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AF - 47476� Z N � � � � � � R � � � � _ � � � �� ; � � � �� �m �� o� m �1 . � � � � �a �n a � � � � �� � �d s���ffis �� �� � � � i� _ i � i . � � � ,� � � � o � o� $ � M M a � � I I'�i � � � g C o L� � a � o I � � Z � � � \ � 1� � '� a � "1 � ��� � � � � '9 � N � r; w � � � I� � I � I ,�� Y � � � � � O r � � I� n� � � � r�.. � �� �� �� � � � � � � A m � � � w 8 M I �� �� � �q � � e� � � �� 0 �� � � ��� mm�� �o`''.� � x � � � � � � � 8 �4 S �° � �. ��� � � ��o �� ��$ �� m � �� d� �� o� �� � � co ;ra p o 8�8� I � � � I i � � I I � � � ; � �� � � � � y A �� �� �� o � � � �' �� �� �� � �� � � g �� � w W e► c:. o 8 $ 8 � 8 �. « � I �, � I �; o y o c �c i, a m � � �. � � ,a „ � ;; . � 3 � i; � � � ; � a � i � � � i � � � � ; I`;� i �� I Q �I M_ I � �� i�� I� i����� : z 0 � � ai. � � ° � �. mm � � � > a � � � � � � � "1 � � � � » � �� � � ��a�� �° � �� . $ � � � o � 8888i� � � � � � � I � A a °o.� ,� ���� a � _. �, � �� �� � � �� � � m �cA5 y �oo � r� � a s � _ ��� A� �� �� � O m � � � r � 1y �! y ~�� ��_.a � a�'� o��� D � � ���� M � �� � A �� � �� �� I .� �� � ��� 5 � r A ' �� � . � � � � � � � n � v � � �. � � � � � � � �� we � � � � � �,� `v �NGINEERING 7708 LAKELAND AVENUE I / '°�d . , ,��2G�/'�'(��� ` GEOTECHNICS LAND SURVEYING P.O. OSSEO, MINNESOTA PHONE (612) 425-2181 � CERTIFICATE 4F SURVEY . �a�" � � � � r_' � �2a . Fo� O /YIE ,i%?i� /�/VD �Y� y Scale � ' SU � Denote Iron Monument n I � �� �LI-- --- — _...� I I � , i ►: I Ns.o �ti' y I I /29 � - ,�,.o • ; , •: "� `� . � �.�. I _ .. —�'�-- 3v I y �� � m� �� � : � V v � %to b��� � Iv � . �� �� ,�� N • � O • �� � � - h ,; � � 3 � '= ' i��'.140 8625 � `V I .- /29 D �l I � � � � I��� � � ,� � � Lo� 5 and �h� �or,�`j /3.:3¢ �e2� o Lo��, .c��d c�/so �ha��4rlo�La�4 / ir� s u�ho�' h� ��t/orr�h 2�. �7 ��¢� fh¢reo �, �LL �.� oc% / ,�Jdo�ns S�rezf /-�d�✓i�ior�, �n o ��l �OG1�'!��/, /vlinr�gsof4 / � � � o� �y C�s , � �l� . 0 I hereby certify that this is o true and correct representation of a survey ot the boundories of the land described above. It does not purport to show improvements or encroachments, if ony. As surveyed by me this /¢r�4' doy of , - •.IRN. _ � � , � q 7.4 -. CASWELL and ASSOCIATES 0 File No. �OS 3 Book �.�.� Poge _ 7� � A �,�-.�. z-��-�� P.�� z-aa-�3 ,Q�k i-zs-�4 by , .�����.� � Minnesoto Registration No. �03 9 . City of Fridley r 4r 71N¢ TOP 0+� rnE Tw�MY , � � . �'L----^-� GOMMURITY OHVtL,O/�1[NT Q1V, � ' � M9TECTiv[ wMtCT10N Op'r. ` � r- - � CiT�� M�►LL FIUOI.R: �M� 1.....1`.� �.� W-sso-a�s0 Job Address ner Contractor Kind of Buildin Comp etion Date � I W f J � i W W ; o acNra evo '1ddY 'XI! I '781N i •eaoi I'�nNtva � w SN19V8 I � t+�ir� P4 � eN�rao Oo 3 � doo,� I 0 O v I saarwoMSl O� � tl '1NflOdl F �N�aa � b V1 (� SAVNII A �i MSYM M � 8AN19I sN�sva iYfll 11111Y auvM 53-8�—s-915.51 PLUMBI►�r, PERf1IT APPLICATI��d 5780 N. E. Jeiferson Stree� �m�ra Cane Builders MIINNEGASCO Fr�,me }�-17-71� ; � � � �• i � � ���� /� l�'- � � _ ����-.�f' II i II u �' .W ' i Gi � � i �i � � O � w � 'a � ' G� :� � a� � , � �I t s � 83-3319 , ����� S �3� AA�►aQUEYTE AVENUE se � Res. . 1�.00 Plumbing Fix ture Rates: N0. RATE TOTAL Number Fix turea x $2.00 �_ Future Fixtures x $1.50 ---_ New Fixture-Old Open. x $1.50 Catch Basfn x $3.25 Water Heater-49,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fittin Fees: lst 3 Fixtures x $2.00 Additional Fixtures _____ x $ . 75 Gas Ra,nge-199, 000 BTU 1 x$5.00 5•� Repeira & Alterationa ^ See Deacription: Code S tate Surcharge �lass �'A� �urcharge .50¢ . 50 TOTAL FEE $ 5•50 The undersigned h�reby makea application for a permit for the work herein specified, agreeing to do all work .I in atrict accordance w�th the City Qrdinances and rulin�l of the Department of 8uildinge� and hereby declare that � a11'the tacte and repr�aentationa stated in this application are tru@ and correct. r� /+�k,� p� �h'� � B ignature �pA� Da te . . � _ __ _ _ � , .