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AF - 47701� V �`� � � � �� '�"'�+,,3 BUILDING PERMIT � Village of Fridley, Min.n. N° 2'� 9 5 _ Date !./. : . . /:�SF. ." .� . .7 . . . . . . . . . . . . . . . . . . . . . . . . . Owner .��.... . . . � �uilder ... ........ ........................ Address•�� eo.�. � .� � .��..y`:.�.. Address ......................................... LOCATtON OF BUILDIN� No. .�'� �� . . . . . . . Street . . . . . . . . . .��. . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Lot . . . . `.�. . . . . . . . . . Block . . . . . . . �. . . . Addition or Sub-Division .��'�. . �. . . . . . . � . . . . . . . . . . Corner Lot . . . .. . . . . . . . Inside Lot . . . . . . . . . . . . Setback��f . /.��.�`. . Sideyard ��./J��f� . . . . . . . . . . . . . . . . DES�RIPTION OF BUILDING To be Used as: ��Q�i�"� . . . Front l ��. . . Depth . �`"�. . . Height . .la�e . . . Sq. Ft. ��. . . Cu. Ft. . . . . . . . . ��r.f/ �' sL � / ��' �... Front .�.�jjr... Depth .�?.�`�-.. Height .�e ��... Sq. Ft.��.... Cu. F`t. ........ .��.. � Type of Construction . ,,�.u�:•.�s . . . Es�t. Co�l�� . �� . . . . . . . . . . . . . To be Completed �. .�t '`.�f�'� . . . . . �� , f. In col�ideratian of the i�ssuance to me of a permit to construct the building described above, i agree to <do the proposed work in accordance with the description above set forth and in compliance with all pro ''afis of ordinances of the village of Fridley. ......................:°�,�-,� ..:.................. Tn c of the p�yment of a fee of $. /� ..., permit is hereby granted to �!.� .. �. f.. ° ..�'to construct the building or ad dition as described above. This per ' ia �ted upon the express cundition that the person to whom it is granted and his agents, employees and workmen, m all work done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinances of Fridley, Minnesota regarding location, construction, alteratiori, maintenance, repair and moving of buildings with- in the village limits and this germit may be revoked at any time upon violation of any of the provisions of said ordinances. �/�' /% �1 � .. Building Inspector NOTICE: This permit does not cover the construction, instaliation or alteration fo� wiring, plumbPng, gas heating, sawer o� water. Be sure to see the Building Inspector for separate permits fo� these Ptems. r .�r` r�,:. � _ - ' > v-� , # � r � ,n ., E � ks-.-.. ' � .� . ,�� - � ... - ��`..�" � .i . .. _ ' � �.. _ ��. �.� 4. -- �d - :.� - .�'. •7! A _ .� v`, _ .�.=C'7 z . `F Y •(�.,' '�, : - .: 4 � k . 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" j � f"�RSoI*? �T`• w'°� i `� .1�X��,� ��Cv�v� r_.` ��: - . � J :� , t : ., .e,. . . _ .. . .. ..,. . .. K... ., : . _ . . ., . . . ,.... ._ .� .� . .... . _ . . , . r�. a .. .,-�. ..,._ _ ,...�.. .. SJ �I .1 I � � � � � � �n i City of Fridley, Minn. N° BUILDING PERMIT nate: dune 7� 1965 p�r: � Oases �� Doa Brandvold �� : �,380 Jeffersoa Street 1�. E A� 6?J+6 Br�rant Ave. No. '7747 LOCATION OF BUILDING No 6� Str+eet J�FfeTeOII Str88'� N• T• p� of Lot Lot z B1ock '4 Addition or Sub-Dfv9sion �'�tie Add. Coraer Lot Inside Lot Setback Sideyard �oy� II�� Foimdatfon IIevation To be vsed as: Front Front Zj�pe of Construct4on DESCRIPTION OP BUILDING Depth Height Scl. F't. Depth I�eight S�l. Ft �. F.�t. Cost _� • � ` •�—_ To be Completed _ Cu. Ft Cu. Ft Storm.damage 8epair: Garage Breezwa� Ia con�deration of the fssuance to me of a perrmit to � construct the building described above I agr+ee to do the proposed work ffi acxordance with the drescrlption above set forth and in c�mpliance with afl proviaions of ordinances oE the dty oP FricIIey. `�� ,.r`� %� � c In consideratYon oP the pa3►ment oP a fee of Don BsandvG�qt fa her�bY granted t��n Rra`nd�c� � to construct the buf�s�ddition as descrYbed above. Thisp��mi t is granted upon the exPress conclition that theperaon to whom ft 9s graated and h3s agente, emPloyees an�3 worl�nen, ffi all arork dame in, around and upon said building, or anypart thereo� shall conform ffi all reapecta to the ordinancee of FricIIey� Minnesota regardizg la�i3on, conatrucct�fon, alteration, maintenaace� repair aad nuoving of bufldinga wlthin the dLy limits and thfa per�mtt may be revoked at any time upon violation of any of the P�vis�lona oP said ordiaan�. A�? eA Jensen Sufldfn� Inspector NOTIC� 'IYs permh doa � eor� da com�eH�, t�altdioe iee rr6de& P��+�& eas huling, avru er w�tsr. B� soea ts aN da Buqdins lesp�etoe for a� � toe thsa It�mt. _ � - - APP'LICATION FOR BOILDxA1G PERP�IT CITY OF FRTDLEY, MINNESaTA . . .. � � �.. �• �',, �r%" : 1 � � t, � !� -�- � �� ► � ,y �' � v ..��' � � � � , LOCATION OF BUILDIAIG � No. Street Part of.Lot ` LOT� BLOCR�,�_,ADDI�.'ION OR SUSDIVISION �,�� L��` ° Corc►�r �ot�inside L � etback � Side-Yard ' SEWER ELEV�TION' � FOUNDA�YON ELEVATION Applicant atCach to thia form Two Certificates of Sus�vey of Loe and proposed building location.drawn ocr:�hese..C�rtificatea. , � , . . . -: . ,: �D�SC�.t3PTI0N OF $tJ�DING, : . To bs used a�: . . .. . , - � � • .� • Front. �Depth.`____�Height � � • Sq. Ft,�� Cu. Ft.� � Frant � Depth _�Height Tqpe of.Can�truction To be - 3q. Ft, Cu. Ft. � t. • �'� �� '.� �� Estimated Cost The undersigned herebq maltes application for a permit for Che work herein epecified, agreeing to do all work in strict accordance with the City of Fridley Ordiaaacea and rul3ngs of the Deparement of Buildings, and hereby declaree that all the facta and representationa stated in this �pplicatio are true and correct. DATE �� 6� SIGNATURE I � (Sche ule of Fee Coats can be found aa the Reverae Side). r"� , , s �"1 d� BIIILDING PEli1�T FEE SCHEDULE SEG°P_ ION 2. The Inspector of Buildiags shall. before issuing any germit for the erection of any building or atructure, or for any addition to any e$istin� build- ing or strucCure, or for any alterations or repairs to any exieting building or structure, upon application therefore, require the paqment'�by the applicant for such permit of fees to the amount herein below aet forth and in the manner herein provided to-wit; 2.1. For any such permit for the erection of any fire-proof buildin�, other than a garage, warel�ouae, factory or �rain elevator, or for the erection of aay fire-proof addition, for �imilar occupaacy, to any existing building, sha11 be aC the rate o£ $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2,� ?. For any auch,permit iar