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AF - 477081 � � City of Fridley, Minn. BUII.DING PERMIT Date: . .,1. .Q . �. .°2. .p . . . �. . . . . . . . . Owner....................................... Addtc�ss ...................................... � N° 3.500 `�,_._/�� Builder /✓. . . . . . . . . . ��✓v4.I'.Y, . . . . . . . . . . . . . Adciress ...,G,?�.... . .... . ..................... LC�CATION OF BU[LDING No. ��(. K. . . . . Street . . /� . . . . . . . . . . . . .kSJ ,/�. . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . Lot . . . �. . . . . BYock . . . � . . . . . . . . . . . Addifaton or Sub-Division !Y . . . . . . . . . . . . . . ! ,..GM. . �C.F� X . . . Setback �:�.'� � �� t!` ~ Corner Lot ............ Inside Lot ......... ....... Sideyard �...:. ........ DESCRIPTION OF BUILDING To be Used as: e, . i / y i � �,�� . �t . � . � �� a �.� Height lq: .o �,. �. io�y�� oo � d�. . .. . . . . .. . . . �. . . FYont . . . . . . . . Depth . . Height . . . . Sq. F't. . . . . . . . . G�. Fk . . .. .. . Type of Construction . . . . . . . . . . . . . . . . . . . �s� Cd�t. ��J 7. .�.°. /. . . :`^ . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of the issuance to me of a permit to construct e ilding sribed above, I agree to do the prop�ed work in accordance with the description above set o pliance with all proviaions of ordinances of the city of Fridley. X In consideration of the payment of a fee of $O.�l. . .�.�. '. :, pernut is hereby granted to . . . .. . . . . .. .. . . .. . . ......................... to construct the building or addition as described above. This permit is granted upnn the express condition that the person to whom it is gi�nted 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. / .... Building Inapector NOTICE: ' This permit does not cover the construction, installation or alteration fo� wiring, plumbiny, yas heatinq, sewer or water. Be sure to see the Buildin� Inspector for separate permFts for thes� Items. A � � . • Cit of Fridle Minn. � Y Y� BUILDING PER.MIT Ko ,�/ h� � Date: .. -...."'_,...J ................. � �........�......----�-��---....._..........- � -..........._.. %�� 4493 Owner: ............. � � .................................................. ....... � - � � �- ........ Builder - L��'c.�-r�l?�.:.�'1-.--..��',%�-s....---........_......-- Address . - ..........................-- ................... •-� --............._...--��-•-�---..............-�- �- . Address .�.:�^�� '� .�..��.�-Q...�.Xl �/...--•------ LO ATION OF BUILDING No. .....��4-�-....... Street .._��`'aG..-..�l-.-�"7...-'Ci .�......_......_._.._....._ ............. Part of Lot .:....... - --.._................. -..._.........---.........._..... �...... .... Block - -...........-"��......_........_..... Addition or Sub-Division .--._ _....... - �-- . ................. .. ---�-�--�------- Lot .__.....___..__.. ' � ! Corner Lot ........._ _ -- -_._... Inside Lot _--._...'��....... Setback ...�..� � ........._..... Sideyard �_� .......... ... ..........--- ............ Sewer Elevation ...... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: � Cx-�L`(��t� ---- Front ..--��--- Depth -�� Height ..1�..�--_ Sq. Ft.�d.J--� Cu. Ft. _.....-- ............. ! . . . .__ __ _...... Fro _. Depth .__.... Hei ht _. __ Sq. Ft. .--- -..... Cu. Ft . .............. ... __ Type of Construction . . . ...... , s t�_,__ Est. Co�t �� _ _ �/�J LG To be Completed ._ , . . � ,� � �-�-� � �� q...d. �.-.� e . T`-i�`� �=G-� - y':,- -., ;u � ��T�--!CRiZ_E VfOLAT- ��>�' . ��'� c ; ::: !