� --__.._...-- SUBJECT PE City of Fridley �`� 12426 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � �• COMMUNITY DEVELOPMENT DIV. R ElP'T"1�. ,( � �y-------� �� � r r � � PROTECTIVE INSPECTION SEC. / 1 . � �l ` /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV L•"'� � ,�� 612-580-3450 910-F15 1/14/74 � � JOB ADDRESS 5780 Jefferson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. t 5, pa t of 1 Adams Street Addition SHEET 2 PROPERTY OW R MAIL ADDRESS ZIP PHONE O'Meara & Cave, Builders 97 20th Avenue S.W. New Brighton 3 CONTRAC�me MAIL ADDRESS Z�P PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILOING House and garage 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 26 x 36 house 25 x 22 garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide verification survey and hard surface drive Set side yards at right L's from Side Lines Lot lines have to be marked before footing inspection is made ��p�'�ATE PERI�iTS l�EQUiRED FOR �IRrN�i �IF�TI�J�P PLU�i�i�G AfVD SIGNSO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINO, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. frd.Iile THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIId 60 DAYS, OR IF CONSTRUCTION ��� ].H r'j].2 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OP 120 DAYS AT 9�.O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS REET PARKI G I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATlON SURTAX ANO ORDINANCES GOdERNING THIS TYPE OF WORK WILL BE COMPLIED. 21 123.40 ZO. 'rJ6 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 HARGE � PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING cor,- 45.00 �300.00 STRUCT OR THE PE OR AN OF CONSTRUCTI � /,/_ � PLAN CHECK FEE ZO��: �6 �� .i .t, SIG �A?_'lREOFCONTRACTORORAUTHORIZEDAGENT IDATEI iHEN PROPERLY VALI TED THFS IS YOUR P� IT � :r�✓`'�`o - � � y_ SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI I.OG INSP DATE L ENGINEERING 7708 LAKELAND AVENUE � � Scale � = SU i '� .���'G��� GEOTECHNICS L�ND SURVEYING P.O. OSSEO, MINNESOTA PHONE (612> 425-2181 CERTIFICATE OF SURV�Y For o��Ei4RA A�v1� C�4 vE ' � Denote Iron Monument 0 I IL � — — — �''� I I � /29 D � � . .- . . : � � _ (w � v � . � �� _ � � � � I � 'y I � �. � ( I � — 3o I �'�� � ��°.� � � � � �=., — — ' ./Z90� I I .. - � �� i �ti� _ ^ � 0 � \ � �� Lo� S and �`i� �or�ij /3.3¢ �e2� o� Lo��, Cl/!A� G�SO �%Q��iO/�O�LD�Q / //Jq SOG��hD� ,�`i� yor�h 2�. G7 �eQ� �h�reo ' ��GG ii'! ,8/ock / ,9dora-�s S�r��f /-1c�cr�� �ior/ ,4� o ��a �ou� y, ,�1,.�.�esofa � � � I hereby certify thot this is a true and correct representation of c survey of the boundories of the land described above. It does not purport to show improvements or encroachments, if ony. As surveyed by me this ZZ N�_ . dcy of �2d___i eLOr� , � q_73 ` � CASWELL and ASSOCIATES , r File No. ��S � b Book I Page �J A ,�E-v, z-z�-�3 JP�v 2- Z 3-73 1 � � / s b`/ – — �` =–:-y–= Minnesota Registrotion No. ___ 203 9 � �'� . �-w ��- ��c�� � � i5�'' �. o���� �,�y� �«� ���, yo � O � �v �U c� T� � (� -- �' � �iz�� � �� � �.�,� �_ �� �o � �� � � _. l�5 � J � � f\ I , 1 � "L//V//i'lV��' . i � V vC1 �s �f��+ ____._--�_�__�- ;,� �, � � � �%� T L l� �G�9 i � Q►�U � .r �� ,��� G��� ����r��� �D � � � �, ��' � s �� 1� ��- �i.�� > ��% �z- � . � e�--r>' i� � t � C��� �/ I � APPI,TC�TION FOR k1iSIllENTIl�L, ALTERATIiIN, UR Ai)lll'I'I01�` �UII�DING PERMIT C 1'1'Y' OF 1=1:1 DL�:�' , 11I ��N�SOT�1 �� � �� � �, ��owNr�t � s rTar� : BuiLnEx: � �11�=un-u �C� v� � %D� 5 �� i/ � � J�% �,nnxES s: ADDRES S: 9 7 ac� � s w .