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AF - 47769� City of Fridley, Minn. BUILDING PERMIT nate: .. �:.'.f.'�`..-�'\. � ....................... Owner ....................................... Adtlress...................................... �� N° 3253 ��_. -- �� Builder � � " r�": . : Y: . �� .�. . : . :�` :� : .--: . . . . . . . Address . . . � . . . . . . . . . ................................ LO�CATI�1l OF BUILDINC� !� �� r No. �. . . �, o . . . Street �:� . . . . . . : .`: "�. .� . F. . . . . . . . . . . . Parqt� f �Lot . . . . . . . . . . . . . . . . . . ° il� A '�' • ,l , r . , ��'„ � i � , Lot . . . . . �. . . . . Biock �: :_ : `. . . . . . . . . . Addition or Sub-Dfvision ` : : °�. : � ::� . : .' : . : .�°�: . . . . � . : : r .°' `^ . ... ... Setback ..:�::..... Sideyarrl �"�' Coraer Lot ....... .. .. . Inside Lot ......... 9 ,� ..... ..�� .�.:..... . DESCRIPTION O� BUILD[NG To be Used as: � ., � . . .l� : i :": . . . . s . . . . . F�aut . : :� f o . . 3 Depth : 4 . : Height . . . . �. . Sq. Ft:�. �� _ � f� (,ii. F't. :? .'��. : . . . � r� . .................... Ii'rout .. Depth ... .. Hefght . ... Sq. F't ........ Gti. F`t. ........ Type of Constructton �� . : ::. . . . . : : . . . . . �et. Cost. : :�� .�' : . �. . . . . : •. . . . To be Completed . �. . ! . . : :":' . . . . . . . . . �)� / . , _ d-�"'/.� r�` . �° . ;�%' • ��''L • ��wP ;� � �.- � orp �'� � c -' "-r�-co � � .�� ,�� • �',_�,+�,,��-• - - =� , � � � � In consideration of �he issuance to tne oP a permit to construct the building desribed above, I agree to do the propa5ed work in accord�nce with the descrlption above set forth and 3n compliance wfth all provisions of ordinences of the dty oP Fridley. ,, -� .................................................... `�; � ,� ,, � � �.�.�: N.:- In cunsideration of the payinent of a fee oP $: ` � � . : . . . , permit is hereby granted to � � ' � �� '- . . � = =' -z—� , . .. .. . . .. .. .. .. .. . . . .. .. . to conetruct the building or addition as described above. This permit is granted upon the express condition that the person to whom ft is �aated and his agents. employe�s and worlmnen, in all work done in, around and upon said building, or any part thereof, shall coonform in all respects to the ordinances of Fridley, Minnesota regarding location, consttnction, alteration, maintenance, repair and moviug of bufldings with- fn the city limits and this permit may be revoked at aay time upon violation of any of the provisions of said ordinances. � � 4 � ±'' `�: =:;�. . � `�. : .� � p�: i . . . Building InspeCMr �i°''� � .y� � NOTICE: Thla permlt does not cove� f.ha construatlon, Installa#fon or al4eration for wlrino, plumbirig, gaa heating. sewer or wate�. Be sure to sea the Building Inepeotor for sepa�ate permlta fo� these Items �..�: ��_� — �'�. �VIINDEREI�TGINEE�2.INC�► �'l7.,INC. ENGI NEERS AND SURVEYORS LwNO euav@YUUp � �011.9 T�STIN9 CIVIL d. MWNICI�A�. HNOINEERINO L�U`1D PLANNINO. 6418-56'" AVENUE N. . MINNEAPOLtS '�f, MINN. ' KE T- 3631 ; 1C � q�� a �'i � �� 1� 8�`I�! � � q� 8 r, ..��. l d �1 � i �. � I F f � �F q n }�, d,_J�( ,-�� P�.� �,,. ��/".' K�e. . 1�s' �_'�t�� . _. `!`` r . , P fR r �� "' E%�,' /t� � ... ..'�� .� � � ��U, � �_� 1 }8 . � `�n \ \ ti �• `+•!lr � � r.3 . \ � � ��.� � ' ="- � \ � 1 � � L 4�^',��, �� /�C a 1 . Y �'� � ��Z • � iy. `t . � � � `� �� . � A . J o, { ti b `'� � e� � � � � � � � � � �� '1 Q� �� l�4� r �� " � i �� '�L ��.. .. '1 r�, # � \� ��;� Approved by Building Inspect6�� j� ��i�� `� ��' �� ` *i �> �)�a � �� t� ., r+ e�r � �` _ a �'° ��'�� , _ � .�. �,� t � � �:� �z�' :, a::� `A.' r° � - � ' e'*�' / �" !, f ,�?,'�f ° '�. '�' � ��. %-! �" ��°? �,,� � ��G` � - �:t�-E, WE HEREbY CERTt�Y TifiAT TMIS IS A TRUE AND CO2REGT R�PR�SEN'I"AT10N oF A vEY oF 7HE BoUNDAR�ES oF TttE �ANO ABOYE OESCRIBED AND OF7HE LOLATION OF A11 titlltDINGS, IF A*1Y, TNLREON, A13D ALt. V►SIBIE ENCROACHMENTS� ,� iF �Y, FRCM ORCN SAID LAt3D. MIWDER ENGtNEERING CO., IN�. pP7ED SX�S C�Y oF ��' `° a0.1�5`^ •�N6�N'�ERB AN� SvRVEYORS «' - ,, -, : �� ,y � � �,. r..,.. j� f s ��11 � - - �,?�..-� �� s_ � �6Y �. _ ,��`7 e�' , � , , �f: � �-� �� ` de �, APP�,ICATION . FOR BUII,DIlVG PF&MIT CITY OF 1}RIDLEY, MINNESOTA � � _ �� orRnvER's rTar� ,�,�A1 �tlT h� . � �� 61,�. Buzzn�. � � 1 � � � � � �o �US I . annx�ss �� t o �� y L� i� �/ 5 ann�s s�� K� e R�►= i� i� . �' �� R �� N- � LOCATIOAT OF BU.[LDING � N0. � �'� � STREET � �ART OF LOT � L{iT BLOCK ADDITION OR SDBDIVISIO� C`� .� �,�� (c� � CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER �LEVATION FOURDATION ELEVATI�IV Applicant attach to.•.thia form.Two Certificatea of Survey of Lot and propoaed buildiug location drawa on Chese Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Aeight , Sq. Ft. Cu. Ft. Type of Caastruction Eatimated Cos �� 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 Citq of Fridley Ordinances and rulings of the Department of Buildinga, and hereby � declares that all the facts and repreaentations stated in this applicat3,on., ��.