_ ;'JD C�;VENANI S AND �-, = _ _ .._. ,,, �;��v`�. In consideration of the issuance to me of a permit to con ct the b ild the proposed woa�k in accordance with the description above et forth d in ordinances of the city of Fridley. ,_, __ _ e, I agr��o do all nr ions of � ` In consideration of the payment of a fee of $� ............................ permit is hereby granted to................_........................_...._..._.........._. ..................._......_..................._..............._......... to construct the building or addition as described above, This permit is granted upon the express condition that the person to whom it is granted and his agents, empioyees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revaked at any time upon violation of any of the provisions of said ordinances. �-, _.. _ , �l Building Inspector NOTICE: This permit does no1 eover the wnsfruetion, insfallafion for wiring, plumbing, gas heating, sewer or waTer. Be wre to ses the Building Inspeclor for separate permifs for these ifems. 4 , APPliccrtion �or P�awer Plants and: He�ing, Coding. Ventilation. ,Refrigercetion end Air Conditioning Systen�s and Device�s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... fteplacement of �rnace ............................. Repairs & Alterations—up to $500.�0 . . . . . . . . . . . . . . . . . . Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . MECH. WARM AIR Furnace Shell & Duct Work to 124,000 BT[J . . . . . . . . , . . . yeach add. 60,000 BTIT . . . ... . . . . . . . . . . . . . . . . . . Replacement oi F'urnace ........................_.... Repairs & Alterations--up to $500.00 . . . � . . . . . . . . . . . . Repairs & Alterations each add. �500.00 . . . . . . . : . . . . . . RATE TOTAL, 8.00 � 5.00 � 5.00 $ 2.50 $ 8.00 � '� a.00 � �___ �.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM , Furnace Shell & Lines—to 4Q0 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Linc�-to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . : . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 400,000 BTIT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �� GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ........ $ `� ............. x 1.5d $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTiT . . . . . . . . . . . x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedula VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL F$E � ROUGH FINAL Depi. cf Bldgs. Phoae $II. l-7470 {� ,,,Q . Locsiion /1 %� -' /� -e�C> rC�'��1 (��`. �� City of Fridley: _ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all wark in strict accordance with the City Ordinances and ruling of the Department of Buildings, attd hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn � � `% , 19 [�p Owner v`Q� Y] - /T'D-i'Ci �'�°-� � _ Kind of Building ��4�s--.-a�c�� n n . Used as To be completed about lL Estimated Cost, $ �� ' � � Old New. Building Permit No. � d� Permit No. / 6/ 6 DESCRIP'1'lON OF WORK HEATING or PO R P7.ANTS�Steam, Hot Water, Warm Air— o. � Trade Name �� '� Size No. h« �� Capacity Sq. Ft. E.D.R. �'�"� BTIJ H.P. Total Connected Loa `�` � � � �� Kind of Fue � `� • BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BTU H.P. RAY N. WELTER H EATI N G C" 4637 CHICAGCi AVE. Signe� MINNEAPOLIS 7. MINNES07A (REMARKS—OVER) $s �<z zM �-ss Business Phone No. o`'u- tI �� l�d % Date: Owner rrr� City of Fridley, Minn. BUILDING PERMIT N° 5949 ._.�.�*�.�'_-..�...,��-_____ _.�....... ; _..�� .. .. .._ �uilder _..___. , ' _ .�...a!!'..-----:_.._.._.____.._.__.r s...__.._.__...._......._.._.___.�..�..._.�._.._.