� � �`f � � N0 s . � �%�`+C� ST1tEET'- � ;� - 1 • �„ Z0� : T. S [3LOCK • L ADDITION • C�yi,� ,�Z/�et�� ..! CORATEA LOT: INSIDE LOT: li SETBACK: 3 S r SIDEYAFD; IG � "S � Ag�lican� attach to this form �ao Certificatea of Survev of Lot and proposed build�ltig location drawn on these Certifi.cates. T � UESGRIPTIUN OF BUILDING � To Bs Ussd As ; _� `� �, � ° � " �� � " � �� q / � �f _..P t":'1"'�Y �� �-� Front: � � Depth: Height: � - i-S� rt '_ _ { f ��� Square Feet:_ Cubic Feet• -� ' " -�, _, / � .. , � r.; �'�� � � � , �Front • _ Depth • •�� Height : A - Square F'eet; �, ���; � __ Cubic Feet : � - � Type o� Constxuction; �' '� �-� �-� Eatimated Cost: �� -�—� �, , �. – ._ ; _ �� � ,. �o $e Comple�ed: � _ 7 �=- � � �� � � -� _, „ � The undexsigned hexeby ma.kes applicativn for a permit for the work herein speeified, agzeeing to do all woxk in st�ic� accordance with the City of Fxidley Ordinances and rulings o� thc� Uepartment of Buildings, and hereby deelarea that .�11 the facts and representations stated in this application ax� true and ���rrt�ct. d�� �� �,�a DATE: �� I � j � / �/ S IG�ATURE: �u�. l � `�'�li�-rC ��-- (See Reverse Side For Additiona.l Tnformation.) _, ,��-` _ � •.� �.. � P� � r � a'� �I �, . � r �'" . ' - , �� >F' � :� �'(-,'' �, �, � 'e A " � i � � S � R% �, f� '4 � l `�� y�l �-�. � - � � �• -+ . I �` ` � i_ F � � }� � � 4_ , ' V ��' r � Y. - � � � ��� � ■ , � ^� —q � � � s � BUILDI;�i(: !'�:1Z�T1'I' 1��:E 5C11}:llUI_k: S�GT�ON 2, The Lnspect��r �rf B�ii.ldin,�s shall, before issui.ng permits fox the ex�Ction of sny huiiding or stru�•turc�, or �ox an�• addition to any exi.st�ng bui7.dfng or structure, or i or ..if1y .+ l ti�r�it i.on or r�pairs to any c�isting huilding or struct.ure, upon application l:herelorc:, r�quirc the payment by the �.pplicant fox such permit �f fec,s tc r.h� amount herein bclow set forth and in th� manner herei.n provided to-a�it: 1JNTFORM BUILDIN� CODE: Type 1, 2& 4-$2.15 for each onc: thousand cubic feet� ox fxaction thex�of, in such cubical contents. T}�pe 3& 5-$1.85 for �aah one thousand cubic feet. :�lll)ITIONAL INFORh1ATI0N Fo� the purpose of computing fees f�,- building permits, the cubical contents of any buildin� or. .�ddition, is determined by multiplying �he ground area aOVe�C�+d fxom a point six (6) inches below the floux li�ne of the basement ox �he+ Ce11ar to tl��� average ilei�lits ��f the upper aurface or to the average - h�i�ht �f tl�a roof surface of the main gable of a pitched roo�. Fox xep�irs ax al.�erations to an existing �tructuze, the fee shall. be at the xate o� $�.00 pex eac}� five hundxed dollars ($SOO.Op) ox' fraction thereof in the Co�t af all proposed worlc. _ Tn na case shall the fee charged for, any permit as set forth in Sect3.on 2 be 18�� than $Se�Q• VERIFICATION OP FOUNDATION P1QT�= $�xmits ior construction will be issued a minimum of 24 hours from th� ti� of application, to allow for proper zeview of the pxoposed structure and o� �he �oilstXuction site. A Certified Survey of the lot, showin� the location of the foundation, once it has� been constru.:ted, will be required before proceeding with the framing. �� �RT I F I CATE 01' OCCUPANCY Application for a Certiiicate oi Uccupancy shall be made ten (10) days prior tp the use or occupancy of any structure for which a building permit has been �.aeuesd; �nd s.�id structure shall not be used or occupied until a Certi�i.cate of OcCup�,ncy hae been isaued. , � ► _ 560-3450 ��� � �°Q��� � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December 30, 1974 FRIDLEY, MtNNESOTA 5543i ��., y� �7 Mrs. John Swider 5780 Jefferson Street N.E. Fridley, Minnesota 55432 Re: Final. Inspection of Your House Dear Mrs. Swidex: We would like to make the final btiilding i.nspect�.Qn on your house to make sure the contractor has completed all the worlt as per the approved plans� This inspection should anly take about 20 minutes and it can be done anytime between 8:00 A.M. and 5:00 P.M. If this time schedule does not agree with your sahedul�, we would appreciate your eonta.cting us and another ti.me cauld possibly be worked out. � We would like to get this house finaled before the end of January. Please cantact us at 560-3450, ext. 41, to set up a time when it would be convenient for you to have the house finaled. Tha.nk you, CLARENCE J. BELISLE Buil.ding Inspector CJB/mh 560•3450 �`� o Y��le � � � ANOKA COUNTY 6431 UNIVERSITY AVENUE ME January 15, 1975 FRIDLEY, MINNESOTA 55432 Mr. Barry O'Meara O'Meara & Cave Builders 167 Windsor Court New Brighton, Minnesota 55112 Re: Final Inspection at 5780 Jefferson St. Dear Mr. O'Meara: This is to confirm our telephone conversation of January 15, 1975 when it was brought to your attention that the following items need correction at 5780 Jefferson Street. The Building Inspector noted these items during his inspection on January 14, 1975. . l. Provide a door closer on the door leading from the dwe7ling unit (Group I Occupancy} to the garage (Group J Occupancy) to be completed on or before Eebruary 3, 1975. 2. Install a products of combustion alarm in the ha.11 leading to the bedrooms and make sure it is one that has had State approval. This is to be completed by January 27, 1975. 3. Install a handrail on the stairway leading to the basement. This is to be completed by January 27, 1975. 4. Repair masonry wall adjacent to door at the bottom of the basement stairway. To be completed on or before February 3, 1975. 5. Seal cracks around the bathtub. This is to be completed on or before February 3, 1975. , The owner did express some dissatisfaction in the taping job on the drywalls.� Apparently there is som� nail popping and the seams do show. Would you please call us when you have completed the five items listed above so that we can reinspect for Code compliance. Your cooperation in this matter will be appreciated and if you have any questions, please call me at 560-3450. CJB/mh CC: 5780 Jefferson Street C. �►.�R-n u.+ E�.rr��c� iL 2- 2 i- 9,�". Sincerely, � NCE J. BELI E Building Inspector 560-3450 �i� o �ic��e � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432 February 5, 1975 Mr. Barry 0'Meara 0'Meara & Cave Builders � Ga�- ��- S�''� �j `� - (+Tew Brighton, Mn 55112 Re: Final Inspection at 5780 Jefferson Street N.E. �Second Letter Dear Mr. 0'Meara: This is to confirm our telephone conversation of February 5, 1975. Our call to you was prompted by the fact that you had not completed or corrected the five items brought to your attention in our letter of January 15, 1975. You stated that you had purchased the items missing in the house, and just had not taken the time to install them. We agreed tYiat two weeks would give you sufficient time to complete the necessary work, therefore we will extend the completion�time to February 21, 1975. As pointed out to you, we do feel these items are of the type that give us great concern, and the City would take legal steps to gain compliance, if necessary. Your cooperation in completing this project will be appreciated, and if you have any questions please feel free to call me at 560-3450. 'ncerely, D L LARK Community Development Administrator DC/de cc: J. W. Swider 5780 Jefferson Street N.E. �--� � ��� �� ;��E� ���� ��`��o�°� March 5, 1975 0 � � c°� � N P- � e N � � � Q F- O � W z z � � w J 0 � � 0 � Q w � H � O � w � Z w > Q � � � � W > Z � t- M a' � � � W 1-- 2 W U U > U ��� � . �,�� _ `_'�'� Mr. Barry O'Meara O'Meara & Cave Builders 97-20th Avenue S.W. New Brighton, Minnesota 55112 Re: Final Inspection at 5780 Jefferson St. Dear Mr. O'Meara: We made a reinspection to check for final compliance of the home you constructed at 5780 Jeffersan Street on March 4, 1975. The door closer, fire alarm, handrail on lower steps, and bathtub caulking were completed. However, the upper level stair railing was loose " and partly missing and the block repair in the basement is totally unacceptable. The block work must be repaired with a masonry product. Covering it up with a piece of wood is not adequate. These two ma,tters.mus� be corrected by March 14, 1975. Flease call us again for a reinspection to determine if compliance has been satisfied. DGC/mh CC: J. W. Swider 5780 Jefferson Street N.E. Sincerely, DARREL G. CI�RK Community Development Adm. �i�a ���. �j•rZ -� � / � �✓ � �i� , � �' � � � / ► t � �' � ' a ` � / I ' �� � � � �� ,� 1 � �u _� � . . �`, � ' �� . �j � -� 1 �•s1 T '`�9/Mp Y.V ���iG G x� ���5 PAII�IT[NG Ais�ia . RN�DO�Ii/S CE�i �T W0� �LiT�i. DO��i PORCii ENCLOSURFS ^ r-,..