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AF-W - 47656CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 (763)572-3604 FAX (763)571-1287 Job Address : �(� Legal Description: Owner & Address:� Contractor: Address: HOUSE: Length GARAGE:Length OTHER: Length Estimated Cost $ MOVING [ DEMO� ] PERMIT APPLICATION � �+�.;� -�j �� RE�p au� 21 zooe � r �_ : ,.-. ! � o .nn �n 1 . __, -„ � � � � ��I State License # DESCRIPTION OF BUILDING Width Height Sq. F't. Width Height Sq. Ft. Width Height Sq. Ft. Approx. Completion Date CALL GOPHER STATE ONE AT 651-454-0002 FOR Moving Route• APPROVAL(S) REQUIRED PRIOR TO ISSUANCE: ❑ Bldg Official Conditions ❑ Engineering Conditions ❑ Fire Marshal Conditions ❑ Water Bill Paid: Yes[ ] or Collect[$ Tel. #�[9,� S�t-�7�(� Tel. # Cu. Ft. Cu. Ft. Cu. Ft. LOCATIONS. CALL ALL ��4;�iL�Ki� ]Signature The undersigned hereby makes applicadon for a pernut to wreck/rr�ve the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declazes that all facts and representations stated in this applicarion aze true and correct. ALL DEMOLITUN DEBRLS, INCLUDING FOUNDATION & SLAB, SHALL BE REMOVED FROM SITE. 1 ��a� -�� Date Signature Movin� Principle building into Fridley . . . . $300.00 Accessory building into Fridley ...$ 42.00 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 Wrecking For each 1,000 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: D V•�� MINIMUM $20.00 � 5C� ��UY�� Office Use Only: SAC-D form completed Effective 3/29/07 � City of Fridley, Minn. BUILDING PERMIT Date: . ../�!..- �. 6 . .- � �....... Owner....................................... Address ...................................... i N° 3510 �� . Builder O�./ . . . .�.�"!a�.'.'�. . . . . . . . . . . . . . Address...G�� ................................. LO�CATION OF BUILD[NG %� ,/�� No. . ✓. . �. . . . Str�et . . . . . . . . . . . . . . . . I�.�lFiJ:'. Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . Lot . . . .g. . . . . . Btock . . . . . . °� . . . . . . . . Addition or Sub-Division � . . . � . � i� y �j �� " `'+" F : (r % � _ Corner Lot . ..�.. .. .. . Inside Lot . .. .... ..... Setback'�� .. . Sideyard j .... .. .. . . .� . .. .. . . �AS� j �s �-' DESCRIPTION OF BUILDING To be Used as: � Y � .� � . �,��:��.. . ��t .��y. �� a� =. � H�ght ,�. �'- �'� sQ. �.1.��. �. .� �.a a.s� Front ..... ... Depth .... Height ........ Sq. Ft. ........ t,i�. Ft. ....... 7�pe of Construction . . . . . . . . . . . . . . . . . . . �s� Cc��o�� '��. `P. y � . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of tihe issuance to me o! a permit to construct the din de above, I a�ee to do the proposed work in accordance with the descrIption above set fo o ce with all prov3sioms of ordinances of the city of Fridley. �... ............................. %� In consideration of the payment of a fee o! $%�! ..'��, pernut is hereby granted to ..... .. .... .. .. .. .. ... .. .. .. .. .. .. .. ... .. .. . to construct the builciing or addition as described above. This permit is grattted upon . the express condition that the person to whozn it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanoes of F�idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � `".�/�t . . .- . . . Building InspectoT /< � NOTICE: This permit does no4 cover the construotion, instailation or alteration for wirinp, plumbin�, yas heatiny, sewer or water. Be sure to see the Buildiny Inspector for separate permits for these items. s • • • City of Fridley, Minn. BUILDING PERMIT Da�; _,_, June 22�965 �f�� N° '7987 O�vner. �.. Mr. & N1rs Roth ��r _� Ron Jon�Builders� � Addr�s __ ZOO��ennaston �e .$,`�,�,. Ad� ` 8516 Xenia Ave._So. � LOCATION OE BUILDING No. ..._.. � 00.�.... Street Kennas t on Dr ive N. E.� _� p� of Lot Lot ._.._.. 9 ._._.__ Block __._. ��..—__�._. Addition or Sub-Divisian Brookview Terrace Corner Iat � .___.. Insid�e Lot Setback _.._._ Sideyard Sewer Elevatian _.._._____ � Foundatiau Elevation DESCRIPTION OF BUILDING To be vsea as: Fromt ._.._. Depth Height .— Sq. F't. Cu. Ft ._.._...._ Front ..� Depth ILeight Scl. F� al. �`!. Type of Construction ._._.. _ Es� Cost —.�� a..�......__ To be Canpleted Storm Damage Repair In cwnsideratton of the isauance to rne of a permit to co�struct the ding%" abowe, I agree to ao the proposed work ia accordance with the d�scription above a�orth/.��in ' ce with all provisions o[ ardinanoes o! the city of Frid1eY• � I /, In camsiderati� of the paym�t of a fee o! � 10_, �_ f._.., Yis hereby granted *� ROn"Jon Builders to c:odstruct the building or addition as descrlbed above. Thispe rmit is granted upoa the expresa conditfon that the person to whom it is granted and his agents, emPloyees and workmen, fn all work daae in, around snd upm said buildin8, ��Y Part thereof, shall conl�m fn all respects to the ordinances o� Fridley, Minttesota regarding locati�, c�struc:tfon, alteratio� maintenaac:e, repair and mo�+ing of buildinga within the dty limits and this P�t m�► be revoked at anY t3me upan violatfon of any of the Broviaians of said ordinancea Al1en Jensen 8�8 � NOTICE: 11� p�nrit doM eot eew� 1h� eon�udiey 6ublltlies �x vrMi��, th� dvildiay luy�elsr ior s�p�raM p�s fer tl� ��nn. � . . Op ��Y. �ww a wabr. !� an te �w APP'LICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNSSOTA OWNLR' S NAN� %/4 � . % � � BUILDBR (. �� Annuss �c�t �,�,�,�� ,C� ►- � t�nnx�ss � �3� � i��.�..� LOCATION OF BUILDING No. Street Part of Lot . ....__. � LOT BLOCK. .2 ADDITiON OR SUBDIVI3IOIJ��,r�,u" ��,��.mut.' � Corner Lot�Inside LOT Setback �Side-Yard SBWER ELEVATION FOUNI3ATI0� ELBVAT�ON � Applicant attach to this form Two.Certificates of Surveg of Lot and propoaed building locatiori drawn on these Certificates. � _. DL3CRIPTt BUILDI1r1G To be used as : �'�� ' � "Front Dept �_� Height.. Sq. Ft. Cu. Ft. i�rcmt Dept � Height Sq. FC. Cu. Ft. � Type of �aaistruction Estimated Cost To be completed The undersigned hereby makea applicatiau for a permit for the work herein specified, agreeing to do all work in sCrict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares thaC a�i1 the facta and repreaentations stated in this application are;true and correct. � 1 . . � DATE � c�C - G .3 � (Schedule of Fee Coats can be found on r� LJ ��' .