__........ _...._..__...__.__._. Address _._.._.__._.___..__....___...----••---------_._.__.� � LOCA ON BUILDING � //'� � r No. ..�,��..�L---!�:=.._._ Street .��'S.r.�c�i,F''�•• --.. Part Lot _.._. .,F.�..._..__. --- ---- ----......._..._..._. Lot ._�:--------.•--- BIock .....--------�"'.' -------------- Addition or Sub- i 'sion ..--• •-.--_._. .._.....____� f .._-•-._...__ .._. Corner Lot _..._-----_._.._.._... Inside Lot .....�'."_:.'�_------------�etback '..�._ Sideyard _.�------...•-----•--.__---___.....�_..� SewerElevation _...____..._..----...._..__-••.._..-------___...--•------._..._... Fo dation IIevation .-------.....----__.__._._........._...__._.._._..._._ DESCRIPTION OF BUILDING To Used as: � ... ....... Front ./�`� Depth .E..� .�F.�' -.. 89. Ft .��!'"�G�. F't _. Height ... ..... _._.._.___.._....._...._._..__.._..__ _---__.__..._. Depth ___. _. Height _ ,�...�. Sq. F� ._.__�___ Cu. F'� _..._ ...------.._...----. To be Completed _.___....._..._.._.._......._.._..� Type of Constructi _..._.._..:_ �- Est. s�.�,��,..�..r. .�..,.. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of FYidley. � ._ In consideration of the payment of a fee of $�.._._...._._.., pernut is hereby grauted to...� ...._........_..___..�____._...._._._.._._ to construct the building or addition as described above. This permit is granted up� the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances � Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinga within the city limits and this permit may be revoked a t ar�y �* �'olatia�pf any of the pmvisions of sa�d ordinances. f ) �P�� NOTICE: ThFs per+nit do�s no! eover !hs eonshudion, insfallalloa for wirfug, plumbiny, gu h�aHeg, s�wsr or waNr. 8� sun to tM fhs Building In��etor fo� separaM permils for fhasa iNms. � � �4 � �.-.. i� � �� ,� �� APPLICATION FOR BUILDING PERMIT CITY OF FRiD7.;EX � NLINNESOTA Owner `s Name �i c h� r � e✓s�i Builder �A , Address �"'l /� t��,v �v � � �� r , Address o� Buir,nzNc No Lot �_r___ Block �! _, Addition Corner Lot Snside of Lot . r Subdivis,io � _ � � ._ SEVJER ELEVATION FOUNDATION ELEVATION Applicant attach to th3s form Certificate of Survey of Zot and proposed building locatictn. DESCRIPTION OF BUILDING To b us aso � Front Depth Height � Sq . Ft . � � Cu . Ft . .�' � Front___.___ Depth Height S . Ft . Cu . Ft . __.____._ d� Type of Construction Estimated C t _ To be Completed The undersigned hereby makes application for a permi.t for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. - . DATE � �— � `— � •,y�— SIGNATURE ` � (Schedule of Fee Costs can be found on the Reverse � � Side) . D �� Q J� _ . r � E F�m s� a��t at NASIM QURESffi CITY MANAGEA'S OFFICE SUB�IECT: REQUEST FOR A STREEZ�IGHT BY LEE BUDZYNSKct;"� KENNAS DRIVE, . 571-3465, THROUGH COUNCIL N GOODSPEED � TO 0 MEMORANDUM JF-271 I advised Councilman Goodspeed that according to City policy, we put the lights on the corners and mid-block on the long curb blocks. The Budzynski's indicated that Clyde Moravetz said that it met the City standards and I said we would double check that and if it is true, we should get a petition from all the affected property owners requesting this light, so that if it meets the City standards and it is installed, no neighbor objects to it. Thank you for your assistance. NMQ/ms - To:John Flora From: C1yde�Moravetz Dated: 4/29/85 I informed a party living on Kennaston Drive that the street did not exceed 1200 feet to warrant a mid-block street light. However, the sharp curve north of 68th Avenue would lend itself to a light and curves meet City established warrants for street lights. I also informed the caller that the light, if placed, would be at or near the center of the curve at a location minimizing_t�ee trimmi.ng, placement of additional poles, etc. They were to submit a petition, involving residents on the block, requesting exact location for the light on the cux�re. I told them a petition would not necessarily guarantee a light placement as NSP existing facilities, etc. would be taken into account. CVM: j mo . v' � 0 0 �� tw .. �., QP� 1 1 N CITY OF FRIDLEY APPLICATION FO R PWMBIN6 AN D GAS F1TTING PERMIT m atl1. � �a u . x d water ut � a � ►pi e�.�i m o i o, au a Heater w m A a °7 c''� c 3 � �.��i �.°1e � u � aui vsi u�'cJ m� w'NO .°e g aro�b �° u, m o� r� m 3i o w y w u m�¢ 3 c5 i c�i o as lec � lst 2nd 3rd 4 th (R) � Futnre Connection Opening Connected with Seaer (') � New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: N0. New ii:turea Futura Fixtures Old Opaning, New Fixtura Beer Dispansar Blow Oft Basin Catch easin Rain flster Leades Hydraulic Valve Susp or Recsivinq Tank Nater Traeting Appliance Bot Mater Neatsr Gas Rang• Gas Dryer � � RATE S 5. 00 g 3.50 S 1. 50 s a.00 $ 5. 00 $ 5.00 S 5.00 S 5.00 5 5.00 $ 7.00 $ 5.00 g 10.00 g 10.00 Back Flow Preventer Aequired. . . Yea ( ) � ( ) �� S 5.00 ALL OTHC�S AND/OR REPAIRS AND ALTERATIONS 1� o! Valu• of Fixtur• or /►ppliance Rwinspection Pea g State Surcharqe . � (515.00) TOTAL FEE TOTAL S S S s S S 5 S S S S� S S •S Effective Oate May 1. 1988 Job Address � � U k, -e 1(�� L Department of &�ildings City of Fridley TeL N571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in atrict accordance with the City Codes and rulinqs of the Depart�nent of Buildinge, and hereby declarea that all the facts and represe�tations atated in thla applicatior� are true and correct Fzidley. lh�. % � �G�_. 19��" 1- �T OwNER ��Z`f ✓1gf�1 KIND OP BUILDING USED AS TO BE COF�LETED AB�«,T � `z 1� U 1�/ ESTIINATED 006T �� .Od OLD - NEf/ BUILDING PE[�12T NO. PERMIT NO. � l�� (�� Oompany �` i��1 +ti� Signsd By E�iER PLI��: � � UE SOUTH T.1. No `':' �' fi .� _ . � � .� ROUGH IN3P. osta FINAL INSP. Da APPItWAL FOR PSRMI $� HINIHUM FEE FOR ANY PLUMBING PERMIT IS s15.00 THE S.50 STATE SURCHARGE S .5 s � !S; �� SUBJEC� City of Fridley 6 0 3 3 AT THE TOP OF THE TWINS g � I L D I N G P E R M i T i ` RECEIPT NO. � • COMMUNITY OEVEIOPMEN7 OIV. �� `�: ----- r � �� PROTECTIVE INSPECTION SEC. 1 . i � i /"'1 � CITY HAIL FRIDLE� 55�32 NUMBER NEV OATE PAGE OF APPROVED BV �'""'�� '� 612-571-3450 9t0-Ft5 5/8/98 � � JOB ADDRESS g 10 KENNASTON DRIVE NE 1 LEGAL ��7 NO. BLOCK TRACT OR ADDITION SEE ATTACMED oesca. 2 2 Brookview Terrace sHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Dick Budcynski 810 Kennaston Drive NE 571-3465 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. B& B Roofing 6760 Madison St NE, Fridley, MN 55432 571-0248 9042 4 ARCHITECT OR DESIGNER MAII ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW O ADDt710N O ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCAlBE WORK Reroof House & Garage (22 SQ) Tear-off 9 CHANGE OF USE FROM TO STIPUlATlONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING Oi± AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING S�. FT. CU. FT. AUTHORtZED IS NOT COMMEMCED WITHIN 80 DAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTqEET PARKING I HEREBY CERTIFV THAT I MAVE READ ANU EXAMINEO THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of IAWS VALUATION SURTAX AND ONDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED @ W17H WHETkER SPECIFIED HEREIN OR NOT. 7HE GRAN7ING Of A PERMI7 W� s 834 �• 92 DOES NO RESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVIS N OF ANY OTHER ST E OR LOCA AW REGULATING CON- STRU 10 OR THE PERFORM E Of CON UC �59. 