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AF - 47406
�City of Fridley, Minn. i BUILDING PERMIT N� 4227 Date: ...............�..^.....L....!__._.^.._�-.,.L..._............._...----......_.........- ... � � �� . Owner: �'..��:./..���...i!�-.�%�G� Builder .--_..��G.,r.���..._ ............._............._............._........ �-�L���+�' 1�� Address....._ ............................_..........................._......-�--•-�---....--�----............_..............--- Address .. ......_......................_............._....--�-•--...--••---._........................._......._......._........ LOCATIO F BUILDING No. (!� ��/ Stree� --�• •�- • � � . ................ ......._..... ........ .......... �. �............. Part of Lot ..............---��-� � -�--•--�---...............�.............-�-- ........._.._ Lat°?�..°�3.*��BT x __._.. Addition or Sub-Division �.�-���. �''"''4 -- - ock ..........._. ._ ..... ........... ..... ........... ..... _.. ........................ ...... _... _..... r �' t w Corner Lot .............._..............--.. Inside Lot ..X._.............---....._.__.. Setback 3�.'..�............... Sideyard ._/G... a ......................................... _.........-- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To t� usea as: , e �, �j t 4 � �I / ��G�1�S� .......... . Front ya= o Depth �"./....�� Height �..�.`� Sq. Ft. �l...�.�Cu. e c �� f 4 � -- _ ................._ ....... - - - Front �0�.`.. � Depth � �'- � Height � � Sq. Ft. .. � ---. . Cu. _..... . � _.._..... _. - .. ... .. � _ � Type of Construction .................._.....__.........................._... Est. Co�t...._�.�,� f.��._........�To be Completed ............... Ft. �.,/=-�-..�i� F� ...�,�,�. JD In consideration of the issuance to me of a pernut to construct the building described above, I agree to do the proposed wo�k in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. �+ S � • n In consideration of the payment of a fee of $..��j.._�., permit is hereby granted ......................................................................__. ta 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 workmen, in all work done in, around and upon said building, or any part thereof, shall conform in ail respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �--�--� Bniiding Inspector NOTICE: This permit does nof eovsr the eonstruetion, installafion for wiring, plumbing, gas heating, sswer or waMr. M wr� to a� the Building Inspector for separate permifs for fhess ifems. � Owners Name [�� h, r}'1 U� �� Address �' �� �r�� 1 ry APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � � c � '� , � � _ m, �,�-�i�:�; �yi� 1,;,.9ddress�.�, � �' LOCATION OF BUILDING ', No. 5tree��y00 �_A o�:� c:a.,,� �1/l�� Pa�xt of Lot , , Lot Blor.k . Ac�dition � or Subi�iv. ' �� . .r. Corner Lot � Inside Lot Set Back � .. 5ide-Yaxd `��:1. SEWER ELEVATION� FOUNDATION ELEVATION Applicant attach to this form Certificate of Stiirvey of Lot and proposed_build3ng loca.tion. ,. �_. .. DESCRIPTIOh OF BUILDING � To be used.as: � " � Sp` �-�- L �V�t... '. 4�-. j-{ovS� � � �� � Fi�1m � �� �E��.I I�K� Front �6�.�1/�'aA��EDepth 'eZ� .� Height Z� A P��tox. {? P P E.2 'Tcti: o L. �V E� i 2 Z�; r/�JO C�! "F' T. �-t� Sq. Ft. i,r'3c1- �� Cu. Ft. . , 4� 3�G �-•f-�. v��, Front Depth Height� Sq. Ft. � � Cu. Ft.� Type of Construction �'�A N� � Estimated Cos.t��b ,,� � To be completed _ The undersigr�ed hereb�r ma.kes appl�.cation ior a permit for the work herein specified� agreei.ng to do all work in strict accordanee with the City Ordinanee� and ruling of the Departmen�.o�:HuiTdings, and hereby declares tha.t a].l the facts and represente- tions stated in this application axe txue and correct. � DATE SIGNATURE . � � ,.; (A Schedule of:Fee costs can be found on the Reverse.Side:) �� • , � r�.: � � _ . .. .. ,. i';;:•...: . i � e � � � � � City of Fridley App�c�ation for Plumbing c�nd Gas Fitfing Pern�it Dept. of Bldgs. Pho�;►e,3U 4-7470 DESCRIPTION OF WORK `,y� � � � Number, Kiad aad Locatioa o€ Fixtures I'O��O � � (9 WATER HTR. � f: a'^ x�^ W W 3 � s °C v, `� x y iz 'c� z �z Os ,3 c9 z 3 c3 � �� � uZ—i 3� o� u=i g o �� < 3 �_°< �_� � O F N Gns ELEC. lst �. 2nd 3rd 4th • Fuhue Connectioa Opeaings � New fixtuse, Old Opeaiaqs � PARTIAL R�ATE SCHEDULE Sewer � Cesspool n PLUMBING FIBTIIRE RATES: NO. RATE TOTAi. Ntunber Fixtures . . . . . . . . . . . . �— x $1.50 $10 .•'ro Future Fixture OPeni.ng . . . . . . . . . . . . . . . . —� x 1.20 $ •? � ht d New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,OOQ B'TU) . . . . . . � x 2.OQ $ °i�� �"� New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.50 $ Additionai Fixtures .................... x .50 � Gas Range to 200,000 BTU . . . . . . . . . . . . . . x 2.00 1� - SEpAIRS 8c ALTER�iTIONB—Reier to Cods Description ................................................� Tarai., r� � � `� ,2 � _ City of Fridley: 0 �� J � 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 ruling of the IJepartment 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 19 �� To be completed about ��°^"��°� ���-- �,� �� � Estimated Cost, $ �'� � ' °"'� I ,. Old—New. Building Permit No. �'Z . Permi o. �� I Signe � � �` ' � � . By e",.-*-� Business Phone No. -t ' ' � ROUC3H �AN 2 0 19 60 FINAL a z 91N 7-39 , �iq� ��� Fp � . � ��� 9 �96 N �;��Fy � wJ � � / SUBJECT ERM13548 City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • ! � RECEIPT NO. � ; y __�_�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � . � i �S � /�'�1 � CITY HALL FRIDLE`/ SS4$2 NUMBEH REV. DATE PAGE OF APPROVED BY ""'� � ,�� 612-560-3450 910-F15 5/27/76 � � JOB ADDRESS 643T Jackson Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 22, 23,pt. 4 4 Florence Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Arnold T. Olsen 6431 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS 21P pHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a Z1.4' x Z2' kitchen addition 9 CHANGE pF USE FROM TO STIPULATIONS provide 42" frost footings for addition. SEPERAT� PERMIT g REQU�RED FC3R �RlNG� 71NG, P�UM8ING AND �jQNS., HEA TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITION�NG. WOOCZ Frame THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. 137 1095 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ 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 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT S3 r OOO $�.. SO DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y��.l. SO PLAN CHECKFEE TOTALFEE $13.00 SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT (DATEI WHEN PRO ERLY VALIDATED THIS IS YOUR PEfIMIT � � f �� � G�l�R.�-�---- ��Z 7 l7 � � 'Q- �� Si NATUREOFOWNERUFOWNERBUILDER� IDATEI BLDG.INSP � TE A�'!'L1G/iT'It1N I�UR R}:SIllliIVTI/1L, nI,T`f�I2A!'ION, OR Alll)ITION I;UII,llING P1�R1�tIT C�TY OE FRIDI�LY, MINNLSOTA OZ�TTI�R' S NAr1� ; r�e f� T. (�J„� s�. BUILllI;l:: Sa,r,� ADDP�LSS : 64 3! Tae kser.. .s`f � ADDRESS : ����, � •. � \ �G�7 rr .. � � �4 3 � ' N0:..4�� STREET: �'�� snK Sf• . LOT : Y.� L 3r S. 2�.�2t BLOCK : 4 ADDITION : F 1 e v e,,, e e Pa �_ CORN�R LOT : INS IDr LOT : � SET�ACK : SIDL'YE1F.D : App2i.cant atCach to this form 'itao Certificatcs of SurveY of Loi: and proposed buildin� location dra�an on i:hese CextificaL-es. y UESCRTPTION OP BUILDING To Be Used As : ��ci.e,� , Fxont: �t.4 Depth: 12' Height: �� • Square Feet: _ 1,;�7 Cubic �eeL-: / 0 9� Fxon�: Depth• - Height: Squaze Feet; Cubic I�eet: �pe of Constxuction; ra�G Fstimated Cost:_ $ 3oeo , �o Be Completed : � � e��,C . _--... The undersigned hereby makes applicatinn for a permit for the woxk hexei.n� speci.ii.ed, a� reeing to do all work in stxict accordance ��rith the City of �'rxciley Ordinances and �:ulings of the DepartmenL- o� 13ui]di.n�s, and hexeby d�claxes that �11 the facts and xepresentations s'�ated in Lhis application are ta-ue and corxect. � ►. ' : 5'� Z� I 76 SIGNATUF.� :��� Z� �',.,Q..cs.�-- ' (See Reverse 8ide I�or Addi�:ionaZ In�ormation.) 6X '3= /U9�X'/85 - { �� �� } ��..�� � �''� /� ' /ib� , �^�'' � , `� ✓ 3. od '' ����` �� � � ..�-r''''�- ;. � .,�3 , �c� _ �--; � �Ti�.� Ts�r►+l.s Q ' ,��(!'i%•+,DE �2 �i �v S �' � ' ' '�.n�ia6.s , , . . . . _. . _ _ _ _ . '�-� - - .�- � r � � .N , 55'LZ ,�Z/ � I I � � , , , . . �. �. . , j i I i i . � . .. , - . . . . . ., . . � . � . t ; � � i � . - � . . � � I . � � _ � ��, �. . . . � ' i� � �. � � � � , � � � � f� � '� � � I I � I � . i . , . , j . i . � . i � � � � I . � . . . . . . j ' i i t i , ' I , I � I � ` i� �� � �� ; � �� � �� �, , ; � � I � I � i� � � ' , , i ! i � I , , ; ( ; i i , , , . , , , } � � ,' i; � , ' I; I � I ; , ; ; ; � , � � � � I � ' ' co ; , ' � ! � � � � � i �� ; N , : j , � i i ( ; � j � ; � � � t � � - � i! i i I i i 1 , i , , , : ! , ; �, i i , � � : ' ' ; � ! � , , � ; ' , ; ( , � � � � � � � � , ' , , ' � � , ' � :� i � i I � � � 1 ' , w, ; � ; � I i , ' i � r� i I 1 j , V I I?' � i : . ��_ � + � I I � '�.5 � �_ � � ' j i I � � j I i : i I I i � I � , � _ _i J � � i I � � _ . . . . .. . . . .. —i' j- - . - + �' -� , f, � � i i � � , ' , N; � ! � � , � � � � � � p � � � I � � � W .�.� � � � i � � � i ' I X � "F ' i � � , � �i � � � �* � � � � � � � ! � � N ��� ��� ' , � �� d, � '�! ' � � 1,� � I ': ! j"� � �' �- '� ; . � � `� � � � � � , a� ,�' " � � � N �; � a � —� , _�� � , � � N�' ^j 1i t� o � �i ' , �: N � � � � j I � � � t I i , , � �f Q�. of „� c� � � i � � M !si �1 i ( , h r t- J � � , , ; i ' ; , ; _ � _ ' , ' , , I � � ' � � � � � � � �Z`I�7 � � � � � � I• I � . . i { -_ _ � I ! � � I � i I . �. . � . . . . . � � � , � i I I � , ; � I i �- i- I '� i I � ,�a,�l� i,�, , � ������ ;� � EXTERIOR ENVELOPE AVERFIGE "U" COMPUTATION �ag OWNER: A Ci.V /�! �v� ' � Q C:3�;,N DATE S� o( S'"7 � T , SITE ADDF2ESS: ��� � 5�,�..SOI`I �i PHONE: Si��' "II Q3 CONTRACTOR: S F}�1h �, . . Determine working square footage of each 1. Total exposed wall area. ..... �5 3 sq. ft. x .17 = 7 /�' 2. Toal roof/ceiling area ...... 1'� 3.G4 sq. ft. x .05 = 7 Z, . 4,' " Total exposed wall area above floor = 3 Z4 �f''" � -` �• � ���r a. Total wall window area ................................. ' ��, ' b. Total door area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 3, f,f L, c. Total sliding glass daor area . . . . . . . . . . . . . . . . . . . . . . . . . ^i oM Q y d. �0�1 fireplace wall area ............................. AiotiE. D�r e. Total wall framing area (average 10�) ............. ... 3 3� •�,,,�✓ f. Total rim joist area .................................. ��,�. AJ�- g. s:�� walZ area above floor ..................... ... q� .� � z h. siig_ wall area above floor. .... ...... .... ... .... i . aa�k wall area above f loor . . . . . . . . . . . . . . . . . . . . . . . . . . � p ` � � z j. wall area above floor .................. ....... +��"'— � Total exposed foundation area =` � Z�� k. Total foundation window area ........................... Ne�t 1. Total net foundation area above grade . . . . . . . . . . . . . . . . . � Z � �f L � a. � c. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) t U = � X .,U„ , � S 3. .� l � X „U„ , .� 8 = _ 8 ,7 1 X ��U�� � d. X ��U�� _ e. . 33 X ��U�� � Z, _ �j�Q � f . � �p � X ��U�� � v � _ g. • X ��U�� - _ h� `�. � j{ njJn �v � _ �2t1�� 1 � }� ntJn ° � � j. J,Z g X"U" s q = If item #3 is the same as, or less than item #1, you k. ' X„U" = have met the intent of . . SBC 6006 (c) 2. 1. g ��U�� _ 3. ........... .... ...... ... Total = � � . .. , ,.. _._ . �,, . .. .,., . _ .�- ���. •Exterior Envelope Average "U" Computation Page 2 0£-4 , Total exposed roof/ceiling area = 1 3��` m. Total skyligh� area ........................... N o� e � n. Total roof/ceiling framing area (average 10%)... 14 li'`' o. Total net insulated roof/ceiling area........... �g 7�L Determine "U° value for each roof/ceiling segment m. X ��U�� _ n. X ��U�� _ : o. X ��U�� _ 4........ ................. Total = ' If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envel�e Design � To utilize the total 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. + 2. _ 3. + 4. _ , Page 3 of 4 ` WALL SECTIONS NOTE: Use 10� of opaque wall area for . • fzame construction �onstruction R-Value '' �� �� 1. Interior air film 0.68 .t 'L . 2 . 3 � 3. :t 4. 5. WALL � ' � � : 6. Exter�r air film 0.17 Total FIG. #1 TOPVIEt�T OF - FRI�SE tZALI, � . • � ,. 1. Interior air film 0.68 . . . ' � � • � � 2. � Sh►�c�cr Re4c 1 .� �;� 3• S�z u r� R-11 • l,.:.._,"� .� ,� : 4. 2, �Kr �yYw�•O FZG. �#2 ���,�.�v 5. A�.uw�.. 8�ew l . . �. f � .�+�' . 6. Exterior air f ilm 0.17 To tal . '�'i 1�..... - � • • ! ' � '�Q ��W� ;�. �� �-�-�-^~-�----U �� 1, Interior air f ilm 0. 68 ��! L Sc� L� a( � t`=� � y 3 2. �/Z. Q O C I C. �f.l�cial �r�.- •'�-� � � �, •.�� 1 . �L�_�..'�• �_�, � 3 . �� , �l�?O. r �� • �� 4L....-. ----f 1 �f - - �i•���,��--�-� -G' •�•�e�� • —� 4� �Z�� �QG�C •� 1,�� � � �� �, . . / S • • �� Y��� ' � , �; � ' _ � 6. Exterior air f ilm 0.17 T`�i � �� • . � . Total C ;:'� , � p ' .,.�.�._...r� { �F12tiJ�; ICh : � � 3 . , �I.I. � �'- �� ' ti ';� : - -_-- • t� • d ' n 0 � r. ��� ���. - '!�r\ , • ,� .� _. ��� � l . Interior air film 0. 68 . j�?r `r' ` P .r.j-. , _ _;,.f�. t : 1� • - ' �• • . 2 � � `•. . 3 . 4. 5. �' 6. Exterior air film Q�.17 . _ . � Total ' , . .. '' . .•� e .• r- • • � �� � ' � � t � . . , . �' " . � , �•. I 1) �� . ..�.