The URL can be used to link to this page

AF - 47015sue�ecT P IT NO. City of Fridley 16 614 AT THE TOP QF THE TWINS B U I L D I N G P E R M I T , � ; � REC O. � ; L______ COMMUNITY DEVELOPMENT DIV. /_� Q)7 r � PROTECTIVE INSPECTION SEC. �� , 1 � � � � �� • C1TY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPFOVED B �---•� � ,'� 612-571-3450 910-F15 6/3/82 � � JOB ADDRESS 6171 Heather Place N.E. i LEGAL l0T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 Heather fIl11S West SHEE7 2 PROPEHTY OWNER MAI� ADDRESS ZIP PHONE 7.'homas Brickner 6249 Ben More Drive N.E., Fridley 574-9871 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Brickner Builders, Inc. 6249 Ben Nbre Drive N.E., Fridley 574-9871 4 ARCNITEC7 OR DESIGNER MAIL ADDRESS ZfP PHONE UCENSE NO. SEPERAi`E 5 ENGINEE MAILADDR ��efore digging call locat utiiitias� �-iEATING, P�11i�1B��1(� A�lO S�C�y 6 USE OF BUILDING t i' �� Residential � CLASS OF V110RK C] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRlBE WORK Construct a 54' x 30' A rox.) Dwelli and a 32' x 28' (a rox) Gara e 9 CHANGE QF USE FROM TO STIPULATtONS pravide a hard surface driveway. Provide sod in the front and side yards Provide City with vopy of verifying survey be�ore capping. WATER IACATI013: 93' Southwest of Hydrant.-57' South of Manhple SEWER LOCATION: 10' East of Water Stop Box. Sewer service out of manhole. Sewer Elevation:328�YY�� 9�7.00 DRIVEWAY DEPRES5ION COST: NfA PARI£ FEE OF $1,000.00 PAID. `:;� �'{� d� ��`►��Y UOES NQT GUARA�d1ss ..... -::::."i.s�ACY OP UtitiTY LOCpTi4t�t5 AND �i��r::.:;t: .: f>�,A 1� FOR tNi'Or1�Aia7f�?N r"li?'DCS�� C;�:>'i` _.;;;t�l'� u�a�c� �1' s�tc�u�� v��:� ��: �r�Fc,:,::.;r��:;;. .., _ -_,r�. TYPE OF CONST, OCCUPANCY GfiOUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBiNG, HEATING, VENTI�ATING OR AIR CONDITIONING. WOOC; FY'�E.' THiS PERMIT BECOMES NULL AND VOID iF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 6U:DAYS; OR If EONSTRUCTION OR WORK �S SUSPENDED OR ABANDANED F�R A PERIQD OF 12Q DAYS AT R�. ZZ$O ANY TIME AfTER WORK IS COMMENCEb, NO. OWLCa. UNIFS OFFSTREET PARKING I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS APPUCATION 1 STALLS GARAGES ANp KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS VALUATION SURTAX ANQ-OROINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHEfi SPECIFtED HEREIN OR NOT. THE GRANTING OF A PERMIT $133,350 $66.6H DOES NOT PRESUME TO GIVE AUTHORIT O VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF OTHER STATE O L AL LA REGULATING CON- STRUGTIO H PERFORMANCE F C STRU � ION. $SZS.00 $425.00 PLAN CHECKFEE TOTALFEE � �� $132.00 $1,151.68 SIGNATUfiEOFC<ONifiACTORO RIZEDAGENT IDATEI e� WHEN PROPERL VALIDATED� THIS IS YOUR �PER�M17 . � r SiGNAiURE OF OWNER �IF OWNER BUILDERi IDATEI BIDG iNSp � D T€ �' w .:� . � � CITY OF FRIDLCY Effective Aug. 1, 1s81 APPLICII7ID�V f0�t RCSIDCi�TI/li_ [3UILDlilG PL-(L'�ITS (t�e►�, Alterations, Additions, or Repairs) o�JNER:/// ��"yI/� S�, j�/ �kJ�l E,� . , ADDRES5: � 2 y� ��/� ,�Y%�E �%�. T��. Ho: S'� y - `�.�? t3UILDER: ��%�� . ADDRCSS: TEL t�0: Construction Location STRII�T NO : � % �,� STItEET: / / �/7 �/� � � 1 �G� G � � Los: � BLOac: ,_,L� iwniTior�: /��A �f/ E� i�/ G �-� �'✓ �.