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AF - 46959—__ :� _ SUBJECT " � PE � City of Fridley � g 4 g AT THE TOP Of THE TWINS g U I L D I N G P E R M I T r ; � R � • COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. �/� Y7 � � 1 . . l•--. �; '�','� CITY HALL .FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 6� 2-57 �-3450 910-F15 6/16/86 / / JOB ADDRESS 6177 Heather Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1. Heather H11.�.5 Wes t SHEET 2 PROPEFlTY OWNER MAIL ADORESS 21P PHONE Ron Gazda 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO. B�ickner Builders 6199 Heather Place N.E. 574-9871 4 ARCFIITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUIIDINfa pFR�� F�R Residential 7 CLASS OF WORK � O NEW ❑ ADDITION ❑ ALTEFiATION p REPAIR O, MO ��OVE X 8 DESCRIBE WOFK �nstxuct a 55' x 46' Dwelling and a 31� x 29` Garage with 2,900 sq. ft. of Dec Area (Appraxim�te measurements) 9 CHANGEQFUSEFROM TO STIPULATIONS Pravide a hard surface driveway. Proyide sod in the front and side yar Provide City with copy of verifying survey before capping. paid Park Fee of $1, 000. 00 SEWER IACATION: M.H. Approx. 8' Deep in Street (10` W. of Water Service) WATER LOCATION: 59` SE of M.H.: 55' E. of Water stop box for Lot 3. �� CIT,Y. f�F FRiDLEY OCi�, �iJr GtJARANTEE TNC �� ;�:1�'iltTY LOCA7`It��VS ,�Nfl EL�vATtONS. Sefot� digging cal� l�cai uti�ities THt� Q��/4 iS FO� `�N�ORM�TIOlV PURPOS�S ONLY., TELEPNON� -��CTR�C -�;t�$ EtS, Ai1iD l�T�ONS I��. i'H�S i.fVF�p#tMAT10lV �r ir. oN T �. s�an° p ��, � ,, ,,. � ;� � y 'f : • •1?�:_�l .) i �_.�`_t1�I SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCa, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING iJR AIR CONDITIONING. THIS PEFj�f,i"�BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHOHILED �S NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO• OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS APPLICATION 1- STAILS GARAGES AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION . SURTAX WI H WHETHERES ED EREIN'OR NOTOTHE GRANTING OF AOPERMir $165,750 S82•s8 DOfS NOT P U O' GIVE AUTH Y TO VIOLATE OR CANCfL THE pERMIT FEE SACCMARGE PROVISIO OTHER STA OR LOCAL LAW REGULATING CON- STRUC PERFORMA E OF ONST CTION. yfiS.�S�.00 '' $475.00 PLAN CHECKPEE TOTALFEE � �r- $1� 'r-g0 $1,305.38 + PF ;' n��y N.a i `pi ,�;>: �D�TE� WHEN PROPER�Y LIDATED THIS IS VOUR PEiiM1T ,. -�..,k.: _�� _ � ► _ . . '_^-�""� — �� SIGNATURE OF�S NER BU�IDER� �.IDA: EI BLOG WSP pAT T� � �: . ,� � � � NEw [ l ADDN. [ ] pLTER. � J Construction Addr� Legal Description Owner Name & Ad� Contractor :_.,� Address: � � City of Fridley �R-1 ABD R-2� Building Permit Application Effective 4/1/86 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROYEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECR AREA: Length Width iigt/Ground OTHER: Sq. Ft. Sq. Ft. _ R5� Sq. Ft. 2�� Corner Lot [] Inside Lot [�] Ft. Yd. Setback 3 S Side Yard Setback �V �' L d Type of Construction: Estimated Cost: $ �rO � Approx. Completion Date: �� , �O� 1 ��U Alt. A Alt B Proposed Drive�aay Width If New Opening Is Desired: � � See Back Page for Explanation G- /� - l� DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge APPLICANT: Tel. # r�/ ��% CITY IISE ONLY $ s'I�,W Fee Schedule on Reverse Side $ 0 25x of Building Permit Fee $ ge�1. g$ �.50/$1,000 Valuation $ y'i��OC� a475 per SAC Unit $ � D O O�_ Fee Determined by Engineering $ TOTAI. $ � �' � STIPtiLATIONS : Agreement Necessary [ ] Not Necessary [ ] . • � �5,'i �d �oc�,od�- �� G za� �3�,�v 1 �►� ,ou �;-�8.�u _ � , _T_. .t � cSr�� !�.-�--«'°-.�,� ,_._ �I-�'�- - `� _ __ ��.�-.� _ ____ _ - _ _ ---- _ __ __ _ ----- -- -_-- - -- - - - C L� � f ? � Z� � - y -Z - - __ _ -_ _ _ _ _ __ __--- -- _- - 3 y � , �^, ___ � _ _ _ ___ -� - �ZI_ ._ 12��_x _._ Lo _.. _. _ _ _ -__ __ __ _-__ -" _-_.__. ___."..._ ____- -_ .___ ! �_____ .`_ _____ _ _. - - - _ �'-- _. �.� _ �o _X l_'L __ - - _.__ --_ _ - -- ---- --___ _ _- - �Z __ - - --- - - _ - - --- - C ---- __ ��' � �� .� 2�� 1'?.�. : _ _ -- - - _ -- - - --- - . _ 4 3S' __ _ �� s� ��._s.� Z� � �- __ i _ _ _________ _ ___ __ z _ _ ___ _ °� - --- -�- - - _ `� _ ___ _ _ _ _- - _____---------_---- _ _ _ � �- __ - _ _ __ _ r.-- _-- - � 1 Z , - -- -�- -- --- - �-- __ _i� � - - — _- - { L _ __ - --- -- - - - _ _. - - - - -- __ _ ___ - - -- - � - _;, .___�--- (I �i ; '2� � `� _ _ _ _ _ _ _- - - - _ _ . --- _-- - _ � $ --- -- - - - __ -�- -___�__---.:_ _ 1u ___22� - y�, - _- _ _ _ _ _. -- - 1d 1_Z _ . __�-- _::_!�--___ ��o �� --- _ ---_ --- _ItiZ _ __ __:__ � _ _ . 1� 43� ��.�_ _ _ ____ _ __ --_-- -- _ _ � i Ds'�_ _ — -- - � � ,�. $�o ;. ____ _ _ �- �_ � __ - ----_ _ - _ _ _ __ `--____ ___ _ ----, _ __ _ _ __ _ �_ `_ ?8��x __�,�� . � _ - --- -- _ _ _ __— _ _ - -- - -- � _.1?�,3yi�q� __ __ - ��rv.a...�-- -- --______ _ _ --- _—_ __ - --- -- - -- - - - - _ _ _ _ _--- - _ _ _ - _ ; _ _ �� )_ a �� 3 3�s _ �6.� 3-� --- _ 1 Z.tdo -- - __ _ . _ - - -- _ - __ ----- - _ 12)_ C r3,; ;_ Z) x,.� 'i = _ � � `� -- _ - -- �- c 3 )— �. '� 3 � _ _ ��_ '� �_ � _ 3 � 1 _ _- _ _ -_ _ _ _ , � (y�-- yi. ��_�___I3. ��---`---- Ss �----- - ---_ _ _ _ -- __ __ _ --- - - -�� __ �S � 2�C_�_ . __5,33---`"- -- _13g__:._—_ ___ _-- ___:----_ _ _ __ - -- -- -- �?�1�_�__r'�,83z _ _ - a�}8gi, � --- C��.�'ti. -- __ __ _ ___ — - __ _ _ _ ��l �3 �X � _- - -- __ � . ____ -- __ _ �,�� . � _ _ _ - -- _ _ _ yx�.� ._ �_ _ 30 � -- __ __ ____ __ __ , - -- ___ �� C� i, s;�. ��,� � s�_!_ � �.� S � � - .� _------_ __ r�. _ _, Y � �� , � _�S $'1 �l 1a ,a � - 14, ��, G` _ _ _ .. ; f;�. - ----_ � �� ,__ , _ __ _ _ ��5,�5�� y - _ _ ___ ____ _ _ _ ____ �� ___ ________ �tO�v'A�.D : . :�i� : �� L�v� S � vEYOR �NO SURVtY1N6 SU�01VIStON DLi16fV Tsurr+oNi 77t.asaa 086 �1iSSlt ST. ST. PAUL. MINN. 5�101 I hereby c�r;ifiy thct this survey was prepared by me and ihat I am c dul,� Reg+stere:. �and S�rveyor under the la�:s of the State �g l�innesot�. �� Reg. No. 9051 Date: �/ � ,L �� . -� � � i� � \_� �� V . �. . � . t� �� - _�ir,:" �� ` � �j �, , .,, 1 r-�{"gt-t'lF-�� t:' 1 ,,-:�.L+j . � ;.r•��r'. �_ �' - �: `,•. '_ . - .• <-` o Denotes iron monument' pl€,.oed / / �-� i , � Q�Ty" OE FRtDtEY D�� T �'�'T� � �II�.Y OF tJTILiTT"4� ��TIQMS �CN� �V�ATID, S_ T1�S D04,TAR IS FOR t�OP�A�TIO�V PtJ4�R^OSES (3N� �p �4�S USING THI'S� �� f �N' THE SITE. ; �' Lot 4, 33ocY 1� EEdTi�R HILiS WEST� Anoka County, l�.innesota. $C�.id i ir,_ j;y, a � i � � �, . � �_.X:"�' . • / . sd1'� �� ^'- . � .� . � �- EXTERIOR ENVEZAPE AVERAGE "U" COMPUTATION ., 3� OWNER ��/!f G` f'�/y/v� � f`� Z�O� � SITE ADDRESS �� 7% �7�i7T/I`�� x��E - CONTRACTOR �%l/C��/C.0 �'✓/C/JF%'-' II�.TE � �'�� PHONE J "? �" �?,'� . � , • Determine working square footage of each. � �� ,��.� � , a � _ ��--y 1. Total exposed wall area .... 3�i�! sq. ft. x�' � . � / �56� Q 2. � otal roof/ceiling area .... 2 g� sq. ft. x- � _ �� •. T ta 1 d a 11 a ab f 1 or = �� " o expose w are ove o a. Total wall window area ..........................�Z!•yv b. Tctal. door area ................................. 3•�r c. Total sliding glass door area ................... ►� d. Total fireplace wall area..- . . . . . . . . . . . . . . . . . . .. 10.� e . Tota 1 �wa 11 framing area (average 10�) . . . . . . . . . . . ti 3 3 - 7 0 f. Total net wall area above floor ................. ti��•3 •g. Total rim joist�area ............................ Z � � • Total exposed foundation area = � � � .' , � h. Total foundation window area .................... � i. Total net foundation area above grade........... f ti a � , . . , , . Determine "U" value of each wall segment. a . � ��- `��. X ��U �� ► 3 v _ � y �, 7 3 . . b �� 9 � „U„ • :�� - �1- �� . �. i� 9- �� X„U., , 3v - 3�'• 3�b a. / a.� X„U,, ti v = �- 3� f � -ti 33. � a X „U,,,-�; � 69 _. � �. D� e. z��3� �i X �,U„ . , a �y.� f. _ � g- � � X „U., . � o� = g . � 0 - h. X �,U �� _ � � ti� X „U.. � , , � � _ � la., �� , � y �� . 3. ..............................Total � _ � J�.ZS� . ! �� y � . � . � ___._..---- � 0 �� . � � �- �7�� ' �� '� •� .��cr.I�L�r.� �s.. L • ., S' i ,�� ' �'7 � �r �Z �� . �� ' �.� l-�i�- - 93 . �.f � a�, . i //• /G = • o �9G ; .�� r,, �� .��,�,�,� i (� •, G��fi.Zu� i � � 2� : ��- g ., ��x 1'�/ � , { �,�� -�-- .6� . ys� /� z , v.� . �3 -� _ - 23.�2-- .o�'�g � � � �� - � � i � `' �� g ', / % �' ; z i'�.-� l - �9 !z�L � L-o6 �� „ ;/� ,T,� �-i� - �� I�� 4 I �W� i�� I � _ a� �/• �%3 ' - v�'� / a s: � �� ,�. �-� - �� /Z�� l�P��%Z %- 2� �a� �,,. �� •! .z 2./3 = �7 ��;, �� - �/ � '��:� - y�' /Z - .