��-��'� X , . ' '� . � r' �• . -'` � r • � �,-� . , ' ` 4 _._. _ �/� , == K�...M_ ` ., • ..! ,� , � ` , . ^,_._ ' � = /!� ' ,; _ . /r� � • • . , ,. ��� _,_, � • . ► t i = � � � . .. T . b - , _ �- ' �� �' ' (l( .• '�� • � � � /f/^ �'''' �`SG. #3 FIG. #4 `�� � ` , , ` o . % /�� � f y � 4 � ` . ' _ � • . f `: �_.- • �// �� � ._._ , . . [G� / '� � � . ° - - . .� /�! ` lrr _ r�r , � , � ; ' . � � ' ` NOT�; Indicate tyne, "�t•' 'value. depth and � - -! - • _____ Xslacement af insulation_ . ROOF/CEILING Vented Page 4 of 4 Construction � R-Value 1. Interior air film 0.61 2 . � KC1C \ 3.G''�� , , 4. Exterior air f ilm (still) 0.61 v A p a� ���� � Total �� ��� . i _i �. � .- • Heat flow � up � � FIG. �5 . . . \J `:/ �.�,J ` `:.! � ' }?eat floc�� up � . •, •vented . . ,FIG. #6 .. .. , _ •• . • � !� . . - � � t' .� . . . e5 ��_ � • t,,,,,�..,����'��03 � .',..A;ef.Gui ... .. • - :M.'.-�':�""�..� , 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total l. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations �••=--"'" ! ' • . . " . _ . ' uo1�-v�%�rFn . ' , . � .• , '. � Hent � � , . ' . � , : . . £low up � .. � ; . _ •: � • � ' �xr,. �� . , . �� _ _ _ _ CITY OF FRIDLEY APPLICATION FOR PW MBING AND GAS FITTING PERMIT `� N '� � . K d Water � � A � C-� N q. y�i p, w F Heater NY .� � cn E��.d rtf S�+ n) r0 N G3� � . •., � e� �a a w x,� v s� .� � e a� FC • a`"' �, Sr N y� � .0 •'i � .0 G C 3 0 U•� O.0 U N O O •� � N N •�-f a O 0 � �7 J-� N N N UI .0 � ro� s+ ro ro •-� ro s+ o.c .� ro b� ro �o � � o as lec cn U o w aa cn 3 Q w m w U w rt 3� lst 2nd 3rd 4 th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE Number Fixtures �_ x 53.Q0 E'uture Fixture Opening x $2.00 New Fixture, Old Openinq x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTU x$1Q.00 Water Softener x $7.00 New uround �n Old Building x $5.00 Electric Water Aeater x $5.00 GAS FITTING FEES: lst 3 fixtures x $3.00 Additional Fix tures x $1.00 Gas Range to 199,000 BTU x$10.00 REPAIRS � ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE (510.00) TOTAL $�lJb�tJ�inurn $ S S S $ $ $ $ _ _ - $ S $ $ :, S a. $ .SO S C��W Job Address `� �� c%�2 /CS �� /v � - c e.1 S , Department of Buiidings City of Fridley Tel. #571-3450 The undersigned hereby makes appI.ication for a permit ror the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that a1S the facts and representations stated in this application are trus an3 correct Fridley, Mn. �, V 9✓ s� Z . 1� 7 6 /� �- OWNER �YKvl�iYi T. Qll�'�l KIND OF $UILDING ����y��. f7o V> e USED AS �6„� � TO BE COMPLETED ABOUT ST_� li �] � 'I ESTIMATED COST OLD'- NEW BUILDING PERMIT NO. PERMIT NO. ��S J '�.�:::.� ROUGIi INSP. Date Company Signed By ��,rYe( %� �� Tel. No. FINAL INSP. �- z 3^� O Date APPROVAI, FOR PERPIIT -y��" f++'�`' MINIMUM FEE FOR ANY PLUMBING PERMIT ZS $7.50 sue�ecT PERM . City of Fridley � 89��. AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r ; � IPT . � 1 v_ COMMUNITY DEVEIOPMENT DIV. r � � PpOTECTIVE INSPECTION SEC. �yQ�� 1 � ' � ����ti � CITY HALL FRIDLE� 55432 NUMBEF REV. DATE PAGE OF APPROVED BY �----'�; ,•� 612-571-3450 910-F15 6/5/87 / / J08 ADDRESS 6431 Jackson Stxeet N.E. t LEGAL �aT NO. BLOCK TRACT OR ADDtTION SEE ATTACkED DESCR. 22 23 Pt 4 4 Florence Park SHEE7 2 PROPERTY OWNER MAIL AODFiESS ZIP PHONE Arnold lson 6431 Jackson treet N E. 571-7950 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OF DESIGNER MAIL RODRESS 21P PHONE LICENSE NO. 5 ENGINEEA MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDiNG 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCFi18E WOflK F � `n 9 CHANGE QF USE FROM TO STIPULATIONS �QV1RE� �� g1+G�� R�-� ��R�� � ��s��� A�'° B wARAI��1G �C,���` "�'1l�� efore diggi� cali �ce� p� ,. �}1R��'• �� t�EEPHO�VE - ELECTti�G . � REQUIRLD gy � �A� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINC�, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAp VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 120 DAYS AT ANY TIME AFTEA WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINEO THIS APPLICATION �. S7ALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WOfiK WIIL BE COMPLIEb $950 S.SO WITH WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1'] . SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE - ,:+ $18 . �� , \ . SIGNATURE OF CON'RACTOR OR AUTHOR12E0 AGENT IDATEI WHEN PROPERIY VA ATED THIS IS VOUR R IT � � _�/_�l__ � ,.,�,1_-�-=,� -r- �.-. �/ 7 � �f� s• Si NATURE OF OWNER IIF OWNER BUILDERI ' IDATEI BLOG �NSp n TE NEW [ � City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 AI,,TER. [ � Building Permit Application Construction Address: L��3I Tae�sa� S� N'� - Legal Description: �o �S z z � Z 3� Z�°� �- � I o� k 4 F/o N�H �� - ! t -r � Tel. # 57 l_- `r9s o Owner Name & Address :�:^ u° �m` � `' ` Contractor • -�� �-� __ Tel . # - � �, Address• LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. Length Length Length Width Hgt/Ground Sq. Ft. _ � 3 ��asoK 1° ,�- � - DESCRIPTION OF IMPRO:EMENT Width Height Sq. Ft. ____.____ Width Height S9• Ft• -- - Corner Lot [� Inside Lot [1C� Ft. Yd. Setback __ Side Yard Setback `_ Type of Construction: �o � � �'�� Estimated Cost: $ � � � Approx. Completion Date: T� � l. 1P8� — Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation -� . � � � 7° � �a � Tel . # S" 71 - %�� � DATE: � S' � � APPLICANT: � Permit Fee Plan Check State Sureharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY $ �%.�� Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ S� $.50/�1,000 Valuation � _ � 525 Per SAC Unit $ Fee Determined by Engineering � Agreement Necessary [] Not Necessary [ 7 $ ��. dC> l� �� �� �� �paTiO �e1pr�� / I� � �"i'o�se ��k.� L° �(� i O r d( m 01^ � o U S 2- �� k. `E ' w,'i..�aw i°�w�c � 'L' 1 �'' �L. � �°� , `����_rcvee» dloov L w;Kgo� MZ�-e.r� c� �s � 41i►��aw r ,/ti� c� S�-u d S : S� � (k °F 12 a ��-' ` , � sr �� 1 ��, �- sh;k¢,es : r�.. �,✓i .� � � M � I J,, ; Ce��.� , r��,� �.��� p' 1� wq �' �t, v/v� s �' o� �'� ; �. -T� �-�3 0 : ��o : � 2� : s� �� � G o s �2 0 ; � Zo '• �-' % ii"'o �' 8 �o S% � aQ r `, z X 4~ i� h p K c' e, c.� �-e�- ,� tl t.s 7°� R e? 7- `7-�` f� Z y X 4' /r ��o �� O h C Q.�t.'t"Z-r� � / $' �✓a I( � - r. � � I'c'oa� 's�an� [S a.1 S' SUBJECT PER �.----..__,,, City of Fridley �--- 21 g g 5 ..� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T;� i � RECEIPT NO. � �` ._.._ COMMUNITY DEVEIOPMENT DIV. � V � PROTECTIVE INSPECTION SEC. '�� � r , , � ,1 , � 1 /""1 � CITY HALL FRIDIE� 55432 NUMBEN pEV. DATE PAGE OF APPROVEO BY �----�: `.� 612-571-3450 910-F15 6���R3 � � J08 ADDRESS 6431 Jackson Street NE t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt.22,23,2 4 Florence Park SHEET 2 PROPERTY OWNER MAIL AODRESS Tim Fowler 6431 J`�ckson Street NE Z'P H572^1632 3 CONTRACTOR MAIL ADDRESS Z7P PHONE LICENSE NQ. Same 4 ARCHITECT OR DESICaNEFl MAiL AODRESS ZIP PHONE LICENSE Np. 5 ENGINEER MAIL ADDRESS ZiP PHONE IICEMSE N. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ AODITION �7 ALTERATION � FiEPA�R O MOVE O REMQ�VE 8 DESCRIBE WORK Interior Alterations; replacement windows, doors, cabinets, counters ' 9 CHANGE aF USE FROM TO STIPULATION� / Ihstall smoke detectors as per UBC 121Q; adjacent to all sleeping rooms and in basement • .�%42� � � u,� C /2 0 � — tt.e-o-Gcc.Q,�.�'�� � ' ��o�c �,Q..�- � ; , ; � � G ��_--.- ' . �-� Q- _ �j f �� � � � ��� �, � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY AD SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDI710NING. THIS PERMIT BECOMES NUIL AND VOtD IF WORK OR CONSTRUCTION ZpNING S�. FT. CU. FT. AUTMOFIZED IS NOT COMMENCED W�THIN 60 OAYS, OR IF CONSTRUCTION ' OH WORK IS SUSPENDEO OFi ABANDONED FOR A PERlOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING ' I HEREBY CERTIFY THAT I HAVE fiEAD ANO EXAMINED THIS APPLICATION �' STALLS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPUED �S OO.O $2. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A PERMIT � DOES NO7 PRESUME TO GIVE AUTHOfifTY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULAT�NG CON- $72,00 �'ire SC $S.00 ; STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $79.50 TUFlEOF N RACTOAOAAUTHORIZEDAGENT �onrE� fi �. WNEN PROPERIY vALIDATED THIS IS YOUR PERMI � . . �� ���� ' Si NATURE OF OWNEF��i OWNEA BU�LDEA7 �OATEi BLOG �NSP �FTE NEW ADDN ALTER [l [l �1 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R�l AND R-2 Building Permit Application Construcrion Address: (�� � .�. � � w� L- � �O � �� � Legal Description: Owner Name & Address: . � Contractor: A�ress: a�t�� � � Effective 5/26/93 � � ��L� Tel. � � - / � MN LICEriSE �^_�____ Tel. � �7 -�G3� Attach to this application, a Certificate of Survey of the ' lot, with the propased construction drawn on it to scaie. DESCRIPI'ION OF IlNIPROVEMENT '' LIVII�IG AREA: Length Width i�eight Sq. F� �_ GARAGE AREA: L�ength Width Height Sq. Ft. ' DECK AREA: I.e�gth Width HgtlGrvund Sq. Ft. ' 01'HER: f - , _ _ �� J� �� . �U i f�25 Corner Lot [ l Inside Lot (� Ft. Yd Setback Side Y�rd Se�cks ' � 'I�pe of Cons�tructian: j.