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AF - 47671City of Fridley, Minn.. BiJILDING PEI�I�IIT N� 5 3 3 0 Date: .�« �✓ I � �� �„� Owaer: a �� � t -� �"� ,�.. ��" ���� ��. � � Builder �� . �_ r� ����� ��� . Address . Address �� � ; ��"� ,f�4CATiON O�_ I�D G No. -�;����t— Street -" -� .� ,� _� �. P Lot ' � `_ _ � z Lot ___�.��`___ Block�f �`__ Addition or Sub- v�on _ e � . . Corner Lot __ Inside Lot —_�,�i�tback,�.� Sideyard _..�.. r Sewer IIevation ^_ _. Fp�ndation IIevation ._.r � DESCRIPTION OF �UILDING To� - , r � �,� +�� ,. � . -.� �S�'' ` � Front �� Depth �� Height ��`,c._ Sq. Ft �,� Cu. Ft .- .'�`� � `�� Front Depth � Heigh � Sq. Ft. � Cu, Ft, Type of Construciion ��,�.��..!�',�,,_..�-..��'�..,, �, Cost ��� �____ To be Com pl e t e d ._._..._._.__ .�r_..._..�._......_._' In consideration of the issuance to me of a permit to construct the bu3lding described above, I agree to do the proposed work 9n accordance with the description above set forth and in compliance with a11 provisiona of ordinances oP the city of Fridley. f R�: ,�, �,�:i,_�':.�, In consideration oP the payment oP a fee oP , permit is hereby granted to to construct the buil�ing or addition as described above. This permit is granted upon the express condition that the persoa to w&om it is gra.nted aad his agents, employees and worl�nen, in all work done fn, azouttd end upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintena.nce, repa.ir and moving of buildinga within the city ]imits and tivs permit may be revoked at any time upon violatiou=oF� y of the provisions of said ordivances, � :--� �f'� , r,. �,r,�-�;����'uilding Inspector NOTICE: Thh permh does eot eover the construeNon, i�utallation fo� wiring, plumbing, gas heaHee, sewer or water. Be sure ro see fhe Bullding Inspeeta� for separate permita for 16ese (tems, � 4 /'`, � . <--• V _ e : y - _ _ Owne�r's lddresa APPLICATION FaR BIIILDIATG PERMIT CITY OF FAIDI�Y, �SOT6 � � �� LOCATTON OF _, �- �_ • �.!`. - = �:L%l�� �� t�i � 1,� i-i . . � / /; . . �.. .i . .. .� Corner Lot �Inside Lot Setback Side-Yard SEWF�R ELEVATION FOUNDiTION ELEV�TION �pplicant attach to th3s form Certificate of Survey of I�t and proposed building 1oca.t3on. To be ueed as: Ty� of To be Completed DESCRIPTIQN �F BIIILDING � � Sq. Ft. Cu. Ft. F`ront Depth Iisight . Ft. Cu. Ft. ted Coat The undersigned hereby makes applicat3on for a permit for the work herein epec3fied, agreeing to do all work in str3ct accord�nce with the City ardinances and ruling of the Depar�ment of Build�.ngs, and hereby decZares that all the faots and representations statad i.n this applica. ion are true and correct. n�� � � ,� szcN�� �"� �� �.�� �, , �� � (A Schedule of Fee Gosts can be found on the Reve e Side.) � �, HUILDIlVG PERMIT �E SCHEDDIE Section 2. '1`he Ins�ctor of Build3.nga shall, before issu�.ng ar�y permit for the erection of axiy building or struct�e, or for any addition to an�► exiating build- 3ng or structvre, or for an� alterations or repa3rs to any exist3ng bu3lding or structure, upon app7,ica.tion therefor, r�uire the payment by the spplicant £or auch permit of fees to the emount hereia bel.ow aet forth and in the aaenner hersin provided ta-wit: 2.1., For any such permit for the erect3.on of any firer-proof buildin�, other than a ger�ge, warehouae, factory or grain elevator, or for the erection of an�r fire- proaf addition, for aimilar occupenc�, to any existing building shall be.ai the rate of �7..1M0 for each one ihousand cubic feet, or fraction thereof, in such cubical contenta. 2.2. For an� such permit for the erection of ang fireproof �ar�.ge, warehouse� factory or grain elevator, or for the erection o� any fireproof addition, fcr si.m�las occupancy, to any existing building ahall be at the rate of $]..25 for each one thousand cubic feet, classified as °firepraof'� by Section 502 of the Minne�polis Building Code. HQUSffi 2.3. For any auch parmit for the erection of anar non-fireproof building other than a garage, warehouae, factory or grain elevator, or any nor�-fireproof addition, for sim3lar occupaney, to any existing building. Permit �]..QO for each one thousand cubic feet. GAR.AGES 2.1�. For any such permit for the erection of an� norr-fireproof garage, warehouse, factory or grain elevator, or for the erection of an�r nor� fireproof addition, for s3.mi].ar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or iraction therecf, in the cubicel con�ents thereof with a minimum of $I�.00. For the purpoee of computing feea for building permits the cubicel contenta of any building or addition to a un3form height throu�hout by multiplying the ground area covered from a po3nt_aix (6) inches below the floor line of the basement or cellar to the avera�e height of the upper surface or to the avera�e height of the roof surface of �he ma:iri gable of a pitched raof. 2.5. For repairs or alterations to an exist3ng structure, the fee ahell be e.t the rate of �3.00 for ea.ch Five �Iuucl�'ed Dollaxs (�500.00), or fraction thereof in the cost of a11 prQposed:work., '. " 2.6. In no case shall the fee chargad for any permit as set fortln in Section 2 be leas tha.n $4.00. n ^ � � P 6 � <0 c� � � � �� � � � � �p � � 0 x � � �• � � �' b � � �b��. ��� �:s r►o� � � � o � � � N. � � � O � � � � � � � � O ��hy � � � l�• A o' � b c,, Q � � �o' R. � y n: ��� � � �oA�. �� � � ; ?. �' � � Q � c,, �. � �' ��� �o' '1 a n. �b � � � �� � � �. � �, o �' �, 0 `� � o a �. , b y0 � � s, ��"' � �.. �• � �' � y� o�'�Q� �b�Ra c � o �. � s:��� �' � � � �• � to' � �' � o � o -��,o� � � btl A, R� b� o+ � Q. � � �. �° �,�' � !� Q. �'' 1� � � � � i�. £�. 0 a � � r. � � � � O �: ° � � � � � � � � A � � cy. o n � � � � o ��o' � � � � � � :� IR' .��4 �� � � 7 � I'� � n � �s �: � \ Q � � � �� � �� � �� 0 � �� , �,�s .o� :� � � 1 �• � s� � �m b� �, �. �. � � 5 �e �� Kro �� � �. O Q �• � p � �'� M �, � `" m � � �, � r y I 0 �. � eD � rt �' °°i C � w Z � � � v � i H � � � � .� � 0 e* � � ' � � i 1�, vl, E' " . � � ��� � � ^ RECEI�T N0, 29701 City of Fridley, Minn. N° 81 "10 BUILDING PERMIT ��; JULY 10, 1965 �: 6331 Jefferson St. N. E. ��, CHESTER GLISAR REALTY COMPAlQY Address ROBER.T GALE Ad�B 519 - 10th St. 1Q. W. Fri�ley 21, Minnesota 1Qew Brighton, Mianesota LOCATION OF BUILDING No. 6331 g�t Jefferson St. N'. E. p� og �t � 14 gl� 5 Addition or Sub-Division Christie Addition. Cas�ter Lot — Inside Lot Setback Sideyard Sewer IIevatfon — Fo�mdation IIevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft Cu. FL Front Depth I%ight Sq. Ft. (-u, Ft, Type of Construction F�t, Cost � 000. QO To be Completed � ' � � :�:�:�:�:�:�: � � In consideratlon of the fssuance to me of a pexTnit to the bwtlding descri�d above I agree to do ordlnaac�ea��oP the d� of �ce with the d�scrlption above set � P with afl provTafons of tY Y � In camafderati� of the paqment oP a fee oP $ 10.00_� �t is hereby granted to �STTER GLISAN gEAT TY COMPAI�Y to c�nstruct the buildin�g or addit3on as described abave. Thi�p�� t is granted tipon the exAress condition that theperaon to whom ft fa graated and his agents, employeea anc� workmen� in all work done 9n, arouad and upon said building, or anyp� thereof, ahall conform ia all respects to the ordinanc�s of wltbin�the� d�limfffi and ��, conatruction, alteration� maintenaace, repair aad moving of bufld9ngs ordinances. �Y �rg�'tbis permit maq be revoked at ar�► time unon violation oP aay of the prDViaions of said ALLEN G. JENSEN' B�g � /'1 NOTIC� 'I�s pumt! doa �e eo�rsr �6s eoestroeH�, ImtaO.tien ter rrhieg. P��e. a+� b�a �r er .►mr. B. sure ro sa. b» Bo�din6 I�Oe to� aWral� p�hs Por Nua N�nn. � OWNER'S NAME ADDRESS � APPLICATION FOR BUII.DIIQG PERMIT C�TY OF FRIDLEY, MINNESOTA � LOCATIOAT OF BIIILDING '�'�� - ��9>� � ,� � , � . l_ �� , '_��_��_������� �1 ��td � r� , - . ��`�" r�: N0, 95.'REET PART OF LOT , LOT BLOCR ADDITION OR SDBDIVISION �� � � ,� � CORNER LOT INSIDE LOT SETSACK SIDE-YARD SEWER ELEVATION FODNDATION ELEVATIOIQ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BOII.DING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height S Ft. Cu. Ft. Type of Construction ,_ Estimated Cost ,� � To be completed The undersigned hereby makes application for a permit far the work herein apecified, agreeing to do all work in strict accordance with the City of Fridley Ordinancea and rulings of the Department of Buildinga, and hereby declares that al]. the facte aad repreaentations stated in this applicatioa are true and correct. �� � DATE_ � �,� (Schedule of Fee Costs can be fouad on the Reverse Side). ��'1 � �� / � .� BIIII.DING PERMIT FSE SCHEbIILB SECTION 2. The Inspector of Buildi.ng�s sha11, before iaeu3ng aay permit.for the exection of aay building or•atructure� or for any addition :to anq existin� building or structure, or for any alteratione or repairs to any existing building or structure, upQn dpplication therefore, require the payment by the applicanf fos such germit of fees to Che amount hereia belbw aet forth and in the manner herein provided to-wit; , ' 2.1. For any such permit for the erection of any fire-proof building, othe`r tha a garage, warehouae, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupancy, to any exiaeing building, ahall be at_the ra'te of $1.40 for.each one thou�and cubic feet, or fraction thereof, in such cubical contents. � 21 2,. For anq.such permit'for the erect3on of aay fire-proof gara�e, warehouse, factory or grain'elevator, or for the erection of any £ire-proof addition, for°eimilar occupancy,,to any esistiag building ehal]. be at the raee of-$1.25 for each one�thousaad cubic feet, classified ae "fireproof" by Section 502 of the Minneapolis Building Code. flOIISES 2� For any such permit for the erection of any aon-fireproof building, other than a garage, waretiouse, factory or gr�in elevator, or anq non-firegroof addition, for similar occupancy, to aay exieting building - permit $1.00 for each one thousand cubic feet. GARAGES - Z.�r. For any auch permit to� tho erection of aaq aon-fireproof garage, warehouse, factorq or grain elevator, or for the erectian of any noa-fire-proof addition, for aimilar occupancy, to any egieCing building or for each su�h building or addition - ninety c2nts ($0.90) for each one thousand cubic feet or fraction tlaereof, in the cubica3 coaCents thereof with the minimum of $4.00. For tt�e purpose of computing feea Por bu3.lding permite� the cubical contenta of any building or addition to a uniform he3ght throughout by multiplying the ground area covered fr� a point si.x (6) inches.below the floor line of the basemeat or cellar to Che average he�ght of the upper eurface or to tha avr�rage height of the roof surface of the main gable of a pitched roof. 2,5. For repairs or alterations to an exiating etructure, the fee shall be at the rate�of $3.00 per e�ch Five Sundred Dollars ($500.00) or fraation thereof ia the cost of a17. propoaed work. 2.6. In no case sha11 tbe fee chaxged ior any permit as aet forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: . Reeidential; Eatimated Cost of work up to $500.00 �- $5.00 Estimated Coat of work over �500.00 -$10.00 _ 's• R -s Commercial; Estimated Coat of work up to $500.00 -$10.,� Estimated � st of work over �500.00 -$20, .r . - _b,.� - - � � c� � � � � � � � � � p� � � � � � � w x 8 � � � o � �t� � p � � � � � �1 � � N p ��o � ��a���� � . ��� � o� �� : o� � : �� � �� � � Q b 25 . a � '� �_ : t� i � � � Od � : �' 0° � : M � . . Oap $ . � . � � : : : � : : : � ' : : : � : • : � : � : �� • � � Q a �4 04 M id PC PC i: �4 k 80 8,�.�'8�b�`'8�b�`'�88� b N) M iA iN � H y � "'� H Q • � � � � � � � � L`a � � � � 0 D � 1"' � m �^ ` I m C i m +� • �• w � •• pA � � � �°' �, `" � �YAS'��'3a � � C'lATect � � � � � URINALS MTM O � � �� $ ; H siw�5 � � w w�a I � *�� � DRINK. PouwT. s►+wes. � �ooa � ow��Hs GTCM BASINS �uro �� � � � GAS �� GAS _. ; I OPENINGS �. � 7� O � � � � �� c�r a a m �' � ►°+ g a � pd G7 0 � a � � �. �� � � w � � g � � �i � � � � � � °o I � F .. 2 • v�i j m A n � � �a� � � b � � � .°. �� � �� a � � o � �' � � `� ���� � ��o� m � � � a' � �' p � � � �M��. � � ���m � � ; �- �� ���,�n � M °�.��� m ��� a a���. ��x�. ���� ��� ��� ��Q� ~ ►7 M � � r � � S m � I ��w � �' C! � A b �� �� � � O p � �� �n w � w � � � � � � "'�e � b� � o � � o� � W �p ��� � � �a �� � � � � 0 � � �rt. � 1 � b U� � � � y � SUBJECT Po�13746 Cit of Fridle �� � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � :. CEIPT N � `y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � '� �� 1 . , � 1� ` /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----�' '•� 612-560-3450 9/9/76 / / 910-F15 JOB ADDRESS 6331 Jefferson N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. '14, 5 Christie Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Dell Mickelson 6331 Jefferson Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. SAME 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK aluminum trim & gu�ters . 9 CHANGE pF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING; HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE THUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �� �4,50 A�XX .73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTtNG OF A PERM17 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- �STRUCTION OR THE P RFORMANCE OF CONSTRUCTION. � 9.00 � y` PLAN CHECK FEE TOTAL FEE o' 7� 9.73 ySIG�EqTUREOFCON AC ORORAUTHORIZEDAGENT IDATEI HE�ERLY V TED T.HIS IS YOU/R� P RM ° . � � -----'��� �u -��� IGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG iNSP �A7E p �r CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATTON, ADDITION, OR REPAIR BUILDING PERMIT � OWNER' S NA2iE :�� L(. �I�C K 1�L So.� BUILDER:�i c-`o ��•--� d>f Ns�tin. �� � 'l ADDRESS : � �.� � �� ����a �a j ��ADDRESS : as � � ��11 i�t s! L tV_�'� NO :. C�'� � � STREET : T� ��� ez S�:J �'� " LOT : BLOCK : ' �� ADDITION : ( ��� �'�'s�� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Ttao Certificates of Survey of Lot and proposed building locaiion drawn on these Certificates. To Be Used As : DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Gubic Feet: Front: Depth: � Height: Squaxe Feet; Cubic Feet: n. 7.jrpe of Construction: �7�u�, /�c,.�, P � ,r '; Trn�.� Estimated Cost: $ �y�� - �' To Be Completed: The undersigned hereby makes applicatinn for a permit for the �aork herein specified, agreeing to do all work in sC'xict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declaxes that all the facts and representations stated in this application are true and correct. DATE: �- � 4 7 G SIGNATURE• �`� (See Reverse Side For Additional Tnformation.) � , � �G�� � G���� �- .,8. � � ��,/� � � �3 � � � ,- �,.� --a 1311IL1)ING P�IZNiJT FL'L' SCIIEllULL• SECTION 2. The InspecCor of Buildings 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 a].teration or repairs 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 ma.nner herein provided to-wit: �1EW COidSTRtJC�'ION: Sa.ng�.e Family Homes and Garages: $�l,00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFOR�:ATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches Uelow the floor line of the basement or the cellar to the average heigh�s of the upper surface or to the average:� height of the roof surface of the ma.in gable of a pitched roof. For repairs or alterations to an �isting structure, the fee shall be at the rate.�f $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost af all proposed �aork. Tn no case shall the fee charged for any permit as set forth in Section 2 be less than $i.50. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the L-ime of application, to allow for proper review of the pxoposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constxucted, will be required before pxoceeding with the framing. CERTIFICIITE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days prior to the use or occupancy of any structure for which a building permit has been � issued; and said structure shall not be used or occup�ed until a Certificate of Occupancya has been issued. , � i � � ,` �` . � �e � _�,. � � � n 0 m a y� � �n m O y � o � � o a '"' O� (ap �. -a 5 � � � a o � �� N � � oQ f 0 c � � � D r 0 nc m --� Z � �� �v zm ao n � m � a n � < m � n --I 0 Z Z � m Z N � m n � z � m m � w 0 O 0 D � � O m a W � r 0 c co s i � v � m � � � v ?.' c� V � V � � ��-► !n 2 co Q. � 0o Z � � n � -� a �`n � O � � � � � � C m � c� � � � ��a o -�i � C � m � a � Z � � _ � N m z 0 m� v � � n o� \ � O � <n w � � c �� �' c v � w � _ m 0 � 0 � D * �.d � o Q � � � 3 �O <� �� � \ �a o � o =. -� � c� ���� � s� �, a ;a� ., � � � N � � � � 0 3 �� N � � r � � � z �` � n � �3 0 0 0 � � c ..�,.� � p m C p, ' - �p O z= � � m � � 0 �Q g� � ,� � _ o � n w � cu o O m m � � Q. (n � �°mm� °, p o ^ � I�� 4 m ^�: V Y1 � "i 3 n � v � � � O Z O � C � z n m Z v a°�� � C � z m �o � � � v m � � � � su � (� m � � N � � cQ z N c� � m a �, s � � C 7 � :.°. y c N � A 7 � � � ¢1 � � � m m m � � a c � ��C �` 0 x � C 3 m i � � � � 0 0 0 0 � 0 o b o � 0 0 0 o m � � � � � O °r° � a ���., I� ��, r m -��i a --� m v n O � � oC) � � L � m � � Z O � � � , � C r v z � c � m v g tr J � S n � � m a:� � m� 7 � � � n .�• � �n a n � y � m o w � �,cc m c,� a m � � � c � a > > cQ � a� � � cu �. �D a v ,.. � � � � o � � �°'c�D � o �a�,� t�n � o '� � °• ;�- �' � 5. ,. fl, � tn �� 7 .-► „�, � � � � O y��� � m o � 1 � Q. i � `< � -�'� � a � o ����m � � � � N � O m � m co j a -� m � c� _ v C m � � D v w � rn n �1 �. �. N p, W � (D '� O � � � � � < � Z N � � ,� v r N m 'C Zz m� � n -a Z v < �� � r � D m� —ni z O� Z O D � Z � vp am �� �� o� z vz �� on zZ �v 2 -Ni � mZ � � Z p � r vz � < n� � � � Z � _ m � W 0 � � � c � � � co j /� _ �% � ��� a��° -��- �S Paubi S � � f ���� All�IKdlniO� �l�IISrd�H :auoQ uieg sao��8�a�t� �s�'I sxa�ntag l C,� � � � ✓� � S � nss z�sos � s � f1S�H �atl�o TZK '�j,�� � 3o s,nyg but��au Z��o� s�H '9 () oH � sa� pa�oauuoo s�nyg t��o� pu� azis .zo� s�uatua.ztnba� apo� �ua�.zna ZTE s�aays • g ( ) oH � sa� pa�.zoddns �ta.zn�as sI • � () oH �') sax tztu�iM pabpoT s�.oa Cqo ub-ra.zo� otz s�H '� () oH � sax uoi��.zoi�a�ap �o �.sn.z a[o�� aa�� sI • Z () oH �) sa� pauiu��xa dtZn3a�e� uaaq s�g • Z :X���s �o �Cauatiu� bui�sTxa au� ��u� sai�iaan �Cqa�au paubis�apun aqy xozs��i�rx�e x��se ar� a�uH� SuB�Ett �. c�ty of Fridley 2 7 95 2 AT THE TOP OF THE 7W1NS � � I L D I N G P E R M I T ;, .