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AF - 47746City of Fridley, Minn. BUILDING PERMIT :�� % N° '7238 • Date: _. ..�"__._.,�i.��..�'�..._...�_.L��__ � .._..__.._..M..,_ Owner: _.__ .. �_iC�!��'"�".� Builder _..._..__....__..�....... . .... ._�..........._.._..._.� Address_._..._.�:._.._._.._..w.._._._....�.._._._._....._..__..___._.._......._.._ Address _:._.._.___.__. .._._._..._..._.._.____. • . LOCATIO OP UILDING No. _�.._.�j�...l�..L,�'. Street ._ �.��n�_9�,.L��.-..�i..�� o! Lot ._.�._ ....__._ , Lot ___.�_._..__.__ Block _._._�_..._......_.....__.._..._. Addition or Sub-Divisi� .. _ . ' ..�,� Corner Lot ..___��Inside Lot ..__.:_`..........._.._.._..._ Setback ... ' .�....:.._._._._._ Sideyard .__.�....� _..._ Sewer Elevation ._..�.�...4!_...c.�...1._....___.._.._.._____ Foundation Elevation .....� �.,Z! `j � ____.� DESCRIPTION OF BUILDING T U � : _ ._._ _ Front _...`.,�� Depth �_ �_..�__ Height ._.� Sq. F't. ��1! Cu. Ft �(ly� .._._.._._.___...__.,......_.__..._. t-._--_-___ Depth _.._._� Height _.. �,,�_ Sq. F't. _._.__....._. Cu. F't. _ Type of Construction .. ......_._ •-_. _.. ._.. Es� Cost ,�(,�..11�+C.<...._......__....J To be Completed _.__ In c�sideration of the issuance to me of a permit to constru th eecribed above, I agree to do th� proposed work in accordance with the d�scription above set d ,� pHance with all pro�visfons of vrdinances of the city of FrfdleY• .� � In ca�sideration of the payment of a fee of �.� ��. . pera►it is hereby granted to— �...,.._._.._. _. , to c�nstruct the building or addition as descrlbed above. Thispe rmit is granted upa� 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 o� Fridley, Niinnesota regarciing lceation, construction, alteration, maintenance, repair and movixiS of buiidings within the dty limits and this permit may be revoked at ar�y time upou violation of any of the provisions oE said ordinances. �., �, Buildiu8 Inspecta� NOTICE: 1'his p�emh doa aet eev�r tM eoasfrucNee, hatall�Hen fer wkMO. Pw�b�Y. Y�+ �Y. aww er waf�r. d� son to sN fin buildio8 intp�efor for s�puaN p�nnils fw fh�s� IfNm. . � .. V� �,'� �, �� , ir � . ♦ APP'I�tCATION FOa; BUILDIDIG :P$�MIT .,,, , ,; --., , ,y . � �:_ ... :�. . . , CITY OF RRIDLEY,..MiNNESOTA ;�:. • , ,... .�-_.i: ,.;f . . . � . _ _ ��.:3 ' � ` !+ .:; i: ► OWNER ` S NAl�: BiIILDER ��'�D G__. : . . . ._ . ,, , ,. ; � . _, .. , .� . ADDRESS . :. . _ _ , �. ADDRESS � 'i�- � � . . L4CATION �+� BtIILD,IAIG : . . , . z , . � . . -, �io• ._ Stree�/ J :7Q r� , -, �ar� :.;of �o� Lot - . ' Bloc�C , .,: . . ..Addition � r � Subdivision - ^ -. . � . ; ; Corner Lot�_Inside Lot Setback o� . •S�d�-?ffard -� : ; , . � `.; SEWER ELEVATION S� I,o 0_ 5� FOUNDATION ELSVATiON p';;,� :��T ,.. ,.� d� � Applieant at.tac�, to this :form:Two Cer.tificates of Survey, o�; L,o.t �nd ��ppos�ct build- ing ,location �raGiiq Qt�, theee Certificatea. . - � � � � � • . . � . ; �. . -�� .. � .. .. . • , .,., ,- . . , �,. . . DESCRIPTION OF BUILDI�G To be used as: C�� ( i r` �1 �- Fra fs � -, - .,, � `� - - '' ''.. _. Sq. F.L.. ' . Cu .Ft�. :_ .; - . .:� _ . . . :. Froat Dspth Height . , ., ,� , . . _ _ ' Sq. ,Ft. . � .... � 4'u.