�`� �,�� .�a �t �,,. ��.. � S/•��- .a193 , , � . _ CiTYOF FRIDLEY CIVIC CENTER • E,�? i UNIVERSITY AVE. N.E. FRIDLEI�'. MINNESOTA 55432 • PHONE (612) 571-3450 October l, 1986 Mr. Tom Brickner Brickner Builders Inc. 6199 Heather Place N.E. Fridley, DQI 55432 Re: Final Inspection at 6177 Heather Circle N.E., Fridley Dear Mr. Brickner: A final inspection was conducted on October 1, 1986 of the above address and it was noted that the construction is completed and approved. Occupancy is approved for this structure. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh � �: � � � M -� M z �a 3 � � � C � > � � Z 0 � H Z � w > t� u' Z V J j O a Ua C'3 Q z u, wr _ } � � Q Z � Z ZO �o aZ O � U OQ ao oa !L. Z Z � 0 Q U n a °i Q a�[ � � Z Q W aw � Z zm � N � � � � � Z ti c � O > >+ r� F-~ �� r (� � � w � � 0 Q m O --� °di -a � c � - t� � Y U °.3 � U o L ►�. �5.. - V � ..�- � � � � � L V ; Q c °.' e�s � � � .. � o ` a-- p N Y � � T � �� O ,Q r'� G � U � m � �.N� � .�, � � � � � � 1 � Y � Q' Y � _ � �-3 o v► E`- "r �a � >.00 � •� -� zs .n � � O � � 1 t �-a � < � � � � � c 4' m c a,�'mo _� �� m p c ��=m z am_Q 3 !�- a�'i i m O Q � o ` � � � m � O O O � O O O N ._ ._ � �3 � i m � 7 m Y � � ,-� � � o� �� C � `° E ro � � � � b"g omC t a ��a m U (6 C � m C � � �i � b� Z � c o � a.�'� �.. p� aC � � Q � W � � C3 z O 7 m � � � Z F- � � w d o� "J � � O U a Q � � � W � � O O O O bf3 V! � � � 0 � m .� N � a � w c c 0 � � U a � `a � � � � � = o p Z W � � N J Ui � U � � m = o � U' m � � p U � � . _ � � � c � � � = e, _ �� z o m o � � � Z {- m tL . � � w 0 Z N � d � m � Z m � � � m c m m � �`� �� Q m Z O � � Y � Q M � C O '- � O � m � U � � a� �� o m m � j �o � a '� Y � O U �� .. �s na c o � � O �> ... E � �w U � � t W v W � � cn Q m � O . ,�. �� \ � l W � . ` � C� Si\ .1 �\ V 0 Z H r} �Z Q \ � O U C�3 m z � Q = w � S tn M fr- � � m f"i C LL m � 0 c i t rn � 0 ¢ a m � > 0 a Q 8 � W � Z O U w a � Z � � Z O Z O Q � � > Y Q H � oc � O U �a �z o � � � LL U Z tt! mw � U �g O a w ti t1C 3 O L .+ � � � m a m o -a a� � � m c �' 0 m Q Qf C Q C � O V O � _� U � � � 0 �� o € Q � U � a SUBJECT City of Fridley AT THE TOP Of TME TWINS g � I L D 1 N G P E R M I T r � � COMMUNITY OEVELOPMENT DIV. �' PROTEC7IVE INSPECTION SEC � _ � � "' � r ; -; � . , � � �"'1 � CITY NALL FiiIOLEV 55�32 NuMBER pEV O�iE �'""'�" ,�� 763-571-3450 9t0-Ft5 9/4/02 J08 ADDRESS 6177 Heather Cir NE 1 IEGAL L07 NO. BLOCK TiiACT OR ADOITION DESCR. 