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AF - 47366� • City of Fridley, Minn. BUILDING PERMIT N°• 3 fi 8 2 Date: ...�' ...� .� ..-.��...��.......... Owner��!��.�'4�. .4. . .1/.G:�i.'f'� . . . . . . . Builder � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � � � Address ............. ....... ..... ........ Address ............................................. � `� � LOCATIO�V OF BUILDING � No. KK. ..%... Street .... ..... ...,�.�� .......... ..... ... / ...... Part of Lot ...... _ , � ............ . .... � .� �� r �Z�� p ~ Lo�''t "� Btock . � . Addition or Sub-Dfvision ��r .Gf. � .e�Q �. , .. � p Corner Lot ............ Inside Lot ii.......... Setback ��y. Sideyard lV. :.�f ................... � � � DESCRIPTION OF BUILDING - � To Used �. � y fi .��-z�� . . . �t �! a :�� n@�n � `.o . Height � 1=a sQ. �. ./.df�Q. cu. �. �' �li'7. !�O . . . . . . . .. . . .. .. . . . . . From . . . . . . . . nepth .. . xeight� . . . . . sq. Ft. . . . .. .. . G�: Ft. . . . .. .. . Type of Construction . .F ��. . . . . . . . �t. Co/C. �a1. (. /.� . � . . . . To be Completed . . . . . . . . . . . . . . . . / / i � / � '7�7 , i / � / � /�•I � . , / , -_ _ _ / / � , � / � � , � .- � � l Yn consideration of Yt►e iss�uance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. f� .�!!.l�!�!L��:`^-:�4!. �%�r!. .� .............. In cansideration of the payment of a fee of $.�¢ �:.., perxnit is hereby granted to ................... . .. .. .. .. .. . . . . .. . . . . . .. . to construct the building or addition as described above. This permit is granted upon the express condition that the person .to whoai it is granted and hia agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all r�pects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. r l �.'�..p,�%�f.R:l...�...... Building Inspecbor NOTICE: This permit does not cover the conatruction, installation or alteration for wirinp, plumbinp, �as heatinp, sewer or water. Be sure to see the Building Inspector for separate permtts for these itema , __ � �� q�� : APPLICl�TION F�OH BUILDTNG PERMIT , :, CITY �OF .FRIDLEY, MINNESOTA Owners Name > ,.�Ai�� Buitder . � ��e�� Addresa � � �� t Address ��/'� ��1 �f%� . � . � LOCATION .OF BUILDING � - �. No. Street .�-•'✓�,..._,., P�rt. of I,�t � j ��/_�._. �/ � . � / Lot �`b Block . � Addition or Sub. Div. ��,,,t� � �� Corner Lot •�. } .� •�nside Lc�t �Yt _`�.._ Set Ba.ck � " ._..._. gpplicant att,ach to this.form Certificate of Survey of Lot and proposed building location. �. DESCRIPTION OF BUILDING To be uaed as - � . �` S ; ., �S .�- � ' � � � �+� �� , � � ��ont � � Depth ��- �° Height , � S . Sq. Ft. -,�--�C�--f 0� Gtii. Ft. �.�� , � , ;F'ront �.�G._... Depth �--,.�.__Height � r s � � �S � ' , Sq. Ft. �. Ft. �.._ ' � v o� i� Type of Construction � Estimated Cost � �' .� t � . To be completed ' ' The undarsigned �ereby makes appYication for a permit for the�work � , herein specified, agreeing to do all work in strict accordance wiih the City Qrdinances and ruling of thQ Department of�BuiTdings, and hereby. • , deelares that all the facts and representa.tions atated in this application are true and correet. . ]�l,a.te �" - S ! � � " Signature � �•(_%c/, (A Schedule o£ Fee Costs can be found on the Reverae Side) _� � � � _ � � � � � �� I �` � � � HARVEY A. CARTWRIGHT C��G� � OLSON ANOKA GOUNTY SURVEYS HENNEpIN COUNTY SURYEYS L,� ND S UR t�'E YORS MINNEAPOLI$ SURVEYS . 8410 SHqDY OAK L�NE N.E. RE¢If7ER[D UNDlR LAWS :OF STA7[ OF MINNCSOTA , SUNSET 8-0079 �... �,�GENiip BY .ORDINANCB OF GTY OF MINNEAPOLIS OWNE / L'� '�.r.V•� 345 PLYMOI,JTH BUILDING LINCO�N S'7'721 INDL{STRIAL-- JUDICIAL - BUSINE85 — TOPOGpAPMIGAL � ; ��Q1fp1'��.�rrtif�catc�� GITY 1075 — Plq7TING � ' C E;ar-t�tt �;onst.. C:o., IrSC. �`, F-�. yga. 06 ` : ,, . �' � ; � _� x�. q�� - _. __._. __ ._. �' ` ' � � .?U Ir:,r! �, -� � - ---- E/• BBD.lB � � � �.,� • ._ - � � �t j M � � � � - --- - - -- _ � _ � : : �,r :, t � � �.. i � - �� = r � 1�� : ��. i o o-. 1� i ' "� 4 � �' �c.,; � °' 3 S� � � s, ___ __ ____ ; __ \ �'/ �R�i.9r', . � . �' v V r _) �7 � � 4 � �'j � .? O _ ;r 4r. �t�88n. /9 - --� _ � _ �. �.,6 -- /.9S �!6 ► . COM6INING THE RECORDS OF J. E. HILL, Crv�� ENGINEHR ESTABLIBNEb �s�s C. F. SANDHOFF CIV{L ENGINEER . ESTABlI3HED IYW JAMES NELSON suav�roa �EfTAdLIeHEO IY2i METROPOLITAN LAND SURVEYORS. ESTABLISII[D 107f .. Tnv. I3$lI ,. ��/� � s� � --� 5 � . __ _ _ ._ _ .---� 6 I �-- � �;h ��6 L p .�, � . _ E� 8�,. � 9 �� f� � i`� � ` �, � v d. v, '�o � � � � � � � . � %��6 � �I ` ._.�__ " �r,..._ � : _._ __ _ __ . . _ _ � �_ . . � �i � . �.,� li � � ; �� o� ,-_ . ��,, , ji ; .� ' �� , ►-- f � , � �"__ "_'_ "". "_"_ __'_ _'� :. .. . i � � ..� •'� .t, ;�d3ql� l3S. _~� , � �! �'�. ;_� . . ��Y ;" i( �il rl � {j �� j) �' �� I ( a I � � I � I h r�-�hy ceT± �.t y that th � s is a tr.ue and corr�ct pl �t of a `�; surv�y o Lot 19 except the North 1C..�.e.e_�.�.,.,.��Qnt �and,,��a�z,.�. L.a.t�..18 _� _.� .�.�_. , - _. .. . �_��_.. .. . _ ,f _ f anci t}�e 1`'orth `�. ieet, tront ar�� rPar, oi. Lot 17, Eslock 5, i-lorence _ �Park, incluciing +he ��'�est ! ot alley to be vacated lying adjacent and to ir �ar. o# saic� Lots, su^ject t . ._ tne East 5 tPP't ~---,.. � � , (. t.,ereot ior utiJ.ity nur�oses, as survr��-ed by me this 2nd day of �une, _ l�?` 5 H. u. ' ! � /,. � //��-^-''+' r . /'T �.t'! /J� `'�J/�.. . 31GNED ' �'-- �J�.�' ..._ . !' T RIGHT AND OLSON' �. .. � � . '. �. _ _ . .. . a - ..~ ��;. ... - - � — / �� a .... Y�� - � � 1 � )/ t M � � Appfic.ation for P�awer Plnnts ond He�a�ting. Coo[ing. Ventilation, Refrigeratio�n c�d Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GAAVITY WARM AIR: RATE TOTAL Furnace SheII & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement o4 Furnace . . . . . . . . . .. . .. . . . . . . . ... . . .. . 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. � ,– �Furnace Shell & Duct Work to 124,000 BTCT . . . . . . . . . . , . each add. 60,000 BTU ............. ......... Replacement of �xrnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . .. ... . . . .. 8.00 $��_� 8.00 �t 5.00 $ 5.00 $ 2.50 $ ST�AM ar HOT WATER SYSTEM Fyxrnace Shell &�,ines--to 400 sq. ft. EDR Steam ...... 8.00 $ F�arnace She11 & Li.ne—to 640 sq. ft. EBR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. E'DR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gaL per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up ta 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $�,L �! � GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ............:......... x $1.50 $� Additional F`ixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR C 2� � � ` AN HEATING SY3TEM �, See Fee Schedule VENTILATING �YSTEM � ALTERATIONS & R�PAIRS TOTAL FEE REMARKS: .�=s'� � � Q G Depf. of Bldgs. Phone $II 4-7470 � � • ' � _ d, / � City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ru2ing of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Owner � � Kind of Building � Used as To be completed about �� ' 0' Estimated Cost, $ �� J�d�--New. Building Permit No. ��L� 7`L �-- — DESCRIPTION OF WORK 195_ 195_ 195— HEATING or POWER FLANT5--Steam, Hot Water, arm Air�N . Trade Name��,f�� Size No. U/��S �d Capacity Sq. Ft. E.D.R. C� Ov0 gTLT H p Total Connected LoarL �� d��- Kind of Fuel -y G� �=�- BUR.NER. — Trade Nam� Size No Capacity Sq. Ft. E.D 11 pOST IM-12-58 BTU H.P. �i�"" " ��G �`' Sign sy Business Phane No b2_t�L�?'►T� � ( _ __ _ ��Sv HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS � _vnu►�E oF RicHFietA _ Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows J Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applit Yes—No � Yes—No 19._ � Fl.� (�.� ,�k Room � Length � Width � Height $ � Fl.� � � J I NG Rooa► � Length �� Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area \Vidth Hefght No. ot Ltneal tt. Area � � Wldth . Helght No. o[ Ltneal tt. Area No. ot Dane of Dane lighta of crack� aq. ft. No. oC Dane of. Dane I►Bhts � ot craek W. [t. N 1 tib ti ti�1 ► � i'� � 3' �' ' p��t ti a v ��l r i l� 8 � y" Tft��M — Coef. Btu 3 y ti o '✓ 1. t l Infiltration 1i 1� 1 �� d Infiltration ti Glass I � � o ��s F.xp. wall � 3 % 1,'� F.�cp. wall I�.� t I 3 X % 4� b o � Net exp. wall 1, — 5? �. I b �v � l�et ezp. wall a_� 1, Int. wall Int. wall Ceiling � x �� 3 l� Ceiling ►�f L x i a �, � Floor Total Btu. �j � Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area 1 Fl•� I�eB -,� �►/ Room � Length ��j Width I�_ Height �3 Windows and Doors—Crackage and Area Wtdth Helght No. o[ Lineal tt. Area No. of pane ot pane liBhte o[ crack ea. ft. z ( ti �a � � � J �� v� v I I 1' 4% Coef. Btu In6ltration v►� o � 2�6 � Glasa q, Exp. wall 1�J fi� D_ X�% I�`� Net exp. wall ��.� . ti I i! r m � G v Int. wal! Ceilin8 � a � r �, +'V Floor Total Btu. � I Required sq. ft. E.D.R. or sq. ina. W.A. Leader area ( Fl. 1� � 3 Roam � Length I� Width ( a Height $ Windows and Doora--Cracl�age and Area Width Helght No. ot Llneal tt. Ares No. ot yane of pane Ifghts ot crack W ft. � 3v� 26 y F �y tn Coef. Btu Infiltration � 0 6 p Glaas � S (, �, b Exp. wall I D x$ : g o Net exp. wall �- �'U � � o (o $� Int. wall Ceiling " y� p j 3 Fj 1 'L 0 Floor � Total Btu. v p Required aq. ft. E.D.R. or sq. ina. W.A. Leader area , BPC2M1037 Floor Total Btu. '� Hei�ht � � r3 ��% roef. Btu � tib�° 3 D �� 2�va 1'1 �13 v t Required sq. ft. E.D.R. ot aq. ina. W.A. Leader ana � 1 F�I.I i� T T F r�m I 1•�n8� !� Width 1 Height $ Windows and !)oors---Crackage and Area 6 Width Hef[ht No. ot Lineal tt. Area �� No. of pane o[ psns ilshts ot crack a¢. [t. f3 2'$" (' bo(! � / � �'! �(0 1� 1 °J '�j y L? �j, O 2� i/ / . � Coef. cu Infiltration o ^ ' Glaaa 1� 3 � Exp. wall r� � t I.3 X�% 1- G o Net esp. wal! 2� o -�'y Int. wal) Ceiling � q , ,� � 3 0 '� � � tis3 11 �301 Tota) &n. I 1i' Required sq. k. E.D.R. or sq. ins. W.A. Leader area I F1.� f3�i Room I Length j 3 Widch _ He�ght $ Windowa and Doors--Crackage aad Ana � Width Helihi Na of Llneal tt. Are� � No. of psns ot-pane 116ht� ot crsck W tt. � i yU l� � 1� �— In6ltration Glasa Exp. wall Net exp. wall Int, walt Ceiling 1 Floor J Total Btu. Required sq. ft. E.D.R. or aq. ina. WA. r.eader arra �� N�1�1 ef. Btu � vo � �� 8� D�S6 z � :�'.=:�., s HEAT LOSS C�LCULAtIONS DEPARTNIENT OF BUILDINGS FRIDtEY, MINN. Weatherstrips A.S.H.V. , Construction No. Insulation Guide Windows i Doors � Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es No � es No 19_ '� - Fl.� L, Room � Length Width Height EI.� Room Length Width Heig�ht Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vidth Height No. o[ Llneal tt. Area Wldth � Height No. ot Llneal ft. Area No. ot pane of Dane lighta ot crack ea. it. No. ot pane ot Dane Itghts ot crack e4. tt. Infiltration Glasa Exp. wall Net exp. wall Int, wall Ceiling Floor Total Btu. Coef. Btu , , � , � rl.� Koom � L.ength W�dth tieight Windows and Doora—Crackage and Area - �� Wldi,h Height No. o[ Llneal tt. �Ares , No. ot Dane ot pane il[hta ot crack �p. tt. � . Ia6ltration Glaaa Exp. wall Nec exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Lesder area FI. Room � Length Width Windows and Doora—Crackage and Area Wldth Helght No. ot Ltneai tt. Area No, ot oane ot pane Ifthts ot crack sa. tt. , � 1n61tratioa Glaaa Exp. wal! Nec eap. wall Int. walt Ceiling }� loor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader ana Btu I Btu I Infiltration Glaaa Fsp. wal! Nec e:p. walt Int. wa11 Ceiling Floor Total Btu. Required aq. ft. E.D.R. or aq. ina. W.A. L.eader area �.� t�� p$a� w;a� Height Windows and Doore--�Crackagt and Area Wldth Helght No. oL Lineal It. Area No. ot nane of vane I!`dta o[ crack eQ. tt. Infiltration Glaaa Exp. wall Net ezp. wall Int. wall Ceiling Floor Total Btu. Required aq. k. E.D.R. or aq. ina. W.A. L.eader ares �.