�.Ft... - - - .. .� ., •. � Type of ConsCructi �{n�- � � EsCimat.ed �aat _ ;; . To be Completed . :� � � •' '`. : � � � �,. . - . , ; . . .. �. ,. - • � . .. � ... . The undersignecl hereby makes application for. a.permi� for the• work �ere#,q;e.pecified, agreeirig to do all work in strict accordance with the City of Fridley Ordinances aud rulings vf the Department of Bu�,ldiags, and hereby decl$res that a�l,.t�he �a�te and representatioas stated in this applicatian are r�e and cprrect: DATE � . 2.� � � Lf- ; �S�hedule of Fee Costs can be found on t�ie Reverse 5ide). ., , � . .� s " • . • •� . . r • • � 1 City of Fridley, Minn. BUILDING PERMIT Date: June 15 , 1965 � �/�� N° '7898 �, James Holmes rt B��rErco, Inc . � --��b�T Kennas ton �32'3'r� trai� �� ` Address .....__._..__._.._.._____.. _ ..�.. Address _._.._..�. 6700 K�naas OCATION OP BUILDING Na ._._._..._.._.......� Street ._.._._.....�._. .._.. _..._.._.__.._.._._ Psrt of Lot ____ Lot 6.,._.__._.___ Block _3 ._....._._.._._._._.._._. Addition or Sub-Divisi�Meadowlands 2nd Corner Lot _._ ...._ Inside Lot _._.__..._.. Setback ___..._........._.__.._.._ Sideyard �._ Sewer Elevatiaai .�_� .��.� Foundatian IIevation _. .__ DESCRIPTION OP BUILDING To be vsea as: Front .� Depth _ Height .�._._.._ Sq. FL Gii. Ft ._._..____._____.�___.._.._....._. F�ont Depth I�eight __.. Sq. F't. w Cu. F't. 16, 000 Type of Constructfon _._.._._._._ _.._ Ee� Cost _....._._..._.__.....__....._......_.._ To be Completed �.. Rebuild stor� damage, In consideration o! the issuance to me of a permit to a th� proposed work in accordance with the d�scrlption above ordinances of the dty of Fridley. , descrlbed above, I agree to do npHance wlth all pravisions oi In ca�sideratio� of the payment of a fee of �_� , permit is hereby granted t�rce, Inc . to cx�struct the builciing or additfa� 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 dotte in, around and upoa� said buildix►g, or any part the�of, shall oonform in all respects to the ordinanoes o� Fridley, Minnesota reSardinB lacation, constructiaq alteration, maintenaace, repair and maving of buii�in� within the dty limits and this pernniit may be revoked at ar;y t�me upan violation of any of the provisians of sa�d ordinaaces. Allen Jensen BuildiaS Iaspecto� NOTICE: ibis p�nait dea not eowr fh� ea�struelke, t��hllNien for wiei�Y. P��W Ya MNin�, swr�r er wat�r. d� sun io s� fM duiWle� letp�ebr fer ap�r�t� p�esils for fh�a il�ms. f APPLICATION FOR BUILDING PERMIT CITY UF FRII?LEY, MII3NESOTA OWNER' S ' �Z/r1 BUILDER �� '�% +��'�`"`"" �"'�"� '� ADDRESS_ fv %� ��t ADDRESS � � � � /i� __._._� ., LQCATION OF BUILDING No. �� O t� Street��2.g�..._Part of Lot�� LOT BLOCK ADDITION OR SUBDIVISION -� — I ■ Corner Lot�Inside,LOT Setback 3ide-Rard SBWER ELEVATION FOZINDATIOA ELEVATIONI Applicant �ttach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DBSCRIPTION aF BUILDING ' �t-��, 7� To be used as; �� - I� Front " DePth �` Hei t . Sq. Ft. Cu. Ft. Frant Depth Height . --T----_ . Sq.'FC.