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AF - 47582SUBJECT P E�:° ... "..° ..._. City of Fridley ° 12943 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � EIPT N � • COMMUNITY DEVELOPMENT DIV. , �� ------ ��073�'� r � � PROTECTIVE INSPECTION SEC. � � 1 � , � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � �•"-� � ,'� 612-560-3450 910-F15 5/14/75 � � JOB ADDRESS 584 Janesville Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35-40 F Riv erview Heights Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Al Williams Const. 947 86th Avenue N.W. Coon Rapids 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 4Q' x 26' Dwelling (No Gara e? 9 CHANGEOFUSEFROM TO STIPULATIONS provide a verifying survey before capping. SEWER LOCATION: Approx. Depth 7' 140' N.E. of Manhole (Inv. 828.65 Wye Elev: 835.79 Top of Footing: 838.79 Minimum WATER LOCATION: 10' N.E. of Sewer Service SEPERaTE PERNIITS R�QUiRED FOR W�Rii��, ��EATfNG, PLU�BING AND Si�NS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wo� Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 1040 12,480 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �" STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2]_�%OO IO.HS WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PEflMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITfEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PERFORMANCE OF CONSTRUCTION. �26.%9 $325.00 ``�/��GV,i'��t`��^"'`"� PLAN CHECK FEE TOTAL FEE � � �� 7� $362 .64 SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT � IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT t � � � l JCf�L�1 p C�.C.L�t.�'C/ �"��I ''� S SiGNATURE OF OWNER UF OWNER BUILDE�RI IDATEI BLDG. WSP DATE APpLICATION 1�OR RESIDE�TI/1I,, ALTEP.ATION, OR AllllI'I'ION BUILDING PER?�1IT CITY OF FRIDLEY, N1INiJESOT�� . . Ot+INER ` S NAME : BUILDER :�� L L 1, NA�1 ADDItESS : ADDRESS: � . NO:_�y STREET:�� V I C.l.. � � LOT :_� �_BLOCK: r ADDITION : �1 V�A� V 1+ . CORNER LOT: INSIDE LOT:�_SETBACK:��_SIDEYAR.D:�� Applicant attach to this form �tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DI:SCRIPTION OF BUILDING To Be Used As: �astu,u�lS Front; �Q Depth: Z,b Height: �S� • Squaxe Feet;�t�Q,Cubic Feet; � Z, �18� �� Front: Depth: Height: Square Feefi; Cubic Feet: Type oi Construction: �R,�V� Estimated Cost: $ To Be Completed: Tile undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all woxk in stfict accordance with the City of Fridley Ordinances and rulings of. the Department of Buildings, and hereby declares that all the facts and repxesentations stated in this application are true and corxect. DATE: . SIGNATURE• . (See Reverse Side For Additional Information.) �10 S� ir x 3•�Sv .� 3. �yo IO�I o �� C t 7• �� = i r.011 , , -` � � � � �o X�O��•i s j0.8S �`�1'1'' � 2 ��3 : t�.� ►2 . y�ro x 1• 8�11/«. � z �.�1 � �� 3� Gz � 3 _ .� _: �i�� c� �i�1ay � . ��Ali��io:� �� P�s��t� ��a �-� ��r�� '��iY � - - - — �}ept. of Bldas. Y'hono �-34.�'iQ D�SCAIPTIOPi Oc^ V:0�2YC " �j Numbar. Y.ind t.nd Locci3ea oi F!�!uzei I'Or��O� `�o �' n"=� ��' � 1 N � ~r � f�r � ; p� ~ N V .. � i ��g � i� � Z� ; p z�z O� 7}� 7Z �2 _� ii � �ZS N,a� o. a �o v� 33 u7 ue�o$ • Ba_r %� / / Ist � / 2.-.d 3:d S:5 • futuz• Con.cocS'.ea Opor.izsrJs Con:x2:d atia s ?{�w Fi:;turs, Old O�ainQs PARTIAl. RATE S�H�DULE wAT[�t M7!!. � • � M GAS �EIEC. � ��a�r � Ccx:.pool (-j F'LIIMBIIiG FIXTURE RIITES: NO. RRTE TOTAL � � p Nuxr.ber F�xtures . . . . . . . . . . . . . . . . x $2.00 S 1� ; ae Ftiture Flxture nj,cning ........... .��. x 51.50 S—.�• • Iv'ew Fixtuze OId ODening . . . . . . . . . x 51.50 E �_.. � Catch Basin . . . . . . . . . . . . . . . . . . . x 53.25 S . 3 ao V�ater fieater'L'p to 99.000 BTU�.••• /' x 33.04 5 ' . • tiew Gtcund Rua Old Bldg. ....•. .•. . x 53.25 S IIKtl'IC 1fiY2C7 H�ltL�Y. . . . . . . . . . . . � i .�p2.� �.� . �1C3 iZTTI:�iG FEES: HO. RA7E TOTAL m0 lst 3 Fixtures . • . • • • • • • • . • . • • • • 1 x 52.00 = 22 ' Additioaal Flxtures . . . . . . ..... . . . . . x ; .75 j ' Gaa RanYe to 199.�0 BTil ...... ... .. , x 35.00 ¢ City of iiidley: �� Thc undersigned hereby makes apDlication for a permit far the v�ork hr:ri specificd, a.;recing to do a:2 ��ork in strict acco:dar.ce ui:h the Ci� C:�i:.::ec aad ruliag ot the Departryent ef IIuilci:n�, and hereby declares Lhai a:l t��e tact and representations sta;cti in :his �pg::ca::oa nre tr�e rnd corzect FYidley, Mic D �n . �� Kind of Buildir.g Used as To be completed about Estimated Cast, S Old ew. uitding PPrmit No. %� .� �?ry� p•roit ?Io. ��?� � Signe ' BY _ . Busfnrss Phvne No ROUGH £IN�I, e�' � � � � 7 S - i�PA2Fts � ALrExl►7ioxs—A.i.z so coa. .50 State Suzcha�rge . Descripiion . . . . . . . . . . .. . . . . . . . ... . . . ... . . . . ... . ... . � TOTAL FEE �-s'�-O .�C� • . . 29 �� r��' �. � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE August 6, 1975 �L� �{�%c�.c�c�,-�t-aJ • ��/7- �l'�O'`� �G�c.�cn� � �� `o�� }��, .7��% �s5�33 560.3450 FRlDLEY, MINNESOTA 55421 Re: Verifying Survey for � �Gentlemen: � Please be advised that of-this date, we have not received a verifying survey for the above captioned house. We wouTd appreciate it v�ry much if yau woul.d get this survey into our office no I.ater than September 1, 1975. , Thank you for your cooperation in tYiis matter. • Yours very truly, ° ��/ � DARREL CLARK - _ � � . Community Deve].opment Adininistrator � . DC/cs • . � _ 0 ... �. . � . . . _. ��..�... ; _. - I 1 _ ;' �.��-�� •� �-�� , ��, �� • �� ..��. � �,;� �� .. � ~ � =� GR�•dYT"� W.�►F€�: 1b2�: �'� T4iAI.. P1ira�ce SheYI 8s Zhsc4 FPork . . . . . . . aI0.0(? �.- Repiacemec�t oi k�rssac� 6.00 t Rcpairs & Altcrafions--up to ;SQ0,00 g pp � ktepairs dc Alteraaons e9ch add. 35t34.U0 . 3tw a �C'�. W� �ldFt IIR:rnace Shell & Durt Work to IBO,O�JO BTU e�tch add. f0.4Q0 8'I'U . .. ..... . RepIacement ot Fi�rnase Repaira & Alterations--up f,o $50Q.00 R,eyairs & A}tera4ioas each add. $SOQ.QO ..Sio.00 ; I o � 3.W i 6.00 ; 6.00 � 3.00 = STEARt oz iiOT IW1lTEA �YgTE�1 Ftsrnace She2l 3c Lines—to 400 sg. Lt. F.DR Steam t10.00 S F�unr►ce Shell & LinP--to 640 sq. ft. EDR Fiot Water I0.00 S._____�._.. Each add 20Q sQ. tt. EDR Steem 3,t� � Each add. 320 sq. ft. EDR Hot Water 3,pp � _ OIL StJRIvER—io 3 gal. per hour g.pp a�� over 3 gai. per hour�ee Fee Schedule GA� �II�3NER Cuv to 139.�0 BTU) b.00 ;� oaeP 2�9.00? 8'L'IJ Sae Fss Sehvdul� G� �TT��' ��: NO RATE TOTAL lst 3 Fflxtures x� 200 E �� AdditionaT F'Y�t�res __._ x .7b S_�_ Gas Range tb 199.� :; 6.OQ = uR ��Q�� State Suxcharge � .50 . FA.R HEA'1'Iit4 BY�T�i � Fw Se�edvl� ^.^__,,,^, FE�TIJ.�YY�G !�y"3T�t � �►�.�r3cw�.,rro�c � �n�a ror�►i. z$a ��:..5;.�_ w► ' xovax Fi�JIF., �t. of ��. �«+. �-�aso m � �� Cfty of lhidley: The undersigne�! hereby makes application for a permit for the wor� iaere�r� spec�fied. agreeing to do aq work in strict accordanc� with the Ci2y Qzsi},gxsr.ci� an@ ruling ot the Departm�nt o4 Buildings, arsd hereby declsares tiint a21 tii� t��.. and representatiuns stated in this apptication are tn:e and corrsei. Fridley, Minn �g, �� Owner b/�em� �'J^�.��i�� a�l�j _. Kind of $uiiding �� . / _ �Jse� ae I.�'w �i•r �� _:.B _ . To t�e completed about, �•�i�_ �^� _ Estimated Cos� a a. �e�� i Old ew Buifding Permit No. -_--_-- _ P�rmit No.�� . :a;r . : . � , ; HEA7'ING or FOFl�A PLAN7'3�--SLe�xa, iiat Wat�r, Warr�—No . T7ade Name___C��-i,,,�Ll�-- Siae Ido_ j�_5 //� S� Capacity�_1..Q�,� � Sq. io't. E.D.R BTU 1�i,P� Total Connected Lo�d__.,,�'-.�,-�'Z9 l�ind ot i1:ei g:��• _ � BURNEIi -- TY�de Nmme 5iu PI� CaDacitY Sq. F't. L.D.R I31'iJ �� s�-�►��,.�'� h�� . _ sa �� -�G � Plwao� a�-_ ,�/-�9i. 3i (�tMARKf�OYER� a�6 , ,:; >: QZ �z�l� �8`� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEV, MINN. —� - - Weatherstrips A.S.H.V.E, Construction No. Inaulation Guide Windows ( Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied Yes—No Yes—No 19_ Fl.� - Room � Length L Width eight y Fl.� Room Length VNidth •� u-�-�• � Windows an Doors—Crackage and Area Windows and Doors—Crackage and Area �Vfdth Height No. ot Ll�eal [t. Area Width Hefght No. o[ Llneal ft. A�ea No. o[ pane o( pane lighta of crack eq. [t. No. o[ pane ot pane lf6hts ot crack p. tt. v � a sa � � �. 3 / - .3 ae. Coef. Btu Infiltration rjcj, a Glass 3 . Exp. wall � a., }� � Net exp. wall � � � Int. wall Ceiling � X l / F�oor , , a Total Btu. Reqaired sq. ft. E.D.R. or sq. ins. W.A. L.eader area F1.� Room � Length Width i Height , Windo and Doora--Crackage and Area Wldth Helght No. o[ Llneal ft. Area No. of pane o[ pane Ilahte of crack �q. tt. % � � a Coef. Btu In6ltration Glasa Exp. wall Net exp. wall Int. wall Ceiling � Floor , ) Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area FI. Room � Length Width Height Windows and Doora—Crackage and Area Wldth Helght No. ot Lineal tt. Area No. ot Dgns ot pane Ilghts ot crack sa. tt. Coef. Btu In6ltration Glaas : Exp. waU Net e:p. walt [j � � Int. wall Ceiling 3 � , Floor � lr3 7 � Tbtai Btu. a • Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Infiltration Glaaa Exp. wall Net ezp. wall Int. wall Ceiling Floor � � � � Coef.l Btu Total Btu. Z Required aq. ft. E.D.R. or aQ. ins. W.A. l.eader area FI.I Room � I-ength Width Height Windows and Doore—Crackage and Area Wldth Helght No. ot Llneai [t. Area No. of Dans of pane IlBhts of crack sa. ft. � I Inhltration ' Glaas �p. Wau �a x � Net ezp. wal) Int. wall Ceiling /O x / Z Floor Total Btu. Required aq. ft. E.D.R. or aq. uia. W.A. Leader area F7.� Room I Length � Width /� Hei Windowa and Doon—Crackage and Area Width Hetsht No. of Linea! [t. Area No. o[ pane ot Dane 11[ht� ot crack p, tt. I 3/� .2w � ]7.7 ��.5� 1 Infiltration �, Glaas Exp. wall Net exp. wail Int. wall Ceiling X � Floor , Total Btu. , Required aq. ft. E.D.R. or sq. ins. WA. L,eader area Btu Dd6 '.. . a z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Yes—No Yes—No 19_ Kind FRIDLEY, MINN. Insulation How Applied Fl.� Room � Length Width a, Height� Fl.� Room � L.ength Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Height No. o[ Lineal tt. Area Width HefgAt No. ot Llneal tt. Area No. o[ pane ot Dane lighta of crack __eq. tt. No. ot nane ot pane llahts oterack p. tt. Infiltration Glass Exp. wall / a"t 2-K � Net exp. wall lnt. wall Ceiling Floor Total Btu. COCf. �� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.) Room ( Length Width Windows and Doors--Crackage and Area Wldth Helght No. ot Lfneal ft. Area No. of pana ot Dgne Ilehts o[ crack ea. ft. In6ltration Glasa Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. Btu Height Coef.l Btu ft. E.D.R. or aq. ins. W.A. Leader area Room � Length Width Windows and Doora—Crackage and Area Width Helsht No. ot Lineal ft. Area No. ot D`�e ot Dane Ilghts ot crack ee. tt. Btu lnfiltration � Glaaa Exp. wall Net exp. wall Int. walt Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader arca Infiitration Glaaa Fap. wall Net ezp. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Fl.l Room I Length VNidth Windows and Doors—Crackage and Area �Wldth Helght No. ot Lfneal [t. Area No. o[ nane o[ uane llehts ot crack ea. ft. Infiltration Glaaa Exp. wall Net ezp. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or aq. uia. W.A. I.eader area Fl.� Room I L.ength Width Windowa and Doors—Crackage and Area Width Heliht No. of Llneal [t. Area No. ot psne ot paae Ilght� ot crack �v. tt. In6ltration Glaas E�cp. wail Nec eap. wall Int. wai) Ceiling Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area Btu He;ght Btu s 97-8l, i�1 879001 CITY OF FRIDLEY A?PLICATION FOR PU1�'i�3IN6 AND uAS FITTIN6 pERMIT . � r; �, m '� � • K v Watez �c a c u •.+ .-r .+ � �_ m o� ►+ c•ti m a +� :. k. q Heater � y .� � t: H•.� � s� r ro s, n, �g � � m x:., u s+ & C E t7 �C G.. u i ':i :t " -:i .1C " C � � 3 � p U •� O .0 U CJ �j W (', +i ii Cl G V. •.� � p� Q JJ A L� V: G1 U1 N .0 cn �' u � c � �•r a�+ o.c .+ ro ro a�c ro .{ R .0 as lec � N 3 �:+. tn k� U cC Q s C7 S� C9 �O ,�� 's� � �: 3 4 � �:� � ; � , ��. I ` �-- t�) � �=a=e Co:u�ec:ioa Openir.g Connected with Sewer ('i s t;e:: c^ixture, Old Opeaing Water t ARTIAL RATE SCi{EDULE ?LU�:3I\G FI?:TURE ILITES: N0. RATE �:.::^,3er Fi�.t•:zes rst��e ?�xture Coen::g ::e+• Fi.x:ure, Old Oaeninq Catch Basi �atez -eater - to 99,000 BTU 1�J,00� B:J to 199,000 BTU Xater Sof tener \ew G�ou.zd �n Old Suilding i2ectric hater Y.eater i'i.-`,S FIiTI\G FE�.S: lst 3 fixtures «3d:.-oaa2 Fixtures Gas na:.ge :.0 199, 000 8TU �P�:RS F� ALTEe�TIO\S First S100.b0 ea:2�. a�. 5100.00 or fraction x S3.�0 x $2.00 x Sz•oo x $5.00 Y $5.00 x $10.00 x $7.00 x $5.00 � x S5.0o x , $3,00 x S1.0o x S7:o.o0 $5.0� 52.00 $tate Surcharqe TOTNL FEE ItEZHSPECTION FEE {v10.OQi TOTAL $ S S $ $ $ S $ S S S S S S S .50 S 8.� Job Address �8�1 Janesville Street � Departrsent of Euildings City of Pridley Te2. #572-3450 The undersigned hereby nakes apolication for a pe^.ait for �he wozk her�.z specif.ied agreeing to do all work in strict acco�ance with L4e C?ty Co�es and rulinqs of tho Depart:.ent of Buildir.gs, and hereby declares t:.at a11 the facCa and reprosontationa stated in this application are tzue ar.d ccrroct Fridley, Mn. 12'-ZZ-80 � jg o'+�u�R RUSECHEF ICIND OF BUII,DING fralll� USF.D AS T'�S. TO BE COMPLETED ABOUT 12'18-80 ESTTMATED COS: SO.00 OLD - NEW $UILDZNG PERNST h0. PEIL'4ZT N0. _�� P�Y �� ---r-�� c `, T',7'�� ,,�' � Siqned By Tel. t3o. ROUGFI INSP. Date FINAL ZNSP. � `/2 �' O � Dat6 APPROVAL FOR PEiL':IT -�� 0 MINIMUM FEE FOR ANY PLt11+.8I13C PERMIT IS $7.50 pLLiS 5.50 STi►TE SURCri.1R ;E 0 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERAIT >°, w '� v �' o Ueter A w � � C� » � +'�+ � a a Heater ..°� e � � '' a+ e� w .c � � � a � � a � � " � � � � �� g �� o a �� lst 2nd 3rd 4th (R) _ ll�ture Onruiection Opening Coruiected with Sewer (*) � New Fixture. Old Opening itater PLUMBING FIXTURE RATES: RATE SCHEDULE N0. RATE tler li:taras L��ture ti:turea Old Opaniaq, NeM tiztura Seer Diapenser Blor Oft Saein Catch easin Rain Nater Laadar Hydraulic Val�e Su�p or Recsivinq Tank Nater Treatinq 1lppli�nce Hot Nater 8aster Gas Ranqe Gas Dryer ' � g 5.00 g 3.50 g 1. 50 S �.QO $ 5. 00 g 5.00 s s.00 8 5.00 S 5.00 $ 7.00 g 5. QO g I0.00 g 10.00 ALL OTHBRS AND/OR RSPAIRS AND ALTERATIONS ls of value of Fiztnre or Appliance State Surcharge l�einapectioh Fee S IS15.00) TOT71L FEE TOTAL S S S S 8 S s 8 S 8 S $ S S S .50 5 � Job Address � � '� �%� •� �/; � ; . Departa�ent of Buildinqs City of Fridley Tel, il571-3450 The undersiqned hereby �oakea application for a pereiit for the Nork herein specified agreeing to 8o ail wrk in atrict acco:dance with the City Codes and rulings of the Departa►ent of Buildinga, and hereby declares that all the facts and representations stated in this application are tr�e and correct i 1►ridley. iM�+� �G/ � � / , 29� — ^ - qINER KIIiD OF 9UILDING . U3ED AS �B$�� a--a�l - �l ESTIMATSD OOST OLD - NEIP B[JILDING PERMIT 110. PERMIT NO. �% I� i Oowpany Signed By Te1. No. �7 O`�'� �v / � xovc,[i iru�. D�ete FINAL INSP. �a -� '" � Date 1�PPRWAL FOR PERFIIT � T°� l9INIMUM FEE FOR ANY PLUMBING PEItMIT IS $10.00 PLUS THE $.50 ST?�TE SURCHARGE sus�ecT PE O. City of Fridley 1817 AT THE TOP OF THE TWINS g U f L D i N G P E R M I T f ; � EIPT . � ; � _,_._ COMMUNITY DEVELOPMENT DIV. /�D � r � � PROTECTIVE 1NSPECTION SEC. i � i � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER AEV. DATE PAGE OF APPROVED BV �.---� • •�� 612-571-3450 910-Ft5 8/27/85 / f 10B ADDRESS 584 Janesville Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 38-40 F Riverview Heights SHEET 2 PROPERTY OWNEF MAIL ADDRESS ZIP PHONE David Ruschy 584 Janesville Street N.E. 780-4613 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OP WORK �l NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRBE WORK Construct a 26` x 22` Detach.ed Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a h�xd s.uz'�ace dxiveway. 1�lA�NING SEPARATE PERMITS REQUEREQ �'QR Wf�tlNG, H�ATING, PL.U�4'[BtNG q,I�p S[GN�.' $efo�e digging cali local utiliti�s �. TELEPHONE - ELECTRIC - GAS Etc. � R�QUiREO �Y �a�� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTNUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFfSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED c��72 �`3.4g WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING corv- $62. rJO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $65. 99 �G TUaeOF nl Rn a0 A 7HOAIZED ENr i�a7E� �� WHEN PROPERLY LIDATED THIS IS YOUR PERMIT � g-a7- � �.- iGNATUAE OF OWN R�IF OWNER BUILDERI IDATEI BIDG iN$� � f�ti7 N� [}�j� City of Fridley Effective 4/1/8� ADDN. [ l � R-1 AND R-2 � pLTER. [ ] Building Permit Application Construction Address: S g� ci /�NF'S li � 1-Z� �S7 ,�l%� �R,L��-� Y Legal Deseription: �-�rs 3$, 3 q�l D B�o�x � iPz v�.R v.�.Eu.� 1��-�rS Owner Name & Address: :��U�� l' � f� u S G�Y ��''�� Tel. #.JgO—i/6/3 Contraetor : �D Ni4 L- D�� IJON /g L � - ��c.�-�J� Tel .#�5�� Address:�8a� G-�.oR�r9 C�RCL� /`1p�.5 n� ✓£�yv�d�- Attach to this application, a Certificate of Survey of the lot, With the proposed construetion drawn on it to scale. DESCRIPTION OF IHPROVEMENT LIVING AREA: Len • GARAGE AREA: Length �_ Width � Height S Sq. Ft. � 7�"" DECR AREA: L • OTHER: Corner Lot [] Inside Lot [1/]� Ft. Yd. Setback Side Yard Setback Type of Construction• Estimated Cost: $��' Approx. Completion Date: �9��b$ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � DATE: g�7�8� APPLICANT: d/�(J.Z.I� �-r 2Uc� Cly� Te1. � �g��`� � 37�-�3 �O 1.c� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: CITY IISE ONLY � �,�. S Z� $ � �• �9 � � � � �5 ;9q Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$i,000 Valuation �425 per SAC Unit Fee Determined by Engineering yy so � �, ►a a,oa --- Agreement Necessary L] Not Necessary [] � , , i _ _ __ i _ �`� � _ ._._ JG�-�t2-L 2•-�-�Q, ..�i . �� . _ � � r � ' :;-� :�� r . . ��_8 3� _ �Jo ., __ _ � , . _ _ �__ ,�... ,__._ . . t,� , � _. __. _ ______�__�_____ - - _._.P.._�.__.___....�._ ; , 5' o � �� . � . Z._ __ . . _ � i � �:. ��". `'� . + � � ' '�.S ; � �� i . � � !f , � � � --_-� � A . 1 { � . . � . . . . . . � i v �1] i . , �,X� . . _ . � ,o. � . _ . ___. _._ _ _. . 3o,y _ � _ .� li1✓ � f Y X , � � � �� _ . . _ _- z __ � . t aa•: ; . . .. _ . ; . . . 3 _ S�a�Z. ; � . _ , � . �,�, . _ _ { � - ; -� _ ._ .__. _ 4 . . . _. __ . z. - _ _ _ ��. . : . ��-� � - . .. : .. . . . . . .. . i/ � ,.. T A _ . _,.., � _ , _ _ . ., . _ . _ _ � . _ . , �„ r. .a.,.. _. ,� s` r . � r_ .. _ _ --. y - ..� . __ _ , ..___ . . : � ', y � . . . ... wa._, . .. . _ .. . . . ... _ . . .. _. . w . . . .. .. .. _ . . .. . . . .'� . .S ' . . . . . . . Y � � � � . � ... . ... ....,..�.._.,.�,�. _ . _... . . _ _. _.___ . ...,... ___.•. . .._ ...._._. .. _. . .. _...Y_ . .. ._..... . .. .. . .... . . .- .._..,__ . . . . . . . . ` r . . � � .. ��..; �♦ � .. .. . .. . . .. . . �. . . .,.:..._..� _ _ . _ _ _ . _ . _ . _ _._. . r __ . _ _ ._ __ :- - _ ..._. . .. , 2 . . __ _ �,� x 1 i4 = :'�ci �1.� ,� _ _ _ .._ . . . � , - , _ s . . . . . _. � _ _ __. f___. . . _.. _ __ � CERTIF"tCATE OF SURVEY JAM ES L. KURTH L.ANO 3URYEYOR uO1 N.E. sTN STREE7 4��9 COLUM4IA NEIGMTS SS421 �aa_i�4 ( N[R[�Y CtllTlFlf TMAT TFIIi SURVEY, ►LM1, OR R[rORT WA! PR[►ARED •Y M!E OR UNOER MY OIRECT SUrERViiION AIiD TMAT 1 AM A DULV RLGIfT[R�D 6AND tURV[YOI� UNOE1� TNE �,/►Wf OF TNE sTATE OI MINNFfOTA � .-�- _ �-z3-75 � j� .� � _ -<:"--,,�:�- DATE ' Ce"' c.- �` ' �, „�--''L'" � SC A LE 1 " = 3O � . _� MINNE A REGISTRATION NO: 5332 � o= lRON MONUMENT �: A KSt:. �.oc . �{-q.j !9'7 � f � �_/ �/' '�� ' o� O f�� -� / / � �� \' \�� \ �� v � � 1v _ �r_.��' � c �� w y�� J ` �) �� (�, ,,,r.�'°``� `� ,�,�- � ;� G - , , , ,� ; � �� ; � '� •., , . �� '� �� "� � �_ 1��1 � � S ,� . Fa i s �,�ti � , ;; C;' •;r:•, ` a� .. ?3•gs , i' i" i� � � � � � , _; C . , _ a��-° � �, , � �5�;, s �'� �' � � �N _:,, , , 1 " � i� v % ' �� . � �� . ..--- � ^ - , � � .r5�-- � '� ,, � � , , , , -� ,- � 1 C; � � � , ', ;.�," �-, t--� . �� ` - . y�. , I ` � � � �' � �� . �, _� \ � ` � , ,� \ � � 1 r. � , _7�.G , , , � r• � ` _ '7 ^. ..� � i � � 4 � . ` � 1 �,^iV _ " SUI"VP', `'. L��, ��, 3S, 4�, *',G� a�d 4� , �O;.k F, P.i�ervi�4, r�;�;r;,s, , . . . � -.r.C�d ..CUs :} r �';Pr�t'.^*_c ��i � 1 .� /� 1`� i � ,, / rj � f: SUBJECT City of Fridley � A7 THE TOP OF 7ME iWINS g U I L D I N G P E R M I T „ ,� � • COMMUNITY DEVELOPMENT OIV. i ♦V �� , . r � � PROTECTIVE INSPECTION SEC. � � �"'1 � CITY MAIL FRIDLE� 55��2 NUMBER pEv O�TE PAGE O� �'""'�� '' 612-571-3450 9�0-F15 10/2/98 � � �oe nooaess 584 .Tanesville Street NE t IEGAL �OT NO. BLOCK TRACT OR AODITION DESCR. 3H-4O F Riverview Heights Addition 2 PiiOPERTYOWNER MAIL'AOORESS David & Cynthia Ruschy 3 CON7RAC70R MAIlAOORESS Owner � ARCHITECT OR OESIGNER MAtL AOORESS 5 ENGINEER MAIL AODRESS 6 USE OF BUIL�ING Residential 7 CIASS OF WORK IIP 28075 �= APVROVEO BV SEE ATTACMEO SMEET PHONE 780-4613 PHONE LICENSE NO PMONE IICEMSE NO. PMONE LICENSE NO ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOFiK Reroof house (14 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS must Underlayment ��€� comply with the State Building Code. � TYPE OF C� SEPARATE PERMITS ARE REOUIREO FOF ELECTRICAL, PLUMBING. MEATING, VEN71l.ATING Oq Alq CON01710NING THIS PERMIT BECOMES NULI AND VOIO IF WORK OF CONSTRUCTION ZpNING AUTHORIZED IS N07 COMMENCEO WITHIN 60 DAYS. Ofl IF CONSTqUCT10N OR WOiiK IS SUSPENOEO OR ABANDONEO fOfi A PERIOD OF 120 DAVS AT ANV TIME AFTER WOqK IS COMMENCEO. NO DWLC I HEfiEBV CERTIFV THAT I NAVE REAO ANO EXAMINEO THIS APP�ICATION ANO KNOW TME SAME TO BE TRUE ANO CORiiECT. ALL PHOVISIONS Of �AWS VALUATIO! AND OROINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIEO W17H WME7HER SPECiFIED MEREiN OR NOT. THE GRAN7ING OF A PEIiM17 $1199 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TME pERMITfE PROVISIONS OF ANY OTHER STATE OFi LOCAI LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ��FO. LS �UQEOFCON't+ACfp[+pAaUr�OpiZEO�CFNt IDAiE� SQ. fT Of FSTpEI STA��S SURTAX $.60 SAC CHAi Fire S TO1AL F 42 R �OATE T IS � �4/ .n � . OCCUPANCV GARAGES E $1.20 r�c t NEW � [ l ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� -- 1 � - �` � �ConstructionAddress: �j � Li r,� I� �'�' r.� � 1-- � 1– F s� F�-l�Q L�� Legal Description: u� D �t oorzess S.�M x Owner Name & Address: � f} C�� i N-_/�- �. U 5 C l� `-� Tel. # �-�'d -Yto / 3 � Contractor: N oN� � MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: X OTHER: Tel. # 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 Length Width Height Length Width Hgt/Ground �pU� 5�1rN6�E R�PLr�c�t E N�� —�� Sq. Ft. Sq. Ft. Sa. Ft. � -� .�- � Construction Type: Estimated Cost: $ - �� " ' (Fee Schedul e � vn 13ack) " Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # 7�'y6 � 3 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �o-�s- $ �, ao $ Q $ $ $ $ $ $ � �? a.�` CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J sue�ecT T NO. •� c�ty of Fr�a�ey ' 3 0 3 o s � AT TNE TOP OF TME TWINS g � I L D i N G P E R M i T r � . � � � • COMMUNITY OEVEIOPMENT DIV. � j,; /`/�j � �y------ /y / r � � PqOTECTIVE INSPECTION SEC. � i . , i•-_-�; �"';'� CITY HALI FRIOLEV SS�32 NUMBEA NEV D�TE P�GE O� �PVROVEO B• L 612-571-3450 910-F15 9/28/99 / / �oe aooaess 584 Janesville Street NE t IEGAI LOT N0. BLOCK THACT OA ADDITION SEE ATTACNEO oesca. 38-40 F Riverview Hei hts Addition s"EET 2 PROPEii7Y OWNER MAIL ADDR�S$ ZIP PHONE Dave Ruschy 780-4613 3 CONTRACTOR MAIL ADORESS ZIP PNONE IICENSE NO Owner a ARCF/ITECT OR OESIGNER MAII. ADDRESS ZIP PHONE IICENSE NO. S ENGINEER MAIL AQDRESS 21P PHONE UCENSE NO 8 USE OF BUILDING Residential 7 CIASS OP WORK ❑ NEW O AQDITION O ALTERATIDN x� REPAIR O MOVE ❑ REMOVE 8 DESCAIBE WOqK Reroof garage (8 S ) Tear-off 9 CHANGE OF USE FROM T� STIPULA710NS Linderlayment musi comply with the State Building Code. TYPE OF CONST. pCCUpANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REQUIRED FOFl EIECTFICAL, PIUMBING, NEA7ING, VENTILATING OR AIR CONOITIONING. THIS PERM17 BECOMES NUIL AND VOID If WOfiK OR CONSTRUCTION 20NING SO. fT CU FT. AUTMORI2E� IS NOT COMMENCED Vy17HIN 80 DAYS. OR If CONSTRUCTION OR WOFK t5 SUSPENOED OR ABANDONEO fOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO QWLG. UNITS OFfSTFEET PARKING I HEREBY CERTIfV THAT I HAVE AEAO ANO EXAMIN�O TMIS APPltCA710N STA�LS GAiiAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of �AWS VALUATION SUR7AX AND ORDINANCES GOVERNING TMIS 7YPE OF WpRK WILI BE COMPUEO r WITH WHE7HER SPECIFIEO MEREIN Ofi NOT. TME GRANTING Of A PERMIT %SQ. . S �OES NOT PRESUME 70 GIVE AUTMORI7Y TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OF LOCAI LAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUCTION �32.Grj F� PLAN CHECK fEE AL FEE SiGN�tUAEOFCON'f7ACTOQOpAUTMOp�ZEOAGENi �� iEi yyF{E pq :Y VAL�O 0 TMIS IS �PEpMI� . i � S�GNATUQEO�OWNEA��OWNEpBU�IDEA� � �D E�� G�N§�' � ��'�E ,. . � NEW [ ] ADDN ALTER Effective 5/10/99 ( ] CITY OF FRIDLEY [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BLTILDING PERMIT APPLICATION Construction Address: � `a y .�l � r�t�' F �j V I L-1 �-- �i ( Legal Description: Owner Name & Address: _,�A-U� R U S C�� Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: .�� S�M� �}40 Tel. # 7�- g!7 - y b � � MN LICENSE # 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 Length Width Height Length Width Hgt/Ground _ �-2oof H(r� �g Z �"�=��a�'r Estimated Cost: $�- `�� Driveway C�rb Cut Width Needed: DATE: � $" APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � �. _ Tel. # Sq. Ft. Sq. Ft. Sq. Ft. �. .. � _$ . CITY USE ONLY $ !-. � S � Fee Schedule on Reverse Side $ � 79 .001 of Permit Valuation (1/lOth%) $ i �`(� $.50/$1,000 Valuation $ $1050 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 [ J TOTAL $ �3. � STIPULATIONS: � � a5'_sa�� wo�� sue�ecT N c�cy of Fridley 3 3 5 7 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � ` RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. r � ~ � PROTECTIVE INSPECTION SEC. ��'� � � �"'1 � CITY MALI fH10LE� 55132 NUMBEN pEV O�TE v�GE Of •PiROvEO 8r� �""�� ' 763-571-3450 9t0-Ft5 6/3/03 / / lOB ADORESS 584 Janesville Street NE t LEGAL �OT NO. BLOCK TRACT Op ADOITION SEE ATTACFIEO oESCa. 38-40 F Riverview Heights Addition SHEET 2 PROPEfiTY OWNEF MAIL ADDRESS Z�P PMONE Dave Ruschy 584 Janesville Street NE 763-780-4613 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Lampert Exteriors 1852 Como Ave, St Paul, MN 55108 651-695-3680 20103953 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE UCENSE NO. 5 ENGINEER MAII AODRESS IIP PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTEFiATION Q' REPAIR O MOVE O iiEMOVE x 8 DESCRIBE WORK Replace windows; soffit/fascia; utters 9 CHANGEOfUSEfROM TO STIPUTATIONS Provide smoke detectors in aZ1 sleeping rooms and on all lev�ls of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash aZl exterior openings. permit inspection Cards Will Be Mailed To Homeowner To Post TYPEOFCONST. OCCUPANCVGROUP OCCUPANC`/LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTII,ATING OR AtR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOq A PER100 OF 120 OAVS AT ANV TIME AFTER WORK IS COMMENCED NO DWIG. UNITS OFiSTREET PARKING I MEFEBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPIICATION 1 STALLS GARAGES ANO KNOW TNE SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS OF �AWS VALUATIQN SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIEO MEREIN Oii NOT TME GRANTING OF A CEFiM1T �9,467 �4.73 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pEqMtT FEE SAC CMAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- S1HI..ZS Fire SC �9.IF7 STRUCTION OR THE PERFOf±MANCE OF CONSTRUCTION W PLAN CHECKFEE ?OTALFEE License SC $5.00 $200.45 S�GN4TUAE O� CON"AACTOQ OQ AU�NOQ�ZED OGEN� iDATE� HEN PROPERIY VALIDATEO THIS IS V F PER IT U � "'� � S�GN4TUAE O� OWNEp��f OWNEA BU�LDEA� 1�AiE� BL�G �N$� �i<<E FEB-20-2003 09�30 FROM CITY OF FRIDLEY TO 6512870145 P.02i05 NEW [) CITY OF FRIDLEY Effective 1/1/2003 ADON [] 6431 University Avs NE, �ridley, MN 55432 (763) 57�-364e� Bldg Insp ALTER [ j SING{,.E FAMILY AND DUPLEXES R-1 AND R 2 (7BS) 571-1287 �ax BUILDING PERMIT APPLICATIQN Construction Address: �� _� �ar�� 'i e -Sf - Legal Description: tavmer Name & Address: Contractor. : �i MN LICENSE # �(/1 � 9 �3 �L .,, � � �! . : �1,�"r'F�"f:r� �_ - - - - - - -- WING P�2EA: C�ARAGE AREA: Attach to this application, � CEmficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length � Width � Hgi�ht Sq. Ft. Length � �dth Height „� Sq. Ft_ DLCK AREA: Length � Width O E . ✓iiu �Seo'tf- [a�t / . Sq. Ft. Construction Type: Estimated Cost: $ �l. y� 7 _ priveway Curb Cut wdth Needed: YFt. + s Ft = Ft x$ �$ DATE: � D APPLICANT: Tet. #��I .Z Y�' .�5��%!� Cs11(76S) S7x-3604 for Permit Fees if mailing in application. Fax to 765�71-1287 rt using credit card and we will call you for caM number. ctnr usE ON�v . Permit Fee Fire Surcharge state surcharge SAC Charge License Surcharge Curb Cut Escxow Erosion Control Park Fee Sewer Main Charge TOTAL $ �, �- � $ �' - `f � $ �=i� 7 � -- $ � �— � 7�� $ � $ $ $ Fee 5chedule on Reverse Side .001 of Penn� Valuation (1/10th°�) $.50/$'i,000 V�fuation $1275 per SAC Unit $5.00 (S#ate Licensed Resider�ial Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] $ �� y� I / ��6� ., Agreement of understanding between: and David and Cynthia Ruschy 584 Janesville 5t NE Fridley, MN 55432 Rager and Jean Johnson 5'74 Janesvilie St NE Fridley, MN 55432 REC� MAY -1 200? David and Cynthia Ruschy desire to widen their driveway at S84 Janesville St NE to provide additional hard surface off street parking azea for their velucles. The wider driveway will also allow entrance to and exit from their garage without shuffling vehicles. To widen the driveway to a sufficient extent requires extending the driveway to one foot from the property line beiween 574 and 584 Janesville St NE. Current city code allaws a drivewa.y to be installed no closer tha�a three Peet from the property line unless the neighbor agrees to allow it ta be closer. This agreement of understanding is to shaw that David and Cynthia Ruschy have n�otified Roger and Jean Johnson of the inte�at to wiciea the driveway and that the Johnson's have accepted this variation from cade. �. ��7� v^7 Roger hnson Date , ��o� �-�� ohnson Date � Cyn 'a Ruschy � � Dav�d ltus�hy L-f ' � 9 r c� ^] Daxe � ` �9� E Date Building Inspections 763-572-3604 763-502-4977 FAX PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 DATE .J�� LI I v�� YOUR E-MAIL ADDRESS SITE ADDRESS ��{ .� i; v1 t' i v � � �� J-4- THIS APPLICANT IS: ❑ OWNER E�CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTTFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: ADDRESS: 5� � j tis�►rSV; ( ��° 5-f- CITY PHONE: �1(0 3 -- �Z `.�v - `L (o L 3 Tt ✓r �VI C._ Permit No.: Received By: �.�,. . 3 STATE LICENSE # � (o I G �l,s � 1'Yl EXP DATE j �_r y STATE BOND # EXP DATE fwnxESS: SO Z C' r'�1.0 � � �- crrx p�►Ci1!e� sTa� r'1 N ZIP S.� �� PHONE � Cc 3 - S%� " � �'i QJC% FAX �Z �Ci 3 — � % � - � �c cI C�INGLE FAMILY ❑ NEW ❑ TWO FAMILY 0 TOWNHOUSE � REPLACEMENT DETAILED DESCRIl'TION OF WORK �7t s� � I l�t�✓' �1 tct,�e/�.. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MINIMUM FEE $35.50. BATH SINKfLAV FLOOR DRAINS SHOWER WATER PII'ING BATHTUB GAS PIPING (NEED CTI1' LIC) SWA4N4ING POOL WATER SOFTNER (S35) CLOTf�S WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY �V✓ATER HEATER ($35) FOR IItRIGATION _ WATER METER _ OTf�R THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 it and work is not to start without a permit on site; that the work will be in accordance with the approved plan i t e ase of all v�which requires review and approval of plans. SIGNATURE OF PRINT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE 5 � � I l� �