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AF - 47632SUBJECT R . City of Fridley o 19586 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � ECEIPT N � � ____ COMMUNITY DEVEIOPMENT OIV. _ r �~ � PROTECTIVE INSPECTION SEC. a 9��S � � 1 ' /"'1 � CITY HAL� FRIDLE� SS4$2 NUMBER REV. OATE � PAGE OF APPROVED BV �.---'�•� �•� 612-571-3450 910-F15 7/7/88 / / JOB ADDRESS 5750 Jefferson Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1� Prt. 2 4 AC�i3ittS Street Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE B.B.A. Enterprises Inc. 6540 East River Road #132, Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS � ZIP PHONE LICENSE NO. �e 571�7159 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 X NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCR�BE WORK Canstruct a 44' x 34' Dwelling and a 24' x 20' Gaxage SEPARATE PE 9 CHANGE OF USE FROM W�R��V.E2, HEAT[NG, PLllMgtl�G AND S� STIPULATIONS provide City with copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. Paid $750.00 Park Fee. See notations on plan. SEWER LOCATION: (Approx. 12' Deep in Street}: 41' S. of M.H. (Inv. 865.76) WYE ELEV: 865.92 TOP OF FOOTING: 868.92 Minimum WATER LOCATION: 9' South of Sewer Service. THE CITY. QF FRI;DLEY DOES NQ� 1N�RNl�� ACCURACY OF Ul'tLITY lOCATtC}NS R{up E��A IONS. TELEPNOiVE ! EI��C�I�iIG' ��f�l$ �Lt�, THIS DATA IS FOR it�[FORAt[�tT►p� pURPOSES ON�Y, W AND PERSONS USfNG THES [lE[F'ORN{qT�ON SHOUL REC�UIR�C� g I LAW VERI�Y IT ON THE $�'E. � SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS, OR IF CONSTRUCTION OR WORK IS SUSPEN�ED OR ABAN�ONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED $83 �700 $�}1.HS WIT ETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT ES NO PRESUME TO GIVE AU HORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIO S OF ANY OTHER ST TE OR LOCAL LAW REGULATING coN- 567.50 $550.00 STRUCTIO OR THE PERFORMA C OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE _ '� -� � N/A 1,159,35 + PF si NA aEOFC C o EDAGENr IDAT r WHEN PROPERLY V DATED THIS IS VOUR P RMIT � SiGNATUREOFOWNERIIFOWNE BUILDEAI IDATEI BLDG INSP � nFT r � l� � � AL"DN [ ] ALZER [ 7 Clty Ot FY1C�l.E'y R-1 AI�ID R-2 Builcling �rmit Appl icati� EEfective 5/L88 Gbnstructian Address: S'?�v 3c-�-��2�oN Sr- NE. Legal Descripticn:_ �R2c� L � ��o,- � �- Q,,,� �� l�-� -z � (� � o c�c � � .an�u.s � �n o,�e� Owner Nane & Address: R��� R� ��,,. t• 1 u�z.. �. # 57 t-'7 �� 1 Gbritractor: _ '�, E� . �. �.,.� . ( �rz.. 20� �2. � � FFc ��7L �el. # s�, - �,s�i � r� , A�r2SS! � � � 1"3 z� --� ;z, � o c. �v 1�' l�, • 5 � Attach to this appl ication, a Certif iaate a� btirvey o� the lat, with the proposoed oonstruction dra�m on it to scale. DESQtIPPION QF IM�RWH�TP , , LIVit� ARFA: Length �� Width �� � y iieic�ht � 3 � • I+ength � � a'�.�n Widt.t: �9 � � r2 � ��t s , " �a ��BBC�. Length � width Hgt /Groina St,�. Pt. �Z7� s�. Pt. ' �ra� � I� 9q. Pt. �� 4�rrer Lot [] Inside Lat [� Ft. �$',Setback 3 S Sic7e Yard Setb�cks � �' � S� �pe a� Gbnstructian: �R� F.�timated Cost: S �-� Approx. cbmpletion D�ate :_ �� t 5� �S gS 3,�O �. Pro sed Drivew Width If New ��?t' �t. A A1t. B p� ay Opening Is Desired: S S Widkh + 6'� See Back Page T]ATE : 4-�, �- Sr 5' APPLI�IJP: �('a Fl .�.:, . Iv-z.- /(Z.ocs�, L E��' �� Tel. # S; � �-'� � S i (�TY OSE QiLY Pe=mit i�ee State surc3�arge SAC �arge Driveway F.�scrav P�rk Fpe Se�rer !lain Q�arge � sr��s: k�-,,��� C S �Jf `�li . SU S_ � 1, 4�� S 'SSo.vO $_ :.. . �3f ixf.�i... S `7 So, ob S ~�� ���) �.�� Piee Schedule � Reverse Side 5.50/81,000 Valuation 5550 per SA�C Unit Al� '�i" or Alt. '�" Above Flee Determined by @lgir�eering Agreenent Neaessary [ ] Nat Neaessary [ ] m _� + ' , STRUCTURAL WOOD CORPORATION 1175 EAST HIGHWAY 36 ■ ST. PAUL, MINNESOTA 55109 ■ PHONE (612) 484-0281 , , ,"; ° �� SU � , , � . . _ _ . ___ __ , _ _ r_ � _ f i. E : � � ; ; � . z , � , : . : _ � � �_ _� . � s __� F _ f _ _ _ _o- _ _ �_ e t . _ : : � . � _, � � __� m� _-- _ _� �s�c.�r� Y :`�ti . 2 a � ) �� !r��a� x�4.�g� -�� ��..� z. � iac, i �c �rx.res � z � � � „ �XtEi�l�it �'NM`ELOME A�MOE "f!" �11TAT!!MI O�HE R : , s�r . ' ' "� � : � aon�ss: T. ��.�:� �,��� : - � . ,.� � :,: :�. ` � CONTRACTOR: .�, ���: ��� ��� � � °���t� � .,.����.:, r � >� � � .�:�. ��alir� �+ti�c�� � * ���� ��. � ���� � � Y Y � fi�� � r� . . �' »,� . . �.x�s� :�'�� �� _-� ' . 1. TOTAL EXPO�EIf �.l. ��, � � � -�' .�s.s.. '�� �� � �i ��, ��, 5 2 . TAtAL ROf��/t� i E� IN� , � ' � � �_ - � M� � � � _ ��� ir.r'�ir�a s. a � � � ;,�1�-.•i�11" � +� 3. TOTAL E�tPOSEQ i�AL.I iA�� ��� t � , t � T�:t��� . �� .�� ^ a;. -r , ti ,� . 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'� �.���,�.,,,.y '�.�4. � ' � � t i .�"'�ii .�'. .. , ,_' ��.;. . .: . � ` .. � „ - � . ..t.. . :. ,�, . , � ...._ �s, ..< "��-- � ...�..�:'YU.'ua.i�'i.:.,..��,.. ���. � . . . � . . .. . - .,a- xY�. . . . . . . .. . ��y . .� .._ r p F1 e;� �t R . .. �.k.t p, �'_.j' y � m � ��yf . . ^,�'aM< 5+ �' . `: RM - +�Y . . �.�'�,�#M.55t � 4,��3�, a�i�i� '� � „i" i� .��y�,+'� a Ri= rg� . - '° �r.�, �s r.r, y���t y�., f= . �. � � � � •:�'''.��.ru �;N.�.,,, �� s � �� �, , �;.�, ��_ $ ;,,, . �s.� y .: , . - � � , a. . '..�,.�..�&:; �'�� �, :�r. . �, ,. . � , , �. . . � �`. i' � � . � . . � .. . � � t+;:t �;.A fi✓ '�S . " �" i k."'y�'� °'•: � .. r t� , ,.� �,'�rsa°'«b K � nk + �� �� �:a��� � :�� R 1`. 1 F 1�� C Il fi t� d� M �. �� ; . �i � vr .w .w1 ir . ++i► r .� . � � � �. , b y � 'T . L""Y . I hereby �eewttf� �#r�t t kaw c�ltui�rt+�d ti+ae "U" t���ors ��',�`� '- : ,�> �; ,t.: . ; � ,- vstues heretn �nd that �Me ;:but idine� hero .desctilHr+� �t� or �x�f ,���t���.� , ,� „ � of Mi�nesot:r L�h��e�y: Ca���v�a!•iar llt�. - ., :. . � „r ._ . . .....�..�., y ` . �,:�� :�� - � � � � qnaturs . . � ;+•, , � H.<° �S, `"'� w�s'� f c . � ° '� � '� ; °�'`�� �d��x `�+ : �� 's ;;�,. . . . . . � .� . . x � :�S?-`?'7 �'; °:? t �:h . . . . . • -� . . � : � mr��• ... ti . � `� E1+i te; ♦ ;k � . . � . . . . . � . . ' .,`ds. � ��, r`a � ( 4 � �1 �� C I"J E �..�s� M1S�RUCT i ON �AMING SECTION: �MLL SEtT10N �INSULATEO� -----{1 I�t��lor �Ir /1' �--_.{2 " ----�3 �� t cn U � 1/U • _,,,d. u•tnt•� �- RIM JOIST SECTIQN: � 1 Interto� atr tli� A.RA 2 S'- Tns +L*_im 1� .�--- : 3 l�r ! �ood �� -� M ?5 /3� 1�i1 �-t tie 2�06 S � 6 Exte� o� a r in . FOUNOATION INSULATIOM REQUIREO: `� Min. R-5 on entire Nall OR `� • 1/It •�`,�t Mi�. R-10 do�m to frost aepth . fOUNDATION S£CTION: 1 Inte�lo� •fr ft1� A,RA 2 tvro . „ 3 � Exte► o� a r w . �S i� ._ � u • � ��R • ._:�i SIAI! ON GMOE Unl�ted Stabs: .-. Min1� R ='�.2� " .- . . � : : ' p � •'. •. . 4'' � ��d � � 1�_.�'� �� _ •� �.•.i�r� � � H a VENTEO � • 5. � . :� � C����i�� �� � i " 1 "�'��1�. � ,., i �+�i�r�s�r �tr fltw �� 2 " P Sr' .. ., � � Ext�r o� • r w �t �. ! TAL • �_ u • t�� - � ,. CE f t 11M l�RI1M I IN� SECT 1 dll s 1 � M � , ,�` .. li � tIR • .�b w F CE 1 L 1 Nli SE'T 1011 � 1 NSUl,AT`�`b� i' 1• int��to� �ir fi1� A.R1 2 ...�._.� 3 - M xter or a � w st . . — - @ +� lllt � • �..... f . � �t t� i� rMr, �rwrii� 'sECVieN: • , 1• tnte�io� air�tilw A.R1 � �.�� 3 � � xter o� a �� � st . S ac so t MooA �-���� � �-� , . I U' • t l/R • ,..,,,,,,. �, . .; , . �� 1 .Inslde alr.f�i�� :, _� ___A.lCt j��� � _� � � -� -��i . ' � ��1i�b1� S Ut! • f . lu . OAL R� �� .- ._ . ; U+ I/R� , � � P°I�!r h �r CITY OF FRIDLEY APPLiCATION FOR PWMBING AND GAS FITTING PERMIT m a e u -.Ui .-i ..ki p, Water � +� � � �C H�.�C1 ro � Q ul ro N a u' Heater �p � � +� ,�� .�G R C 3 la .0 � 6O6a W �S � M a� .-�I H � qro +�i A H O.�C .� b N y N b � ro� � rn u D oa ai m 3 � w m w U m 4 3 c� � c7 o as lec � T � lst � �" � 2nd Z J " 3rd f 4th , (R) = Future Connection Opening Connected with Sewer (*) � New Fixture, Old Openinq Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixturea Future Fixturea Old Openinq, New FiYture Beer Diapenser Blow Off Sasin Catch easin Rain Water Leader Hydraulic Valve Sump or Receivinq Tank qater Treatinq Appliance Hot iiater Heater Gas Range Gas Dryer N0. � i � —L � RATE $ 5. 00 S 3.50 S 1. 50 S 4.00 g 5. 00 g 5.00 S 5.00 S 5.00 S 5.00 s �.00 $ 5.00 $ 10.00 $ 10. 00 Back Flaw preventer pequired. .. Yes ( I �( ) �e S 5.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance lLeinspection Fee $ State Surcharqe ($15.00) TOTAL FEE TOTAL S'_��` dl� S S S S S S S S S 60 S .00 S S S S S .50 S �� so Effective Date May 1. 1988 Job Address �� o �e 1 1� IL- � jj r.J Department of Buildings City of Fridley Tel. N571-3450 The undersigned hereby makes application for a permit for the work herein specified aqreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildinqs, and hereby declazes that all the facts and representations stated in this application are true and correct Fridley, Mn. _ g � / � ly �� «�R �o �`; r �- L ,�..f�t.o .� KIND OF BUILDING �Q� ��j �Q USED AS TO BE COI�LETED ABOUT � t'�_t' �� ESTIMATED COST _ ��[j� � ••a OLD - NEW HUILDING PERMIT NO. PERMIT NO. ��%� v f ��nY � � v ( G c} `�d ,� S � • r��[+� siq�ed By � �lp� � ��. �. '7 8 � O 5' S�S� ROUQi INSP. Date FINAL ItJSP. � � ��� �� APPRaNAL FOR PERMIT / � �1INIHUM FEE FOR ANY PLUMBING PERMIT IS E15.00 PLUS THE $.50 ST?1TE SURCHARGE RESIDEhTIAL CITY OF FRIDLEY Effect�ve oate May l, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATIQN AND AIR COND1TlONING SYSTEMS AND DEVICES RATE SCHEDULE ` RATE TO'PAL Furnace Shell and Duct Work, Burner (Also repl�ement furnace) Gas Pipinq (pipinq needed wlth new furnace) Gas Ranqe Gas Dryer • Air Conditioninq (all sizesl All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL li of Value of Appliance or Work S 20. oa S��o, 06 S l0.00 S /��� $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharqe i������1=' Reinspection Fee ($15.00) Rough Insp. Date Final Insp. .� -�.- p / Date Approval for Permit /� MINIMUM FEE FOR ANY HEATING PERMIT IS �15.00� PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard withouL written pc=mission frm► adjoining reighbor. S S S .50 � s �O . S�b Job Address j �J� �_�����I'� �/� � ��� Department of Buildinqs, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. $571-3450 The undersigned hereby makes application for a permit for t�►e work herein specified agreeing to do all work in strict accordance with the City Codes and rulinqs of the Departyaent of Huildings, and hereby declares that all the facta and representations stated in this application are true and.correct. / �� � �-. Fr dley, Minn. �1 � , 19 t° -T OWNER G�,vYL/1 C � �-19--�� � U - " `' � 'I / KIND OF BUILDING /� 1'�.� LJC�-'P,F' ,( _� Y7�� r� USED AS TO BE COMPLETEI ESTIMATED COST OLD - NEW HUILDING PERMIT NO. PERMIT NO. y��� DESCRIPTION OF FURNACE/BURNER HEATING or P�IER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load Size No. Sq. Ft. EDR BTU Kind of Fuel HP BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP , . '/; oompany l'l' - Siqned By ' ', '^- Tel. No. L ���iv 7 �7 Fill out back side for stack verification on replacement furnaces Building Inspections 763-572-3604 763-502-4977 FAX DATE � fU SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 _ _ YOUR E-MAIL ADDRESS I 1� �'G� ❑ OWNER CONTRACTOP NAME: S S S Y1 ADDRESS:� �� C'Y PHONE: (9� a- � � �' d �% COMPANY NAME: � CCL CONqT�A,CT.� ,P�E�RSON: t_.QQ � STA'1'� LIC�I�E # � �3 � �� l �` ADDRESS: ���5� c'�T..-�C4' PHONE SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY Permit No..'�I��C �b 131 Received By� Dat��d� � IC� � � r � s,� ci� 1 -C�., L rL-Q EXP DATE g � c'-�" � Ci �AX � 'w�ITY O � ❑ TOWNHOUSE � ALTERATTON/REMODEL .� A�v, n � o � ..� i- , STATE ��ZIP �JS � � FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVi� PROVIDE HEAT LOSS CALC'S PER MANUA 2006 ASHRAE HANDBOOK c,� � EquipmentInstalled MFG: h� � MODEL:RU �`-��5 ,.''""1SIZE/BTU � v � MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU _A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 t�-FCJRNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $I5.00 I{Ttt�iber of %t�itre�` � $14.90 �.$1±0:44 � $ . " �:x g��� � ` � < _ ` ��. �.'; � `� _ �� ' '.� � . 1 � �, �,� = . ., ��= �-.� . �t���, �, . Number of fixtures @$15.00 x 515.00 =$ Number of fixtures @ $25.00 x $25.00 = $ �? O Number of fixtures @ $35.00 � x $35.00 = $ � State Surcharge = $ .50 -� S� (MINIMUM FEE $35.50) Total = $ ! �� � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of ity of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicati n for a " it d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all rk ic res review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME L PP- C �'�-L DATE � lD APPROVAL INSPECTORS SIGNA drE� � DATE PLEASE NOT�: SEP ` TS ARE RE UIItET3 FOR BUII.DiNG, $I,ECTRICAL ANT) �CI�A1�i1�A'�-. �URK �'$-uilding Inspections Departmen�. 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