• Cu. Ft, Type oi Cou�truction E$timated Cost /� d m-� — To be completed_ ,�',�,,r�'°r�� The undersigned hereby makea application for a permit for the work herein specfified, agreeing to do all work in strict accordance with Che City of Fridiey O�dinances and rulings of the Department of Buildin�s, and here�eclares that a11 the facts and representations stated ia this application are u and eor��ct. � ' ` DATE E��,�,� �! �� (Schedule of Fee Costs can be found on the Reve�e Side). � .. • � � . • 't � 53-84-s-9i5.51 �i4y of Fridley APPN�a�on 1or Ph�q and Ga� Fifii�q hn�it Dapt. of Bldq�. Pko� 990-3�0 DESCHiPTION OF WOR1C (700 Kenneston Drive YJumb�r, Kiad aed Loeatf.on o! Fixtu�s ��""� � I�QI�IS�lil�ls�lc�!�I��I��Ii�I�Zl��l(�l�I �I NIGASTE�MTqC. �� ■■.■■■I ' .■.■■■� ' ■■■..■' ■■■.■�' . ., . .. & PARTIAL RAT� SCHEDULE S�w.s CMSpool PLOMBING FIZTURE AATE3: NO. RATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . x a200 E Fnture Fixture Opening . . . . . . . . . . . x E1.50 S _ New Fixtute Old Opening . . . . . . . . . . . x :1.50 3 Catch Basin . �. . . . . . . . . . . . . . . x a3.25 E Lite & rill 00 Water Heater :Up to 99,000 BTU) •••• 2 x�3.00 E 6• New Ground Run Old Bidg. ........ x xi.25 S Electrie Wat�s il�at�r . . . . . . . . . . . . . . : M.pp = GAS FITTIItG FEEB: NO. AA1'E TOTAL lst 3 Fixtures . . . • • • • • • • • • . . . . • 1 x a2.00 = 2 • 00 Additioaal P'i�cttu'es . ... . ... ..... . . . . . : _ .7b ; Gae Ran`e to 199.000 BTU .. . ... . .. . . ... x =5.00 i REPAIRS A� 11LTEA1►TIOl�b—A�i�r !o Cod� Descriptlon . . . . . . . . . . ... . .. . ... . ..., . . . .:... . ... ... . .... .i z,p,rwt, �. �- 8•00 City oi PY�idley: The .undersigned h�eby makes application for a permit tor the �soak herei specified. agreeing to do all work in strict accordance with the Cit,f Qrdinance and ruling of the Department oi Buildtngs, and hereby declares that al� the fact and representations stated in this appHcation are true and rncrect 1�Yidley, Minn June ?s 1971 18, Owner James HolmeB Kind of Building �'�'� u�a as Res. To be completed about Jtu1e 12� 1971 Estimated Cost, � 10•� 1�lt3FNew. Buitding Permit ROU�3H FINl1L '7 - Z Z- � % � �... � • . No . c�ty of ��d�ey ��t��ac�� D�prt. oE Bldq�. Phon� QAB�-3490 DESCAIP'CI01�1 OF WOAIC � �D� �� Numb�r, Kind �ad Locatioa o! flxtur�s ' � I'°°� � • � w��E� �. M i� � i� i�-�» �� , �,��Sj3� �� n� � M c�s ncc �■■�■■' � ■��i ' ■■�■■.� .■■.■■' . .. . .. PARTIAL RAT� SCHEDULE Srw�s � CwaPool Q PLUMB11iG FiXTURE AJRTES: . . . . . . . . �` x =2� s � � Number F`ixtures . . . . . . . . ' PUture Fixture Opening . . . . . . . . . . x =1.50 t _ New Fixture Old Opening . . . . . . . . . . . x =1.50 t__ Catch Basin . . . . . . . . . . . . . . . . . . x a3.25 = Water Heater ;Up to 99,000 BTU� •••• x s3.00 i New Ground Rua Old Bidg. . . . . . . . . : �,3.25 S FJ�ctric W�t�r ilwt�r, . . . . . . . . . s M.Qp i GAS FiTTING FEEB: NO. RATE TOTAL lst 3 Fixtures . . . • • • • • • . . : �.00 ; Additional !'lsturw . . . . . . ..... . . . . . x i .T6 i �3ar Ran�e to 19Y.000 BTtJ . .... . . . .... : =6.0� i State Surcharge $ .50 REt1lIlls t ALTEA11Ti01fs--ll�t�r te Ced� -/ �� ••��••�.��.��w••.��w.�.��.�.�•w��.e��..��! / � �w r� R � ��v - c�a �s nia��r: r :! � oy3 � �� v o' � STD �cJ ,D� . The undersigned i�erebp malces application tor a permit for the Rosk herei specified, agredng to do 811 worlc in strtM accordance with the Cit,� Ocdinuice and ruling of the Department of Buildings� and hereby declares that alI the tact and representationa stated in this appHcatioo are true and correct Ptidley. Mina 5^ l� � 9 7 L �- Owner �J �"t'K t� 5 �0 � !� � � - Kind of Buildiag �2 � � Used as c�/GU��r !CJ 6 To be completed about �^� s � v Estimated Cost, s �� Old—New. Building Permit No. P•rmtt No. �� Signed �i iV' �5�-ft' �� /v� lO ' " � B � � Businesa Phu No /: � a �� , � ROUGH i'tl�illL !"J �-- , 0 sue�ecr PERMIT NO. c�ty of Fr�a�ey -- �80 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f � � RECEIPT NO. COMMUNITY OEVELOPMENT DIV. r �~ � PROTECTIVE INSPECTION SEC. Q�O3J�' 1 ; � � � �'�'1 � CITY HALL FRIOLEr 55132 NUMBER REV OATE PAGE OF APPROVED BY �.---� • •,' 612-571-3450 9t0-F15 4/27/98 / / JOB ADORESS 6700 Kennaston Drive � LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oesca. 6 3 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAI� AODRESS ZIP PMONE Jody & Tom Hunt, 6700 Kennaston Dr., Fridley 55432 502-0678 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Jody & Tom Hunt, (same as above) d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION OX REPAIR O MOVE O REMOVE 8 DESCRIBE WOFiK Replace chimney 9 CHANGEOFUSEfROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OFi AIF CONDITIONING. THIS PERMIT BECOMES NULt AMD VOID If WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTpEET PARK�NG I HEREBV CERTIfV TMAT I NAVE READ ANO EXAMINEO TNIS AP.PLICATION STA�LS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF I,AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GqANTING OF A PERMIT �300.00 �.SO OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �21.00 ire SC �.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PI.AN CNECK FEE TOTAL f EE $21.80 r CON� ACTOAOFlAUTHOAl2EDAGENI IDATEi WHEN PROP VALIDATED THIS IS VOUR PERMIT ' ��-��'� S�GNATUAEOFO�NNEAUfOWNERBURDEA� �OATE� y B OG �NS� p�tE IVEW ADDN ALTER � � �] Ll ConstructionAddre; Legal Description: � Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �C{ �� y , a ��3 4wner Name & Address: �v � `�'oM ��-v,-� �- Tel. # � Z •C��g Contractor: MN LICENSE # Address: Tel. # 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 IlVIPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type:�Q �c� C.