5� F re SC, � 1. g3 PLAN CHECK FEE T A FEE Lice C $5. 0 $67.25 SIGNA7UFiEOF ON'RAC70RORAU7N RIZEDAGENI IDATEI E PRO VALI D 7HIS IS YOUR MI • �� --S�iGNATUREOfOWNEA��FOWNEABUILDEAi �DA�E� DG iNSP pF1E NEW ADDN ALTER [] [] �) CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� /�'J% Effective 1 / 1 /98 � �6� ^�� LegalDescription: CS��%i,e�C� Owner Name & Address: 9J�C1G ;�j U.� ��%� 5�...� Tel. #.S7/ -3`��S Contractor: �� D�=i� a MN LICENSE #�llJ �f Z Address:1%�IOD 1%%7/�/�/J'1/Yl S % _ Tel. # .S%/-Y� 'i�' 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: DESCRIPTION OF IMPROVEMENT I.ength Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: /�,Qr=Drr Z Z S� Estimated Cost: $ %�� ` (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /%7 � APPLICANT: Tel. #.S�/—do�5�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �S�?• �o $ - 3 $ � o� $ $ . Q� $ $ $ $ $ • o� S� CITY USE ONLY Fee Schednle on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.SO/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sue�ecr P . c�ty of Fridley 2745 \ AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; ` RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. �� t � y � � PROTECTIVE INSPECTION SEC. � � i• �,� '�� •% GTY NALL FAlOIEY 55��2 NUMBEP REV O�tE v�GE O: �ovROVED Sr i f' 612--571-3450 9t0-Ft 5 7/ 1/02 / / �oe nooaess g10 Kennaston Dr NE + �EGa� �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACMED DESCR. 2 2 Brookview Terrace SHEET 2 PROPERTY OWNER MA�L AD�R�S$ ZIP PHONE Richard Budzynski, 810 Kennaston Dr, FRidley, MN 55432 3 CON7RACTOR MA�L AOORESS Z�P PHONE LICENSE NO Pella Windows & Doors, 15300 25th Ave N, Ste 4�100, Plymouth, MN 55447 20165884 4 AfiCHITECT OR OESIGNER MAIL AOORESS ZIP PMOME LICEMSE NO. 763-571-3465 5 ENGINEER MAII. AODRE$S Z�P PHONf LICEMSE MO 6 USE OF BUILDING Residential 7 CLASS OF WORK Og NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE • O REMOVE 8 DESCRIBE WORK Rep3ace one sliding door within existing openings. 9 CHANGE OF USE FiiOM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. tYP OF CO ST. OCCUPANCY GROUP OCCUPANCV LOAD SEPAqATE PEFiMITS ARE AEQUIFED FOR ELECTRICAL. P�UM8IMG. HEA7ING, VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMQS NULL ANO VOID If WORK OR CONSTRUCTION ZpNING SO. fT CU fT. AUTMOFtZEO IS N07 COMMENCEO V�fITMIN 60 DAYS. Op 1F COMS7pUC710N i OR WORK IS SUSPENDED OR ABANQONEO FOii A PER100 OF 12p OAVS AT ANV TIME AFTER WORK IS COMMENCED. ' NO OWLG. UNITS OffSTREET PARKING I HEREBY CERTIfV TMAT I HAYE REAO AND EXAMIN�O THIS APPLICATION STA��S GARAGES AND KNOW THE SAME ?O 8E TRUE ANO COARECT. ALL PROVISIONS Of �AWS VALUATION SUNTA% AND ORDINANCES GOVERNING 7MIS 7YPE OF WORK WI�� E CQMPlIE� @ WIT►i WMETNER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �3,358.3�F �p1.EH DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Oii CANCEL 7HE pEqMIT FEE-- SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @97.25 Fire SC �3..3C) STqUCTION OR THE PERFORMANCE OF CONSTRUCTION W P�AN CNECK FEE TOTA1 F Licens .00 $10 .29 S�GNAi�/REO�CON•'RaC.1OQOp�UTNQAI2ED�GENT iD�TE� HEN ROPE lIDA1ED T IS IS VOUR PEiiMIT i� '�� 2. �jr�n �—S�GasrUQEO�OwNEQ��OwNEpBw�DEp� � � � ATE� � ' � g� �h5o � - ��LTE �w [ ] ADDN ALTER Effecrive 5/10/99 [ l CITY OF FRIDLEY [] SINGLE FAMILY AND DUPLEXES R i AND R 2 BUII.DING PERMIT APPLICATION Construction Address: � $ I0 �i�e.rhaS�N `7'f'�v�.S�: Legal Description: � Owner Name & Address: '��,�d � u�d��hS�. � Tel. # Contractor.; PELLA WINDOWS & DOORS MN LICENSE #� 15300-25TH AVE. N. STE. #100 AddteSS: PLYMOUTH, MN 55447 TCl. ��lo�J • 5} �• 3y(�� A� 763-745-1400 e: of t�e � LICENSE #20i65884 Y lot, v _ . - ------ —_.. , ...: to scale. . � DES.C�;I'�',�i�P�% OF ��b�.'MF.NT �. . � � LIVING AREA: GARAGE AREAs DECK AREA: � OTI�R: Length Width Height � Sq. Ft. Length Width Height Sq. Ft: Length � Widtli �- Hgt/Ground Sq. Ft. � ., .n � n� n n � �� : r\ ��►1n \�I'��< < . i.�-1n.Y� . 6 N:�.�'l.'(b ["L�F Y�.1'�C1� . Construction Type: Estimated Cost: $�J �3�J$ 3y� Driveway C�rb C�t'Width Needed: Ft. + 6 Ft =_ Ft x$ _$ �. , � ' .. �� •. ' ' ' <i��.._. �..� �� , �!�L' Permit Fee Fire Surcl�arge . State Surcharge SAC Charge License S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ q�• as � � .3Co $ •lo� $ $ ��OO $ $ $ $ � 0� � CITY USE ONLY Fee Schedule on Reverse Side .001 cf Permit Valuaiian (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $s.00 (state Licens�ea xesiaendal .contraccorQ) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined bY Engineering Agreement Necessary [ ] Not Nece.ssary [ ] , _ . ;lTY OF FRIDLEY INSPECTION DIV. 43'! University Ave NE ridle�r, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 'LUMBING FIXTURE RATES NO. RATE dew Fixtures $10.00 )Id Opening, New Fixture $10.00 3ee� Dispenser � $10.00 31ow Off Basin $10.00 ;atch Basin $10.00 tain Water Leader $10.00 iump/Receiving Tank $10.00 Nater Treating Appliance $35.00 Nater Heater -Electric $35.00 TOTAL � �1 a � N �J r� �� JOB ADDRESS �c�n�n.2, � a� o'W �� The undersigned hereby makes appfication for a permit for the work herein specified agreeing to do ali work in strict accordance with the city codes and rulings of the Buitding Division, and hereby declares that all the facts and representations stated in this applicat�on are true and correct. BUDZYNSKI, RICHARD 810 KENNASTON DRIVE NORTHEAST FRIDLEY, MN 55432 OWNER (�63) 571-3465 '�28 , 20 0� Nater Heater - Gas** � $35.00 �� BUILDING USED AS �510� e.�.1� 3as Range"* $10.00 on � ��`7 •�� 3as Dryer*� $10.Q0 ESTIMATED COST �6 �—" PERMtT NO. 3ack Flow Preventer Required OYes O No Type $15.00 PLUMBING COMPANY D�f' Y�, �t c��w�, r �einspection Fee $SO.00Mr - SIGNED BY �/,��'�' � _ �T�L N0. �2 ,3 �LL OTHERS AND/OR REPA(RS AND ALTERATiONS 1.25% of Value of Fixture or Appliance APProved By Rough-In Date Final Date `� � State 8urcharge $ • 5a MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS �15.00 or 5% OF COST TOTAL FEE $�S � OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVtDED PER UMG SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE /.�Z, CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 5 /L-36U4 r��: ADDRESS : 810 KENNASTON DR NE PIN : 143024110016 LEGAL DESC : BROOKVIEW TERRACE : LOT 2 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION ��/ 1-lli3�/ _ __ �- -�. �____ . -. � PERMI O.: 2004-00882 . DATE ISSUED: 06/10/2004 VALUATION : $ 400.