� - --�" er�Side). � � � C� . City of Fridley, Minn. BUILDING PERMIT nat�: ____._. ��_$�65 Owner: _ Gazg 8. Rothe _...._... Builder �._ Shtssel_Garage Go..: � � � � �� N� 8152 A� ._._,.�. Kennaston Drive N. �. �_ Adc�ess �0 Como Ave. _St. Pa�1LMir�n.. LOCATION OF BUILDING No. ?� .�. Street KeY�188tOA Dri7e �. E.__.__..___._.._ Part of Lot __._._.. Lot _._.._._.�.._..__ Block �..�.__�_ Addition or Sub-Divisi� B=�� T6r1"8CC Corner Lot �___.____ Ina3de Lot �.._._... Setback _._.._.._...�.—___ Sideyard — Sewer IIevatiaai ..._.._._.._ ._._ Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: Det. GB�x'8g6 Fro�nt _..2�._.. Depth ...,_� Height .�,Q�._.__ Sq. F't �_ Cu. Ft ��gp PO�.____.. Front 8 Depth 20 ��,t l0' Sq, �, 160 Gy,, �, 16� Type of Constructton FT3�8 ._.._ ._.. Es� Cost��.�.1 ��...._..._.___._ To be Cognpleted Detach�d Garage and Porch In consideratIon of the issuance to me of a permit to ca�struct the building described abave, I agree to do th� prop�ed work in acc:ordance with the d�scription abave set forth and in co�npliance with all praviafons o[ ordinances o! the dty of Frfdley. /� ,�-Y � — , �j � /�'1'tf-!� In ca�sideration of the payment of a fee o! �?•� -, pernnit is hereby 8ranted to �88�7. (�81'Sge Co. to c:onstruct the building or addition as deacrlbed above. This t is granted upoa the express c�ditiott that the person to whom it is granted and his agents, employees an worlQnen. in all wark done in, around and upon said building, or an�v part thereof, shall ooaform in all respects to the ordfnanoea og FridleY� Minnesota regarding location, constructi�, alteration, mainteaance, reP� ��8 of buildinga withiu the dty ]fmits and this permrt may be revud�ed at aqy time upan violation of aqy of the provisioas oi said ordinanc;ea. A7.18A JerlB@31 B��S � NOTICE: lbis p�naif doa ae1 eowr 16� eonNro�Noe. tn�allNien fx vrMip, P�Y� 0� 6w1i�, swrK ar wNw. d� swr to sN fh� 6uildioY �n�p�elo� fo► apralr P�ra�Ns for tMN it�ss. � . . .. APPLICATION FOR BUILDING PERMIT , CITY OF FRIDi.EY, MINNESOTA � . , � . � OWNER' S NAME ��y %� ' IZo �F1e. BUILDER c�✓ s S 2� �4 r+- 9t.fl � o� � ADDRESS �o o /�C"e h.� a s� c�r. � r�.r.�, AI�DRESS (8' 3 0�' c+r,.� o�,_ c�''f (�`}"�,l _ LOCATI(lid bF BIIILDING N0, $TRE�T � � _PART ;OF L0� . . LOT � BLOCR � ADDITION OR SUBDIVISION �ti-��rL�-�.�.�-'-" �� CORNER LO'T INSIDE LOT SETBACK � SIDE-YARD �� . r:. ' SEWER ELEVATION FOUNDATION ELEVATIOP . Applicant attach to this form Two Ce'rtificates of Survey of Lot and'proposed " building location drawn on these Certificates. D$3CRIPTIOR OF BUII.DIPG, To be used as• ' •' � .. <�. ; ��--� a.� � �l � a-�- �y� Front_ a4l Depth �- � Height '° ---• _� Sq.. Ft. � i°�-,�` Cu, Ft. �5 � o�-. � � . � � ! - —T—r+r--- _ � 0 r c�_ V �'' . Front � � Depth� z`�Height�_ . Sq. Ft. � �_ o Cu. Ft. � � ° '� . _ _ _ � , Type of Construction i`a,-,-, .�. Estimated Coet / 9 0�', o:� To be completed G,e �s.y S � . The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley flydinances and rulings of the Department of Buildings, arid hereby declares that all the facts and representations stated in ttiis applfcation are true and correct. DATE_ � � � y � - ! 9 6 � SIGNATURE �' - - (Schedule of Fee Costs can be found on the Reverse Side). � w � _ . - i � a � � �. .�. ; ._ . ��_. _._:�i � ' ' ~.� LOT N BLOCK ADD'N. ADDRE55 AREA :�/ ` ` " - S�ZE 14x zz Ga.�z . Sx Lo Po2 VALU� �4�5�� , TYPE i i �'�L�aI.EY i �.n�►wwsd� �a�1�l�►'�vz+r0 -- �-�- � � �� -- ' �.o , ,'�Z - �- LI 1 '� � Z � ? � 0� � � } � �'� � O J �,1j J � � � � � �W �n d � � � � � a I � � {� w � o y a � G i 1U J -�• F+ � I d v � � � � � v M � � �� _� � � � � � � ..z� J 3sn o� \ \\ 4 t 1 \ „�i z , �1 �°9��'S a�`''�� o� �-yo�1 S � - �-�- ` � �� , � � sus�ecr MIT NO. City of Fridley � 14622 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT . � • COMMUfVITY DEVELOPMENT DIV. � ; .: ----- � `�%4 Q r � � PROTECTIVE INSPECTION SEC. 1 . � l___-� � ��;,� CITY HALL FRIDLEV SS43Z NUMBER REV. DATE PAGE OF APPflOVEO BV Z 612-560-3450 910-F15 4�'7�']g � � JOB ADDRESS 7Q0 Kennaston Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herman Mutzber 700 Kennaston Drive N.E. 571-4796 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. same 4 ARCHITECT OR DESIGNER MAI� ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCfiIBE WORK � 9 CHANGE OF USE FROM TO STIPULATIONS iIVARNMIG Before digging catl locai utilities TELEPHONE - ELECTRIC - GAS Etc, sE�Rq� PERM�rs REQUlRED BY LAW HEA7'l�IG, P�tJM81N� AN�UIRED Fp� �tRt11tC�, U S-�GNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED 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 READ AND EXAMINE� THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TFUE AND COfiRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-i OOO $. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. � $7•SO PLAN CHECK FEE TOTAI FEE yi`$. �� SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT . I ��CJ{/L.�.JLJ � � �SGN � EOF ERIIFOWNEFBUILDERi IDATEI BLDG INSP DA7E . . C � ��' U�� !� l l)�_��Y � , � " !+`t'I'i..; C/t�1�I Ui; f�OR Rf:S I))(�r��i� I,'1l_ I�i; I �_D i ilt; ('CR(�1I T> . ' �s�I._1��, ��L1�I.�iZ/1TI(:(;�, ii;:�i)i�� luid'.��, �iZ �iE�f'�1RS) OV;I2�R: r � �,{,-�� J3UILJI.l2: �� T � �aa�:��-:, : 7 �� P�. -1.r� a.;� �ow �Zr., naar��-� : �•��. r.o. ��l' '�75 � �� No .:� 'l 0 G � s t r c� e �:-1��11soi�' o�____�r rox: _°1__, f;I�OCY,: �_�, , 11DUITIOi1: �ro o k �� e�'�•_..�s° ►'r6--�_ CO22NF:R LOi': � TIdSIUE ICJT: S;�`i33R��Y: STDLYI�RDS: Applicani� attach L-o L-his for.*i '1\•�0 _Certif:icat`c> of Sul-vey of Lot and prot�osed bui�ding location drawr. on these CertiLa.ca;,es. . DESCkI PTI!�fd Or �3UI LDI i�G To Fse Used As: �'�L�I Z C1��•J� Fror_t.: - Depi h: �� . Height: ---"""' � Square Peet: _�_r% �Cubic Feet: rrort: Uepth: � Height: � Square Feet: Cubic Feet: � 'i'ype of Construction: F2r��r� Est�maL-ed Cost: $ 1��•�d xb }3e Completed: �_ yy►U__�� Alt. A P.lt. B Proposed Drive�aay iti'id'4}z If IQew Opening Is Desired $ $ (SrJ: 1Z�VERSE SIDE OF SHEET) The undersigi�ed hereby makes ap��lication for a permit for thc w�rk lierein specified, agreeing t.o do ��11 �.�cri: in strict acco�:dance wit-h tlie City of Fx'idlcy Ordi��:,nces and rulings of tl�e Densri:ment �f Buildings, and hereby declares Lhat all tlie fact� �u�d representations stated in L-his applicai:iott are t-rue and correct. Se� rever�e sicie for acldiL-ional inforn�ai:ion, DATE: �S - � — % � SJGNnTUFI:: _ � Stipulatio�is : � ' / : �� , � � •cj ' V ` � � .C�r; ( � � p ♦ 0 n ;• ;� ,; � � � --•►.—_ � ��--�--�-�i ' � i.�. �. _ � — - ..� � _ , ► � - �� -------- — — T_ . % � . � ' � ��.^.''-,:1 �1.c.:._Y.,.�.:;�.�at�. � � I . . . . � - . . + � � � � � � ! . _�.. .....,�� i . . . . __,.,�� . .�._�� . . ___ _ _ �---__ -� - -•=--- ---_ ---"�. . ~ � �� ___ -- _----� _ _--- -------- -�--------- --- --- - - ---- _ _--. _._:___N (; y .- s_.. _ �___ _ .�_. ___ __ ^ ---.�.�,r.--_-- — - _ __ � � . , .. --- --- --:--� _..._---_. _ �� - — - - -- 1 - ---- ;� -- ' — _ _ . :__----- ___ ___. _ . ---- . _ - _ -- --------- . _. _ _.. _ _ __ - — -- -- -----.-..._ _- --- ------- _. _ _ � . ._ _ ,� . � �� g ,/� . _. ---_ _ I r- __ -- . __ _ _----- ____ �„°� �-�%�G•i'�� ' - -(� _- - -----_-___--- ------_ __ _ � I `�.�.J � - ;� ---------_ _ _ _ _ _�. .--__ __ __ - - --__-- _ _ _ ___ __ .. _ _ _._ _ __ _ _ _ __. ._._________--- -------------__ _--__ ______ ___ ,----- ;; - : _ _ __._ . _ _ __ ._ ___t._.___ _._.__ _ __ ---- ;, ;, ___ ___ , _ -; r--___ _ . _ __ _ . _ _ __. __ . . _.. _- ; ,, . , ' .,,� . : . ; • __.__-_.___. ... _ _ .. �.�.-----�--- .�"""„�„-.W.�,.,,,. __._.. _--------- _ .___.__.._ _ __--------- - �-. ------ � - . --- — _ -___-_-.__.-_ � ' ♦ .._..__.. ..... . .___'.:--.�....__..._..._ . ..._.....__._-___.....__"_.._.._�_._'_ _...'__..____'._'__.__._"._ _-.___...'_.'__'____'___._-.____._.. _..._____'^_'_._.'._._.._._�_._.___...__"_'__.�. ti _ _ _ _ _ _ _ __ _ _ _ _ _ _ . _ _ _____ __ _ _ _ - __, _ _ _ _ _ _ _ _ ___ __ _ . _ ___. _._ t i �' � � ----- __ -- _— - -- -- - - -__ _ __ _. - -.. . _ _ _ _ _ -- _ ___ __________-----. --_._______.._. ___ __. - --___._ .--___ .____.-.------- � _. . _ ___ __ _ _ ___ __ �Z_ � _ _ij _ _ _ _ _ __ f �� -� � , �� ; _ _ _ __._ __ _ __ ___ _ _ . _ _ _ _ ___ _ _ _ .___ _._ _ _.__ __ _ _ __ _. _ ___ _ _ __ __ � � �:. ,� � .; _____ ___ , __ __ _ _ , - _ __ .. ____ __ ___ ___ __ _______________ ___ ____ ____ _ ____ _ _ _. _______ _ _ ____ _____ � ,, , . �. . , ; ._____ ______ _ ___ _ ____ ______ ___ ________ _ __ ___ _ ___. _ __ __ _ _ �, _ _ _ __ _ �.____ ___ _ ___ _ _ __ _ _ _ _ . � � � �• . �� A � . . __ . .. � . , : � ,�_.`` �. . . . .�w ._ . �, _.__. _... ._.____'_...... _.�'__ ..__'._______:____.__.._..... .__ __. _ . .._.. _ tt "�_�___ _ ..._"__._'_'._."__._"_—_____"_____'__ '___ �'___._'_._ '__.� . .. I . . � . . ;i J � ` \ ' . 1 ` � '___."' _...'—_"_____�."��_.�._..'___'.___�_'.. .."_� __'_'—._ . _�_—_--1--"_._ _ �._' �.. ��'� �.._... �_' . _.__�. ' _ = . _ � _ _._. , ._. p ', � _. �. `� f _ � — --------- ---- — ----��---�---- ;� —=T .. -- �. � � ' � � ----- if — —= __. ___..�__. _�.--- --- f � � ' � — Q —o —�— � � — — — -r � .T . . � E J � i; s_• . _ .. o . —� ----- --- --------- - �--�---�- —.._ .. - -------- --- - ; ----t LC � s � �' n �i � ��.�.�_, ' • �-__ � �___`--=-=� � li _ _....._ - � �_ - :, � �� -- ; -.�T _ _ � � '--�---- � � + _ �.Y_____.. — . — �---- � � � � _____ � � � j } c. _ �...�. � __ -- -- —'--�—�f---�-�_------- - � _ i � ----__.w�. � �: ; � 1 N t': � �� : f � i i _._.. _— -- --- ---- � � x � ; i i � _-� � l ----- , . r. ` .— � , __ . � _ .___. 1. , 1 : � s `� Z-. __—_-----•_._— � f ' ` . � � ' � f ; . , • .: __. .,. t__.---- _.� . — 1; i _ • " - � � `ti. j � _ . ; .� � Z� � _ Q i _ --�. E � ! � , I �. : '� __ _ __- I _ i �; �, ;� �. ; � � � i { i ._-.��.. ..« ...... .........__��_�_�_" ..��..�_ .. . . . . �� 1 � � i .v.�.��..�-._._._.._...��._._ _.._�_.. .._� .�. ___.____.__..___�_�-y.t_. � � �� I: ..__._,__.. ._.._..__.._._._ � � � . _- --�._._e��` — � ! j- 1 t i �� r . ' � � � � 1 � j �_I__ ' } t I' � � i '� I f '� � � � - ------- �- � � + - -_-__� �. � _ `__' � '' � r � _ , Q. _ 1 � � � R. . . .. .. . . ' � . . .' . ' . . .. ! � � � ' • 3` �r _ �� S � �.�� . � � . . _�_ ... .. r. . � . � . - { � y . � � ! r .. � - . . ._. ; ....��.�-. ` ..�_ ` i - � - � . . i� � � . - � , - 3 ` - } y ,.. � , . . . . ' I � ! �p { - 1 Iff� � , _ � _� �s�� 7� �� _ ...� __ ._ ��M} —__ � �� _.,.,_ +�w � � �� 4, /� � � rr�.. �� _ � � sua�ecr PERMIT NO. City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I r � � RECEIPT NO. � ; L _��_ COMMUtJI7Y DEVELOPMENT DIV. � �Q r � PROTECT�VE INSPECTION SEC. � � �` � �'�"1 � CITY HALL FRIOLE� 55432 NUMBEH REV. DATE PAGE OF APPROVEO BY ••�'_� � ,•� 612-560-3450 910-F15 3/27/79 � � JOB ADDRESS �00 Kennaston Drive N.E. 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Brookview Terrace SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Mutzberg 700 Kennaston Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite Way Waterproofing 7337 Lake Drive, Lino Lakes 786-0550 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUI�DING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install drain tile 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WfTHIN 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEFi WORK IS COMMENCED. NO. DWLG. UNlTS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S3 �lOQ y51. SrJ OOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $21. OO PLAN CHECK FEE TOTAL FEE �'�\ � � -1 $22.55 SIGNATUR FCON� CTORORAUTHORIZEDAGENT �oarE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �_,� :, : C1�tJt.e� l�o-� � �2 7 SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG iNSP nATE � � CITY or- FfZIll�cY APPL.I C�TI OP� FOR RES I D`NT 1/1L BU I i_D I NG PERf�1I TS . � ' (IVCW, �LTER/1TIONS, �DDITIONS; OR �EPAI(ZS) ; �, l/ � ,,p ,I, A 4Wt7ERs V1' ,, UILDER: � � v w�(,. '� - � � � -- _ _ _ _ _ _ _ . _ . . � . . �►ddress; ��% `��P�VI,n�G �I'-�lh nr- �lddresse �,�.�,� / �, � �I�l (�� ---_ _-------- __. . - -- --- _. _ _ _ _ a__,- �Tel. 130. �� - O`�Sh. _ � }�10. , Q Street: � (/� _ --- ----- -_ --- �=a--�� %-�, �.� � �,ar; �oer.: ---- ---- �DITION: -- -- • --- � ---- -- - . . -- - ---- - �. ._ � _.____-- COItNER LOT� INSIDE TAT: SLTB�fCK: SIDEYARr►S: ------ - - r=- --- --_ __ ._-- �lpplica'r�t attach �to this fozm �ro Certificates of Survey of Lot and proposed • p�ilding location drawn on these Certificates, . � �ESCRI PTTOPJ OF BUI L�i t�G � � � �b �e Used i�iis: ' � . �L�1V1, 1��. �'ront: �Depth: _ �Ieight: �_.._------._ ------ ---- . . _. . ------__ .__-- -- � �� _�--....�._ . Square Feet; �t,ibic F'eet; Fzont: � flepth: � �ieiqht: ' �quare �eetz � C;ubic �'eets � • �i�rpe of Construction: ��--�y� p�^�� stimated Cost: $�% � Q - - -- -- - -- -- ---,-- - -,�_ _ — - ._.a .. _ ---- _ ",�b Se C�mp3e�.ede � ,�''- - - _._._ __ . __ ��—_ _ -_-- Alt. A A_it, 8 _ _ . _--_—� '��oposed Driveway inlidth If New Opening 3s Desired $ $ • {$EE R�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein s�ecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances�and ruliz�gs of the Department ot Buildings, and hereby declares that•a11 the facts and representations stated in this application are true and correct. See reverse side far additional information. .�TE: _�`z,�- 7 SIGNATURE• � . ¢tipulationss . �/� � � . /- �s � � a�.� �� .. � sue�ecT P M c�ty of Fridley o 410 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � ;�- a � r i � PROTECTIVE INSPECTION SEC. D 9 � . � l.-_-�,� '��1,,� CITY HALL FRIDLEY 55I32 NUMBER REV. DATE PAGE OF APPROVED 8V i 612-571-3450 9t0-F15 5/5/86 / / JOB ADDRESS 700 Kennaston Dxive N. E. 1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 i BrOO�SS7IEW T@Y'Y'dCe SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Hemian Mutzberg 700 Kennaston Drive N. E. 571-4796 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO_ Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE UCENSE NO. 5 ENGINEER MAILADDHESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WOF;K O NEW � ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOHK � Construct a 14` x]� 'I'hree Season Porch 8ddition 9 CHANGEOFUSEFROM TO STIPULATIONS W�QA�'�TF !� �U�A�� '�'�' �F,� r,��'TS �E Before diggi�� c��t {vca� u#�liiies ��• P<<jM8f11RFD FO TELEPNONE - E�E�TRI� - GA� �ic. IV��flS REQUtRED BY LAV1+' �NS, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK Ofi CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED 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 READ AND EXAMINEO THIS APPUCATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED "�� 7 WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PEFMIT `��g 4 500 �X'X� $Z.ZS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PFiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SO. SO PLAN CHECK FEE TOTAL FEE $65. 3S � 12.63 ��X SIGNAIUAEOFCONTRACTORORAUTHORIZEOAGENT IDATEI WHEN PROPERIY DATED THIS IS YOUR P� MIT .; v � � i NATUREOFOWNER�IFOWNERB DEF�1 IDATEI BLDG INSP nHT NEW [ ABDI3. ] pLTER. [ ] City of Fridley 1 � R-1 AND R-2 � Building Permit Application �j Effective �/1186 Construction Address: �Qa ,�i°�NQ. S T�� x' Legal Description:�_.9 � �>r� � � ��'��d��>>��°�� T�°1��'O-�t° Owner Name & Address : %�err� � h � 1,s r,/. �fl j� �, y`2 b� r_ n___ Tel .# g 71-y7 9� �, Contractor: /'�cx.t�s� �nr Tel. � Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �� Length l y-�t Width Height Sq. Ft. .14b Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �,3'� � t � '� ` � �% S'ZS �. ,� Corner Lot [✓] Inside Lot [ Ft. Yd. Setback Side Yar� Setback Type of Construction: Estimated Cost: $�� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ � See Back Page for Explanation DATE: �p�� '� %�� APPLICANT : Tel . � :S7%' `� 7 l".6 CITY QSE ONLY Permit Fee Plan Check State Surcharge SAC Charge � Park Fee SeWer Main Charge TOTAL STIPULATIONS: � �� $ � ��a . ��3 $ '�i �:�� $ � �_� $ �1 � Fee Schedule on Reverse Side 25� of Building Permit Eee $•5Q/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary. [ ] Not Necessary [ ) (,� �U �.a o a-- �J,� 3 � ��— ` ' $�'S� ?av � � � �� ,� � /t �� /�,EN iV /9- S TO �J . � � � � ,. � . w� � %/2�- f4.? � /� �� ryl c:i t �'-- �Fl�n�r� �J %%�/7' Z.� � /� �. �o0/�F �c1 N�9�'?0�/ S7I- 7 �� s t, �� `i , :,�j'1+ � ��/ _ 4- 9'� � �..�� r— . + . _ ___. .__ . -- � : ____ _.--- -- -_._ _.._ --. _ _ _____ _ . . _ _ � .. _ . . . _ _ . , -- ��r �-- �+- o�. _ �C�J s � � .; "a ��P� � 1 ;•�` _ _ .._.� . ry.r+ '� . . � � . ._-.- � � T , -- �� , �, ,. ; I' ,, '�� ; ;I , �; , ��,��,Zx , ;, o , ;. �/ �� ¢T � '� 1� _ -- --- . Z � � �� r' . ....._ :.., . _ . ... . _.. � . . . �.._.._.� . . ,_�� . ..:� . ... .. . . . . _ �,. •. . '^ . . � " .,: � ' . . . . . _ . . . _. . : _.::._ . .-. -_ �z�Zx,� ►.��a�,�. _ _ _ _._ _ ___ _ . - __ _. _ —� �r. r _ . . .__ ._._,. . , __ __. .�_. ...�_.__.....____ _ �.��- � � � ► ► i o I � , ___ .._- � ; ; i _ �_. .� � � , � ! � . ._:�_ '. � . � 1�11r1::av �oo / � i� � --_____ _. � � � �--� ��_ .__� � I �p�� I � '`�L�`' _ __ _ � rl._'_ :�,,_�_ ► � � "�`'z X i 4 ` _ � +, , ! I , 1 ,,� L " � I "I a < . � ;.. �� , __� � _t.Z. .r. _...._ ... � ..._.___.�_ _._. k # W►NOd'�� ---- �� _:_ . __. ��i ; � 1 ... �__ ..._._.. __ 16•0. G. -. ,�„�,.,,,.�.__ ' � 1 � o , C� �ti�i _ `��L / � c. � '�� - � �„� `�� ' 6 a,� n;.: _'- —_.�"_.'_�-_: =! ' � ' =✓ � __..-�-- � ---_ _� _ . __�.. __ ,_.._---__ � �---�-�---�-.---r�__,__�, ____� , ;. � .�t . � � 1 � �? ,• , �jr , � v_ � � . ,. 5 ,� • � E \ ; • : --- ;' � cj .. . ._. . . ._ . . . _ ., . � `+ . i! i� . � p V ' / V � f � / —� � � �_.. q r t • �{ $ � i� � � i � � .9 � �� 1 _ j . , ., __ _... _ � � _ _ _ _ 1` . _ t. 1 _ _: -.,�....,._.-.___._�_ _ `, �1 � �y � � � � � � �� +: � � i �► a ��; v t � � lJ O � � � � ! \ ; � . _,,.,.,_,�.....��..�a.� . ++�.��Y . _._.. . . . . ':-_.e.. _ � _ � � �u . ' � i 1 j -- �'" _ '— � ; ! ; _ _- - . i ' , : � , . � :tr � SUBJEC� c�ty of Fridley � -� � -� 3 � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � RECEIPT NO. � � COMMUNITY OEVELOPMENT DIV. / r � y I� PROTECTIVE INSPECTION SEC. /�� ' (J � � ' � ��1 � CITY HAII FRIDIEY 55432 NUMBER AEV OATE PAGE OF qPVROVED BY �"""�"� ,'' 612-571-3450 910-Ft5 / / 12/7/95 J08 ADDRESS 700 Kennaston Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE A7TACHED DESCR. C� 2 Brookview Terrace SNEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Herman Mutzber 700 Kennaston Drive NE 571-4796 3 CONTfiACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. North Central Builders 7401 42 Ave N New Ho e MN 55427 533-6168 3763 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE Np. 5 ENGINEER MAIL ADDHESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WQRK ❑ NEW ❑ ADDITION C� ALTERATION �I REPAIR O MOVE O REMOVE 8 DESCRfBE WORK Reside house/garage; install bow window in existing opening 9 CHANGE OF USE FROM TO STIPULATIONS TYPEOFCONST. OCCUPANCY GROUP OCCUPANCVLOAO SEPARATE PERMITS ARE HEOUIRED FOR ELECTqICAL, PLUMBING, HEATING, VENTILATING OR AIF GONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PER100 Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TH�S APPLICATiON 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SUiiTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK W�IL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. 7HE GRANTING OF A PERMIT �9�000 ��F.SO DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �I�F9.7.5 Fire SCi �9.00 PIAN CHECK FEE TOTAL FEE License SC $5.00 $168.25 S�GNATU�7E OF CON'FACTO�:OF7 AUTHOAI2ED AGENT IDATEI WHEN PROPER�Y VA�IDATED THIS IS YOUR PERMIT _ � � ' � � �.��-�'�' S�GNATUREOF OWNEFNF pWNEABU�LDER} tDATH � ,� .L iN50 � ��FTE NEW ADDN ALTER fl il � Construction Address: Legal Description: _ Owner Name & Ad Contractor: �,C � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Buiiding Permit Application Address:�� o? A/a� ��E� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: z �/e ��5 . , � Effective 8/ 1 /95 ' �I Tel. #�"��g�O.— MN LICENSE # �j %�0 3 ��a�_Tel. # �`33- d /6 � Attach to this �pplication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. , Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width si �f�+B . Height Height Hgt/Ground . . � _ ._ Sq. �t. Sq. Ft. Sq. Ft. � ��is m ' Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $_�D� D''� Approx. Compl,et�c�n;Dat� ��',�"i�`"�`�' 4 ,��, � -� �r - � ? - .� -- ;. � � _ .. --� ::� � + ;, � 1: r �?w�, � i, ,",�� . ,.„ .� . •_ � �P" ( Cosi on B`ack j } } � Driveway Curb Cut Width Needed: Ft. + = Ft x$ _$ DATE: /--,30 �S� APPLICANT: � ,� Tel. # .33 – 6/�� ('ITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $-�%� 7`� $ .OU $ � 5`� $ _ $ �.8� $ $ $ $ TOTAL -�-- �� /��5 �s STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $850 per SAC Unit � $5.00 (State Licensed � �j -, ��'( Alt. "A" or Alt. "B" � � � �' �� $450.00 Conservation � Fee Determined by Et Agreement Necessary � �f� s� ��Z'�� I I1 t , ,,,��itE`��,,1 StAtE OF MINNE$01'A ' "�� DEPARtMENT OF COMMERCE : `,0�;, � � � k,'q.�C; `., �';.'y� =�� 4� , 133 Esst Seve�h St ��'��,�� ~�� SL Pnul, MN SS10� y�,., i,. � (612) 2%-6319 U�'i�� '� �� BUILDINC} CdN't'RA.CTOR ; ,. ,!L ... x.�� , *�� ,: ,, ID#3763 BUILDER INDIVIDUAL PROPRI�TOIt ' �Xpites: 03/31/1996 , ROBERT C3 NORCROSS _ 7 firs GE dne by 3i i156 DHA: NO CEN1'RAL BLDRS ?401 42ND AV� N ; NEW HOPE MN 55427-d000 . -fN1543 . � . � . � . �. . _ . . . . . .. . . . . . � . . � . . . . _. . . � � . � .. . .♦ �. ^ �. �; � . .. . �� . . � � . .. � � _��_ . SuB�ECT . City of Fridley 2 9 3 34 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIP� NO. � ; y �� COMMUNITY DEVELOPMENT OIV. f � � PROTECTIVE INSPECTION SEC. i f�� 1 . , '"� i_--•�; �"' �•� C�TY MA�L FRIOLE� SS132 NUMBEN pEV O�iE PAGE OF �Vn�OVED Br i 612-571-3450 9t0-F�5 4/28{99 / / JOB AODRESS 700 Kennaston Drive NE 1 LEGA� �07 NO. BLOCK TRACT OR ADDITION SEE ATTACMED oesca. g 2 Brookview Terrace SMEET 2 PiiOPERTV OWNER MAIL ApORESS 21P PHONE Pauline Mutzberg 700 Kennaston Drive NE 571-4796 J CONTRACTOR MAII. AOORESS ZIP PHONE LICENSE NO S aIIle l ARCMITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI� AO�RESS ZIP PFIONE LICENSE NO 6 USE OF BUILOING Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION L� REPAIR O MpVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS UnderlaymenC must comply with the State Building Code. • CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:04 pm on Saturday; 13o work on Sunday. tYPE OF CONS7. OCCUPANCY GROUP OCCUPANCY �OAD SEPARA7E PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING, HEATING. VENTIIATING OR AIR COND1T10NING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION IONING SO. F7 CU fT AUTMOR12E0 IS NOT COMMENCED WtTHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOE� OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANV 71ME AF7ER WORK IS COMMENCED. NO DWLG. UN17S OfFSTFEET PARKING I HEFiEBV CERTIFV TMAT I MAVE REAO ANO EXAMINEO TMIS APP�IGATION ], STAllS GARAGES AND KNOW THE SAME TO BE TRUE ANO GORRECT. ALl PROVISIONS Of LAWS VAlUAT10N SUR7AX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILI 8E COMP�IEO WITH WMETMEii SPECIFIED HEpEIN OR NOT. TME GRANTING OF A PERMIT $2� 142 �1 .O7 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL ?ME pEqMITFEE SACCMARGE PROVISIONS Of ANV OTHER STATE OA IOCAL LAW pEGULATING CON- STRUCTION OF TME PERFORMANCE OF CONSTRUCTION �74.75 Fire SC �Z. L�F �LAN CHECK FEE TOiAL FEE $77.96 S�GNA UQEOFCON'A�CTOAOA�UTMOA E �O�rE, WHEN PROPEA VALIOATED TMIS IS VOUp PERMIT r � � � $�GN47U�7EOF�WNfQ��FOWNE�iBU�I ER� ��1i�E1 p(� �NSP �16fE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Effective 1/ 1 /99 �� [ � p�� 5 BUILDING PERMIT APPLICATION � �� ConstructionAddress: `� (�0 �'1 n � 5`�l�i �i � Legal Description: Owner Name & Address: �ll1l� i� I� u�q �1�0 KPl'I11Q S`tbYl Tel. #�o�� - S 7/- �%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 Width Height Wi � lr�s � Sq. Ft. Sq. Ft. Sq. Ft. .., , ,� Construction Type: Estimated Cost: $ �� 7� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � a�l a APPLICANT: �Q I1,� I✓lP iM (.l �ZY�'GI Tel. #S„P(� �� /� 7Ql�o Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ L� S� Fee Schedule on Reverse Side $ � � t �/ .001 of Permit Valuation (1 / l Oth %) $ /, (� 7 $.50/$1,000 Valuation $ $1050 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 [ ] $ %. CITY OF FRIDLEY FIRE DEPARTMENT FTRE MARSHAL'S OFFICE NOTICE OF STRUCTURE F/RE To: Building Inspection Assessing Water Billing From: Ralph Messer, Fire Marshal Date: December 29, 2003 Subject: Fire Damaged Structure Location of Fire: , Date of Fire: December 25, 2003 Other pertinent details: This mid-afternoon fire, reported by a neighbor, began in the basement of the Mutzberg residence. The owner was not at home during the fire. Arrangements was made by the owner to have the house secured and utilities restored following the fire. Damage to the basement contents and structure was moderate to extensive and there was smoke damage throughout the home. A dog belonging the owner's brother expired during the fire. No other injuries were reported. If you have questions concerning this fire, please contact me at x3621. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r�ax: : 700 KENNASTON DR NE : 143024110023 : BROOKVIEW TERRACE : LOT 9 BLOCK 2 : HEATING : RESIDENTIAL : ADDITION/ALTERATION , /1-1LiS l PERMIT NO.: 2004-00016 DATE ISSUED: O1/08/2004 VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A FURNACE, GAS PIPING, AIR CONDITIONER ( WARM AIR, YORK, 100,000 BTU) # A/C UNITS 1 VALUE OF APPL OR WORK #FURNACES # GAS RANGES APPLICANT WESTAIR INC 11184 RIVER RD NE HANOVER, MN 55341- (763)498-8071 OWNER MUTZBERG PAULINE M 700 KENNASTON DR NE FRIDLEY, MN 55432 1 # GAS DRYERS 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 know the same to be true and correct. All provisions of laws and ordinances governing this type of worF 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. Ann�ie�t� � Date . , . . �%:�! � �/I � - � HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS PIPING FEE GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 7520 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0.00 30.00 10.00 0.00 0.00 25.00 0.00 0.50 65.50 Effective January 2003 ;ITY OF FRIDLE� �NSPECTION DIViStON i431 University Ave NE =ridiey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VEN7ILATION, 763) 572•3604 REFRIGERATION AND AIR CONDITIONING 5YSTEMS AND DEVICES ?AX (763) 571-1287 JOB ADDRESS 7UO r�� n I S�n L��. �� RATE SCHEDULE 2esidential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Condition'sng - All Sizes AI{ OtherslRepairs & Alterations (LIST ON SACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25�'Jo of Value of Appliance or Work Rate TOTAL $ 30.00 � �o.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS �25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 30. Qd � Io UO $ $ $ZcUD $ $S�O $ .50 � �5:�� OWNER I�IOiCf�� BUILDING USED AS �eS � �� .I ; , o� , ESTIMATED COST S� SOOD ' PERMIT N0. :�1�CC'1C � C�'C�'��/ �r- DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units � Circle One (Steam) (Hot Water) Warm Air) Trade Name,.�(},�_ Size No. BTU�DDO HP EDR Fuel NQ.�'�� Total Connected Load Burner Trade Name Y�i�. Size No. BTU HP ED The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE I Z" 3O ' D3 HEATING CO I1UP�"I�� I�' I I�C - Signed �f�,�l,l�l :1(I� TEL # S " �(� FAX # 7Io3 �qS�— �OUCO ( J Approved By� Rough-In Date Final Date � �C� 0 t/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 'THE BELOW MUST BE FILLED IN WHEN REPIACING FUEL BURNING APPLIANCES OR THE APPUCATtON IMLL BE RETURNED ,(`nII�IL"�I� <�RT� R�T C(�RRFCTn �4RD C�MBI ISTlC�N �41R VERIFIGAT1nN �@n �±n1a -in0 an eYistin0 f�rance, the undersigned hereby verifies that the venting has been e�camined and is free from n.ist, deterioration, obstructions, and is securely supported and firestopped where required. Yes Q() No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing� length, number of elbows anci termination. Yes �(► No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specificatians. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and n�tural draft appliances. � a �Q �^rnb �t�,n ��- 6s sized anc� insta�led to meet the cutrent codes and manufacturer's speciflcations. When required to in� au a n_w _en,e ��t;en air�,it will be sized and installed to meet the current codes and manufacturer's specifications. Yes � No ( ) Yes � No ( ) Yes � No ( ) When jpst�Jliu� new ventin�vs pm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes �(j No () Is the common vent and vent connecto�s sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (�, No () �.. .� .- .�� - .��.� -� ,�� -� .��- . � .��. •� Appliance #1 Type FA Fl�t,i�nLtC c. BTU Input 10000� Fan Assiste or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances I Total Btu lnput �_ Common Vent Type C.�(�SS � Vent Height �� Diameter,.,�, inches Appliancs #1 Vent Connector Height 2 ft Length � ft Diameter �,_in Type s�1 ��11�Q � ��{"� l,i,n'1 I ftl,l.hv Appliancs #2 Vent Connector Height,,,_ft Length ft Diameter in Type J Appliance #3 Vent Connector Height ' ft Length ft Diameter in Type __ � r : � r � ► �,- � �,- �1 � l.! � rl_ �l :t t ,EATING CO: Signed By: Date : _�Z" !�%' (�� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 5"%L-36U4 r'AX: (763) 571-1"l2f"I PERMIT�O.: 2004-00322 DATE ISSUED: 03/15/2004 �� 1 � ADDRESS : 700 KENNASTON DR NE PIN : 143024110023 LEGAL DESC : BROOKVIEW TERRACE : LOT 9 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 50,000.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. FIRE REPAIR TO TOTAL INTERIOR DWELLING STATE LICENSED CONTRACTOR APPLICANT NORCON GENERAL CONTRACTORS INC 15123 FOX ST NW ANDOVER, MN 55304 OWNER MUTZBERG PAULINE M 700 KENNASTON DR NE FRIDLEY, MN 55432 1 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 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 re 1 m nstru tion or the erformance of construction. S� $� P Applicant / � Date r Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 3295 SEPARATE PERMITS REQUIRED FOR'WORI� UTHER THAN DESCRIBED ABOVE. 643.75 50.00 25.00 5.00 723.75 NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: _ Owner Name & Addre CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 /1 /2004 (763) 572-3604 Bldg Insp n (763) 571-1287 Fax „'� ��+� � , _ .'i1� /� Contractor:!(�drr��. rae��r.�� i�n�r��k�ls -�L,�c. MNLICENSE# o�OS Address: \ S\a.3 �o� SI h1�J' ��o�rc� 1M.n S�'30�1 Te�. #„7l�3 ro1S'3' da�� Attach to this application, a Certificate of Survey of the �� bt, with the proposed construction drawn on it to scale. �J+� 3 Q� / DESCRIi'TION OF tMPROVEMENT � LIVING AREA: Length �"�"/ Width �' Height � Sq. Ft. GARAGE AREA: Length Width ' Height Sq. Ft. DECK AREA: Len Width ', HgtlGround Sq. Ft. OTHER: T` R� �( �__[ Z� _ l d!%� L � 1(�Jf L��/lE%� - -- - - �,�i�,2�a,� Construction Type: �� ne.�� ' �.. ��,'<<.�i ' Estimated Cost: $ �, d8 D ^ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ __ �� DATE: 3'�tQ � APPLICANT: � i�� - Tel. #�3 �3 2b1�2 Call (T63) 572-3604 for Permit Fees if mailing in applica�ion. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow � L , — $ � � `c�� $ 025 • 4'U $ $ � , DO $ CITY USE ONLY - Fee SChedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50!$1,000 Valuation $1350' per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary (] /�. p� ��R� P"' \ TOTAL $��. 7� STIPULATIONS: �u�� 1�`��,� s��-� ,�,�, ��i I�c% /�if � � %y' � , �i�S �, ,��" G�� S r a.�-. ..,t 1/ f�'�, v�-,�- �y Es, ,.=-.��' �T�/� ,� J(�+�� . ,�adF l%.ccTil�rtT/rs.�/ ��_ o?ooa �-. �• G , �7=�P�jil.. �=�C,/� �'/•c��-- �'�L��- -- �'�,�'L�ES� f�r AMERICAN ENGINEERING TESTING� INC� February 27, 2004 Ms. Paula Mutzberg 700 Kennaston Drive Fridley, MN 55432 Re: House Truss Design Review 700 Kennaston Drive Fridley, Minnesota AET Job No. OS-01744 Dear Ms. Mutzberg: CONSULTANTS . GEOTECHNICAL . MATERIALS . ENVIRONMENTAL American Engineering Testing, Inc. (AET) has performed ihe requested truss design review for the fire damaged house located at 700 Kennaston Drive in Fridley, Minnesota. The scope of our work was limited to performing a design review for the house trusses to access if the center wall was load bearing and supported the roof trusses. Our work was requested and authorized by Mark Winfield of Marathon Maintenance on February 23, 2004. AET personnel documented member sizes of', the typical roof trusses observed on February 23, 2004. AET's structural review indicates the trusses are not adequate to support the required loads per the current Minnesota building code with removal of the center wall. Additional plywood gusset plates at the peak and both locations where the lx6 meet the bottom cord, should increase the load capacity of the connections to sufficiently support the imposed loads to the truss members. Refer to attached drawings for needed gusset plate dimensions and nailing patterns. For the purposes of this truss review we have assumed the following: 2. 3. Wood species to be Douglas-Fir, Lar�h Wood Grade to be #2 ' Nail Size to be 8 penny AET performed no destructive tesdng and hidden conditions may be present that were unobservable at the time of our site visits. Should conditions differing from those documented by AET at the time of our work be found in the future, AET reserves the right to review our recommendations and modify them accordingly. It should be noted AET did not review any other structural component of the residence. ' This document shall not be reproduced, except in fuA, withoW written approval of American Engineering Testing, Inc. 550 Cleveland Avenue North • St. Paul, MN 55114 • 651-659-9001 . Fax 651-659-1379 Duluth • Mankato • Marshali • Rochester ; Wausau •. Rapid City . Pierre . Sioux Fatls AN AFFIRMATIVE ACTION AND EQUAI OPPORTUNITV EMPIOYER Ms. Paula Mutzberg AET Job No. OS-01744 February 27, 2004 Page 2 of 2 If we can be of further service to you on this prnject, please feel free to contact me. Very truly yours, American Engineering Testing, Inc. � � Jason R. r , . . . —r�' Staff Engineer Phone: (651) 659-1349 Fax: (651)647-2744 jcrowley@amen�test.com JRGJAA/ck American Engineering Testing, Inc. �' " John A. Amundson, P.E. Principal Engineer . 1 AMERICAN / ENGINEERING � TESTING, INC. No. o �S - o � 74� °_T NO. I OF _� BY .JU� f� CHECKED BY SCALE a� TT dM LOR D LC�C� i�=a�l ��— 2 � �� PE/� K �1.0C��_��N_ - -__. ��Filler� �iec�5 ; � � . �- � , � ,/ , '' . � �,, �, \ `,. ��' � / �. �� ``• r �i � / � ,. � , � i�, i'� i �� ;,'' �' r'� // 1/ / l r i /r , ��, / , t� / � � ,. ' � .- ' \ � ;, .� � 0 0 , � ' . • ,� i , / �/ � o.�" o,:! ;� O �� : -�. � �� d ,,-p ,'� \:, � ' �% , � ' / / % / f ! i �' �. �, �f USe �g in , ( x 6 GordS p f'i 11er rP�e�e 5 � 8 ,�'o�n pa cn" � G. �'C y.E� v� r� a X 6 F I It r e tc 1 x 6 P ( �.omo( Guss�f� Pluf� , � � Z' x z' , �/Z'p �y�� Na � I l o ut.� i e n j Us e, �g r,a� ls, t i-11S JOB COPY SHALL BE �'�VAILABLE JN THE JOB SI'it FOR THE FRAMING AND FINAL INSPECTIONS � Attic Ventilat�cn ~� ! � i/3��0 ci h;•ri�onta! projec.tian f ��, � �s�i �,��3a — 1/2 to ae i� : ; s i';4, i/2 to be in raof re;.r � ��{ �u55�'f !"'ct��► � . 3'Y 2 j %z p f� wmc�d O � ;t i . t r` � UsG �`I b i'n -�-oP / G o '�d5 �: - / ' - `�, �ti= . . � � ,�- _ .. ' �r [ / '� r`, ; / � 7r j / f / v) � ... � � � £ � � �.. � ., f � � � V :� ,, . � ��r� `. � � . 1 � � � II .. , `. �i� ,t `�a 1 � \ � . ,\ � ♦ • � � �'�U m � � �- � v= 10'-7 1 /2" � ,. 'E - A' Ut �'I�-FJ �IZ" _ � `�lf A � 2�� 41 � o o= 2,68 � � ' � W � � '-013/16 � I � � ', � i � � ' �, �� '��.n � , � ��, 1� � � . e: ��, i d `.� \ f , �'"' � � �� $ �-_ � , � �� ' w 6'-9 7 � ` . = 7`. � � � � �. . � � � . 4 .� � � � ;�� g$ is'�s° w �� 1 1 d " n� e/�i\ �_u/{�. ( � j N^ � C7 ��.. { 1j N Y� ,Q � � i � ' T � � � ' � � �� V► . . � . /1 � ,t`5� - i ' W ' -' � �� N W �� , � a � � � � �. �� .. a i .. �i 2668 4�� - N O z m� 0 0 � a � � S (p � o °� 4'-9" �,� . L � �� _ �._.____. , _._.. . F�: ��3 i% �� -� � . - .� N q � ; ; l� � � � ' fi- CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 N'AX: (763) 571-12tf7 PERMIT NO.: 2004-00377 (� �� r� DATE ISSUED: 03/23/2004 ; ADDRESS : 700 KENNASTON DR NE PIN : 143024110023 LEGAL DESC : BROOKVIEW TERRACE ' : LOT 9 BLOCK 2 ' PERMIT TYPE : PLUMBING ' PROPERTY TYPE : RESIDENTIAL ' CONSTRUCTION TYPE : ADDITION/ALTERATION'. VALUATION : $ 10,000.00 ' NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A FIRE REPAIR - 9 FIXTURES AND 1 WATER HEATER # ELEC WATER HEATERS # GAS WATER HEATERS # GAS RANGES # WATER TRMT APPLIANCES APPLICANT NORTH ANOKA PLUMBING INC � 22590 RUM RNER BLVD ' ST FRANCIS, MN 55070 (763)753-3373 �C I:`/��L�-;7 MUTZBERG PAULINE M 700 KENNASTON DR 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 lrnow 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. T'he 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. Bldg # NEW FIXTURES (EXIST OPENII�IGS) # GAS DRYERS # OF NEW FIXTURES PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENI1�iGS) PLBG FIXTURES (EXIST OPEI�iINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 10815 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��, � 0 9 0.00 63.00 0.00 0.00 0.00 10.00 0.00 0.00 0.50 73.50 (�e ,"( lJi- t��ttiLC ( tiv��r'c�. t iv�v w�v. 643.� ��1��versity Ave NE Fridley, MN 55432 (7�3) 572-36Q4, FA}C (763) 572-1287 Stories Sasement �'loor 1 Floar 2 Floar 3 i Fioor 4 RI.UMBIIJG �iXTURE RA1'ES: Urinal AF'PLICATlORt FOR PLt1NIBiNG AND GAS FCT'�ING PERNtfi MARK NUMBER OF FIXTURES TC? BE 1NSTALLED C7N �ACH FLOaR `< Wash C��t��- :: Flac�r C�t�t� Auta. ; S�awef �i�k .,.:` Tra �Ciutlt ;:' Drain �a�tlt � V�fasher : , . : . , . , .::; � ...:�...,..::, ::.......: NO, RAiE Tt�TAL New Fixtures _.� �Id Operting, New Fixture Seer �ispenser Blaw Off 8asin Gateh Basin _ . . Rain Water Leacler SumplReceiving Tank Water Treattng Appiiarrce Wate� Heater -Electric Water Heater - Gas'* � Gas Range+' Gas Oryer`• Back Flaw P�eventer Required ()Yes (} No �Yp� � 7.Q0 �.t3,1� $ 4.00 $ 5.00 $ 7.00 . $ 7:00 _ $ 7.00 $ 7.Q0 __ - ��o.aa $ 7.Q0 $10.00 0 � 60 $10.00 $10.E�0 $15.00 Reinspection Fee $47.04/Hr ALL OTHERS ANDIOR REPAIi2S AND ALTERATIONS 1.5�0 of Value of Fixture ar App[iance State 5urcharge 'ta•Ob � .50 G8S �MtSC ; Watet tieater Rar►Qe F�x�. : Gas Efec •: ��i- �► l L.. � 11 / ihe undersigned hereby makes appiication for a permit for the work herein specified agreeing to do a{I work in strict accordance with the city cades and rutings af the Buiiding Division, and hereby dectares that aq the facts and representatians stated in this apptication are true and correct. _ . _ �' �i'�'.,��T' , 20_ Owner Sui4ding Used As__�,_��'r1�(1� Estimated Cost ��,_ FERMIT NO. �`1'n�Ll " �� /__._ PLUMBING COM� North �tv�ol�a Pf.uwi,bi,w�, Iwc. 22590 R.uvw R%ver g�vd. StGNED SY St. �ra wc%s, M N 5.50�-D — �('03-�53-33�3 7 �JV �� Approved By Raug�-In Date Final Date �- TOTAI FEE $�� •"J� PlU5 THE 5.50 STATE SURCNARGE COMBUSTION AIR SHALL BE PROVlDED PER UMC SEC710N 504(A) AND TABlE 6-A. C�MMON VENT tNFO ON BACK SiDE ADDRESS PIN LEGAL DESC PERMIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 l+'AX: : 700 KENNASTON DR NE : 143024110023 : BROOKVIEW TERRACE : LOT 9 BLOCK 2 : ELECTRICAL ' 571-12if7 PERMIT NO.: 2004-00520 DATE ISSUED: 04/15/2004 PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION' VALUATION . ' NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REWIRE WHOLE HOUSE DUE TO FIRE APPLICANT CASCADE ELECTRIC INC 4135 EAST RiJM RIVER CAMBRIDGE, MN 55008-3800 (612) 369-3038 OWNER MUTZBERG PAULINE M 700 KENNASTON DR NE FRIDLEY, MN 55432 ' STATE SURCHARGE, ELEC FLAT , ELEC PERMIT FEE - MAX (RESI) TOTAL , PAID WITH CHECK # 3725 AGREEMENT AND SWORN STATEMENT This pernut 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 lrnow the same to be true and conect. All provisions of laws and ordinances goveming this type of work' will be complied with whether specified herein or not. T'he 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABUV�. 0.50 85.00 85.50 �. � � ��v/ I CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 .��. . PERMIT ��O.: 2�0�0�4-01062� �__. _-� DATE ISSUED: 07/07/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 700 KENNASTON DR NE PIN : 143024110023 LEGAL DESC : BROOKVIEW TERRACE : LOT 9 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 3,365.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 9' X 12' AND A 26' X 11' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 97.25 BMK CONSTRUCTION LLC PLAN CHECK FEE 63.21 9919 KILLDEER ST NW FIRE SURCHARGE 337 COON RAPIDS, MN 55433 STATE SURCHARGE, VALLTE 1.68 LICENSE SURCHARGE 5.00 TOTAL 170.51 OWNER MUTZBERG PAULINE M 700 KENNASTON DR 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 irnow the same to be true and correct. All provisions of laws and ordinances governing 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 regula ' co k ion r the performance of cons �io . •Appli ant Date I Bldg Insp Date ` � . j SEPARATE PERMITS REQ IRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [] ADDN [] ALTER j ] Construction Address: �� 7�� CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMITAPPLICATION � ` J_� � f� , � Q �J � � ,t, cS `'� �(,ti �' e n +� � Legal Description: Owner Name & Address: Qa � I� M,rts h�,-� TeL �( �E13 ) S�l —�+ ��'�, Contractor: Q, /�'� IC �,�etr� t�� MN UCENSE # f-�C �704r y st 5' �� Address 9/ 5' �� [ Id �c— S�: /1�l�1 Tel. � 7ti 3,C�� - OS'�'�' _ LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the ?�t U�%5'� � 2�jZ-/9y � bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground -�� x // Sq. Ft. Sq. Ft Sq. Ft. � c�� r � Constnaction Type: �C �� Estimated Cost: $%.51�0 . 6t� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� �� °'� DATE: 7� �� 1�C1Q �-f APPLICANT: Tet. �E 76 3, T��' �i 51 Call (763) 572�604 for PeRnit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ � $ CD� a $ $ $ $ t $ $ $ $ � � / CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ) STIPULATIONS: .o � �o _N -v ti s=o" m�M. 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