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AF - 47648BUILDING PERMIT Village of I� �-�aley, blinn. N° ? 4�f 1 - -; - D,t� �s:=._.,:i.......k..� ........................ Oumcr ��.?y. .� . /f -: �%f. (.� . . . . . . . . . . . . . Address u''C.� 1�. y.. ..�.Cr::C-/-.! t: /L.l .= . . �.r. . . . Auildcr �.r-r:��w••-/ ............................... :\ddress ......................................... LOCATION OF BUILDING �r , __ ; No. �V. ....... Street - . " � . . � ,. . ," (�, � . , �. K i�� { r. . .. . . . ./i.. -. 4 . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . , i / /� Lot .......g....... Block .....�.L........ Additian or Su6-Divisioq.-::�l.��/�.(�p!<.�'f•.../.)"��✓ .................. i / Corner Lot Inside Lat � ?�� -' �/ � ............ ...e........ Srtbaek t,.;ti../<il. Sideyard /Q ..�/{/ - ................ DESCRIPTION OF BUILDiNG To be Used as: /V:YI�H�� ... Front .{�. l.� Depqi .��.. I�Ieight y�a�. /.. Sq. Ft. ....... . Cu. Ft. ........ .................... Front ........ Depth ........Ifeigiit ......... Sq. Ft. ........ Cu. Ft. ........ � �I 60 �'� Type of Construction . . . . . . . .. . . . . . Est. Cost . .. �� 4 . . .. . . . . . . . . . To be Completed � ��h. � . In consideration of the issuance to me of a permit to construct the building described aboce, I agree to do the proposed work in accordance with the desm•iption above set forth and ia compliance with all provisions of ordinances of the village of Fridley. � -� �6�'�-• . '�1l� . . . . � �cqnsideration of the payment of a fee of $. ,� , permit is hereby granted to .. iCY: �� pi.� ..... �t.�t.�........... to construct the building r addition as described above. This permit is granted upon the e�cpress condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thercof, shall conform in all respects to the ordinances of Fridley, Minnesoka regarding location, construction, alteration, maintenance, repair and moving of buildings wi[h- in the village ]imits and this permit may be revoked at auy ti�n�� u�on violation of any of the provisions of said ordinances. � !�. ,�� / , _ .... ..,.' r...-.:./%��ii,��„/�iilding Inspector ___ -._��;__y,, NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see ihe Building Inspector for separete permits for these items. • � � Cit of Fridle Minn. � Y Y� BUILDING PERMIT N° 4094 Date : ............��.........�.-3.-T� --�-�---� �--��---...._ ................. Owner: ._.��L„�..;,/L/��c Builder �.�� .1..�".,�..�� . Address..................... �--...---�---......_---��-- •-��----.................._.........-�---•-•--..._... ----...--� -. Address LOCATION OF BUILDING No. ....� a�� Street ............. ........... ,l .1.. .0 �Pf ..................... ......... Part of .._..... --- - ................ ---��----............---..._...-•-•-•----_.... . . .... ..... . . Lot .........._.... --.... ._._._ Block ... ..:....__ ............ ............_........ Addition or Sub-Division . ....... .. . .... _ �rr.4:...� .....�.............._..........--�----- CornerLot ._....._....... ..... ----- Inside Lot _......_.._....._.... -......_... Setback ............................ �- .......... Si yard .. --- � ....._...................._...........:.......-----......._. Sewer Elevation To be Used as: �...-�.. ..��. �� - of Cons ruction Foundation Elevation DESCRIPTION OF BUILDING Front ..��....�Depth ..�f.._..�eighi ��._:� Sq. FtV u ..... _.. ..... ..T.. _.. � . � � l < < // Front .�Q. _ � Depth �__.... .. � Height ../..