-� are true and correct. % � � DATE � U C� S SIGNATURE e (Schedule of Fee Costs can be found on the Rever e Side). � � , � /'L�✓ � `� � . —� � � o °`� �, . � � F � � � �a �� , � � �� ,� � `� %�� °-� - — — � BVtSDING PERMIT FEE SG�'DOLE � SECT____ ION 2. The Inspector of Buildin�s sha11, beforer'isauYng sny permit for the erect3.on of anq building or struct�rre, or:for any addition to any existing building or structure, or for any alterations or repaira to any existing build�t�g.or structu��e, upon;applicat3on therefore, require the payment by the applican� for ,such permit- �� fees to the aionou�t° 'her$in below �se't Porth and in the manner herein provided to�wit; 2.1. ��'or anq auch permit for the erection of any fire-proof building, other thau a gara�e, warehouae, factory o� grain elevator, or for the erectioa of any fire-proof addition, for similar occupaacy,.to any egieting build3ng, shall be at the rate of $1.40 for each one thousand cubic feet, or fractioa thereof, 3n such cubical contents. ' • 2.2 For an� such permit for the erection of aay fire-proof garage, wareho�se, tactory.or graiq elevator, or for the erection of any fire�proof addition, for similar occupancy, to anq existing building ehall be at the rate of $1.25 for e8ch one tbousand.cubic feet, classified ae "fireproof" bq Section 502 of the Minneapo.lis $uilding Code. � SOIISES 2.3. For any such permit for..the erect�.on of atiy noa-fireproof building, other than a garage, warehouso, factorq or �rain elevator, or any non-fireproof addition, for eimilar occupancy, to any existing building - permit $1.00 for each one thousand:cubi,c £eet. GARAGES 2.4. For anq.auch permit for th� erection of aay non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any mon-fire-proof addition, for eimilar.:occupancy, to aay egisting buildiag or for each such building or addit3oa - niaety cents ($0.90) for each one thous.and cubic feet or fraction thereof,.3,n,the cubical contents thereof with the minimum of $4.00. For the purpoee of computing fees for building permita, the cubical contente of any building or addition to a uniform height throughout by multiplying the ground area covered from a point s#.x (6) inches below the floor liae of Che basement or cellar to the average h��ght of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs ar ;alt�rations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollara ($500.00) or fraction thereof in Ehe cost of all proposed work. 2.6. In no casa..ehall the.fee charged for any perntit as set forth in Section 2 be lesa thaa $4.00. .. STORM REPAIR DAMAGE FEES: , Residential; Estimated CosC of work up to $500.00 •$5.00 Estimated Coat of work over $500.00 -$10.00 Commercial; Estimated�at of wgrk up;to $5QJ,00 -$10� n�, �� Eetimated __�st of work over $500.00 -$20, J d.�., F „ � � � E a ,� .—. T Aug. 9 , 19 65 To Whom it may coneern: e� .._. _ �� We, Arthur W. Gneizer Jr. and Bonnie Joe Gnei.�r ( The owners of property located at 6820 Jefferson St. i�. E. ) have no objeetion to Lanny R. Benson and Joyce E. Benson (7.'he owners of property Zocated at 6830 Jefferson St. N. E.) extendi.ng their garage appooxima.tely 8 feet, 6inches ahead of fiheir existing front foundation. We therefore grant fihem p�mi.ssion to build their garage ahead of the present front foundation line. � f � r� iR�'A r gi,gned. ��..�.... " s �,� � � -�..�� s.�, �� 4 � a � I ��\ f Tr /Y � � � � r � \ N V � ,,. . � I � � � ��r�� .a �� r `� � na i, ;<? f�%��in � a �' ' 9 �� y�W H � !.1 � a � � w � d � � (,O � O � � � J , F � c� °-: x h ,.. v � � � � � � � �$� �� o � $ .�- v� � �°u , rt � a� �r � � � � I o �i k O � j:►� � I � � . 0�4 E� � �a � � � . � �� , � �. � � O Q � OI � � C� C � � � � � Cta � � o i� � � w o � � "V � �� ( y � � V .� � C � � � � � � � 0 r � d .� �0 < ��o ^s W co �'' � � � �� M o x C p A � � � R � �� E � �a � � � � oa $ � � �a �� o t� � � � « LQL Cai. ry � e�i � N o N �p' N � '� O p �... .,,, � ,� ,o R' k° ,�' � x �' r � . � I�7 [*: 9 y d � � � �; � � o s � �� o �' � � et�, ~ � ° p I�o � � � � m p � � ro b '"� � � M o � �� w iA W ;m� p o S � � 8 a � � � � N � ('2 � � � � � o �� ro -� . � � �� Po �� , O "� J \ GJ � �• a R v mr G. �' � � G 0 0 Ntl P � � � 3 O. n � � �1 �� Q f� �� • � � � � � � {1�� ' � � �{ � � m p a � � � o � a � � � �� A A C � � �7 �ti �� a o ' � � a ' � � • � � tet � p� fw O $ � � � � o � � �' O A � a�+ tso Tv Q �Y � � � � \ a 3 � �^`� Y .� � ,�ti� �� =�� n � � � � � � p � � � � � ? p' � � � � � w � � � � � p � � � � �� W O nc. �, . � p � � . g � ea '.� W C*+ C9� Ca � g � � � �� eA � � d�� . n . � � �a � Qa� �e ��,�� D V � w J � M p� ry � 6 �.. '� �q C 7 .-• �, .��.g � � ��o�, . �� y a� � � ,j � M A .�.. � � -"`< �`\ � p O � � \ N '1 x. � � d � � r � �i ✓ ] 41 t=- a y t9 � � .-. V °' �y �. � o=".".� � �'�S�o ,�o,o� � �,, o h �.�� a � a�� ~ . p� � � O � a� �.. �0 � � �' � �� d rP, �� \� � � � � � 4 u°� � � �� i4� � � � � Qi% �� V �� , � � � v Iv � �i� `� 9 �� va �� .. �� €:3 `, �:: �� '`a �: �a � .�'� �� a . � r: > :� �;�• E. r� k�`� F• 1'. J ti .� 5y..1 4:;,1 L4� C :d ( a �-� r.. n �:,7 �'-'��a �� :.� � � �:� �:.. � � �� :� � �� 6: y .^• � �.� � �� f 3 C'a Ee � j <- e=.ie �.. y � � � '� � �?s i`o-s � �, � r �-b P.!� C:3, P<.10 �: � CA � L� e �'ei ('� f�3 � � �� SUBJECT City of Fridley �" 16 5 2 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I � r � � R . � ; L______ COMMUNITY DEVELOPMENT DIV. �� a r � PROTECTIVE INSPECTION SEC. �I � � 1 � � � � /"'�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE � PAGE OF APPROVED BY �----� • •�� 612-571-3450 910-F15 4/20/82 � � JOB ADDRESS 6g30 Jefferson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 3 R'LC:@ G1ePaC Terrace Plat 6 SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Janet Alber�son 6830 Jefferson Street N.E. 571-7182 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUIIDING ReSi.deril':].3]. 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement alterati.ons 9 CHANGE QF USE FROM TO STIPULATIONS �ravi.de egress wirndows in all sleeping rooms. Provide fire alarm. Provide comhustion ai.r to furnace. �E�ERATE d"'�R�91iS REf�UlR�i� FOR �I�i��e, �9E�4Ti�Ri�, PLU��31P�t; AND �FG�iSa TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TnTood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIp IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEfiEBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 y�`2 � OOO yS`�..00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- 32.50 STRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL FEE NpNE $33.50 SIGNATUREOFCOr�TAncro Oi AUTHORIZEDAGENT IDATEI .�-.�WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT �� SIGNATUREOFOWNERIIFOW.NE BUILDERI —� IDATEI BLDG �NSP DA7 � CITY Of FRIDLCY Effective Aug. 1, 1981 APPLIGfl7IQ;� FOf� RCSIDCt�TI/1i_ [3U1LQIf�G PCRi4ITS (I�e►r, Alter.ztions, Additions, or Repairs) Ol•JNER: ,�.9 � l bel2�'SSeDA� ADDRESS : C� � 30 e��v Soau TEL N0: S%`— �$�� • - ST1tITT NO: STREET: z.oT: . Go f' 7 Br�ocx: 3 AnniTioN: �c� C�P e� °�.Y� /�l� � QUILDER: S�e C 6- `�—' - /1DDRCSS: � �_ TEL f�0: Construction Location Corner I,ot: Insicie Lot: v' SetbacY.: �_ Sid�yards: Ap�licant attach to this form iwo Certificates of Swrvey of lot and proposed building locatian drawn on certificates to scale. DESCRIPTIOid OF COtJSTRUCTIOtJ P@52 wt Front: Depth: Height: 14L�%ve�100 � Square Feet: Ctiibic Feet: _ Front: Deptti: Height: Squar.e� Feet: Wbic Teet: Type of Construction: Rb Be Cbr.�pleted: _ f /�j� `�,� - � Estunated Cost: $ �OO� Alt. A Alt. B Proposed Drivec•ray Width If New Opening Is Desired: $� $ . . SE� REVERSE SIDE OF SHEET �iie undessigned hereby ma3;e� application for a permit for the ��.�ork� herein specified, agreeing to do ,all worl: ir� strict accordance with the City of I'ridley Ordinances �id rulii�gs of the Department of Builc3inc�s, and hereby declares that all the facts and repres�tations stated in this applica 'on are true and COrre . D.3T�: _:�-��"�`�-- SIGNATUItE: �"�'?��.av'�!(i. Stipulations: �'a r� i T ��.� �� '�'° 3� ,s'° � 0 � �3� P�to� ��oc �' t�,� c�,�� r.� !� �c S�� t�� 6 RRoa��. �ou;0� �i�ltc� ��L�'Q� • P�o�O� G� 'wi s ��f �d.� BUILDING PERMIT FEE SCHEDULE The Inspector of buildinqs shall, before issuing permits for the erection of any building or structure, or for any addition to any bxistinq buildinq or structure, or for any alteration or`repairs to any existing building oz structure, upon application therefore, require the payment by the appl3cant f or such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUATION $1.00 t�o $500.00 $501 bo 52,000 $2,001 to $25,000 = FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the fixst $2,000 plus S6.00 for each additional $�,OOU or fraction thesepf, to and including $25,000 $25,001 to 550,000 $170.50 for the first $25,000 plus $4.50 for _ each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $263.00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to ar�d including $100, 000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building pezmit fee DRIVE�TAY DEPRESSION ESCR�nI: Concrete G1irb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Ranoval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$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 Suzvey of the lot, shawing the location of the foundation once it has been constructed will be required before proceedinq with.the framing. �' '�.Z .�d -., SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � `L ____�_ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. , . , , i-_--� ��"" �,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE i 612-571-3450 910-F15 9/21 JOB ADDRESS 6830 Jeffersnn Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. %� 3 Rice Creel� Terrace Plat 6 2 PROPERTYOWNER MAILADDRESS Don Arndt 6830 Jefferson Street N.E. 3 CONTRACTOR MAILADDRESS B& K Builders 1500 - 14th Avenue N.W:, New Brig; 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW MAIL ADDRESS PAGE 0: � � PERMIT ° 1725 ( �" `� � APPROVED BY SEE ATTACHED SHEET ZIP PHONE 571-7182 Z�P PHONE LICENSE NO. ton 636-0674 ZIP PHONE �ICENSE NO. ZIP PHONE LICENSE NO. Cl� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 27�3" x 8' Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS 1�'A�d�l�C B�fore digging c�N 1oLat utiliiieS �Ei.EPHONE - ELi Crf;1C - GaS f��c. .�EQUIREL ��' �.AW SE�E�ATF `?��'r.q��C� R� ��UIRED FOR I�1R1� ,�EATttv�;. r��;a��, �rvD stGNS, SEPARATE PERMITS ARE RE�UIRED POR ELECTRICAL, PIUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHIN 80 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPI.ICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED �`],].�700 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY �TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $C.J°2, CJO TR ON OR THE PERFORMANCE OF CONST�JCTION. y� PLAN CHECK FEE � j� �� $23.13 SIGNATUREOFCON'RA TORO TMORIZEDAGENT �DA7Ei . '" WHEN PROF ff F SIGNATURE OF OWNER tIF OWNER BUILDER� �DATE� 1 pi or, INSP OCCUPANCY GROUP � OCCUPANCY LOAD SO CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $5. 85 SACCHARGE NONE TOTALFEE $121.48 RLY�(ALIDATED THIS IS YOUR PER! OP CITY Of fItJOLCY , Effective Auq. 1, 1981 HPt'LIGATla� FOft I:CSIDCi�TIP►� aUlLDIi;G PLF'viITS (I�t�►�. Alterations. Additions. or Repairs). I , ;,: r ,►, � , .�..�-��..,.,. . �. , � � � r► ;/ .',...�, _, :,,� ir , . � � ,, / ' /, �:�- � , •' ' :i ' - � % i ' . � . i / Constructicn Location • STJiI�T NO: D STItEF.T: v � _ L07': BLOIX : � ADniTiO:� : � �� ''��'�' rc�� # r � Corner Lot: Insidc Let: � SetbacY.: Sideyards: , Ap.�lic�-u�t attach to tl�is form tti►ro Certificates of Stirvcy of lot and p=oposed building location drawn on certifirates to scale. DESCRIPTIOc�� OF CO,�,STF:�JCT10r� 1�c7� Front: _ � � " � � �p_j",�_ � Depth: � � Height: � � Squarc tee�: dbic Feet: Front: Depth: Height: Square Fe�t: CUbic Teet: �y� � �� ` o, ,�� °� 1 i,�dJ 'a��pe of Co-,.truction : ��-� � �� Estimated Cost: S � � Rb Be CDr.�pleted: � �M.R�..u'�` �d�, Alt. A A1 t. B Propos�d Drivc��ay Hidth If New Opening Is Desired: $ $ . , S�� Pr.VF:R;E SIDE OF St1F.ET ZS�e unc7e�rsianed hereb�� mal;e� t�pplic�lticn for � perrcit fcz the ♦:erk herein specificd, agrcein� to do .all work ir, strict accord3nce r�ith the Ci�y of Tridley Ozdinances ��id rulii�� of the Deparlme��t. of Dui:c]ings, and hereb} declares that all tl�e fact-s and reprecc�t.ltiens stated :n this applic.:tion are tzue and co�rect. � n.,�: � . lC� � F�� Sz��►�� / �tii�ulations : � �a . s� �.� ��.�� ss�'' . � - ,�� .�� ! �.�►(� .. �cl a�. ��.c,l�� A �:. � �� i s � - �� >..___.:.r _.�.: � . .: . � �� - - . _.: . ; ; , -. _ _ _. _ ..,. . __ � -- - _ ,s , F.-�„7� `--- ,:. . : y L�. r: '�'. • . .. � � . . , "'--°�-��-��—,��__ �- � ' ' . . . �. , . . ' . . - . . Y . I , 4 , . . _.. . _. �..� r F - �°• - r -t 4 . . � � 4 � . . . . . 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O O O O O O O O O O ln lJl O � O O O O O O O O O O O O O. +n +n tn +n tn tn �{n +n +n tn tn +n ln v► tn y 0 ►j � � : t~ � C ro� �� C�J � �� O � H� � �� ar 7d C� A � F� �� ro t� � H H N � r 0 0 0 � y� r °z �H H H � y m � � � � i 0 � Nz ro fyD W Q r � s o �' � �� Storiea � W a r�r i � �° n a ' z � cloaets E ,� �y Urinals % � � � Bath 7�lbs W �Hasins O a � �' Sinks � � wash Trays � � Drinking w Fountain8 showers � � Floor Drai �a Catch tmi Hasine aAut�atic E Washer µ Gas Appl. � � �' Misc. .Fixt � � " Ga9 Ran9H R S �i n Othar �i rar � � �t � � � m � � � tA K1 W � ro H C N � Z y � � � O � � � � o � � � � ro � H 0 � � � � a� � y� � ��rop� SCl � d F" � 9 n F+W � U�iM ��aa ��a � f0w m �``o � rnm � °�a� n m w °' � �°ro�� a �h�}o� m w g W EI � � r � � �M�'U �� ,��w �C � w rmr rt � � rr w w o l; � fF � A� a Q M ro�°'oa n � � � o�'m� ��x� � � � � � fyD �w� t�p a rwr � �' � $ �a�- � 5 rr 0 rr � m m m � c D � 'O r c� D � O Z �'I O � � E r' 3 � W -< GZi p a T Z C � C+7 �--� D G N r R1 T � .. � L7 � m � M M f�] ff c � w r r � m r SuBJECT ':-- _ City of Fridley 2 6 3 4 2 - AT THE TOP OF THE TWINS g � I l D I N G P E R M I T r ; � RECEIPT NO. � ; � _.�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �6�� 1 . � � � /�"1 � CITY HALL FRIDLE� SS43P NUMBER NEV OATE PAGE Oi APPROVED BY �""'� � �'� 612-571-3450 910-F15 6/25/98 / / J08 ADDRESS 6830 Jefferson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACFIED DESCR. ] 3 Rice Creek Terrace Plat 6 SNEET 2 PFOPERTY OWNER MAIL ADDRES$ ZIP PHONE John Kaysen 6830 Jefferson Street NE 572-0865 3 CONTRACTOR MAIL ADDRESS 21P PNONE IICENSE NO J G Industries I1818 Monroe Cir, Blaine, MN 55434 757-9022 20097862 a ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAIL AODRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINC3 Residential , 7 CLASS OF WOFiK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Reroof House & Garage (32 Sq) Tear-off 9 CHANOE pF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPAHATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, NEATIN(i, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING S�. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOAK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTFiEET PARKING 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TFIIS APPLICATION 1 STA�LS GARAGES AND KNOW TNE SAME TO BE TRUE AND COFiRECT. ALL PROVISIONS OF LAWS ypLUAT10N SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOFK WI�L BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A pERMIT �2s668 �],.33 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR TION R THE PERFO ANCE F CONSTRUCT ON �7�F.7.rJ Fire SC �2.66 \ PLAN CHECKFEE TOTALFEE License SC $5.00 $83.74 S� NATUAEOFCO �AAC70AORAUTMOA�ZEDAGENT IDATEI WNEN PROPE VALIDATED THIS IS V UR PERMIT < � �� f, S�GNATUREOFOWNER�iFOWNERBUILDERi �DATE� - ' Bl �NS7 qqTE NEw ADDN ALTER I] Il [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 ��3`� �� ConstiuctionAddress: C`6 3 D ��s �,. �� 1 �' � ri e� �e.� ti1 /c1 �� 3 2- Legal Description: Owner Name & Address: � h� ��.5°�� Tel. #��z -s72 -� 0 8�S' Contractor: �'G --� �� s'�`� � 5 MN LICENSE �� o g`� g 6 2 Address: `!�3/� �lo��^� � C<'r ��o�. �diV 5�3Y Tel. # �� z - �s �- 9� Z z � 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: Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height Width � Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. . 5� s �ea.� Y� Construction Type: Estimated Cost: $��°`�" ��'(�c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: 2,S'� � �l`� APPLICANT: Permit Fee Fire Surcharge State Surcharge $ �� - �� $ �� i � � / . _3 3 + 6 Ft = Ft T CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation _� SAC Charge $ $1000 per SAC Unit License Surcharge $ -� -�� $S.QO (5tate Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Pazk Fee $ Fee Determined by Engineering Sewer Main Charge TOTAL . STIPULATIONS: $ $ ��i Agreement Necessary [ ] Not Necessary [ ] � x� a ' �� # 7S7-�o � °Z- 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 $2,000 $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 FEE5 $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additiona.l $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 $SO,OflO plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 �r fust $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 $1,0(}0,000 $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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before praceeding with the framing. { � ��. sue��tr p c�ty of Fridley 3 0 3 0 3�� AT TME TOP OF TNE TWINS g � I L D I N G P E R M I T r � � R IPT NO. � `v _�_�� COMMUNITY DEVELOPM�NT DIV. �� f � � PROTECTIVE INSPECTION SEC � � i � � /"'1 � CITY HALL FRIOLE� SS13i NUMBEN NEV OATE PAGE Oo APVROVED 8Y �----� • •,, 612-571-3450 910-F15 9/28/99 � � JOB AODRESS 683U Jefferson Street NE 1 LEGAL �OT NO. BIOCK TRACT OR AOOITION SEE ATTACMED oesca. 7 3 Rice Creek Terrace Plat G SFIEET 2 PROPERTY OWNER MAIL AOpRQS$ 21P PMONE John Kaysen 572-0865 3 CONTRACTOFi MAIL ADORESS 21P PMONE LICENSE NO J G Industries 11818 Monroe Cir Blaine MN 55434 757-9022 20097862 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL ADDRESS 2IP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION ❑ ALTERATION aQ& REPAIR O MOVE O fiEMOVE B DESCRIBE WORK Reside• Soffit and fascia 9 CHANGEOFUSEfqOM TO STIPULATIONS � Call for building wrap inspection before covering. Provide soffit ventilation to meet the State Buildi.ng Code. SEPARATE PERMI7S ARE REOUIRED FOR ELECTRICAL, PLUMBING, FIEATING, TYP6 OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIF CONDITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT AUTHORIZEO IS NOT COMMENCED VjIITMIN � DAYS. OFI IF CONSTRUCTIpN OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNI7S OFFSTREE7 PARKiNG I HEREBY CERTIFV 7HAT I HAYE READ AND �XAMINEO TMIS APPLICA710N STALIS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AW$ VALUATION SUiiTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL �E COMP�IED WITH WHETMER SPECIFIEO MEREIN Oii NOT. TME GRANTING OF A PERMIT %OOO 3. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEWM1T fEE SAC CMARGE PROVISIONS F ANY OTMER STATE OR �OCAL LAW REGUTATING CON• STRUCT q THE PE OfiM OF CON UCTION ]:39.25 Fir .SC % 00 PLAN CNECK FEE TOT FEE t�' • °��5�� Li e �S�GN4TUpEOFCON'FACTOpOp• TMOp�2E00GENT �DATE� N PROP VALIDAT TMI$ 1$ V p PEqM�T . � S�GN4IUAE O� OWNEAi�F pWNEA BUILDEAi IOAT�i � BL iNSp � � qitt � �w � j ADDN ALTER Effective 5/10/99 L l Crr� OF ��Y [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION � � ;�p�' \ Construction Address: v�j� 0 J��s mr�, �� —�^��K � �N � Legal Description: Owner Name & Address: ��i vt %�ow,��e vL �� `J�.(�,�s0 v� Tel. # 5� 7�— O$"<o�` Contractor: �G ��u5�rr.�S MN LICENSE # Address: ��/� /l✓%��'� � �r / .�j�� n.Q /�1N .�i`� f� Tel. # �S7 � G} c'�2Z LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Construction Type: 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 Length Width Length Width Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. ��zCs c i o, w r�.A� Estimated Cost: $ �tI4-O Ft x $ _ $ - DATE: 2g y `I APPLICANT: � � Tel. # �S^7— �o �'Z CITY USE ONLY Permit Fee $ � 9 a�� Fee Schedule on Reverse Side Fire Surcharge $ �, �D .001 of Permit Valuation (1/lOth%) State Surcharge $ _ S $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ -e�C) $5.00 (State Licensed Residential Contractors) Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $, $ $ � , S Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .. , BUII.DING PERNIIT 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,Ot� $2,001 to $25,000 $25,001 to $50,(�?0 $50,001 to $100,000 $1Q0,001 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,(�0 $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,Q00 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 $5�,000 $3,233.75 for the first $500,000 plus $4.75 for each addirional $1,000 or fraction thereof, to and including $1, 0�, 000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Cbrb 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of appli�cation to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. C) � � C � Z � N � r � m '0 � v m � m � c � n � n -� O Z � 0 .p a Z v D W r m � D O F- � m rn � C�i � � � � � c s d to N . . a v � a � O � s � m � � � v M � � � � 7 c�+Oy � � 0 °, m • d �� c � � m �, v � �Oo �� o 0 � m� ? o � � � � � oi � '('� v N � m � z � � � Z v � � r 0 � N ,V � � 0 W Inl u+ VJ VJ Z Z Z w A+ l! w w V � �G � N N �D irtD �D 3 � n '� � � � '� �v�� ?ov-o -n � � � � � � rt � �� '� � N fD � �• ' 7 � y �p• � S r cn v� c � � �c 3� �� Z m � � � �v � � � � ��'�� d � � � `�. � .-. m N Z I�I I�I I I I( I I I I � �� w w w � J � � � � � cn oo�+�+�+0000000 o �00000000.000 o�o 0 0 0 0 0 0 0 0 0 0 0 -o C � � z � O � � � � m -�i � v n � � � O �$ � m � z O � � �8 � C Z G� c N v � � ' � N a a� � m m 2 a � � I� � y � � o tO � ,� � '" � � Woo� � � `�. tn r�- I�TI W� S tN � � ? C, O � o � �- p, O. � rnZ�= � C '�C ¢ � � � � AZZ v � N � ?' o � � y �, m � � � � p� y 'o m o, � � � m o m � � � o a c� � — - ----� m � � m �� • �: a � � � � � ~. fD � Gc� d � � i� � '� o m x � � � � N N � 0 � � r C � W Z � � � � m � � z O � m O � ` W FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacin�a an existins� 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 cuITent codes and manufacturer spec�cations including sizing, length, number of eibows and termination. Yes () 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. Yes () The existUct combustion air is sized and installed to meet the cuRent codes and manufacture�'s specifications. Yes ( ) When required to in�tall a new combustion air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () When installinsa a new ventin� svstem, the undersigned hereby verifies that it is a listed assembiy and meets the current codes and manufacturer's spec�c�tions. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and naturai draft appliances. Yes () Is the cflmmon vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. No ( ) No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) Aaaliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input ,_ Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Applianc8 #3 Type BTU Input _ Fan Assisted or Nat _ Total AppGances –- Tc�al Btu inqut -.— Common Vent Type Vent Height Diameter _ inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describel HEATING CO: Signed By: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (7631571-1287 --� PERMIT N .: 2004-01101 `:, �" _��, DATE ISSUED: 07/13/2004 ADDRESS : 6830 JEFFERSON ST NE PIN : 143024120046 LEGAL DESC : RICE CREEK TERRACE PLAT 6 : LOT 7 BLOCK 3 PERNIIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 400.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATEF HEAT'ER. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENII�TGS) ' # GAS WATER HEATERS # GAS RANGES VALUE (FOR MINIMLTM CALC) APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER VAN HEEL J M& KAYSEN J R 6830 JEFFERSON ST NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 # OF NEW FIXTURES 400 # WATER TRMT APPLIANCES 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 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. Applicant� /� Date 'I Bldg Insp PLBG PERMIT h�IINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPE1vINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 28620 'ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0 0 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.50 35.50 s APR-27-2004 11��4 FkUM � �, � c, ? a � 0 � O � � � � � 0 A � n < a � � 0 c � O m � T � d � � m Z � n � 0 z rn m � O S x c � O a r m m � �� C s d � �,- �N. 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'i Z m � � (7 Z O � � m � � c� m � N � m ` � � � ""� � � < � Z � N S � •APR-27-2804 11��5 FRUM ClTY OF FRiDLEY TO 75'7b'fb1 F'.b�/b� A : a�p,Q J(g pau6ig ( ) aN �h0555 t� `�z�''ig � �n� 'r�x�� Z95�t =0� JNIl`d�H o�s��ir� a�� sNloax�� aqia�saQ :SNOII�Rl31'l�1 ad�tl ui .ta�aweia �} y}6ua� � 3y6iaH �o}�auuo� �an � aoue��ddy ad�Sl ui ae�auaeip }� y�Bu� }� �y6�aH �o�auuo� �uan z# a�ueJddy - ed�tl ui aa�aweia }� y�6ua� � �y6iaH ao�auuo� �uan � a�uei�ddy sa�ui �a�a��u�i4 � 146iaH �uan ad�tl 3ua/� uowwo� � �ndul ��8 I��l s2�u�i�ddb+ I�al �eN ao pa;sissb ue� 3�dul f118 ad�Sl �# 2�uegddy ��e� �o pa}sissb ue� i�d�l f118 ad�tl �# a�uegddd ;eN �o pa3sissw u�� ndUl (118 �l b# e�u�i�ddy uor�euwo;u� ao�auuv� auan pue;ua� uowwo�/azig pue a 1 eauei� t/ t � Sa,� �sapo� ;ua.�n� �ad se �C�a��edas pa�uan pue luan uowwa� ay} wo�} panowal uaaq sey a�ue��dde ue �a�e �13aa�a� pa��}sw pue paz►s s�o�auuo� �uan pu� �uan uowwo� ay� s� �) oN �) SaA •sa�uei�dde �P le�n3�u pue pa�.s�sse ue� �o� sa�qe,L 6ui�uan �ewn� �e��ua� � tio6a�e� ywy�-y�y apn��ui saop si�„ •suoi�e��ads s�a�n�e�nuew pue sap� �ua.�n� ay� s�aaw pue �t�qwass� pa�si� e si � �ey} sa�uan l�qa�ay pau6is�apun ay3 w� uquan nnau e u��sui uauM ( ) oN ( � SaJI i ) oN -1� ) sa,� ( ) oN ( ) oN •suoi;eo�.ioads s,�a�n��.nuew pu� sapa� �ua.iln� ay} }aaw o�. pa��e�sui pue pazis eq ��u�n �i �ie uo�snqwoa nnau e ��sui o� pa�mba� uayM _ •suoµe��oads s,�am��nuew pue sapa9 �ua�no ay� �aaw ol p�ll�iSw pue pazis si �i�e uogsnqwo� u�snca at� � ) sa� �s�uei�dde }�e�p �ean}eu pue pa3sisse u�� o� sa�q�el 6w�uan a�ewn� �e��ua� I l�o6a�� yW�dJ-dJd aPn��ui s�op siyl •suoi�eo�,�ads s,�a�n�ae�nuew pue sapo� �ua.urr� au� s�aaw pue �(�qwasse pa�si� e si �iun �uaw2�e�da� a�� ley} sa�,}�.�an os�e pau6is�apun ayl �) sa,� �uoi��uiw�a� pue snnoq�a �o aaqwnu 'y}6ua� `6uiz�s 6uipn�ui suoi��t,�,oads �aanl�e�nuew pue sap� �ua�m ��e s}aaw pue �nd/�i�se�d si wa}s�(s 6ui;uan aul �� QN �� Sa� . �pa�inba� ala�{nn paddo�sa�� pue pa�oddns �S�a�n�as si pue 'suai�aru}sqo 'uoi�»�oua;ap `�sru wa� aa�. s! pue pauiwexa uaaq sey 6ui�uan ay� �� sa�uan �tqa�ay pau6is�apun ay3 `a�eu�n� u�;s�xe ue u�oe� a� uay/V1 N011b�l�Rl3A al`d NC911Sn�W0� aNfJ 2�lO.L�3NN0� 1N3A 1N3/l NOWWO� S11W?J3d 3�NV�I�ddd JNIN2lf18 '13f1� 1N3W3��1d3a a0� A'1313�dW0� NI ��i� TOTAL P.02 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CITY OF FRIDLEY 6431 iTNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (7631571-1287 : 6830 JEFFERSON ST NE : 143024120046 : RICE CREEK TERRACE PLAT 6 : LOT 7 BLOCK 3 : HEATING : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01140, � DATE ISSUED: 07/19/2004 9 VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIIt CONDITIONER. # A/C iJNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS # GAS RANGES 0 VALUE (FOR NIINIMUM CALC) APPLICANT CENTERPOINT ENERGYMIlNNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- CIl:'/�I �I� VAN HEEL J M& KAYSEN J R 6830 JEFFERSON ST NE FRIDLEY, MN 55432 AGREEMENT AND 5WORN 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 cotnmenced. 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 wor� will be complied with whether specified herein or not. The granting of a pernut 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 J Apnlicant � Date r / Bldg Insp 0 (��-s'��.1 �---�-�, Date HEATING PERMIT NIlNIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONIlVG FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 5851 SEPARATE PERMITS REQUIltED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 2900 0.00 0.00 0.00 0.00 25.00 0.00 0.50 25.50 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, NIN 55432 572-36U4 l+'AX: : 6830 JEFFERSON ST NE : 143024120046 : RICE CREEK TERRACE PLAT 6 : LOT 7 BLOCK 3 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-1Z87 PERMIT NO.: 2004-01141 �3��'�' DATE ISSUED: 07/19/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL AIR CONDITIONER. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGYMIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER VAN HEEL J M& KAYSEN J R 6830 JEFFERSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null a,nd 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 lmow the same to be true and correct. All provisions of laws and ordinances goveming this type of work 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 ELEC PERNIIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 5851 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 20.00 0.50 20.50 INSPECTION REPORT CITY OF FRIDLEY MINMESOTA (763) 572-3604 _- � 15�06 ADDRESS f..:� °�/1 _ )S� i'/-1_ i� �_ _ 1 C-�: If no corrections are listed above, approval is hereby given to proceeds. You will be in violation of the ordinance if you do not call for the proper inspections and make corrections as called for. 04/02l2004 FRT 13:21 FA% NEw � II �-� [ ] Constructfon Address: i�-� ELDER JONE3 f�j 001/QOl . . . � . .. ' . ' '� � �� < / � ' � • � �� : ._ . .. -• .. CIiY OF FRIDLEY Effective �4/1/2004 � � �643'1 University Ave NE, Fridley, MN 55432 � (763) 572-36p4 Bidg Insp SING�.E FAMILY AND DUPLEX�S R-'[ AND R 2 (763) 57'1-728i' F'ax BUILDING PERMIT APPLICATION 1(V . C. . legal Description_ � � -- Owner Name & Address: �oh�cv %.6� � TeL # �'�O�J• ��-a • OB"lo� Contractar. _, R� HOME SERVICES, C. MN LICENS� # Address: Home Deopt Installed Sa1es 3200 Cobb Galleria Pkwy.Ste. #200 Tel. # Atlanta, GA 30339 � Certificate of Sunrey of the 763-542-8826 BC-20268257 tructicn drawn on it to scafe. LMNO AREA; GARAGE AREA; DECK AREA: o-n��: DESCRlpT►ON OF IMPROVEMEN7 Length �� d� _� Height,_ Sp. Ft Len9� �_ Wdth �_ H�ight _,_ Sq. F'i Lengt� �dth Hgt/Ground S �-'---�--_-- q. Ft 1�3�'f�61� c.�S% ;✓1 : S�i C� i�J . V Constrvction Type: Estimated Cos� $ �. io cvR � priveway Curb Cut Vi/idth N�ad�d; _Ft, + 6 Ft =____Ft x$ -$ DATE: � OS ApPLiCANT: Tel. #�So2 •� 5� i00� � Cal� (763) 672-3604 for permit pe� if rr��e �� applicat�on. Fax to 763-571•1287 if using credit c�rd and we wtfl call you for card number. Permit Fee Plan Rev%w Fire Surct�arge Stafe Surcharge sAC ch�-�e LPcense Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � CIiY USE ONLY - $ . aS Fee Schedu(e on R�verse Side � 65% of Permit Fee $ �. Co .001 of Permit Vaivation (1/'IOih%) $_ y• 3 $.50/$1,000 Valuafion � $ 51350 per SAC Unit $ �, D D $5.00 (State �icensed Residential Contractors) $ Ati. "A" or Ai�, "B" Above $ $450.00 Cvnservation Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] $ aoo �� STIPULATIONS: Building Iw•� MECilA�C� I Pernut No.� Inspections ��' " �SIDENTIAL APPLICATION 763-572-3604 �`' CITY OF FRIDLEY 763-5�2-49%% FAX EFFECTIVE 2-19-09 DATE �• (� O� O� � YOUR E-MAIL ADDRESS si� �wDxESS l.n$ 3 O � e r so,n S� NG-. THIS APPLICANT IS: PROPERTY OWNER/ TENANT � OWNER �EICONTRACTOR PHONE: �I Ce�.. -(�1 O'� p3 C.p Received By:� Da��n� 'ATE��IZIP $ 5 y3 CONTRACTOR co�PANYNAME: CENTERPOINT ENERGY SUBMIT A COPY OF coNTACT pHRSOrr: JOANN ZINKEN YOUR STATE STATE LICENSE # BOND 22013346 EXP DATE � � LICENSE WITH ,e,DnxESS:9320 EVERGREEN BLVD NW SUITE B cIr�C00N RAPIDS sTATE MN ZIP55433 APPLICATION PxoNE_763-757_6202 Fa,x 763-75T-6701 PERNIIT TYPE TYPE OF WORK: I � ��' FAMILY � TWO FAMILY �tEPLACEMENT DETAILED DESCRIPTION OF WORK 0 TOWNHOUSE ❑ ALTERATION/REMODEL e. FEES ARE BASED ON $10.00 PER FIXTURE,�CEPT WHERE NOTED. FIXTURES: (IND CATE TOTAL NUMBER OF EACH B LOW) Equipment Installed MFG: rr C�e. r MODEL: 5� mvc O(p O SIZE/BTU 0� MFG: MODEL: MFG: MODEL: A/C $25.00 _FIREPLACE (GAS) $I5.00 AIR TO AIR EXCHANGEER $15 _F�I PLACE (WOOD) $35.00 _BOILER $35.00 +!�URNACE $35.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 DUCT WORK $10.00 _GAS PIPING $10.Q0 SIZE/BTLJ SIZEBTU _,GAS RANGE/OVEN $10.00 _NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 _VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PR�ESSED 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 case all work whi h uire eview and approval of plans. � . SIGNATURE OF APPLIC �' �` � ' p� NAME ROGER HOFFHEIN DaTE I� D City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS �EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments - --b: -Naturart Gas or Propanefi�Ge �hapter 3 with MN Amendments - 2: Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with NiN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 — -- - a. - ��"i`�anua-i % — _ — _ NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. F�iT��i' -ZTr�« � - Tbe Cbief Building Official shall� Defore issuing permits for the erection of any building or atructure, or for any addition to any existing building or atructure or for any alteration or repaira to any ezisting building or structure� upon application tDerefore� require tbe paymeat by the applicant for auch pe�it of fees to the amount herein Delox aet fortb and in the manner 6erein provided to-xit: S�tal oaluation =1.00 to =500.00 =501 to =2,000.00 =2�001 to =25�000 Fees =10.00 (Ninimt� E15•00) =10.00 for the first =500 plus �1.50 tor each edditional �100 or fraction tbereof, to and including �2�000 =32•50 tor the first �2�000 plus �6.00 for each additional a1�000 or fraction thereof, to aad including �25�000 =25.001 to �50,000 =170.50 for tbe firat =25 � 000 plus . =�.50 for each additioaal �1,000 or Praction thereof� to and iacluding =50.000 a50�001 to =100�000 =283.00 for the firat �50�000 plus =3.00 for each additional �1,000 or fraction thereof, to and including =100�000 =100,001 and up =433.00 for tbe Pirst �100,000 plus �2.50 for each add'itional �1,000 or fraction thereof Plan Check: 25 percent of Duilding permit fee. Driveway Depresaion Eacrov: Concrete curb streets only. Alternate •A": Removal and replacemeat of curb and gutter only - Drivexay vidth plus 6 feet Limes =13.50 Alternate 'B": Removal aad replacement of curb and gutter and install a 3 Poot vide approach vith 6 inch depth - Drivevay vidth plus 6 feet times =15.75 �• ., . ..- .. Permita for constructioa rill be iaaued a minimum of 2b hours from the time of application to allox for proper reviex of the proposed structure aad of tbe construction aite. � Certificate of Survey of the lot, ahoving the loeation of the toundation oace it has been constructed will be requfred before oroceedina yith the framing. JI', 7�� .-� 3�� l v a� � ,�, LQ `� ��