) Alt. "A" or Alt. "B ° Above $450.00 Conservation Plan Review Fee Deter�mined by Engineering Agreement Necessary [ ] Not Necessary [ ] , , � c� a'� � �Ew ',, ° [ l ,DDN [ j �LTER [�] Construction Address: �� Ov�- �j�c�c�� CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Legal Description: r Owner Name & Address: � ���T_ � �n �� Tel. # Contractor. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applicaiion, a Certificate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length � Width Hgt/Ground Sq. Ft - �sz9 Construction Type: '_ S �-✓ �� Estimated Cost: ��" � 7�. U� Driveway Curb Cut �dth Needed: Ft + s Ft = Ft x$ _� DATE: �—� 3� 6�APPLtCANT: o�� T�ti jC S e y Tel. #,�I 2 202 3�Z�' Call (763) 572-3604 for Permii Fees if mailing in apptication. Fax to 763-571-1287 if using credit carri 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 $ o� .�a Fee Schedule on Reverse Side $ --- 65% of Permit Fee $ , �`J .001 of Permit Valuation (1/10th%) $ � SZ� $.50/$1,000 Valuation $ $1450 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: m RI • Window Drawing Ground level Basement floor 2"x10" Ground Level Buck frame 2"x12" 3� " floor to window sill Building Inspections 763-572-3604 763-502-4977 FAX DATE i�>�' �v SITE ADDRES ��i THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTf A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING DC SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum � Other �� BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY PernutNo.:i�'dI ��� Received By: Date Rec'd: �'�� :J � YOUR E-MAIL ADDRESS �//i' a-- /1 �v�c�! �C/ Cl � v�s cS7�' .1�; � ❑ OWNER �ONTRACTOR NAME: � I'� hS I d� i`i15 i{ i� ADDRESS: 7S—O cs S�/iI. CITY Tn. `�� �_ PHONE: ?C,,3 '— � �6 � d'c�io2 NAME: i ^ ADDRESS: .� '� . t�O. CITY d �"'�— PHONE ��Z " S� —' R�Z FAX ��i " �IZ ^ STATE LICENSE # ��� EXP DATE � � INGLE FAM[LY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES FINISH DECK ❑ NEW HOIVIE CONSTRUCTION O MAINTENANCFJREPAIlt WINDOWS IN EXISTING OPENINGS OYes ❑No OR FOR NEW OPENIIVGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED O ROOF , ❑ DRAfN TILE ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ ADDITION O HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DEfACHED GARAGE FiEIGHT /, STATE�ZiP ��Z fATF%�_1�ZIP. �� FI' BASEMENT REMODELING SUBMIT: l. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBNIIT: O Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project 2. Two sets of conswction plans 3. Energy Calculations LOCATION OF WINDOWS NUIvIBER OF WINBOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL �QB YALUA�ION $ �, B�D, °' OCCUPANCY TYPE Permit Fee � Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ otj'"' See Back Page for Fee Schedule $ Q� 65% of Building Permit Fee $'—j ,�p -��- .001 times the total job valuation $ ?� aj d .0005 x Permit Valuation Minimum $.50 $ �� $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ . O•� n Make checks pavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge at 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 Cons on Codes; that 1 understand this is not a permit but only an application for a pertnit and work is not to start without a permit on site; that the work will be in accor e appr v plan in the case of all work which requires review and app v I of plans. SIGNATURE OF APPLICANT PRINT NAME f/U,r�Ilct�t ���°-�1 rlr�" DATE �°'¢^� APPRDVED BY DATE License lookup Page 1 of 1 � ��� " • . . . �� � : ■ � Construction Codes � Building Codes � Electricfty � Plumbing � Boilers/HPP � Residentlal Contractors search for 0 License Detail Here are the details for the license you are currently looking for: License name: KERCHNER WiLLIAM License doing business as: KERCHNER CONSTRUCTION License address: 3630153RD AVE NW City state zip: ANDOVER, MN 55304 Llcense number: 4442 Llcense type: RESIDENTIAL REMODELER Company structure: INDIVIDUAL PROPRIETORSHIP Llcense status: ISSUED Llcense original issue date: 2/20/1992 License expiration date: 3/31/2009 License print date: 4/21/2008 Quallfying person: WILLIAM H. KERCHNER Continuing education hours required to renew license: 7 Contractor's phone number: 763-4229644 Enforcement actlon: No Another Lookup? https://secure.doli.state.mn.us/licensing/licensing.aspx 8/4/2008 . n - ' � m ,w � � � , � �,, e � -i= � sa � � � __ , � � � �� ` � � � ___ � � -� � � � � V� � 1 � � �.. ` � � e� d � � � � � N � � � � � � �� � a � "�� � --�'� . � ��I �?� � ��f � � tl � � / 6� � a7 � 'd ��1����' 2� ,� � �. � r ., 1 �r �� � I , � �. ,. / I _....: _ ..._�__ �. �_�,. __._�.._ ._�.._ �_� }�:� �r� ` � c 1��� � �i � � � � .r .'2�� � �°� 3 ) , ��'.k � g�� 1 � � "� ' � � _ .. �..�_. B N Z , � -' � � � � � � � � n � _ � .ev_ � � � � �� i�" `'..