Che erectfon of any fire�groof garage, Warehouse, factory or grai�n elew�tor, or for the erectiou of any fire-proof addition, for similar occupancy, to any existing building sha21 be ae the rate of $1.25 for each oide thousand cµbic feet, class3fied as "fireprocf" by Sect�on 502 of the Minaeapolia Building Code. H0�.03ES 2�.3. For any such permit for the erection of aay uoa-fireproof bu3lding, other than a garage, werehouee, factory or grain elevator, or any non-fireproof addition, for aimilar occupancy, to any existing building - permit $1.D0 for each one thousand cubic feet. G-� S a.4. For any �uch permit for the erection of any non-fireproof garage, �aarehouse, factorq or grain elevator, ar for the erection of any non-fireproof $ddition, for similar occupancy, to any enisting building or for each such buildiag or additioa - ninety cents ($0.90j for each one thousand cubic feet or fraction Cheaeof, in the cubical contents thereof with the minimum of $4.00. For the purpose of camputing fees for building permita, the cubicai contenta of any build3ag or addiCion to a uniform height thraughout by multiplying the �round area covered from a point six (6) inchea below the fioor line of the basemeaC or cellar to ehe average height of the upper surface or to the average� height of the roof surface of the maiu gable of a pitched roof. 2` ?. For repaira or alCerations to an existing structure, th� fee shall be at ehe rate of $3:00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2, 6� In no case shall tha fee charged for any permit as set forth in Section 2 be less than $4.00. � _� � ..� r _� .� sue�ecT PER City of Fridley 2 9 421 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r ; ` R T NO. � ; v __�� COMMUNITY DEVEIOPMENT OIV. �� r � � PROTECTIVE INSPECTION SEC. 1 S � � �"'f � CITY NALI FRIDLE� SS132 NUMBER pEv O�rE v�GE OF �vvaOVED Br �""� � �'' 612-571-3450 et0-F�5 5/7/99 / / 10B AOORESS 6380 Jefferson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACNED oesca. 2 4 Christie Addition SHEET 2 PiiOPERTY OWNER MAIL AODRES$ 21P PNONE Tilford Assen 6380 Jefferson Street 1VE 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Richard Hastings Contr 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 d ARCMITECT OR DESIGNEii MAIL AODRESS ZIP PFIONE LICENSE NO. 4051 5 ENGINEER MAIL ADDRESS 21P PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK D NEW O ADDITION ❑ ALTERATION C� REPAIR D MOVE O REMOVE B DESCRIBE WOFK Reroof House & Garage (23 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS i7r�derlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TVPE OF GONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOFi ELECTFICAL, PLUMBING, MEATING, VENTI�ATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON ZONING S�. fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OF1 IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERI00 OF 120 OAYS AT ANV TIME Af7ER WOflK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEAEBY CERTIFY THAT I MAVE fiEAD ANO E7(AMINEO THIS APPLICATION 1 STAILS GAi;AGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFiTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMPLIED @ WITM WHETHEii SPECIFIED