�r� i'�� Estimated Cost: $�� . C�id (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ -= $ DATE: LII �� Iq � APPLICANT: -� �( � Tel. # � 2-O(o 7� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $�/. OV Fee Schedule on Reverse Side $ , ,.3� .001 of Permit Valuation (1/lOth%) $ . � $.50/$1,000 Valuatian $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � ,?,�, l� r, " ` r�— HEATING AIR CONDITIONING AND ELECTHIC, INC. ADDRESS � '� �� ti-}'-� � � �= � `Z OCCUPANT �T'��+K .�'� HEAT LOSS DATE HTG. INST. '�"°+ SOLDBY ��=alri+.�� Electrical Wmk By_ ��; lP�► �t � TYPE OF HEAT G�_ Fa_�. HW STEAM_ SPACE HTR. OAS DESIGN MAKE ��'� �r-�t Nbdel � �4 �'V t7'�C� Olo-o Serial _ �'� a � �Q� °� �C. INPUT � + �� CON7ROL3 THERMOSTAT � � 6(C>t`� Heat Plug Value 4-+ � Q Limit S "� � .• � Limit Set6ng L °+-d Fan Settirw � � �►�-�''� Pilot Type_ b>Cr't 5 v�cA-c..�� Pilot Make � '�� as ._.y-� Pilot Model � \ 1 PilotTimina �-k \ C�_ L.W. Cut Off Pressure '1 Peraent COZ � Input CFH �O ��ei Peraent Oz 5 Stack Temp. � � S ° Peroent CA : �1 'P � �^�^ HOUSE HEATING TEST RECORD APT. FLOOH CITY ��',� SUBURB ""�� OWNER .�<_ INSTALLED BY Gas Line By UNR HTR. OTHER «• �_ :r.:�.. Vent Size Z t r �� ` KINDOFUNER �� C3 SIZE V NONE Drati Hood ��..� p ��--L,.'� Regufa�or Fifters Size �-1 l..'► �� II�Nu1+�k� � ra Chimney Location Inside DS. Outside Chlmney Construction t� � `�' Srtwke Bomb �� Wirinp ✓� Dreh Test T� /% Door Pressure Liphtlng Inst. ✓ Date Testecl � "t �1 Q� Company TesUng �.- t �-- Name of Tester Pressure � � � Percent CO2 � Input CFH �` `"� �°'� :° Percent OZ Z' r Stack Temp. � u� � Peroent CO �°t �� "` � d�i11PO�F �RIDLEY INSpECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RA7E SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Reptacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 30.00 � ?� . � $10.00 $10.00 $10.00 *Air onditioning s II�Size�s �� t' $ 25.00 v � All Others/Repairs & Ake�ations (LIST ON BACK) 196 of Value of Appliance or Work Commercial/I ndust rial 1.25� of Value of Appliance or Work State Surcharge TOTAL FEE,. Effeetive On January 1, 1998 � .: �..- � �l► �. t u i:�. � , The undersigned hereby makes application for a permit for the work herein specified agreeing to do all worlc in strict accordance with the City Codes and �ulings of the Building Division, and hereby declares that all the (acis and rep�esentations stated in this application are true and correct. c(,.�1 �1998 $ L OWNER �(� YY1 it�Vlil . $ BUILDING USED AS C��{ �l � ---- ------ $ ESTIMATED COST �0 0 C� . D� PERMIT NO. �J�� `�� $_� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units � Circle One (Steam) (Hot Water) ( r� Trade Name Size No. �,? Yh!A-�L 0 3iD v�-t � BTU l�t n HP EDR $ Fuel 01�" � Total Connected Load $ .50 $ SS,� M{NIMUM FEE FOR ANY HEATINGLCOOUNGNENTiLAiION REFRIGERATIONIAIR CONDITIONING PERMIT IS �25.00 PLUS THE �.