�Estimated �a►st: — �v� �' , A}�proa. Completion Date: (Co�st on Ba�ck) Uriveway Curb Cut Width Neede�: Ft. + 6 Ft = Ft x S —� DATE: � /9 -�'13APPLICANT: . Tel. � Permit Fee Fire Surcharge State Surcharge 5AC Charge License Surcharge I)[IYCWSj� ESCfOW F;rosion Control Parlc Fee Sewe,r Main Charge � '7� °�' � � ua � �.s� � $ � $ $ � M1! ' � �1_ Fee Schedule on Reverse Side .401 of Pe,rmit Vatuation (1li0th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential ContiracWrs) �t. �ii� �r C►�. �B� Above Consezvation Plan Review $450.00 Fee Determined by Enginecring Agreement Necessary j] Nat Necessary [) TOTAL $„� • S � � STIPULATIONS: � . � IJEW �DDI� � A-�,L' TER [3 [l [l ConstivctionAddress: � Legal Description: Owner Name & Address: Contractor: Address: � �--� � � CITY OF FRIDLEY StNGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � � �� - �� a Effective 1/i/94 Te1.f� ��� -%�2�� MN LICENSE # �� Tel. � . 5�� -/�� Attach to this application, a Certificate of Swvey of the ' lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMFROVEMENT LIVING AREA: Length Width Height Sq. Ft. � GARAGE AREA: Length �_ Width __�� Height Sq. F� 4� DECK AREA: I.ength Width Hgt/Ground Sq. Ft. ______�_ OTHER: l j Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yacd Setbacks /� 2 ' , Type of Construction: �1� Estimated Cost: $`� lo ��� � Approx. Completion Date: � 2 g�� � (Cost on Beck j ��; '� Driveway Curb Cut Width Nceded: Ft. + 6 Ft = Ft x$ _$ � DATE: APPLICANT: - --- Tel. #_ � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surchatge Driveway Escrow Emsion Control Park Fee Sewer Main G`harge TOTAL $ (� . � � � 2� $ c/, /Z $ $ $ $ $ $ $ i�a 3 _I�_ y � �__. Fee Sch�ule on Reverse S' e .001 of Permit Valuation (1 lOth 5.50/$1,000 Vaivation �800 per SAC Unit $5.00 (State Licensed R den ' Alt. "A" or AIt. "B" A ve i $450.00 Conservation PI Fe� Determirted by En ' � Agre�ment Necessary [ ] Not�N , „�- �' ,�`�"`� ! �� ..i �� r . .. . . ,. . � �� � � , ��� � ` f� . "` � :� � 0. � � � ]�, ���� STIPULATIONS: �' ' ,_,;. , � . . . ,r, . , � � �� ,.� _ F ;, , . , , , . � "�' - .. .. . _., . . ,,.�_ :�. . . . � �. - - _ .� s r � - Mlaand.Pla�ning y��y /, 6875 Highwny No.65 N.E. ��i���G'IYT.�i%G ' ,_ . . �� • - �iand .Svrvey�hg . ���r M/a ,~� Minneopolis � 15otis•?estiag �. � � ��i�%�/G � 7`'L� �.'; Minn �S543T ��Gvi1-fngine�ring : ' J�� �� ' :-Telephone 784-6066 . .Mum4�pa1 Engi�eering Eng�n@erfi & SLlY"VByOY'S Area tode 61Z • , �. ; ,. . , _ _ . ' . , . . • � .� ��� :� , �.. --Certificate of Survey for_ l��� �Q �. . � � . �. _ . .� � L � fl �' � • . � v � n ,` ,,r � + m� Icv; Nor� I�tne, on�Ine,.Sou��-'�.Otee+c�`��n� `�4,$Iptic 4•� _ w 3�� �� Ver}ical boc�rd �.nce , `.6. . . - . 6 - LI,r� i 1145 , ' . 2 • � _ �. � ' � T 21.5 ��' • ti � 9� _ � ���.t� • 35.0. _ � i�. 0 , � � � _; - " .� � .. � r � v . y - � ,..� I � {�y � � ' /� � y � ./1 V(.. i / u � _ � � � � � -� - M ,- L � . : � .� : -- � o ? _ ��. . 4 { °'j *.a! . �' n � . .d � , . . _ .O . -� J� � � , ...e� {� '-� �G-, . Y 'iA c . �J �D .. . � � {✓ < �� f `"•� �r � . . N }$ :� � _ � , * � �'' .+� �l � �" ' � S ,�:,� , � '..L' fl � � �� � ± � � �' F �,.� s: .� � s... O --. �z '� 3 ` ,� - '� L � , ,; ��. . �,'� � � t - c : �('� . ; � ". , . . ,., . f <� . � 'w .,_ V � �tF �� .�� � ..� . . .. �.• �. � . ,s�-�-4.. - N f : _. , . � , - � -��� . \ �Q .-� � ^ � � � * ;� , urd rehc � _ . � ;, � � a 22:�. =` Ve�� cn # � , . � � � �'' . � o `g� �,� f - � � - � ° -...._ � 11�=��4 p�t=} �; = . �; �;,� . ( , _ K ' - i 1_[• �'J {• l��[i�• ���¢ on lin¢ ta� CbrrtO.e' � + � , °:. . �'�v O �G:r►ateS irOtn. ^mOr�tiril'�Y1�' � .- =. Ln�-. .22, 23 �nd. -�he S�u�-h _ 2.o tee�= o� Lo} 2�-, BiQCk 4, Fi�oRENCE �-° - . - P�rz+� /.�;flD iT�oN , Coun � o� '�r�o�a, /V�►�heso�q �-syl��e�c.�" -'�-�'*�e. . ; _ • �t�les� 10.U�ee� �-�ereo� i�a Qn �o,r _s}�ree�- �►rPoses. 1 h�reby certify that this is a true aad correst representation of a survey of thc bouodari�s of the above . -� d�scribed land, a�d of the location of oll bvildings� ihereoo, and oll visible encroochmeMs, if a►ry� from or on said 1and. As survered by me this�day of`-_7R A.D. 1911. , ; � ;,�h .� l�e� . SUdURBAN ENGINEERING,-INC. " ; � - . � , `����� ` 1--. ` O _ _ E�gineers � �j Sur � o�s . . l3 4 �b � - . � - ` br !",� � t�-f' � , �. ,..-�;,� � i � • - ,_- 5S _ - - . , . _ ,. . � � �.l `� � � , : + _:..�¢ sue�ecT RMIT N . c�ty of Fridley ., �� ; �;, 9 AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. r ; �-------. �3 �' i � PFOTECTIVE INSPECTION SEC. � � , � �'��1 � CITV HALL FRIDI.E� 55432 NUMBER REV OATE VAGE OF APPqOVED B� �""'�"� ��' 612-571-3450 9�0-F�5 10/16/9 / / JOB ADDRESS 6431 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 � 2,3, 24 4 Florence Park SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE 3 CONTRACIOR MAIL ADDRESS ZIP PHONE LICENSE NO. David Wi er Construction 901 Rice Creek Terrace NE Fridle 572-8403 8392 d ARCHITECT OR DESIGNER MAIL ADDiiESS 21P PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O� ADDITION C] ALTERATION � REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 168 SF Addition and an 8' x 4' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. S+�,PA �,�R���.�TF A ` '��� ' ��q�'fRR'j�'S WAR���� { �� A RF Before diggmg caN ,ar �V (3�fR 8�� Utl{i� ;��.3?�0�l� 454•OD02 e!� .,Q� FQ� R�QUIRED BY LAVI� ��SiG �s TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFfSTFEET PARKING I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFiOVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A PERMIT $34,000 �p17.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC 10 OF THF�PE ORMANCE bF CONSTRUCTION. ��F3�. 75 re SCi �3�F.0� PLAN CHECK FE T TAL FEE Li n SC .00 $486.75 S�GNATURE OF CON7RA , 0�7 OR TNOA�ZED AGENT IDATEI pq Y V I TED THIS IS VOUR P� �T ✓ � v ` I S�GNaTURE OF OWNEF �iP OWNER BUILDERi �DATEf OG �NS� ���TE M!s NEW ADDN ALTER L] �� � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Pernlit Application /J-�� � Effective 3/1/96 �s� � ConstructionAddress: t��,3/ ��Cil�Se�AJ � l��'• /-�t'i{�i,E'y, ,�1,(� S�.Sy3� Legal Description: ,Co7- aa cc�3 ,�� �,r' r f��E,,.r� p,9..e,t� Owner Name & Address: d�Av�o w�aE,� qa� �ic� �.P��.� �,c�iu� Tel. #�` �o�- d''�'� 3 Contractor: Ui4��.o y,./ iG E MN LICENSE # �390? Address: 90 � ,��c� Q�£�',(Y 7�,P,�i�c� Tel. # 5�,,? - 8'�0 3 LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IlVIPROVEMENT Width - Height Ss�. Ft. Width Height Sq. Ft. � DECK AREA: Length �� Width y` Hgt/Ground aZ � Sq. Ft. �a OTHERa �/ S�f�N /b�'cN �car�7 78 �'�P1�9�� g�V Ek�sTi�6 3m�.�.c o�� J(o�'a�'� . /ltor 7b e,rr.�,uv ,�'�yaN� ExiSr..�G �c�s-E Com�r Lot [] Inside Lot Q� . Ft. Yd Setback Side Yard Setbacks �� Tyge of Construction: �Xl� WR�ts - aXfa r1�uu�N6Estimated Cost: $��Q�Oo Approx. Completion Date: �� f, 9�p �J,(�/T�ONAL �. ��� c.00,��+- � 3'y,�do (Cos t on � Back) - Driveway C�urb C�.it Width Needed: F+ 6 Ft = Ft x$ =$ DATE: APPLICANT: � Tel. # �j %? '-��Q3 � � CITY USE ONLY ' Permit Fee Fire Surcharge State Surcharge �AC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL I STIPULATIONS: � � 0 �� � �y, � � �. � $ $ ,5,�° $ $ $ $ � , , Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 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I � . . �. � . cv m � � m a � � ['�J � �, N � N � �� w � ca u: � 0 � U � N � m m � i N . � � a Ci7Y �JF FFiI�}LEY!l�,�SPECTiO� DIV, 643y Univ�ersity Ave �!E Frrdley, N�N 5�432 sr2—�aa RATE SCH �7EJtE � APt'L�CATlOP! FOR pOWER PLAlHTS ANf� NEATlNG, �{?{)i.tNG, VEIyTI�.AifOt�, i�£�RtGE�A710N AND A�R �(}NOi�'1�NiNG SYS�'E{utS ANi3 QEV�CES Resicier�iia� Furnace Sheil and Dt�ct YVork, 8urner - A�so Repiacement Fur�tace {Sid� Vent - Fiil Out $acic} Gas Piping (Needed wi#h new Tur�ac��j Gas Range Gas Ory�er *Air Conditicrning - A!I S(zes AR 4thersfRe�aairs & Aiteraii4ns (!.lS7 4N BACK} i°�a af Vafue of App�ianc$ flr Wark Comcmer�cialJi nclustrlai i-2596 Q�' Valus o# Appiia�ce ar VVork Rate $ 30.00 $ 14.OQ $ 40.4D $ � 0.04 $ 25.DCt Ef#ecti�+e 4n March i, 199fi ,�os Aoo��s� i�`I 31 � o�� �o � 5�. . The tu�dersig�ed �ereby makes applicatian far a permit farthe �vork h�rei� 70TAL specitiect agreein� t� cto a� work in �Erict accordance wi#� t�� ��y ��dES ar $� � p rulEngs of ihe 8u�tdiryg Oivfsion, and h�reby declare� thai ai! the #acts ard re�reser►tatiQr�s sYa#ed in this applicatian are t�u� and corr�ct, � j �."a � _12.-1� --y �- ,tg owN���.t �. � � G Q c IU '� $ $__,__—� ���°� -.-.�. BuiLDtl�iC, t1iED AS_ �'t.�e.��� R C.� ESTIt�t�1i"Efl CJST _�� � � � ? ` ; �' � P�RMfT N4_ % .: . �. DES RlPTI4N flF �IIRNAI;E AND 4R Bl3ANER � , No, af �-leating rtits� Circ?e One tSt�amj (Ha^.� thJ2`�r� (V`+�ar�r, ni;� 't'rad�r Name e' \ Size Na. �j BTU ,�.�..._ HP E�7R $ F�el \ �'otat Connected �oad State�Surcharge �,�p 8urnerirade Name Size Na. "f�fiA� FEE ��� ��U HP EDR MtNSMUiN FEE FQ AAIY H�ATING1Ct}OLIPIG �ArtNG GC�MPANy ���',�3� ��c N'�NTILAT�N � 1���- RE�RIGERAT�ONIAIR CQNDii10(V�NG PEAI�lT t5 25.� Sig�r�.'Y�4Y =�`..��''�� �`-�- ° �� � �` PI.US �H� $.50 STATE SUR�HARGE °, \ - � • . REiNSPE�TiO�! FEE $42.0(}�F� "Air Conclitioners can not be pJaced i� a side ysrd without written perm�ssion trom adjo�ing property owner, �PrOt� �y Fiae�Sh-1n 1}ate �inal Date � FlLl QUT E3ACK SIDE �OR STACK VERIFICATiON QiV REPLkC�AAENT FURNACE CITY OF FRIDLEY INSPECTION DIV. 6431 Universiry Ave NE F�idley, MN 55432 572— 3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBIN(3 FIXTURE RATES: NO, RAl'E TOTAL New Fixtures � Old Opening, New Fixture Beer D(spenser 81ow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** (3as Range** Gas Dryer** Back Flow Preventer Required ()Yes () No Type $15.00 $�,00 l ,�L $ 4.00 �`�' t � $ 5,00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10,00 �, o.00 $10.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.596 of Value of Fixture or Appliance State Surcharge TOTAL FEE JOBADDRESS ��i3 � ����0� The undersigned hereby makes application for a permit.for the work herein specified agreeing to do alf work in strict accordance with the city codes and rulfngs of the Building Divis(on, and hereby declares that all the facts and representations stated in this application are true and correct. � �J � , 1996 Owner ��U�� i���9�� Buflding Used As �s �d�NT 'a L � � _ p�u�r�,N� aut / `� G (' Estimated Cost PERMIT NO. l�� � PLUMBING COMPANY ���� � t SIGNED BY TEL N0. �1� ��d� Approved By � Rough-ln Date Final Date .50 �C ^.�� .� . a.a� ���vr� r���� 1-LVM�IIYt7/ $ °'� PLUS THE $.50 STATE SURCHARC,E **COMBU3T10N AIR SHALL BE PROVIDED PER UMC SECTION 504(Aj ANp TABLE 6—A. MINIMUM SIZE 9 S(� INCHES. sue�ecT P NO. �' c�ty of Fridley 2 8 214 � AT THE TOP OF TME TWINS g �� L D I N� P E R M i T ., i �• Q ITY DEVELOPMENT OIV. � � � r � ����V���VE INSPECTION SEC. � � . l.--- �'��'��;'� CITY MALI fRIOLEV SS�SZ NUMBER pEV DATE PAGE Of APPROVED BY � 1\ 612-571-3450 910-F15 10/13/98 � � JOB ADDRESS 6431 Jackson Street NE � LEGAL �07 NO. 910CK TRACT OR ADDITION SEE ATTACNED OESCR. 22�23,Pt.2 4 Florence Park sHeer 2 PROPERTY OWNER MAIL ADOR�S$ IIP PMONE Mike Picott - 3 CON7RACTOR MAIL ADDRESS Z�P PHONE IICENSE NO Owner 1 ApCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAtI ADORE$S ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW � ADDITION � ALTERATION � REPAIR p MOVE . O REMOVE 8 OESCRIBE WOiiK Reside front of house - Storm dama e 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. TYP OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARA7E PERMITS ARE REOUIiiED FOR ELECTRICAL, PLUMBING. HEATING. VENTI�ATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OF CONSTFUCTIOM 20NING SO. fT CU fT. AUTMORIZEO IS NOT GOMMENCEO VyITHIN 60 OAYS. OR If CONSTRUCTION OR WORK tS SUSPENOEO OR ABANOONED fOR A PERIOD OF 120 OAYS A7 ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UN175 OFFSTREET PARKING � NEREBY CERTIfV THAT 1 MAVE READ ANO EXAMIN�O THIS APPIICATION STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PFOVISIONS Of �AWS VALUATION SURTA7( ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILI QE COMP�IED WITH WHETMER SPECIfIEO HEREIN Oii NOT THE GfiANTING OF A PERMIT SOO .SO OOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CAMCEI THE pEqMITfEE SACCMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OA THE PERFORMANCE Of CONSTRUCTION L1.00 � Fire SC .SO PLAN GHECK fEE TOTAL FE 22 S�GNATUQE OF �ON'AACTOp OQ AUTNOA�ZEO �GENT IOATEi N ROPEQ �DATED T 1 IS YOUR PERMIT ��,��, �u�f�� �v-i.�--� _ � S�GN4TUAE0� WNE ��OWNEA8U1 F� iD�TE� . � � BL �NSO �. � � f1iTE NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 �� �,�� �\ �� ConstructionAddress: � 7 �� ����SQ� -� �` �/,E �✓)�lle� �it� S'ry1"� Legal Description: Owner Name & Address: �"���� � c Q�}- Sz��-►e � j G�vove Tel. #��6-2 �� �/ Contractor. ` � wr�P� MN LICENSE # �, � Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: 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 IlVIPROVEMENT Width Width Width Ft. + 6 Ft = Height Height � Estimated Cost: $ Tel. # Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Ft x $ _ $ DATE:I� i� � '� � APPLICANT: G���'"'�° . Tel. # ��� -2�ly�! Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� Od $ � $ SZ� $ $ $ $ $ $ � �?�z oa 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 Cont�actors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ]