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AF - 47425V U � City of Fridley, Minn. BUII�DING PERMIT Date: . !. V .�. . � . � . . .`�. . .�. . . . . . . . Owner....................................... Address......:............................... � J N° 3537 � ,�_�' Builder . . . �`:��' ' ' `_ _' " � . . . . . . . . . . . . . Address.. ........................................ LOCATION OF BUILDING No. . (�J .V .�v Street .� . „�"�' . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . .�. :�. Lot . . . � . . . . . . Btock . . . . .� . . . . . . . Addition or Sub-Dfvision . . . . . . . Corner Lot . . . . . . . . . . . . Inside Lot X . . . . . . . . . . Setback ��. :r � .� Sideyard . � Q. .`. �. ~ . . . . . . . . . . . . . . DESCRIPTION OF BUILDING To ke Used : • y � K%J � � 5!:I.-. ��rn �:`� Height ../.1�'.-. � sQ. r-�./.Q�.�: j.o cu. Fc. a?.4.Qa� .................... Front ........ Depth .�....... Hei ht .. Sq. F't. ...... Ca. Ft. ....... Type of Construction . . . . . . . . . . . . . . . . . . . �� CastJO��.l. �� .�.'�.. .'. . To be Completed . . . .. . . . . . . . . .. . . . . In consideration of xhe issuance to me of a permit to con the proposed work in accordance with the description above ordinances of the city of FSridley. !\., � desribed above, I agree to do compliance wff� all provisions o! / � In consideration of the payment of a fee o! $.�! ......., permit is hereby granted to ................... ... .. .. .. .. ........ .. . to construct the building or addition as described above. This peimit is granted upon the express condition that the person to whom it is granted and Isia agents, employees and worlanen, 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 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. / .�_. �-.s� NOTICE: ........ Buildin� Ix�apecbor �l/R'A _ v This permit does not cover the construction, inttallation or alteration for wlrin�, plumbinp, yas heatinp. sewer or water. Be sure to see the Buiidlny Inspector�;for separata permtts for these Itema � ` .,.� _ - • • � City of Fridley, Minn. BUILDING PERMIT ��: � Ju 20, 1965 N° Ovener: _��DEEN P. SKOLZ'E __._ Builder ...._ S� _.._.._...._.._.._._._.._.._._.._.___..__ Ad&+ess ..�_�.21 – l�th AQE._No. _.___._..._._._ Address .�_. _._�.._ _._. Mix�neapolia, Minnesota LOCATION OF BUILDING No. ��i.0 .� street .�_ JACKSOAT STR�,'ET . N. E. �....____.._...____. Part o! Lot _. Lot _.._.. _._.__ Block _--......v _._..._ Addition or Sub-Divisian _�.._ Corner Lat ___r.._.._�_ Inaide Lot _—_.�.__._.._.�_ Setback ....._.. ._.__ Sideyard Sewer IIevatian ...._._._—.._.._._ ._.. ______� Foundat3an Elevation ��Y� �. 8242 To be v�a �: Type of Construction DESCRIPTION OF BUILDING Froa►t � Depth ..._ Height ....._._..._.— Sq. Ft. Cti. Ft Front Depth ...� iieight _�______ Sq. Ft. C�t. Fk .__ ..�.._..._._..._..._..�.. Es� C�t �1b�000.Q0 ____ To be CanPleted ._._. REBUiLD T� ORI(3IlY� DUE TO �TORAi D�1M�.GE In consideratlon of the issuanoe to me of a pexmit to construct the building deecribed abave I agree to do th� proposed work in accordance with the d�saiption above forth in camplianae a�l o! a�dinances of t6e dty of Frfdley. C��Yti In cacnsiderati� of the payment of a fee of �_.Z.QaS� _, permit 3s hereby granted to NORI�SN P. 3KULTS to coxistruct the building or addition as described above. This permit is 'granted upo�t the express oondition that the person to whom it fs granted and his agents, ernployees and workmen, in alI work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances a� Frldley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldinga wl�� dty ]imits and this permit may be revoked at aqy time upou violation of any of the provisians of said A�N G?r JENSEN B��S � �I NOTIC� lfiit p�rmh de�s aot cowr tA� eon�ruciioa, inMaaNion fer w(rinf. P�W oas hNti�, s�w�r ar w�hr. � son io � tM duiWfoo Intp�elor for Mp�ra1� p�n�ils fer fh�s� ihms. a '� APP'LICATION FOR BUILDING PERMIT CITY OF F1tID�,EY, MINNESOTA I J a /� i• � Y. %. . � � �. OWNER'S NAME ,�.. � �' �' F '� " � •.� ° BUILDER * � ADDRESS ,�� I' �7 � ��_ / ADDRESS - _ T - � LOCATIOAI OF BUILDI�iG . �/� -�� /_�/ %�,( N0, '(.-- `f-<"' STREET - ��= L... !� C c, �c. � J/ PART C1I�` LOT LOT BLOCK ADT�IT�ON OR SUBDIVZSION . CORNER LOT INS�DE LOT SETSACK SIDE YARD SEWER ELEVATION FQUNDAI{ION SLEVATION Applicant attach to this form Two Certificates of Survey of Lot and propoaed building location drawn on these Certificates. DBSCRIPTION OF BUILDING To be used as ; Front Depth Height. Sq. Ft. Cu. Ft. Front Depth Height Sq. �'t. Cu. Ft. Type of Construction Estimated Cost 1��, �`-0-� ✓ To be completed_ � � .