� �� r�,� Widch ��hr - Windowa and Doora—Crac�age and Ana Wtdth Heisht No. ot Llaea! tt. Area No. o! pane ot.psne IiBht� o[ crack p. tt. Coef. Btu �, Infiltration ' Glaaa Fap. wall rvt� �p. W8u Int. wall Ceiling Floor Total Btu. Required aq. k. E.D.R. or aq. ina. WA. Leader area .^^�..: City of Fridley, Minn. BUILDING PERMIT � N° 5541 Date: � ""� ._._..---. .... R.._..:._! � _._._ ___.__.__.._...._ t � � ��I Owner: .. ...�_.��;.�� ._.._:. _=•••••.�=•--.___ Builder _ _ . ... ......------- --.__......-------=--��--......_..._.�. .,,�. _ _._ .. .� Address....._......._..._......._...._...._..___.��.__..r.... ...__........_...._.._......._.._ Address .---•--•...._.._..__._----•------_..._...-•---•-•-•--_...._..----_._.._.._..r�...�....._.._� ... s�t L ATION I ING No. _� _ -�- ••--- ••---•-•••---_ _: .:.. .. .. .��•,f--... Part f .....�•-- �•-'r •-IG---- _ ._._ Lot ......�.. ._......._....�_ Block .._.__-• � ' ••- ............:---•-- --... Addition or Sub- . . . n ..._ ........ .._..... _. _ ..��=�'-c•w._ Corner Lot _..._ ............:_........ Inside Lot .....�__............ l�tback ....._ .._. ........... ideyard ....:.+ �::_�..._.----_......_....._..._........__.._._... Sewer Elevatfon ._..__...---_...._..__.._.._.___-----._.._....�.----...__..__.._._ Foun ation Elevation ...._....-----.�_.._..._.-----_..___....____..___._..._.._ DESCRIPTION OF BUILDING T as: .._...: Front _� ._..__ DePth _.'�._.. __ Height ..��e!!� _ Sq. Ft. �: . Cu. FL jll�� _._.._.._...._._ __.__....._.._. t__..._..._._.. Depth ._..�._._.. eig t.._.._._ S9• F't. •-•.__._._._ Cu. F� _._._._._� � ... : L�"'� ..•-•• To be Completed .___.._____._._----.— Type of Constxuc ____... ��_.__ Est. Cost ---..-.' .__.. In consideration of the issuance to me of a permit to construct the btalding described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. , �....__._�...�. In consideration of the payment of a fee of $_..�.�.�_..._..._.._.., permit is hereby granted to.�. ....._........._._.._..._._.._._..._.___._.._ to construct the building or addition as described above. This permit is �ranted up� the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of �ridley, Minnesota regarding location, constxuction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violat�'9rr,qf any of the provisions of said ordinances. � .�/f / I Building Inspector NOTICE: This psrmit doa not eover fh� eon�rue�ioe, i�utallation for wiring, 'plvmbtny, sas hsating, s�w�e or wNsr. B� wn to »� th� Building In�actor %r ssparab psrmils for tha� iNms. ._ .__ �_ • �4 , • �_ . ... ...i APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA i � � � � - - _ _ � i . - / � i � �� / �.. -__ �,.. ,-,., �•• :-- � _ _ _,.�•_' • % Locp,TaoN o� avir.a�i�� . No . �-�� r3treet � �% � Petz't of LOt �� , �� 1�..� Lot �!�i �/�glock S Addition or Subdivision ��. Corner Lot In�ide Lot v Setback,_,,,,,�,_Side-Yatd SEV)ER ELEVATION FOUNDAT70N ELEVATION Applicant attach to this form Certi�icate of 3urvey of Lot and proposed buiiding location. � To be used asa DE3CRIPTI�N OF BUILDING �th � O Height ? 5q. Ft. Cu. Ft. Front_________Depth Heiqht Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 700 � To be Completed_ a �, ��,� �_��`�,� The undersigned hereby makes app7.ication for a permit for the work herein specified, agreeing to do all. work in strict accordance with the City of Fridley Ordinances and ruling o� the Department of Build- ings, and hereby declares that all the facts and repre$entations stated in thia appl,ication are true and correct. (Schedule of Fee Coats can be found on the Reverse Sic3e). • • . - �� G�,�� 1 � ��', G .Z � 7 �,��"'� �"�. '0 �` 3 t- .� _. , • • , .. �_ . City of Fridley, Minn. BUILDING PERMIT N° 7 � s� Da�: __��.-:1_....�-�► Owner : . ... ........._. _. ._ _._. ._. _� Builder -- -••-- --• --- ------- _..._..__ ... .. . _�. Address_...---•••-•-•-.--..._--•----.__.._..._...__...___-----.._._....._.. ..._....------......_..... Address ....._.......__..___-------_:_-•------.._.._..__.._....---••--------•-------_.._.______ ' L ATION BU DING No. y�i..�. .:� �_.,�... Street .... . . .. ...-•-•'r—",.r.zr-� t--. l..�s�•-- Part of .....��-----. .._.._ __.._.... Lot ..---.._� . Blo ....._..._......�---_..__........._... Addition or Sub-Division ....._�.___._..__..__.._..___{L��'air�'!"' �--- ._-•-•-.._...._. Corner Lot .....�_------..._._._.. Inside Lot _.._...._� ....---.. Setback _.._.._...._.._....._..._._. Sideyard _._..__..._...-----._...._.._...__...__.._.._..� Sewer Elevation _.._...._.___.._..__..____._._.�..___.._.._...._.._.._..__ Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front _._.__._� Depth _�..___..._: Height _.____......_. Sq. Ft _..__...._._..._._._....._.__..__ FSront _.._.._._.� Depth :_._..� Height ..•-��•._ Sq. F't. _.__.....__. Type of Construction __.__........_._.._..._�._.._..._...__. Est, C .i,�� .�L.[1_• .��-- To be Completed f Cu. Ft � Cu. Ft In consideration of the issusnce to me of a pernut to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. � In consideration of the payment of a fee of $�._Q_____..__.....__.., permit is hereby granted to._.._.. _.._._...__..._._.___.__.._..._..._.._._.._. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlmien, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil ' within the city limits and this permit nnay be revoked a t any time upon violation of any of the provisions of d ordinances. .... . w ,°"~1 Building Inspecto� NOTICE: This psrmlt does not eowr the eonshvetion, ins1a11alloa for wi�ing, plumbing, gas h�ating, ww�r e► wat�r. 6� wn M sw 16� BuiWin� la:p�cror for ssparot� p�rmits for th�a fbms. .._._ � �+ � . � � �. APPLICATION FOlt BUILDINQ PERMIT CITY OF FRIDLEY, MINN$SOTA _ � - O�wner' a Name Builder � ±�f �_�---�, ..,.. Aaareas C� a-- 9 7 � �.,� � SD` �V� Aaare�s 3 3� -�� .._.,.._.._,.�............_..�. _ L4CATION OF BUIi�DING � No. � � g : ��treet �� f �P�t of Lot � L� , Block Addition or Subdivision �_ Corner Lot Inside Lot � setback__�31de-Yard SL�TrdER ELEVATION • ,_FpUNDATION ELEVATION Appl,icant attach to this fo� Certificate of 3urvey of Lot and - proposed building ],ocation. � DEBCRIPTION OF BUILDING . : To.be used as: a�Y �� it Sq. Ft. Cu. Ft. Front�,�Dep� _.� eight Sq. Ft. Cu`. Ft. � � ,� � �'� �' � �J��. ` � o . Type of Construction� �- p��-' I n� f�r or�, Est�ted �o�t`�3 �9B � -r.��........��...�..��._.�..� To be Completed The undersiqned hereby makes application for a permit for the work herein speci�ied, agreeing to do all work in atrict �ccordance with the City of Fridley Ord3nances and ruling of the Department of Build- ings, and hereby declarea that all the facte and representatione �tated in this application are true and correct. � DATE 3 � `�`SYC�TATURE (Schedule of Fee Coats can be found on t31e Reverse Side). , ...� • , � +r � � i sus�ecr ER : ----- City of Fridley ° 138'73 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � ; y �_��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � �4 � r"�l � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY """�'� ,�� 612-560-3450 910-F75 11 16 76 � � JOB ADDRESS 6297 Jackson Street N.E. 1 LEGAL LOT N0. 9LOCK TRACT OR ADDITION SEE ATTACHED DESCR. �-7$�I—.L9 5 Florence Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence & Edith Pregler 6297 Jackson Street N.E. 3 CONTRACTOR MAIL AODRESS ZIP PHONE �ICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LtCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R2S1C�2ri't131 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �; REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMtTS REQUIRED F.� WlRtNG, ;. i�{EATiNG, PLUM8ING AND SIGNSR SEPARATE PERMI7S ARE REQUIRED FOR EIECTRICAL, PLUMBlNG, NEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOI� 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. UNtTS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL�CATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUA710N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED .,SSOO yS. �JO WITH WHE7HER SPECIFIED HEREIN OR NOT. Th1E 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S7•5O PLAN CHECK FEE TOTAL FEE ,. . r" $ $ . 0� i'' A SIGNATURE OF CON i F.:4CTOR OR AU��T�H 'IZED A ENT � IDATEI N PRO RLY VALIDATED THIS IS YOU PER �. � �%��--�-� ��-.�,�� ' 1��`- /� /� i � SiGNATUREOFOWNERIIFOWNERBUILDERI ( I BLOG iNSP ATE C I T�Y UF F IZ I llLEY APPLICATION FOR f:ESIDENTIAL BUILDING PERMITS (NE1�1, ALTER/�TIONS, ADDI7IONS, OR REPAIRS) .._.. --,-�w.--�...__�---�--� � OWN�R' S NAM� :C'J!�ieE_�''� 'r` E7�/TN /��EL4L F� BUILDER : ADDRESS : (�9% �i9C�,j�/r( ST NE ADDR�SS : TEL. NO.: r�o :. L v97 szRr:�T :�/��'.!'dnl ST�vE . LOT : I 7`��' BLOCK: s ADDITTOi� ;�L(��QE/MCE �iC . CORNER LOT: INSIDE LOT: � SETBACK: SIDEYA.RD: Applicant attach to this form Ztoo Certificates of Survey of Lot and proposed building location dra��:n on these Certificates. vLSCRIPTION OF BUILDI�`G To Be Used As: SE�ONI� �O(I%!/�(� Rxont: Depth: Height: Square Feet: Cubic Feet: Fxont: Depth: Height: Squaxe Feet; CuUic Feet: Type of Construction: Estimated Cost: $ �� To Be Completed: /SY ��9�7(s The undersigned hereby makes applicati�n for a permit for the work herein specified, agreeino to do all worlc in stYict accordance t�ith the City of Fxidley Ordinances and rulings of tlie Department of Buildings, and liereby declares tliat all the facts and representations stated in Chis application axe Crue and correct. DATE : • SIGNATIJP.E : (See Reverse Side Fox Additional Tntormation.) . � n. J� //�•��.�4�' � ,•• �- '�+ �-� � v��2. i�'�' � �. r *�°� � � ]3l1ILDING PI:I:4tIT FEIi SCI�iE1)ULI� SECTION 2. 1'he Inspector of Buildings shall, before issuing permits for the erection of any buildin� or structure, ox for any addition to any existing building.or structure, or for any alteration or repairs to any existing building or structure, upon application thererore, require the payment by� the applicant fox such permit of fees to the amount hexein below set forth and in the �.nanner herein provided to-wit: �3EW CONSTRUC�ION: Sing].e Family Homes and Garages: $9.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIOI�rAL INFORI�IATION _ Fox the purpose of computing fees for building permits, the cubical•contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of th� upper surface or to the average.� height of the roof surface of the ma.in gable of a pitched roof. Fox repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or. fxaction thereof in the cost of all proposed woxk. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a minimum o� 24 hours fxom the time of application, to allo�a for proper revie�.� of the proposed structure and of the construction site. � A Certified Survey of the lot, showing the location of the fouridation, once it has been constructed, will�be required before proceedin� with the framing. CERTIFICATE 0� OCCUPANCY Applic�.tion for a Certificate of Dccupancy shal,l be ma.de ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be useri or occupied until a Certificate of Occupancy has been issued. . ` , � ��`" -�. ' . SUBJECT IT NO. c�ty of Fridley 218 2 3 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 DtV. ! ^ � V � PROTECTIVE INSPECTION SEC. 1��v r , , , � /"'1 � CITY HALL FHIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""� � �'' 612-571-3450 9t0-F15 5/4/93 / / �oe aoDaess 6297 JACKSON STREET NE t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oescR. pT 17 ALL 8 PT19 5 FLOREDIE PARK ADD SHEET 2 PROPERTY-0WNER MAIL AODRESS ZIP PHONE JOHN & BARB RUSNACKO 6297 JACKSON ST NE FRTDLEY MAT 571^6577 3 CON7RACTOR MAIL ADORESS Z�P PHONE UCENSE NO. SAME 4 ARCHITECT OR pESIGNER MAIL ADDiiESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL A�DRESS Z�P PHONE LICENSE NO. 6 USE OF BUILD�NG RESIDENTIP,L 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE xx 8 DESCHIBE WOFiK REROOk' 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELffCTR�CAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OffSTREE7 PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICAT�ON �- STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED 54OlQQ • 5Q WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMiT FEE SAC CHARGE PROVISIONS Of ANY 07HER S7ATE OR LOCAL LAW AEGULATING CON- 1.�. OO. FIRE SC . S� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTAI.FEE 5 3 ls.o4 SIGNATURE OF CONTRAC bR OA AUTHOAl2ED AGENT IDA EI �N pROP RL VALID TED HIS IS YOUR ��MIT �� 1 �� . I � (/ ' SiGNP.TUAE OF OWNEA:�F O�NNEP BUILDERI iDATE� B�DG Sv parE NEw [ l ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �Z°I� \ �, � �S Legal Description: �� Effective 1 / 1 /93 � [37�7 Owner Name & Address: � ��V� �1• ��tSV�C3�CyL-O �- 1° �✓� '�t�S'V�0.�0 Tel. � 57 I- l�S'1 �► Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height 5q. Ft. GARAGE AREA: Length Width Height Sq. Ft. T DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1r-�C��Q,LV�p„ �.� 1 b �,v.n�-S Corner Lot [) Inside Lot [�j Ft. Yd Setback _ Type of Construction: ��A�X v8U-F Agprox. Compietion Date: � M j��, , � S \ q q 3 �^�- (Cost on Back) Ft. + 6 Ft = Ft x$ _$ Driveway Curb Cut Width Needed: Side Yard Setbacks Estimated Cost: $ f�' . S~'�0 °-= � DATE: S 3`�3 APPLICANT: �p,��C;Q� �vp.�nZ Tel. # S'-7 (- bS'�r1 Permit Fee $ � � Q� Fire Surcharge $ , � State Surcharge $ �Sb SAC Charge $ -�- License Surcharge $ � Driveway Escrow $ �" Park Fee $ � Sewer Main Charge $ TOTAL $ i �' � � STIPULATiONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuadon $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt_ "B" Above . Fee Determined by Engineering Agreement Necessary j] Not Neces.sary [ j _„ � s�e�ecT PERMIT NO. City of Fridley �'� �� '�; 6 f' AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f ' ' RECEIPT NO. � � COMMUNITY DEVELOPMENT D�V. ' � L- - � � r � � PROTECTIVE INSPECTION SEC � l � � _ ( � �"��1 � C�TY HALL FRlDLEY SS4JZ NUMBER REV DATE PAGE UF APPROVED B� �""�'� �'' 612-571-3450 910-F15 6/28/95 / � J08 ADDRESS 6297 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMEO �ESCR. Pt17,18,1 5 Florence Park Addn to Fridley SHEET 2 PROPERTY OWNER MAIL ADDRESS IIP PHONE John/Barb Rusnacko 6297 Jackson Street NE 571-6577 3 CONTRACTOR MAI� ADDRESS Z�P PMONE LICENSE NO Same A ARCHITECT OR DESIGNEFi MAIL ADDRESS 21P PNONE IICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PMONE IICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct a 26' x 20' Detached Garage; Remove existing 14' x 20' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Smoke detectors are required by each sleeping area. TYPE OF CONS7. OCCUPANCY GROUP OCCUPANCV LOAD SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOIT�ONING. THIS PERMIT BECOMES NULL AND VOID IF WOf;K OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERtOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE AEAD AND EXAMINED THIS APPLICATION ], STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �H�%6% �4.38 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �LOH.00 Fire SC �H.7G PLAN CHECK FEE TOTAL FEE 121.14 SiGNATUAE OF CON'RACTOA OR AUTHOAIZEO AGENT IDATEi WHEN PfiOPE Y VAL�DATED THIS IS VOUR PERMIT /"��cc� , - G�/�.�s 9' S�GNATUaEOfOWNEaUFOWNEABU4DEAi �DATE� Bl G �NSP �1�TE I, at •A6RE�MENT owner of the property located have no objectio� to the City allowing the construction of �an to be located at (a2q-►4��C�.Sov� S�.v-C;�' I�1E. , without the required certificate of survey that the Gity ordinarily requires for all nev� construction. r� .��..�/�' - -� � ignatu - ��-��- g�s�" Uate NEW ADDN ALTER ."{ j [l ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: Effective 1 / i /94 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-I AND R-2 Buitding Permit Application Tel. # 511—toS�� MN LICENSE # Tel. # Attach to this appIication, a Certificate of Survey of the lot, with the proposed constrvction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Zb� Width 2.0 ` Height C) � Z Length Width Hgt/Ground Sq. Ft. Sq. Ft. S20 Sq. Ft. OTHER: / Corner Lot [] Inside Lot � Ft. Yd Setback Side Yazd Setbacks 3 �� Q Type of Consl�vcdon: Fstimated Cost: $ $i 6�1, �� Approx. Completion Date: (Cost on Back) Driveway Carb G�t Width Nced�: Ft. + 6 Ft = Ft x$ =$ DATE: �j RS APPLICANT: Tel. # S� t-(oS�'j Permit Fee Fire Surcharge State Surcharge SAC Charge License Swcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 6� •b� $ �i $ -�-_ $ $ $ $ $ $ $I � J �!_ `�_ ��l_ Fee Schedule on Reverse Side .001 of Permit Valuation (1/1(�h96) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee DeLermined by Engineering Agreement Nac�ssary [ ] Not Ne�;,�sa�' [ ] fk(:: /� (.,. ��3/'':%lC-�. T!> ,�. � /�'"/%7�'v`�% STIPULATIONS: L�� /�T � � �,p� ,��.,��..�'""*-�" �!►�n.�'`V�C �., ��•��a�°' � �`:`��A.» � � . � � � J � � �- 3� ; � (�� 1 , �� s i , ==-««A.C.E.S Version 5.6B»»===______[ 011060 ] __°—__=—=««M DWEST 'B»» '�� 1 Customer : TRUSS � Mon Feb 1� 12:05:28 199:` ' Pro ject #: STOCK Truss ID : 26ST . Family # � : ra10�# '" '' "' ` ; Span : 26-0 Quantity : 1 "" Top .Pitch : �4. /1Z �, ;k � � ------- -------------- --- — ------- ---- -� �fai�'i�a-�� ___ —r ----'--- --------------- --- -- ------- ----�� Y�wa'� �� t �+l !/ ' ]P CHORD H(71TOM CHORD . WSBS � , , , ; � RS)1CTZbNB, - SIZB 4r� � � fication, or report was prepared by,rbe �� ; _-2�-3343 , 5-f� 3161 2-7�-613 , . � , ; W . � 1�-1763 , , � 3. so or under my dlreet supervieion�ili7(� t�� , � ��` t •�•.f � k � ' 2-3�-2935 6-7� 2242 3-7� 845 . 5�-1782 3.50 � ,� „t� }� 3-4�-2935 7-1� 3161 3-6- eas I am a duly F�egistered Professianal� � a-5=-3343 4-6m-eia , Engineer und'er the lawa of the Sfate "' � �' �'� ;: of Mi nesota: j; 2-0- 7-4-14 1 hereby certify that th1�-M4eri4 specification or re�ort was prepared by me or under my direct personal supervision and that I am a duly � Registered Professional •Eng(neer � under the laws of the State of lowa and that I am competent to prepare this doc ment. . r • �avll�s? � J ' ,�--�-=� --- ` DENN15 S. NELSON � Date Z�$ �I� Reg No. � 1033� j 4ii � �� i 8 X3' z 13-0 5-7-2 � '� � � ° y � y i� ,� ; r ' � � � �•f �F � � � ` � ' � �. Date 2--�B-9Z Regietration No. �1904?' 18—�-2� .. .. � ..; ��_�' �si...� M.,�.;. g:.e'��•!�� . �_�_� ; �. 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'�B,3p��. � o�'�� OF M/�y •..,� : � ; �, .. ��.� �NIS S �--�NF!%:,; •�'�: �.�'S'�P �cq,y.,�� , . 3X4 , 3X4 '.:'p�;�;:••f,"��'~''s0�''` ,� DENNIS S. = = ; ; � � 062-042799�' \'' + "'� * � . .� � NELSON : ;" � REGISTEpED�� ; � � 3X6 SFL. :�^�' `PRO�ESSIONAL�.�' :"«' : � E:NGINEER w ` ��*��,� ENGiNEER , .•F �; ;. � � , , . f, ' � �':� y� No. 2s" ' , . . �, Ir ��. �'F`'��.� ,.�; +' � . � � ' • �� • ��.,� ��F�A 32208 �c'�. 9—�4-4 #� 16-� 12 �,. _ � . �'_. g��-i8 �.::`.".... .."�.'•.,x� r,�� ,N,0�5��. `,� �'�.'��FESSIO ` •o• 9-4-4 ?-3-8 � , 9;-4-4 ' `� ��::..•.•:!•.�`R , � ��1/If11111�� . � i if'r,9�� i" . � . 'ti� �'ir�q' , L . HL� TO Pl� :13=8-7 � R . HI:� TO`; ''�: � � ` "� ; �PK�:�, �13 �S 7 � LEFT HEIGH�T:8-3-15 SPAN:26-8 _ RISE:4-7 'iS' �'f�' �'1... RIGHT fHEIC�T��3=�iS'�� ------- _____ ____________ ____________ ___ _=_-_=_ --- -'--�-=-- s- -_ _ ------- ---------- --- -------- -_ - LOADING (°PSF) � MAX STRESSES :MINIMUM GRADE OF LUMBER� �`� '�'"" `�" `� } L, D TOP .,- 1-2=0.946 �.. ;TOP��CHORD's.2*4 > 1650f1`�tSE,MRL SPF�y,�, �TOP 40 � 10 BOTT 7-1=0.994 ', >=BOT CHORD:2*4 ' 1450f1'.r3E�MRL SPF,f;.; BOTT 0. 10 DEFL.@7=0.Z9 < L/360 . WEB5 .',=.:. "s2*3., STUD. 91b;SPF.:, ..,. �ari� 'A STR INC : LUMB = 1 15 PLATE = 1.15=====___====�SPACING �s'y,24 Or'in �.o,.;�c{:��,�;�;�,��kf�,�t�� ;` REPETITIVE STRESSES USED N0. OF MEMBERS — 1"`' . .. , ., .. . .. . .. � .�a^� ��,h s r,..,.:, R �.i.. �r 3= ii ai �� are ,i"p ( �� C '�,j�l� i.I��i'� i'lf�., 3�"iY r., . P7.ATE8 ARS MITSIC �120-199,146 MANUFIICTURBD FROM 11S7M 7► 446 GRD 11 (W,V71t7IZ� STSHL BXCSPT 118 , SElO�NAi ). . ` � � t R,�'-1}'h 1.�f.Cl1}��jt'e�l�rfN}i'�.f,P;r'. YLATS MUST BB IN�7ILLBD ON BOTH FAC88 OF JOZNNPB� 8YI9��TRICIILLY(SXCHPT 718 BHOWN)DESI(3N CO2iFORMB NITH PDS DSBI(�!i 8PBC8 11HD,UHC�'PPI ,91 .,M� � n,, � THIB DS3I6N I8 FOR TAU88 PABRICATION ONLY.POR PEI�N�T AND 1B!@OAARY BEUCINfd(WHICH IB 11I/W11Y8 ASQD)CONBULT BLDO 1lACHITSCT OA BNQIN�R.; � . � � � ' � i� �,� �j . { �, �1 (�' i t{ "�'` �tt�'F�C� t t'(J�Ii�'�� `'*� � � � �hls design conforms with Minnesota Buiiding Codes and �� t. 1; ...�, : '� � ';;� � "` !' � 9 �+:: . '�t�;�i��l��a ��f E��:`; �� ; ��..�atest additions of N.D.S.� andlor TPI-85 specification ,,, ��.•±'''��f��'''��,, �.�, i ` � , StANCEr�/ .� �� p..nn.�ry,� ��..•.. � . ��•. ;�� 4.R ,,�, S I ' ''�.,,� �,��9Is �1�� '� i i `:� S. IV� ,,�I�OQROFE55�pN,1�� '��ro��• /'�l•••�� "��,,,�`".- G,►STF\ `'� ,'�� J",;�� r; < � "� ' t" � �(�- ' ' � ��,,��WQ'�' , �� ` � `�.• . �'-� �.�..� �+��"��..� � �,�L� � x'}i, .:y �� ^•��. � . �rA. �(,:.�. l, 6 �. „ . . �" . � �: .��- `: . . �,_ 7�•. .+j � �i �, c �r +IR •��' , � �30., �i' .� �. �' ��A.,j. '`� , �� y � 3 OENMiS S. � � : �: ' DENNlS S:'' � .�_i�� No:;ENE8602133 ! y' ,: � ` � � � '�' , � Z � ' . _ ,r� •7` ,,��e. �� , � ; F,� 4 : � NElSON �� y �•o s�S7ATE OF' �� , `" f � � PROFESSIWiAI � NELSON � E•8281 � a : � �� , "iu� .�.� � ;� �� ' � F�.E. 30Z'1� , 4344 �,� �� r'� � -�., O,� �ND I A�P ��.'4��',��, � �` � � y - ; � `� "� ,. �, � 1 N � , , � _ �,I , J`'� '` • - c� 6\ �. � �� ; �,,�� - �/� +Q `1►, �s � �.((11 � yo QI N � .. . .a{/� ••�,»..N`•• r�1{g`� °�, i� j _ t �'� �'�•,'ON .'� S�� .•�` � `�'�'",'� �� 'FF� ' ��'H OItV� �. °�.H �xo�� . '��;�OF(�EBRa'� ''��.,A��.�•+•� , �F��,.,.,�,�.;�- _ a��MRsseou's�l�, �°°uu�!nd�°� � �;•,: . � , i �r'�'. , r � , � SuBJECT E City of Fridley 2 � 3 � �\ AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � R NO. � • COMMUNITY DEVELOPMENT DIV. �' / ; j,� r � V • � PROTECTIVE INSPECTION SEC. f�� i � � ' � /"�1 � CITY HAIL FRIDIE� 55�32 NUMBER i1EV DATE PAGE OF APFROVEO BY �'°'� � �� 612-571-3450 9t0-F15 8/24/98 I / 108 ADDRESS 6297 Jackson Street NE 1 LEGAL L01 NO. Pt � 17 BLOCK TRACT OR ADDITION SEE ATTACHEO SHEET DESCR. 1H Pt.l9 2 PROPERTY OWNEFi MAIL ADDRESS ZIP PFIONE Barb Rusnacho - 3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �a Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOF;K Reroof house and garage (16 Sq) Tear-off• sidin • bow window 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON 20NING SO. fT. • CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PEfiIOD OF 120 OAYS AT ANY T�ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTFEET PARKING I NEFiEBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN?ING OF A PERMIT $4334 J�� 2. 1% DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFiMITFEE SACCHARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW fiEGULATING CON- STqU 10 OR THE PERFORMA CE OF CONSTRUCTION. �99. ]5 Fl SC ��i. 33 PLAN CHECK FEE TOT L FEE • � 2 .25 S�GNATU:7E Of CO � AACiOA OA AUTNOA�2E0 AGENT IDATE� EN OPE VALIpA E HIS IS Y UR PER IT ) SiGNATURE OF OWNEFl �iF OWNEA BUILDEEii IOATEI BL �NSP � ��F NEV� - [��] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� BUILDING PERMIT APPLICATION � �� v� � ConstructionAddress: � ? °i i �0.G�SG� �'� � Legal Description: Owner Name & Address: �.�,...c, ��-�J '�..t,�sr� Tel. # S� � r bS�% Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length Driveway Curb Cut Width Needed: DESCRIPTION OF IMPROVEMENT Width _ Width _ Width _ , . Tel. # Height _ Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. �tfL� �a�/ /�O �� ... �.� �,., - Estimated Cost: $ �vt�oo • '� 3 3 (Fee Schedul e on Back) t� �j Ft. + 6 Ft = Ft x$ _$ DATE: � 2 �1�J APPLICANT: V��U�� Tel. # �'� � � %S�1 "'7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL STIPULATIONS: $ 9- 7� $ �/.3.3 � � �� $ $ $ $ $ $ $ /D�,. �S CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sue�ecf PF,,.�M1T"NO. ; City of Fridley 3 0 3 0 6 � AT THE TOP OF TME TWINS gU I L D l N G P E R M I T ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. �r �� / r � � � PROTECTIVE INSPECTION SEC. �� , � � �"'1 � CI7Y NALL f RI�LE� SS1�2 NVMBEP nEV O�iE PAGE OF �VVnOVEO Br �---•�•• •,� 612-571-3450 9t0-F15 9/28/99 / / JOB ADDRESS 6297 Jackson Street NE 1 LEGAL �OT NOP.t � 17 � BLOCK TRACT OR ADOITION SEE ATTACMED DESCR. SNEET 11 18 Pt.l 5 ' 2 PROPERTY OWNER MAtL AODR�S$ �P PMONE John Barb Rusn - 3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO Jansick Inc. 6480 Squire Dr. NE Fridle 55432 574-9679 8618 1 AiiCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODFiESS ZIP PHONE IICENSE NO 6 USE Of BUILDING Residential 7 CIASS OF WORK O NEW S�C AODITION O ALTERATION ❑ qEPA1R O MOVE O REMOVE 8 OESCRIBE WORK Construct 2 orti s 9 CHANGE OF USE FiiOM TO STIPULATIONS See stipulations on plan. Vestibules may extend not more than S' into required yards provided they are only 1 story and do not exceed 50 sq. ft. �� Sefore digging cail for ' aq utility locations � 454-0002 REQUIRED BY t,A1�VV TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAp SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAI, PLUMBING, HEATING. VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTRUCTION 20NING SO. iT CU FT AUTHORIZEO IS NOT COMMENCEO �IITHIN 60 OAVS. OR IF CONSTpUCT10N OR WORK IS SUSPENOED OR ABANDONED fOp A PER100 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO OWIG. UNITS OFiSTREET PAAK{NG I HEFEBV CERT�fV THAT I MAVE REAO ANO �XAMIN�O THIS APPL�CA710N STALLS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SUR7AI( ANO ORDINANCES GOVERNING THIS TYPE OF WpFK WILI BE COMP�IED WITH WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $55�00 �� 2. %S DOES N07 PRESUME TO GIVE AUTMORI7Y TO VIOIATE OF CANCEI THE pEpMl7 FEE SAC CMARGE PROVISIONS Of ANV OTHER STATE Ofi LOCAI LAW REGUTATING CON- STRUCiION OR THE PERFORMANCE Of CONSTFiUCT1pN ��.18.25 Fire SC rJ.50 -�J/� . G� PLAN CHECK fEE ?OT FEE �"` , L° z� � Licens 5. 0 31. 50 S�GN��UA FCpN'PICTQFOQAU�HOp�2EDAGENT �O�rf� N pOP VALIOATE TNIS IS R PEpMIT � � S�GN47UqE O� O�NNEA�� OwruEpBU��DEiii iO�TEi � � 8�0 �NSo � � �i�TE NEW [ � ADDN ALTER Effective 5/10/99 [ � CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � O� ,{J r� � �� .,� ✓ Construction Address: c� � 9 % �1�CKSO�IJ � Legal Description: .._ Owner Name & Address: �p{��- �vA��Q Ru,s�tJA��CO Tel. # 57�—G5�% Contractor: C� Au S1cK � h�. MN LICEI�SE #; 8"�/�' . ..._ _ . , Address: ��1f0 SQur�P� �Q. Tel. # �iy-9L7"� LIVING AREA: G�RAGE AREA: DECK AREA: Attach to this applicadon, a Cer.tificat� nf �urvey of the -� lot, with the proposed constructi�n.dra� on it to scale.. - DESCRIPTION OF Il1�PR'OVEME�iT' Length Width Height Length V�Iidth Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTI�R: � �1 SS� p . ,�► r----- Construction Type: �O �P T/caL.s C� � Estimated Cost: $�d0 . C�'j �70 . o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ - DATE: i /�%9 APPLICANT: Tel. # �7L/-967i Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharg� Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �l $ . $ �, 7S $ $ �,40 $ $ $ $ � � .v� CITY USE ONLY � ��D �s �, Bu �1 �I'�y �,,,,I � �� Fee Schedule on Reverse Side �a� ��2� /� �/� .001 of Pemut Valuation (1/lOth` o) �2�Q�ci2�� y�� A� $.50/$1,000 Valuation �, 1 ��- d�� `�� p�' s�a $1050 per SAC Unit �_, D �lb� G�ie�ff� �'�" $5.00 (State Licensed Residendal Con�`actars). Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 6480 SQUIRE DRIVE FRIDLEY, MN. 55432 •(612) 574�9679 • LIC. NO. 8618 6' � �4n = � ��On �-- 4�_g�� —► SIDE i _��,i�� •��,d��,� � � i,_�,� � ��r �_..�i — i = � � �■�� r � i �—;� � �� i—r � �_,�� r�� Fr::i;�=.� � i =�� i�'�='si _� �;� �� ,., 9' 6480 SQUIRE DRIVE FRIDLEY, MN. 55432 �(6i2) 574�9679 • LIC. NO. 8618 PROFOSED PORTICOLS AT 6297 JACKSON FRIDLEY, MN. 55432 PROJECT: COVER CONCRETE STEPS WITH WOOD TREATED AND CEDAR STEP. ADD ROOF OVER EXISTING STEPS ON FRONT AND SIDE OF HOUSE. MATCH ROOF PITCH OF HOUSE 2X6 � ALUMINUM SOFFIT & FASCIA SHINGLES FELT 1 /2" ROOF SHEA7HING 2X4 RAFTERS 16" 0/C 2X6 HEADERS 6X6 RSC POSTS 9' 12" DIA X 42" DEEP CONCRETE FOOTINGS 3/4" PLYWOOD 6X6 RSC POSTS R` + I��j. ' •{J - �. . ' - .��,1 �� y�WnpytY�r01�c4 M v�lA9 �� -� r�v �a a�wr�s . � F M� �,�, � � � ��wl. P'mw.r......�-_ _:- �A�'Urw�� /4".,=tl�:� erx�!v� �+�1 DECK BUIL�[ OVER OLD CONCRETE STEP 2X12 S INGERS 5/4" X 6 DECKING SEP-13-1999 14�25 FROM CITY OF FRIDLEY TO 5741330 P.01%01 �, _.. � . ,.. ....._.,__..�._..��"'�..... --- _......--- _,._. ,....._. ... ._ _.,__ ,._—�... ...._ _ ._ . .. . . . 1 V a ♦. . ' . ' .. ; . � ., . . . . . . . . . ' � � .: � . 1 . : cOrY�y�wG THE ReCOROS OP , `{ � HARVEY A. GARTWe�1GMT , �J��,�� .�'��t' ,. J. E.: F"7i�1. .ClvJ4 �FiCINGLR . � , ANOKA C4UN7Y SURVF�i�'•i , . . , ' . . ' � ' , . ieT�.sUft1W;..1�N";'.�.'''.: . . n[NN[h�N CoUNrr 5�tlkVEYS J,A��Y:f1. S UR V,EYQRS '�c � SANt�HoP'P �. M�wNE'A�OL�S' SVRVSYS ' ' : . . �410 iNAOY OnK LR.kC f.�L'. . ' ..; ,. F ,.,. . . .. . ClVIL �Et�:,+61NELR' � . . r Nf.Q1�7ERL0 VNPLR `LAW1 OP fYA;� 01! MINNR�OTA „' cst��Vi:n[o �fie� ••'g�,. ' , �UN C„T,NO•0079 `�. �,�CEtyt�p •Y .ORL7�NANCG OF�CITC O►�MINN(A►OL�S , y� s f- JAMES N�l'.'�ON . .7.%�;., • �45 r4.YMO�TH-liU1LDl�C;, .ti, .. . 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"� ` � .. : '.� _, �.._ _ _, — . � :�'` .I �c . . , . �' T �?I'.'�'; _ ,t_ r r. . � .�� ''` ' � , `^ !,• �C'.�� 1�, ` ' . �M : � . -h !; ^!!�,•. .%� .� �.;?`' ;'�+.'• :;�'. •'�+;�:q:i•:.: ;;:�;`�`. .:.�°:,� `'; ' , . ..�,-. �.�.. .. ( ��:i :� {�.�: .�,��>r.: . � �,� � ,• '��'� "' . . .' . � 4 , ' , , .., � '� � y .. , �:,� . ��' �c,u � . 3S . ,� � , - . .? (i. j� b � •�1�880,.�6. � H�issua�-+o.. :., . :.� `J � � �lti...�� ;. •��l 4?, • � :r.a'�:,'±.:...•• :^',..�;.`�� ,�►�i ..� �'-�' ��.}.L�:�.:.��.3��'y r' .�c��•�� . ti ..:isw��.':i'' .... oA_'L�"i�:..,r'`.��.:..,a..,......,..�f•_::��91'�; ....� . ... .. . ..... '1`4r'�!•��'GI�WI�`� r.'i' f . � . � '�Lf/ .:-� ,,,�,` 1� t, .. . � . �� . •'t�:1 ��: � . � ' i��:. : ��`'• �JW.:� l5 Y••j:j.•• ` •�' . .� . ,,�; - . ;`�k•.' ` � . . .. •'� 3' �'�� ♦ � CA: {, ••' . .. .. .. _ . . . TOTAL P.01 � CITY OF FRIDL�Y INSPECTIGN DIV. Fs�31 Univer�sity Ave N� Fridley, MN 55432 572-3604 Stories ��t. :: Urinal '�`#,� Basement ,. Floor 1 Floor 2 Floor 3 �loor 4 ;`-'-:`::`::' PLUMBING FIXTURE RATES: NO. New Fixtures Old Opening, New Fixture Beer Dispenser Bk�w OtF BASin Catch 8asin Rain VVater Leader Sump�IReosi�ing Tank wabr Tres�ng Ap�anae vVal.r He�le� -Electric �� APPLICATION F4R PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF c� �« —�—�- Css Drye�' Bsdc Fbw Pneventer Required ()Yes �� No RATE s �.00 s a.00 i 5.00 s i.00 S 7.00 i 7.00 s �.00 s�o.00 s �.00 s�o.00 i10.00 i10.00 TOTAL Wash BE INSTALLED ON EACM Drain Effective On Jan 1, 2000 Gas JOB ADDRESS (a�c! 7 ��-CJ'CSOti ��fi • �J�, v The undersigned hereby makes applicabo� for a permit fi�r �� rein —. sPecfied agreeing to do all wonc in strict accordance with dhe city+ oodes and rulings of the 8uilding Divisbn, and hereby d�� at all the facts and representations statsd in this appiicabon a�e true and cortect. �� 'p'° s�s.00 Reinspec�on Fee s47.OQMr � ALL OTHERS AND/OR REPAIRS ANp qLTERqTIpNS 1.596 of Va�e of Fixture or qpppan�e a� sraa� su� TOTAL FEE .� s aa,5p 0 Heater Elec /O� ' 3 20d0 9uiaing uaed ns Estlmerted Cost 5%O .00� PERMIT NO. I a�� STU�I P�UMBIN(� PLUM8ING COMP/WY 15532 N�p �. MN S� SIC�NE Y 4�1'�1� TEl N0. �� BY Rough-In t1aRe Final p�e 1 o aa � COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE �, � -� \��' � �� `�' �ITY OF FRIDLEY INSPECTION DIViSION �431 University Ave NE ''� �� -(�� .J. =ridley, MN 55432 APPLIGATION F()R POWER PLANTS AND HEATING, COOLINC;, VENTILATION, �72•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE �esidentiai Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range. Gas Dryer 'Air Conditioning • All Sizes A�I Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25°Jo of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLIN�/VEN7lLATION REFRIGERATION/AIR CONDITIONING PERMIT IS 525.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr 'Air Conditioners can not be ptaced in a side yard without written permission from adjoining property owner. TOTAL � $ 3t�,�� $ Effective On May 10, 1999 � � � �� JOB ADDRESS�� t � If'� (�� l'� � __ ��z�� a+�'� I�� c,�� bWNER BUILDING USED AS ��1 -�� ESTIMATED COST � PERMIT N0. / �"! �� DESCRIPTION OF FURNACE AND OR BURNER $ '_.7-= �, No. of Heating Units�Circle Cne (Steam) (Hot Wa�er) �Narm Airl $ Trade Name��..�v.,�'�- Size No.s.-� '� � - STU —L�i�St�- HP EDR $ ' Fuel_ ��+� "��y� Total Connected Load J� Burner Trade Nam�� )..!��.�� Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes ar $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. � � _`� � a�poautiQUN.►�. �. . 26D�1EC��8 eOt�.E� C RAPIDS. M�1 5�33 HEATING �' � T57-504Q' � S `. Approved ��/� ` Rough• I n Date �I �'Y,I __�_ . . .� � Final Date d o� j � CHIl�INEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chinnney or stack: 1. ' Has been carefully examined Yes�C ) No () � 2. Is free from rust or deterioration Yes �5C). .No (�` ) 3. Has no foreign object�;.iodged within • /�,�r�- Yes �C,) No O � 4. Is s�curely supported Yes (�G}. �No (')� ^ 5. Mezts all current Code requirements for size - - and total BTU's connected Yes ( S{j No O�� 6 Has total heating BTU's of �S, QD C� -� All other BTU's , �1, p� TOTAL BTU's Q a � ' 7. Has a liner been provided for water heater Yes �} No i_i',) 8. Y Has combustion air been provided for water heater Yes (� No O /� : Remarks: j •i� i ,�R.�.TI91�IS~Being D �: n `�.'� �`�- • r'` �: <3 �c : �. � __..__,_. _ _: _ irr � .�.. _�_ __ <� � � � � ��,e �n �. �� .. _ � - � c�_r� . HEATING CO: Signed By: Date: DEPENDABLE INDOORA�2QUAUTY� �NC• 2619 COON RAPIDS 80ULEVARD COON RAPID3. t612)757-5040 � � .� � �w � Building Inspections 763-572-3604 DA S[TE ADDRESS �pa� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: (� Received By: D��i9�'�Q-r-1�"II? YOUR E-MA1L ADDRESS W�)(�(7�,1-�, (�n(� DG � r'/vY� � , � � ,_T,_, ❑ OWNER �ONTRACTOR .. <.e.�do. rn ; c. ADDRESS: � CITY STATE ZIP PHONE: NAME: STATE LICENSE # ADDRESS: FAMIL Renewal By Andersen 1920 County Road "C" West Roseville, MN 55113 License #20130983 651-264-4777 O BASEMENT FINISH ❑ ROOF v 0 DECK O SIDING NE W I ❑ MAIN7 DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMF.NT OF SQUARES GARw(` PROPOSED SIZE: PROPOSED HEIGHT: ADDITION ❑ HOUSE & GARAGE O ATTACHED GARAGE ❑ DETACHED GARAGE t STATE ZIP, ❑ DRAIN TlLE ❑ OTHER HEIGHT �ASEMENT EMOD IN 1Bb•IT• L Existing Floor Plan 2. Proposed floor plan 3. List of structural �mbers to be used Ft. �� OSoffit FOR NE W CONSTRUC710N INCLUDING DECKS, O Aluminum ADDITION & PORGH C ct BMIT• O Trim � Other ❑ Fascia 1. Site Plan/Survey showing the existing structure and proposed project. �'�'��WS 2. Two sets ofconstruction plans IN EXISTING OPEIVINGS OYes ONo LOCATlON OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF ��,�p�,r�s OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 5'�� nrri m,► wr�.. TVTT Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ $ ,�,'} Z $ 2. gto $ S� $ $ $ $ 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineeting Agreement necessary ( ) Non Necessary ( ) Make c6ecks paysble to: City of Fridlev ,st�� 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 'v conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not ; 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 approvec plan in the case of all work hich ires review and appmval of plans. SIGNATURE OF APPLICANT p�(�� pRINT NAME p,q��