�.-.. � Sq. Ft. .�7....0. _.._...____ ................_....._.... Est. Cost_...��a.._�°-�"w ..... To be Completed ... cu. Ft. �� ..Y.....4 Cu. F� �.�..�..� In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed wark in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. . �.-.�%.�-�--........C...._�.......'�........... � . ...................... ............. In consideration of the payment of a fee of $._ _-..-�"r'....., permit is hereby granted to ................._............................................ ....._ ................_...._............................................. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , �? Building Inspector NOTICE: I, This permit does not cover the wnsfruefion, installa�ion for wirin8, plumbing, gas heating, aewer or waNr. 6e suro fo a� the Building Inspector for separefe permitz for fhese ifems. 4 City of Fridley Applic�tion for P'lumbing and Gas Fitting Pernut Dept. of Bldga. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Loca3ion of Fixtures 3 0 I � I� � I � I? I; � Ic ° I;'o °o� It� � I<' 3 Iu � I� � I� o Base lst 2nd 3rd ��4th • Futu:e Conaectfon Openings * New Fixture, Old Opeaiags WATER HTR. � • i N GAS ELEC. Sewer Cesspool PARTIAL RATE SCHEDULE PLIIMHING FISTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Iieater (Up to 99,000 BT� ..... New Ground Run Old Bldg. . . . . . . . . . . . IIectric Water Haater GAS FITTING FEES: NO. x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.2b $ z $2.00 S RATE TOTAL lst 3 Fixtures .......................... 1 x�2.00 $ 2•� Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199,000 BTU . .. .. . .. .. .. .. x $5.00 � install (1) gas grill 3.� REPAIRS 8c ALTERATIONS—Refes to Code Locatio��i2, 0 J niter Dr've City of F`ridley: 53-8l�-s 915.51 The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares Chat all the facl and representations stated in this application are true and correct. Fridley, Minn- June 25� 1970 � ig_ Owner Clarence Skaacien Kind of Building frame usea as residence To be completed about �TvnP ?9T 1�O Estimated Cost, $ � .� Old-�Tew. Building Permit N. Pezmit No. � • By Business P� _ . , � tl �2'," " . ROUGH FINAL � ` .� % - 7 O Description ................................................� To�rar. � � 5.00 �,.Z sue�ecr PERM City of Fridley � 7998 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � EIPT NO. � `y _ __ COMMUMITY DEVELOPMENT DIV. � � / r � � PROTECTIVE INSPECTION SEC. � i � � � ��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF AVPROVED BV �""'�"• •'� 612-571-3450 910-F15 5/22/85 � � JOB ADDRESS 6250 Jupiter Road N.E. LOT NO. BIOCK TRACT OR ADDITION 1 LEGAL SEE ATTACHED DESCR. H 2 Sy�.Vdri H1115 P�.dt 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence Skaaden 6250 Jupiter Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Award.Roofing X� 7801 Regent Avenue North, Brooklyn Park 55443 560-8849 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHON(E LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 C�ASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof �X Dwelling 9 CHANGE OF USE FROM TO STaPULATIONS Roof can be th.e 2nd laxe� but not the 3xd. Tnsta,ll � xidged galvanize valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTHUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PER�OD OF 120 DAYS AT ANV TIME AFTEfi WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�750 $e87 WITH WHETHER SPECIFIEO HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR L.00AL LAW REGULATING CON- 29. SO TR CTI OR THE PERFORMANCE OF CONSTRUCTION. $ C�% P AN CHECK FEE TOTAL FEE � $30,37 �SIGNATUAEOFCONTRACTOAORAUTHOA�ZEDF.GENT . IDATEI WHEN PROPERLY LI ATED T IS IS VOUR PE MIT � � SiGNA7UREOFOWNERi1FOWNEABUILDERI �DATEI BLDG WSp DaTE HEtii [] City of Fridley Effective 4/1/84 ADDN. [ ] �-1 �D R-2 ALTER. I� Building Permit Applieation Con�truction Addreaa Legal Deacription P> �- rl �o�/ / ff �`,/ v ��1� � v��'�/- r�s - awner l�ame i]►ddress : Cb �� /r'c / S�/��/%�� . lel. / Contractor: ��l//��,b �Dl�/'� `�I� !el . t � bo � �S �l y Addr�ss LIVIIIG AREA: GARAGE AREA: DEC� IIAEA : OTHER: Attach to this application� s Certificate of Survey of the lot, with the proposed conatruction draWn on it to acale. DBSCRIPTIO� OF IMPBOYBt+�NT Length Y1dth Height Length Yidth Height Length Midth Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [Xj Ft. 7d. Setback Side Yard Setback Type of Construction: �1 � ��' �� E�timated Cost: _�%S D, ° o Approx. Completion Date: �%�� a9��0 � Alt. A Alt B Proposed Drivexay Width If New Opening Ia Desired: E ; See Back Fage for Explanation DATE: / APPLICANT: Tel. i S�"� �? L� Permit Fee Plan Check State Sureharge 34C Cbarge Park Fee Sewer Main Charge �� STIPULATIONS: CIT? DSE OM.Y _ �9. sz� _ = f E3? _ _ _ = 30.37 �� s.�% Fee Schedule on Reverse Side 25f of Building Permit .Fee =.50/=t,OdO Valuation =425 per SAC Unit Fee Determined by Engiaeering Agreement Necesaary [ j No� liecessary [] � sue�ECr PER c�ty of Fridley 1955 � AT THE TOP OF THE TWINS g U! L D I N G P E R M! T ; ;, CEIPT NO. � • COMMUNITY DEVELOPMENT OIV. �� ti; ----- r � � PROTECTIVE INSPECTION SEC. � f � l.--- � �� `,� CITY HALI FRIDLEV 55432 NUMBER REV. DATE � PAGE Of APPROVED BY i .l� 612-571-3450 910-F15 6/22/88 / / JOB ADORESS 6250 Jtzpiter Itoad N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DE$CR. $ 2 Sylvan iiills 3rd P,ddition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. E./Marjorie Skaaden 6250 Jupiter Raad N.E, 571-1757 3 CONTRACTOR MAIL ADDRESS ZVP PHONE LICENSE NO. Patio Enclosures Inc. 6319 Cambridge Street, St. Louis Park 920-1575 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING I�sidential 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12" x 9' Deck/Unheated Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS Install 5/8" Gypsum on inside of garage wall to provide fire separation between qarage and porch. �p�t��G � ��►�� a�Ar� P�R�r�s �E�Ur�� Q� Befose d�ggi�g cal1 local util �tli��s F{ER.T[��, p�,E�l�lt8��f� a�[D S��S. 1EtEPHONE - �IECTRIC - �� : REQUIRED '�Y �� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOR12E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERiOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICAT�ON �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHE7HE SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT $2 /800 $1.40 DOES NOT P SUM GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PFOVISIO OF Y OTHE TE OR LOCAL LAW REGULATING CON- STRUCTI O P AMANCE OF CONSTRUCTION. SS4.00 PLAN CHECKFEE TOTALFEE --� � ��t� _ $55. 40 SIGNA � EOF 'RACTORORAUTHORIZEDAGENT IDATEI �yyHEN PROPERIY ALIDATED THIS IS YOUR PERMIT _ l JC/l/ l � .L � � /( �(Q� SiGNATUREOFOWNER�IFOWNEF78UILDERr IDATEI BLDG �NSP c" DaTE � I�3+1 [ ] 1�ON [�Ci AL2ER [ ] Q�nstruc�ian Addr� _ Legal Descriptian City of Fridley R-1 AI�ID R-2 �,; � ding Permit App7. icatioci Effective 5/L88 �" E '��.C.Tv.