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AF - 47380Date Owner Addre�s I� City of Fridley, Minn. � BUILDING PERMIT N•° 312 3 . � -. //.-: . � . . . . . . . . . . . . . . . . . 1��. r ✓� ���� ��� �. . . . . . . � .��.�:..�.�. .�.� . . Builder ai!.���! � . �ic'r!d'�!Y. . . . . . . . . / n �� y. /� _ � s . . i�. � .�. �. . .�Q�'� . Address .Of.�.Q .Q. �A�'4i! . 6r!u!� ./. . . . . s (� LO�CATION OF BUILD[NG No. .�.� �.� Street .............................. Part of t . . .. ........ p ����. r � Lot . .. .� . . . . Bloc . . . a.. . . . . . . . . . . Addition or Sub-Division . . . . .. . .. .. . Corner Lot . . . . . . . . . . . . Inside Lot . . '�.� . . . . Setback .� `�.� . . . . Sideyard . :� .°?:'� , , , " � � ���i�j `�!/"' '. .f. DESCRIPTION OF BUILDING To be Used as: � � . g q )�1 � . . . . . . . . . . . . . Front •J Q . . . Depth a . . . . Height �I������ Sq. F't. 9/ d'"� Cu. F't. . . . . . . . . Fr t . . . . . . . . Depth . . . . . . Height . . . . . Sq. Ft. . . . . . . . . G�. F't. . � � °..% . j �*pe of Construction . . . . . . . . . . . Est. Cost. . �.1� � �{!. . . . . To be Completed . . .(�.�!??, 0.�,� �`` a '�3 � In consideration of t'he issuance 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. .................................................... In consideration of the payment of a fee of $. �O.Y. .. ..� ., permit is hereby granted to .. ......................... to construct the building or addition as described above. This pexmit is granted upon 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 confarm in all respects 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. � .... . ... d`iiiS Inspector NOTICE: �� This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Insp�vctor for separate permits for these items. � • � City of Fridley, Minn. BUILDING PERMIT N° 3 3 5 4 Date: . . � . /�. . ^. . . � . . �. . . . . . � � Owaer .'��G�?�-��'. .✓��� .. i�� . .. .. Builder . .. . . . . .. . .. .. .. .. . . .. .. .... .. .. . . ...... Address Vt .�..�.d . .� . . . .,�!� o/ �Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LO�CATIQN OF BUILDIIVG No. � j �V .A .� ��T. �!�f . . . . Part of . . . . . . . . . . . . .�-t .�. . . Str�et . . . Lot . . .�. . . . . . B2ock . . . . . �. . . . . . . . . Addition or Sub-Divisiox� . . yy. . . . . . . . . . . . . .. . Corner I,at . . . . . . . . . . . . Inside Lot . . . � . . . Setback . a� . ' � Sideyard . . . �i+l. .' �! �. . . . . . . . . . . DESCRIPT[ON OF BU[LDING Tp,, be Used as: C.t� � .Q-: � . . �o�,t . � `.�. neptn �. � . x�ght . /. . �l. . sQ. Ft. .�,� �cu. �. �d �"v .................... Front ........ Depth .... Height ........ Sq. Ft. ........ C,is. Ft. ....... Type of Construction . . . . . . . . . . . . . . . . . . . �st. Co�tt. :!. � �. . . .�.�. . - . . . To be Completed . . . . . . . . . . . . . . . . . . . f��� /6 '' 6 �. (� � /'' cf'� , 3�°-° - .�-�. � �-r-� � , � �� z�� u,,.G� � �' ��' �� 3.-��-- In consideration of tihe issUance to me oi a permit to construct the building desribed above, I agree to do the proposed work in accordance with the descrlption above set forth and in compliance with all provisia�s of ordinances of the city of Fridley. � , ✓ /, (/[R� . . . , ,f,�„�:': :�!