� . � `L __��_ COMMUNITY OEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. � �,� � i = . 1 /"'1 � CITY FIALL FRIDLE� SS�3i NUMBHN 11EV DATE PAGE Of AOGqOVHD BY �----� • •,, 612-57�-3450 9�aF�s 9/24/98 / / J08 ADDRESS 6331 Jefferson St t LEGAL LOT NO. BLOCK TfiACT OR ADDITION SEE ATTACNED DESCR. 14 5 Christie SHEET 2 PROPERTY OWNER MAIL AODRES$ 21P PHONE Keith Anderson 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO D& B Home Improvements 4901 105 Ln Circle Pines 55014 784-0922 7773 1 AqCHITECT OR OESIGNER MAI ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAII ADDFESS 21P Ph10NE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK ��� Reroof house & garage (18 SQ) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMI75 AFiE REOUIRED FOR ELECTRICAL, PLUMBING, NEATIN(3, �PE OF CONST. OCCUPANCV GROUP OCCUPANCr LOAD VENTI�ATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTHOR12ED IS NOT COMMENCEO W.ITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONEO FOR A PERIOO OF 120 DAYS AT ANV TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIfY THAT I HAVE READ AND EXAM�NEO THIS APPLICA710N STA�LS GAFAGES AND KNOW TME SAME TO BE TRUE AND COFiRECT. ALl PROVISIONS OF LAWS VALUATION SUR7AX ANO 01iDINANCES GOVERNING TMIS TYPE OF WOFK WILL BE COMP�IED � 1� S�FL. OO �� 77 WITH WHETMER SPECIFIEO MEREIN Ofi NOT. TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OF CANCEL TME pEFMIT FEE SAC CHAFGE , PROVISIONS OF ANV OTNER STATE OR LO LAW REGULA7ING CON- STRUCTION OR 7M PEfifORMANC F RUCTION �51.25 Fire .S�'. �1.5�F � �� �� jL �q PLAN CHECK FEE TOTAL F E !,C Licen $5.00 $58.56 $�GNAiU E OF CO •A T A AUT pIZEO AGENT IO�TEi N Op LIOA �S r��� S�GNATUAE O� OWNEAi�f OWNEN BU40HR� i♦TEi BLD �NS� O�lf s r�w ADDN ALTER `[ ] Ll [l ConstructionAddress: Legal Description: Owner Name & A Contractor: Address: y LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � S� � - ����►r ► �.1 � u �� �� ��� � Tel. # Effective 1/1/98 �� �a � �. �.j`� � MN LICENSE # ���� � /�. Tel. # ���7�� Attach to this 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 Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: , �� �� e�1' �C V � �Gl- Estimated Cost: $ � �S �/� (Fee Schedule on ck) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ r DATE: `O� �' APPLICANT: s Tel. # ��� ���� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .� e. .� �— � F • ('0 �A � /� d� $ $ � , e`�� $ $ $ $ � � i a;j � /�� ees� deJ , C,) 4�d CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50��1,� V�lk'tt10II $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 [ ] BUII.,DING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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,�1 to $100,000 $100,001 to $500,000 $500,001 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 $1,000,000 � $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "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. sue�ec* pE c;ty of F��a�ey 30997 , ` AT TNE TOP Of TNE TWINS g U I L D i N G P E R M I T R T NO. � � `� ___�� COMMUNITY DEVELOPMENT DIV. ���� r � � PFOTECTIVE INSPECTION SEC. � � _ � , ����: � CITY NALL Fii10LE� SSIJZ NUMBER REV OATE PAGE OF APPROVED 8Y �""'�� �'� 612-571-3450 gt0-Ft5 5/30/00 � � 108 ADORESS 6331 Jefferson Street NE t LEGAL �OT NO. 9LOCK TiiACT Oii ADDITION SEE ATTACFIED DESCR. I.�F 5 Christie Addition SFIEET p PROPERTY OWNER MAIL AODRESS ZIP PNONE Keith Anderson 6331 Jefferson Street NE 763-574-2209 3 CONTRACTOF MAIL ADORESS ZIP PHONE LICENSE NO Same 4 ARCNITECT OR OESIGNER MAIL AODRESS 21P PHONE IICENSE NO. 5 ENGiNEER MAIL ADOfiESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION L� REPAIR O MOVE O REMOVE B DESCRIBE WORK Repair storm damaged siding 9 CHANOE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before coveri�g. TYPEOFCONST. OCCUPANCV GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE RE�UIREO FOR ELECTAICAL, PLUMBING, NEATING, VENTI�ATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION IONING SC. FT CU. FT. AUTHOqIZEO IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WOHK IS SUSPENDED OF ABANDONED FOFi I► PERI00 OF 120 OAYS AT ANY TIME AFTER WOqK IS COMMENCED NO OWLG. UNITS OfFSTREET PARKING I MEREBY CERTIFY THAT I MAVE READ AND EXAMINED THIS APPLICA710N 1 STAILS GAAAGES AND KNOW TME SAME TO BE TRUE ANO COIiRECT. ALl PfiOVISIONS OF LAW$ yp�UATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED @ WITH WMETMER SPECIFIED HEREIN ON NOT. TME GRANTING OF A PERMIT �SOO y�.SO DOES NOT PFES TO UTMORI7V TO VIOLATE OR CANCEI THE pEqMIT FEE SAC CNARGE PiiO ISIONS OR AN OT ER ST TE OR LOCAL LAW REGULATING CON• ��23. SO Fir SC �p . SO STR CTION THE ER OfiMAN OF CONSTNUCTION P�AN CNECK FEE TOT � FEE 'S( 30 � �f� 24 . 50 S NATUpEO�CONraaCTOpOpAUTMQRIjEDeGENt IOATE� EN ROP VAUD T�IIS I���T� � � $�GNOTUAEO�OWNEp���OWNEABU�LDEpi �DAfE� BlD �hSP ���TE � - � � NEVV [ J ADDN [] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION �331 � � �. E. Effective 1/1/2000 (763) 572�604 Bldg Insp � a� i� � ?� Legal Description: Owner Name � Address: f�,c, .i �n �l �J G-2-SL�, Tel. #^7 b 3- S'7 �J - 2-zc�j Contractor. 5��� MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: Estimated Cost: �S o �n Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x =$ DATE: �I �JI �� APPLICANT: Tel. # � �3 'S�7 `(- ZZv°( CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ o�.j, SU Fee Schedule on Reverse Side Fire Surcharge $ ,�f .001 of Permit Valuation (1/10th%) State Surcharge $ .�� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Ait. "A" or Ait. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not IV�ecessary [] TOTAL STIPULATIONS: $ � S6 BUII.DING 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,(�00 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 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 $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,0� or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,� plus $3.15 for each additional $1,000 or fraction thereof DRIYEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and repla.cement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the const�uction site. A Certificate of Survey of the lot, showing the location of the founda.tion once it has it has been cons vvill be required before proceeding with the framing. New Houses Onlv � -si- :�� sue��cT P . City of Fridley 3 i 5�01 AT THE TOP OF THE TWINS g U i L D I N G P E R M I T ! ` RECEIPT NO. � • COMMUNITY OEVELOPMENT DIV. �/�� � LV � � � r � • � � PROTECTIVE INSPECTION SEC. i . � i_--. A�"','j CITY MALL FRIOLEV SS132 NUMBEN REV OATE VAGE Oi APPROVED BY � �� 612-571-3450 siaF�s 11/14/00 / / J08 ADDRESS 6331 Jeiferson Street NE t LEGAL L.OT NO. BLOCK TRACT Oii ADDITION SEE ATTACNED oescR. 14 5 Ch�istie Addition s"EET 2 PROPERTY OWNER MAIL AODRES$ 21P PMONE Keith A�nderson 6331 Jeffersor. St NE 763-574-2209 3 CONTiiACTOR MAIL AODRESS ZIP PMONE LICENSE NO S�2 4 AFiCHITECT OR DESIGNEfi MAIL AODRESS 21P PNONE LICENSE NO. 5 ENGINEER MAIL ADDFiESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK p NEW O AODITION �1 ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remode3. B�.seme�at; Remove & repla.ce walls� insulate, sheetrock 9 CHANf3E OF USE FROM TO STIPULATIONS See notatioxcs on plan. TYPE Oi CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONOITIONfNG. THIS PERMIT BECOMES NUII AND VOIO IF WORK OR CONSTRUCTION IONING SC. fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OF IF CONSTRUCTION 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 HEFIEBY CERTIFV 7FIAT I MAVE REAO ANO EXAMINEO TNIS APPLICATION 1 STAILS GAiiAGES ANO KNOW TNE SAME TO BE TRUE AND CORi;ECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED @ WITM WMETMEFi SPECIf1ED MEREIN OR NOT. THE GRANTING OF A PEfiM1T �HOO W.5O DOES NOT PFiESUME TO GIVE AUTMOqITV TO VIOIATE OFi CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTHER STATE OR LOCAI lAW REGUTATING CON- Q STRUCTION OR THE PERfORMANCE OF CONSTRUCTION �32. GS Fire SC y� . SO P�AN CMECK F TOTA FEE 3.95 S� N4TUpE CON pACT Oi�AU MOA�2EDSGENT 10ATE! E pq p VALIDA T HIS IS VO R PEpM1T � c � ts-c � � . � AE F NEA��f OWNE ILDEAi �OA E� Bl0 �N � Q6tt � ' N� I l Effective 1/1/2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER �Q, SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �0`3�3 � �1-� � � � � • � • Legal Description: Owner Name 8� Address: �-�°� ���� �0��,r��W s� Tel. # N'1 e.3- s7�► r zZV9 Contractor: � � MN LICENSE # Address: Tel. # [�►�Il:Lrl:\:�y�] GARAGE AREA: Attach to this application, a Certificate of Suniey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPRO°1/EMENT Length Width Height Sq. Ft Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Grou Sq. F� OTHER: � — � �� B �� � �` C � � L���-�-C.s J %��LL�� � �-�t���-��� Construction Type: Estimated Cost: $ -� � � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ <�'� � DA'�E: � � `- [ ` �� APPLICANT: Tel. # ��3� S 7'� � 2Z � CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ ��� �"'� Fee Schedule on Reverse Side $ � ��! .001 of Permit Valuation (1/10th%) $ � S� $.50/$1,000 Valuation $ $1100 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 [ ] � .�.�: �S' BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecrion 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 provid� to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,Ot?0 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to _$1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1(� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,0� 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,(�0 plus $7.00 for each additional $1,000 or fraction thereof, to aiid including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 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 $1,000,000 plus $3.15 for each addidonal $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "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 $23.25. 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. New Houses Onlv � � G a� ���' � 3 ' ' C----, � 3 0 �, �, �,.� or �G- o�.k ' � R��-.._, ,� �5 �" Il�'%��L� SVjL�� GL!'� ` � � '� 11 � ��'�c��N �l/Q �N �// �y3 �I��i���� �Ms � a ti �'�l' O � W��� i tl�.z� .t°iT�. _ m sho�� F . .- .. �a t�� � �. `_' �l�I � 7`����'r�/ 3Z,, ,���o .�/� J��' �� j �°�r �c /84�v-L� � -- — E'Pa.acss�+a� s�.,� o�z�� i--� ��►�--- fi-� 3 a�� � ���-� �\ / D. �'AA �'J V0� ` 33„ �:. - ,�'., 5�.� — ovj i% �uM � '�-'� � �'+��`'i�F�2 /�/ Sv �G f � . /� $ �/� tilv" f��l .w�C` � SfC.� / /r /� �,}� ' �'`' /. A'�/.� � � ti ; �l� v,��V.S ��!" ,���P s c ��y �oo�l � 3N- i mG � �� ��� � �� � — /�-I�iv � �Z� (,v�d /�Gz��/or� � w UQ�o� ,c� _ :1� 2�cm� E� . � � ti P � � � iZ�v�� � � �vi`�f cv�� �escs�; ,�a�,�� � bo a�ed o�e �u � / s�1a w�,� Cbnr,��'fM�` ;, ��. � ��'i� �' �5/ ;� vl�-a� r �tT� � ��D � ��� / ,� -�� t� � � � � � ,�a% Q�I��s ��: J`� �'�Qta��� �. ' r�/v�x � W / a _ ��h �—� � � � ,.._— ° ,._ 3 0 '� � Ul'aCY / ��o�` �� �� � d � ���^ ` r ,-- . 1Z �°, t.)o,.1 �'►�,�r �! Ic�.� � � �r�.=�, - _�_.� Na-i„� Go.�,s-�����, k � " fN 1 nr+r`^ IN D �P ! � � .� -}t.iv. � 1 �� ;�.. . _:.. _,.. . ... . . . :_ "td . 9 C,�br,e� � � � r y.,��r - � � �� �— 0 �l/ C ` 1 / \ �G !\ �o{ s `�'� J du�� ��� tur � � wF1�+er' "�''�`� v`''``` y� � �" ' ) c s t � �j'�Y G� �, d'"_ �'j �- ,� � C .�. � r � �-1oc,r _�. . ,� � R.� . a q . � �. l Remodeling of basement: DEMOLITION: • Remove current wall frame from east wall, which are currently 2X1's. • Remove plastic on walls. • Remove cabinets in north end of residence (old office). • Remove wall frame from North side of house up to bathroom wall. (currently 2X1's). • Remove office wall from the east wall to the center of house. • Remove bathroom cabinet, paneling, sink and vanity. • Remove wall separating the utility room and the storage room CONSTRUCTION: � Rebuild wall on east side using 2X4's at 24 on center using 2X4's or /"� �� �� ecure the footin . ����� p headers and footings. Using glue to s � , Replace current outlets and light switch. Build a closet around the water meter with some storage space. Rebuild new wall to make a work out room. Wall to run from east wall to �,C� 'ur•� � • ��'�m� • the center of home. Using 2X4's at 24 on center. • Put in new light fixture with 2 outlets per wall with the exception of east wall in the workout room. � Rebuild closet in workout room also with 2X4's at 24 on center. • Rebuild wall on north side of work out room using 2X4's at 24 on center. • Rebuild closet/stora.ge in bathroom with 2X4's at 24 on center. � Replace paneling in bathroom. • Replace vanity/sink with a pedestal sink. • Sheet rock Ceiling in bathroom. • Replace light �tures in bathroom. • Close off door to utility room; use current door for access from sold storage room. • Sheet rock center barrier existing wall. �� *II • Walls will be insulated with paper back 3' fiberglass insulation, covered with 4 mil fire resis�.anLvlastic. • W ceilings covered with 1/2-inch sheet rock. • All will be glued to the floor with adhesive. • • secured to ceiling by nailing in place to the joists. `�OP /�CR i� ��r-�zxn pCa4'%� SuB�ECi , � c�ty of Fridley 2�� AT TME TOP OF THE TWINS g � I L D I N G� P E R M I T r ; � RECEIPT NO. � `y �_���_ COMMUNITY DEVELOPMENT OIV. I Q/�� r � � PIiOTECTIVE INSPECTION SEC. '� 1 . � � � /'��1 � CITY HALL FRIDLEV SS�3Z NUMBEN REV O�TE PAGE OF APPROVED BY �'"""� � ��� 763-571-3450 s�aF�s 7/22/02 / / JOB ADDRESS 6331 Jefferson Street NE 1 IEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACNEO DESCR. ],/{ 5 Christie Addition SMEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Keith Anderson 6331 Jefferson Street NE 763-574-2209 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Same � ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO S ENGINEER MAIL ADORESS ZIP pHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADD�TION O ALTERATION ❑ fiEPAIR O MOVE � REMOVE 8 DESCRIBE WORK Remove Existing Garage; Construct a 24' x 32' Gara e 9 CHANdEOFUSEFROM TO STIPULATIONS Remove all demolition from site including the slab. See notations on new garage plan. � 1 �; �efore dig9��g call for a�� uti�ity locations 454^0002 ����IR�D �lf LAVV TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTI�ATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING S�. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WOiiK IS SUSPENDEO OR ABANDONEO fOR A PERI00 OF 120 DAYS AT ANV TIME AFTEF WOAK IS COMMENCED � NO DWLG. UNITS OFFSTREET PARKING 1 HEFiEBV CEqTIFY THAT I HAVE READ AND EXAMINED TMIS APPLICATION 1 S7A�L5 GAiiAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yA�UATION SUii7AX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO WITM WMETMER SPECIFIEO MEREIN OR NOT. TNE GRANTING Of A PERMIT �1S�7LO �7.8G DOES NOT PRESUME 70 GIVE AUTMORI7V TO VIOLATE OF CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUC710N $265.ZS Fire SC �LS.72 PLAN CNECK fEE TOTA� FEE $ 88.83 S�GN4tUpE O� CON'f7ACTOp OA AUTMOA�ZEO AGENT iD�TE� EN iiOP VALIOAT D HIS IS YOUFI PERMIT , �a S�GNaTUAE O� OWNEp ��� OWNEp BUILDEA� �DATE� BLD �NSP �1 E A � r� DelivQry Shiplist J Bu�ding Suppiy stock-6 s Stock-Cedar $ 19361 Tamarack Street N.W a T Cedar, MN 55011 ° (763) 413-2000 s s p 633jJefferson St. NE o Fridiey, MN 55432 REQ. QUOTE DATE / / ORDER DATE 08/09/02 DELIVERY DATE 08/26/02 Ve Delive Date No - Build & Ship DATE OF INVOICE / / ORDERED BY SUPERINTENDANT JOBSITE PHONE # JOB NAME:24'-0° Stock Trusses MODEL:Keith Anderson-R TAG: Roof DEWERY INSTRUCTIONS: SPECIAL INSTRUCTIONS: DATE08/09/02 PAGE 1 ORDER # J021204 QUOTE # B022675 CUSTOMER ACCT # 058578306 CUSTOMER PO # 707533 INVOICE # SALES REP Gary Taylor SALES AREA GCedar,MN LOT # SUBDIV: JOB CATEGORY: Residential BUILDING DEPARTMEN OVERHANG INFO HEEL HEIGHT REQ. LAYOUTS RE4 ENGINEERING QUOTE AAM Roof Truss END CUT RETURN SAIESMAN 1 SALESMAN 1 LAYOUT PLUMB NO GABLE STUDS 18 IN. OC J08SITE 1 JOBSITE 1 CUTTING AAM ROOF TRUSSES LOADING rcu•rco�-ecu.aco� sr�ss iNCa. ROOF TRUSS SPACING:24.0 IN. O.C. P. INFORMATION 40,0,7.0,0.0,10.0 1.15 � � PROFILE QTY PRCH TYPE O/A LUMBER OVERHANG CANTILEVER HEEL PLY TOP BOT ID. SPAN HEIGHT TOP BOT LEFT RIGHT LEFT RIGHT LEFT RIGHT � FINK 15 4.00 0.00 24 24-00-00 04-11-11 2 X 4 2 X 4 02-00-00 02-00-00 00-03-15 00-03-15 � FlNK 2 4.00 0.00 24GE 24-00-00 04-11-11 2 X 4 2 X 4 02-00-00 02-00-00 00-03-15 00-03-15 Ma�dmum Truss Shipping Width = 04-11-11 Maximum Truss Shipping Length = 28-00-00 THE ABOVE LISTED ITEMS HAVE BEEN RECEIVED IN GOOD CONDITION. (EXCEPTIONS NOTED) RECEIVED BY: DATE: THANK YOU FOR V�l�l4 �USINESS. �,33 0 E s� �. �� �-�, � � Job Truss Truss Type Qty Ply 24'-0" Stock Trusses J021204 24GE FINK 2 1 o tional Stock Building Supply-Minnesota Truss, Cedar, Mn. 55011, Amanda Metzger 4.201 SR1 s Nav 16 2000 MiTek Industries, Inc. Fri Aug 0910:44:38 2002 Page 1 -2-0-0 1 z-0-0 24-0-0 z8-0-0 2-0-0 12-0-0 12-0-0 Z.p-0 . . Srale =1:44. 4x4 - 9 g 10 4.00 12 � 11 8 �Z 5 13 4 14 3 15 in 2 18 � �, ,�I� 3x4 = 18 19 zo 2� 22 2s 2a zs ae a� ze zs so �4 _ 5xe = 24-0-0 24-0-0 Plate Offsets Y: 24:0-3-0 0-3-0 LOADING (ps� SPACING 2-0-0 CSI DEFL in (loc) Udefl PLATES GRIP TCLL 40.0 Piates Increase 1.15 TC 0.47 Vert(LL) Na - Na MII20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.09 Vert(R) 0.08 1-2 >417 BCLL 0.0 Rep Stress Incr YES WB 0.06 Horz(TL) 0.00 16 n/a BCDL 10.0 Code UBC/ANSl95 (MaMx) 1st LC LL Min I/defl = 360 Weight: 86 Ib LUMBER BRACIMG TOP CHORD 2 X 4 SPF No.2 TOP CHORD Sheathed or 6-0-0 oc puriins. BOT CHORD 2 X 4 SPF No.2 BOT CHORD Wgid ceiling directly applied or 10-0-0 oc bracing. OTHERS 2 X 3 SPF Std REACTIONS (Ib/size) 2=433/24-0-0, 24=127/24-0-0, 16=433/240-0, 23=134/240-0, 22=133/240-0, 21=133/24-0-0, 20=143/24-0-0, 19=69/24-0-0, 18=292/24-0-0. 25=134/240-0, 26=133/240-0. 27=133/24-0-0, 28=143/24-0-0. 29=69/24-0-0, 30=292/24-0-0 Max Horz 2=19(load qse 3) Max Uplift2=-142(load case 3), 16=145(laad case 4), 23=-21(load case 3), 22=33(load case 3), 21=31(load case 3), 20=28(load case 3), 19=-38(load case 3), 18=-32(load case 3), 25=-21(foad case 4), 26=-34(load case 4), 27=-31(load case 4), 28=28(load pse 4), 29=-38(load case 4), 30=32(load case 4) Max Grav2=433(laad case 1), 24=127(load case 1), 16=433(ioad case 1), 23=137(load case 6), 22=134(load case 6), 21=133(load case 1), 20=143(load case 6). 19=69(load case 6), 18=292(load case 6), 25=137(load pse 7), 26=134(load case 7), 27=133(load case 1), 28=143(load case 7), 29=69(load case 7), 30=292(laad case 7) FORCES (Ib) - Frst Load Case Only TOP CHORD 1-2=61, 2-3=-81, 3-4=51, 45=16 5-6=-31, 6-7=12, 7-8=12, 8-9=12, 9-10=30, 10-11=-30, 11-12=30, 12-13=-31, 13-14=-22, 1415= �1 15-16=-81 16-17=61 " . BOT CHORD 2-18=9, 18-19=9, 19520=9, 20- �9, 21-22=9, 22-23=9, 23-24=9, 2425=9, 25-26=9, 26-27=9, 27-28=9, 28-29=9, 29-30=9, 16-30=9 WEBS 9-24=-127, &23=134, 7-22=133, 6-21=132, 5-20=-146, 419=-58, 3-18=-309, 10-25=134, 11-26=-133, 12-27=-132, 13-28=-146, 14-29=-58, 15-30=-309 NOTES 1) This truss has been checked for unbalanced loading conditions. 2) This truss has been designed for the wind loads generated by SU mph winds at 25 ft above ground level, using 10.0 psf top chord dead load and 10.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enciosed building, of dimensions 45 ft by 24 ft with exposure C ASCE 7-93 per UBC/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.15, and the plate grip increase is 1.15 3) Truss designed for wind loads in the plane of the Vuss only. For studs e� posed to wind (normal to the face), see MiTek °Standard Gable End Detail" 4) All plates are 2x4 MII20 unless othenvise indicated. 5) Gable requires continuous bottom chord bearing. 6) Gable studs spaced at1-4-0 oc. 7) This truss has been designed for a 10.0 psf bottom chord live Ioad nonconcurrent with any other live loads per Table No. 16-B, UBG94. Continued on a e 2 Job r Truss Truss Type Qty Ply 24'-0° Stock Trusses , J021204 24 FINK 15 1 o tional Stock Building Supply-Minnesota Truss, Cedar, Mn. 55011, Amanda Me�ger 4.201 SR1 s Nov 16 2000 MiTek Industries, Inc. Fri Aug 0910:44:37 2002 Page 1 -z-o-o s-s-�a �2-0-0 �a-a-z 2a-o-0 2s-o-o z-o-o �-s-�a e-2-z �z-2 s.s-�a 2-0-0 . sca�e = �:aa. 8x8 = 4 4.00 12 2x4 1\ 2x4 !/ 3 W 5 � ' � � -� 2 B a+ � � � I�s d 3x10 = 8 9 10 3x10 = 5x8 = 3x8 = 5x8 - &5-3 15-8-13 2q.-0.p &5-3 7-1-1� &S3 Plate Offsets X: 2:0-5-2,a�-a 6:0-5-2 0-1-8 LOADING (ps� SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 0.70 Vert(LL) -0.25 &10 >999 MII20 197/144 TCDL 10.0 Lumber Increase 1.15 BC 0.93 Vert(TL) -0.38 &10 >753 BCLL 0.0 Rep Stress lncr YES WB 0.32 Ho2(TL) 0.11 6 Na -- - BCDL 10.0 Code UBC/ANSI95 (Matrix) 1st LC LL Min Udefl = 360 Weight: 79 I_b. LUMBER ,BitAG(VG_ � TOP CHQRD 2 X 4 SPF No.2 �-TOP CHORD Sheathed or 2-9-5 oc purUns. BOT CHORD 2 X 4 SPF No.2 BaT�liORD Rigid ceiling direcUy applied or 10-0-Uac bracing,; W EBS 2 X 4T SPF Stud REACTIONS (Ib/size) 2=1637/0-3-8, 6=1637/U-3-8 Max Horz 2=19(load case 3) Mau Uplift2=-62(load case 3), 6=-62(load case 4) FORCES (Ib) - First Load Case Only TOP CHORD �2=&4. 2-3=-3383. 3-4=-2816, 45=-2816, 5-G=33B3, 6-7=61'' BOT CHORD 2-8=3115, 5-9=2115, 9-10=2115, 6-10=3115 WEBS 3-8=-649, 4-8=703, 410=703, 5-10=-649 NOTES 1) This truss has been checked for unbalanced loading conditions. 2) This truss has been designed for the wind loads generated by 80 mph winds at 25 ft above ground Ievei, using 10.0 psf top chord dead load and 10.0 psf bottom chord dead load, 100 mi from hurripne oceanline, on an occupancy category I, condition I enGosed building, of dimensions 45 ft by 24 ft with exposure C ASCE 7-93 per UBC/ANSI95 If end verticals or qntilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.15, and the plate grip increase is 1.15 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Table No. 16-B, UBC-94. 4)s e mechanical cannecTon (by others) of truss to bearing piate capable of withstandf 62 I�uplift at joir�ndfi2'Ib uplift at �1o�in�t 6�. 5) "f�i `fruss has been designed with ANSUTPI 1-1995 criteria. LOAD CASE(S) Standard �; :� NEW ADDN ( J aLrER Il Construction Address: CITY OF FRIDLEY Effective 1/12002 6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bidg insp SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMITAPPLICATION �o33t �e�� �r �.�. Legal Description: Owner Name & Address: ��i�'� �+.c�rs �m Tel. # ��3- 5`i►�t-ZZ��q (�) �3 s`sl Contractor. c�.�� MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: Attach to this application, a Ce�tificate of Survey of the lot, with the proposed construcaon drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length 2y � Width Z��� Height ���� ~��q. Ft Length Width HgUGround Sq. Ft OTHER: � �a,w.o \: �h o n oir c� \ c� �L ��4 t1�a& 9�� � Construction Type: Co..�,�r�.t�v.. �� n,Q,� �a,ra� Estimated Cost: $ l� %��` 7C.� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ Cal 'ws-sl�l-zzoQ ' e) c.tz- DATE: � t APPLICANT: 1�'1�/S d Tel. #� 3�3- S�S 1 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for ca�tl number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ � �� a� $ �. $ � $ $ � $ � $ Fee Schedule on Reverse Side .001 of Permit Valuatio� (1/10th%) $.50/$1 �000 Valuation $1200 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 [ ] TOTAL $ � �� � � � STIPULATIONS: e tJ c.. BUII..DING PERNIIT FEE SCAEDULE The Chief Building Off'icial shall, before issuing permits for the erection of any building or structure, or for any addition to any e�sting building or structure, or for any alteration or repair to any e�cisting 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 $100,000 $1�,001 to $500,000 $500�,001 to $1,000,000 FEES $23.50 $23.50 for first $5(m 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 $1,000 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,(�0 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,0� plus $4.75 for each additional $1,(�0 or fraction thereof, to ancl including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,(m0,000 plus $3.15 for each additional $1,�0 or fraction thereof DRIVEWAY DEPRE5SION ESCROW (Concrete Curb Streets Only) Removal and repla.cement of curb and gutter only - Driveway width plus 6 feet�times $17.00. 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. New Houses Onlv � � . *. � G�, V � ,�" �� � �� � � a BUILDING PROJECT PLANS 6331 JEFFERSON ST N.E. FRIDLEY, MN KEITH ANDERSON (I� 763-574-2209 (�►� 651-917-4825 (C) 612-363-5651 TARGET START DATE WITH DEMOLITION OF OLD GARAGE IS 07-22-02 PHASE 1: • Approval of site plans • Application for permits PHASE 2: • DemoGtion of old garage PHASE 3: - Ezcavation of area for future garage slab and driveway • 2 foot trench from utility pole to residence PHASE 4: • Burial of power lines, and telephone lines PHASE 5: • Placement of forms and gravel (gravel4" in depth) PFIASE 6: • Pouring of concrete for the slab and driveway PHASE 7: • Building of garage and shingling. PHASE 8: - • Installation of power panel, running of outlets and lights. PHASE 9: • Insulation of garage. PHASE 10: • Siding of garage • Final inspection CONCRETE SLAB • Slab will be four inches thick with rebar support inside. • Gravel will be four inches deep. � � Anchor bolts will be installed into concrete slab every � feet a� �- GENER.AL BUILDING PLANS • Building blue prints were purchased at Menards for a twenty-four foot deep gara.ge by thirty-two foot wide garage. • Building walls will be constructed out of 2X4X8' lumber place sigteen inches on center. • Trusses will be 2X4X8' storage rafter's place twenty-four inches on center and will be 8/12 pitch. • Wall sheathing will be 2X4X8' half-inch plywood as well as the roof sheathing. (Or as building code requires). • Roof will be shingled with a twenty-five year shingle. • Insulation will be a minimum of R-19 or what building code requires as a minimum. * * * * Blue prints available upon request. * * * * INTERIOR GARAGE PLANS • Wire in a 100-amp fuse panel on back wall in the double stalled garage. • Wire in three eight-foot florescent lights, two in double stall and one in single stall. • Wire in switch for double stall lights and single stall light. • Wire in outlet in ceiling for each stall to power independent garage door openers. • Wire in outlets every 8 feet along back wall. • Wire in outlets every 8 feet along sidewalls. • Wire an exterior ground fault outlet on the garage front. • Wire in two exterior lights on the front of the garage. • Wire in one exterior light on the north side of garage. • Insulation of the interior covered with fire resistant plastic and plywood sheathing. � Insulation of the ceiling covered with fire resistant plastic and plywood sheathing. � -Total circuits will be seven. (One for lights in double stall, one for light in single stall, one for all garage door openers, one for outlets in double stall, one for outlets in single stall, one for exterior outlet, one for north exterior light.) � � GARAGE DOORS/WINDOWS • 1- Sixteen-foot over head door. • 1- Nine-foot over head door. • Service door on the East Side will be 32" wide. • 1- Window on South Side of garage, three feet by three feet. DEMOLITION • The homeowner will tear down garage. • Garage will be cut apart and placed in a thirty yard dumpster. • Dumpster will be removed by company supplying within seven days of dumpster arrival. Exsisting structures 63 31 Jefferson St. N.E. Proposed changes 6331 Jefferson St. N.E. February 1 �, 2003 City of Fridley 6431 University Avenue N.E. Fridley, MN 55432-4383 To Whom It May Concern: This letter is in reference to Charles SegnerC'ls�vearian�ce�e q� es� #03-03. I understand that his intent is to abut a new drnewaY to Charles Segner and I have discussed this �ssue and I am advising the Appeals Commission that this variance would be fine. Both my wife and I have discussed the new garage structure and dnveway a�e� �'t he intends to build. We see no reason that this would affect us negatively. Commission is taking to review this matter and I appreciate the time of the Appeals uestions. would hope that you would contact us if you have additional q Sincerely, ` Ke' Anderson Keith and Sandy Anderson 6331 Jefferson St. N.E. Fridley, Minnesota 55432 (� 763-574-2209 (V� 612-363-5651 CC: Charles Segner � � • .► Sandra. Anderson � � ��� , ` _ ��1� City of Fridley �Y° C� 6431 University Ave NE �1 Fridley MN �5432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection �LTtiliiy Line Repair/Relocatian xisting OWater and Sewer Connection Date: ; L`C l �� ' r / Job Ad s: � %J -� � ` � � '� Y ` Name of pphcant (Plumber): � Name of oPertY Owner: � � , �� Existing tructure Permit # '+ .5 Permit T� e: Sewer Fee: Water Fee• - , Meter Fee: � � Repair Fee: � Relocation: tate Surcharge: ' /�-�� A.�u, j SAC Charge: � D 1f � K Special sessment Fee: � j � . �/��� ���� .� .�. �""�>�.. e 1�,;�i,c.�(e � Inspecto i approval: � Water eter R air - Weekend & Holida Water unections Peimit Sewer ections P�rmit Insoea bn Fee for Water/Sewer Line Repair SAC C State � Water 04/04/OS � $125/hour $54 �� $50 $4t) See En ' eerin See Utili `Billin $1450 $ .50 See En ' eerin Building Inspections 763-572-3604 763-502-4977 FAX DATE 1 '" �' C SITB ADDRESS �p� T'HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EF'FECTIVE 2-19-09 YOUR E-MAIL ADDRESS r. N �- ❑ OWNER �CONTRACTOR nnn�ss:_ 1�331 �?�Fu►5u n S� � �, PHONE: %FJ�"-�,�,���Iy COMPANY NAME: CONTACTPERSON: STATE LICENSE # PHONE �SZ" g�-1 "3 $` (� FA7{ PERMIT TYPE � SINGLE FAMII,Y ❑ TWO FAMII.,Y TYPE OF WORK: ❑ �w �(��cEMErrr Permit No. Received By: � V Dat��: J U L `� 2� �`��I3Z EXP DATE CITY��yy� � �r, STATEh�' �j.ZIP�c �� � �� _ oc� , _ �-.. .� ' J ❑ TOWNHOUSE ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK R2dI0.�t�na C�o_ Se� � i ' Q FEES ARE BASED ON $10.08 PER FIXTURE EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� Fquipment Installed MFG: �_ MODEL: XU5^U2�i^Z� SIZF./BTU Z�}� Q�Q �A/C $25.00 _AIR TO AIR EXCHANGEER $15 _BOILER $35.00 _CHIlVINEY LINER $ ] 0.00 _DUCT WORK $10.00 MFG: MODEL: MFG: MODEL: _FIREPLACE (GAS) $15.00 _FIREPLACE (WOOD) $35.00 _FURNACE $35.00 _GAS DRYER $10.00 _GAS PIPING $10.00 SIZE/BTU SIZEBTU _GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _GAS IJNIT HTR $10.00 _POOL HEATER $35.00 _VENTII,ATOR $15.00 THIS IS AN APPLICATION FOR A PERNIIT-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 the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the cas of all work which requires review and approval of plans. SIGNATURE OF APPLICANT� '' PRINT NAME�tt'+tr" �Jb DATE C"��CI_�_ ( City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977