�i � �5',�.9.��.�/ •1'P1� o i. Owner Nane & Address: J - , Qantractor: �,4-r�'� E'�r/c✓'Qs�r.rPS� �i1/G � Tel. # /37.s' Address: _��/� C�1y16� 'a�� a' 9�- -;�`�o��;c ,�iL'- r%%/l/ Attadz to this appl ication, a Certif icate a� Suvey af the lat, with the prop�soed oonstructian drawn on it to scale. �� ; r�1 �,� •.- ,,i:: •./a�'�,1 . . �9� Width Heic�t St�. Ft. ��E ARFA: I�ength Widt.r: .�r Hei t • � 51�. Pt. D�Qt ARF�'A: LEI1C,� %.� Wl�'1 � H�./GiOLTId � �. Pt.. % .�� F� �� c = .yc, 4�rner Lot [] Inside Lat .(�(] Ft. Yd Setback 3a � Side Yard Setbacks �. �v '- �°. �� Type a�f Gbnstr�tian: �,00%"l m.c - C�%ss�.�s .. 5�� F�timated Cost : a o T�+s!l��c — S.sv�k ,o-,vr ¢r Approx. Cbmpletion Date : ��- �� . Alt. A Alt. B Prop�sed Driveway Width If New Opening Is Desired: S $ �� Width + 6' See Back Page �" `—_ 9 a� / -� L1ATE :�o o?/- �� APpLICAIJP : T�.l�/�.��,,d,i Tel. � /S> 3' — Pennit P�ee state surc3�arge SAC Q�arge Drive�vay Escrw Parlc F�ee Sewer l�ain marge � S . � S_ ll�� S � S � �. V CITY DSE Q�LY Fpe Schedule o� Rever�e Side S.SOJS1,000 Valuation 5550 per SA�C Unit Alt. fA• OL Alt. "B" AbOV@ P�e Determir�ed by Ehgir�eering Agreener�t Necessary [ 7 Nat Neoessary [ l ;� �� [• . � � , � _� �.1 ' - � ' ' . � . � � � � +� 4, � . -� . , � • � Z$Ov 2va �.. �;�.�� ► � g �.- �y, o� m � ��e; /l1.G G.E��/J%o.c.�os;� .S•f.+.qA/.s.✓ �� so J'up; � �v�e �-,��/y , �,v .s',r�yz �-�,_,�� _ _ 8Y% PATIO ENCL�URES INC. 62i9 CAMBRIDOE 8T. ST• LOUI8 PAi�C, MN 56416 920-1575, 221-0099 -1 l��I'tOx Ex�s ��n(9 a7oad ifoo F oPe�l.�aeA yo'pw. �,loOBau/ 600c✓ F/a�� T�te.Nra/ ANd 3N s�A// Sln�/G /�•! N�i sc,d.w� ��.�r� s e,[�u✓s ,lobe, pivh� �o�c� y' �ri�t' �i�os� .w• a• r.a�s f' ,to• ��' /1' /� �--� u � 38' .ty� 9�' GiA2+�Qi � /H� I 1 . �Jous e� Dki ✓caa�� al� � ��, �— (�� 3o JN p: �eti D�C . —� � `• � v� �. ,-� ° �� ` i ��: k � w � �� x �� ,, fi � a � v, c� > : � �� ' �''� � � " � � �t , � � � � �� Exls �.:✓S 3 � ..d:.o. `•'pc e.✓ F« f�%rg �nSu��+•.ct Ex:s+��'-+� �LoaF st.Lac�uit�, P•�re ,4 6C F�Ume.� :r/ r✓.'�f� u7oe� �� ' �� C� mo.�c G.oyoaf �oo� �✓e P,a e.cn/ � ��Q� �a�` s�s� -� � l� A�P,tox. 9 �c /�' L9ec�E - .? x � Jo;s,la /6"0 •c, cd: �!. Ha�r3c�c's �� De�- �x8 R%�5 axg N•a� ��Bo��/ �o .S/�us e -�'l�" TRe.s f eo/ 7._'��i. f'�ys�ocr/ s��''�'� Cv�� F,Cc? � f'oafi'n�s /,t'' /i%I/<S da^' .�M�G CITY OF FRIDLEY APPLICA710N FOR PWMBING AND GAS FlTTlN6 PEW11T T� a w u • N � Mate7r ,n � w � w c�.�i w{� i� .�+ � � a Heates .Vi a+ � �c ° c''t � p w c..Ci 6 C � u � u w t�'i � i� � m �� g Ua��i�i �� t� � lec `, lst 2nd lyd Ith (1U � Futur� Conn�ction Opsnio9 Co�u►�ct�d with Se�+�er (�) � Nw Yixwr�, Old Op�ning Mater PLUMBING FIXTUR� RATES: New Pixturea RATE SCHEDULE N0. Old Opani�g, New Fixture e��r oi�p�naer � alow Ofi 8aain Catch suin Rain Wat�r Le�►der Su�p/R�c�ivinq Tank Nat�r Tr�atinq Appiianca M�t�r N�at�r - Electric Matuc Wat�r - Ga• Cas Rany• Gaa Dsy�r •ack llow pr�vantar aequired ZYP� � ( ) Yes 1lLL• O?8ER8 �/OR REPJIIRB 11ND 1lLTER11TI0NS 1• oi valu• o! ri�ctnr� or Applianc• RATE TOTAL S 7.00 � S S 4.00 � S S 5.00 � S S 7.00 � S S 7.�� S S �.00 � S S 7.00 ,� 5 S 10.00 � S S 7.00 � ¢ S 10.00 � s 5 10.00 � S S 10.00 � S 1• No S 5.00 � S Stat• Sureharge REINSPECTION PEE 530.00 TOTAL PEE S S . SO S l.