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AF - 47480sue�ecT PERMIT2540 City of �Fridley ^ AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • r ; � RECEIPT NO. � � COMMUNITY DEVELOPMENT DIV. ��/� � j j 1: --�"-i � � � PROTECTIVE INSPECTION SEC. � � � i � �` ��"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y ""'� � ,�� 612-560-3450 910-F15 5 20 74 � � JOB ADDRESS 5798 Jefferson Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.�2 1 Adams Street Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Roger Leffler 17 - 66� Way N.E., Fridley 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASSOFWORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct a 46' x 25' & 28' � Dwelling and a 26' x 28' & 34' Garage 8 CHANGE OF USE FROM' TO STIPULATIONS pronide a hard surface driveway. Provide a verifying survey before cappi . SEWER LOCATION: 74' S. of Manhole (Inv. 864.52) Wye Elevation: 864.82 Top of Footing: 868.50 Minimum WATER LOCATION: 10.8' S. of Sewer Service SEPERAiE PEt�MITS REQUIRED �OR WIRI:NG, HEATING, PLUM8ING AND SIGNS� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, . VENTILATING OR AIR CONDITIONING. WOOC� Fl"1IIl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 R��. �.�.98 31, 720 Total 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 LAWS VALUATION SURTaX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �27�234 �-3.62 DOES NOT PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �S9.00 300�00 � PLAN CHECK FEE TOTAL FEE �° �£/ S �0= _ $372.62 � , SI NATUREOFCONTRAC RORAUTHORIZ A NT (DATEI \I�IH PRO ER Y V DA D THIS IS YOUR PERMIT w • �'--��"� �-- SIGNATURE OF OWNERIIF OWNER BUILDEFI IDATEI INSP ` fIATE AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADllITION BUILDING PERMIT CITY OF FRIDLEY, NIINNESOTA OWNER'S NAt�'IE; /�oC� E l2 L E'FFLE2 BUILDER: %�06� �� L C FrL C--�?Z ADDRESS : /� - (v % Z I.� A �I " �2 � � � �� ADDRESS : � � - !o G i wA-< - e�2iOL � � / �- ' ,� NO :. _ STREET o J c�- r E/2 S� cv Sr • � �c`�, LOT : /� Z BLOCK : / ADDITION : f-��rs ��-:z � c- � �a �� n��, % „ , CORNER LOT: �� INSIDE LOT: SETBACK: 3� -o SIDEYARD: r"7-� . --7. Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As ;��„�� ° f��rLY � u s•� �' • I 1 ` � ' Front : �' Depth :_ _ '� F' Height : ' , „ �; Square Feet: r�-af Cubic Feet:. - ^� - � Fxont : Depth : Height : �` "�� / `, /. Squaxe Feet; '� ^' _ Cubic Feet: � � �-� ' . �' ��- Type of Construction: ��NS, �, ,z. Esti.ma.ted Cos�; $ ¢o, u� � , , . To Be Comple�ed: �,�,�uv, - ra,- - �� ° � ' , The undersigned hereby ma.lces app�icatin�. for a permit for �he work herein specified, agreeing to do all work in stiict accoxdance with�the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts a.nd representations stated in this application are true and correct. DATE : �ia,.T,� ; l S y� SIGNAI'[JRE : .(See Reverse Side For Additional Information.) ;! �� / � _- -� �9 � ' � � � . . _. _ � � , • J i�. � r � � ° . 1 � ,,, f ! � lBUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildi.ngs shall, before issuing pexmits for the erection o� any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure,�upon application theref�xe, require the payment by the applicant fox such permit of fees to the amount herein below set forth and in the manner herein provided to-wit; TTNIFORM BUILDING CODE: Type 1, 2& 4-$2,15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION �or the purpose of computir.g fees for building permits, the cubical contents of any building �r addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface.or��o the average.,- height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each f�ve hundred dollars ($500e00) or fraction thereof in the cost of all prop•osed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. �. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the fxaming. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) da.ys prior to the use or occugancy of any structure for which a building permit has been . issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. �a � .=. � � u�.� • O�Ms hM 1�N wR1iEY �R: OE�111SED /!t: so ��8 �. 0� R$Y W. i A3�ATE�, �. .�ar�s� �ue� Rwb�wM FiW�. 4ws a:i� d A� b39s Gnror Driw • AAinaenpolb, Mi�. $S43Z Mrona i4r0310 CERTI�iC�TE OF SURVEY Roger Leffler Lot� 1 and 2, Block 1, Adams Street Addition� Anok� County, Minnesota. J� NO� T+4 -e� iX..Il.3..4_. PA. ..�......, �J W � � Z N � _ � ---�-�- -- Q .. M � �- W W � Z � ' Z � � Q � _ � i� f'� � . � � p� � �ry m �� ,� , v�- E� �� _,, �� - � �o W Z � i- W � � 4 � W � W � � � � ne..�► a.��t� �a.r tMs .�.w�►, o�« «•wr�•� w.s vran.M �r �a e► � a�r �ii°aa !� �e M�at �-�► a d� Ro,ist�r�0 t.� � 8are�a �r Mr law o! �s 'JR� st 111��. � �F�� o.�. �-�` —�� o.�. r� a1� . , . City of Fridley 4T TNE TOP OP TM[ TN�INO , �'L--°'--� GOMwtJNIT� DEVE60�MENT Oiv. � � M�OTECTIVR r1/1�CTlpry OpT, } �•-- � Cm �uu.� r�ua.�r �M� I`.� �.� �q-sso-s�to �o� eaaress J � ner � %-r , Contrac o� Kind o uildi. Camp etion D,�t� ir� �f`' QI� ' W J W � < t 3 n aaNra SYD '1ddY •x�� •�s�w I i •saa� •enarva I I I m „ sN�svel � I � H�lY7I — �O � sNrvaal ,�I ° aoo�a ;3 a iw u $I�I IO `g I saaMa+ � i� q '1Nf10dI I d ItNltlO v IA � BArllll NSYM � I 9�N19I I � sN�ara iYf11 111110 t�'n .� � 0 r. � � I � I G� i _ � I � � I I uaivM �y� �, I • � � � � � � � �� . I1 I I' i ii i � I� � � PLUMEI�If, PERf9IT APPLICATIt7iJ e /.L , Ad ress � �� / aress Phone '� � .��1 ..�� e ��scimacea cosc /3ao .a-�' — - _-- -- - --•-- - - _ --- Plumbing Fixture �ates: N0. RATE TOTAL Number Fixtures % x $2.00 �� Future Fixtures � x $1.50 �/'� � I New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 i Water Heater-99,000 BTU � x $3.00 ,�.UC� Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 �ixtures � x $2.00 � . � C' Additional Fixtures x $ .75 Gas Range-199,000 BTU x $5.00 Repairs � Alterationa See j Deacription; Code � State Surcharge .50 � I � TOTAL F'EE $ � `I� C� � !The underaigned hereby makea application for a permit for the work herein apecified� agreeing to do a11 work in atrict acco�da.nce w ith the City Qrdiaances and rulin, of the Depaxtment of �ui�.d:tnge� and hereby declare that a1l�the facte and repxesent tiona etated in this app�,i�ation are true and ca�rect. ture _ 23 � .— ate � t « , � � � � , �` � t, � k� � � ; � , � ., �. .# �c �: _ �: � ,� � � .� � � a � � � � � W n � �� , �. °g � � � vJ � a� •^) \• � A� � � p�q � �e x� Q � � � � � � M M �9 `� `�` i � Y O� o � '� � � � � I � � 0 0 n O � � � � � � � � � �0 � � C C� O �° � � � � � ., � w � o'' .�.. � � � ., � s `9 O � C 8 � � � � � � � � � � n � �w m n ro .�. � � � � � 1 � � � � i � � � �� p � � � � � p � � � � � o � 0 \� � � � � � w ��m � � a a " '� �C �� o$ �� A e� R° �° � � � r � �� ,� :v A o s +� 0 � � � � ��,o � � � C '`� � � M 0 � M � , � � . y <a Wp +� Op Op O � 4 O d! � dD fA i W � �. ro � x O � 9 � � y 3 m � $ � 0 � � O. C�1J' G � � � � � � � � � � � � �9��,� �� °� � � �� 7 �o � T 01 O � w � � � � • � $ • � W Wp �9 Gp: Oq � O � C C � �A M � Q Q C�g 7C � +� @. � A h `�.,' � Z G' � � r a1 � � �, • n � � � � � C� � � g � � �� c � � r� � r� � � v � � � � � � � � �' �' m � � � � � � � f�' � >>�� ' o " � � p � � �.�� 4 � ��g 7 p ¢� O cr � � g $ � . � � WQ �Q+ 07l O C. O � � � � 1 mmy a. o.� � � � A � �q� R � a .7 ,'y�� Qe o� b � 4 �.., � s �. y �OC� a � � � �ti '�i. .�.. fl. � °�. � � � D � '� `4 N �°"f � T.' � 61 i� b C ...� '� ... � B� �ay�p �w � �'d• �NAA O - .� 0� a��,� 0 � �°'o� � A � � �'" ��' a a��w i '��M �A� �� 0 � � p � ro � �n ij; Lf• 1 � C� (`�i .� Y .j�. � 4. � cr } a � :� � `�A � � �� , �� Q�,� � � � � � � � � � � � � � o., �� , 6 " ,'`" �, � g CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E.. FRIDLEY, MINNESOTA 55432 Auqust 19, 1982 t�; � �; Mr. Roger G. Leffler 5798 Jefferson Street N.E. � � Fric71 �Y• [►�T 55432 Re: Intersection Vision Safety Zone Obstruction Dear Mr. Leffler: TELEPHONE ( 812)571-3450 In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on August 18, 1982 has determined that the sightline for the intersection on your property is obstructed and oould present a hazard to traffic. Sectfon 205.154 of the City Ca]e requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placecl, planted or allawed to grow in sucti a manner as to impede vision.... the vision safety control zone is c]escribed as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet fram the intersection af said right of v�raay lines." Therefore, the City is requesting you, the property owner, to correct the follawing problen and to make the City's streets safer for travel. A reinspection will be conducted on or about August 3 0, 1982 to deterniine canpliance. We are conficlent in your cooperation to correct this problem, but if there is any problen with the interpretation of this letter, please feel free to call on me at 571 3450. The inspection of your property indicated that the following obstruction existed and should be corrected: Renove or trim to 2-1,/2 feet or less the i�issian Olive bushes p].anted on the oorner. Sinoerelyr J. OL.90iiJ► R. S. IIiv i r onnental Of f ioe r SJO/mh _� _ - „<� -,=� CITYOF FRtDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 20, 1989 Mary Anne Leffler 5798 Jefferson Street N.E. Fridley, l�IId 55432 RE: First Notice of Noncompliance at 5798 Jefferson Street N.E. Dear Ms. Leffler: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 5798 Jefferson Street N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Remove brush and tree branches located along north and east sides of property. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about July 10, 1989, to • determine compliance. � If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:16 C-89-383 � sue�ecr FfMIT NO.°� City of Fridley 2 7 4 9 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � . � ; v _ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. � � 1 . � `.--. �; '�� CITY HALL FRIDLEV $5432 NUMBER REV DATE PAGE OF APPROVED BY L �+` 612-571-3a60 910-F15 9/i/98 / / J08 ADDRESS 5798 Jefferson Street NE t LEGAL LOT NO. BLOCK TRACT OFi ADDiTION SEE ATTACNEO oesca. 1, 2 1 Adams Street Addition SNEET 2 PROPERTY OWNER MAIL AODRES$ 2IP PHONE 3 CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO. all Enter rises - 4 ARCHITECT OR DESIGNER MAIL ADDRE S ZIP PNONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PNOIVE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK Reroof house and ara e(30 S) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayme,a�t must comply with the State Building Code. TYPE OFCONST. OCCUPANCY(iROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIC BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAIVTING OF A PERMIT 2S]1 1.29 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMITFEE SACCNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ]/{.]S Fire SC �Z.S7 PLAN CNECK FEE TOTAL FEE �� %�� License SC 5.0 83.61 , SIGNATUp�NTRACTORORAUTMORI2EDAGENT nTEi WHEN PROPER � VALID TED 7HIS IS YOUR PERMIT arV e � �S SiGNATUREOFOWNEFUFOWNERBUILOERi IOATEI B G�NSD ` OaTE NEW '" •[ -�] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � r BUILDING PERMIT APPLICATION �l�I� � 7 �(� �'a } ConstructionAddress: - �J � �'� � � S'� � Legal Description: Owner Name & Address: Contractor: �eQ� � �.'�S Tel. # MN LICEN3E # Address: � �_� , � ,� , ;�; , ��, � �. - �- � Tel. # � � � �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � � �� „�° Estimated Cost: $ � 5^ � � Construction Type: ��.�� ,rr��.. _ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: '°� � --- APPLICANT: � � Tel. # �yy- y��. ��,�� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � $ '%�/• 75�Fee Schedule on Reverse Side $ . s"' % .001 of Permit Valuation (1/1(1th%) $ / . Z q $.50/$1,000 Valuation $ $1000 per 5AC Unit $ $5.00 (State Licensed Residential Contractors) $ ,�'. (jp Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � � - � BUIIrDING PERMIT" FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50, 001 to $100, O(}0 $100,001 to $500,000 $5�,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2. 75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,Q00,000 $5012.25 for the first $1, 000, 000 plus $2. 75 for each additiona.l $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SuB�ECi City of Fridley � AT TFIE TOP OF THE TWINS g � I L D I N G P E R M I T � � � COMMUNITY OEVEIOPMENT DIV. � j y �'�� r � � PROTECTIVE INSPECTION SEC. � _ �"'1 � CITY FIALL fRIOLEY SSIJ2 NUMBEF pEV DATE PAGE Oi ��"'� � �'' 763-571-3450 s�aF�s • 8/7/03 / / JOB ADDRESS 5798 Jefferson Streec NE 1 IEGAL lOT NO. BLOCK TiiACT OR ADDITION oesca. 1,2 1 Adams Street Additior. 2 PROPERTY OWNER MAII ADORES$ Mary Y�eff�er 5798 Jefferson Street NE 3 CONTRACTOR MAII ADDRESS Home Depot Instal.led Producis 207 Ke�se- Ln STE G, T 4 ARCHITECT 01i DESIGNEii MAIL AODRESS 5 ENGINEER MAIL 337� RE�� O. r APPRpVEO BY SEE ATTACMED SHEET 763-571-0671 21P PMONE IICENSE NO FL 33619 763-586-9400 ZIP PMONE LICENSE NO. 20318345 21P PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOHK ❑ N� � ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Construct a 12° x 12' Deck; Remove existing deck 9 CHAN(3E OF USE FROM STIPULATIONS See nota�ions on plan. TO �� efor� digging eall for all utility locations 454�0002 �� TYPE OF CONS SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAL, PLUMBING, NEATING, VENTI�ATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITMIN 80 OAYS. OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WOpK IS COMMENCED. NO OWLCa. U I HEREBY CERTIFY THAT I MAVE READ AND EXAMINEO TMIS APPLICA710N 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED @1 788 WITH WMETMEA SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT Y' a DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEI TNE pERMIT FEE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGULATING coN- �63 . iS STRUCTION OR THE PERFOAMANCE OF CONSTNUCTION OTUAEO�CON"PACTOpOpeUTMOpIjrEQ1��T� I OCCUPANCY GROUP OCCUPANCV �OAO SO.FT CU fT OFFSTflEET PARKING STALLS IGARAGES SC $5.00 $.89 iAC CMARGE Fire SC $1.79 �OTAL FEE $70.83 NEW [ ] ADDN [ ] ALTER --� j CITY OF FRIDLEY Effective 1h/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-Z (T63) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: � � � � -�°�� $°� �T Legal Description: Owner Name 8� Address: �a �'� �� CS' �'"`'`' Tel. #��e� - s�r-�� 1 Contractor. ��- � �'� L�� 2..� �' � MN LICENSE # ��-�� Address: S 4 �"o iM-�• �'.-� �� = �1 �� .> � �� ` Tel. # `7 � 3 S Fs � `? LJ�' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LN1NG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �� Width /�� HgUGround �o � Sq. Ft. �� OTHER: �1� sCivwe SP 2� � � � Construction Type:1�-►'�'1° r`Q- �'"� � ��'^� I � Estimated Cost: $ � �'� � . � � � fl � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� 3 APPUCANT: J�� '"� �� r''c✓ Tel. #� lo�` �'� �— lt/�u C� f,��Z l�l� 7Zm7� Call (763) 572-3604 for Permit Fees if mailing in application. Fa�c to 763-571-1287 if using credit card and we bvill call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 30 l� $ $ V $ $ � . c�0 $ $ $ $ $ �°1 C� � �� 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 [ ] Not Necessary [ . ._ � i��t�� '`� . _ •.� The Chief Building Offic addition to any existing structure, upon applicatic herein below set forth ani TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,Q01 to $500,000 $�00,001 to $1,000,000 $1,0(�,001 and up Removal and rate. Pemuts for consiruction review of the proposed s BUII.DING PERMIT FEE SCHEDULE 1 shall, before issuing permits for the erection of any building or structure, or for any building or structure, or for any alteration or repair to any existing building or therefore, require the payment by the applicant for such permit of fees to the amount in the manner herein provided to-wit: FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,Q00 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,Q00 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,OOO,Q00 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) of curb and gutter only - driveway width plus 6 feet, times the annually determined be issued a minimum of 24 hours from the time of application to allow for proper ue and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be requ�ed before proceeding with the fr' g. New Houses Onlv P.�s. -'--�..ar�— ` ..__ �..,.....�-.. .__.._ .. . � . .. _, �_ .. ... ._ _ _�– .. �_ � � , ...sY, � . � � �� . � � a+aMa.�■p ":� �Y N. � ii A��i�� +. J0� 1�. �-� • 0�� rww �IN .�QAi� �� K.,��.._. PA. � . �� we.. �. a ar..� w...r. 039t Gehr Driw � MlnaaoPoli�, Mi�a. 33431 M�on� 7�4-0210 ' CERTIFIC/lTE OF SURVEY SURrlY FOR: Roger Leffler OElCItISEDAS: Lots 1 and 2, Block 1. Adams :;treet Addition� I Anoka �ounty, Minnesota. so _ W I Z N -- iv� ' � � � � �. � � :,a � . � - .. W W : .-, :-a�.: -� - , i� O I Z. j� 2. �. Q 3 I�,� so � r _ . t � . � �.� � �f > �- �`-. � J s0 LLI � z � � �0 � W W H � Z � � W LL W � 30 ` i ns.•�► a.�ir� ��.� rw .r�►, ri.■ «•+� w.s vn�.�N b �a K w�N. ��na N/�r� Md IMI 1� o � R�t�r�0 I.M/ 9M�M iMrr 1� i�w� Of fM �fO/t It �. L•G ' oa� �'�-/% �� . � � The Home Depot # 2802 �650 Ml�►►IN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Fri Aug 01 06:17:07 2003 The materials for this project will cost $992.09 MARY LEFFLER DECK � 7�� S � h) "'� �'' 127980 3D �ew �� C.� � �''1`i `ys�� i"2i Z ) � ��e-��-e, r�e�� Cg �'I��"-�- � �� (�Jor k.. - i lo "3 � �S� $ Zo - g'�av ��_�,2 - (�� -.�c��s �� .� . o h� s��`� � , � � P �� C¢s��- �.�'c..r --oo a � �,m � �N ��- � °� � �� =� �oN � �� Cs� �►s�--,r �� . �� _ — �-�i� -.. .��. �.� ha�►�-�u-� �� ' . /`'`� _ e � �� h �.l 1 �c.�r� �oQ ��s ��-� _ _ ,��,. ,� �.o ►� � \ C s� ��,�-��-�-� �� --�„ � �. Q,, ��,� ,�� _ ,�l/! ��a�r� �� g� eS� n�� . �p�U� ��,��4� -� iN �-�-'��°��I� ua'► ti`�1 . ,� CN ��-�( �� .II � � The Home Depot # 2802 5650 MAIN ST, NE� FRIDLEY (763) 571-9600 S/1/2003 MARY LEFFLER DECK 127980 Materials for Deck: Qty UOM SKU MN �55432 Use Description 110 2 26 1� 1�1 8 3 7 10 3 3 2 1 1 10 10 32 32 12 EA EA EA EA EA EA EA EA EA � EA PK EA EA EA EA EA 557285 161624 831461 392960 374474 374097 374474 162833 162833 169405 647368 392960 162612 Baluster Beam Decking H Top Rail Joist Joist Ledger Post Railing Post Stair Stringer Tread Tread V Top Rail 864g7p 2x8 Joist Hanger 461644 4x4 Post Cap Brkt 164365 4x4 Post Foot Brkt 206379 AnchorBoltw/N�L 735002 BalusterScrewGreen 169765 735003 174668 462810 454141 538981 928607 544208 538892 538981 735002 ConcPierin-Ground Deck Screws3inGreen Ftashing Hanger Nails 2x8 Joist Framing Nails Lag Bolt Washer Ledger-Bolt Rail Post-Bolt Rail Post-Nut Rail Post-Washer Step Screw Green 2X2-42" BEVELED BALUSTER CLEAR/.40 2 - 4X6 OMPSONIZED P MIUM g T DECKING 2X8-16 N0.2 PRIME PT SYP .40 - . N0.2 PRIME PT SYP .40 . N0.2 PRIME PT SYP .40 � 4X410'#2SYP.40 4 X 4 10' #2 SYP .40 2X12-12FT. N0.2 PT SYP .40 5/4X6X10 TREATED Y/P STD/BTR DECKING 5/4X6X8 TREATED Y/P STD/BTR DECKING 2X4X8 #2 PT.40 2X8-JOIST HANGER 4X4-POST CAP 4X4 ADJUSTABLE POST BASE 1/2"X6" ANCHOR BOLT W/NUT-WASHER-EA GREEN 5LB 2 1/21N DECKMATE DECK SCRW 80LB. CONCRETE MIX GREEN 5LB 31N DECKMATE DECK SCRW DECK FLASH BRN ALUM 8' 10D JOIST HANGER NAILS-150PK 16D 3-1/2" HOT GALV BOX 5 LB FLAT CUT WASHER GALV 112 LAG SCREW GALV 1/2 X 6 CARRIAGE BOLT-GALV. 1/2 X S HEX NUT GALV 1/2 FLAT CUT WASHER GALV 1/2 GREEN 5LB 2 1/21N DECKMATE DECK SCRW The total cost of in stock materials is $992.09 plus tax. This estimate was created on 8/1/2003 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used for Deck 1: 60 psf live load, 48 inch footing depth. WARNING: SPECIFIC ARCHITECTURAL THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE ESIGNE BE SURETO CHECK AND VERRFY THEI DES GN WITH YOUR L'OCA�L A CHI� ECT ANSD BU D NG HIS INSPECTOR. THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE REASONABLE AND ACCURATE. The Home Depot # 2802 '5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Fri Aug 01 06:17:07 2003 The materiais for this project will cost $992.09 MARY LEFFLER DECK 127980 Deck Layout � � � � �� . r� w ��u � � s � � /� �� C ._ , . i s h� �Q � __� _ � � ,a�P � � . � i � I � r�� hol�s p �� s I�� 0 __--- ,. `} C� a �- Z�Z �Q �`�^�.Q.tS 5�°`'c� ��i nn �v�., a'^ � 1� � , � � �� (� o, ... Z� ��r,r� S o� s�' �" � c� r, G�u� c,fie. � Q�rt✓ �f�'' b�. �° �^,° � rv �. � �F �c �1 Pas'�' . -�1ash � �1� b�� rQ �-c�i � The Home Depot # 2802 •5650 NfAIN ST, NE� FRIDLEY, MN 55432 (763) 571-9600 Fri Aug 01 06:17:07 2003 The materials for this project will cost $992.09 MARY LEFFLER DECK �127980 Post Layout for Deck 1 1' Bas � The Home Depot # 2802 •56�50 Mp►IN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Fri Aug 01 06:17:07 2003 The materials for this proJect will cost $992.09 MARY LEFFLER DECK 127980 Deck Dimensions for Deck 1 The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Fri Aug 01 06:17:23 2003 MARY LEFFLER DECK 127980 Construction Speciflcations deck 1: Construction Method = Beam on Top of Post Footing Type = Pier In-Ground Live Load = 60 Dead Load =10 D�king Spacing = 01/8" Joist Spacing = 16" Beam Spacing =120" Post Spacing = 601/2" Decking = 5/4X6 Thompsonized Prem. Southem Pine Standard Beams = 2X10 .40 Treated Southem Pine No. 2 Joists = 2X8 .40 prime Southem Pine No. 2 � Posts = 4X4 Treated Southem Pine No. 2 Deck Height = 72" Diagonal Bracing = No Deck Skirt = No Joist Overhang =12" Beam Ovefiang =12" D�king Deflectlon Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Pref Decking Size = Pref Joist Size = 2x8 Pref Beam Size = 2x10 Pref Post Size = 4x4 Railing 1: Railing Height = 36" Baluster Spacing = 3 3/4" Stair 1: Step Width = 36", Step Height = 72" Step Rise = 613/32" Step Run =11" Stringers = 2X12 .40 Treated Southem Pine No. Risers = 5/4X6 Treated Southem Pine Standard Treads = 5/4X6 Treated Southem Pine Standard Railing 5: Railing Height = 36" Baluster Spacing = 3 3/4" Railing 6: Railing Height = 36" Baluster Spacing = 3 3/4" Ralling 3: Railing Height = 36" Baluster Spacing = 3 3/4" Railing 2: Railing Height = 36" Baluster Spacing = 3 3/4" Railing 4: Railing Height = 36" Baluster Spacing = 3 3/4° CONSUMER INFORMATION SHEET THIS WOOD HAS BEEN PRESERVED BY PRESSURE TREATMENT WITH AN EPA-REGISTERED PESTICIDE CONTAINING CHROMATED COPPER ARSENATE (CCA) TO PROTECT IT FROM TERMITE ATTACK AND DECAY. WOOD TREATED WITH CCA SHOULD BE USED ONLY WHERE SUCH PROTECTION IS IMPORTANT. CCA PENETRATES DEEPLY INTO AND REMAINS IN THE PRESSURE-TREATED WOOD FOR A LONG TIME. EXPOSURE TO CCA MAY PRESENT CERTAIN HAZARDS. THEREFORE, THE FOLLOWING PRECAUTIONS SHOULD BE TAKEN BOTH WHEN HANDLING THE TREATED WOOD AND IN DETERMINING WHERE TO USE OR DISPOSE OF THE TREATED WOOD. USE SITE PRECAUTION FOR CCA PRESSURE-TREATED WOOD * WOOD PRESSURE-TREATED WITH CCA PRESERVATIVES MAY BE USED INSIDE RESIDENCES AS LONG AS ALL SAWDUST AND CONSTRUCTION DEBRIS ARE CLEANED UP AND DISPOSED OF AFTER CONSTRUCTION. * DO NOT USE TREATED WOOD UNDER CIRCUMSTANCES WHERE THE PRESERVATIVE MAY BECOME A COMPONENT OF FOOD OR ANIMAL FEED. EXAMPLES OF SUCH SITES WOULD BE STRUCTURES OR CONTAINERS FOR STORING SILAGE OR FOOD. * DO NOT USE TREATED WOOD FOR CUTTING-BOARDS OR COUNTERTOPS. * ONLY TREATED WOOD THAT IS VISIBLY CLEAN AND FREE OF SURFACE RESIDUE SHOULD BE USED FOR PATIOS, DECKS AND WALKWAYS. * DO NOT USE TREATED WOOD FOR CONSTRUCTION OF THOSE PORTIONS OF BEEHIVES �HICH MAY COME INTO CONTACT WITH THE HONEY. * TREATED WOOD SHOULD NOT BE USED WHERE IT MAY COME INTO DIRECT OR INDIRECT CONTACT WITH PUBLIC DRINKING WATER, EXCEPT FOR USES INVOLVING INCIDENTAL CONTACT SUCH AS DOCKS AND BRIDGES. HANDLING PRECAUTIONS FOR CCA PRESSURE-TREATED WOOD * DISPOSE OF TREATED WOOD BY ORDINARY TRASH COLLECTION OR BURIAL. TREATED WOOD SHOULD NOT BE BURNED IN OPEN FIRES OR IN STOVES, FIREPLACES OR RESIDENTIAL BOILERS BECAUSE TOXIC CHEMICALS MAY BE PRODUCED AS PART OF THE SMOKE AND ASHES. TREATED WOOD FROM COMMERCIAL OR INDUSTRIAL USE (E.G., CONSTRUCTION SITES) MAY BE BURNED ONLY IN COMMERCIAL OR INDUSTRIAL INCINERATORS OR BOILERS IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. * AVOID FREQUENT OR PROLONGED INHALATION OF SAWDUST FROM TREATED WOOD. WHEN SAWING AND MACHINING TREATED WOOD WEAR A DUST MASK. WHENEVER POSSIBLE, THESE OPERATIONS SHOULD BE PERFORMED OUTDOORS TO AVOID INDOOR ACCUMULATIONS OF AIRBORNE SAWDUST FROM TREATED WOOD. * WHEN POWER-SAWING AND MACHINING, WEAR GOGGLES TO PROTECT EYES FROM FLYING PARTICLES.* AFTER WORKING WITH THE WOOD, AND BEFORE EATING, DRINKING, AND THE USE OF TOBACCO PRODUCTS, WASH EXPOSED AREAS THOROUGHLY. * IF PRESERVATIVES OR SAWDUST ACCUMULATES ON CLOTHES, LAUNDER BEFORE REUSE. WASH WORK CLOTHES SEPARATELY FROM OTHER HOUSEHOLD CLOTHING. * TREATED WOOD SHOULD BE DRY BEFORE HANDLING. ADDITIONAL INFORMATION IS AVAILABLE AT WWW.EPA.GOV. EPA APPROVED �