�: G� . . . �: I: . . . . . . � In consideration of the payment of a fee o! $. . �-.^. ., permit is hereby granted ta . .. .. .. .. . . .. . . .. . . ... .. .. .. .. .. .. .. ..... ... to construct the building or addition as described above. This permit is granted upon the express condition that the person .to wha�n 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 oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , /_ ��../����/ ..ii �� . _ . - � NOTICE: Thfs permit does not cove� the construCtion, tnatallation or alteration fo� wlHny, plumbiny, gas heatinp, sewer o� water. Be sure to see the Buildin� Inspector for separate permits tor these ttema � ��7�� City of Fridley, Minn. N� 10 316 � BUILDING PERMIT • Date: •T,��-,_.1�9 _____r. pwaer: _._ Ronald Harff _.._._._ Builder _..__..___ Same Addxrss ._..�.h�..'�.Q....Ja.�kS.aY1....5.�...._.SI..F�.._..--_•-__.._...___ Address _.._._____._�a,m.e...._..__.._._..._._.._�_. LOCATION OF BUILDING No. ____63..�.�.__. Street ._.._ Jackson Street N.E. _ ..----__.... Part of Lot _._._._..._ Lot _._...__.�.__.._.._.__ Block _._..... $..___.__.__.._._ Addition or Sub-Division .__Christie Addition Corner Lot _.__....._..._.._...__ Inaide Lot •---_..,X....._.._...---_.._ Setback .__.._...__........�._..._._ Sideyard __.__._..� Sewer Elevation _._._._..._._._�_...._._.__..._.____.._.....__.__..__ Foundation Elevation ..__..._ —_._ ____ DESCRIPTION OF BUILDING To be Used as: ..g�-�.__�.�....._._ �ont 24.'� nepw _.�2' Height .__20t.._.. Sq. Ft. .._768 c;u. Ft. �o _.___..___.__.._...___..._......_ Front _.____._.__ Depth _._._._._._ Height �.._..____� Sq. Ft. �. Cu. F'� Type of Construction _...___Frame ._._._._...___. Es� Cost _..----�.5850 . 00...._.._.._ To be Completed _.. S�t �_ � 969 • Paved Driveway In consideration of the iss�ance to me of a permit to construct the building de�cribed abave, I agree to do th� proposed work in accordance with the description above set forth and in compliance witt► all pravisiona oi ordinanoes of the city of Fridley. �,,.�� �__._,,�__'� � In co�sideration of the payaient of a fee of �__2���_..._.., permit is hereby granted to Ro.nald Harff _ to construct the building or addition as described above. Thispe rmit is granted up� the express�condition that thepe rson to whom it is granted and his agenta, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinsnces o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buil �' withitt the dty limits and this permit may be revoked a t any time upon violation of any of the provisi�s of sa�d ordinances. �'yl�r�, n��v�-�-t.�lJ guildinBInspector HANK NNHICH-Building Offi�ial • NOTICE: 7his p�emil dws not eowr 1h� eon�ruelioe, in�tallNton fo� wiein�. Plumbino. Yu h�aN�p, awK � wN�r. !� s� to sN fl�� Buiidiag In��eM� for �p�nt� pMeils for fh�a ttNns. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEfi 'S NAME ��'�•b� � J�9RFF BUILDER S�i//1 �. ADDRESS � 3 3� r�J'� �fi► c j�'s a�✓ ADDRESS S►AM � LOCATION OF BUILDING NO . E� 3 3 c STRE$�1' 7'A c 11' s oy S'7 ' J� �' LOT � BLOCK 8 ADDITION OR SUBDIVISION G h� ��d' CORNER LOT INSID� LOT � SETBACK SIDEYARD ��... SEWER ELEVATION TOP OF FOOTING Applica.nt attach to this form Two Certificates of Survey of Lot and proposed building ].ocation drawn on these Certificates. DESCRIPTION OF BUII�DING To Be Use�_ As : .A�'f'AcNR / / / �� �� C Front � 9 Depth � x Hei�ht 2� Square feet ,� � Cubic Feet l S 3� � Front Depth Height Squ�re feet Cubic Feet Type of Construction ���9��` Estimated Cost �SBSo~ To Be Completed � /�IO/1%7�'s�s The undersigned hereby makes application for a permit for the work herei.n apecified, agxeei.ng to do all work in strict acoordance with the City of Fridley Ordina..nces and rulings of the Department of $uildings, and hereby declaxes that all the facts and representations stated i.n this application are true and correcto DATE T- 3"� i SiGNA'I'URE ��+�-�� � (Schedule of Fee Costs can be fourid on the Reverse Sidee) 3��� � / � � � � � � • � r • Y � • r .. ♦ � y »,�nt �+-�i' rm'+it�i .-a �rc t�. n,•. .c`11 ''tp,� COME3INING Th{E _RECORD:'i OF ,d �� � " 9, F.=� �� ��4 "�'..�� '�� �1„� tti � ; . i ����' J. E. HILL C�vi�. Er���Neeh ' 7-IARVEY A. CARTY✓RiGrl'f �� �� ! j . �al .a cb:r c°� sLL.�,�ar,� 4,;J,�:a: a c:a C�o�.ai c-'7� ' u� + ANUF.A GOUNTY SUFtVEYa ESTA[3L19HeD 1856 -. NENNEPIN COUN'fY SURVEYS j��T� �' v�� �%�i� ����� C. F'. SATIDHO�F MINMEAPOLIS SUR`/EYS � u - � . . CIViL ENGiNEER � � 8410 ?At_'s STI�EE7 REGIRTERr.D UNOEFt LAW5 UF STAiH OF �11NN�SOTA ESTAHltSHED 1905 . .. SUNS-7 R-G073 � LfCENS[D GY GRUINANCE OF GiTY OF MINncAPOLIS ov�xER JAMES NE"LSON 345 PLYMOUTH BU1LDItVG FEDERAL 8-87�1 Su!tvsvott . � � ESTADLI61iED tp22 INDUSTRIAL - JUDIGI:,L eus�Ness - ToPOCSaPr;ica� . M�T'ROPOLiTAN LAND ciz•r LOTS - PLA7r�rvc ����fti�r ��frtifi:fltf Su4vEra-�s, E�TA9L14NE0 �n�� Tho�«�.s S. Silvis Invaice 19395 ���a/7� I �� �1 / 3 Q � �' �.1� ` , " _ ___ , � ����; _ _ __ - � .Q iran E.� i ._� _____.. i � �� � , , � i �, � �x� � � �.s' c.n � � , � ,.. _�� � � i 1�l i � �., r , a � ° � � � � � G M � _r.• �.. � `V ^� � ' ,� 1 '"� f � i , � t� �_ _ ` �• , • i � i � , , / _ � � ' 29`ax � t�� . � ' r ��' � ' I , `J i-�,� �,����f; � f� /3�r• �/ ' � � i � �,�� /' �` = ,Z a � ---J : � � �� � . .,� � I �,,�^'`'r ! � 0. ; �0 ; �,t,,� � . � t I hereoy certify that this is a tru; ani co.r_••�ct pla� of ,: survey of �.o+., 5, Block B, Christie A�dit�on, ��nol;a Count•y, r�innf�ti;.�a, �s surveyed b,y me this � �ith day o.f J :nu�sy, 19�0 . 0 i i � { i 1 � t • . w • _ JJ ��.� , /'.! %' � -1 -.... �" /' . µ" ",• � <' � --� � // � �� ~ V� � - . . . . . , . �� .; . . �../ � � . �� : , ,. r , ��✓ , . , � . . . � ��..�—_.' f . .. .�;� . � . .� .. ' ; � SIGNED..= �--- ---- -- - ---- - _ . .. C "7TWRiGH7 r.N� Oi �;.7tv i , , . � w 7 0-'' r'� � a r- �, i a �., � , • • .. . . � w • � . y._ vntiir .�3 x � o � A-.s �e ��,v r w�0.. � � DL% � �Ci/'� p �� !� / 1V (�° /�DO M �oNe/��Ts ���� � � !o X i f� tioo� �t��� � Qo � � � o� � a � � �- o B"X 7 �v�� /���� fffARA-b� !7/Z • � L'�Rse w1�a� , L'e�.D A�� �_ , ��4�A�� ��X� � ,4� � �`�� �a "B� �o W �/? /� p �C, A t, ��o iv c�4� r� �'�, e4� 5 � a �` �,oi�N wirz¢ fj�i�v�oR��e�c Q u �,Q f�� ,4 d �R , �` ° � , ���c'- �°x� $ F/4C,v� N oRS. �e,o�a �� pmoiQ u+ir�,I �iRe �R� % /a� �N F� R � -r.��}<t, � .� ���'�e�Q v/ ae � oof� � � ,� � ` a a� l.7 � � � �D � � � • • • � � �� � ,�.�� ,�� � �,� ►,� � i,r �, ��' � � : :� t ��►.� ,� �,� �e � � ��� � S Date: _._,Iii1.�.-.�-r_1�.�.�.__.._.._..___...._.r.. �-���y�1` N° 10323 MOVER Owner: ._Everett Shano.n____.__..._.._._...�_ � _._.. Da�e M�.Zr�..S._..�1� _�.___...._._.._._._ Address 6�.�.0....��.cks.n.n..__._.�.._._._..._.._..___...._._.___._.._ Address �_�16 Central. Av�.nue_ LOCATION OF BUILDING No. _.��.SJ --__._... Street _.._.�.���._s..Q�,._._....________..��-----......._.--•-•••---._.._ Part of Lot _. Lot _._.._.._...__._........_ Block _._._.._.__..__.__._.._.....___. Addition or Sub-Division ..._._.______._. Corner Lot ...---_..._.._....__ Inside Lot _._.__._...._...___..._._. Setback ._._._---..___.___._ Sideyard Sewer Elevatiaan To be v�a �: Foundation Elevation DESCRIPTION OF BUILDING Front ._.._..__._.. Depth ._.._......._.._ Height ___..._._..� Sq. F't. Cu. Ft _ .._.__._.__._.__..._.._.._..._..__ Front __...___....__ Depth _.____.._ fieight _..._.._..._.__ Sq. F� _ .._ Cu.. F't. Type of Construction _._-----.....__..__._..._.�.......__.. Es� Cost ---�QQ._4Q.._.-•-----_..__....... To be C�npleted s�l?:�.3�.._..8._,....�.._._ Move Garage outside of Cit,y In consideration of the issuance to me of a permit to cons e building described above, I to the prop�ed work in accordance with the description above _ ai� in complianoe w�'�th al�oq sions ordinances of the city of Fridley. � A /�/1 /l ,. /� In caa�sfderation of the payment of a fee of �...�.�.,.��.r.._._._.., permit is hereby granted to_ Dale Movers Inc to construct the buildittg or addition as described above. Thispe rmit is granted upo� the express condition that the person to whom it is granted and his agents, employees and worlunen, in all wo�rk done in, around and upon said building, or any part thereof, shall conform in all re$pects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit ma,y be revoked at any tune upom viola.tion of any of the provisio�s of said ordinances. � �� ' NOTICE: 7his p�nnil doa nof eowr fh� eonstrueHoa, inshllNbn for wiriny. Plumbh�W Yas ha�6��, s�w�r er wat�r. !� aun /o sN th� euildins MspKtoe for s�p.rat� p.nnks foe N� h«ns. � � , � : APP'LIGATION FOR MOVIN.G pERMIT _ . _ ._ FridleY� Inspector of Buildings, 6431 Univ. Ave. N.E. �%�� � The undersigned hereby ma.kes application for permit to mbve building as herein specified, agreeing to do a11 work in strict a:ccordance with the City Ordinances and rulings of the Depa.rtment of Buildings, and hereby de- clares that all the facts and representations stated in this application are true and correct. � . . . . _ Lot Block Addition Present Location : , , -, To be maved Distance moved it.To be complet,ed abou 0 1� Taxes paid? Eatimated cost `� oundation and alter on permit numbers Certifica.tion as to cost : I hereby certify that the above designated building is worth at least si 60) per ce of the cost of a simi- lar new building. Sign Owner or Ageat Approved by: Water & Sewer Department City Engineer Utilities Notified: Minneapolis Gas Co. (date) �� • (Title) Northern States Power Co. (date) �� cTitle) p �' " Northwestern Bell Tele hone Co. (da.te) (Title) n In the event that the moving permit is to be a�zplied for by the owner or by any other persan than the licensed Mover, the following letter must be campleted and signed by said maver: Inspector of Buildings, 6431 University Ave. N.E. Fridley, Minnesota Please issue the bearer of this application, Mr a permit to move building from : to: Date 19_ 5ign�1 GENERAL INSTRUCTIONS The following must be secured before moving permit will be issued: him to sign my name. � 6�� 1. A building permut for new location of building to be moved. To obtain this building permit, the follawing is required : (a) The building to be moved must be inspecte�d far structural soundness by the building inspector. Phone this ofiice for insp�ection. SUnset 4-7470. (b) A survey af lot to which building is to be moved. This survey must be ma.de by a licensed surveyor. (c) 1'he building and moving permit must be obta,ined at the same time. 2. Tax receipt showing that alI real estate taxes due have been paid. Duplicate receipts may be obtai�ed a,t Anoka Gounty Auditor. 3. Approval from, the �idley Water and Sewer D�epa.rtment showing that bills chargeable against the property to • be maved have been paid and water cannections have been discontinued at the curb line ar at the main. (See reverse side of form.) 4. Approval from Fridley Directar af Public Warks office approving routing. 5. Natification to, and signature of utility companies. (See reverse side of form.) (a) Minneagolis Gas Co., 739 Marquette Ave., Engin eering Department, Fourth F1oor. (b) Northern States Power Co., 15 South 5th Street, Applica.tion and Extension Dep�rtment. (c) Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Flaor. � <. . t �. 11 i- 2so=e�ss � ��� sue�ecr PERM City of Fridley 7837 AT THE TOP OF TME 7WINS g � I L D I N G P E R M I T � REC � � � � • � • COMMUNITY OEVELOPMENT OIV. ' � y - /�� r ,, --___, J��T�Q��oN SE� �9 , �"'1 C17V HALL FRIDLE� SSI�Z NUMBEp REV OATE PAGE OF APVqOVEO BY �""�"� �'' 612-571-3450 910-F15 9/16/98 � � J08 AODRESS 6330 Jackson St NE t LEGAL �OT N0. BLOCK TRACT Oii AOOITION SEE ATTACMED oescR. 5 8 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PMONE Dean Johnson �' 3 CONTRACTOR MAIL ADORESS 21P VHONE LICENSE NO Panelcraft 3118 Snelling Ave 5 Minneapolis 55406 721-6628 2179 � ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII AODRESS ZIP PHONE LICENSE NO B USE OF BUIIDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (195Q) Tear-off; Siding;Fascia; Trim; Windows 9 CHANGEOFUSEFROM TO STIPULATIONS i���sg Reroof - Underlayment must comply with the State Building Code. Reside - Call for building wrap inspection before covering. Soffit/FAscia - Install soffit x��z� ventilation to meet the State Building Code. Windows - Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPEOFCONST. OCCUPANCY GROUP OCCUPANCVLpAD SEPARATE PERMITS ARE REOUIRED fOR ELECTfiICAL. PLUMBING. MEATING. VENTILATING OR AIF CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTpUCTION ZONING SO. FT CU iT. AUTMORIZED IS NOT COMMENCED WITMIN 60 OAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 12p OAVS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UN17S OFFSTREET PARKING I HEfiEBV CERTIFV THA7 I HAVE READ AND EXAMINEO THIS APPLICATION STA�LS GApAGES AND KNOW THE SAME Tp BE TRUE ANO CORRECT. ALL PqOVISIONS Of IAWS VA�UATION SURTAX ANO OROINANCES GOVEFiNING TMIS TVPE OF WORK WILL BE COMP�IED WITH WHETMER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT ��� �5,437.00 �Z.72 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OF CANCEL TNE pEqMITFEE SACCMAqGE PROVISIONS Of ANV OTHER STATE Ofi LOCAL LAW REGULATING CON• @ 112 . 2S F� e SC �S .�F3 STRUCTION OR THE PERfOFMANCE Of CONSTfiUCTION `P PLAN CNECK FEE T AL FEE L' e SC 00 $125.40 S� ♦TUpEO�C N.AACTOQOA�UT�+O ♦G t iO�iE� EN R D THIS I R P T � � S�GN4TUqE O� OWNEA��� OwNEABU�tOEA� i AfE� Bl �tiSo �. � qcrE C NEW � ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY S�1GLE FAI�IILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 �` . '�� ��° � ,� � � ConstructionAddress: �QJ� 3� (��Q�'1� ��,OZ- ' :�� Legal Description: Owner Name & Address: ��°Q f� �cJ��'1 ��G'?�.� ''��� �� Tel. # Contractor: �� l%' MN LICENSE # �,/ 7 9 Address: �/%�� //(,2 �/� �+7 � 7 �J S �/� „�j. Tel. # ��/ �li� �� Attach to this application, a Certificate of Survey of the' lot, with the proposed construction drawn on it to scale. LIV�TG AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height I.ength Width Height Length W idth Hgt/Ground 1�s� � Sq. Ft. • Sq. Ft. Sq. Ft. � ' . �onstruction Type:��� /' � cSG G�/ /� Estimated Cost: $ �d !� /- %/1���2Q�CLUcS (Fee Schedu e on Back) Driveway Curb Cut idth Needed: Ft. + 6 Ft = Ft x$ =$ DATE: APPLICANT: � Tel. # �� 2G� CITY USE ONLY � �—,,� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge ! TOTAL STIPULATIONS: � 1/�?.�S` $ s� $ �- � $ � �,� $ $ $ $ _ �--�-- . = :s` _�.s 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 [ ] . ,. Z CITY OF FRIDLEY INSPECTION DIViSION . . ��' , 6431 University Ave NE . Fridley, MN 55432 �. APPUCATION FOR POWER PLANTS AND HF.�ITING� COOLING, V�NTILATION, 572-3604 REfRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ;, �..� Residential Furnace Shet! and Duct Work; Burner - Also Replacement Furnace � (Side Vent • Fitf Out Back)` Gas Piping (Needed with new furnace, . but not replacement) Gas Range Gas Dryer � ' *Ai� Conditibnir�g �- Ail Sizes Rate $ 30.00 $ 10.00 $ 10.00 $ 10.Q0 $ 25.00 All Others/Repairs & Aiterations (LIST ON BACK) 1 Jo of Value of Appliance or Work Commercial/Industrial 1.25q�, of Value of Appliance or Work '' State Surcharge TOTAL FEE . �i ► u _ u _ . �► , _-: ► . • • _ ► _ l ► _. • � l _ \ .. ._ \. • . � � .�. l � � � � � � . , � _ l .`� ■ �. _ �`� ,_ � ; �:: REINSPECTIOPI FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission f�om adjoining property owner. , ' ..t TOTAL ��� ' $ $ � $ a�.C�:� $ $ $ .50 $ `�--� ' � Effective On IVlay 10, 1999 JOB ADDRESS � O "c )� Q � 1��, C �" 1 �(') � �: �� - OWNER �� C�� �� i`� 1 1'�� G�' �i L' � BUILDING USED AS_ �-� �� i�� ,�� 1(��A� ESTIMMTED COS � PERMIT N0. ���`J � `/ ' : • � • ;.: �� � •: = L : No. of Heatin Units_..� Circle One (Steam) (Hot Water) arm �r) Trade Name P Y1 �l (�k Size No.�� � Cx ���� BTU �l,fi,� � HP EDR Fuel Total Connected Load Burner Trade Name_ � j Size No. � ! BTU HP EDR ; The undersigned hereby makes appiication for a permit for the �work herein specified agreeing to do all work in strict acco�dance with the City Codes an rulings of the Building Division� and hereby declares that all the facts and representations stated in this application are �true and correct. HEATING CO ��'.��C () t�l l..�G I� -�� � F S � DATE - ' � � Approved By Rough•In Date Final Date 3� �9-D � ...y . - �y �.n � • _ _ _' _ "� � ,_ � _. " -. .. ' ° ;� ; _. __ . - ' � CHIlVIlVEY AND STACB VERIFICATION - The u�ersigned herei��.�vttifies tbat the existing chimney or�stack: 1. _ Has bcen carefully eaamin�ed .� Yes O No O � 2. Is free from nist or.: ckteriaration .:::-�.�- :., y� O No O 3. Has no foreign objects lodged:within Yes () No () 4. Is securely supporoed: Yes O No O 5. � Meats all curtent Codc requirements for size a� total �Tt3's con�e:�ci � 3Ccs t) No () 6 Has total fuating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combusiion air been provided for water heater Yes () No () . � :.:�: �,-, �_ ��!�� �• � _�� ��� HEATING CO: Signed By: Date: 0 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (7631571-1287 : 6330 JACKSON ST NE : 143024410035 : CHRISTIE ADDITION : LOT 5 BLOCK 8 : BUILDING : RESIDENTIAL : WINDOW/DOOR REPL PERMIT NO.: 2004-00255 ��- � �� ( DATE ISSUED: 02/23/2004 VALUATION : $ 19,211.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 LJNIFORM BUILDING CODE WHEN ADDTIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE WINDOWS WITHIN EXISTING OPENINGS; RESIDE HOUSE & GARAGE IS APPLICANT A CONTRACTOR? 1 APPLICANT MN WINDOW & SIDING CO (20296565) 5730 DULUTH ST GOLDEN VALLEY, MN 55422- (763) 545-0545 OWNER JOHNSON DEAN C 6330 JACKSON ST NE FRIDLEY, MN 55432 BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 3487 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violat�-e�cE*1 the provisions of any other state or local law Bldg -Date SEPARATE PERMITS R�OUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 321.25 19.21 9.61 5.00 355.07 NEW [ j CITY OF FRIDLEY Effective 1/1/2004 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp ALTER [v� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPUCATION Construction Address: lo.�.3b �%zc..�So» .St`' Lega! Description: �. Owner Name 8� Address: 6 33'v cJac�ESon 5� Tel. # 7G 3-50 �'.. -01(2 �S-' Contractor: /YIN INi ndor.v ,� S; c�i.-�A Cofi�.�N MN LICENSE # BC -�oz94sz� Address: 5730 �u../��h S'`f .�,�` /d�n llEt.l�Ev� . S:S'1%�- Tel. #�c5 �t5- D5�5 Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scaie. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: jQtrrro✓It/ '� �►laaGnKn�"' �C) Construction Type: �f �'�Q�'`�S �p �+d s%d %� r„ Estimated Cost: $ �� �I1.00 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ OFR'�e- DATE: -����'y"`,-��-- APPLICANT: � M�Tel. # 7G3r$�/S�O S'i5 Call (763) 572-3604 for Permit Fees if m iling in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control � �3a/• aS�' $ / 0 $ , / $ $ � �(� $ $ Park Fee $ Sewer Main Charge $ TOTAL i J $ ���f.�� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residentiaf Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) STIPULATIONS: