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AF - 47442City of Fridley, Minn. BUILDING PERMIT �- N° 5394 Date: ..... .�..%�_....-•`.�-...�_".`�". �� ...._...--•----.__..._____..__.._.._.._ / ' Owner: _. .._..,,,��:��L� .._.__._._.._.._._..._.._.__..._._._._..._.._.._ Builder __ ...---....- • --. . ..� ......_.._..._.._._._.__ r� Address.._.._...._......_......._..._....__.._.......__..__.._..._._..._..._....-•-----.__.._-••---._..... Address •----___......_..___....-----•--.._._.._-----._.._....--•••-•---_-•---�___._.__.____. + L ATION ING No. .�-./ ...� • • •-_-•-._..._- ----.___ .__.____.._._. . Street ._.- •-- --_ .._ .--- _� ._...�.._ ....al... Part of Lot ..... Lot ....._...... .._......._...__ Block ..._.._...�..._.._..._ .............. Addition or Sub-Divisi9n . ._.. . ---l�i Corner Lot ....._--•--........_---._... Inside Lot .-----•!M�'...._----._...-•---•--. Setback ��'..._...___. Sideyard ..._._ "011 .� .�._. _....._.._+..�_._._._ Sewer Elevation _.____.._...----._.----..._._.._.._._...---..__...._..---......_..._... Foundation Elevation DESCRIPTION OP BUiLDING To Used : s � ++�'� I ._ Front _...�� Depth f'!—•••-- Height .�._ Sq. F't.��'�� Cu. Ft �%��I� ♦ _. ._ ...__...__ Fron Depth Height �� . Sq. Ft. �.. Cu. Ft .� � �.__.. , Type o Construction �� ..�.. Est. Cost��.....��_'_'...`..:.'"i'o be Completed .....__....__.�_..... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. � In cansideration of the payment of a fee oP �.�._....._......_., permit is hereby granted to_.__._._.._. ....._._.._....._......._..._.._..._....._...._..._..._ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridiey, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any time upon violati� of a�y of the provisions of said qrainances. r.�-. ...r! 1 Bwtlding Inspector NOTtCE: This permif does not �owr' fh� eonmuetion, i�sfailatfon for wiring, plumbinp, gas heaHng, s�wer oe waNr. B� wn M tN th� Buildiag InspeKOr for s�parate p�rmits for fh�s� ihms. • `�04 � . _.� ,.� _. 4,, __ .--. , APPLICATION FOR BUILDING P�MIT CITY OF FRIDiEY, MINNESO`Pg �-r �c.. �iz..� �— Owner's Name Bui].der ,___r_,_�� iddreas Address �� 3 l �K'"��_�__,_��` ,�'-'" IACATION OF BUILDING Noe (�,,,1 U�7,_Street �+e.�cS e v�J Part oi 1�ot Lot � Block 3 Addition or Subdivisior��'-� �-� I��if I Corner Lot Inside Lot � 3etback 3� Side-Yard SEWER ELEVATTON�� , e� F4UNDATION ELE1�'ATTON��„� �.'c.� �M �pplicant attach to this form Certifica.te of Survey of Lot and proposed building location. To be used as: S � . DFSCRIPTION OF BUILDING � � _, Sq. Ft. �� (/ U Cu. Ft. ,,,�� D � i �/ ,� Front„�,,��,�Depth � Height ✓� �/ Sq. Ft. �,_�% � Cu. Ft. , ,,� � Type of Construetion �- Estimated Co�t �`7 0''°� _ To be Completed �-� � The undersigned hereby ma.kes appl3ca.tion for a permit for the work herein apecified� agreein� to do all work in sfi,rict accordance with the City Ordinances and ruling of the Departm.ent of Buildings, and hereby declares tha.t a11 the facts and representations stat,ed in this application axe true and correct. �, DATE 1- l- 6 1 SIGNATURE {A Schedule of Fee Costs can be found on the Reverse Side.} •., . . �. � " ~ » ^ �-- City of Fridley Applica�tion �or P"lumbing and Gas Fitring Pernrit Dept. of Bld Phone SU 4-7 DESCRIPTION OF WORK � Number, Kind and Location of Fixtures Locatio <�I�..I�d� `IZI�KI�pI3IJa�l<`I��I<al�Z<l`?I FI N GASTERELEC. 3 � m N 3 F- � LL N LL � U m � 3 U� � C� 6' U� O Base � ist � � 2nd 3rd 4th • Futurs Coaaection Openings * New iixture, Old Openings PARTIAL RATE SCHEDULE 3ewer � Cesspool r'j PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ... . .. . . . .. . . . . . . . . . . . �p x $1.50 $ � O f� Future �xture Opening . . . . . . . . . . . . . . . . x 120 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 20d,000 BTCT) .... ..—,�x 2.00 $ a' G � New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL�� lst 3 Fixtures ...�x $1.50 $ / � S-_ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU . ... .. .... .... x 2.00 $ REPAIR3 & ALTERATIONS—Refes to Code Description ................................................$ TOTAL FEE $� 5—ZJ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do �ll work in strict accordance with the City Ordinanc� and ruling of the Department af Buildings, and hereby declares that all the fact and representations stated in this appli n are true and correct. Fridley, 1Viinn. �� , 19�./ Owner �-� � Kind of Building Used as To be completed about Estimated Cost, $ Old--�e Building Permit No. ��_� Permit No. O �:.�.,,.a �i i __ ��. � 1� �� ROUGH _ _ � � ,�' (O / FINAL az 2M BY-L�� Business Phone -�S / ( �� Applicertion �o�r Pawer Pfrm#s and He�ating� Cooling. Ventilatian, Refrigercrtion and Air Conditioning Syste�ns and Device�s PARTIAL RATE SCHEDULE Depl. of Bldgs. Phons SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ R.epIacement of E'urnace ............................. 5.00 $ R.epairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterataions each add. $5Q0.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 124,000 BTiT . . . . . . . . . . . . each add. 60,000 BTLT .. ............. ........ Replacement of Furnace .....................�........ Repairs & Alterations—up to $500.00 .... . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 8.00 $ .D a �.00 � 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER. (up ta 400,000 BTiT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � � � GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ......................—.� x $1.50 $�s� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATIMG SYSTEM � ALTERATIONS 8c REPAIRS TOTAL FEE $ � � REMARKS: ;� . � � �� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are t te and correct. Ei-idley Minn. , 1 �� Owner - �%�� • _ 195— Kind of Used as To be ca 195— Estimated Cost, $ Old�uilding Permit No. � � DESCRIPTION OF WORK HEATING or POWER PLANTS�.Steam, Hot Water, War�Air—No.�__ Trade Nam ' Size No. / ��140 Capacity q. Ft. E.D.R .�� vT4 � BTU H,p, Total Connected Loaci ,�Z/ �Y'3 Kind of Fue <Q� BURNER — Trade Nam Size No. t'��lm � Capacity Sq. Ft. E.D. .�� BTU H.p, 11 pOST 1M-12-58 SUBURBAN HERTING & SHEET M�TAL 8419 CENTER DRiUE N. E. Sign EAPOLIS 1 MIP�N� By �r '/ / Business Phone No• �� `T'�l�% O _ , :,� �.vsQ � as6 � .... •� 4 z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How No I No 19�fl d y 3 ---- Fl.� ' Room � Length ao � Width /�i Height 8/ Fl.� Room Length j� idth Windows an Doors—Crackage and Area Windows and Doors—Crackage and Area �Vidth HetBht No. ot Llneal tt. Area Width Helght No. o[ Lineal tt. Ares No. ot Da�e of pane lighta of crack eq. [t. No. ot pane ot pane 116hts o[ crack p. tt. � Sa.d' �3. ,a �- <� .� � ,o�� i�'' �q, 3 �.� Infiltration �� aU � � Glass — / . Exp. wall 2 Net exp. wall � �p � Int. wall Ceilin8 �2 O /C7 O.E� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.) oom � Length � Width ! Height / Windows and Doors—Crackage and Area Wldth Helght No. o[ Llneal ft. Area No. of pane ot psne Ilshts ot crack �Q. [t. y 7-� o �2.� �cS'� 2 L �� $'� o ( �" G� " / . ,-o Coef. Btu In5ltration S� �f Glasa 2 y � Exp. wall Nec exp. wal) zz /� 2Z Int. wall Ceiling � �i `,� � Floor Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room (Length �3' Width /�-/ Height f' � Windows and Doors—Crackage and Area � Wldth Helght No. ot Llneal tt. Area No. ot pans ot pane Ilghte ot crack sq. tt. y 3� I � ,y / Z y 3 y / . i� Coef. Btu Infiltration , �j 7 Glasa ,� Exp. wall � o Nee eap. wall 3, /o / 7.3 'I lnt. wall Ceiling � �,p �j �loor Tbtal Btu. SS Required sq. Et. E.D.R. or sq. ins. W.A. Leader area In6ltration Glaaa Ezp. wall Net esp. wall Int. wall Ceiling Floor Total Btu. Height $i Btu .'� � �� -- �� 7- �- uired sq. ft. E.D.R. or aq. ins. W.A. Leader area ��f� FI.� Room ( Length /� / Width / Height�"� Windows and Doora—Crackage and Area � Wldth Helght No. of Llneal !t. Area � No. o[ pane ot Dane 1l�ht� ot crack sQ. [t. Z 3 y ��— / e2/, z/ f. c� Infiltration .,2�/i y �v t�y Glaas Exp. wall Net ezp. wall Int. wall Ceiling Floor Total Btu. O Required aq. h. E.D.R. or aq. iria. W.A. Leader area � Fl.� � Room I L.ength j/ Q/idth fi Windowa and Doors—Crackage and Area Infiltration Glaas Exp. wall Net exp. wall Int. wall Ceiling Floor Total $tu. Required aq. ft. E.D.R. or aq. ins. WA. L.eader arra �'i� ��3 'oef. Btu �b y � D ,o ;b �.�� • � • City of Fridley, Minn. BUILDING PERMIT Date: ._._.. '�� 18, 1965 �a�� N° '79'70 p�r: MEZVIN HILL Buiider _.._....._.._.. BLAINES__.CONSTRUCTION _ A� � 6709 Jackscm St. iQ. E. � Ad� �_ 10152 Butternut St. ft. W. C�on Rapids, Minnesota LOCATION OF BUILDING Na ..._.. 6 7 09,� S�t `� Tacks 0n S t. 14 . E.__.._.__._,._._ Part of Lot .� Lot _..._.. 9._._.__ Block _ ?�____. Additiari or Sub-Divisia► ..._.._.._. Mc��wlands, Corner Lot �__...._.__.._ Inside Lot _.._.._.._. Setback _._..._._..__._..�_ Sideyard ._. 2nd Ad�ition Sewer IIevatia� _____________ _. Foundatiau Elevatiaa DESCRIPTION OF BUILDING To be vsed as: � Fraart ___.�..._ Depth I%ight .—...._..� Sq. F't. _.._.. � Front ___. Depth ____ Height _. Sq. F't _ Zjrpe of Construction ____ Es� Cost $14�500,40_,...__ To be Completed t�i. I�'t Cu. F'k REBU�i�D Oft ORIGINAL FOUNDATION In consideratton of the issuance to me of a permit to construct the building described above, I agree to � th� ProPo�ed work in acc�rdance wlth the d�scrlption above ee�t forth and in compliance with all pravisions � aTdimm�ces o! the dty of Fridley. ��' f"�'Q" ��i�'�''",�� In cansideratt� of the payment of a fee of a 10. 00 ��t ��by �� BLAINES COftSlRUCTIOft to co�struct the building or addition as degcribed above. This permit is granted upo� the expn�ss co�dition that the person to whom it is granted and his agenta, employees and workmen, ia all work done in, around aad upan said building, or any part thereof, shall conform in all respects to the ordinances o� FridleY, Minnesota regai+ding locati�, construction, alteration, maintensnce, repair and mo�ving of buildings ordinana��. dty limite and this permit may be revoked at aqy time upon violation of aRy of the P�visia�s of ea�d ALLE'N G. JERSEN g� � NOTICE: 'Ihis p�ea�it dea aot s� 11w eenihueNoe, is�allNta� ior w4tn�. Pl�btaW Yas h�N�, swinr ee wabr. 6� s� to sM 11w luiWi� �e�der fer aP�at+ P�nahs fer fMa hNes. / OWA�R' S NAME ADDRES3 � �„' APPLIGATYON FOR BUILDING PERMIT C�TY UF FRIDLEY, MINNESOTA O l�.� - U �,e+�,�.. %��--� 3 3 " . LOCATION OF BUILDING =��-� -��p�e� Street ___,______Part of Lot' . - �� . -Z�T `'� .�._..��K_ 3 ADDITION OR SUBDIVISION��?y�s�.r'�..rl°�'L �! ...... �..-. Corner Lot`�Inside LOT�Setback Side-+Yard _.SSidER ELSVATIDN FO€�NDATIOA ELEV�iTI01�t . . , . � � I�w II�Y/n �'rw �bY�iiirr� Applicant atta�h to ti�is form Two Certifi�stes of Survey of Lot and proposed building locatiort drawn on these Ce�rtificates. DESCRIPTLON OF BUILDING To be used ast �/V � Lr d�i=� Front �! 1 ,� Aept2�, d� i�_iisfght T� , S 4 . Ft .– !� 'l � C� . Ft . 8' 3 ,�� ,_ _ fa�f,�. _ Frqnt ��" Depth �? 3 Height y Sq. Ft. Cu: Ft.` � Type of Coststruction__ �_ .,�,� Estimated Cost �� So ��_ � To be comgleted_ . -_ - 1�-" � `��,,�' �� he undereigned hereby makes application for a permit for Che work herain ap�cified, agreeing to do all work ir� sCrict accordance with the City of Fridley Ordinances aad rulings af the Department of Buildings, and hereby declaree that a11 the f�acts and representations stated ia this application are true and correct, HAr�..��:�,�- I $, !2 G � srcNa�vx� ��;..�. �'� (8chedule of Fee Costs can be found on the Reverse Side). .. . � � � � \ - , � ., • - � � . '/ SUBJECT . PE ' City of Fridley 2 219 8, , , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T CEIPT NO. � f � � � � ; y _��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � �a � � /'�'1 � CITY HALL � FRIDIE� 55432 NUMBER REV. OATE PAGE OF APPqOVED BY �""'�"� �'� 612-571-3450 910-F15 10/21/93 % f J08 ADDRESS 6709 .Tackson Street NE t IEGAI LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. 9 3 MeadoGrlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mel Hill 6709 Jackson Street NE 571-1022 3 CONTRACTOR MAIL ADDRESS ZIP pHONE UCENSE NO. BARKLEX CONSTRUCTT� CO 1111 21 Ave NE, Mpls 55413 789-5633 1944 d ARCHITECT OR DESIGNEFi MAIL ADDFiESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside, So��.t & Fas.cia 9 CHANGE pF USE FROM TO STIPULATIONS Qroyide �[XLi�X��ii�� smok.e detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPEOPCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR GONDITIONING. THIS PERMIT BECOMES NUIL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERI00 OF 120 DAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED 7H1S APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPUED $1 �]_QO Ss SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27�Q� �ire SC $�.,�..0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,� �� _,j.� �/ �� PLAN CHECK FEE TOTAL fEE .�/��(r � � -f� � License SC $5. $33,60 S�GNATURE OF N'AAC10A OA AUTHOR12E AGENT IDATEI i �1�IH E AUDATED THIS IS YOUR PERMIT � � �Y SiGNaTURE OF OWNER iiF OWNER BUILDERI �DATE1 BIDG INSP ��FT rrEw ADDN �,�t tl [l il Constivction Address: ' I.egal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ��. Effective 5126/93 Uwner Name & Address: TeI. � 57/_ /v �� Coudractor: .�ia Z�. �- �� ,�2��-�'' � MN LICENSE 1� 1 g�'� Addtess: )//-- �,� l-/,�, `z{-c�� Tel. # 7�'y- `d l3? Atxach to this application, a Certificate af Survey of the lot, with the proposed a�trucd.on drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Widdt Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Wicith Hgt/Ground Sq. Ft. OTHER: �L,�� - Corner Lot [ I Inside Lot [ j Ft. d Setback Side Yard Setbacks of Constcuction: S � �t�r�'' v �u, Estuna�ed �: �(1 o c� � O d T�+ u Approx. Completion Date: �L/ �� q�- � (Cast � B2�ck) Driveway Curb Ctit Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � � APPLICANT: ��'l' �� c�� `� Tel. # 7�^� b i� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ r� � � �� _ �,, it� � � �e� � S �,c�G $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuadon (i/i(kh%) $.so/$1,000 valuation $'ISO per SAC Unit $5.00 (State Licen.sed Residential Contractors) Alt. "A" or Att. "B" Above Cons�vation Plan Review $450.00 Fee Det,ermined by Engineering Agreemeat Neces.sary [ ] Not Necessary [ ] TUTAL 5�,,,.;�� f � STIPULATIONS: � rr V sue�ecr RMIT NO. City of Fridley 2 619 AT THE TOP OF TNE TWINS gU I L D I N G P E R M I T � � RECEIPT NO. � ; y ____� COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �/' 7 � � cJ � , /��1 � CITY MAIL FRIOLE� 55132 NUMBER REV DATE PAGE OF AGPNOVED BY �""� � �'' 612-571-3450 910-F15 6/10/98 / / 108 ADDRESS 6709 Jackson Street NE 1 LEGAL �OT NO. BIOCK TRACT OR ADOITION SEE ATTACNEO DESCR. 9 3 Meadowlands 2nd Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PNONE Hill 6709 Jackson Street NE 571-1022 3 CONTpACTOR MAIL ADDRESS Z�P PHONE IICENSE NO. Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 502-4777 20040630 0 AFCHITECT OR DESIGNER MAIL AOORE5S ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C3� REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Replace three windows in home with complete new windows within existing � conditions 9 CHANGE OF USE FROM TO STIPUTATIONS provide smoke detectors to meet the State Building Code - in all sleeping rooms and on all levels of the dwelling. Replacement bedroom windows can not reduce the clear openable area to be less than what was existing or 5.7 square feet. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIfiED FOR EIECTRICA�. PLUMBING, HEATINCa, VENTILATING OR AIR CONDITIONING. THIS PERMIT 9ECOMES NULL AND YOID IF WORK Oii CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTRUCTION Of1 WORK IS SUSPENDED OR ABANpONEO FOR A PER100 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. OWIG. UNITS OFfSTREET PARKING I HEREBY CERTIFV TNAT 1 HAVE REAO AND EXAMINED 7HIS APPLICATION 1 STA�LS GAfiAGES AND KNOW THE SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAWS yq�UATION SURTAI( ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �3 �$OO �I.. 9O OOES NOT PRESUME TO GIYE AUTHORITY TO VIOLATE OR CANCEL THE pERMITfEE SACCHAqGE PRpVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87 � 25 Fire SC �3. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, PLAN CHECKFEE TOTALFEE �X� License 7.95 SIGNATUFE OF CON'FACTOA OR AUTNORIZED AGENT IDATE� WHEN/�� PROPE VALIDATED THIS� IS VOUR PERMIT V� I 1 V i SiGNATUREOFOWNER�IFOWNER9U�l0ER� �O�rE� B G�NSP �� 1E NEW ADDN ALTER �] ��" ConstructionAddress: Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �a� � BUILDING PERMIT APPLICATION ��9 �1 . �:. Owner Name & Address: M 1' Contractor: Address: 3� " � � � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �70 • � Tel. # �J� � —�O�a MN LICENSE # c�!C��-IOIo�7 3a Te�. # SOa---�-1'7'7r7 Attach to this application, a C�rtificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRii''Y'iO�N OF iNYPR�iriE�\T'i' Length Width Height ��{ Sq. Ft. _ Length Width Height 5q. Ft. _ Length Width Hgt/Ground Sq. Ft. _ , � _ _ • . . , •.. . �J�YY.�O�1.�S W��1�`f> �2,XlS'�"Y'Sl� C�r�d t'kia✓��- � Construction Type: Estimated Cost: $�J p �� .� _. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � (o p3 APPLICANT: Tel. # � � "o� $� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ 7,e�,5' Fee Schedule on Reverse Side $ O .0(31 of Permit Valuation (1�lOth%) $ l �D $.50/$1,000 Vaivation $ �%? $1000 per SAC Unit � -�OfJ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above - $ $450.00 Canservation Plan Review $ . Fee Determined by Engineering $ Agreement Necessary. [] Not Necessary j] TOTAL $ 7� �S . . S TIONS: - �.�l��i�`�t'/tl..� � � E E �'� /��'� �� l `� / �� .�.� � !�� L�v�- o,� �"��<��./�r�- G��1: SuB�ECT City of Fridley AT THE TOP OF THE TWINS g � f L D I N G P E R M I T r � � � � . COMMUNITY DEVELOPMENT OIV. � �y_-__.- , r � � Pf�OTECTIVE tNSPECTION SEC. � . i.---�'��'�'�'� CI7V NALI fR10lE� SSIJ2 NUMBEA pEV D�TE P�GE Oi L 612-571-3450 9�0-F�5 7/11/00 / / J08 AOpRESS 6709 Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR A DITION � oesca. 9 3 Meadowlands 2nd Additio 2 PROPERTY OWNQfi MAIL A�ORE$$ / P„�� Mel Hill 6709 Jackson Street NE 3 CONTRACTOR MAIL AODiiESS K& J Gonstruction 659 Hwy 65, Mora, MN S l ARCHITECT OR DESIGNER MAIL ADDiiESS � 5 ENGINEER MAtL ADDR�� Residential ' 7 CLASSOf WORK NEW � ADDITION � B OESCRIBE WOHK Construct a 20� x 16' Gara�e Ad 9 CNANGE OF USE FROM ion ALTE TO PERMI.T N_Q,_„ � 3~1 6 RECEIPT�l6�' sr SEE ATTACMED SMEET 571-1022 PHONE LICENSE NO 537-3506 PMONE IICENSE NO. PNONE IICENSE NO O REPAIR O MOVE O REMOVE STIPULATIONS Provide a hard surface driveway. See notations on plan. �� f!�F� di�pin� catl for all utility Icaoations = 4540002 REQUIRED BY LAW SEPARATE PERMITS REQUIRED FOR: PLUMB NGG� A DnSIG�iS SEPARATE PERMITS ARE REOUIRED fOR EIECTRICAL, PLUMBING, MEATING, TYPE OF CON: VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTtON 20NING AUTMORIZED IS NOT COMMENCEO V!!ITHIN 60 DAYS. Oii li CONSTqUCTION OR WORK IS SUSPENOED OR ABANOONED fOR A PER100 OF 120 UAYS AT ANV TIME AFTER WOiiK IS COMMENCED. NO DWLG. U 1 HEREBY CERTIFV THAT I HAVE READ AND ExAMINEO TMIS APP�ICA710N 1 AND KNOW TME SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS Of LAWS yq�VATION ANO ORDINANCES GOVERNING TMIS TVPE Of WOFK WI�L BE COMP�IEO 192 WITH WHETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �b � DOES N07 PRESUME TO GIVE AUTHORI7Y TO VIOIATE OR CANCEL TNE pEqMIT FEE PROVIS�ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING cor,- �139.ZS STRU TION OR TNE P RfOFiMANCE OF CONSTRUCTION /' � PLAN CNEGK i N ��--�' 7-//-�00 o Lice e S�GNITUQE OF CON'AA(;TOA Op AUTMOp�2ED �GENT � IOATE� y S�GaniUaE O� OwaEQ��F OwHEQ BW�DEA� �O�iE� t . - OCCUPANCVGROUP OCCUPANCV�OAO SQ.FT CU FT. OfFSTREET PARKING STA��S GARAGES SURTAX $3.10 SAC CHARGE Fi e SG $6.19 T AL FEE S. 0 $153.54 AliA� iUG� a' NEW ADDN ALTER [l (} -[l Construction Address � �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 � BUILDING PERMIT APPLICATIO S�ti S� . ��Y/�� (763) R-2 � �/ 1/1/2000 Idg insp �,�. b� � Legal Description: L-o7� � �� o�. )� 3, �p 1� j��e ��c�.. %n�S Z� �crG��r�•� � Owner Name & Address: /yl �� %� �� J I Te�. # 76 3-- S�1- I!J ZZ Contracior. �� r�S��c�• �� MN LICENSE # ZO Z, )� 7 Z 7 Address:_ Gs�l �wy GS A'1 oit.� ��~i Tel.# 537-3SOG �p-�l�i�-a31�/ Attach to this appfication, a Certificate of Survey of the lot, with the propose� construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length ��' Wdth l L�� Height�_ Sq. Ft 3� O SQ F'�' DECK AREA: Length Wdth Hgt/Ground Sq. Ft OTHER: Construction Type: �u �� 9� �� Estimated Cost: $ (O� 9r� . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 7 S ZoUG APPLICANT: /v �-�— Tel. # S37 3'�� t � �� fI. Zy7-vo67 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ °�5.� Fee Schedule on Reverse Side $ r l .001 of Permit Va{uation (1/10th%) $ 3 - /� $.50!$1,000 Valuation $ $1100 per SAC Unit $ �. OD $5.00 (State Licensed Residentia! Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ l 3. S r�1ClcST�.C� E' ,�j � ��8 ��i�7'��- ��;�' ��` � ' <7'/�J ��a . • ��'� ' � - ,; "7/- 3ys O s��-3��y Gv � �n � �`.`�' f Z � �� : ► s-�oa; r � i , � -r.. � • � y 'Lnrt �� s „ • , � �, , a � � Z 2.X/ � f t �� Y''w �-,: :'� . �;,. ;, � � r:, r ��, / �� s�� , �, � �; � � . -*� • ,' 'w;"�'. • " (s� � �.�--� `" ",� _,„;, �`t <�,. � � � �:>++ `'"� ;` �' � .� ;, s. �y• � 4. � � !�4 L.v� � � �� ^"" �w '`+� t�� F r� � �:.° „�i°a` � .._,_.�_.....,_...,_._.,..,�--..._�.....�� r.---•----�•-�--.-•--�•-._ � ,' /� �' � . ' � i `; s'. i' / � /' /�/�. � J . �:' /� Y , !, j �' � � ,.- ��-��' . ��i► � r�''::."��., /�r r / , ,' �, � ' � . �' . �� r . / j' J ✓ ' . _„�. �;��v �� .. - , T ��3� a i � j�,� `� , .� � Z." �M� � �..' ('�. 4' i a . iX�-i Pk;Jc� s -rKyxf�'r�c�� Srr�� /11/�j,�'�� ..'^^�-.�-.-�....�... � • ' 3 '!Z C��c< l � � N 6b' y��; �',�.�� -8 .� ;�%l�j�j dil� ' ��. �. �t:,tx:.;,. �'.ai t � �uU �',•'' e j � � f/Z t..+a: 1 k ; ln,c-•r tit: ".`f r � �� E t.t, +r: �y.rG LC„� .�,.. �,_ : �,.�.�,,,_�. . .b� ��' � � -��,-� � � ��. � �IL frral�� PJyWa��+O� • ^• � " M J � e NEW � ADDN [ ] ALTER [ ] (_ C( .l' � l �-'�� " � � -'� �� f~� �—�_- _V!_�_. Effective /1/2000 CITY OF FRIDLEY (763) 572-3604 Bldg insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� ? N �'�... �l ��, �� Construction Address: �o "� � � � ,� a � /'�/ � .. Legal Description: Owner Name & Address: �'Yl p/ 1� 1, �l -s' JKI ��s ��„i +Tel. #-� i t i D?�� Contractor. _�` _ S � �, � rf � MN LICENSE # t� �' � y Ai- . . �..� . ' .. . _ .� Add LIVING AREA: Tel. # � / � O � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. GARAGE AREA: Length ..,2_ o� Width � Height Sq. Ft.,� DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: .�3�.��:3s= ��,� as Construction Type: � TD C,--� G� r( �,gp: Estimated Cost: $��, 7T Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: -� � � APPLICANT: � . � �m �[ o � Tel. # C�l �o ��A D �� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $/� 9•.�3"" Fee Schedule on Reverse Side Fire Surcharge $ G,, /`� .001 of Permit Valuation (1/10th%) State Surcharge $ 3.dG $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � ,,/` $1100 per SAC Unit $�� 00 $5.00 (State Licensed Residential Contractors) $. Alt. "A" or Alt. "B" Above $ $450.00 Consenration Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ . c�ty of Fridley AT THE TOP OF THE TWINS r � . � � � • COMMUNITY DEVELOPMEN7 DIV. � � � PAOTECTIVE INSPEC710N SEC. r � ----; , � , , � � �"'� � CITY NALL FRIOLE� SS�J2 �"'"�" �'' 612-571-3450 SuBJECT BUILDING PERMIT� igFp REV DATE PAGE OF 91Q-F15 9/7/00 / / 108 ADORESS 6709 Jackson Street NE t I,EGAL �OT N0. BLOCK TFACT Ofi AOOITION DESCR 9 3 Meadowlands 2nd Addition 2 PqOPERTY OWNEFi MAIL ADORESS Mel Hill 6709 Jackson Street NE 3 CONTRACTOR MAIL ADDRESS Sussel Corporation 654 Transfer Rd 4�16B, St Paul, MN � 4 ARCHITECT OR DESIGNER MAIL AODRESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CIASS OF WORK MAIL ERMIT NO. �`"�` 31371 NO. /� AbPROVED 8Y SEE ATTACNEO SMEET 571-1022 PHONE LICENSE NO PHONE LICENSE NO. NO O NEW C� ADDITiON ❑ ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Construct a 20' x 16' Garase Addition 9 CHANGE OF USE FROM lZ•7 STIPULATIONS See notation on plan. Provide a hard surface driveway. ISEPARATE PE��MR�TS � WARNING REaUiRED Before digging cail for WIRING HEA7�NG all utiiity locations pLUNlBIN� AND SIG�IS 4540002 REQUIRED Bl( LAW TYPE OF CONST. SEPARATE PERMIT$ ARE REOUIqED FON ELECTRtCAL, PLUMBING, HEATING. VENTII.ATING OR AIR CONDITIONING TNIS PERMIT BECOMES NULI AND VOIO If WORK Ofi CONSTqUCTION zONING AUTMORI2ED IS NOT COMMENCED �!ITHIN 60 DAVS. Oii IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD Of 120 OAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S I MEREBV CERTIFV THAT I HAVE REAO AND EXAMINEO TMIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE ANO CORRECT. A�L PROVISIONS Of LAWS VALUATION AND ORpINANCES GOVERNING THIS TVPE OF WORK WILI BE COMP�IED 6�192 WITM WHETHER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMOR�TY TO VIOLATE OR CANCEL THE pEpMITfEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING coN- �139.ZS TR TION OR THE PERFORMANCE OF CONSTRUCTION PLAN CNECK FEE � ��ZA1`� � '� � Lice s S�GNITURE OF �ON'�7A(;TQA OA AUTNO EO OGENt � IDATEi ME PR( 'r 'L S�GNSiuAE O� OwNEA �� OwHEA Bu4DEA� �D�iE� �� n� �rco : SO. S7A�4S $5.00 GrGROUP OCCUPANCV�OAD CU fT. OiFSTREET PARKING IGAAAGES SURTAX $3.06 SAC CHARGE Fire SC $6.19 TOTn� EE 53.50 )AjED HIS IS VOUR PERMIT CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE New Fixtures Old Opening, New Fixture : Beer Dispenser Blow Off Basin ' Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance � Water Heater -Electric Water Heater - Gas�* �_ Gas Range�" Gas Dryer'" Back Flow Preventec Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 TOTAL JOB ADDRESS ( _O_� L� � �Q,[`��5(� <5�.: ��, The undersigned hereby makes applica6on for a permit for the work herein . specified agreeing to do all work in strict accordance with the city codes _: and rulings of the �.uilding Division, and hereby declares that all the facts and representations stated in this appfication are true and correct. � �� Owner C'�ll �(, rr� e � Vir� C�c� 3��7 r� � Q r-�r' Building Used As ��a 1 fl�JU ��, '° 1 � �� Estimated Cost PERMIT NO._ ' $15.00 PLUMBING COMPANY OIZ�I� ZUi✓1C71I/v��_ Reinspection Fee $47.00/Hr SIGNED BY — TEL N0. Z' - Q ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture orAppliance �� r Approved By Rough-In Date Final Date' State Surcharge � .50 TOTAL FEE $�-_'r'� PLIJS THE 5.50 STATE SURCHARCF COMBUSTION AiR SHALL 8E PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE SuB�EC* City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f � . � � � ; �__ _._ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. l._-- w'��"';'� CITY HALI fRIDLE� 55132 NUMBEi� pEV O�7E L J` 763-571-3450 910-F15 $/15/03 �oe aooaess 6709 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 9 3 Meadowlands 2nd Addition 2 PIiOPERTY OWNER MAII ADORESS Z�P Mel Hill 6709 Jackson Street NE 3 CONTHACTOR MAIL ADDRESS Z�P S SA12 1 ARCHITECT Ofi DESIGNEF MAIL AODRESS Z�P 5 ENGINEER MAIL AODRESS 21O VAGE O� / / P �3807 RECEIPT NO. �:___� AVVROVED BY� SEE ATTACMEO SNEET PMONE 763-571-1022 PMONE LIGENSE NO PMONE LICENSE NO. PMONE LICENSE NO Residential 7 CLASS OF WORK C� NEW ❑ AO�ITION O ALTERATION ❑ REPAIR p MOVE �] REMOVE B DESCRIBE WORK Remove existing 12' x 8' shed; Construct a 12' x 12' Shed 9 CHANGE OF USE FpOM S7IPULATIONS See notations on p1an. TO SEPARATE PEFiMITS ARE REOUIREO fOR ELECTR�CA�, PLUMBING, MEATING, VEN?ILATING OR Alfi CONOITIONING TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZEO IS NOT COMMENCED WITHIN 60 OAYS. OF IF CONSTRUCTION OA WORK IS SUSPENDED OR ABANDONED FOfi A PER100 OF 120 DAYS AT ANV 71ME AFTER WORK IS COMMENCEO. NO DWLG. UNITS I MEpEBV CERTIFV THAT I MAVE REAO AND E%AMINEO THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION ANO ORDINANCE$ GOVERNING THIS TVPE OF WORK WILI BE COMPLIED �1�(�OO WITH WMETMER SPECIFIEO MEREIN OF NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL ?HE pEqMIT FEE PROVISIQNS OF ANY pTMER STATE OA LOCAL LAW REGULATItJG CON- �SO.9S STRUCTION OR THE PERFOiiMANCE OF CONSTRUCTION S�GNSiUAE OF �ON7aaCTOQ Oii ��G TU O� O NEp��F OWNEQ O�GEN1 �D�iEi �/�s� � STA�LS � OCCUPnNCr GARAGES �.�� SAC CM RGE Fi SC $1.40 ror L FEE 3.05 YMIS IS VOUR P RMIT �. .�_��_ � NEW [X], ADON [ j ALTER [ ] Constcuction Address: Legal Descript on�� , CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Frid{ey, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMtT APPLICATION c,�-,'}�� o Q so-� s7` , �U �', W rn sh e4( f" � e�l�r � e r,� e�� / S�I ep( dl'e vi"vK s�y o-� ar- Owner Name & Address: �e / /� i //- (o7v 9 ��c�s� S7`,�(/•� Tei # `7,63-- �' � � /� � Contractor: Own�-�' MN LICENSE # Address: Tel. # LiVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, vaith the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: .�`l e d %`� i° % 2 �' � r e%y�r �« ��Dfi� lo� `at f 3 �,� t��. 4 wj � s yr as�tia �t s/► �� PS Construction Type: W�� f�� Estimated Cast: $ f�/d D w/��d�t�,� r� �be Sr"� 9 '��- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ +DATE: k � � APPUCANT: , /r��.V.(� Tel. # %�3— s'7/— i� � � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ J�4• � Fire Surcharge $ - b State Surcharge $ . 6 SAC Charge $ License Surcharge $ ,� Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ rora� � ��. � � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ J Not Necessary [] _ •► Desi n #669�7 � ' � 8/5/2003 9 �� *** Take this sheet to the Building Materials counter to purchase your materials. *** You selected a ara e with these o tions: 9 9 P i 12' INide X 12' Deep X 8' Nigh Gable roof w/ 4_ 12 di#ch trusses 2�cC. 12" gable/12" eave overhangs 7/16" OS6 Wall Shsathing ��j., /. f 1/2" OSB Roof Sheathingi��'yt 8" Textured Fiber Cement lap Siding �, . . , s Pine Soffit � Fascia Galvanized Aluminum Regular Roof Edge Pine overhead door jamb 4�'�� ' '� � � � � �� , �o � w� � c�.sT h a s� ,�! � /� .�.,�' C�rri� I t� �� 1/V� H S7�`� �s -�` " dC i i i� � srd-� �� Jr �� k A'� �u�. ��S as�oll � /�F T l� � FI-o�7`- vi ew -•�� REVIEWED B G lns or / �3 sti�� IGs � \ Toda 's cost for materials estimated in this desi n: $��. v� Y 9 , ..� �e i g h �� ,, �, �,, 6ase garage without options: $?78.25 ,._______. *The 6�:e prioe includea: 0" E�ve/0" 6�61e Overhmys, Fr�ming M�teriils, � 7/16 OSB Roof She�fhing, 20 y�. Flbergl�:e Cl�:ala - Ony�c Bl�ak 3hinyl�, Pine F�sei�, 6�Iv�nized Reguler Roof Edge, 8" TexFured Verfial N�r�o�rd 3i�iry, No Serviae Doon, No Overhe�d Doon, No Window, or My Other Optiem. �'t J ol /�� -�-r�� b.k ; !d � ng h �c � 9� f'� /� ' , .:. � - _ ___-__---- --- 6rawing: 3-Dimensional View �� {� ,Sl4b : /LUi»�NR� y " �F- ��/F'�i� cG"-�J g�r�gcs� �b k d �f°�a,d s 5Q � �� y sGy bY N�d'� ��°G , wi , ��y� f ��ca�ed �dr/e+�� /y� %z "r �7 ,i 3i cho:� — � b v /�3 > ti,�e �� H � „ Y e v�vc�'E7� �-�o .c . �i..