� %�v r <-'. - � �-� i i �' � � � � � �_, c'� �,. �l � �� ,r a ,� � r '`-= 12, L. S � �i � " /"s'� � c�. ��... � � f� s � r The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in strict accordance witb the City of Fridley Ordinances and ru2ings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE_� '" � `� ."� �p � SIGNAT[TRE - '. ��/. � � (Schedule of Fee Costs can be found on the Reverse Side)M � • } .. • �� • � • � • City of Fridley, Minn. BUILUING PERMIT Date: � �'Y _18, 1966 3 ��s � N° 8837 �r: ROLAND REEA B�der DO1Q ROBERTSON Addn�s ��6640 JACKSON ST. N.E.w��_ M� A�s ~�_��6546. LuciaMLane^ft. E. FRIDLEY, MINNESOTA 55432 FRIDLEY, MINNESO'rA 55432 No. � 6640 � ._.._.. i ..._ Corner Lot . Sewer Elevatian LOCATION OF BUILDING JACKSON ST . N. E•_..._. _. _............_._..... Part of Lot .___.._._..._. Street __..._.._... __.�_—....__..____ .. . _.— . Blocic __.__ 5..._.._.._._..__......_. Additlon or Sub-Divisio� ....._BROOKVIEW TERRACE _._......_ Inside Lot _.._._..�.._.. Setback ._._._...__._..._..._.._._ Sideyard ___ Foundation Elevation DESCRIPTION OP BUILDING To be Ueed as: DET. GARAGE 22 22 10 484 4' 840 ...._.__.._...._... .._.._.._ Fraart ._._. Depth ....._.. F%ight .__....__..� Sq. Ft ____ Cu. P't. ' . ._...._�.____..._.�...._._.._.._.._._ Front ._._.� Depth ....._.._._....._ iTeight ..._....__..__ Sq. Ft _.._ Cu. I+'t. Type of Conatruction �__ F�ME..._..._........,... Es� Coat _.._. $1,500._...._......_ To be Carnpleted _..._.. In co�sideration ot the issuance to me of a permit to the buil ' bed abave I agree to do the propaed work in accordance with the deacriptioa ebove fo and in wIth afl pro�vWons o[ o�dinanoea oi the dty o! Fridley. � Ia ca�dderation oi the payment of a fee o! a_ .5 . OO�M �� , �� DON ROBERTSON to co�atruct the building or addition as d�cribed above. Thisp�� t is �ranted upoa the express conditi� that theperean to whom it is granted and his agenb, employees and �wrkmen, in aA work. done in, around and upo� eaid building, or anypart thereoP, shall contorm in all respects to the o�rdinsacer a� Fridley, Minaesota re8 � lxatiar►� construct[on, alteratio�, maintenance� repatr aad moNin� o! buildiz�s wtthin the dty ]imib and�s pera�it may be revoked at aqy time upo� violation of aay of ti�e DrovLio�s af ssid ordinaaoa�. WILI.IAM H . SANDIN B� �� NOTIC�: ?ha pen�M dw nM �ww fb� a�rodk�. hMalMNrn h� wl�+ Phnnbb�W �a h�, Nw�r er wNa. M wn t� � Ib� ivlWin� In�Nr hr wM�ah �nnN� hr fh� Nw. APP�ICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNBSOTA �i p..Q,�a.,,Q : �`..� :�! QWNER'S NAME BUILDER ADDRESS �! O . � ADDRESS (o '� 7 �a �1�i��+l✓ �'�c LOCATTON OF BUILDID�G N0. (o ip � O STREET I��/ ��PART QF OT � �� -,.- -� � -.,--��.-� � L0� / BLOCK ADDITION OR SUBDIVISION -�'A A S �,�' CORNER LOT INSIDE LOT SETBACR SIDE-YARD - SEWER ELEV�ITION F'OUNDATION ELEVATION Appli.cant attach to this form Two Certificates of Survey�of Lot and proposed building location drawn on these Certificates. DESCRIP'i'IO1Q OF BUiLDZ1VG To be used ; ' ��.-�� / Front � ii. Depth �d1 Height � �U Sq. Ft . �� Cu. FC . �% �! Front Depth Seight �� Sq. Ft. " Cu. Bt. Type of Construction Estimated CosC / a� � �, ! To be campleted_�_ The undersigned hereby makea application for a permit for the work herein � speciffed, agreeing to do alI work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct, DATE �' � 8 � � SZGNATURE � (Schedule of Fee Costs can be found on the Reverse Sideja �t � � -. v . .. � s � � �_.: 0 __ _ . _ . � �. ____ _ . � .. � ,�,__... . , 4.,.tir - . � '. . . . . � .� .. . } . . ��97-�1�-879001 t�FP�IC;.TlO�� FOR PU1F10fNu �,�T�p Gns FiT�rtr,� PL►c•;1 r � � _'_ � r � �` � • ` 9 �, � j` ! n ., „ � � < ,. . i ` a � n } � � � C' . � i ^• � t � � Q: { ia � 4 I :� .; .� � � r � ' � � u wi ; c) �C . , ,, i + � � . y , - � � ' .. ., .. `� .+ u�i _ � �� _:i _�,�� _i ` 2 _ ' . ,,, �v S�4 1� J � - -� I ' - , '-- '--�--, �--_ - �—�---e-�`��'_'_._._•—'�•� ' -�- f •- �-;- -;-�,�-,-�.�'�,�.�i_ r I , � ; ! i . �` i "1--- � -- � �_i�_ �_ �� i�_; �f;7,�"—��i �_I�� -� " � 1-�-1—`�.� , �_�.�—�_. � � _�_ ' ( i-1— _�—j _. , : � i i ._� �! , l �) � I..t.�l! ��fJ�C.:,113L GN::f:f ) , �—+ _L•^ .:..•.a:cod wicn �• �.c� t�,t:.te� Gld O[:cr,:t.7 Nat�t _....._ . I l L i1�CGC JOV ht:3CC�5 '• • 66 �0 NE Jackson � 1lcacss u '--�— Depar�:r.r:�;t :.L L��.:�:��r . 3 � ctry cc rrlai,:y . . r c ;:.s �:l�c Tel, rs��- �.�SO I-1-._�� i � _� �i� St►,rr "r��tT;r,_ ;��. _ :... _.._..� _��:til�... �.� t: �f�ti R-.'L� , , u..�:.c� l:.t..cc� tLt..ia i:.c..[t G(.cz:r.] wt♦ l ►.l.�it. :.1J Lptr.l:.� �..�t.b Yaaii� ucs� ��eatcc - lo yi. y�/O b^J ! �.►. JJO E 2v C� 1 y C;,O 6: � r•�•r a..tten.e MCr �.lv.1/1.� �t ��Q �dil�ilh� tlec��►: u,�ce ils.�ee ti�rir;c ftES: :st 1 t�.trtN ' �w�.l��.,al fl.tuca• a..s w...�• a;. 3S9,G0:. b7u 1•.�Ih� t, �LitH.iT1u;�5 '��• �� i I l� Y. U'J Itl.I� •11. y1.:r.Nl� �:C �C�:C1Jl� / ;��. aaTe Tor;,�, �� 1I Sj.Q� i x SZ.�i� sr �� ___,_, x :2. CO g �_ x �5.00 i �� 55.00 S . __ � S10.00 S _.�,. x S 1. 00 g �� _ x �S.Da i _,��, x SS.00 i �_ � K x S�sta =,.c,;r.arqe .,.. .. ,,.c i7.00 51.00 S�O.CO ------�.r,. Thd�uiid�Calgi�,;,f h,:recy r.tkeo a�Fli:_e•c- :-r e-:rt:t l:.[ tl+: .+e�k I.er�f�, epnClCted e�cecf��y �� 1a' z;'. vork ir. s:r::c z:_cr,.er._s •tct. t1.� Clty C..��. and ruling� ct t1�c ��,�ar��nc oE B,:i:�tr�;, _-� _.��1 ,;C�;,��; et et e{ f tho facl"u a.�d r.��r.,s„ri�i�o�si 9C]tJJ . 2' [hl. „ .:catiG,. -to C�yo �nJ �;�.t,.R,: � r•z:aiz�•, :�:. b-12-80 . _. � i� n�NCa TAYLOR � xn�o oF tiurc:,:::,; ' �r�� — USCD �5 � 6-19— 0 -- TO DE C:,,�r•L�:�.� fW,:�r ESTZ�V.1'CO CU5 i 5�,00 �LD - UL'l! lSi;fl.G::IJ i•tl�:•i1: .�.,. . � ' � �£:�':' 'V . . .. �, :.:-,i:_�:y ��""� °'� . ��r,,,� - -q �, 5�.,•n�,t Ey .::. 1��. woucu INSP. o� c o F2ql,L ItJ�P. ,� ` ,3 �' p � i aaco --r--- ' i s—�� J�NI�Ii�VAL ! i,li Ptt�rti P SS.00 � � SZ.C� S ------.� i s 8•� MIIIIM1:�t 1'L'C },.q l�iy f•LL't:u:l�:. fC1�.Ir I� S7.:J FL�S ;.:0 ::�.TC iUkC1u.IJ:C SUBJECT MIT N City of Fridley o 18092 AT THE TOP OF THE TWINS g U! L D I N G P E R M I T f i i. REC . � • COMMUNITY OEVELOPMEN7 DIV. � i V � r � � PROTECTIVE INSPECTION SEC. / ", �- �-,L i , i l--_. j /""1'� CITY HALL FRIDLE� SSd$2 NUMBEii REV. DATE PAGE OP APPROVED BY i 1�� 612-571-3450 9t0-F15 6/28/85 / / JOB ADDRESS 6640 Jackson Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Br O�{Vl@F7 `I'E.'rxdCe SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott T. Taylor 6640 Jackson Street N.E. 574-0069 3 CANTRACTOR MAI� ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK "" ❑ NEW ❑ ADDITION XO ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Install free-standing fireplace (Supexior Model CF 3860) 9 CHANGE QF USE fROM 70 STIPULATIONS Provide autside air to wood buxnex ox e�isting furnace. Provide Products of Combustion fire alarms on both levels of house. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCVIOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINC�, HEATING, VENTILATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NUL� AfJD VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUC710N OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNlTS OFfSTiiEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION S7A��S GAHAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHEF SPECIFIED HEREIN OR NOT. 7HE GRANTING OF A PERMIT yS�JOO $. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERMITFEE SACCHAHGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S7RUCTION OR THE PERFORMANCE OF CONSTRUC710N. ].,S.00 PLAN CHECKFEE TOTALFEE $15.50 �S�GNAT nCTO a rH zE AGENT iDaTE� ..WHEN PROPERLY V DATED THIS IS YOUR PERMIT - __ - 6•ae�s � ��- SiGNATURE OF OWNER IIF OWNER BUiLDER1 IDATEI BIDG �NSP ATE p� j� City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AFD R-2 AL,TER. [ 7 Building Permit Applieation Construction Address:_ �� V��^5a°1 $�`" ,r� �`��'�� /•%� �',�<%3a Legal Description: �ot � �� -� � ��' �K y'�z`'`� f�-�'rrt� Owner Name ��►ddress: ��.o� �' �1}��6� Tel. i S3%�i-aa69� Contraetor . � Addreas• �i,.vw� ,- Fp �. 9��_�� Attach to this application, a Certifieate of Survey of the lot� �ith the proposed construction draWn on it to scale. Q's DBSCRIPTI011 OF IIdi'aOYSI�NT LIVIIOG AREA: GARAGE AREA: DECa AAEA: OTHER: Corner Lot [ ] Length Width Length Yidth Length Yidth �a �c n��-�� - _��.� Height Height Hgt/Ground Sq. Ft. Sq. Ft. , ! Sq. Ft. _ �� 0 2� �IUO EC� �� , d�10 C� Inside Lot [] Ft. Yd. Setbaek Side Yard Setback Type of Construction: Approx. Completion Date: ` 1 � � � Estimated Cost: a c.��— Alt. A Alt B Proposed Drive�ay iTidth If Ne�r Openiag Is Desired: a a See Back Fage for Explanation DATE: / 8�' APPLICANT: � � � �/e Tel .# 1��G � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�rer Naia Charge �� CITY DSE OI�1LY � �� U � � �� _ � � / S • SZ� STIPULATIONS• �PROu�OF d� �� 1' QR.Uu� � PirLtf�UGTS Ga t��s �E- Fee Schedule on Reverse Side 25'X of Building Permit Fee �.50/a1,000 Valuation 3425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ 7 �ot Necessary [ � r9 � i„ ?� w�zn aU�2N�--- � GKa�� . �. �w � �� ,�� y c�� C1TY OF FRIDLEY APPLICATION FOR POMER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND A!R CONDITlONING SYSTEMS AND DEVICES RATE SCHEDULE tESIDBPiTUL Purnece Shell and Duct Nork, Bucnec (Also replscesent turnace) Gas Pipinq tpipLnq need�d vith n�w furnac�) Gas Aanqe Ge• Dryar • 11ir Conditioninq tall •izes) All Others/Repairs snd Alterations 1• of Velue oi Applience or Nork COMMIBRCIA W INOUSTR IAL 1• o! Value ot Appliance or Nork RATE TOTAL S 20.00 S S 10.00 S D d S 10.00 S S 10.00 S S 10.00 S s S State Surcharqe ��tF � �'?� Reinspection !'ee (515.00) Rough insp. Date Final Insp. ate ��1lpproval tor Perwit +, � MINIMUM PEE FOR ANY H�ATING PERMIT IS SLO.OQ PLUS 5.50 STATE SURClU►RGE S .50 � S /S S� Att�ch steck verification fotf vith replrcaeent furnace peiutts •J1ir Onnditioners csn not b�• placed in tiid�� ysrd vithou[ written {x•cwission fraa adl�ininq neiyldror. F.[[ectivc !►uq, l, 198t �ob �►aar�g� � %/ �. Department of eutldinqs 61)1 Univereity Av�. N.E., Fridley, MN SSIl2 City of Frldley Tel. 11571-3150 The undersiqned hereby n�akeA appltc�tlon [or � pen�it tor the wrk harein s�+ecitfed aqteelnq to do all vork in atrlc! accordanca vfth tM C1ty Codes end rulfnqs o[ the Departwent o[ Buildtnqs, end hereby d�cl�re• that •11 th� fecte and cepresence Uons staled lo thls applicatlon �r� true an eocr�9� �ridley, Mlnn. . 1 _ --�. . �7 OIINER V �'�/e u►ro oF eut�rNc USEO AS ,�G 70 BE C�OMPLE'1'ED MOU7' . a1 + FSTIMJITED C06T � `C,/ OLO - NE11 BUILDINC PEPMIT N0. PEWIIT NO. DESCRIPTIf1N OF FUAN11Ct/S11A11ER HEATING or POMER PL►NTS, Steo, Hot Matsr, Narf Air- No. 7'rade Nee�e Sls� No. ca��icy sy. Pc. c�a s�v �� HP 7bta1 Connected Ivad Kind o[ ht�l BURNER - Trade Na�! Size No. Gpacity Sq. Ft. EDR 87V pP Coa�pany �f � Siqned By T�, . ►�. ��7- fi6 a _ sue�ecr PERMIT NO. c�ty o� Fr�aley ;:;. AT THE TOP OF THE TWINS g U! L D I N G P E R M I T t �� r ; � CEIPT NO. � COMMUNITY DEVELOPMENT OIV. � LL�_��_, ! r � � PROTECTIVE INSPECTION SEC. � � 1 � � �'��1 � CITY HALL FRIDLE� 5S03Z NUMBER pEV D4TE PAGE OF APPROVED B� �""'�'� �'' 612-571-3450 910-F15 5/5/95 / / JOB ADDRESS 6640 Jackson Street NE t LEGA� L07 N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Brookview Terrace SHEET 2 PROPERTY OWMER MAIL ADDRESS 21P PHONE Doris Barnes 6640 Jackson Street NE 574-9012 3 COMTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO American Designers & Builders 2835 Central Ave NE, Mpls., MN 55418 788-2881 3887 4 ARCHITEC7 OR DESIGNEF MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF 8UILOING Residential 7 CIASS OF WORK O NEW O ADDITION ❑ ALTERATION �1 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling & Garage 24 Sq (Tear-off); replace deck stairs and 3 joists; replace ceramic tile in bath 9 CHANGE OF USE FROM TO STIPULATIONS Rise and run of stairs must meet State Code. Underlayment must meet the State Code. 7YPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMiTS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO W�THIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOii A PEfiIOD OF 120 OAYS AT ANY 71ME AF7ER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICA710N 1 STALLS GARAGES AND KNOW THE SAME TO BE TAUE ANO CORREC7. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4�800 �Z.1FO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PftESUME TO GIVE AUTFIORITY TO VIOLATE OR CANCEL THE pERM17 FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �7Z.00 Fire SC �4.HO PLAN CHECK FEE TOTAL FEE � r- � J-5� License SC 5.00 84.20 S�GNATU�:EOF ON�RACTpFOPAUTM0�71ZEDAGENI IDA7E1 WHEN PROPE �ALIOA7ED THIS IS VOUF PERMIT � � � � SiGNaTUREOFOWNEAUFOWNERBUILDERi IOaTE� BL G�NSP ��F E NEW ADDN ALTER [l Il ll Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application v � /�c% � Effective 1 / 1 /95 Legal Description: Owner Name .�k :Address: . . . �.�D �� =� � G'�n. � S . _ . Tel.. # : =S_ � .l�.'::. %/ �` . Cflntractor.: � � , � � l o � � � P � � .. MN LICEI�iSE �# '� �� .. S C�, � � �, ..., _ � �. � S� /� � . . Tel. .#.` �� "��iY.,% � . �� Attach to �this application, �a� �ertificate of Survey of the � � � � � � � lot, with the��proposed construction drawn on it to scale. :. ..: � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT I.ength Width Height Length Width Height L,ength Width Hgt/Ground �� 4� �P✓�✓�1 �c ..��/P i� ��%'�, 6� r�P/%��"�P 6L Sq. Ft. Sq. Ft. Sq. Ft. � �� s� . . . G� p0 Comer Lot ] Inside Lot [] Ft. Yd.Setback Side Yard Setbacks �va� [ Type of Construction:%� U �.� -� �� ' Estimated Cost: $ �� Approx. Completion Date: � t�� a Sl�' (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: S_ � - � S APPLICANT: � �G✓� Te1. �� - ,F,(� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: riTY USE ONLY $ �� Fee Schedule on Reverse Side $ �. �O .001 of Permit Valuation (1/lOth%) $ _ � U $.50/$1,000 Valuation $ $850 per SAC Unit $ 5� U U $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B° Above . $ $450.00 Conservadon Plan Review $ Fee Determined by Engin�ring $ Agreement Necessary [ � Not Necessary [ � $ ° <�.�-o .. �. . r sue�ECT PER -NO: "' c�ty of Fridley 3 i 575 AT THE TOP Of THE TWINS g � I L D I N G P E R M I T r ; ` RECEIPT NO. � ; y__ COMMUNITV DEVELOPMENT OIV. f � � PROTECTIVE INSPECTION SEC. �`„� �',p2 i . (/+t�J i.-_-�; �"' �'� CITY NALL FRIDLE� 55132 NuMBEA AEV D�TE P�GE O� �PPpOVEO er L 612-571-3450 9�0-Ft5 11/20/00 � � ios aooaess 6640 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT Ofi ADDITION SEE ATTAGNED OESCR. 1 5 Brookview Terrace SHQET 2 PROPERTY OWNEp MAIL AOORESS 21P PMONE Jay Peussman 6640 Jackson Street NE 574-2170 3 CONTiiACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300 � ARCHITECT OR OESIGNER MAIL AODiiESS 21P PMONE LlCENSE NO. 5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO Residential 7 CLASS Of WORK O NEW O AODITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Inspec#ion Cards Will Be Mailed To Homeo�rner To Post SEPARATE PERMITS ARE REOUIREO fOR EIECTRICAL, PLUMBING, HEATING, � VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTFUCTION ZONING AUTHOR12E0 IS NOT COMMENCED WITHIN 60 OAYS. Op IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONEO fOR A PER100 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. U I HEREBY CERTtFY THAT 1 MAVE REAO AND EXAMINED TMIS APPLICATION 1 ANO KNOW TME SAME TO BE TRUE AN� CORRECT. ALl PROVISIONS OF LAWS VA�UATION ANO OROINANCES GOVEiiNING TMIS TVPE Of WOfiK WILL BE COMPLIEO WITM WMETHER SPECIFIED HEREIN OR NOT. TME GRANTING Of A PERMIT �S�9ZO OOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATF Op CANCEL TME PERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- @ STRUCTION OR T►+E PEiiFOiiMANCE OF CONSTRUCTION W 12S . ZS $�GN�TUpE Oi CONCaACTOQ Oa vUTMOQ�ZEO �GENT S �D�iE� iO�tE� r� 4 SO.fT STALIS ROUP OCCUPANCvLOAD CU FT. OFFSTHEET PAqKING I GAi;AGES SURTAX $2.96 F re SC $5.83 ' TA� FEE $134.04 ; TMtS IS VOU PERMiT� � � �� qttf ��,r' �� NEW [ ] Effective 1/1/2000 ADDN [) CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: __ �� n �c�,(i��✓1 Legal Description: Owner Name & Address: Contractor: �i ` Address: ( \� � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION �JF :MPROVElGlE�dT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. �7 ' 1 bd Construction Type; 612 �� (��o�W j stimated Cost: $�� o�,.�_. :� . , : . . . . _ . . , . . Driveway Curb Cut Width Needed: Ft.�+ 6 Ft = �Ft x�$ ,� _$ DATE: �� APPUCANT: l�ti Tel. #� 6�� - �� CITY USE ONLY - Call (763) 572-3604 fo� 4ennit Fees if mailing in application Permit Fee $ . a� Fee Schedule on Reverse Side Fire Sur�harge $ • .001 0� Permi� `��al�a#ior! (1/10th°fo j State Surcharge� g�$ c� - $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $, � $5.00 (State Licensed Residential Contra�tors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ _ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [.] TOTAL $ '� I• � STIP LATIONS: /r �-�VI�LC /ylG�'"� ,�,:��`%Z�'��e� �y �f LG L � �"�� / � ,�-�0 6,� ��.'.��--.��`Y'�L�- 6i- T�✓� ,�;��s�4- ; 2�-�e... �� 3��. �/, 2-� 199� ��'�, Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE I" I�"- � C� YOUR E-MAIL ADDRESS SITEADDRESS �.(c�`O �LLG4ri1. S'l' /L),.� THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ TENANT CONTRA.CTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE n _ ' � r""� ��' , �� Permit No.: c' c,�C�� ,'"_,�. � �: � �_ Received By: , ;t Date Rec'd: �A ' ADDRESS: 6�u y D �a� Gc.sov� S f• �CJ £ ci� '-�r� �l f�e y STATLM�ZIP�jTo�Z PHONE:��7 I ' % �6 3 NAME: �'C - ��e S� 4 h�✓�s STATE LICENSE # a o► s�� g 5 EXP DATE ADDRESS: 3�S I � � if4J� %3 CITY p'iMSv� �/� STATL�7�ZIP SS 3�% PHONE � .J s� ' gp�i —.�U FAX �5a - �q y' � �Q� ❑ SINGLE FAMILY/NI ❑ TWO FAMILY/NEW ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: ❑ NEW ❑ MAIIVTENANCE✓REPAIR ❑ GAR.AGE/SHED U W1NllV WJ ❑ ROOF ❑ DRAIN TILE ❑ SIDING ❑ OTHER ❑ SWIMMING POOL O ADDITION � REMODELING DESCRIBE WORK BEING DONE: �c�S �� a�. � So F�� 1' SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: LENGTH WIDT'H ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT BASEMENT REMODELING SUBMTT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. SIDIN FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl �Soffit ADDITIONS & PORCHES SUBMIT• ❑ Aluminum D Trim 1. Site Plan/Survey showing the existing structures ❑ Other I�Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LACATION OF WINbOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF 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 $ , OCCUPANCY TYPE Pernut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule $ -- 65% of Building Pernut Fee $ �,Sa...001 times the total job valuation $ � . -�lp .0005 x Pemut Valuation Minimum $.50 $ � r,, �p $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( $ �`7 S� Make checks payable to: City of Fridle FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wJ�h requires review and approval of plans. SIGNATURE OF APPLICANT �� PRINT NAME �� c aC �d w"C� DATE �— ��—�`� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minunum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for ls` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1$` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $39125 for ls` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 15` $50,004 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 15` $100,000 plus $5.60 for each addirional $1,000 or fraction.to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the ls` $500,000 plus $4JS for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 3uilding _nspections 763-572-3G�4� �Ar� � -- 1� _ O� �ITE ADDRESS bb� � "HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING Permit No.: �' `�'� �'- � r � f RESIDENTIAL APPLICATION Received By: � CITY (JF FRIDLEY Date Rec'ct: ��31� YOUR E-MAIL ADDRESS Np�. i`��`'�O �@�� i�l1�CA , C�� ► S� N � , �-� �' OWNER OCONTRACTOR ADDRESS: �� A�1L��J 5). CITY�T�L�� STATE 1�IP S� 32 PHONE: �E�3 � fj OZ.. � F% � SO NAME: SUBMTT A COPY OF STATE LICENSE # YOUR STATE LICENSE ADDRESS: WITH APPLICATION pHONE PROPERTY TYPE TYPE TYPE OF WORK: O TWO FAMILYMEW CONSTRUC'I'ION ❑ AUDITION ❑ GARAG ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDDJG EXP DATE CITY STATE ZIP, ^- 1500 ES WINDOWS ❑ DRAIN TILE O OTHER DESCRiBE VJORK BEING DONE: �1,�sS s-��W � A� 3*� Q'LA� c� SX2�1-�',�i.�•VC�- �,�� 9�M�) SIZE OF IMPROVEMENT OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl ❑ Aluminum ❑ Othea WINDOWS � IN F.JQSTING OPENIIJGS �Yes �Tio OR FOR NEW OPENMGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED �' LENGTH ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACI-�D GARAGE �Soffit � Trim O Fascia IACATION OF WINDOWS�A�� =S HEIGHT BASEMENT REMODELING SUBMiT: 1. Existing Floor Plan 2. Proposed floor plsn 3. List of structural membas to be ised FOR NEW CONSTRUCTION MCLUDING DECKS, ADDITIONS_ 8c PORCHES SUBNIIT_ 1. Site P1azJSurvey showing the existing swctures and proposed projxt 2. Two sets of constructi� pians 3. Energy Calcnlatio�s ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIAIS: (US� THE 1997 U.B.0 FEE SCHEDULE) TQTAL JOB VALUATION $ I C�C��7 OCCUPANCY TYPE Permit Fee Plan Review Fire Svrcharge Surcharge License Surcharge SAC Charge Curb Gut Escrow Erosion Control Park Fee Sewer Iviain Charge Totat Due $ 3�.'1 �' $ $ $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.40 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ 5450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks uavable to: Citv of Fridle_y Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALiD UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is nat a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requ'res rev' w an approval of plans. SIGNATURE OF APPLICANT _ �i r __ _ PRIN? NAME " %�—�I�. DATE b�� l"`O`o - _ Cl"[YOE FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-128'I BUILDlNG PERMlT APPLICANT: PROPERTY OWNER I, ��l �� . understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state iicense unless they qualify for a speci�c exemption from the licensing requirements. As the owner of the property at _�Z�O �G1�� Sl t�l� , Fridley, I am exempt from the state iicensing requirement oniy if i am not buiiding or improving this property for purposes of resale. By signing this document, ! attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from ihe state (icensing requirements because t am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have buiit or improved in the past 24 months. I also acknowledge that because ( do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perfoRn certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roo�ng activity is a misdemeanor under Minnesota law, and that I would forFeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. - � . _�/i�. _ Date � — �v � � � ��h�N � , ,. r , �-�1 \ �V � � %� � � , �� //- , /"� , I ; C�"1_ '-.�' � � / � ��>' . " � . !'�� - ��• � � � - � �� ; � � .� i' � } I � � �� i � � � � \�� . /��' i �` �4. { � � " REVlEWED �' FOR CODE PLIANCE BLD nspector ��,�p� ; �' � r .� � �J i � � � r � % '1� _ _ :: � � �/ � ; , CQ�N��S r"'_' V � � ! �/' � -�'�.^� �Vyvt��e,. � � � �� a�-�-, \ �� . __ __ __-- ____.__----� _ ___._____ 1 -__ _ __ _ ; __ � � ; � ' � � �_ � _ _._ � , c/ � ' ' :-� S Q�- ^ , �, �� r �' r' � � , M z a S ! � � � �-- � � � �� ; "� � � ^ � � i �,f N � � `,' ' �i � ; x � �- �' � � � r� �� D �� r � � ; � d � �— � � —�-- � �` � �s� � � p0 " ' -� � � � � �,� __ ._rr-�.. - - _ ; l � � � _ �� .� _� - -- -.� � __ _ _ _ _ ____�.. ,_ -- �,---__ ,... � � N �_ �,, ! �� Gv ' � ,� ----�. _____ ___ _ _ _ � __ _ _ ;�.__ _ .- J � � �.- -- �- S-- ("� -- ,� � � � _�. — � ,� ,I � G � � � �� r- , r-' d1 ^ n � �j �� '� `� �� . �- � � � _ � � � _ _ � -� � _- � ___ ___ --- �� , , . . `? _ �,; � � i . ,� _ _ _ __ . � \ -_ s I �i � �, � ; , w\ � � � -�- � � � �� Q� U s-- �. � � � _ _�_._�_�. '�'1 � � .� � . j — �.-r' ��a1 �'�. j_£`-�,-`"� S� . I'''�Cah�rz.;°-�:t`� � � 3� �5-,�.f".`-�s-�, '`..�.��:��„-., I � 2 z ac � 2 ��.s3s�.m.� i a.�s�-�'� 1� � ` � "T Q�5S5U� �b�P"�'",�i� � � Z �1 � � R'S'S'� Ci� �!fLV A�:�sj (��U� L �;� J . 'N ��yS C� `� l ial �. �_.�.--5 "�S �,�1c�2� ?� bl�'�y .v-Nnaw r� L I 3� �s~ r� �_ ► � 2 z ac ► 2 V�c�s3suas � a.��.� 1 �' 1 �'� Q��SSU,� �� Z � b �R�z�a� Tiz�A;�s� C�-��►� � �LJ . 'N AzLS Building � Inspections 763-572-3604 763-502-4977 FAX DATE � I1 O L'S SITE ADDRESS � � � BUILDING RESIDENTIAL APPLICATION Permit No.; Received By: CITY OF FRIDLEY I Date Rec'd: � EFFECTIVE 1-1-08 _ YOUR E-MAIL ADDRESS �QV1I� ��0 � �� ' � �� a�� y' �� THIS APPLICANT IS: �'OWNER ❑CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: C—�� PCY��i�� CITY�—SS��L� STATE�ZIP F� PHONE: 7 E��S �yZ�`�� G1�I1;��I.�.� PHONE STATE LICENSE # PROPERTY TYPE I,�! S[NGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILY/IVEW CONSTRUCTION PERMIT TYPE � ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH ❑ ROOF �'DECK ❑ SIDING ❑ SWIMMING POOL FAX EXP DATE SIZE STORIES ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER TYPE OF WORK: I❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Viny( ❑ Aluminum ❑ Other ❑ HOUSE ONLY ❑ HOUSE & GARAG� ❑ ATTACHED GARAGE ❑ DETACHED GARAGE STATE ZIP. y \ )1i SO FT BASEMENT REMODELING SUBMIT: l. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCT[ON INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures � Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calcalations IN EXISTING OPENINGS ❑Yes �No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF 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 UBC FEE SCHEDULEI TOTAL JOB VALUATION $ � Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due OCCUPANCY $ / See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ 01 .0005 x Permit Valuation Minirnum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ . Make checks navable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley an ith the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work ill be in accordanc th appr plan ' the case of all work which requires review and approval of plans. SIGNATURE OF APPL ANT ��!�?� PRINT NAME� �� DATE��.� APPROVED BY DATE `� �� t� � �J 3 � 2 � A � 2 - � r V �� _� ; � � � �� t i �J a � � i �� .� Ct' �— � � �j J � .� r) • � a. �� Y � 1-'. �= � � r. �� w � o Q w U�d �__.-, . � : �/► _ �►- _.. �', �� /� r► S �.�j � r' .- � � � � � I ---_.____ � � � � � i �,` ��,�3c� T�'.'�� , ' �=�� _ � ; , ' ' ' i•. - .. �� ! � .. :. .. 0 _, :. m � �� I� t � P v � r � � 4Y � N � J\ V �� X n ' � 2 °P s;�� i � wi l ' 1 � �s �� a 1� � �� ; � ; 3� a i�� + A O � j � X 6 � � �j � ,� �� a � �� ' 8 �,\ — .• I � M��IC—�� i � � .� �� s � �� J � � c�i � J � � � •� � �� :+ � , � � � / �I � � `� � � � -- � �,� �� Sof�r,rrs�' Joist Layout View �� , @��` � � , �, �� v� c��E�-�- w � � �� , rw�i �2 v4c.a �c�6Ee .� S � �C � � N A�- s _ . _ ��,� �v� -to 1� o� s� C� �a��oN Lc� w, ��5�� v. ►�x�"' -z� b C��.� - S� ,, t�+��s Cz.g� z- �� C7G' ' �.s, r� J o�.� �, 1 _ t� � 7.� �� , a N So�' ��tL��-�- ; t6'' a_c. _ �C � �':S . --� _�. _� �.� ':�,....� �V , �i�� cs� �� C.�-N�+ - R�N�- �� i� �l VV12 l2 �S , ;t Ic7S � Ov�.,( �� • 3' i��- ,� .. � 1 �� - �� , ��t� � ��.. , . �a�s : 2- 2_.x lo P:�. 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All information contained this pa e is u'ect to e rms i�th discla' r I cate �t the enEj o documentr--��' � � f' � �� (U C�� S Advertencia e instrcciones importantes: Esto no es I n rn n es imacio i a eI diseno.EDG E INC o asume ninguna responsibilidad del uso o de la salida correcto de este programa.Toda la info� or c e e gin os terminos en la negacion, situada en el extremo de este documento. � PBg� 2 Of � 2 Dx ID 8728aad5-fe9f-477b-b3a3-Sa6013a2f4f2 �� x�N � . �� L� , �� L�� ►��- L� ��„ G��R � ) 3°1� _�,`''�.� �� S�� C� � �� . " c� ldl� � ��S�L `� �� -- � �'� - _ r 1 s � (I��..��-�'ass �� r� �� X y�� n�`�t `� �L� _ �� wS ��-° g �� ,tl�,��k Z �� PJ 4l�.v�al�S P��-l� W) Z%Z � E�K. 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Deck Information Deck 1 Con�trur.tinr,—nea+�d - Beam on Top of Post Footing Type - Pier In-Ground Live Load - 60 Dead Load - 10 Decking Spacing - 1/4 in Joist S acin - ' Beam Spacing - 71 27/32 in Post Spacing - 88 in Decking --�+/4x�x„1�rr►,n,�nni��c�i 5pufhr�rn oc.,e No. Z Beams -�_,1 ox� F T��S�� +�+P�r�__� No. 2 Joists - 2x6x16 Tr Posts - x4x 6 Treated Southern Pine No. 2 Deck Height - 37 in Diagonal6racing - No Joist Overhang - 12 in Beam Overhang - ,�,Z,iq Decking Deflection Factor - 360 Joist Deflection Factor - 360 Beam Deflection Factor - 360 Pref Decking Size - 5/4x6 Pref Joist Size - NONE Pref Beam Size - NONE Pref Post Size - NONE Railing 3 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 5 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 4 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 8 Railing Height - 36 in Baluster Spacing - 3 3/4 in k � �,... s�'*, �; ��,. Railing 1 � Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, lNC. assumes no responsibility for the conect use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimacibn final del diseRo.EDGENET, INC. no asume ninguna responsibilidad del uso o de la salida correcto de este programa.Toda la informacidn contenida en esta pagina esta confor►ne a los t�rminos en la negacion, situada en el extremo de este documenta Page 5 of 12 0� io s�2aeaas-s�ss-ana-nsas-seso�sa2farz � �� Softs�rare . Railing Height - 36 in Baluster Spacing - 3 3(4 in Railing 2 Railing Height � 36 in Baluster Spacing - 3 3/4 in Railing 6 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 7 Railing Height - 36 in Baluster Spacing - 3 3/4 in Stair 1 Step Width - 42 in Step Height - 29 1/2 in Step Rise - 7 3/8 in Step Run - 11 in Stringers - 2x12 Treated Southern Pine No. 2 Risers - 5/4x6 Thompsonized Sauthern Pine No. 2 Treads - 5l4x6 Thompsonized Southern Pine No. 2 , . f . Y� 1 �� .h'.�°}.. i �� Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the coRect use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimacion final del diseno.EOGENET, INC. no asume ninguna responsibilidad del uso o de la salida conecto de este programa.Toda la informacion contenida en esta pagina esta conforme a los terminos en la negacion, situada en el extremo de este documento. Pag@ 6 Of � 2 Dx ID 8728aad5-fe8f-477b-b3a3-5a6013a2f4f2 / �. t * So aoe . 3D View � '��.�. � � � �� Waming and Important lnstructions: This is not a final design plan or estirnate. EDGENET, INC. assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto n� es un plan ni una estimacion final del diseno.EDGENET, INC. no asume ninguna responsibilidad del uso o de la salida correcto de este programa.Toda la informacion contenida en esta pfigina esta conforme a los terminos en la negaci6n, situada en el extremo de este documento. . • Page 7 of 12 � i� a�seaea�-t�sr-an�-bsas-saso� sazrarz