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Alr Conditione�s can not be placed in a side yard without written pe�mission from adjoining property owner. Burner Trade Name Size Na 6TU HP EDR HEATING Signed By Approved FILL QUT BACK SIOE FOR STA REPLACEMENT FURNACE - BLAINE HTCi• IL`C ELECT., INC. 13562 CENTRAL AVE. N.E. _ ANOKA, MN 55304 �1 CJ1—�.1� � _ Rough—In Date Finat Date �� VERIFlCATION ON (�� 1 CHLMNEX A1�1D STACK VERIFICATION The undersigned hereby verifies that the existing ch.imney or stack: 1. �. 3. 4. 5. Has been carefully examined Is free from rust or deterioration Has no foreign objects lodged within Is securely supported I�ieets all current Code requirements for size � and total BTLT's connected ' 6 Has total heating BTU's of l� �) d� All other BTU's Lf-U � �v� TOTAL BTLT's � �YO , �fl 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater ReII1�LkS: ,• ,. � � n n i 1 I � (� ,i , � . .�- _ . _ Yes �) No ( ) �. Yes (� No ( ) Yes � No ( ) Yes (�`) No ( ) r� Yes � No ( ) Yes � No ( ) Yes � No ( ) List ALTERATIONS Beins Done: . I3EATING CO: Signed By: Date: � �6 �2� -E1 � BLAINE HTG. A�`C ELECL, INC. 13562 CENTRAL A1fE. N.E. �liIOKA. MN 55304 �� 5 . , , . �� sue�etT P City of Fridley 28076 ` AT THE T°P °F THE TW'"S gU ILDiNG PERMIT r ' ` REC � . � ; v __�� COMMUNITY OEVEIOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. �� G� � . � {[� � � ��"1 � CITY MA�� FRIOIE� SS�S2 NUMBEp REV O�TE VAGE OF APPROVED BV �""'�"� �'' 612-571-3450 9t0-Ft5 10/2/98 � / !08 ADDRESS 6700 Kennaston Drive NE t IEGAI �OT NO. BLOCK TRACT Oq AOOITION SEE ATTACHED DESCfi. ( 3 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom & Jud Hunt 502-0678 3 CON7RACTOR MAIL ADDRESS 21P PHONE UCENSE NO Panelcraft of MN 3118 Snellin Ave S M ls MN 554 721- 28 2179 ♦ ARCMITECT OR OESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. S ENGINEER MAII ADORESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e(32 S) Tear-off• Reside house and arage, soffit, fascia and trim; Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TVPE Of CONST. OCCUPANCY GROUP OCCUPANCV �OAO SEPARA7E PERMITS ARE fiEOUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OH CONSTRUCTION 20NING SO. F7 CU FT. AUTHORIZEO IS NOT COMMENCEO WITHIN 60 OAVS, OR IF CONS7RUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PER100 OF 120 DAYS AT ANV TIME AfTER WORK IS COMMENCED. NO OWIG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO ANO EXAMINEO TNIS APPLICA710N STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND COiiRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO OfiOINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPUED WITH WHETMER SPECIFIEO MEFEIN Ofi NOT. TME GRANTING OF A DERMIT 24 952 i2.�FH DOES NOT PiiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE pEqM1T FEE SAC CMARGE PROVISIONS OF ANY OTHEfi STATE OR IOCAL LAW qEGULATiNG CON- STRUCTION OR TME PER qMANCE OF CQNS7RUC7lON 349. 75 Fire �.' Z�F.9.5 � P�AN CMECKFEE TOiAL E Z Li ense 5.00 3.18 S�GN4 UpE O �AAC A OQ AUTMOR�ZEO �GENT IDATE� EN ROP ALIDAT O IS I$ VQ� ��,./� J S�C � V S�GantUQE O� OWtiEQ�� OWNEQBWIDER� iDATE� �p o. pa� BL S E �v i��v . i ; /rh nunN � � w��'� �'��'�' cl•rY or r�RIDLCY Al�l'I:IZ I I SINGLI: 1�AMILY AND llUPI_CXLS R-1 AND R-2 I3uilclin�; Pcrmit AP�lication •►islruclicm Ac(clress: Lc�;ai Descrirtic��i: _ _ )� �1-�'hn�s�on LI It;CUV� 1! 11 J�� G�� SS�-l3__Z b�� 6 � � UZ-0(o 7�' Owncr Nainc & Aciclretis: ./0��+��U��y��QQ ��h.��rsfan fr�o�/y SSy3aTel. �l 5 ------ Cc�ntrac;lc�r: ��2� •J MN LICLNSG lI_ 02/ � ------ ��=Q�� ---- � ---�---.--- Aciclresti: ��/ � �r -�� n _�� s• %a%O�S ��/ 5S y0 % Tel. �l �7 Z � ' � � Z � �� q LIVING ARCA: CiARAGC ARCA: UCCK ARrA: OTI-IrR: Attach to thi1 a�plication, a Cerlificate oF Survey of the lot, with tlie �ro�c�secl consU�uclion drawn on it to scale. Lengdi Length Length DCSCRIPTION O� ! MPROVI:'sMLN1' Widtli I Ieight Wiclth Heibhk Width H�;UGround Sy. �t. s�. rt: Sq. rt. Corner Lot ( � Insicle Lol ( � rt. Yd Selback Side Yard Setbacks _ 'I' e ol� Ccroslructic�n: S�c�n frFiT��sC�a j"�,., Estimated Cost: $ a 7,� %/�. °� 7 � w '� �Po a F. n 3 y PJ's -�'7y2, c-v rox. Complclion Date: _ � ( Cost on .Back ) �y9��- a' l�rive�v.�y cunc ��,� w;ci�n rvcccica: rc. -�- G rc = ��t x$ _._ _$ � ------�- llAT�: _ 8 /� �} 8' APPLICANI': Tel. /I %L /--� (v L � .. Pcrmit I�ce I�ire Surchar�;e .�,'i�ilc Surch�tr�;e S11C Char},e Liccnsc S�arcl�art�e I�rive�vay rscrc�w rrc�tiion Contral Park F�ee Scwcr Maitt Ch�tc};c. �1'OT/\1� STIPULATIONS: $�i�� :9� � /�;�� -- -- ------ $_ _��e' $ $ $ �. ..---- ------------ CI"I'Y 11S]L' ONLY ree Scheclule on Revetse Sicle � .001 of Permil Valu<<tion (1/ l Olh !) �.soi�i,aoo v��t�,,<<�on � $800 ��cr SAC Unit $5.00 (State Licensed Resiclential Cont� aclors) /11t. "A" c�r Alt. "B" Above $450.Q0 Conservation Plan Review l�ee Determinecl hy Cnbineering n�;rccmcn� NcccstiarY I I Nut Nccctis�uy I I � ' 3�z-�� Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE2-19-09 DATE t �`�..._ , �� SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT a,DD�ss: Co`"! C PHONE: � � � � YOUR E-MAIL ADDRESS ❑CONTRACTOR "Z ' �C3 7 CITY Permit No.: ( Received By: � Date R�kt�� C n�T � �(S' �V. 'ATE CONTRACTOR COMPANY NAME: 5 SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITN qpDRESS: CITY STATE ZIP APPLICATTON pHONE FAX ____ PERMIT TYPE TYPE OF WORK: ��SINGLE FAMILY O TWO FAMILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK � ❑ TOWNHOUSE ❑ ALTERATION/REMODEL vlhli �- �� -t�vt � `F�ESuA�ItE BakSED ON $10.00'PER FIXTIIitE; E74CEPT WHERE NOTED: FIXTURES: (INDICATE TOTAL NUMBER OF EiCCi��}_ .-' •.'` �,> >." _'. 'z PROYIDE TiEAT LOSS CALC'SpER 1klAl�tilAL J 2006 ASHRAE HANDBOOK _ . _.. ._ : _ , . �._, , . ,_,.. . _ Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEB7'U _A/C �25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEJOVEN 510.0� : _AIR' TO AIR EXCHANGEER S 15 _FIREPLACE (WOOD) $35.00 NE W GAS GRILL S i4 #i0 i '' BOILER 535.00 I�URNACE $35.00 GAS UNIT HTR �10.U0 .. _�HIMNEY L�IER $10.00 GAS DRYER $10.00 POOL HEATER $35iQ6 - � DUCT WORK $1:0.00 � _GAS PIPING $1Q:00 ' VENTILATOR SIS.OU " - THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which req�(res review,and approval of plans. � P� � C' SIGNATURE OF APPLICANT � ��i7�v��PRMT NAME �L v E�I, ��JxI � DATE � Z V APPROVAL INSPECTORS SIGNATURE DA' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING PermitNo.: ��L ��'�.