� S� Job Address Effective Date Js�uary 1, 1991 SKAADEN, CLARENCE 6250 JUFITER DRIVE FRIDLEY, MN 55432 H 571-1757 W Buildi n g Ins pection Div. 6 � 3 1 U n i v e r s i t y 1► v e N 8 Tel. No. 572-3604 Fridley MN SSi32 The underaigned hereby makes application for a per�it for th� wrk herein specified aqreeing to do all work in atrict accordanN rlth tA� City Codes and rulings of th� Departeent ot Buildinqs, and hes�by d�cl�s�� that all the faab and repr�s�r►tations stat�d in this •pplicatioa ar� tsu� and oorract � - l (o . 19,� OWNER `` "K Q l�cv`s, 4!� L.s�A.JC�.3 Z KIND O! BUILDItIG USED 11S � BE �►��,�«n ��I�-�I ESTIWITED 006T '—L W • � �- OLD - NL�'it BUILDING PERMIT NO. PEAMIT I10. �(_� �! C_'�� OoaQany �. . "'°'r"�y� � . �, . ��tr�b��'�" ��.�_� ''' T � t.��,�i !El.� AVEI�dU ��.,'a_+ � � ; ' Siqned°�IY�' ,� /Vil�t�!�.�^��OliS, MINNESOiA ; ;a-�<: , Tsl. lio. ' '� � � ROUGH INSP. — -rs�! .�+_� Oate F2NJ►L INSP. 1 ae 11PPRONAL FOR PERMIT i��— MIiJIMUM FEE FOR ANY PLUMBING/GAS PERlIIT IB =15.00 PLUS THE 5.50 STATE SURCHARGE «.� sue�ecT P City of Fridley 26 94 ' , AT THE TOP OF TME TWINS g � I L D i N G P E R M I T pT NO. r � � COMMUNITY DEVELOPMENT DIV. f � v � PR07ECTIYE INSPECTION SEC. '� 7 7�U � � i--.- A ��"��;•� CITY HALL FRIOIE� SS43Y NUMBER tiEV OATE pAGf OF APPpOVEO BY L J` 612-571-3450 � 910-F15 7/31/98 / / JOB ADDRESS 6250 Ju iter Dr t IEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHEQ DESCR. 8 2 S lvan Hills -3 SNEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Scottie Scaaden 571-1757 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Haven Const 4208 83 Ave N 566-5223 4 ARCHITECT OR DESIGNER MAI� ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Re idential � c�ass oF woRK ❑ NEW ❑ ADDITION ❑ ALTERATION f� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and ara e 29 S Tea -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TVPEOfCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING. HEATINCa, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITNIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANOONEO fOR A PERIOD OF 120 OAYS AT ANY 7iME AF7ER WORK IS COMMENCED. tVO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED THIS APPLICATION STA��S GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 9E COMPLIEO WI7H WHETHER SPECIFIEO HEREIN OR N10T. THE GRANTING OF A PERMIT 2�}].8 1.I.1 DOES NOT PRESUME TO G1VE AUTHORI7Y TO VIOLATE OR CANCEL THE pERM1T fEE SAC CNARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STqUCTlO R THE PERfORMAN OF CONSTRUCTION. ]�{.]S Fire SCyrL.�F2 ��/ � LAN CHECKFEE TOTAI E � � Licen SC 5. .38 �GNATURE OF CONTR 0 OA TH R�2ED AGENi iDATE� N OPE ALIOAT IS IS Y R P�RMI � 1 f�� S�GNATUAEOFOWNEAi�FOWNEABWLDER� �OATE� BLO �NSP p�iE 07/27/98 22:56 FAX 1�Th�VV [ ] ADDN ( � CTTY OF FRIDLEY ALTER [] SINGLE FAMIL'Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIOI�i .�^ CoastructionAddress: lP�--�� \� Legal Descripdon: Owner Name & Address: ��G�;�7� Contractor: /�� G7� ;�GZ G'Y/t'] l ,�ll , Address: � �' . ,-��' _ _ _ LIVING AREA: GARAG�'AREA: DECK AREA: � :t • (� o s Effective 1/1/98 �4� �� c'c Gt d�. Tel. � �5��' /�5,� �'� MN LI Sfi #� Z_�7"7 7�� % �� f�3 �v�. � Attach to this application, a Certificate of Survey of the , p��, � � lot. with the pro�poxd constzuction drawn on ic to scale. �� DESCR�'I'ION OF IlViPROVEMENT � � Length 'VVidth Height q. Ft. Lengtti �Nidth Height Sq. Ft. Length � Width � Hgt/Ground Sq. Ft. --, .