The URL can be used to link to this page

AF - 47686� City of Fridley, Min.n. BUII.DING PERMIT �te: .. �d.... �. �.�:. 5 .�. .. ....... ��.�� - Address...................................... � N° 350'7 Builder� ... .... ........... ............... Address... G�� ................................. L.O�CATION OF BU[LDING �% . No. . .1. � o. . Street .�iJ . . . �i��,,Q�(,�rt� . Part of Lot . . . . . . . . . . . . . . . . . . • • •� • � � � Lot . . . . �4. . . . . . Biock . . . . � . . . . . . . . . . Addition or Sub-Division . . . . . . . _� Corner Lot . .. .. . . .. .. . Ix�side Lot . X.. .. .. .. . Setback �. i� ... Sideyard . l4: .Q..� .. .. .... .... . . To be Used as: /�;e��G!'. . .�'. . �. .'� . . . 0 Type of Construction DESCRIPTION OF BU[LDING F roht .��:' y� neptn a:f ". .�0. , Height /. .��. .�.. sq. Ft. !. �: .��. l. cu. Fc. �:o d oi b Front ........ I?epth . Height ........ Sq. Ft. ........ G�. Ft. ........ . . . . . . . . . . . . . . . . . . lfs� �� J.. �!. Y'�. . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of L1ie iss�uance to me of a permit to construct th desribed above, I agree to do the propoeed work in accordance with the desaription above set f mpliance with all proviaica�s of ordinances of the city of Fridley. .n. .. ..................................... � In consideration o# the payment of a fee �$.�.�. / . . . . . . ., permit is hereby granted to . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. . . . . .. . . .. . .. . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whaQn it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ! ��f/!� " . . . ,. .:,�� NOTICE: This permit does not cover the constructton, installatlon or alteration fo� wiriny, plumbinp, yas heatinp, sewer or water. Be sure to see the Buildlny Inspector for separate permtts for theso items. y �• • • � i City of Friclley, Minn. BUILDING PERMIT na�: J,u�e 25� 1965 �; ��.� N� 8036 �r: Dennis Markusan B�r w Reco Constraction Co... Address 3�4 Keaanaston Drive N.�_��.._ Address 13u So�th �th St. LOCATION OF BUILDING xa ?30 street genttast� Drive �1. E.._.._._ _ Part ot Lot Lot .�.. 6 __ Block _ ��_____. Additia� or Sub-�v�o� �rook�iew rrae Corner Lot � 7nside Lot _._...._ Setback � _._._ Sideyard ._ 3ewer IIevation _..._____ Fotmdatiar► IIevation To be Uaea as: Type of Canstniction DESCRIPTiON OF BUiLDiNG F�+oat Depth Height Scl. F'L Gti. FL �t Depth __._ Height Sq. F'k Cu. F� � �. E�� Cost M�. 9.s-� •t'� ___ To be Cwnpleted Stc�r� damage repair In oanddsration o! the issuance to me of a permit to c�stiv the buildin8 the puropoaed worlc in accoidance with the d�scrYptiou above set and in � ordinaIICes o! the dty o! Fridley. I �ee to do � In ccos[derstion ot the psyment o! a fee of a.�..Q.+9Q�..L, pcn'mit is hereby granted to 3aAn Sc�t�at,w, �+i 0ai CO. Fra�3�t' �$�l�k��. to co�struct the builaing or adaiti� as deacribed above. Tl�ia pern�it ia �anted upo� the express coa►dition that theperson to whom it is granted and his agents, emPloyees and workmen, ia sll work done in, around and up�oa� said building, or az►Yp� thereof� shali oonform in all respects to the ordinances oR Frld1eY. Minaesota re8aid� p�ernoi�t may�be oked�at anY t�me uPo��13� ofr� �visions o�'�d wi� dt,y limits and Allen den�en g�� NOTICE: f6is p�ndf dew �ef eewr f6� eeMhoeNo�, b�daa Mr vr�, P�W Ya 6wtieW s�ww er wahr. M s�r� M sN fM luiWia� Wp��lee fer ap�ra/r p�ewtls fer fh�s� t1�. � � APPLXCATION FOR BUILDING PERMIT CITY OF FRIDLEX, MINNESOT� OWNER' S NAI� ��' .�N /-S , ��/� %Z K.0 �: � r/1 � /�/l�//�� T d �`1' ,� �.L��ADDRESS,,,��-'�,� I --� c�",� �t .'��' �1 %'� e%� LOC�.TI�1 QF BUiLDING ' No. i � � ; $�reet ' �t�° � �%1� Part of Lii � : LOT BLOCK ` ,�„_ADDITION OR SUBDIVISION�Q _,,_,•J�,QJ1%) , � `' Corner Lot Inside LOT Setbeck Side�Yard ,.._.. .`._..�. . SEWER ELEVATION - FOtTN1�ATI�i ELEVATIO�N Applicant attach to this form Two Certificates of Survey of Lot and proposed_ /� building location drawa on these Certificates. �� -�� (�/� �h '�0 �-N�� n � �' �%%}"�' �DESCRiPTION OF BUILDING �� p � �' l�-I�.NI i %�f r`S�:_ � /��`'� J�i �,� l�'l � To be used as: � � Front Depth Heigk►t Sq. Ft. Cu. Ft. Frant Depth Height ' � Sq. Ft. Cu�. Ft.' . • � • �j 0 Type of �oaetruction �U �--L?�%�- 0 /C �I�%�-��%Z Estiaaated Cost �, O�<� �� fl� -�---- ---_ To be campleted � ' / ; �1 . . .,, The underaigned hereby makes,applicati.on.for:a permit for the work hereta specified, agreeing to do�a].1 work in s�rict sccord$nce with the City of:Fridley Ordiaances ' and rulings of the Department of Buildings, and hereby declares that all the facta and representations.atated in Chis:app tion are true and.�o rect. � C . . . . � �i � ` ��^ � �� Q �e ` - DATE ` - t C D SIGNATiJRE (Sc e ule of Fee Costs can be found Reverse Side). • i! � � 4' � � � � � � • . �.��.�— City of Fridley, Minn. N� 8 5 2 8 BUILDING PERMIT Date: _..._.._ ��B�R �.3, 1965 Ovvner: _. DENPIS MARKIISON ....._ Builder _._.._._..__ RECO__CONSTRUC�'��$___ Aadresa ___730 Kenna.ston Drive �_ _� �,�8 �_��1311 South_ 5th_,_,�t�eet Fridley 32, Minnesot�. LOCATION OF BUILDING No. _.__.73 0.W._.. Street __._K��QI�.�2�ZY� ...�...F...._.._._____.._._ Part of Lot ._..__._...__ Lot _......6 ...__....__._ Block _. ?_.._._.._._._. Additiar� or Sub-Divisioc► .__....��3.QQ�YI�'[�RRA,�E_ Corner Lot _.____...._....-- Inaide Lot _�...._..... _ Sztback .�__.._._...._._._._._ Sideyard Sewer Elevati� _......_._.._.. _____.. ..�._.WM Foundatio� Elevatian DESCRIPTION OF BUILDING To be Used as: ATTACHED GARAGEFramt .�.23 - DePth .._._.. 20 HeiBht .�� ..._.. Sq. F't.460 Cu. F't. _.�00 _..._..�._..m..�....__...__ Frout __._ Depth _.._.. Height _._.._._._._ Sq. P't. __ Ctl. P't. Type of Construction _...... F�..... Eet Cost �. �a..380 _........_.._.... To be Completed _._... In c:or�sideration o! the issusnce to me of a permiL to construct the building deacribed above I s�ree to � tha propoied work in accordance with the deacriptian above set forth and in compliance afl pravlsions o! o�dinancea or the aty or Fridley. i�- C'-o In camsiderati� oi the psyment of a fee oi � 5. 00 .� P�t is hereby �raated to_.._ �ECO CONSTRUCTION C0. to c:onstruct the building or additfon as described above. Thia permit ia graated upan the expre�s conditi� that theperson to whom it is granted and his agents, employees aad workmen, in all wark. done in, around and upari said building, or a�ypart thereof, shall conlarm in all reepects to the ordinaaaes a[ FridleY� Minnes�ta re8ardiu8 locatioa, comatructiqn, alterati�, maintenance, repair attd maving oi buildin�a wio�� dty limits and thia permit may be revoked at any time upon violation of aqy o� the provisians o� ssid ALLEN G. JENSEN Bt�1�6 � NOTICE: 7Ws p�rmh doa not omr�r fM eensh+iallo�, tmhllMks fer rriel�Y. P�W H� �Y� s�wK or w�t�r. !� sw� ee � 1h� leiWieo layhelsr for s�p� pM+�i1s fer fb�a h�. � . . .r. -. _. �. . . APgI,ICATZON FOR BUILDYIJG PERMIT CITY OF FRID�EY, MINNESOTA OWNER' S NAN� ,�.t9..kc,o �// � BUILDBR � �:o+2-a-f� . ADDRESS %,�O �.�eix.`r�:a:�o-N� ADDRESS /��/ � � s� LOCA�IOAT OF BUILDIDTG N0, STREET PART OF LOT LOT BLOCR ADDITION OR SITBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATIQN Applicarit attach to this form Two Certificates of Survey of Lot and proposed building location dr�wn on these Certificates. DBSCRIPTIOft OF BUILDIPG To be used as; __,�� Front � 3 Depth aj o Height 7' Sq. Ft . •sl! d Cu. Ft . Front Dept ,�Aeigh �_ Sq. Ft. Cu. Ft. Type of Construction _ Estimated Cost r ��(� 'T� To be completed 90 �Q� • -T The undersigned hereby makea application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of.the Department of Buildings, and hereby ' declares that all the facts and representations stated in this application are true and correct. DATE_ � �c� � C,�' � (�j /1 - G S'-SIGNAT[1RE �c,��,�.,,� �.i� (Schedule of Fee Costs can be found on the Reverse Side). • � .- ' ' � � <? i SUPERIOR CONCRETE CONSTRUCTION CO. 6321 JACKSON N. E. MINNEAPOLIS 21, MINN. < + � r PHONE 560-2170 ' i . / � . r r � 7�a � � , - � ��:�� .�� City of Fridiey Applicatioe for P'h�mbing cmd Gas Fitting Permit �y�5•5i Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 73� N� ��iii�3$011 DI' y (9 WATER HTR. N F� � = V) Y =} Z Z yj KQ Z u Z O= J � W t t < Q � ~c� Z Z �� p = j� <~ j 7 <° ` Z 7 a i N GAS ELEC. 3 0 � �6 � � �'n 3� o i.. �n � o tJ �< 3 c� °! c� �c C� o Base lst 2nd 3rd 4th _ • Future Conuectfon Openings � New iixture, Old Opeaings t PARTIAL RATE SCHEDULE Sewe= � Cesspool j–j PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x$1.50 $ Catch Basin .... . .................. .. x $3.25 $ Water Heater (Up to 99,000 BTin . . . . . . x $3.00 $ New Ground Run Old Bldg. . . . . . . . . . . . . x $3.25 $ Electric Water Heater z $2.00 $ GA3 FITTING FEES: NO. AATE TOTAL lst 3 Fixtures ...............:.......... x �2.00 $ Additional FYxtures .................... x $ .75 � Gas Range to 199,000 BTLT . . . . . . . . . . . . . . �' x $6.00 � 3 •�� REPAIRS & ALTERATIONS—Refer !o Code Description ................................................$ TOTAL F'EE 3� City of Fridley: 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 that all the fact and representations stated in this application are true and correct. P'ridley, Minn �7 DeC 68 , ig_ Owner Dez�nis l�arkuson Kind of Building �r Used as r�� To be completed about � �� — Estimated Cost, $ 5.� Old-1�� Building Permit No. Permit No. �� , �-_- Signe � '% j ,,� �'"y-'� , Business Phon �� -��.��,�,— ROUGH FINAL %�' 2- 3 ' % p 42 sue�ecT PERMIT NO. Cit of Fridle ' �? �� q �, � y y 6U ILDING PERMIT `�� `.� 4 AT THE TOP OF THE TWINS � ..___ _ . . - ' � COMMUNITY OEVELOPMENT DIV. RECEIPT NO. � i �: ----- � r � PROTECTIVE INSPECTION SEC. �� - � � �'�'1 � CITY HALI FRIOLEV 55432 NUMBER REV DATE P�GE O: APPRO�EO B� �""'�' �'' 612-571-3450 9t0-Ft5 1/17/95 / / JOB ADDRESS 730 Kennaston Drive NE 1 LEGAI LOT NO. BLOCK TRACT OH AODITION SEE ATTAC1iE0 DESCR. Fj 2 Brookview Terrace SHEET 2 PROPERTV OWNER MAIL AODRESS ZIP PHONE Dennis/Shirley Markuson 730 Kennaston Drive NE 571-2392 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Home Products 3770 W Broadwa , Robbinsdale MN 521-9211 2337 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑_ REPAIR O MOVE D REMOVE % 8 DESCRIBE WORK Reroof Dwelling (26 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTAICAL, PLUMBING, HEATiNG, VENTILATING OR AIR CONpITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION 019 WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SUfiTAX AND OROINANCES GOVERNING THIS TYPE OF WOHK WILL 8E COMP�IED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1�9SO �.98 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU N O THE PERFORMANCE OF CONSTRUCTION ��FS.00 Fire CS �1.95 '' PLAN CHECK fEE TOTAI FEE License SC 5.00 52.93 siGNntu OFC �AACT0�70RAUTMO ��ATE� WHEN PRO RLY VALIDATED THIS IS YOUR PERMIT / / / �J SiGNATURE OF OWNEF�IF OWNER BUILDEF7� iDATE1 L G�NSP pFTE NEW [ ] Effective 1/ 1193 ADDN [ ] CITY OF FRIDLEY �-� � ALTER [)c] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: � 3� -}�2n J�q � S f o� Ur ,'v � Leg�l Description: 5 u� e Owner Name & Address: (,1x M h.'s d- Contractor: Ad�ua c �. 1-��r.- � Address: � �70 - (�✓e st .gro�c�� LIVING AREA: GARAGE AREA: DECIC AREA_ OTHER: �N /2Y /(ar dd,hs� 5p�. � Tet. # S7/- a�3ia. _ MN LICENSE # aD�.�33 7 /i�(✓ Tel. # Sa.l- �+'a t/ Attach to this application, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. � Sq. Ft. ;�� . Corner Lot [] Inside Lot (] Ft. Yd Setbaek Side Yazd Setbacks Type of Construction: I�oo� - Ty� - v�` Estimated Cost: $ g�' I�5�0. U t� Approx. Compietion Date: �- t S- 9 S {Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: APPLICANT: CITY USE ONLY Tel. # Permit Fee $ i S 0 n Fee Schedule on Reverse Side Fire Surcharge $ �. j� .001 of Permit Valuadon (1/lOth%) State Surcharge $ , ��_ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit Licease _ Surcharge $,S. D a $5.00 (State Licensed Residential Contractors) Driveway Fscrow $ Alt. "A" or Alt. "B" Above . Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary ( j TOTAL STIPULATIONS: , -'� — -- - - sue�ecT PER C�cy of Fridley 7995 AT TME TOP OF TNE TWINS g u i L D I N G P E R M I T r � � � � �p�daZ � • COMMUNITY DEVELOPMENT DIV. r� � � � PROTECTIVE INSPECTtON SEC. , , `•--- A;�"';'� CITY NALI FRIOIE� SS�3Z NUMBEN pEv O�TE P�GE Oi •PVROVED Br � �� 612-571-3450 9t0-Ft5 9/29/98 � � �oe Ao�aess 730 Kennaston Drive NE t LEGA� �OT NO. BLOCK TRACT OR ADOITION SEE ATTAGMED OESCii, ( 2 BY'OO1CV12W T2TrSC2 SHEET 2 PiiOPERTY OWNER MAIL AODR�S$ ZIP PHONE Dennis Markuson 3 CON7RACTOR MAIL ADDRESS 21P pMONE UCENSE NO Seal Guard S stems 9199 Central Ave E - � ARCHITECT OR OESIGNER MAIL AOORESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK p NEW O ADOITION O ALTERATIQN � fiEPAIR O MOVE O REMOVE B DESCRIBE WORK Reside house and gara e; Fascia and storm windows 9 CHANGE Of USE FROM TO STIPULATIONS 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. ` TYP OFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PEfiMITS ARE REOU�iiED FOR ELECTiiICAI. PLUMB�NG, MEATING. VENTII.ATING OR AIR CONDITIONING THIS PERM17 BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT AUTHOR12E0 IS NOT COMMENCED V�1ITHIN 60 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANQONEO fOfi A PER100 OF 120 DAYS A7 { ANV TIME AFTER WOFK IS COMMENCED. ' NO DWLG. UN175 OFfSTREET PARKING I HEAEBY CERTIFV THAT I MAVE REAO ANO EXAMIN�O TMIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND COAFiECT. ALl PROVISIONS Of LAW$ VAWATION SURTA% ANp ORDINANCES GOVERNWG THIS TYPE OF WORK WI�� QE CQMPl1EU WITH WMETMER SPECIFIEO HEAEIN OR NOT. TNE GRANTING Of A PERMIT ��F187 �Z.O9 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE Ofi CAMCEI TNE pEi�Ml7 fEE SAC CHARGE PROVISIONS OF ANV OTHEH STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE PERfOiiMANCE OF CONSTRUCTION $99.75 F�Y2 SC ��F.19 PLAN CMECK fEE iAL FEE Lice S 5. 0 111.03 S�GN�TURE 0� CON'NAGTOA OR AUTHOQ�2ED �GENT �O�tf� EN RO Y VAL ED THIS �S R P F IT ♦ � S�GNATUQE O� OWNEa�ia OWNEpBW�DEp� �OATEi � '� � Bl �NS� � � 4 rE a.a. n � 1 • �j'ICCLIVC u�/9g ADDI�I I� � - �-- CI'I',%�=OF FRIDI.EY - AI-TER [] SINGLE FAI�IILY AND DUPLEXES R 1 AND R 2 ��j BUILDING PERNIIT APPLICATION �(,� �`�' � � co��ao�dare�: 3 c� �Q,�� r � ��, � � Legal Descripiion: � � �1( - �3� a-- Owner Name & Address: ��Q�,�,(,� m.U�1,1�(Sl� Tel. # Contractor: ,�Q �� ,� r� v 57L,%yi s MN LICENSE # o�a0`7 ��d 8� Address: q i q9 C-�►-�-� ra 1�v�. N��I �. i n�, 5� �J� Tel. #� j�' �'t%� Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � LIVING AREA: GARAGE AREA: DECS AREA: 01'HER: DESCRIPTION OF Il�IPROVEMENT Length Width Height I.engtb Width Height � Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. • Construcdon Type: c�j`(�� Estimated Cost: $ y,�� n � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S =$ DATE: `� " .. �� APPLICANT: ��i �-C..%�.�X,�'�� Tel. # � I %�-� % �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPUI.ATiONS: $ �� $ � A I O $ $ �. � $ $ $ $ $�(' 3 CITY USE ONLY Fee Schedule on Reverse Side .00I of Pernait Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] -._.. _. sue�ecT MI N . City of Fridley 29742 � AT THE TOP OF TME TWINS g � I L D I. N G P E R M I T � , R o. , � � • COMMUNITY DEVELOPMENT DIV. . ��------ . 3�'� j � � PROTECTIVE INSPECTION SEC. � ' � �"'1 � CITY HALL FFIDLE� SS�3Z NUMBER REV OATE PAGE O� APPROVEO BY 1----�•' �'' b12--571-3450 91d-F15 82�/22/99 � � /OB ADDRESS 730 Kennaston Drive NE t LEGAL �OT NO. BLOCK TpACT OR ADDITION � SEE ATIACMED oESCa. 6 2 Brookview Terrace SHEET 2 PROPEflTY OWNER MAIL AOORES$ ZIP PMONE Dennis Markuson 571-2392 J CON7RACTOR MAIL AODRESS Z�P PMONE IICENSE NO American Building Co. 12247 Nicollet Ave S Burnsville 55337 707-6959 20169383 I ARCMITECT OR DESIGNER MAIL AD�RESS ZIP PMONE LICENSE NO. 5 ENGINEEA MAII ADDfiE$S =�P PMONE LICENSE NO 6 USE OF BUIlO1NG Residential 7 CLASS OF WORK ' ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reraof house and ara e 25 S Tear-off 9 CNANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. ?YPE OF CON T. OCCUPANCY GROUP OCCUPANCY LOAO SEPARA7E PERMITS AFE REQUIRED FOR ELECTNICAL, PWMBING, HEATING. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK Op CONSTRUCTION 20NING SO. FT CU FT. AUTHQRIZED IS NOT COMMENCED WITHIN 60 OAYS. OR If CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONEO fOA A PERIOD OF 12p DAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UN175 OifSTREET PARKING I HEFEBV CERTIFY THA7 1 HAVE REAO ANO �XAMIN�O TMIS APPIICATION STAILS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. A�L PFOVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING 7HIS TVPE Of WORK WI�L QE COMP�IED WITH WHE7HER SPECIFIEO MEREIN OR NOT. TNE GRAN7ING OF A PERMIT $2185 $�� 1.09 OOES NOT pRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEqMITfE£ SACCMARGE PROVISIONS Of ANV OTMEp STATE Ofi LOCAL lAW REGULATING CON• 2.19 STfi CTIO OA T PERFORMANCE OF CONSTRUC710N $$3.25 Fire SC �g�S DLAN CMECK FEE TOTAL FEE � License SC 5 00 $91.53 S�GN�TUiiEO�CON'QAf,TOQOp/��ORiZEO�GENT iO�rE� WMEN PqOP � VALIOATED TMIS IS VOUp PERMIT � �y S�GNeivaEO�OwtiEQ��OWHEABW�OEfi� iO�TE� � - � 8 OG,�aS� � � q�rt �- +t NEW [ ] ADDN ALTER � �� c�� Effective 5/ 10/99 � '°` i-� j ] CITY OF FRIDLEY � �� [] SINGLE FAMII�Y AND DUPLEXE5 R-1 AND R-2�"�/� BUII,DING PERMIT APPLICATION � Construction Address: !t Legal Description: Owner Name & Address: �/?f'J/`'S %��/',t�U.�l'�� Tel. #�r%/ �0�,��a Contractor: l MN LICENSE ��g� �� Address: ��/C''�' �' � � c�, GL.��)�1. # �Q" ! ' L�G%,�7�� LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the ��'3� � lot, with the proposed construction drawn on it to scale. Length DESCRIPTION OF IlVIPROVEMENT Width Width w�a�n Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. . v- Construction Type: Estimated Cost: $ �% ��,� Driveway G�rb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ � DA1'E: � o� I A►PPLIC :! Tel. # CITY USE ONLY Pemut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ -� $ � /, D�-r' $ .l� $ �'� $ $ $ $ $ 1� � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 [ ] � . . �. � � SUB�EGT P .�- City of Fridley 3 0141 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T � � � � � � • COMMUNITY DEvELOPMENT OIV. C� r � v � PROTECTIVE INSPECTION S£C. ��9 / � � . �J � _ �" '1 � CITY NAI,L FRIOLE� SS�32 NuMBEA pEV D�TE PAGE Oc �VPROVED 8r �""�"� �'' 612-571-3450 9t0-F�5 8/30/99 � / J08 AOORESS 730 Kennaston Drive NE t IEGAL ��T NO. BLOCK TRACT Op ADDITION SEE ATTACMED DESCF. (� 2 BTOOICVlEW T@TTaCO SMEET 2 PqOPERTY OWNER MAIL AOORESS ZIP PHONE Dennis $ Shirle D4arkuson - 3 CONTRACTOa MAIL ADDRESS ZIP PMONE UCENSE NO Renewal b Andersen 350 - 1 ARCNITECT OR DESIGNER MAIL AOORESS ZIP PMONE UCENSE NO. 5 ENGINEER MAII ADOfiESS 21P PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS Of WOFK O NEW O ADDITION O ALTERATION �F REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Replace 2 full frame windows in home within existin o enings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling Permit lnspection Cards Will Be Maited To Homeowner To Post TYPE Of CONST. OCCUPANC� GROUP OCCUPANCY LOAp SEPARATE PERMITS ARE NEOUIREO FOii EIECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NUIL AND VOIO IF WORK OR CONSTfiUCT10N ZONING SQ. fT CU fT AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS, Ofi IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PER100 Of 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 MEREBY CEATIfV TMAT I MAVE READ ANO EXAMINEO THIS APPLICATION STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AN� COaRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYVE OF WORK WI�L BE COMPLIEO WITH WMETMER SPECIFIEO MEiiEIN Ofi NOT. TME GRANTING OF A PERMIT �2000 �1.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEqMIT FEE SAC CMARGE PiiOVISIONS OF ANY OTHEp STATE OR IOCAL LAW REGUTATING CON- STRUCTION OR THE PERfORMANCE Of CONSTRUCTION �69. ZS F1T SC Z. OO PLAN CHECK FE TO l FEE Licen S 5. 7.25 S�GN�TUpE O� CON"FA(;TOp OQ AUTMOAf2E0 AGENT IDATE� EN R VA�I TMIS IS �Fl IT $�GN4TUAE O% O�NNEQ �� OWNEA BURDERi iO�TQ� B� �psp . q6IE . r�w � � `' ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [X] SINGLE FAMII,Y AND DUPLEXES R-i AND R-2 BUII.DING PERMIT APPLICATION �1 �� onstruction Address: �'"?�� ,4..�(lr��,�}Ciri �( il�l_.Q � iC� i�.0 � (i1iU ��i�a�. Legal Description: � Owner Name & Address: ��- �� ,�„�. �(�c�ps,C�;�.�.�G�r� Tel. # 1fl12 •��-f • a 3ga. Contractor.♦ RENEWAL BY ANDERSEN MN LICENSE # Address: 350-73RD AVE. NE Tel. # FRIDLEY, MN 55432 A�� (612) 502-4777 veyofthe LICENSE #20130983 lot, � _ - -- - - -- - -- --- -- -- - - _- it to scale. r--r�---- . DESC�ION UF ��4�ElYJ�NT . ' LNING AREA: Len,gth Wi�th Height Sq. Ft. GAItAGE AREA: Length Width Height Sq. Ft. DECB AREA: Length Widtti Hgt/Ground Sq. Ft. OTHER: � � - . ` �� n� � Construction Type: Estimated Cost: $ p�4�� Driveway C�irb C%t W idth Needed: Ft. + b Ft =_ Ft x$_ _$ � DATE: ��o� • APPLIeANT:G��I�.� Tel. #(��a�•��•ag�'i%y� Permit Fee Fire Surcliarge State Surcharge SAC Charge Lic�nse Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATI�NS: $ , ,2�� . vc� $ /,O� $ � ��', c� n $ $ $ $ $ a� CITY USE ONLY Fee Schedule on Reverse Side ,001 of Psrmit Valuation (1/2(�h%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State L�censed Residential Contractors} Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary { j' Not Necessary [] CITY OF �hZIDLLY INSNtt: I ivN UIV. 6431 University Ave NE Fridiey, MN 55432 (763) 572-3604 APPUCATION FOR P�UMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FI c�c�R ttfective Un Jan 1, 2UO2 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture See� Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas"* Gas Range"` NO _—� Gas Dryer*" _ Back Ftow Preventer Required ()Yes () No Type RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 TOTAL JOB ADDRESS %`�L LL� ��C7,C��S�Ir� ,�r �� 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this appfication are true and correct. /— e t� � , 2� • �',� � �//, . � Building Used As t' )Ot'Yl LI _ Estimated Cost �� — PERMIT NO. � ��r��_ PLUMBWGCOMPANY_� �t)Vy�j�a�j�'Y�� Reinspection Fee $47.00/Hr SIGIVED BY �.7 /�, TEL N0. � -�7� ALL OTHERS AND/OR REPAIRS AND ALTERATtONS FAX # — L�� 1.5% of Value of Fixture or Appliance Approved By Rough-In Date Final Date �!� "� State Surcharge .50 MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS E20.00 � TOTAL FEE $��/�_, __S� PLUS THE a.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504{A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE � THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RET��RntFp When rPnlar;n� an PYictinq f�r�n�p, the undersigned hereby verifies that the venting has been examined and is free �rom rust, deterioration, obstructions, and is securely supported and firestoppec� where required. The venting system is plastic/PVC and meets all cuRent codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifcatrons. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The '' ' ' is sized and installed to meet the current codes and manufacture�s specifications. When required to inst�u a r, w remh �•�--- � it wiA be sized and installed to meet the current codes and manufacturers specifications. When ��Q a np�,�, �P„+;��M the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does incfude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. 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 (�j�No ( ) Yes (�,y No ( ) Yes ( �No � � Yes ( �/No ( ) Yes ( �j' No ( ) Yes (y' No ( ) Yes (�No ( ) L. . . . - _. - . . . - . �. �� . , -. .�. -, ...-„. ...�,. .� Appliance #1 Type BTU lnput Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Comm�r, Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height � ft Length ft Diameter_____in Type ______ Appliance #2 Vent Connector Height ft Length ft Diameter _,____in Type Appliance #3 Vent Connector Height ft Length ft Diameter ______in Type _____^ HEAT�NG CO: Signed By: —�` �� Date : -s