HEREIN Oii NOT. TME GRANTING Of A PERMIT 1 971 y� .98 DOES NOT PqESUME TO GIVE AUTNOiiITY TO VIOLATE OR CANCEL TME pEqMl7 FEE SAC CHARGE PROVISIONS Of ANY OTMER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �GZ.LS Fir SC �1.97 PLAN CNECK FEE TOT EE - � 7% Lice SC 5 0 $70.20 S�GNAIUAEO�CON'pACTOAO�i TMOA�ZEDAGENT IOAi � M P V VAU 7 T�IS IS VOUR PERMIT � �I � S�GN4TUAE O� OWNEA��F QWNEp BU4DEp� �DATE� ,f„ OG �NSP ��TE NEW [ ] Effective 1/1/98 ADDN [ ] CTTY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION `�� U��(,, �� ConstructionAddress: � � � � TT�= � � � r� .�'� �/ � �`� Legal Description: Owner Name & Address: �" L/�e t2 7J ��S �� Tel. # Contractor: �t � � �- o� 9 /� � � �' � �� MN LICENSE # �p .S'� Address: � 3 � 1 � �� u � 2 �,� �` � c,,� 7�� Tel. # ;.� > lJ — � ��$ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Height I.ength Width Height Length Width Hgt/Ground °z � S�' e Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��,� d2 ��1Y �- �� e2 � c� l� Estimated Cost: $ I�%/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: S �' � ` APPLICANT: � -.� Tel. # � > Y ` � ��-� � ' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $��.� $ l, $ $ $ •U� $ $ $ $ $ U� �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .., � �- BIJII.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 $50,001 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 $1,0(}0 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,(}00 $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. 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 $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. - � �„ T � O r � o � C a � o, W �• D � � � o � � rn m �' O � � � � � -i � � � m° .� � �'I � D � O Z O z � m � � m m z -� � c z z n m � v 0 m a � � 0 � � � v °; m � � v v � m � � m Z N. � n � O z m m EA � O O \ x 0 � � � � i 1 O D r m m r��r � �D � c � s v m 3 !-' 3 N C � 3 °* '� ni � c � °� D O� o � O � � o �� 7 Nr a � _ v' oWi �� 0 � m � F� D -�o � ° � O 3 °* �- � � < c� � °—' -• m -n � m � � � � �� , tn � o � o � � �• � � n� N � O .� dp; O f!� �� ,� 0 o � Ui N o � ° 0 � 0 � .. � D b � a c� � _ aa � � � � v m � ,CNi� O S o � � � � � � � � � x � z � -� � c� �� ^ � � � � � a a � m � � 2 �i � � � a � m �' a�a � � � m �m � a N W � � �� Q�°-'3 . v — � � <: o � N N � 7 � n� - �, -a a � � � n�i �'�o � rn � � � � o � a o � a d 01 � � m � v � (p 1 ! � '; � Q��'o o °► m � a �? c� fD � c�, 3 '� o � � � dc� � 1�i � (� rn � � W m � m a � z v N x -D I m � o ��;� m � °1 °, � _ z� �� m aa � � �� c� � o m � = o � -� m � � N � rt �, � `� 3 a 0 v = a o v�'� � � � o " C� b � n � � O � d N � � � � � � � aa z � c � �1 cD v � N (D � � � � O � N � � a v � � � � � � Ol � � — _ � a -n p c � o�i � � o � W � � R� � 2 v � r �s t� �r 0 o cn � 0 o S � � � � 0 �1 � � � ` � a � a �, � m c ` v N `� p a � � � -D rn � � 3 -� z 0 X� �� . n � � ` 0 W v v � � �� B � ` � 4 � a � n � � N N � 7°Q� c:� z � T ++ Ul `�� j N � v x � z � m W � C � r � v � � � � m —��I � Z � � �m'1 � � r �D m � � Z Z O � Z '� vo a� � m � n � Z � v� � � oa zz �v _ �� Z m � � n Z O vZ v� � . m r" � � � Z m` m � � `m � � � N � 0 0 � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinq an existina furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (� No () �., The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No �/ The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existie�a combus4ion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the cuRent codes and manufacturer's specifications. Yes� No ( ) Yes ( ) No� Yes (�' No ( ) When installint� a new ventinct svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per cuRent codes. No�Cj Yes j�' No ( ) Appliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type ��A�% BTU Input `�� Fan Assisted or Nat �� Appliance #2 Type �/.�,�- BTU Input �l� Fan Assisted or Nat N�1-7- Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances � Tatal Btu Input � Common Vent Type �t N� Vent Height ,�_ Diameter �� inches Appliance #1 Vent Connector Height 3 ft Length � ft Diameter �in Type G�� /�5.� � Appliance #2 Vent Connector Height � ft Length �ft Diameter �in Type �.*}ss L Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) �c�c.� G�! Ne. aJ �/ (i� HEATING CO: �� t-� � C.��2�-e�QS 7� e Signed By: � Date : -101-�'� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSII'Y AVENUE NE FRIDLEY, MN 55432 572-36U4 l+'AX: : 6380 JEFFERSON ST NE : 143024420048 : CHRISTIE ADDITION : LOT 2 BLOCK 4 : HEATING : RESIDENTIAL : ADDITION/ALTERATION 571-1Zi�7 � _��.. PERNIIT N .: 2004-00502' � DATE ISSUED: 04/14/2004 , VALUATION : $ 4,800.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A REPLACE FURNACE (WARM AIIt, RWD, 75,000 BT'[TS) AND AN AIR CONDITIONER # A/C iJNITS 1 # FURNACES # GAS DRYERS APPLICANT SUPERIOR CONTRACTORS INC 612142 AVE N CRYSTAL, MN 55422-1601 (763)537-8491 OWNER AASEN TILFORD O& LOUISE R 6380 JEFFERSON ST NE FRIDLEY, MN 55432 0 # GAS RANGES AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons hon or the performance of construction. Applic�t—"� Date Bldg Insp_ �� _Da�'e"1��'� �`(34 HEATING PERMIT hIlNIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIOI�TING FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 16473 or,rru�ri i r, r�t�lvu 1 J 1c��(u11�GU t'vtt W ViCli V 1 ti�1C 1 riA1V LtSJl;K1tf�L AtSU V�. 1 0 0.00 35.00 0.00 0.00 25.00 0.50 60.50 ADDRESS PIN LEGAL DESC PERMTT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iJNIVERSII'Y AVENUE NE FRIDLEY, MN 55432 572-36U4 l+'AX: : 6380 JEFFERSON ST NE : 143024420048 : CHRISTIE ADDITION : LOT 2 BLOCK 4 : ELECTRICAL : RESIDENTIAL : ADDITION/ALT'ERATION 571-1Zif7 PERMIT NO.: 2004-01289 DATE ISSUED: 08/09/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL AN AIR � CONDITIONER. I # INSPECTIONS 1 APPLICANT R & D ELECTRIC 18477 KRYPTON ST NW ANOKA, MN 55303 OWNER AASEN TILFORD O& LOUISE R 6380 JEFFERSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 3872 SEPARATE Y�KMl'1'S1�clUlK�ll rUx wVtttt V 1t1�x 1n.vi� li��;iuts�li Atsvvr,. 20.00 0.50 20.50 �al �� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSII'Y AVENUE NE FRIDLEY, MN 55432 57"L-36U4 l+'AX: : 6380 JEFFERSON ST NE : 143024420048 : CHRISTIE ADDITION : LOT Z BLOCK 4 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-12if7 PERMIT NO.: 2004-01470 DATE ISSUED: 09/Ol/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 T'ERRITORIAL RD i ST PAUL, MN 55114- OWNER AASEN TILFORD O& LOUISE R 6380 JEFFERSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if constntction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applica.nt _ Date Bldg Insp Date ELEC PERNIIT FEE - MIlV (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 117431 ��rruv� i n rniuvu i ��uucnL r v1c W Vtclt v 1 ti�1C 1 riA1V lJ��l;i(it3�ll A1iV V�. 20.00 0.50 20.50 �uilding �nspectians 763-572��60� srre a.o��ss.�.� THIS AP?LICA3dT IS: �,1�.� � ��a 3 ,. � � PLTJ�BINd� Penn�tt �vo.:� ��iT��+ �TTIA.]L 1��P�TCA.TIQN ��ived By:_ �IT�' �F �+'1�iDI��+ � n�t� �zec�d: � � �� .� i'OL1R �-MAIL AUDRESS _bv�Nn ��_ Y��wl � l��e J` - C d Lvl ��rSv � 5 F Q Q�JER C:GN'f7i _ __ i � u�� 5'_ owr�Rr ,ar��ss,�,3� SL��rs��. �tv.�iHr p�ox�: �6 3- 5� l� 1�0`7 T' CON'TRACI'OYL x,,�: � v�n �ll �v� l �rU SUBMIT A C�PY OF STATE LtG�tdSEYt- C3Ei'�-1 � iA�l�j YbUR STATL AD17R�55; `+�3�i - �0'Fei 'ii� itcErrs�ratn3 P�or��._S'�l6c�yq �Ax A DLl Tf� � TiA'�T ��yr �sp$ � �T1C7Lfi FM+ID..Y T�pE vF wo�: I o x�w DE"fAILED flESCt2iPTION pF WdF.K Q.e �G2�— �� -� �c� 5 't� �.+.� [] TvUO FAA�ID[.Y ClTY i-:n� ��2�_�STA'i"��NZya� r � �- - °tn� EXP ISATC- - CITY �� , 7d3 `7�►- � L7 TOWNHflUSE �7 REPLr4CEA+iENT � �;} �� =PEY� MS 1'6B:G+65`the perrn�t fae �'a minis�►��=6'��1 �.UU dr 5°fe bf tbe tat�1 crosi��r� to �50tl.t10, whi�+avei is �caator, for the -" improv�rnct��, i��c�tlatian or replacern��t�of a-resf�atrtial �xture, e�cludin�gll� t�xt�es- (This ahou�d refle�t.Qnly tho cost'oflsbor ) I:abor cost undar �300 ��15:00i I:��ior cost bedvV�n $3�0 to �SDb � cos4 of labor C�� x.os =� FOR PROJEGTS Wi�FE I.A90R EXCEEbS SSi�C�, FEES AP.F 9AS�D CRd $I0.06 PFR FfXNRE, �:CF.P7' WNERb �lOTBD. FDCfU�.�S: (RdD1CAT$ Tb7Ai NLlA�3FR OF �ACH BSLOVV) " BATFi SWItiJL.0.Y �PiA�A DRAII�S � SHUWBR , WATEti PIPfNO _ BA7iiZ'UB GAS PIPIN(3 Qd� C!lYUCFr+,rEi 5'tVTh�IC3 POO�. VI�AT$R S4FINER ($3S) ,� ca.oTi��3 wA$l��x _ xx1'tCf� 5nax war�t ctos�r ,-B�Cx�tAw PR�w, {,��j ,_,,. d1SHivA3i�IF� ._ LAUNDRY'T'R?,Y '�WAT�tt HEA7fiR 4�35) Ft1R tltWCiAT[�3N _ WAi'6)t A�T6R �„ OTHER F� $ �_ 0 1VZ11S10C! OI IIXY�II'2SS (l� � I 0.00 „� x$10.00 =$ „�� Number of fixture9 � Sfi15.a0 x$15.b0 =$�T Number oftixtures @$35A0� x$35.00 � S 3,S State Snrdsarge = $ .g0 ---- - . Tntal = � � �' _ �cn l'Fi1S 15 .4N APPLlCAT1�1d FOR A P�T•NOT VALID UM'IL PROCFSS� ! hereby apply for a building ptrnnit and I scknawledge that ti�e infotmatfon abavt is cc�plet.� suti sccurate; ehgt ti,a wark wiU be in conFomt�no� with the ordinartces and aodes of the City af Fritfiey and witly t�e ;R3i�e�oi� Conshuction Cndea; thet I undar�tand tfiis is nat e permit but only an a�pliaution for a permst and work is not to stsrt wfthout a permit; that the wosk witl ba in accordaace with the PP P . - _ d.appraval ofpians. ; r -.- a rbv �, e case af [l.,work w ich uires review an 51GNATLJR.i? OF APpL]C4AJT - Q I `, % - - • P1IR�1°CNA.�:IJv*.� ��re:• ,�,.LWs�TUT bkl'� t�3l�oZ _ . . . ., . .. � .. .. . . .. .. Y... . .. . .. .. . �ity��Fridi�� _ Build�a�g In�pectioas �eparfinent 5431 Univezsxty Avenu� 1VE, Fridley,ll�II+i 55�3� 763-572-36U4 F.�1X: 763-502-4977 ^ ��f . .. __...,_. �.�. b � t��, 6 ��3 �,� IWH�r�:�1� 9t�1� c.� •unr Z�Z�T15�9L: 'Cl"d r;t+� FatF't�+� .to h�.t't: WD