-� A � � �7 � w.,, � ,:_. �, It,.,. ��a a� e�. �iJ'�'��tl �ea� �-� ?.513 C�tral Aw�nu� 1�. E. • We propose to do the following Specifications as follows: Down P,;yment, If Any Manner of Payment HfTCfiEN PZANNIIdG FAN�LY AOOT�S HOLIDAY CABBdEPS ��. �-���� ���c����ow� �����P �neapolis, I�!'inn. 55418 • Phone: ?81-8848 � S� �- y7/ � - � � o. .3 3 8- 4g% �� Gr Date r_ 19 . � $ � �-� �_: �:' .� E� ct,'°3„ .l t_ _:. __�- ra � 4 �� _ Ot the above contract price; no recovery, however, to be in excess of the entire contract price unless extra k i onr� 1'� iS�turttie� " agroed that in the event of default in any payment or payments, the entire balance at the time of such default shall immediately becomE� due, that the owner or other contracting agent hereby agrees in event of default to pay reasonable attorney fees and �sts of oollectiors. You, eho buyer, may cancel this purchase at a�y time prior to midnight of the third business day after the date of this purchase. See �tasbed-s�otice-of_caacellation form for an explanation_of this right. _-- Q�ia .__ ___ _____ — - --- - ---- - Signature ��� � . _ _____� � ------------- ----___�_�___-�_ P�R.�,{�PJ; QR COf��r�ARIIES FURI�J�kOtNG LA�-A� AAATE�lA►LS F�R TFfE ll�iPFtQVEMENT QF ��A� PRQPEFtTY MAY EN• __ F�RCE A UEN UPON THE IMPROVED LAND IF TNEY ARE MO? PAID FOR THEIR COIVTRIBUTIONS, EVEN IF-SUCH PAFiTIES HAVE NO DIRECT CQNTRACTUAI REL�4710NSHIP WITH THE OWNER. MINNESOTA LAW PERMI7S THE OWNER TO WITHHOLD FROf�i THIS CONTRACTOR SO MUCH OF THE CONTRACT PRICE AS MAY BE NECESSARY TO MEET THE D�i'�IA,NDS O� ALL OTHER LIEN CLAIMANTS, PAY DIRECTLY SUCH UENS AND DEDUCT THE COST THEREOF FROM.THE � C�e9TRACT PRICE, OFi I�fITFOHOID AMOUNTS FFtOM HIS CONTRACTOR UNTIL THE EXPIRATION OF 90'DAYS FROM THE C�Ew7PL�TIOW OF SUCH IMPROVEMENT UNLESS THE CONTRAC70R FURNISHES TO THE OWNER WAIVERS OF CLAIMS FOF� MECFlANICS LI�IV$ SIGN6D �Y PERSOMS WHO FURNI$�1EO ANY LABOR OR MATERIAL FAR TF�E IMPROVENIENT AROD IlVHO PROVIDED THE OYVNER WITH TI�IIELY NOTICE. , Rep.: �YlJTON�,yJOHN � �� _—_ --, Contract Accepted I have read the foregoing order, ard agree to pay the amourtt thersin �er Signature — Buyer Signature � Address � � I 7ate = 197 �~` ;�-�el�.J.Vo. ' � ,, � - -- --�_ - � : FoaM � WE CARR1' Y'UBLIC LIABII.ITY INSURAIYCE AND WORKMAN'S GM �N � i � City of Fridley r 4T TNQ TOP OP TII� TM�IN� , i � . rL-------� cw.wuNirr oevs�ow�eNr av, � � � MOTECTIVR wfA�CT10t1 O�VT, � r--- � C�T1I MA�L FIUpI.�Y �Mit �.�«�.� �.J M�' b�0' 3Np Job Address � 7 �d Contractor U � �i,�°s5�� � � L�'r¢�°l �on Date e �y ,���rii�ll � � � ' ' -- —� 3 °I i�I � � � afl��I I i ; ; I i '1ddVI I � I �'I — � � i i '� IM� I I � ! I � •saa� � I •�nNival I I , I � lm I _ „ sN�eve jI j I X N�ltl�j � I I ! iO O 6NiVNOI � I • doo,e I I I I �3 0 `��� sla i I I , 0 saa/woN I�q •tNnod � NNIMOI ( I I I v� u� .� � � I � W I 'a � �' A' NSYMI� I I 8 a 8IIN18I � \I I I � � /NIiYY � \� � `� �Yf11 I \ ruvs s-�vw�rn I I .aaso,� wivN► � � � I � I I � � I ' I � �� � �• � - � � � � � � •� �-- � - �� !'���'—(� � , �-'� �.� �? i��EGT ` / PLUMBI�r, PERP9IT APPLICATI���J aaaress -- p� ' �� � �'�- � �-� � A ress P nn r� �.��� C� �,�,. � ,;�. use � .�/, t.� stimate ost _-�-��- -°-.� _ - Plumbin Fixture Ratea: Np, RATE TOTAL Number Fixtures � X$2 , 00 /$ �. v t Future Fixtures -� x $1.50 � New Fixture-Old Open. x $1.50 Catch Bastn _' x $3.25 —__ Water Heater-99,000 BTU _� X$3.00 �-O U Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fittin Fees: lat 3 Fixtures _� X$2.00 0?. cSC� Additional Fixtures --^ _,_ 7{ � • % 5 Gas Range-199,000 BTU __ x $5.00 Repeirs & Alterationa See �Deacription: Code State Surchari�e _ �50 TOTAL FEE $ �_ � C) 6 The undereigned hereby makes application for a permit for the wo�k herein specified� agreeing to do all work . in atrict acco�da.nce with the City Ordinances and rulin of the Department of Buildinge, and hereby declare that a1l�the tacts and repxesentatione stated in this application are true and correct. �CJ�ti� �f /-30-'7�' B ignature Date , . � _ _ .� c�ty o� F��a�ey _ AT TFIE TOP OF TME TWINS g � I L D i N G P E R M i T r��o� / C-36�A� � `L __��� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i.-_.�� "' �•� CITY FIALL FRIDLEv �IJ2 NUMBER t 612-571-3a50 s�aF�s JOB ADORESS 5780 Jefferson Street NE t IEGAI �OT NO. BLOCK TRACT OR AODITION DESCR. Pt. 4� 5 Pt Adams Stree 2 PiiOPERTY OWNER MAIL ADDRES$ Lauretta Swider 3 CONTRACTOR MAIL ADDRESS Advance Alum. Supplv Inc. 7701 Main St NE a ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILOING Residential 7 CIASS OF WOFiK REV OATE PAGE O� 10/23/98 � � ZIP PNONE �'28393 RECEIPT . 7�� � APPROVEO BY SEE ATTACNED SMEET LICENSE NO 7983 LICENSE NO LICENSE NO ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WOfiK Reroof house attd Qarase (23 Sa) Tear-off (Haill 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, FIEATINO, TYPE OF VEN71�A71NG OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PER100 OF 120 OAYS AT ANY TIME AF7ER WOpK IS COMMENCED. NO DW I HEREBV CERTIfV TNAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW TME SAME TO BE TRUE ANO COHiiECT. ALL PROVISIONS Of LAWS yALUATI AND ORDINANCES GOVEpNING TMIS TVPE Of WOFK WILL BE COMPLIED WITM WMETMER SPECIFIED MEREIN Ofi NOT. TME GRANTING OF A pERMIT 197 DOES NOT PRESUME TO GIVE AUTMOii1TY TO VIOLA7E OR CANCEL TNE pEqMIT I PiiOVIS10NS OF ANY OTHER STATE Ofi LOCAL LAW REGUTATING CON- STqUCTION OF TME PERFOFiMANCE OF CONSTRUCTION ¢�7 S�GN4TUpEO�CON'FACTOpOp4UTMOA�ZEOOGENT IDATE� � �DAfE� su. r r CU f T UNITS OFFSTFEET PARKIN( STA�LS IGARAGES >r FEE 7M15 IS V4UR PERMIT =//"/ r e V r��rE lOAO $ 612 571 2260 RDURNCE RLUMINUM 01 . ° � TTEW [ ] �fPective 1/1/98 ADDN [ ] C1TY OF FRInLEY ALTER [ J SINGLE FAMIY.'Y AND DUP�EXES R-1 AND R-2 �r ����`�,.�� BUILDING P£RMIT APPLICATION �� ��C� � �� ��,� ConstructionAddress: �� �l � ���'����d� .��' � 1 Lcgal Description: � Owner Name & Address: ��C,�G7�'rJ� ���$.E.�' '1'el. �! y Contractor: I���l�'r�k+G� AL G���� �z�t��+ �� �+r'�i�I f•tc.- --._._MN LICFNSE ��� �� _ Addre.�.s: � %0 % I�'1 �/ ti y'�- ra..Q _ �/L /� �,� y Tel. # S %� �'y�1 � Attzch to this application, a Certiticate of Survey of the lot, with the proposed construction drawn on it to scale. LIVni 1G AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF riti1PROVEMENT L,englh W idth lleight I.ength Width Height Length Width Hgt/Ground Sq. F�. Sq. Fc. Sq. Ft. �.�vvC 'v Construction Type: � � � ���G Estimated C�sl: $ ��� � . (FQe Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �ATI�: APPLICANT: ; � � Tel. �' S�/' �%� Cx'1�'X USE ONLY Permit Fee $ CP�° ��v Fee Schedule on Reverse Side Fire Surcharge $ �, .001 of Permit Valuacion (1/lOth�) Scaoe Surcharge $ _� $,50/$1,000 Valuation SAC Charge $ $10a0 per SAC Unit License Surchazge $ �,�D $5.00 (St�ate Licensed Residential Contraccors) llriveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Cantrol $ $450.00 Conservation Plan Keview Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary t] Not Necessary () TOTAL ST�PULATIONS : $ C�-� D /v) � �, f � .�� �0 �i� /�� /" �i� �� v 7 � • � f , � r. � �(J/ j� ��"'�iqlJ � ./ � RPF � < � � C C � � i C M C � N a � 0 � � v m � T � iii c'"o !-2?-20f -. � � 7 ? a� 1 °—• � � ? = � 3 � ) ,�,�y < ` O � q � < tD � ; O � 7 � i � Z � g t e ? � c �T • ; o i � � i �4 11 � �4 > m ) � s m L � � � O � Z > 3 �+ > m 1 � 3 � : i � s = 0 i � i � a O L ..� � a � r u i m � O O� � � � � � FkUf1 (:1 I Y UI- I-k 1 llLtY g N a � ? � � 3 � � � O' � 3 0 � � � d � c�<� � �cp � C ID R � � �. �� "' ��Dc�! �-�+� O. c� C�11 b O a c �' � O � � < O �A O � w � � ry � n n N � � � �o� m����°, -' =„ m d � .�. 3 �. � c� � n c ~. c '�' m• � o � m � � �, r y � $ a, �' '- °�-+, tr a��i Co `" � v�i $� � � �� �Y� � � � � OR � � � � � � �; O � ° � o ��":. 0 � � rn w � V �n v � � N O N � � � �� S � Z G� � � ! n � ! s � V 7 � � � � H : D . � � : I D � �i , �Nj ��! ��� �a: -�mi �o; � ' � r � s � � , � � i. a � � I C• (p � � a I y t11 � � � � : S �� I � � � c o ' Q, a � � � � � 0° = G ' < o �' O � � " � i � � j �' nr : e�o � '��► ,� �� a >��. 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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 A FURNACE (WARM AIIt, RWD, 70,000 BTUS) # A/C UI�IITS 0 VALUE OF APPL OR WORK 0 #FURNACES # GAS RANGES APPLICANT CENTERPOINT ENERGY/NIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER SWIDER LAURETTA E 5780 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 exarnined 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 regul�g constru,ction or the performance of construction. Bldg 1 # GAS DRYERS 0 VALUE (FOR MINIMUM CALC) HEATING PERNIIT NIINIMUIVI FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONII�TG FEE HEATING REPAIItS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 6106 SF.PARATF. PF.RMiT� RF.nTm2RT� F[1R vV(1RK nTUFR TuAN nFCrRmFr� eunvF 0 2400 0.00 35.00 0.00 0.00 0.00 0.00 0.50 35.50 • ^�w �7/�ilrV///L�r GI�I� Minnegasco ADDRESS S�7S� �c-f-�c►�soN �� OCCUPANT�.• � �� HEAT LOSS Yes DATE HTG. INST.f0-7-o� SOLD BY CenterPoint Energy Minneaasco Electrical Work By C� ^} r � Po :�r TYPE OF HEAT FA � SPACE HTR. GAS DESIGN MAKE � v ci� Modei � C� Pe� m7 F'A "� E 2 _�e� Fcost�3�2F3ic�4m� ti7� NPUT � �oo CONTFIOLS THERMOSTAT 'f�CaAnr�'F HeatPlug Value� WC�/ �imit Limit Settlna / 9'D° F Fan Settin Pilot Type s Pilot Make Pilot Model Pilot Timina ��°"�� Pressure y. S� ��►• 4 Pereent COZ .�Bla nput CFH � S o e o Percent OZ °�6 Stack Temp. � a6 ° F Percent CO � 7 t Po"► � ,i { ` ���.: APT. FLOOR CITY `r� ti �" �� OMINER � w � � ( lfdST41LLED BY____G�n4erPoin4 En�rqy AAinne�asco Gas Line By _C«`'�r� Po �^�fi UNIT FiTR. OTHER � ., , , -; . ;. ,: e! ven¢ siz� � _ KAUD OF LIP1L'I� �-.:It �°''? SIZE � B• NONE � Dra9tHood .�i+•d�v�t� Regula4or Filters Size _�6 �C Z�L Number j Chimney Location Inside � Outside Chimney Construction �—V � �'�' Viliring � Gc��F « po :,•• 7� T�s4 Tag —i�- LighYing Inst. Date Tested _ lD i'—O � Company Testing CenterPoint Energ M� inneQasco Rd�me of Tester �n �.. / o� rs a^� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iTNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 r'AX: : 5780 JEFFERSON ST NE : 233024130003 : UNAVAII,ABLE : LOT BLOCK : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-1287 PERNIIT NO.: 2004-01847 DATE ISSUED: 10/11/2004 VALUATION . NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. WIRE FURNACE. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGYMIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER SWIDER LAURETTA E 5780 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 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 Bldg Insp Date ELEC PERNIIT FEE - MI1�T (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 6106 Jr,r.�1cH 1� r�luvu l J x�l� u ucr,u r Vx w uxlt u l t1�x 1 t1A1v 1)�5t;xl�3�ll AtiUV�. 20.00 0.50 20.50 Building Inspections 763-572-3604 763-502-4977 FAX DATE �� /'�� SITE ADDRESS S THIS APPLICANT IS: PROPERTY OWNER/ TENAATT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 YOUR E-MAIL ADDRESS �OWNER OCONTRACTOR Permit No.: �{������2� L�� Received By: _ ��'� � . D�����AR 19 2010 AnDxESS: ,i 7� �T��e..c�a�c� , �{E crrY�-;�� STATE�ZIP 5�15� PHONE:�plo��r✓�,']_—Zi��iv C •�Q�.I�r� (G � �'�`'f' " ��'�`� CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # AND CERTIFICATE OF ADDRESS: INSURANCE PHONE PROPERTY TYPE PERMTI' TYPE �SINGLE FAMII.YMEW CONSTRUCTION ❑ TWO FAMII,Y/NEW CONSTRUCTION ❑ BASEMENT FWISH J�,DECK TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ MAIlVTENANCE/REPAIIi DESCRIBE WORK BEWG SIZE OF IlvIPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING 0 Vinyl ❑ Aluminum ❑ Other ❑ ROOF ❑ SIDING ❑ SWIMMIIVG POOL ■ - �.�y �. ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE EXP DATE C�' STATE ZIP ❑ wn•tnows 0 DRAIN TTLE ❑ OTHER F'I' s � � BASEMENT REMODELING SUBMIT• l. Existin Flaor Plan ,7 2. Proposed floor plan � 3. List of structival members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, OSoffit ADDITIONS. & PORCHES SUBMIT• p T� 1. Site Plan/Survey showing the existing strucdues ❑ Fascia and ProPosed project 2 Two sets of construction 1 P� WIlVDOR'S 3. Energy Calculations IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS FOR WINDOWS – PROVIDE U-VALUE ANp OR FOR NEW OPENIIVGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut �sow Erosion eontrol Pazk Fee Sewer Main Chazge Total Due $ $ $ $ $ $ Q $ OCCUPANCY V � S TYPE See Back Page for Fee Schedule � 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ . $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attach THIS IS A'AT APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 Constntction 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 on site; that the work will be in accordance with the approved plan in the case of work which r ' es review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME � y�Q�� l,i � �/ DATE �' �� � �� =� ,�_ . �� ^��� K.:.. ., ., ;��:� n �....�:,� .�r... �._ ,. a _ .. . _. _ Page 2- Building Residential Application 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1,000 or fracrion, to and includin $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each addirional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Departrnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � � �-:; � ' � ` � ��' ������ � BUILDING PERMIT APPLICANT: PROPERTY OWNER i� ��4 , understand that the Sta.te of Minnesota. requires that a11 residential b lding con actors, remodelers and roofers obtain a sta.te license unless they qualify for a specific exemption from the licensing requirements. This license requirement applies to owners of residential real estate who build or improve such property for purposes of speculation or resa.le. By signing this document, I attest to the fact that I am improving this house for my own use and am not building or improving this house for the purpose of reselling it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, located at _�%j�L3 � �'�� � ��-, � , r � � is the only residential structure I have built or improved in the past 24 months. I so acknowledge tha.t because I do not have a state license, I forfeit any mechanic's lien rights to wluch I may otherwise have been entitled under Minn. Sta.t. §514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the Sta.te of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activiry is a misdemeanor under Minn. Stat. §326B.082, subd. 16 and can also result in a fine of up to $10,000. I further state that I understand that the filing of a false sta.tement with The Citv of Fridlev may also result in criminal prosecution andlor civil penalties to applicable city ordinances and/or sta.te statutes. I have also been informed and acknowledge that by listing myself as the contractor for tlus project, I alone will be responsible to The Citv of Fridlev for compliance will all applicable building codes and city ordinance 'th the wor ing preformed on this property. Signature of P o erty Ow e � 9- ' Date For questions or information on contractor licensing, or to check the licensing status and enforcement history of a particular contractor, call the Minnesota Depariment of Labor and Industry, Construction Codes and Licensing Division, at (651) 284-5069. T'he web site is: httn://www.dli.mn.�ov/Ccld as� . . _ �e � , _�� ��5. _r____..�___._.�...._ ___ -_ -,., ���;r ,r�� ,f,��r �:f= ° � ! ,:., uw��: C:�.< � _. .r... .. 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