4 1 Heather Hills West 2 PROPERTY OWNER MAtL ADDRESS Z�P Dennis Pietrini 6177 Heather Cir NE � CON7RACTOR MAIL ADORESS Z�P Renewal By Andersen 1920 Co Rd C West, Roseville, MN 55113 a AqCMITECT OR DESIGNER MAIL AOOqESS Z�P 5 ENGINEER Residential 7 CIASS OF WORK MAII AODRESS ❑ NEW O ADDITION ❑ ALTERATION 8 OESCFIBE WORK Replace 15 windows within existing openings 9 CHANGE OF USE fROM TO ZIP � REPAIR �iT� 33035 RECEIPT NO. o�GE OF I�vvnOVEO 8• / / SEE ATTACMED SHEET PMONE 763-571-0417 PMONE LICENSE NO 651-264-4777 PHONE UCENSENO 20130983 PMONE LICENSE NO O MOVE O REMOVE STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Sectior. 310.9.1.2 of the 1997 Uniform Building Code. Permit Insp��#;o� �ards Will Be �ailed To Homeowner To Post TYPE OF GONST. SEPARATE PEFMITS AqE REOU�REO fOR ElEC7fitGAl, PLUMBING. HEAT{NG. VENTI�ATING ON AIR CONOITIONING TMIS PERMIT BECOMES NULL ANO VOID If WORK OR CONS7RUCTION ZONING AUTHORIZEO IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTiiUCTiON OR WORK IS SUSPENOED OR ABANDONEO fOfi A PERIOO OF 120 DAVS AT ANV 71ME AFTER WOi;K IS COMMENCED NO OWLG. UNITS I MEREBV CERTIFV 7HAT I HAVE READ ANO E%AMINED TMIS APPLICATION 1 AND KNOW THE $AME TO BE 7RUE AND CORRECi AlL PROVISIONS Of �AWS VA�UATION AND ORDINANCES GOVERNING 1HIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �23sH�FO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL THE pEqM17 fEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $377.25 STRUCiION OR TME PERfORMANCE OF CONSTRUCTION PI,AN CHECK F Lice S S�GN�TUQEO�CON'a1�TQROp�UTtiOp�ZED�GENt ID�TE� MCU O! S�GHnTUAE Of OwtiEQ�� OWNEp BU40ER� }O�iEi Sa 57A��$ $5. OCCUPANCVLOAD CU fT �FSTREE? PARKING IGAAAGES UpTAI( $11.92 �C CMAAGE Fire SC $23.84 jTA� FEE 18.01 HIS IS YAVR PFR� � aiE �w t ] ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [] SINGLE FAMII,Y AND DUPLEXES R-i AND R-2 BtJII_DING PERMIT APPLICATION Construction Address: �(0��"�- i�`eO�.�'�j(' C-� f �,,�`e. (� ��Z. • Legal Description: � Owner Name & Address:�_'(�'C�� s��.Q.,�^(' � N�� J\ Tel. #�'�03 • S�"� • �y ��- Contractor: .��Wa� �j � A�.�xS.e, MN LICENSE # oi01309 �� Address: ig ao CAv.n�,�,00,d C. wes�: ��;tk, m� Ss 11� Tel. #(agl • aio4 �'i��- Attach to this application, a£er[ificate of Si�vey of--t�e lot, with the proposed �nstruction drawn-on-it to scale. DES.C��.f�N OF �VF.f'�i��ME1V�"i _ ' LIVING AREA: GARAGE AREA: DECK AREA: �� , Construction Type: Length �Vi�th Length Width Length Widtti 0 Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. ..� , . Z - � _, W • (� �� ost: $ a3��yo � Driveway C�irb Ciit Width Needed: Ft. + ti Ft = Ft x$ _$ - DATE: � APPLICANT: Tel. # 95 a•3�i.S •(�{ �- Permit Fee Fire SurcYiarae State Surcharge SAC Charge Lic�nse S�rchazge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 3�-�- .a5 � • By $�,1. 9 a $ � � •Oo $ $ $ $ $ � 1$ °% CITY USE ONLY Fee Schedule on Reverse Side .JQl af Permit Vainatia� (1/lt�h%) $.SO/$1,000 Valuation $1050 per SAC Unit $5.00 (�tate Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservadon Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �y � . _ ,, Sue�ec* . �` c�ty of Fridley 3 2 0 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � ; V ��.�� , r � � PROTEG7IVE INSPECTION SEC. ' � �� CITV MALL FRIOLE� SS:SZ NUMBEit NEY OATE o�GE Of APPRQVEO B� �'"'"�" ��' 763-571-3450 9to-Pts 10/24/OZ � � JOB ADDRESS 6177 Heather CircZe IvE t LEGAL LOT NO. BLOCK TflACT OR ADDITION SEE ATTACHEO DESCR. �F 1 Heather Hills G.Test SHEET 2 PROPEfiTY OWNEFi MAIL AOORESS ZIP PMONE P:ary Pietrir.i 6177 Heather Circle NE 763-571-0417 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Renewa� By Andersen 1920 Co Rd C w', Rosev�l�e, i�v 55ll3 651-264-4777 � ARCMITECT OR DESIGNER MAII AODRESS ZIP PMONE LICENSE NQ 20130983 5 ENGINEER MAIL ADDFESS Z�P PHONE LIGENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 15 windows and 2 patio doors within ex�stir.g open�r.gs 9 CMANGE OF USE FROM TO STIPULATIONS Prov�de smoke detectors iz a'� s?eep�ng roo�s and on ai1 leveis oi the dwe��r►g per Section 310.9.1.2 0� the 1997 Uniform Bu:.�dir.g Code. Cau�k aad �iash al� exter�or open�r.gs. Permit Inspection Cards Will Be Mailed To Homeowner To Post TVPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIpEO FOF EIECTRICAL. PLUMBING. MEATING, VENTI�ATtNG OR AIR CONOITIOµING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK Oii CONSTRUCTION 20NING S�. fT CU FT AUTMORIZED IS NOT GOMMENCEO WITHIN 60 DAYS. OR IF CONSTRUC710N OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 OAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO �WIG. UNI7S OFfSTREET PARKING 1 HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICA710N 1 57ALLS GARAGES AND KNOW THE SAME TO BE TiiUE ANO CORRECT ALL PiiOVIS10N5 OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIEO $21,673 �IO.H�F WITM WNETHEA SPECIf1E0 HEREIN Ofi NOT THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pERMt? FEE SAC CHARGE PiiOVISIONS OF ANV OTHER STATE OR LOCAL LAW FiEGULATING coN. �349.ZS Fire SC �21.V% STRUCTION OF THE PERfORMANCE OF CONSTRUCTION PLAN CMECK F TOTAL FEE Lice:� $5. $386.76 S�GN4TUAEO�CON"AACTOQOAAUTHpRiZE00GEN1 IOATE� E PR Y VAU TED THIS IS YOUR P IT /� S�GNa�UAE O� OwNEp��F OWNEA8U�l0EQ� �D�TEi BL G�ti5 ��f ..r - . rrEw � � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ l SINGLE FAMII.Y AND DUPLEXES R i AND R-2 BLTII.DING PERMTT APPLICATION �onstruction Address : �Q � �'�- ��i�� f �-�. 'IV . �L. + Legal Description: � ; Owner Name & Address: j� ]( �tu �'�.�� i f�+ �'� Tel. # �� • �-/ • ��'' Contractor: .��_�� , At�.��cS.e,N MN LICENSE # 0�101?j09 B� � T Address: �9 a � �.Ot�niM �ao►d C. W�,S�' '�� flc1� �JS ll� Tel. #(a`�I • alc4 � 4�'�- Attach to this application, a Certificate of Suivey of-the lot, with the proposed �c�nst�uction drawn on it to scale. LTVING AREA: GARAGE AI�EA: DECB AREA: � •� � Construction Type: DES.C�i#)N OR �MP�Q�E1ViE1VT _ Length Width Height I.ength Width Height Length Widtii HgtlGround i � - - �� . � _ _ w �, Sq. Ft. Sq. Ft. Sq. Ft. ; �v� c�.em•, r•�o . , , �� ost: $ a�, ��3� � Driveway Ciu�b C�t Width Needed: Ft. + 6 Ft = Ft x�$ _$ - DATE: o� • APPLICANT: Tel. #_ ��j c� •3�15 • 1�0�'i �- Pernut Fee Fire Surcbarge State Surcharge SAC Charge License S�ircharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �y`� as $ � ___. $ 10•$y $ $ . $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State L�cens�d Residential Gontractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] T`�' $ ,� .� �/�. �,__ . �c Building BUILDING Permit No.:(,Y `� Inspections RESIDENTIAL APPLICATION Received By: �" r�� 763-572-3604 CITY OF FRIDLEY D�i��:� p 2 4 2009 763-5�2-4977 FAX EFFECTIVE 8-19-09 DATE �� -L� v 1 YOUR E-MAILADDRESS SI7'E ADDRESS �.0 trt � THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME: i` 'P '�I' i � TENANT ADDRESS: t'�, %��l�.�t1R�C.�' Ci�: CITY ��`tc]�C�/ STATEC`��ZIP PHONE: ZG 3- S% l- O�l�—I CONTRACTOR NAME: A G+l �oo�i Si c�� v�, SUBMIT A COPY OF STATE LICENSE # S � EXP DATE 1 a YOUR STATE LICENSE ANDCERTIFICATEOF ��5: �30% 7�i t�5.� G��'• CITY C.�GT�� STATE1!w/LIP STS�G INSURANCE p NE �Es � 3 -`�L3�d FAX PROPERI'Y TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GEJSHED ❑ WINDOWS O BASEMENT FINISH ROOF Q DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUC7'fON ❑ ADDITfON O MATNTENANCFJREPAIR ❑ REMODELING DESCRIBE WORK BE[NG DONE: T�°.00 ��-°- t'm� SIZE OF IMPROVEMENT S S � LENGTH WIDTH H£IGHT S FT ROOFING ❑��AUSE ONLY NUMBER OF SQUARES �� O�AOUSE & GARAGE BASEMENT REMODELING SUBMIT: / 1. 5xisting Floor P1an GARAGFS 'H ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DE?ACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCI70N INCLUDING DECKS, ❑ Virry) OSoffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan(Survey showing the existing sWctures and proposed project. ❑ Otfier ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calcutations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPEMNGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL N'EES AK� BASEll UN VALUA"1'lON,1NCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surohazge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Totaf Due $ j -r'j�� See Back Page for Fee Schedule $ � 65% of Building Permit Fee $ �- .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) S 52000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftxS22=$ $ 5450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 1 .(� Make checks uavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a pern►it but only an application for a ermit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all w w'c es rev�e and approval of plans. SIGNATUREOF APPLICANT PRINTNAME JGGK �� S�n DATE -1 �Zy" D9