� 'inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ,�,� 763-502-4977 FAX D�',Et;'Uc�� EFFECTIVE 1-1-2010 DATE l t~ io� �!, �► t� YOUR E-MAIL ADDRESS �.i� U F''�'Yl P fr�in I• m SITE ADDRESS �k� r�G� � i� E c N �. THIS APPLICANT IS: �IWNER OCONTRACTOR PROPERTY OWNER/ NAME: �� 6� TENANT ADDRESS: OG haS'I'Dr 1� N� CITY �1ri ��A�., STATE�I�ZIP tS�i �� PHONE: �n �� ' �p �n 1 � V ( � � CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHONE FAX PROPERTY TYPE �'SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDI1'ION ❑ GARAGE/SHED f�'JOJINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK Q SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTTION TENANCFJREPAIR ❑ REMODELING DESCRIBE WORK BEING DO . �n m �2 r2SS �n �,Q o1 SIZE OF IMPROVEMENT � h LENGTH WIDTH HBIGHT S Ff ROOFING p HOUSE ONLY BASE NT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUS6 & GAItAGE 1. Existing Floor Plan GARAGES ❑ A7"fACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, ID� ADDITIONS. 8c PORCHES SUBMIT: ❑ Vinyl �Soffit ❑ Aluminum ❑ Trim I• Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. �CS � Z u'PS��i . 2. Two sets of construction plans WINDOWS �t� �tC�l2sD 5 3. Energy Calculations IN EXISTING OPENINGS �Ces �Io LOCATION OF W[NDOWS �vc� —��,W jp��.�,-� FOR WINDOWS – PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SlZE OF �7f� MANUFACNRE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL NL�'L�'� AKL�' 13A51�'.11 UN YALUA"1'1uP{,1NC;LUlliNti I�HL�' C:uJ l ur LAISVx APII)1v1A 1 LKIALJ: �1(USING TH�,997 U.B.0 FEE SCHEDULE) AL JOB VALUATION $�, II� ,�, �� • OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $��' �j�j � 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) $ $+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ SZ'7-1 . Make checks pavable to: City of Fridiey Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confortnance 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 on(y 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 all work which requires review and approval of plans. enes DATE ti o� a�° �` a SIGNATURE OF APPLICANT ��ilr9'u� PRINT NAME ,�17N�"yY7PJf �_ C �� 4' � P�, � �a�� .rD e��. Cv ; �� o� `�. `f`� � -��'e,n.�" � �.�o o w�-5 � �o� �- s�� f� u��e.�� -�' i e$ �� (� I°S C".� �Z61L.T� t�"� 2-1V � + � �i� t ��i� � 1 � 7�� c� � . . � 1-�- �� ..i �- (�o�'�- u� ► ��.�s � �� ,�� .-� � �� Ca�, So �s � ��!b : u..a.� _ �� ✓� �r � GQ, �41J �� Z- ' : � , � ► Z� � l�S �-��t� : ro% co I �� . � t v � �� J � � �� g r$�, �,�,,e� S�`� t�DO �er��s � � Ss Ga. �-�� `�; „�.,�,� � � � ti 3� r/z n -.- c� uf � � v�-S � �O�i ,� x.v�,Y�— � ` �.o� �',��dle,� , �Yt N SS� 32-- Ce�l <1- � ! Z.- �o�- �1 C� � � 3b`` � 1�--- � B `` ---�� ,� 'l� �� P SS � /O z��D