�' � Corner Lot: Insiiie I,flt: � SetbacY.: � J Sideyards: %� �`�� Ap�licant attach to this forn� two Certificates of Stirvey of lot and proposed building locatian drawn on certificates to scale. DESCRIPTIOi�' OF COt�STP.UCTIO�� (,�¢� Front: Depth: Height: f //L Square Feet:� Q Qibic Feet: _ Q Frant: Depth: Height: Squar.e FePt: (1�bic I'eet: _ ( ��'�� Zype of Cor,struction : Estimated Cost: $ � Tb Be Wr,�pleted: �v �� -�� Alt. A Alt. 8 Proposed Drive��ay width If New Opening Is Desired: $� S , , SE� RcVERS£ SIDE OF SHEET � �iie undersigned hereby mal;e� application for a permit fcr the �:vrk herein specified, agreeinq to c3o .all work ir, str�ct accordance ��ith the City of I'ridley Ordinances and rulii�gs of tl�e Departm�nt. of Buildings, and hereby declares that all tl�e facts and repzese�tatiens stated :.n this application are and correct.�� a � - D.3T�: � y z' 0 JO � S�GNATUIi'^c: _%/ �(`. . SLi�1Sa�AtNi� s : - p.e • s'Z.�; oa .� I '3-t ,00 S� yt�'�°,-.o $ �a�t /. o�oa , oa a �s I�� / )! � ,, r f ' F-� r�oc� --t-�� _ _ _ _ :: :JCY �_ �J�� 7 �-t _ �2 x �' �. � G� _ _ �o x y � y� �.5� G,�' X� �. �q, � _ _ __ ._.�. � x io = � ►�l �_� l o � �io 1�� = _ S'► �, � � 7 -� s�, � ,� � � = t�o ; : _ ��.� to _ x.3 �, _ _ _ — ,� l �% � :. _ 2Z� ' �p�2 +� �- __ 32,� 2� = B�rG .� � � �.� z : � � �� '�� .��! �� z ?�►� ) � � �l -� � � u9, S �, (o�,>>— �, ca� �� G t''�' �, �' � 14,� � 1 �tb.� :Cp �/ I 1,a �- Il.��l , z� 2� �+- �'t� � ,� _ �►� � � X �. �,C� � ! 171.�s'�.�Ig I O, 3�c� � g,�ya. � : 2,� ��►�..� � ,3� �.. ''��c�. �"� ��'�.�r ' ��e � �- ��I�1 �3� 3�� I . y , .� �,� -z,,., -�. - . Q 1/'�.c �- I g� _ �� -- . �- _ _-_ 3�-'�-- _- _� �� "'" l� __ .....,,.. �,�y-L .,. � _ . : �� -- ��- _ �,�� q �- � �,� S"'x' � � 2.C,� .. � � L,� �r Z- �. g'`' S4. � ,� � _ ' � �_ � . .o , � ''• . , t�---_- .. ; r EXTERIOR ENVEIAPE AVERAGE "U ° COMPUTATION ` �f%r��j S °� � l c A1 E�. OWNER K SITE ADDRESS � i %% �/EAT/y�/e i�L�C � _— �R� �kNE �L Lj p CONTRACTOR��i�/��C.S �/✓t., DATE / 2 3^A �/ PHONE �?y" 1'n�?/ - Detexmine working square footage of each. 1. Total exposed wall� area ....,��sq. ft. x°� _�!�% l ` ,f�� 2. Total roof/ce iling area ....�` 6 sq. ft. x� �.� _ �� 7 r �. Total exposed wall area above floor = a. Total wall window area .. . . . . . . . . . . . . . . .. . . .. . . .. 3%�i • 9 y b. Tctal. door area . .............................. 3.� - c. Total sliding g�.ass door area . . . . . . . . . .. . . . . . . .. 3 9 � �� d. Total fireplace wall area..• ..................... � e. Totai �wall framing area (average 10%) . . . . . . . . .. • �/ Z • � _ f. Totai net wall area above floor ................. �• S�o �g. Total rim joist�area ........................... � � - Total exposed foundation area = � � , � h. Total foundation window area .............. .. .... 3-37 i. Total net foundation area above grade........... 7% . � Determine "U�" value of each wall segment, �„1` ��_ ��.�. . „�r.� a . 3 � D • 9 � X ��U �� • � � -- • b 3 , 6 X „U., . S'g = �-I . �� . • . � . I 3 ? . �� X ��U N - � � � .� 3 . / �� - ax �'u'� _ . . e. � � � • g s� X ��U„ , 07 =� � 0 f. i9«• S'� X„U,� . o� _��,, �,� g. a� y� X„U„ , o � � 9•�� - h. �• 3� X„u,� ; 3g = 1- a� � �. �� X „U,. :y� _� .�v 3. � ......................•--.....To�� _ ��3��.�3 : - � 0 i . � � . . Ir �?ax`� % • '✓a�cJQ.�.c� :� -2- i�, If item #3 on previous page is the same as, or less than item #1, . you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = d�b � ' . j. Total skylight area .......................... k. Total roof/ceiling framing area (a ) "/ 33 1. Total net insulated roof/ceiling area........ !�� . Determine "U" value for each roof/ceiling segment. � �7 X ��vu � � S' _ �. �. �s� • . x. 1133 x„�„ .� 3 = 3�, 9 9 l. I �� X •nUn � �� _ � D � � � 4 ..................................Tota1 = % �• J'V If total of #4 above is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. . ' A lternate Buildinq Envelope Desiqn To utilize the tota 1 envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. 3. +2. +4. e z LGC C�� -�2�z �-, � • , / � rj t l __ RONALD F. MEYER LAND BIIRQEYOR LI►ND SURVEYING SV�DIVIiION DpiGN TELRPMON� 771-.4�86 �B6 JC861C ST. ST. PAUL. MINN. SS101 I hsreby cert+fy ihat this survey was p�epared by me and that I am o duly Registered Loc►d Surveyo� under the laws of the State of Minnesota. Reg. No. 905i Date:�i�rch / 7/ 98 Z � Denotea iron monument placed yE�l THEI� P L. � ` � so � _., — � / , _ R�� 11 i�a� u�►1�tr. ' getae d�gB�ag �RIC - G�S Etc• � ELEPH�NE ' �-�EC UIR�� g� `A� R�Q � c►�'� °� �trt . .�C��M� C� �!� Zr•�5 W►tJ► �: p '*' PE� ��: ,-. � n1+t �E .. '--' i ��t�t ;'` NUZ G�� ¢�f Aj'�' ` . �o+�► � oµt� �'"' �µ lUR� �pV�AAZK� �� Scales 2' = 30' ict S. Block 1, HEATHER HILLS WEST, Anoka County, Minnesota. I { ! `�` '�`:"�.'��'_�' _, "��`:_-��.�'� �_�,�.. f: sI ..r-- -_T., _ .__ � " � SuB�ELi . City of Fridley AT TME SOP Of TME TW INS g � I L D I N G P E R M i T r � � � ; y _�_�� COMMUNITY OEVELOPMENT DIV. r � � PpOTECTIVE INSPECTION SEC. � • • i•._-�; '�' �� CITY MALL FRIOLE� 5S�J2 NuMBER pEV 1 612-57 �-3450 9�aFi 5 �oe �ooAess 6171 Heather Place NE 1 LEGA� �OT NO. BLOCK TRACT OR AODITION oesca. 8 1 Heather Hills West t PROPERTY OWNEA MAII AOORES$ Janezich 6171 Heather Place NE 3 CON7RACT01i MAII ADDRESS OATE P�GE Oi 5/10/99 / / B& J's Construction 1556 N Snelling, St Paul, MN t ARC1iITECT Oii DESIGNER MAII AppRfSS S ENGINEER MAIL ADDRESS PERMIT NO. 2944; RECE�� AVVROVED 9Y SEE ATTACHED SHEET 21p PMONE IICENSE NO 646-8943 ZIP PNONE IICENSE NO. 20138623 ZIP PHONE IICENSE NO 6 USE OF BUILOING Residential 7 CIASS OF WOIiK ❑ NEW O ADDITION C� ALTERATION p REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Rebuild a 20' x 11' & 18'6" Deck 9 CHANGE OF USE FROM STIPULATIONS See notations on plan. TO CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOU�REO FOR ELECTfitCAL. PlUM81NG, MEATING. ��` v vv•�. VENTII.ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONS7RUCTION 20NING AUTHOR12E0 IS NOT COMMENCED WITNIN 60 OAYS. Op IF CONSTRUCTION OA WORK IS SUSPENOEO OR ABANOONE� fOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO OWIG. UNI7S I HEREBV CERTIFY TMAT 1 MAVE READ AND EXAMINEO TMIS APPLICA710N 1 AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AWS VALUATION ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILI BE COMPLIEO @ WITN WNETMEii SPECIFIEO MEpEIN Ofi NOT. THE GRANTING OF A PERMIT y�2,326 OOES NOT PRESUME TO G1VE AUTMORITV TO VtOIATE OR CANCEL THt pEiiMIT fEE PqOVIS�ONS O: ANV OTHEH S7ATE Op LOCAI LAW REGUTATING GON- STRUCTION OF 7ME � FORMANCE Of CONSTRUCTION �H3 . ZS �^ PIAN CHECK FEE !�-~- � `V - S�GN�TUpEO�CON' ACTOAOAAUTtiOp�ZEO�GENT �OATE� ..,e. nee •tUAE 0� OWNEp�� OWNEpBU�tDEp� �O�TEi OCCUPANGYGROUP IOCCUPANCY�OAU SO.FT CU FT OiFSTREET PARKING STALLS GARAGES SUR7AX $1.16 $AC MARGE F e SC $2,33 T TAL FEE 86.74 ` � ALI i � HIS IS �= PQRJ11= // NEW ( J Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �'% BUILDING P�RMIT APPLICATION �� (i' �� ConstructionAddress: ji � 7/ �i ��, y—•� o�� ' ,' dl f e,y m h ,�. �� Legal Description: Owner Name & Address: ��'� �� C fi� Tel. # Contractor: � � T � S Y� S `CYtI . I � � MN LICENSE # a ° � 3 �' �a � Address: � 5 Slo N . ,S� e (.0 f ng ., � � P��- Tel. # ��' (o �i(o - � 9 �/,? Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: � Length � o� Width i/ T� �f`� �Hgt/Ground 3•�". Sq. Ft. �'�, 3Z Y�.Z? OTHER: ��. �3 u� � � d o� C,�,2�2 -� ` DE �k �� . 3% Construction Type: �.�,� � Estimated Cost: $%�o d� '� (Fee Schedule on Back) Driveway Cbrb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$. DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $ Z� $ �� $ > $ $ $ $ $ $ $ G- �y CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per 5AC 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 [ ] . / . RONALD F. MEYER L�ND SIIRVEYOR L.�.ND SUINtYtNa sY�D1Vt�lON Dt�ION Tiu.sh+oNt 771-436a oe0 Jts�it ST. sT. PAN�. MINN. sa�o� � I hefeby certify thaS this survey was prepared by me a�d that 1 am a duly Reqiste�ed Land Surveyor under the laws of the State of Minnesota. �� Reg. No. 9051 Date: % � �Z e v: y/f'- BZ ira� �4e r. 7- 2I •It No✓rt o Dsnotes iron monuraent plsced � h�EA TtiE� - . _ o�� A �',�" s� . �i �.:�- .� _.� �: a , S Z S .i a��,��• — � ,1%�� s ��rR%�«9` �� P �� ° � s'r-: . z� ,�� V v ,1' E y ° iy) /{�yA�R�� O� C .- �,,; ; � So�►ls i 1" � 30 • ..� ��LK • . \ � � S f!. Ufi/. �y �sin'f _ _. ._ _ — — ._.. ._ — / 6. 7B Lot 8. H2ock 1, �ATHER HILLS i�ST, Moka County, Minasaota. � . , ,, - V � E r�� Q m a i" _ tt ,,, � �� - � � r " � � �' �'� o � �` ¢ i�� x�'n �[- � /o � M K• u u �� o u .h � �< <� �' ? � � � � � � � � N Q 2 po � E-°, o�► N 0 � J � � � � W Q � � � J rt 4 ? : 2 `� J �! N � �2 2 � � < � � � J � J � Q r � � � �= . � .o �, I J l d � 2 i c � n� � G Z t C� :� ro � a 3 � � «1 �. � 1,' ; <� 9-33/ ,. r�. oi // • �� '� � � � e`��c, ,- � � � c�S ... ... ......:1 �\J �`�, s ` � �'� �c� . . . . . - _ . . . . I � \ �� ` . � �� f t,. ATFD�2 n� S'A�A-S � ._. .. ._., -.. _ - ; � Z � $!./a13 ' �, - •..._..------�-•----_ ... � � 1 � �� 1 • ` '" s �� r �4_� '� _ � `, `, �oN 0 9 �, � �°` � '�=- � 3 �� .� �_ � . �1. � � � �� c�..vt , J �� y � � � , � - � � � �� J � �� ;. � � " �N � � �. � � Su9�ECr c�ty of Fridley AT THE TOP Of THE TWINS g � I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. � ; V ��..� , r � � PROTECTIVE INSPECTION SEC. � . . i.-•-�; �'�' �'� CITY HALL FRIOIE� 55132 NUMBEA RE� L 612-57 �-3a50 s�aFi 5 lOB ADDRESS 6171 Heather Place NE t LEGAL ��T NO. BLOCK TRACT OR AD01710N oesca. g 1 Heather Hills West 2 PROPERTV OWNEti MAIL ADDRESS Mr. Janezich J CONTqACTOF MAIL ADORESS Westurn Cedar Supply 9700 13th Ave N Plymout a ARCMITECT OR DESIGNER MAIL A�DFiESS 5 ENGINEER MAIL AOORESS 7/21/99 ZIP E1- ZIP 21P v�GE O� � � PHONE PHONE MIT NO. 29918 O. ��0 •VVROVED Br SEE A7TACHEO SNEET LICENSE NO i6 LICENSE NO LICENSE NO Residential � CIASS Of WORK ❑ NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garagg f6Z SCA� Tear-off 9 CMANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE Of I SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING. MEATING, VEN71�qTING OH AIR CONDITIONING THIS PERMIT BECOMES NUII ANO VOIO IF WORK OF CONSTRUCTION 20NING AUTHORI2ED IS NOT COMMENCE� WITHIN 60 DAYS. OR IF CONSTRUCTiON OR WORK IS SUSPENDED OA ABANDONEO fOR A PER100 OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWl 1 HEREBV CERTIFY TMAT I MAVE REAO ANO EXAMINEO TNIS APPLICATION ANO KNOW TME SAME TO BE TiiUE AND CORRECT A�� PROVISIONS OF LAWS VALUATI( ANO ORDINANCES GOVERNING THIS TVPE OF WORK WIL� BE COMPLIEO WITM WHETHER SPECIFIEO HEpEIN Oii IYOT. TME GRAfYTtNG OF A PEiiMiT $5418 OOES NOT PRESUME TO IVE AUTMORITV 70 VIOIATE OR CANCEL TNE pEqMIT f PROVISION$ OF ANY ER STATE OR IOCA� LAW REGULATING CON- STRUCTIO RMANCE OF CONSTRUCTION �125. / l` P�AN CNI Gl S ��1�� Ll ' S�GN4TU EO�CON'i7ACiOAOpAU NT iDATEi S�GNaIUAE O� OWNEp�� OWNEp9U��DEA� �O�TE� n SO.F7 UNITS STA�LS ROUP OCCUPANCVLOAD CU FT OfFSTREE7 PARKING IGARAGES SURTAX $2.71 I$ E P_� ` �� rrEw � � � r ADDN [ ] �.T�t L ) Construction Address: Legal Description: � Effecuve SI10/99 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.,DING PERMI'T APPLICATION �� a9�� Owner Name & Address :/"Ir /�1 Gr1 � 2 � c� Tel .# S 7`l ' 7 r�/� Contractor: (�.�Sf i.t r� Cec��.l �c,,,�D %, MN LICENSE #�6%�,�.s� Address: �7CL'� /3t'' �iCJ- ,��y�� "t� .5^S��Tel. # S�� 1...�,�G�j Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OT`HER: Construcdon Type: DESCRIPTION OF Il�IPROVEMENT Length Width Height Length Width Height Le Widt� HgtlGround � g �,� C �•�� lK / / _ - � � ra . Sq. Ft. Sq. Ft. Sq. Ft. _ G ♦ + r��'!�f�� i , - � � '�'��.(a•r'� � ' ♦ Driveway Cbrb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �" � ( V �I� APPLICANT: �-� S. �l,er Tel. # �y( �a3°LY � CITY USE ONLY Permit Fee Fire Surcharge State S�rcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STII'ULATIONS: $ �� 0 $ � $ �7l $ $ � �Jl� $ $ $ $ $ �O Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.soi$1,000 valuation $1050 per SAC Unit $5.00 (State Licensed Residential Co�cactors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ j ,�° sue�EtT c�ty of Fridl�y �� 3 21 � 4 �� °� °� �� '��s g U I L D I N;� P E R M I T � ` RECEIPT NO. � ; L�� COMMUNITY pEVEIQPWIENT DIV. �o� ��O ^ ( � � PROTECTIVE iNSPECTION SEC. -� �j 1 . � , �'�'1 � CITY MALL FRIOLE� 35�32 NUM�Ep pEV OATE PAGE O� APVROVEO !� �'""�� '' 612-571-3450 9�0-Fts 9/7/O1 / / �oe nooaess 6171 Heather P3ace NE � t IEGAI �OT NO. BIOCK TRACT Oii ADDITION SEE A7TACMED oesca. 8 1 Heather Hi11s West SNEET 2 PROPERTY OWNER MAI� ADOpES$ 2�P PMONE Gail .Tanezich 6171 Heather Place NE 763-574-7442 3 CONTRACTOR MAIL ADORESS ZiP PMONE LICENSE NO Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 763-502-4777 20130983 t ARCNITECT OR OESIGNER MAt� AODRESS ZIP PHONf LICENSE NO 5 ENGINEER MA1l AOOFESS 21P pMONE LiCENSE NO 6 USE OP BUIIDING Residential 7 CUSS OF WORK O NEW O AD�ITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK �eplace 5 windows within existing openings 9 CHANGE OF USE FROM TO ST1PUlAT10NS Provide smoke detectors in aI'� sleeping rooms and on all �eveis of the dweiling per Sectior. 310.9.1.2 of the 1997 Uniform Buildir.g Code. Caulk and flash ail exterior openings. Permit Inspection Cards Will Be Ma��ed To Ho�eowner To Post tYPE OF CANST OCCUVANCV GROUP OCCUPANCV LOAD SEPARATE PERtYtITS ARE REOUIRED fOR EIECTRICAL, P�UMBING. NEATING. VENTILA7ING OFi AIR COND1110NING 7MIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTpUCTION 20NING SO fT CU FT AUTNORQEO 15 NOT COMMENCED WITHIN b0 DAYS. OR IF GONSTRUCTION � Op WORK IS SUSPENDEO OFi ABANDONEO FOR A PER100 OF �ZQ pAYS AT ANY 7tME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PARKING 1 HEREBY CER7IFV TMAT I NAVE READ ANO E%AMINEO THIS APP�ICATION 1 STA�LS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VA�UA?�ON SURTAX AND ORpINANCES GOVERNING TMIS TVPE Of WORK WILL @� COMP�IEO WITM WHE7HEF SPECIFIEO MEAEIN OA NOT. TME GRANTING Of A PERMIT �9�695 ��F.$S OOES NOT PRESUME TO GIVE AUTHOFiITV TO VIOLATE OR CAMCEI TNE pEqMITfEE SACCMARGE PROVISIONS OF ANV OTMER STATE OR LOCAI lAW qEGULATING CON- @ STqUCiION OF THE �EpFORMANCE Of CONSTRUCTION y�I.HI..25 Fire SC �9.70 CLAN CNECK FEE TOiA� FEE ' ense C $5.00 $200.80 S�GN�TUAEO�CON"Q�CTpppp/,uTNOQIZEO�GEN� �O�TE� yyH PROPEpLV VALIDATEO THIS 1S VOUQ PEpMIT � -/y oi S�GN4TUQEOFOWNEQ��OWNEABULLDEA� �OATE� ` DG'�NS� � � qcrE �[ ] ADDN ALTER. Effective 5/10/99 I l crrY OF �'RIDLEY [] SINGLE �'AMILY ElND DUPLEXES R i AND R-2 BUILDING PERMIT APPLICATION �onstruction Address: �Q ��"l �� .� . Lega1 Description: Owner Name & Address: �� ` ��.��' J� �` Tel. # �' �e 3 •� �'�{ • �' � y � Contractor:; Renewal By Andersen MN LICENSE # Address: 350-73rd Av �SNE Tel. # Fridley, M� �63-so2-��77 Survey ofthe #NIN20130983 Qn it to scale. �_ _ ___ _-- DESC�tIFTI.ON UF �'�Q�EN�NT _ ' LIVING AREA: GARAGE A1�EA: DECS AREA: � OTHER: Length Wi3th Height Sq. Ft. L.�ngth Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Fstimated Cost: $�,�pq c� `� —r � ; Driveway C�Zrb �Ctiut Width Ne�ded: Ft. + ti Ft = Ft x$ _$ - � t - — Da�: � • • � a��Lieaav�r: �, �, �..�`A t(��.� ,o�j Tel. #R�a• 34S • �0 �' Permit Fee Fire Surcfiarge s�� s��ge SAC Charge Licsnse S`�.rcharge Driveway Escrow Erosion Control Park Fee Sewer Main .iChazg� $ i�l a� � �O $ �--�,�-- � " $ °cs $ $ $ $ TOTAL $�� STII'ULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Perm,it Valuation (1/lOth%) $.soi�i,000 v�an $1050 per SAC Unit $5.00 (State Licensed Residential Co�ractors) Alt. "A" or Alt. "B ° Above $450.00 Conservation Plan Review Fee Deternuned by Engineering Agreement Necessary [ ] Not Necessary [ ) . .� Sul�ECi P City of Fridley 33683 AT TME TOP OF TME TWINS g� I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITV OEVELOPMENI DIV. � % / � z f � v � Pp07EC71VE INSPECTION SEC. / J � , � _ �"'1 � C�TY HALL FFIOLEV 55�32 Nu►�BER pEV D�TE v�GE OF �VVi10vED Bv �""� � �'� 763-571-3450 s�aF�s 7/9/03 / / �oe �ooRess (171 Heather P�ace NE 1 LEGA� �OT NO. BLOCK TRACT ON AODITION SEE ATTACNEO oesca. 8 1 He�ther Hi��s West SHEET 2 PROPERTY OWNEii MAII ADDRESS ZIP PHONE Gaii ,�anez�ch 6171 He�ther Pldce NE 3 CON7RACTOR MAII ADORESS Z�P PMONE IICENSE NO Renewa� By Anderser. 1920 Co Rd C W, Rosevi�Ie, MN 55113 651-264-4777 20130983 1 ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL ADONESS ZIP PHONE LICENSE NO 6 USE OF BUILOING Reside-�t�� 7 CLASS OF WORN � NEW O ADDITION O ALTERATION Q f1EPAIR O MOVE O REMOVE h B DESCRIBE WORK Rep�ace 3 Wir,dows Within Existing Openi�gs 9 CHANGE Of USE FROM TO STIPULATIONS Prov�de smoke detectors in ��1 sleeping rocros and or. a�l �evels of the dwe��:,g per Section 310.9.1.2 of the 1997 Uaiform Buildir.g Code. Cauik a:�d f�ash aI? exterior openir_gs. Permit lnspec#ion Cards Wii! ge Mailed To Homeowner To Post TVPEOfCONST. OCCUPANCYGROUP OCCUPANCvIOAO SEPARA7E PERMITS ARE REOU�RED fOFi ELECTRICAL, PLUMBING. MEATING. VEN7ILATING Oq AIR CONOITIONING TMIS PERMIT BECOMES NUIt ANO VOfO IF WOflK Ofi CONSTRUCTION 20NING SQ. FT CU FT AUTHOR12E0 IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDEO OA ABANDONED POR A PER100 OF 120 DAVS AT ANY TIME AfTEW WORK IS COMMENCED. N0 OWIG. UNITS OFFSTREET PAFKING I MEREBY CERTIfY THAT I HAVE FEAO ANO E7(AMINEO TMIS APPLICATIpN Z STAILS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORiiECr ALL PROVISIONS Of LAWS yA�UATION SURTAX AND OROINANCES GOVEFiNING 7MIS TYPE OF WOHN WILI BE COMP�IED WITM WHETHER SPECIFIEO HEREIN Ofi N07 TME GRANTING OF A PERMIT �E) �SO9 �3. ZS DOES NOT PRESUME TO GIVE AU7MORITY TO VIOIATE OFi CANCEI TNE pEpMIT FEE SAC CMAq�E PROVISIONS OF ANY OTHER STATE OR LOCAI LAW NEGULATING CON- STRUCTiON OA TNE PERfORMANCE Of CONSTRUCTIQN $139.2.5 Fire SC �6..5Z P�AN CNECKfEE TOTALFEE T 'ce� s SC $5.00 $154.OI S�GN4TUpEOFCON�AA�iQAOA�UTMOA�2EO�GENT IO�TE� H PROPERIY VA�IOATED THIS IS Y Up PE IT � � S�GN�TUQE O� OWHEQ�� OwNEpBU�tOEp� �O�TE� Bl G �h5� r�t � �w [ ] ADDN ALTER Effective 5! 10/99 [ l CITY OF �'RIDLEY [] SINGLE FAMII,Y AND DUPLEXES R i AND R-2 BiJILDING PERMIT APPLICATION �onstrucdon Address: Legal Description: ' Owner Name & Address: �� C,�1n{� �,.h' Tel. # Contractor:; �rrt��a� �u At�1�xS�, MN i.ICENSE # 0"�0130� �� _ F Address: I9 a� �.Ot�r►� 1t Oo►c� C, W�.S�: �:1k � t1ntL SF.� ll� Tel. #(D`al • alo4 •�l�"i'�' Attach� to thi5 application, a Certificate of Sti�vey of-the lot, with the proposed canstruction drawn� on-it to scale. LNING AREA: GA►RAGE AREA: DECB AREA: • '1 ' Construction Type: __ DES�C�'I,�NQE ��43i��11i'�' _ — - ' - Length Wi�th Height Sq. Ft. Length Width Height Sq. Ft. Length Widtli Hgt/Ground Sq. Ft. � .. P11\ P� r n �. � . • _ � � . ..c � 1 1^� _ � . • 1 1 - ' - - . - � J `�9 — G�r``",°� Estimated cost: $ _ � t— Driveway C�arb Ciit Width Needed: Ft. + 6 Ft =_ Ft x$_ _$ . DATE: � ` � APPLICANT: Tel. � 95a •3�15 • l�Xi �" Permit Fee Fire Surcbarge State Surcharge SAC Charge Licsnse Surchazge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLJL,ATIONS: $ I�� 2� $ �O 5 T�— $ ��s $ ��_c� $ $ $ $ $ �� 01 CITY USE ONLY Fee Schedule on Reverse Side � .001 of Psrm,it Valuation (1/lOth%) � $.SOI$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.OU Conservadon Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J � ; . . Building Inspections 763-572-3604 DATE t1�,/C��' SITE ADDRESS � TFijS APPLICAI�T IS: PROPERTY OWNER/ TENANT CONTRACTOR PLUMBIN G RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS i r�N� _ ❑ OWI3ER r �ICONTStACTOR NAME: � Z/C� ADDRESS: ��wr/ !t CITY PHONE: . . . . .� t� '"1Ca vYl . . SUBMITACOPYOF I STATELICENSE# Cw�±w�� a��►_ta��•'1� �a/=� APPL CA ION H��SS� ._ (R�.1�� t��_CITY i _ ,_ LICEI�TSE WIT�-I� Fp}� PERMIT TYPE TYPE OF WORK: �SINGLE FAMILY [7 NEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY ❑ TOWNHOUSE I�REPLACEMENT iqa�� PermitNo.:� �U �1 Received By: � Date Rec'd: � � �' � STA' STATE -- - ZIP – – -- � - PER MS 16B.66� 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 ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor �� x.OS =�s �� FOR PROJECTS 4VHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.0� PER FIXTURE, EXCEPT WHERE NOTED. F[XTURES: (INDICATE TOTAL NUMBER OF EACH BELO� BATH SINK/LAV FLOOR DRAWS SHOWER WATER PIPING BATHTUB GAS PIPING (n�EEDC�n'uCEnrsEj � SWIMIvIlNG POOL WATER SOFTNER ($35) ! CLOTHES WASHER ^ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) DISHV�'ASHER _ LAUNDRY TRAY =WATER HEATER (S35) FOR IRRIGATION — WATER METER OTHER Permit Fee $ Surcharge TOTAL DUE $ L7p Number of fixtures @$10.00 x$10.00 =$ .50 Number of fixtures @ $15.00 x $I5.00 = $ Number of fixtures @ $35.00 x $35.00 = $' State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMI7'-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 permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o ll or w i requir view d approval of lans. � SIGNATURE OF APPLIC PRINT NAM�� DATE � — __ _ _ _- ---- _ -- –.— City of Fridley � — Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 v� , � Permit No. • ^� � Building MECHANICAL Inspections RESIDENTIAL APPLICATION Received By: 7. 63-572-3604 CjTy 4F FRIDLEY nate xec'd: �� DATE � O"�' YOUR E-MAIL ADDRESS st�,wD�ss r n i`1 1 11 � n-�h.G � � i�� -- TH1S APPLICANT iS: ❑ OWNER MRAGTOR PROPERTY Hp�; OWNER/ ADDRESS: - CITY �n�% , _STATE ZIP��y3a TENANT �� .�� PHOTiE: �I�e CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE - LICENSE WTTH ,a,Dpg�g; CITY STATE ZIP APPLICATION pH�� . . FAX PERNIIT T`�IPE �GLE FAMILY O TWO FAMTLY ❑ TOWNHOUSE TYPE OF WORK• ��W O REPLACEMENT ❑�LTERA'!'ION/REMODEL ' �� DETAILED DESCRIPTION OF WORK � � � � J PER MS 16B.6b5 the permit fee is a minimum of 515.00 or 5°/. of the total cost up to 5500.00, whichever is greater, for the improvement, instailation or replacement of a residential fixture, excluding the fixtwes. {lhis should reflect only the cost of labor } Labor cost under $300 =$15.00. Labor cost between �300 to $SOQ = cost of labor x.OS = FOR PROJEC'fS Wi�RE IABOR EXCEEDS S500, FEES ARE BASED ON S10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� Equipment Installcd . MFG: MODEL: SIZF/B7'IJ MFG: MODEL: SIZFIBTU MFG: MODEL: SIZFJSTU A/C S25.OQ FIREPLACE (GAS) 515.00 GAS RANGFJOVEN 510.00 �AIR TO AIR EXCHANGEER SIS �FIREPLACE (WOOD) 535.00 NEW GAS GRII.L S10.00 lBOILER S35.00 FURNACE 535.00 GAS UMT M'R S 10.00 CHIMNEY L1NER 510.00 GAS DRYER 510.00 _POOL HEATER 535.00 iDUCT WORK SI0,00 GAS PIPING S10.00 _VENTILATOR S15.00 '�?��'sEE£�'T�dJ��S`�OR�1�fiDER�$50� �':., ��`� � �'. �RM`� �.EO� �� O�R�=�500� . ..... . . . _ . . - , w._... . _ _ ._... Permit Fee $�� Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .SO Number of fixtures @ $15.00 x �15.00 = $ TOTAL DUE $ L�5 .� Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Swcharge = $ �— �5,0,� Tota1= $�=�..�� 7HIS IS AN APPLICATION fiOR 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 permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all rk which requ' review and appro��al of plans SiGNA'fURE OF APPL3CANT PRINT NAME DATE / o��'� 2%% £ . .;�'„�;L�=`ASE,�1'D��SEE�IZA='�'E�PERNi�T'STARE:, UIREA':FOR_BI�ILDIl�(G;'E��CTR7GAi;AND�NIECF�A�TIGAL�'4�ORI��% City of� k ridley Building Inspections Department � 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977