� 02 C�'x „ �a�.✓ �� '`a�a/�j �'��f . __ € . i I �„��._ _. �.� ___+_ ; ; � �_ � �" � ; I ��~'�'i.. � }'_` I _ i _ I--- I i I~-��-i - � 1 - � � � i 1 � � ' �� , ; ' '� � , � � � a � _, � � � �" � � � �� ; � � � � �, �� i � � � _ - � ' i R ___F___C__ s+e�, , � � I ' � � � ' i � � � i i - - - - ; � � j � i i I � I _ la I ' , f � f- I � � II I � i ', � _ _ ' � � _ . � _ � _ p�� -�; � - _. � I i � ; ; �i _�- - - � -� \ � t{� d (u,I j � _ :� _ i . �_ _ I - _ _ - - --- - -- --- __ _ g � ' ! 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D�(��,dUN � ' 2007 ADDRESS:�(e 70 q �qc �) o rl CITY � r j�, ��P y STATE�ZIP � PHONE: %(�p �J ST / / Q�%� NAME: r.^fle. �. 1�lok. M C�04� r, STATE LICENSE #� O%^ G�% EXP DATE � % _ �� r ADDRESS: /` rpo4 �,i+t °! • CITY •✓ n' l� r STATE� ZIP�S��Z PHONE %n%�—SY� ?�T IfT FAX �e.T � �o %' JI9.� ` O TWO FAMILYlNEW ❑ BASEIv1ENT FIIJISH ,�ROOF ❑ DRA1N TILE O DECK ❑ SIDING O OTHER ❑ SWIMMING POOL DESCRIBE WORK BEING DONE: I� e� i{ po F ' SIZE OF IMPROVEMENT NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: � HOUSE & GA1tAGE � ATfACHED GARAGE ❑ DETACHED GARAGE WIDTH HEIGHT BASEMENT REMODELMG SUBIvIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of spuctural members W be used Ft. SmIlVG FOR NEW CONSTRUCT[ON MCLUDMG DECKS, ❑ Vinyl ❑Sofiit � ADDITIONS_ & PORCHES SUBMIT: 0 Aluminum ' O Trim 1. Site Plan/Survey showing ihe pcisting structures ❑ Other . ❑ Fascia and P�� J� WINDOWS 2. Two sets of consWdiwi pfans IN EXISTMG OPENINGS OYes ONo IACATION OF WINDOWS 3. Enear�ygy Calculations OR FOR NEW OPENINGS-DESCRIBE SiZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NiJMBER OF VdiNDOWS ALL FEES E SED ON VALUATIONiINCLUDING THE COST OF LABOR AND MATERIALS: `� �.�� (USING TIiE 199 U.B.0 FEE SCHEDULE} TOTAL J B VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ �!� S �. �-f -'� $ � � G�i $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .00I times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 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 pavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LJNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which r quires review and appr 1 of plans. SIGNATURE OF APPLICANT �� PRINT NAME BrYG. - L/ ��r DATE (O ��'� �7 Building Inspections 763-572-3604 DATE 1 1 �+ V SITE ADDRESS ��- D9 THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received YOUR E-MA1L ADDRESS �SC3�,`�p�� l�_01-[ C_• C.CT'i'Y'1 _ h'��' � ❑ OWNER �CONTRACTOR ADDRESS: � � CITY STATE ZIP PHONE: e 3•.'�TI •,�,,�� NAME: STATE LICENSE #_ ADDRESS: PHONE O SINGLE FAMILY/NE� ❑ TWO FAMII,YMEW C Renewal By Andersen 1920 County Road "C" West Roseville, MN 55113 License #20130983 651-264-4777 O BASEMENT FINISH ❑ ROOF D DECK O SID[NG 10 DESCRIBE WORK BEING t S1ZE OF IMPROVEMENT OFSQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: NE W C 0 HOUSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE r STATE ZIP u wirvuc�ws ❑ DRAIN TILE 0 OTHER � BASEMENT REM�DELIIYG SUBMIT: l. Existing Floot Plan 2. Proposed floor plan 3. List of structural members W be used ' IDIN FOR NEW CONSTRUCTION INCLUDING DECTCS, ❑ Vinyl OSoffit ADDITIONS_ & P�RCHES SUBMIT: ❑ Alumieum ❑ 7'rim 1. Site Plan/Survey slwwing the existing structure ❑ Other 0 Fascia and proppsed prpject• WINDOWS 2. Two sets ofconstruction plans IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS 3. Energy Calculations 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 AP1D MATERIALS: (USI THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ,(OS�i --- OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chatge Total Due _ � �3 . a�' See Back Page for Fee Schedule $ 65% of Building Permit Fee $�� .001 times the total job valuation $ .U005 x Permit Valuation Minimum $.50 $ S ,��.0 _ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ f}+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ _. o Make checks aavable to: Citv of Fridiev Attac TH1S IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work wiil be i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understaad this is not permit but only an applica 'o for a permit and work is not to start without a permit; that the work wil) be in accordance with the approve plan in the case of alt work ich requir view and approval of plans. SIGNATURE OF APPLICA PRINT NAME/i�t�� . h o 1f�'� DATE� �_