�k � . � � � � �� � sdr� f i � � z� y� �u � � ��j ' a E7 \ 1 � � � � `� � � � °g' � -� I�� � � d � w � �� �� � `� � � � �-"�° --� � ��.. _ ___.. _�. . _��..� - ...�.... .�,._ �. ��_.,� __ ..� . , __ _ Building � PI,IJIVIB�IlOTG PermiYNo�� �3 Inspections �+ �j}p�+ ��jA,.L� APPLICAT'ICil\T Received By: 763-572-3604 CI�'i.' OF k'RYDLE�I Da�d�i�Ca 763-502-4977 FAX E�c�v� 1-,-os DATE ` ��� YOUR E-MAIL ADDRESS I � e/ � C�° C" c.,.. DI, X�47 '� 1 L° ! SrrE AnDxESS � I �• �-S � � � THIS APPLICAAiT 1S: ❑ OWNER @C6�1TR.ACTpR • PROPERTY N�: i S ' S' owNER/ �D�ss: `7 "S`� ! I`� a.vc�� .S7' NT h- crrv l� � o � STATE�,ZIP TENnrrr � PHONE: CONTRACTOR NAME: � °o LLC Y'�a �LL� SUBMIT A COPY OF S7'ATE LICENSE # c� �� I�^ �I� EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # � �� EXP DATE CERTIFICATE OF ADDRESS:� ��� 7� � C� �' � i CITY i' STA'fE�% ZIP� INSUR.ANCE . PHONE `A 1.�•`� � l°'l� ��v� �� FAX id.� l ' �� � �1 � � PERMIT TYPE ��'LE FAMILY ❑ TWO FAMILY O TOVdNHOUSE TYPE OF WORK: � � �P�CEMENT DETAII,ED DESCRIPTION OF WORK e PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost vp to $500.00, whichever is greater, for the improvement, installation or reptacement of a residential fixture, excluding the fixtures. (This should reflect onty 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 WI-IERE LABOR EXCEEDS $500, FEES ARE BASED ON $]0.00 PER FIXT[JRE, EXCEPT WHERE NOTED. FIXTURES: (II�IDICATE TOTAL N[JMBER OF EACH BELOV�. MINIRRUM FE� $ I5.50. ,1 BATH SINK/LAV _FLOOR DRAINS ,� SHOWER _ WATER PiPING BATHTUB GAS PIPTNG (NEED C1TY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK � WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATiON WATER METER OTHER , <.. ,. , �A �'��� `�.. _ _ _ Permit Fee $ � � Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number offixtures @ $15.00 x $I5.00 = $ TOTAL DUE $ OR Number of fixtwes @$35.00 x$35.00 =$ Sta.te Sutcharge = $ .50 $ ] 5.50 (MIMMUM $ l 5.50 Total = $ THIS lS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I he�'eby apply for a plumbing permit and I acknowledge that the information above is complete and accuraxe; 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 n�t a permit bu o an appGcation for a permit and w k is not to start without a permit on site; that the work will be in accordance with the approved pl in the e f a wo w ich r� ires iew and approval of plans. SIGNATURE OF APPLiC PRINT NAME ,C7T�f'1 o>J��Ll' DATE ( �� APPROVED BY DATE l� �. City of Fridley �uilding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Buildi.ng MECII�LANICAL Permit r�o.: L� ��3' Inspections RESIDENTIAL APPLYCATION Received By:� 763_502-4607 FAX CITY OF FRIDLEY �. 763 97 �e EFFECTIVE I-1-08 DATE YOUR E-MAIL ADDRESS �� � Q�� (/ ��%C/�. '3�Lrt. • l�aJ srrE aDD�ss 7� o� ��i4V � s S� .�v. � F�r'� L��/ 11y �J .T stf 3�—. � � TH[S APALICANT IS: �OWNER OCONTRACTOR PROPERTY NAME: � �1`S ,�o C�'r/S1Ci OWNER/ ,,�DRESS: _�i1P-i'Yl �/�-s �O V� CITY STATE ZIP S^5�;3 TENANT PHONE: '�� � rl�rG - 8c a a- G�a 6 G B- ao � a- c.� � 6� � s� S� -�a.� % CONTRACTOR COMPANY NAME: NOTE: SEPARATE CITY CONTACT PERSON: LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS ' AND HVAC. ADDRESS: CITY STATE ZIP SUBMIT COPY OF BOND pHONE FAX ANDINSURANCE PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: �NEW 0 REPLACEMENT � ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK � PER MS 16�.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 fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MDICATE TOTAL NUMBER OF EACH BELOV� Equipment Instalied MFG: MODEL: SIZEJBTU IvffG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU _A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WQOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 GAS UNiT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $] 0.00 POOL HEATER $35.00 DUC�' WORK $] 0.00 GAS PIPING $10.00 VENTILATOR $ I 5.00 a��. ���+���� � �. � -�-�"� w�����s�;�� �, � w�S � � .. � � . ... .. . . _.. <. .,, .. � , �.<., er.,�, . _ ;-. F.. .� , _ , .�-: . �� $. Permit Fee $ Number of fixtures @ 10.00 x$10.00 =$ Surchazge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Tota1= $ THIS iS AN PLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a mechani permit and I ackno �dge 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 d with the Mi ota 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 w rk will be in r itt► the ap r lan in the case of all work which requires review and approval of plans. . � SIGNATURE OF APP�,I A ' PRINT NAME��S KDGiii✓Ski DATE � � APPROVED BY DA -' � y .����t�.;.... ..�.��� � .�a'.._,_... � £ 3 s,��:., � .,,��'�.�:;,�` � Citv of Fridlev Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977