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612) 827-4033 OWNER BUDZYNSKI RICHARD D& L M 810 KENNASTON DR NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 # GAS RANGES 0 # WATER TRMT APPLIANCES 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 authoriry to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applic Date Bldg Insp Date '(j � � PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 28437 RF.PARATF. PRRMTTR RF.CITTTRF.17 F(�R W(1RK (1THF.R THAN I�F.SCRiRED ABnVE 1 0 0 0.00 0.00 O.QO 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 . �uilding snspeetions � 63-572-3604 DATE � I O � SITE ADDRESS _�� THIS APPLICANT IS: 1'Rt7t ERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLIC.4TION PROFERTY TYPE PERMTT TYPE �rE oF woiuc: BUILDIiVG RESIDENTIAL APPLICATION CITY OF FRII�LEY ❑ OWNER 0 Permit No.: Received By: f_C( Date Rec'd: 1 ` STATE ZIP N��— T'he Home Depot A.H.S. Inc. sTA� r�c 3200 Cobb Galleria Pkwy. anDx�ss: Atlanta, GA 30339 � sT'A�_z� Pxorr� 763-542-8826 ❑� License #20268257 _ , o�s ❑ BASEMENT FWISH ❑ ROOF ❑ DRAIN TILE � DECK ❑ SIDING ❑ OTHER ❑ SWI1vIIvID•iG POOL O NEW ____� � ADDTI'ION DESCRIBE WORK BEING DONE: C�� SIZE OF IMPRflVEMENT ROOFING NUMBER OF QUARES GARAGES PROPOSE SIZE: PROPOS HEIGHT: iIDING � Viny � Ai inum � Oth TH HEIGHT ❑ HOUSE I�tLY O HOUS & GARAGE BASEIv1ENT 1Z�►vIODET.ING SUBMIT• � ATT HED GARAGE 1. Existing Floor Plan ❑ D ACHED GARAGE 2' �Op°s�d �°°r p2a° 3. List of shvcwra! members to be �sed Fascia JVINDOWS N EXLSTING OPENINGS OYes ONo LACATION OF WINDOWS �R FOR NEW OF�I�IINGS-DESCRIBE SIZE OF �PENING CHANGES & ' !"YPE OF WINDOW TO BB INSTALLED NUMBER OF P FOR NEW CONSTRUCTTON INCLUDING DECKS, ADDITIONS. 8c PORCHES SUBMTT: 1. Site Plan/Survcy showing the existing strucinres and proposed project. 2. 'h�vo sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA' (USING 1997 U.B.0 FEE SCHEDiJLE) TOTAL JOB VALUATION $ — OCCUP.ANCY E 'emut Fee ' 'lan Review >urcharge � ire Surcharge .icense Surcharge �AC Charge :urb Cut Escrow ;rosion Control 'ark Fee ewer Main Char bta! Due � $�3 �. a� See Back Page for Fee Schedule � 65% of Building Pertnit Fee $ �� (.0005) times the total j ob valuation – Minimum $.50 $ (o .OL .001 x Permit Valuation (1/10%) $ S- OCi $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) � _ Make checks payable to: City of �'ridley Attach THIS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED hereby apply for a building permit and I aclmowlectge that the information above is complete and accurate; that the work will be in �nformance with the ordinances and codes of the Ciiy of Fridley and with the Minnesota. Construction Codes; that I understand this is not a �rmit 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 �an in the case of all work whi�h requires revi dapproval o€plans. � S� A� � GNATURE OF APPLICANT ��L--- PRINT NAME /�� uilding Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No. Received By: Date Rec'd: � ' ,� �1 '�1L' DATE � f 2 �' Q�o YOUR E-MAIL ADDRESS � j r1'1 S�'. eI dI e✓',�On2S . co�— SITE ADDRESS �� (� I�� ,�,ca s r o rr U2 NC THIS APPLICANT IS: � OWNER �ONTRACTOR I'ROt�ERTY OWNER/ NA1vtE: rL 1 G l�,/�i(� tn � L�� (3JY� Z Y n� s�� TENANT ,�DRESS: �Q\�7 •1iCET(.�I'�S�"c�l i�(�. ►f�=� • C�TY �n►4LL� STA"TF��IP SS"��Z. CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROFERTY TYPE PERMIT TYPE .5�1. N�:� RENEWAL BY ANDERSEN sTA� LiCE 1920 COUNTY RD. "C" WEST .�,�DxESS:_ ROSEVILLE, MN 55113 PHONE 651-264-4777 ❑ sING� F LICENSE #20130983 ❑ TWO F.Ah_ Q ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIIvIlvIING POOL TYPE OF WORK: � ��'�' _ _-- — - O MAIA DESCRIBE WORK BEING DONE:_ �LYJ(.,/aC,C S w� �D urrS SIZE OF IIvIPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDIlVG ❑ Vinyl O Aluminum ❑ Other V4�INDOWS IN EXISTING OPENINGSf �Yes ONo OR FOR NEW OPENINQS-DESCRIBE SIZE OF OPENING CHANGES & TYI'E OF WINDOW TO BE INSTALLED I�OIN�� D HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS �� rU� � llAnlAaw� , � I?wb NUMBER OF WINDOWS v CITY STATE ZIP, ❑ DRAIN TILE ❑ OTf�R HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plaa 2. Proposed floor plan 3. List of structural members to be used F� FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ bZ�i S. W OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Chatge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ i 39 :'aS $ $ � . I '� $ (, . a � $ S . OC� $ $ $ $ See Back Page for Fee Schedule 65% of Buildi.ng Permit Fee (.0005) times the�total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (Sta.te Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota 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 all work which re uir°s v w and approval of plans. SIGNATUREOFAPPLICANT �G/ 5�� PRINTNAME T(ri-, S[laCN� DATE%Z�'v�► .' January 3, 2007 Fridley, City of 6431 University Ave. N.E. Fridley, MN 55432 To: Building Department Elder-Jones Building Permit Service, Inc. I am requesting a refund for cancelled building permit #2006-01379, issued 07/24/06. (Homeowner Canceled Job) The permit was for replacing windows at the residence of: Richard Budzynski 810 Kennaston Drive NE Fridley, MN 55432 Enclosed is a copy of the original permit. Please make the check payable to Elder-Jones Building Permit Service, Inc. If you have any questions or need more information, please call me at 952-345-6047. Thank You c�C?�i C.L � � Jodi Sle en Elder Jones Permit Service aa ��.`�� _ �' �'� / y /S � l Elder-Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 952-854-2854 • FAX: 952-854-4909 DEC-12-Z0�6 10:31A� FROM- 41 t!, V 1' 1' 1�1LLL' I 643x UNIVERSITY AVENUE NE F2ZIDL�Y, MN 55432 T-lOfi P.OU3/�03 F-844 PERMIT NO.: 2006-01379 DATE ISSUED: 07/24/2006 � (763) 572-3604 FAX: (763) 571-1287 ADDRESS : S 10 KENNASTON DR NE P� N : 1430241 ] 0016 LEGAL D�SC ; BROOKVIEW TERRACE : LOT 2 BLOCK 2 PERMIT TYPE : BUII,DING PROPERTY TYPE : RESiDENTlAL CONSTRUCTIpN TYA� : WINDOWS/DO�RS VALUATION : $ 6,OR14.00 NOTG: PROVIDfi SMOK6 DE"IL•CTORS IN ALL SLEEPING RO�MS AND ON ALL LEVELS OF THE DW6f.LING PER R317 �F THE 200a TNTERNATIONAL RLSIDENTIAL CODE. CAULK AND Fi.ASH ALL EX7EfiiOR OPEI�TINGS. C�NSTRUGTION IN THE CITY IS UNI,AVJFUL EXCEPT BCTWEEN TH& IiOURS �f 7;00 RM AND 9_00 PM, MONDAY THItOUGH FttfDAY AND BETWEEN TIiL HOURS OF 9:00 AM AND 9:�0 PM ON SAT[JRDAYS. NO WDIZK [5 ALL�WED ON SUNDAYS OR ANY LCGAL HOLIDAY UNLESS AN ALTERNATE WpRK HOUR PERM�T I3AS FIRST BEEN ISSUEA H/O; 763-571-3465 CONT: 763-542-8826 7 REPLACEMENT wIlv77oW IN HOUSE STATL L10EN5ED CONT'RAC'�OR? ! APPI.ICANT BUILDING PERM[T FEE 139.25 FIRE SURCHARGE 6.04 THE AT-HOME SERVICES, iNC STATE SURCHARGE, BI.DG VALUE 3.D2 3475 PIEDMONT RD S7E 1200 LTCENSE SURCHARGE 5.00 ATLANTA., GA 30339- '1"OTAL I5331 (4Q4) 995 343� PAtD WITH CHECK # 45601 20268257 OWNER SUD�YNSTQ RICf-iARD D� L M� a5 3�' t� � 810 KENNASTON DR IVE FPtiIDL�Y, MN 55432 AGI�EMENT AND SWORN STATEMENT � 71tis permit bscomes null and void ifwork or constntction suchorized is noc commenced witin fio dsys or if construction or wo�k is suspended or abandoned for a period vf 120 days at any time after work is commeaced. � I hereby ccrtify that I have read and examined mis application and lmow i[�e same to be [rue �nd correct. All provisions nf laws ond ordinances goveming this type of work will be complied with wltether specified herein ar not The granting of a perntit does not presume to give authority to violate or �ancel the provision of any o er state or locAl law � regulating construecion orthe erfortn ce oCconstrvccivn. Applicaa� Date B1dg In Da� �Q � . S�PARATE P�RMITS QUIRED FOR W�RK OTHERTHAN DF-�SCRISEI� AsOV6. �