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AF - 47547sua�ecr PERMIT NO. City of Fridley t�� , 8 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f ' ` PT NO. � � r ; y._.____ COMMUNITY DEVELOPMEN? DIV. ,s�� PROTECTIVE INSPECTION SEC. p�� 1 � 1 � /'�'1 � CITV HALL FR�DIE� 55432 NUMBEF REV DATE PAGE UF APPROVED BV �"'"�'� �'� 612-571-3450 9�0-Ft5 7/13/95 / / JOB ADDRESS ��,.r-i��iv�r.�� 505 Janesville Street NE t LEGAL LOT NO. BLOCK TRAC? OR AODITION SEE ATTACHEO oESCR. 5-10 E Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Whitney Homes Inc. 751-3775 3 CONTRACTOfi MAIL ADORESS ZIP PHONE UCENSE NO Felix Construction 4410 379 St,No Branch MN 55056 674-8546 8262 4 ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL A�DRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residential � 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Construct a 40' x 28' Dwelling and a 30' x 20'8" Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide city with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. Check with the City Engineering Dept. for sewer and water ties. WARHlNG Beior� diggin� ca11 ior aii utility tocations JSER�ap� ��tTS REQUIR�D F.�R � �5a•aoo2 1�IIRIN6� HEATLNG, P�UMBING AWD StG�IS. R�QUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OA AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID If WORK OR CONS7RUCTION ZONING SO. F7. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEf;EBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 85 925 �FZ. �I6 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERMITfEE SACCHARGE �$SO.00 SA PROVISIONS OF ANV OTHE STATE OFi LOCAL LAW REGULATING CON- S UCTION H PERFO CE OF CONSTRUCTION. 5]6.,rj0 Fire SC 8.5.93 � �PLAN CHECKFEE TOTALfEE � License SC 60 NATUAEOFCON�RACTO�:O AU�MOAIZEDAGENT �on E� WHEN PtqOPER ALIOA ED THIS IS VOUR PERMiT V '' � / � � SiGNATUAE OF OWNEAi�� OWNEA BU�LDEA� IDATEI BlD �NSP �1F NEW '�/ ADDI�I ( ] ALTER (] Construction Address: Legal Description: �� Owner Name & dr Contractor: � Address: ��[ t� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF PRIDLEY S[NGLE FAM[LY AND DUPLEXES R-1 AND R-2 Buiiding Permit Application Effective 1 / 1 /95 � l�� MN LICENSE # �,�� Tel. # �'� �'�i� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. /��jT' �Uitlyti� DESCRIPTION OF IMPROVEMENT �`� �Sf =,�.`�xSL•b'f Length � D_ Width ��r Height �_ Sq. Ft. � Length �Z� Width �� c� Height �i' � Sq. Ft. �'��' ,�`��' �� Length �_ Width \ Hgt/Ground Sq. Ft. � Corner Lot [] Inside Lot [] t. Yd Setback Side Yard Setbacksa.0 � Type of Consiruction: Si�.� �� Estimated Cost: $ � �S'�37, y3 Approx. Completion Date: � � � �' � �� j G33 `o (Cost on Back) � Io� �ysy �q = �'3�'IZ�• 92 Driveway Curb Cut Width Needed: Ft = Ft x$ _$ .._ DATE: C�T �U� Q'J APPLICANT: � Tel. # � � ��b `� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: t ? Z $ � , 5� s 83'.93 $�- q� $ ��b, Uo $ �', �' $ $ $ $ 5�, 3 S ('_ITY USE ONLY Fee Schedule on Reverse Side .OU1 of Pernut Valuation (1/lOth%) $.SO/�1,000 Valuadon $850 peT SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agrcement Necessary ( ] Not Necessary [ ] ., „p S' —,C�� / T �� CERTIFICATE OF SURVEY FOR: WHITNEY HOMES, INC LEGAL DESCRIPTION: LOTS 5,6,7,8,9,AND 10 BLOCK E RIVERVICW HEIGHTS,ANOKA COUNTY, MINNESOTA, EXCEPT THAT PAI�T TAKEN FOR STREET RIGHT OF WAY. S 89°08' 00” E 116.00 � y, -��%7 �`' o ^ � g ��.�0 5 ��,-.31 � � ► . S`� , I �l '�Jc'�-L -- — 26.00 � �" 6 � ' N '�� ,3��10 t � � GAR �-� 4 X� �� o g��.7 � �s k.�o �� o � 00 40.Oa ° PROP. '' ' I HSE ' N i SE W � 0 0 0 0 O z 40.77 � — — s - �s=: =fl • , � �u� ZCc� � J � ��b:✓.3� � �1�� , m �� -x9�� 5�,� i� � ^ �1, �� f ✓ NOTE: This as built survey was performed to verify the location of the foundation relative to property line, no other information has been checked. a .�✓a�3 , / N �Jb7�l� 15.00� x g�:�, 2 /�^ 8 S �9,°08' 00" E 116.00 :f�A ;r 2 Sr �Ji�'t" NESVILi�E ST. �� ScQL.� �� -�J � M ERI L.�A �� & ASSOCIATES ENGINEERING SURVEYING PLANNING 8401 73rd Avenue North, Suite 63 Brooklyn Park, Minnesota 55428 Telephone (612) 533-7595 Fax (612) 533-1937 ��,�,,,� ; ; "��e 2�.00 a � � ;� �; �b � Z7----- � � QI C� .O_� _I 0 o � � 3� � w a �` ( o° � � � ��O O � I N �x _ ��— � � Q � W � � �a� s� QDenotes Proposed Elevation x Denotes Existing Elevation 9f 7,O Top of Foundation �63.8 Top of Basement Floor $ b7, D Top of Lookout — — Top of Walkout �s'�.'g- 5��,�/E2—i./ , X g��G� We hereby c�rtify that this is s true �nd corrsct rep�esentstion of a sun�y of the boundaries of the above described land snd of the locstion ot sll buildinqs, if any, thereon snd all visible encroachment; it any, trom or on said Is�d. As wrwy�d this 3d day of --�i/,i'it� , 19 LS. ,�% � � ;i li �� ''� �' .: � ,'��-,, � - j�",�� ...��,, _ _ Mion. Rp. No. / � � f L�nal Survsyw v % .� � �fj Jobt� a � �% � % �/ Book - Ps� 7/Z 6 9 S'" "/J S�� 7_' T CITY OF �RIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING �IXTURE RATES: NO. RATE TOTAL 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 Preventer Required ()Yes () No Type $7.00 �3,v0 $ 4.00 $ 5.00 $ 7,00 $ 7.00 $ 7.00 $ 7.00 $ f 0.00 $ 7,00 $10.00 /0-G1� $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fi�ure or Appliance State Surcharge TOTAL FEE .50 $ �.sv �� vj V � � JOB The undersigned hereby makes application for � permit for the work herein spec'�'ied agreeing to do all work in strict accordar�ce with the city codes and rulings of the Building Division, and #�ereby declares that ali the facts and representations stated in this application are true and correct. .. : �% � � , 1995 • _ /��,�� Building Used As . � Estimated Cost PERMIT N0: l� c.> PLUMBING COMPANY ��o�vfib2�•5t.�/'.D � G�Cm /�/�'✓� �--� . � . � SIGNED BY ��,�.�� TEL N0. 2..!'� 7"/ Z-�� .. . f Approved By Rough—In Date :. ' Final Date �'/� MINIMUM FEE FOR ANY PLUMBING/GAS P.�RMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CI7Y QF FRIDLEY INSPECTION DIV. 6431 Universfty Ave NE Fridley, MN 55432 572-3604 . � � ! -- APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace 8hell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Afr Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACl� 4% of Value of Appliance or Work Commerciai/Industriai 1.25% of Valus of Appiiance or Work Rate TOTAL $ 30,00 � 3O $10.00 $ �� $ 10.00 $ $ 10.00 $ � � $ 25.00 $ $ $ State Surcharge TOTAL FEE MfNtMUM FEE FI�R ANY HEATING/COOLINGNENTlLATlON AEFRIC3ERATION/AIR CONDITIONING PERMiT IS 525.00 PLUS THE 5.50 STATE 3URCHARGE REINSPECTION FEE $42.00/Hr *Air Conditione�s can not be placed in a side yard without written permission from adjoining properry owner. � � � � �%,��, / • Effective On August 1, 1995 JOB ADDRESS � OS `-'��s �� L C'P 7he undersigned hereby makes application for a permit for the work herein speci�ied agreeing to do all work in strict accordance with the City Codes ar�d ruiings of the Building Division, and hereby declares that all the facts and representations stated in this application are�true and correct. �,(LG �J ,1995 OWNER �'. (..�1 k 1...�Ull�Sl BUILDING USED AS �G�(.��' C-L�� ESTIMATED COST PERMIT NO. f� j�� DESCRIPTION OF FURNACE AND OR BURN�R No. of Heating Units � Circle One (Steam) (Hot Water) (Warm Air) Trade Name f��57�7?-m1G1-- Size No. ZS L� �� BTU 7 HP y�/ EDR Fuel_ va Total Connected �aad /, �7�, a� Burner 7rade Name � __�_ _ Size No. BTU HP EDR HEATING Signed By, Approved FILL OUT BACK SIDE REPIACEMENT FURI �� Tel No. (� 7�^ � � 7� � , , ,�`- Rough—In Date Final Date � STACK VERIFICATION ON CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully elcamined Yes (✓� No O 2. Is free from rust or deterioration Yes (�No () 3. Has no foreign objects lodged�within Yes (� No O _ _ .. > _ 4, Is securely supported .. Yes (v� No O 5. � � 7. 8. Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of 7J/ � A11 other sTU's h�0, D(� TOTAL BTU's %1 S�(;�� Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: List ALTERATIONS Bein,� Done: HEATING CO: Signed By: Date: 0 Yes {l�No ( ) Yes {t�No ( ) Yes ( �'1 iVo ( ) �� 'CO .� C, �'.��5 sue�ecr PE City of Fridley � �� ; � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T '/ f � � , � RECEIPT NO. � COMMUNITY DEVELOPMENT OIV. i � "" , � r � V � PROTECTIVE INSPECTION SEC. � � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE UF APPROVED BY �'"""�� ,�� 612-571-3450 910-F15 9/17/96 / / 108 ADpRESS 505 Janesville Street NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. S—LO E Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terry/Linda E 505 Janesville Street NE 785-2545 3 CONTRACTOR MAI� AODRESS Z�P PHONE LICENSE NO. Blom uist Construction 1120 Elm St North Branch MN 55056 674-4856 2739 4 ARCHITECT OR OESIGNER MAIL ADDpESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CI NEW O� ADDITION C] ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Wi�RAI�IVG Before digging ca1! for alt utility locations 454•0002 SEI'ARA7E PERMITS REQUIRED FdR REQUIRED BY LAW WIRING� HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITION�NG. TkIS PERMIT BECOMES MULL AND YOID IF WORK OR CONSTRUCTION 20NlNG SO. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTHEET PARKING I HEREBY CERTIFV THAT t HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO 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 GRANTING OF q PERMIT �L�OF)�F �.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC ION R PERfORMANCE OP CONSTRUCTION. �3%.SO Fire SC �I.00) � � �� PLAN CHECK FEE TOTAL FEE License SC $5.00 $44.09 sicN UAEOF ONTRACTOA0�7AUTMOAIZEDAGENT �o TEi WHEN PqOPERLV V IDATED THIS IS VOUR PEPMIT '�_ __ _ ' � S�GNATURE OF ONINER iiF OWNER BUILDEAi IDATEI � �. SP f�hTE NEW ADDN ALTER �l �� [l ConstructionAddress: \ Legal Description: (r- Owner Name & Address: �) Contractor: i Address: �--� �. � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � Effective 3/1/96 �,�;�.�.,�I T�e�.v� � �4- I.v �a. C-� x� Tel. # � �b5 - a--S �--5 ,� l�- C�� 1VIN LICENSE # o�'� � 1'?� � , S�i`�c� Tel. # (� �l�— �� o A�fa�h �to tliis application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width • Height Length Width Height Length �" _ Width � HgtlGround _ Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot � Inside Lot [] Ft. Yd Setback ` "` Side Yard Setbacks 'I�►�ze of Construction: � V E�� Lc�C�q".� Fstimated Cost:' $ �� `� Approx. Completion Date: ( M e'�,'��1 � _ . �s.� -� , �; . � �_ - . � ya, - . ' ' (Cost on°:;Backl `: , , �. - Driveway b Cut Width Needed: ' Ft. + 6 Ft = Ft .'_ $ DATE: 9 APPLICANT: Tel. #?gS� a5 �C� �: �.: _ CITY USE ONLY Permit Fee $ �� '' Fee Schedule on Reverse Side : Fire Surcharge State Surcharge SAC Charge License Surchazge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $�.� $ ,� $ $ *% °� $ $ $ $ � L � .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: � � � ti � O �- � Q � 0 z '.l_i"- �1 L'1 _ t'1.-�-"_ ._ . . 11 1'._ . ��RT��IC�TE C��' SURVEY r �. 1, r \ ,.. . � �. � L�GAL. DESCR!PTlON: i.OTS 5,6,7,8,9,AND 10 SLaCi{ E R11:'ERvir'rii HEIGHTS.ANOKA COUNTY, t��1!NN�SOTA EXCEF�i THA� PART 7AK�N FOR STR�E7 Ricl�� oF w.qY. � S 89°08' 00" E ! i 6.0� � - � . 1 27A0 J 1p ; g' � 5 C� ��-, � � . Q _�� c� _ �--� _ _ - _ _ _ -- � 2a.00 - �.o.00 - zs.-oo - � ^ o � � PROP. .o S�- ` �`j ° d o°' N HSE �•�'s � .- j f SE 1"` w o� �� i �.i,.l � , ' .oa - ' - �--� ° _ . } k -i G�1R � a � o � � � o g � � � .r. � 7 � $ � , _ ,� 40.77 �„ _ _ ^ 15A0 � ' Q t'' � p 1 � -. � o � � 1� � % '�J l i It� : 1 -- — -O %4/• % � u� � • S $9°O8• Q�,• � � °! 6.00 �� . �� ssacia r�s EtvGiNEER"'^ SUR'JEYiNG ^ NI�tIt�tG 84a� 7 nue Nar :l;; 63 $roCtikly Minnesc- • ;; Te�et�hc . ?) 5��3-75. Fax (6 . �; . _ . -1937 `/�,, . � , I% �� .�...d:.�....■..� _ _ �"— � � W � W� bsreby c�rtify thac this �s s trua and corrsct rep��wntation o! a furv�y af tt�e bounduies pi th� abOVe dascribod land �nd oi the locatio� vf afl buiidin�s, ii �ny, thereorl a�d yli visibie ♦ncro�cnmenL� if any, frpm or on z�id ta�d. .r� A� twveysd this ��% day ot �-e- , 19 / . ;' ,/ a Yr�. ��- �✓ �:?c; --�2� r-Min�. Rp. No. � i�`i ->�d Surv�yor ' / � _ , . ,Va. %.'� !� � `�Sook - Pao. - ��. ; _ � � . ._ _ _ 1 ._� . � p 7 ��' � � �.. i�� _, . _,., , �� w� .� � �� ,�� , �;: ,, ;� Zxyz � �..- �`V` �� ,� (i �____— �i� t Zc Z , � ��;� (j�� i'� ' �'� Zx1,Z �' �� `l 1 � �� i r � �Sf(�� i l � �!r✓ � �% � fi f � ��x ��it��,� � 4`�� I� �„� �� L�. , � � � z� �- �(a+�ac�a f FAGE . C_1[_l4 � � j�:�, .� 'f..�w� � ZY � � �� .�K.,�iw� e�lt . �� 4s t� i,r.� � . ,�'!;�� -___ . ��) o _/' .� r�r�l �L I ��`�� y it�% '' �"�- i c.�-`Z �,�-� �- � / � � a� C�nT. Z – ZXg YJ �� f� � �S �� ! � r f�'�-� ; JU='` � l � � 6r - z,�� lL � � O � . .. , � ' "� �:� ToT��" _ . _�a ��: � SUBJECT c�ty of Fridley AT THE 70P OF THE TWINS g U I L D I N G P E R M I T r � � � � � • COMMUfVITY DEVELOPMENT DIV. r � ~ � PfiOTEC7IVE INSPECTION SEC. 1 � � � i""1 � CITY HALL fRIDLE� 55432 NUMBER �""�" �'' 612-57 f-3450 910-F f 5 JOB ADDRESS 505 Jan sville S 1 LEGAL ��T NO. BLOCK TRACT OR ADOITION DESCR. 5-10 E R v r ' 2 PROPERTY OWNER MAIL AOOFESS 3 CONTqAC' Blo� d ARCHITEC 5 ENGINEER .inda Ewv 505 r MAIL ADDRESS St �o�trnrti on 1 �2(1 DESIGNER MAIL ADDRESS MAII ADDRESS 6 USE OF BUILDING 7 CLASS OF WORK 8 OESCAIBE WORK 9 CHANGE OF USE FROM FEV DATE 12/18/96 ZIP ZIP vAGE OF / / �IGI I T N O. � ��?:�� RECEIPT NO. �O�,�i APPROVED 8V SEE ATTACHED SHEE7 PHONE 85-2545 PHONE LICENSE NO. I1t-�R5b 273.4 PHONE LICENSE NO. PHONE LICENSE NO. O NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE TO STIPULATIONS See notations on plan. Install smoke detectors to meet the State Building Code. TYPE OF CONST. SEPAAATE PERMI7S AAE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONS7RUCTION ZONiNG AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OFi ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV TNAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE Of WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT IO OI DOES NOT PRESUME TO GIVE AUTHORl7Y TO VIOLATE OR CANCEL 7HE pERMIT FEE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT O R T O ANCE OF CONSTRUC710N. � P�AN CHECK FEE �l �� License C 5 ATUAE O CON � RAC A ON AUTH0�7�2ED AGENT IOATEI pq J S�GNa7URE OF OW R uF OWNEA BU�IOERi �DATE� 0 INSP OCCUPANCY STAILS Y�OAO CU. FT. GARAGES TOTA�FEE $182.25 ATED THIS IS VOUR PEFiMiT • �'1 /8 • 9, NEW ADDN ALTER �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �� 1�s��'��,� ��(�� Legal Description: Owner Name & Address: Contractor: �/j�oyy�� ;,� , Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �� ` � �t�i�s,�.° Effective 3/ 1 /96 �J� ` �" f��i�w el.. # 78� = a��s _��SE#_ a � 3 � Tel. # �� — ��j� Attach to this application, a Certificate of S�rvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il1�IPROVEMENT — �� , Length Length R�Sf�%17 f=�cJ � Width � Height � Width Height Width Hgt/Ground �ti%l.Ir,L , ��(L�Gt�'��') _ � Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Tyge of Construction: d� f` 11 Estimated Cost: $ �D ,!!�,`� Approx. Completion Date: �a� � � (Cost on Back) Driveway Cu b C�t Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: /p� // � APPLICANT: _��rrcu,` ��sf Tel. # ��? ' �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Gharge TOTAL $�Z� $ ,� $ ,�i i�'-C� $ $ �� $ $ $ $ $ �Z Z CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50I$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary ( ) Not Necessary [ ] STIPULATIONS: �u � y. + . . . 3 { 3 b. . �_ . -� ,. ... ' 'y, . �: ; , . . � �: ' ° � r .. . s . � , ., � y �� C . � . : t � ff A .�� .. `� � . . � .j ! . , . f+`, Y t V I � ,! ��r�� a� v a.� �� , �. . r � ��;., + M LL :.�� .,� � � �� ` ' , � n� � n �.- 1 / � �� 21'4 "} 14'8 . . , : 1 . O�. . ,��,5 ��J '� � ` ��, �� ' , � y �, ,�,, t� s� � ��,�� <, `: , , . . . . � , . , ,� .: ., 4' � _� �- = S +' � E. ? � S�.t � �S}.� F: -� �w -s _ a.r � �y�i' .� � f� `� �� ta�s �., . , �, � � z t� µ �- # n�. � �� k �� * 7 � k,:' Sa � -�- '`. ;: ..� '- . r ; . r� -4• � r - � +�� - � (�" O . t �� fl� � '�` �* '. V' 1�,' � o � i k 21,a �% y� � ` �" � a�, r r �y . . i "',�,t �� r ?• A � - } .:wn � � .s;:t . . . . .' S X ^ f ; d ,�$ � § � tj � 1f�� y ,� , f T $ g�. : 4 t �; �y 1 i• � '� �^ ��2`��`�t� � �� . �Ax;k . y,�.. re��'" a�,. i �'' .. a� � '�,a� � „ r �' `w < � ; �`` ' C� s '" t i �'s „ k ?y�� `(� 5fi� g � � 'o; ' ;;� ,3- �m k .�� : . .r Y r M r�. aeaLa. •,_� M m �r ,y�. ; �,"�� N a - � � ��a�� m . : _ . � � N � N ' :, w > «�i..+� v+S'+�'. ?,�- N . N. � .. . � . ��1Nf€'J",t'+lt`54:.k. 't► � �.:�a.�k -w"�4:�« .:c:a`�tl . � . � . � . . �� `�� k � . .1 . . � � � . �� ' � �� . . . � . ;a�.F �� $� . . . . . •.'� .. . � . Y s ^ a0 e sa � � #� ° . � � - - � �3 :�� i �, �N � . � � J�` �.. .: _". . '(�\ . N _ - �J� . � . .� � �J `� � . ,. . - _ . . .. . . ,: �. . .. . � ..'. . .. , .. .. . . . . 4 � ? f � � � � � `� �t, �� ; ' �� U �, � � ? ,u� ��; � � fi n�%s. ��t r.� (�' x y�''7��*'y'`�^¢o-r 1�.3��'�''F`�"��„. a�-�' � �;� rk � S - i�� R�' e�; t ,� ;.,r�af r" a r , ��i a n 4�� S �_.� b�`, � t�:L/�O i �:'�,,: �'&�r'�- �°� ��"��i � :: �� a F�,� ` h.; x,� . S' �� y� �R��},y' . t YI �V � �t t� ��FZ t Y ��. � �$ � ��t% .fi� � � �{ s� � y . �� f �� -�� - 9 aa _ . ��, �� ys _-� a �'a% � � � � � d I�fif � p � � � � ,Y��, j �/ S � � � � � .� � �� CITY OF FRIDLEY IIJSP�C710N DIV, 6431 University Ave NC Fridley, MN 55432 572 — 3604 RATE SCHEf�ULE�. �4PPLICATION Fl7F�.pC7�Y1�'ER PL�AN7�,ANI� Ht:A71��G, CdOLItJG, VE:N'i'ILAI"I��N, REFRIGERATION AND AfR CC>NDI714N!NC S`(SiEMS AND [)EVIC�S Residentfa! Fumace Shell and Duct VJork, Burner - Also ReplacemEnt Furnace (Slde Vent - Fil! Out 8ach;) Gas Piping (Need�d wfth new turn�ce) Gas Range Gas Dryer *Air Conditioning - All S(zes Rat� TOTAL $ 30.00 i $ ti o,00 $ 10,00 $ 10,00 $ 25,00 Ali Others/Repairs & Alterations (�(ST ON BACK) 1% of Value of Applia�ce or Work Commercial/tndustria! 1,25°/a of Value of Appliance or Work �tate Surcharg� 707ALFEE $ $_ . $ $ ' $ � $, �_ .50 �. _._.. MItJIMUt��,FEE FOR ANY HE,4T��VG/CnOLI}VGLVENI'ILATI(�IJ REFRIGERATION,1AI�ri CONDITI�JNIIVG ,e_EF{M17 I:i 25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE �42.00/Hr •Air Conditioners c�n not r�e placed in � sid� yard without �vritten permission lrom adjoining nroperty �wner, Effective On March 1, 1996 JOB ,4DDFIES� -� � � `./ __� �S% ✓�� , 7he unclersigned hereby makes application for a�Ermit for th� work herein sp�citied agr3�in� tu do a!I w��rk in strict accordance with thA City Codes and rulinc�s ot tF�e Building Division, <<nd hareby cisclare� that all the facts and repres��tati.ons s4at�d in this application are true and correct. %/— Z� ,1996 UWNEFI_��-°2f2c�. � L�•v�,� ,L !il/_y __�S S�'� �`�S� BUIL(�ING US�D AS ,,�Zy�4 ��r,u,.� - . ESTi��1�TED COST � �—° PERMIT N0. �v� � %S � 17rSCFiIF710N �OF FUFtNA��E ANb �OFl BURNER No, of i-leating Units � Circle One (Steam) (Hot Water) (Warm Air) Trad� Narr�e ,(�p�s� /�l C-La Size No, -rna�� r,n 7j � F�TU_ :� 7 f�rrz� HP EDFi Fuei_��'�Y_� ^ Tota! C�nnected l.oad F3urner'Crade Name Size Nn, B?U_ _ H�' __ EnR' , HG'Ai'fNG COMPANY �� ,.� �� Signed By �'� _ Tel No. �� -Z�S6( e�n ioyz � Approv�d 8y Nouc�h-In Date Final Date FILL OUi' E3ACK 81DE H STACK VERIFICATiON ON REPLACEMENT FUF?NACE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE � : Frfdley, MN 55432 572-3604 � Stories " Bas ement Floor 1 Floor 2 Floor 3 Ftoor 4 . PLUMBINa FIXTUFiE RATES: Urinal Effedive On March 1, 1996 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR W ash ?:�::�>`: F loo ''�� :qriti'k'�: . r . �>::>:;:::>:..,.... Auto �k�l�..:. :: G s :::<.: S o ::C�ai'��:>;:::;:> a h wer �' .S�€n k'�<> Tra �::>:::>::::�::»>::>:::;>::,: . «<:::<>::::::,::»:<:::> :�c��fi`i€n:>�>::::. Drain <g'�`�'"'�::;::'::: Y .:: �:s��i..�::. Washer i�j��l�>`;>:;:: Ran NO. RATE TOTAL New Fixtures � � Oid Opening, New Fixture Bear Dispenser Blow Off Basin Catch Basin � Rain Wate� Leader Sump/ReceNing Tank ' Water Treating Appliance Water Heater —Electric Water Heatet — Gas** � Gas Range** Gas Dryer** Back Flow Arevenier 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 $15.00 Reinspection Fee $42.0o/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Vatue of Fixtu�e or Appliance State Surcharge TOTAL FEE �i � .50 Water Heater Gas Elec JOB ADDRESS �S v �� v � �� The undersigned hereby makes applicatlon for a permit.forthe wo�k herein specffied agreeing to do ail work in strict accordance with the clty codes and rulings of the Bufiding Divfsfon, and hereby declares that all the facts and representations stated fn this application are t ue and correct, � � `�-�j , 1996 Owner /�-�/i`iCrc'1 4L /�riY� �- ��,L 7 �S�' �S��fS� Bufiding Used As `� ,�/G�� )� Estimated Cos�� PERMIT NO. /�G�i PLUMBING COMPANY SIGNED BY ., '� .'N �--� , TEL N0. /�� a .S�S � , � � 63� - 2� �1 t� �1- �i,'-��: �,,�,. 1 2/1C��'E-� Approved By Rough—In Date Final Date m�i�imvm r�c rvtf AIVT' F'WMt31NC�/� $�'�• �"8 PLUS THE $.50 STATE 3URCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.