�-�°�- ��/� Construction Type: ,/��/^lJ0 Estimated Cost: � �� . � � �' �(Fee Schedule on Back) Driveway Curb C�t Width Needed: Ft. + Ft = Fc x$ = S ' . DATE: '' ��'�� PLIC Tel. # ��t°�° '�-�"�-3� Pesmit Fee Fire SurchargE State Surcbarge SAC Charge License Surcharge Driveway Escrow Erosioa Conuol Park Fee Sewec Main Charge TOTA�. ST7PUL,4TIONS: , s r7� S $ � $ �-�� CI1'Y USE ONLY Fee Schedule on Reverse Side .001 of Pennic Valuation (1llUrh�) $.50/$1,000 Yaluacion $ - $1000 per SAC Unit $ s. 0 C� $5.00 (Stace Licensed Residenaal Conaactors) $ Alt, "A° OI Al[. "B" AbOVe $ $450.00 Conseivation Plan Review $ Fee Determined by Engineering � � $ Agreement Necessary [ ] Not Necessary [ ] ffi c:� .�� r � ° • CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 l+'AX: ADDRESS : 6250 JUPITER DR NE PIN : 143024330074 LEGAL DESC : SYLVAN HILLS PLAT 3 : LOT 8 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION 571-12IS7 PERMIT NO.: 2004-00140 DATE ISSUED: Ol/30/2004 VALUATION . NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL A GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT TIMS QUALITY PLUMBING INC 523 CENTRAL AVE OSSEO, MN 55369- (763)571-0454 OWNER SKAADEN CLARENCE E& M C 6250 JUPITER DR NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 # GAS WATER HEATERS 0 # GAS RANGES 0 ENTER VALUATION 0 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 Irnow 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 PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 8706 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 700 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 C��y p� ��tiDi.tY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 ?l.Y:!s�;�+'.E.� ::>: f,,, .;; Y,,.,Y'•, Stories �la��tv;;=y Urinal .;,-^.;-�•� ,>: BasemenC �r��`�j'"��''�� . �:.>:�.,:<.: �:;�;:;,��:h»::: F(oor 1 �>.::�4..;�:;,s +>'' �:�—.:' s,::;;•.;:; 4y:; ..;..:..;. Floor 2 ?�:::�:�� : v<:>:: : : � <:;.: .: .: ;; :. ;;r t>.� �:{.�x Fioor 3 :>;:�:�}:F>:,..�"� .,,},.,j.',,::f� { �� i:''°f/r;•r .�.:;s. Floor 4 :�fr.;;.:>,.>��•_.�_` APPLICATION FOR PLUMBING AND GAS FITTING PERMfT MARK NUMBER OF FIXTURES PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5,00 Biow Off Basin _____ $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 SumplReceiving Tank � $ 7.00 Water Treating Appliance $10.00 Wate� Heater -Electric �. $ 7.00 Water Heater - Gas'" ,�. $10.00 Gas Range" $10.00 Gas Dryer•" ; $10.00 Back Flow Preventer Required ()Yes () No Type $15.00 Reinspe�tion Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcha�ge TOTAL �a�oo 0•60 � CIIi:l:UV4' VI1 Jdll i, c:UU.i BE lNSTALLED ON EACH FLOOR ��:<�� <: Floor /!� }�``�''�':� Auta ��:�� :;�::<:: Gas N�l�4;;;�::::::; Water Heater .�rf..�'.`.^,'k;. �4':.i,,'�„!!,%! x:<?i•;r.;::�ii;,v:;;t<;: ;.,+,,C..,c':•;;�..'''+tr; �•:,•.:yi;-.,.��,".'''.;i i;�:3>::�i.i >:;�; ��,`""..:;;:::;::>:, Gas Elec . �t .<.<: Washer A� � �e i�t,...:,.:. . 1��.�,:,:.;.::< Drain �� ,_ Ran � _ JOB ADDRESS C�� 'u�t�Fcr Dr t..l c The undersigned hereby makes application for a permit for the work herein specified agreeing to do al! work in strict accordance with the ciry codes and rutings of the Building Division, and hereby declares that all the facts and representations stated !n this application are true and correct. �.vu�� o� t � 20�: :. Owner 5 er� S kc�d �? n Buitding Used As .,/- �stimated Cost `� �o.o� PCRMlT N0. ��L� L ' �� ` � PLUMBING COMPANY Tim�s (Jua,1 �+t� Plumlrx►�r�, SIGNED BY _„_„ TEL NO.�,(�y;i ".�7 7/ ,• \ ! Approved By Rough-In Date final �ate �` / 70TAL FEE $1�•�o PLU3 THE a.50 3TATE 3URCHARGE COMBI;'�TION AIR SHALL BE PROVIDED PER Utd1C SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE