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AF - 47833� � ,�, City of Fridley, Minn. BUILDING PERMIT n ��� ���� Date: °-" �" '-' � � Owaer: Builder Address Address .— No 653� , LOC TI BUILDING No. �__�'_� Street � � _ Part t� � Lot °' 81ock Addition or Sub-Divisi� �� 1����� d �' �° � Corner Lot _ Ine�tde Lot _._. r� Setback --.��� Sidey►ard �� � f�, �,� Sewer IIevatian ....._.._ � Fo�mda.tion IIevation DESCRIPTION OF BUILDING To Used • � Front � Depth Height � Sq. F� Cu. � n Depth FTeight Sq. Ft Cu. F� Type oP Construction �� � Fst, ,�.� �o be Completed In constderation oP the issuanoe to me of a permft to construct the building the proposed work in accsordance with the d�scrlption above set forth and in ca ordinances of the dty oP FrfcIIeY• � J/1 � .�v , ��� Ea consideration of the payment of a Pee oP �� , permit is granted to above, I g�eg to do t�th all pra�ons of to construct the buflding or addition as descrlbed above. Thi�p�� t is granted upon the express c�ndition that theperson to whom it is granted and hfs agents, employees and worlanen, fn all mork done in, around and upoa safd building, or any part thereof, st�all conform in all reapects to the ordinanc�s of FridleY� Minnesoffi � location, constructCon, alteration, maintenance, repair and moving o4 bufldings wio��� dtY limfts�eand t1�a permit may be revoked at any time upon vio�n of aay of the proviaions of slaid Bt�lldinS Inspector ^ NOTICe: 'Ihis p�emh dea nof eevsr t6s eoealrucH�, IestalHtim fer wlei�, pMm6teg, en haNne, se�ru e� wafsr. B� wn to rM Nn Buildin8 Insp�etor fo� pp�ralr p�rm6a 1or th�a hwn. �. � z. � APPLICATION F'OR BUILDING PERMIT CI1`Y OF FRIDLEY� MINN�SOTA -� OWt}dEli' S NAl� ,,.y.� � A BUILDER � �D�ss � I � — �' 9 � �vo `►� s �D�S � LOCATION OF BUZLD�NG No. � �� � Street ` ..,_ Part of Lot Lot �- ��- 3 Block Addit3o�i or Subdlviaion � � � �e_a� Corner Loe��naide Lut_�Setback '� •5 � Si�le-Yard � �� � �/ � � � SEWER ELEVATION FOUNDATION EGEVA't''tOR Applicant attach to this form Z'wo Certificates of Survey of Lot aad proposed build- ing location drawn ori theae Certificates. DESCRIPTION OF BUILDING To be used as; ��- Front d� � Depth �' l� Height Sq. Ft.�� �- o Cu. Ft. . Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �j2.� Estimated Cos� ��J, ��� To be Completed The undersigned hereby makes application for a permit for the work herein specified, a�reeing to do all work in strict accordaace with ehe City of Fridley Ordinances and ruliags of the Department of Buildings, aad hereby declares that all the facts anci representations atated in this appl3cation are trae and correct. DATE � � SIG� � d . (Schedule of Fee Costs can be found on the Reverae Side). � _ . ,_ .� �'1 � ,y C BUII,DING PEIit9IT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuiug anq permit fAr �he erecC�on of any building or structure, or for any addition to any exist- iag bu3lding or etructure, or for any alterations or repaite to any exi�tin� building or atructure, upon application therefor, require the paymen� by the applicant for such permiL.t of fees ta the amount herein below aet forth e.nd in the manner herein provided to-wit: 2.Z. For any such permit for the erection o# anq fiace-proof buildi.ng, other th�n a garage' warehouse, factory or grain elevator, os for the erection of any fire-proof addition. for aimilar occupancy, to anq euisting building anail v� at the rate of $1.40 for each one thousand cubic feet, or fraction �hereof, in such cubical contenta. 2.2. For aay such permit for the erectioa� of anq fire-proof garage, wasehause, f�.ctory or grain eievator, or for the erectioa of any fire-proof edditioa, fcr similar occupancy, to anq exiating building shall be at the rate of $1.25 fo� emch one t�ousand cubic feet, clasaified as °1fireproof" by Section 502 of the Minneapolis Bu31d3ng Code. ��USES 2.3. For any such permit for the erectioa of any non-fireproof building otbe� than a garage, warehouse, factory or grain elevator, or aay non-�ireproof additioa, for s�tmilar occupancy, to aay exietiag building - permit $1.00 for each one thoua8nd cubic feet. GARAGES 2.4�. For any such permit for the erectian of any non-fireproof garage, w�rehouse, factory or grain elevator, or for the erection of any non-f�.a�egroo� addit3.an, €or similar occupancy, to any existiag building or for each such � � lding or addit3on - ainety centa ($0.90) for each one tbousand cubic feet or fraction ehereof, in the cubical ceontents thereof with a matnamum of $4.00.- For the purpose of camputing fees for building permits, the cubical contents of anq building og addition to a uniform 'height throughout by multiplying.the grou�nd area covered from a poiat six (6) inehea belo4a°`the floor line of the basemeat or -cellar to the average heighC of the upper eurface or to the averege haight of the roof surface of the maia gable of a p�.tched roof. 2.5. For repairs or alterations to an eaciating structure, the fee ahall be at the rate of $3.00 per each Five Hundred Dollare ($500.00) or frection thareof in the coat of a!1 prop�,sed,work. 2.6. In no caee ahall the fec? chac��d fnr aup per�3c es eet fosth in SeCtiaa 2 be less than $4_t10. ^ _ . .� _ /`� _ ,w � i; -� -�, -,f - - - - - ° � �� ��;�� � ;% .�.� � ; � r.,. � - -� . _ _ . _ ., _.. ,: � . . .. � - _, , -; , _� - r .�:: `� = � _. � . . � . _ � ,. ,_ _ _ , , �. . : � � _ �- ` ;b� _ . �,���' - {.��1'i �.�� f►� *� � f���-� . � ��� �� . ��.. . �� _. _ _ . .. . � ��� _ _ _ ._ � _: _.� _ _. , _ � _ : . _ . .: . . -,. �� �1�h1D 'SUR1/��t'�RS � .- ,: ; . ; - E _ Am�ic�, �� __ -.: - � = ` _ _ CER'tIF�ATE O� �l�:. _ - �x � , � m. ; � _ 'F. R �►t,�N h. 4� ur� � `�$� 12'�-�i.� ;_ . �. �_ _ , ; ;. _. , _. . . _ , . . � .. . ; - . :t.... .�.-�,.. . , . , __ -.: • ,;• " .; , - - - - �� ` � � t � � P�"`L I :`' -� � .� ,, � - �� _. ���� - , - ,5 = - , ;�� _ 1� - � -. _ �,; . _. � . t N ��u► � �1 � "'�, [�t�t>T'e� " � 1�` :- ��a�ts _ ,r � ,, �� � , _ �; � � � . ri � : � ' ,,. � , ��— � _ � .:,� , _ � �a _ �, ;��� �, �5 .�� : ` � _ . �.�--- _ _F � � �'c�o :�_ - � - �i 1-5 ,�� p __ , { I� t� - _ ,. .� 1�,�`'�3 � i _ .� � 'a - � . �r�� � v _ - _ _ � � : � , � -�� � - � �-� _ . - � � ! �,�►�w�"''�., l i ` k-' �� � ' �.� �` �,�..—�' � ���� , � , . ; � _ _ : ' , '. ";, � : _ . A1�' = ��TS 1�2 i�� �3, 8�.�,c� � ` R:! VERw� EW `NE�'fHTS �, � - _ _ ANOK� Cot���� MJ���� - °,,� - � - _ - --t �. r � . _ , : ... .�; -.,- ,� : : . ;: � : :. � - '�. � _ . , .:: w� � . . ., ` � 1, �lR�Y C�Ttfi► Ti�At TF�S IS A � MiD �T :RifI1�ITAlplt Oi A S17lVlY � ` 'I'frt �,y,�11Q.A�6 �Cf �'''f' _ -:;,� ` = fl�CRBED t/ll1�. A1i4 i1i WCA110N !iF Jitt . ; �t�NG$ TIlE�iN. A� .�LL �SIeAE: BrC�1Mli� `�F � �##�►. C��iF� ° ' :�5� LAHD. _ :� ;� AS SURVEYED i1f ME TH5 �BTH_ DAY QF ._ MAY �j�j _ �� � ;� .... „„ , AD. 19 . . � � . �~� �' �{ ' N. �. NQIUM AND A ; , "` LAND S�JR�'EYQ1fS , y�,� ..- 7-, . � - �- � �, . � �- � � � ., �� �_:_: ;��`,�,.. � � '�� - 'r" �� � �� �. �� � ' _ , . c _ �� � � � M �:� '���<;.�:: � . /�1� ...cs.s .r..,. , � �'_.i � � r, ■ � i il�l�� � uu-11T� i9 �'14'� � � • . _ � .. .'�.. �i*vr. X,, . .....�.. ..a,a... ' .�.,�:: ,: . .. .. , . '� �. �c " ,..�-i.,�, - �r-+�',�' C . ' II - ' _... . . . . . . . . . - . ' . . - , '.: " . � � _ �""' ' ..1, � ��+33..�I 5 ' .> _' �.. ._ ... � � ._ �i . � � I . .....x . � u..' i ,y..: , . _ . ...'.-yr... ... ^'..xs.'.�K�'�' P':'. � n � City of Fridley, inn BUILDING PERMIT Date: April 10, 1968 pwaer; William Z. Besnett 8��, Same pd� 572 Rimball St. N'. E. Ad� Same �� ���/ �ss� LOCATION OF BUILDING No. 572 5treet K�ball St. N. E. � � p� of Lot � 42 & 43_ Bl� E Addition or Sub-Divisfan ._ �verview Heights Coraer Lot _ 7ns�tde Lot Setback �_ Sideyard Sewer IIevation Foimda.tion IIevation DESCRIPTION OF BUILDING To be Used as: _ Ga.ra�e �t 16' �p� 22' H��t 10' �. � 352 �� 3520 Front Depth I�eight Sq. Ft Cu. Ft Zj►pe of Construction Fra.me �� �_$_..1�000 .__ To be Completed 6/1%68 In consideration of the �tsauance to �e of a permit to conatruct the building descrll�d above I agree to do the proposed work fn accordance with the description above set forth and in compliance with afl provisiona of or8inaaces of the dty of Fiidley. � In camsfderation oP the payment of a f� of $ 5.00 , permit is hereby graated to Wi11�.a.m L. Besnett to canatruct the buflding or addition as described above. Thia �t ia grantsd upon the expresa condition that the person to whom it is granted and his agents, employees an worl�en, in all work dane in, aaound and u�n said building, or any part thereof, shall �nPorm in all respecta to the ordinance� of FridleY, Minnesota regarding locatton, construct�fon, alteration, maintenance, repair and moving of buildinge wlthin the dty ]imits and thia perrmit may be revoked at ar�y 13me upon violation of of the P�visiona of ea�d ordinanc:es. � � � nspector v arence Belisle NOTIC� ibh psrmh doa not eever ths eoes�rueHoe, 6nh11alloe to� �rlrine, plumbine, en 6eatine, ssw�� o� rnter. B� wn to a� tho Bnildlag IespKtee fo� ssparat� parmhs fer lhas Itams. � �.e � �1 � APPLICATION FUS H�JILDING PERM�T G"iTY OF FRIDLEY j Mi111I�50T� � Otr�R'S,. NAI�IE�����„ ,M'' J . BUI�,b�:lt . ADDRESS S%�.-��;�:��.�"; ��%� �,__,�Ii��SS�, _ � _ _.._ _, � � . ,.. . !�?:. , � � LOCA�'I�1 01A• $U�LI�TPZ� �:.; t �,, � '_ . �;{ , � • � . . ,•1. .. NO.� %�_ �TREET�wt F�ig ' C�,° l�l�� _. � � aT .Z F;, �/� BLOCK � G ,ADDITION OR . S�BDIVIS IQN����i�- . ��' .. :, , . . . , .. .. ,. CORNEA LO�� SIDE LOT. . SETBACK . SIDE �_`�A__ SEWEB SLEOATI ,r,,,__ TOP OF FOaTZNG � ' ,, - - — , Applicant attach to thia form 7'wa Cert3f3cate� of Survey af �ot and prapased building� locatiaau J�lr�in , on tbese Certificatea . , . .. ; ., . a ' � . . ,, , : � • _ ; pESCRS�ICtJ� 0�' B'UILDI� • . . • t . . ,� •� . • . . , - � ..- - To Be �lsed As s ' " :� 'r{ . . . . . . ; ,. � �. . / ! O _ �.g��-° Front �;, Depttt� � He3ght__`�� . .;, �,�� �. ` ' . ��, ''.. . Square feet 3s� Cabic Feet �`�' ��� � F�oAC �•Deptb Height• . •, � , - . . _. , , ; _ y Sq�iare feet � : ;:• <�Cubic FeeC , � � 0�� �• -o 0 Tqpe of Cans�ruct3on e^Bn�� Estimsted Co�t l ' To Be Completed � i � 8� � �� ,�_ The undereigned hereby makes application for e permit for tt�e work herein apecified, sgreeiug to do all wotk in str3.ct �aco;dance �,th the �� 4€ Fridley Ordinaaces sa�l s�li�gs of the Department of Buildiogs, aad hereby declares that all Che facts and represantations stated in thie application are true and correct. DATE � _ . _'1 �� 6 _..._�_SIGNATUR�--r����.,�2����'' .� _ _ .. (Sohedule of Fee Coata caa be €ouad oa the Reverse Side). � 5�� � �v� � � �� � � X/� v �� a ,�-� ��_��m� � i , � _.__.� _ . _. � ----�._.___r__,.._.._ _........ _-- � � � � . _ � -� ' �� � _��.=� Ll- _ _ _ _ -- y. . � ....ft� .. ...� . .. , .,. �:.,.-`��. :. ,` . ...... ,- ;:z. • BULLDiNG PERMIT FEE , SCHEDLI�.E �: � "> �::. � i , SECTiON. 2. The. Iitapector of �uildin�s. shall,, before ise�in�:��.p�;ra�i;�ei°'#or the erectiott of �ny buildiag _o� st�t�cture� or-for any additio�ii C�i �anq - exi�ting eEiuctuie �or. b�iidi,��y _o� f�r :any aZterati;on or repai�s ��ri �riy e�cisting buildi�sg or structure, uprnl applicaiion,th�refote, �equi�e th� . . the payment by the applicant �for suah periui� of 2'aas to tbe adnount::ii�serein ��lew �et £orth and in the �mat�r►ei h�rin prov�ided td-wi�: _ _ .. � _ .. _: _;' ';. • .:).:iw+.'�i . - ,— �.�; � . _- Uniform suili�ia�` Code: �� �l�gpe 1, x, 6 4-. $1;��5� ��or 'each one thousaad�'cubic feee, sr fractio� thereof, in auch cubical conteata.. Type 3 S S-_ $1,.50 £or . . ,each one Cheusand. cubic fe�t. . . : . . . � � ` � . , ? " � . ,. . r. , .w � _ , ' . ' ....� . . . _ . . - . - ' F�r:the-pur�oe� e� computing feea`.€oz b�ild�rig peim�te. Che eubical��` eantents ef aay building or additiaa t� a u��.form height;.t�hroughout 6g multiply3Ag the ground area coverea frem a pofnt s3a (6) inchea below the fioo� line �f tlae basement os�the ceila�r te`the average hei�bt of ehe upper surface =-�t• tl�e�:rage �ietghC c� t� rot�f��s�rEa�--�-th� t�i�c�i �l�a►f�a- --- - - . _ _--- __ . - � pitched .�oof . , _ . ; . , , . . .>..Fo; _re�ai:a�. or.:�altiaratione to aa existin�,: s.truc`tur:e, the fee shall b.e..at the r�Ce of $3.0� per each five hundred dollars ($500.00) or fraction thereof . .. ._ . ._in; �he->�ost of a1Y� propos�d., wsrk. . . .�: ; . . .. __. . .�:�, _. In nq"c'�e��.ha.];��r,ths fee cha�cged f�r areq:-�rin�t :as set �orth in. Section 2 be lesa than $S.AO. ' ' _ :�..:: ��.' �„i .. ,. �_ ' ' _ . .� _'' ....^�5.... NS3SD Cena�etion Charges based an locat3en- �rea 1 or 2. � S, � - .. .. " .. . . •� � .. . . � ..� . �:... " . �. ' � . . -�.� • , / • ' _._ . . � .. . .. • . n • :T .. . . • •. , �}� . . . � - " . 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' � O o . . � O � � � � 4 N � � N � O O P O O tn tn sn vw G � O a o�. � � � �'! � � o�¢ m I� � �' �' �' S � m " � � ���� � � C ����� � � � � � � � � O M ����� �.��o � a � � � a' C�71 . . � O : : O 0 . . Op . . C : : . � � a � � en c o c O O O p ra t�► O �r ��� � aa� b�@C�' �°ts �1 '�" �, � W ��� p��� a � � � o�p�'' y d� � �. �, �� a iL � p y � N p � �`� O � �roy � iT�i � ���b � � �ro ���� o- �.m a��,� ��R.�p �~ O F! �� � � � �.� �.� a��� ���� "� � � �� � ��o ��a � � ��� � €� � G 0 D � D r � � �1'1 H _ m C m � d » M � `� � � � Q A A V O � 'O� � D � O � � � � 0 � d � o' � � _ � � � � � 0 � 0.� v< <' �. � � 0 � � � � �• � � 0. , _ � , _ �� : �; % SUBJECT ; City of Fridley � AT THE TOP OF THE TWINS ; , BUILDING PER MIT , � � �L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � i , `-__.� �"" �,� CITY HALL FRIDLEY 55432 NUMBER REV. ` 612-571-3450 910-F15 JOB ADDRESS 5�2 K�m�,ll Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 42-43 E Rivervic�a Heights 2 PROPERTYOWNER MAILADDRESS Robert Freude 572 Ki,mball Street N. E. 3 CONTRACTOR MAILADDRESS R,,; lders & R�nodelers 3 517 Hennepin Avenue 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER MAILADDRESS B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Reside �aellina 9 CHANGE OF USE FROM STIPULATIONS DATE PAGE OF 5/24/83 / / 17163 9��% APPROVED BY SEE ATTACHED SHEET Z�P PHONE Z�P PHONE LICENSE NO. 827-5481 ZIP PHONE LICENSE NO. Z�P PHONE LICENSE NO. O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x TO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. V1.A�7]. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITHfN 80 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,990 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- �RUCTION� THE PERFORMANCE OF CONSTFiUCT10N. $56.50 E SIGNATURE OF CONTRACTOR OR UTHORIZE T 1DATE1 �IGNATUFE OF OWNER UF OWNER BUIIDERI IDATEI PANCYGROUP SQ STAILS VccUPANCYLOAD CU. FT. :T PARKING GARAGES $2. 99 4L FEE $ 59 . 49 IIS IS YOUR PERMIT CITY Or fRIDLCY �fiective �u9, i, 19e1 APPlICJ1Tla� FOR RCSIDCNT1/1� BUlLD1i1G PLR�IITS (Nc,r. Alterot�ons. Additio�a. or Rcpairs) orr��R: ��`3��3 � �f�� T��'� BUILDER: _� � i � ,o ti�'�1�.� -��_ �ya�,e ,e i�< � ADDP.ESS: � 2� �/�"I l�/�`�-G- j/'�� ADDRLSS: _3 S�/� %1��N� �{- ��- TEl A0: ' ' TEL N0: �� `7 � f'�h� �'/ — - Construction Location — • iTRLST NO a �- 6TItEET: _� / 1/Ui 1� J/� �- �,—S f � �-.� 2.OT: - � � - �'aj_�1I.00C= �DD2TIOHa �� �j' //v �/L; � /`f --- ----- � � /� 1�%%S Cornez Lot: �_ =nsiele iot: �_ km��}= ____ Sid�yar�: 11pp2icant attscA to tl�is tor� t�wo Certificates of S1�rvey of lot ar�d pzoposed buil�ing locatian erawn on eertificates to scale. � . OESCRIPTIOit OF COIJSTP,UCT10f� �- -� ld� Front: De tl�: P Neight: aquare Faei: Cubic Feet: . Front: DePth: lieiyht: 6quare Fest: Q�bf c Peets � , j�oY� . �YP� o= o�rstruction: _ �1' �'' .�/,Z� �)°�s G ��T�/ib`+ ' � � . Estfa�sted Cost: `: � �%1'� ` 7b 8e Cbr..plcted: � 711t. A � �►1 t. 8 pzopcsed Dzivcti�ay iiidth If Nev Opening Ie Desired: :�` _^_ • - . 6EL RiVER;g SIDE OF bHF�T e • • ' ��e undessigned ?�ereby mal;es applie�►tion foz a per�eit icz the ��ozk hereir� apecified, egzeeinq to l!o ,all vork L, 6trict •ccosd�ce with the City of Fridlep OzBinances end rulii�9s of the Del�►�=bnert of Dvildingt, and ?�ereby declares thr►t all the facts and seprea�t�tiens stated in t]�;s application are tzue and cosrect. a�rF: _�� �� _ s�cN�►zv�€: att�lacio„s: ����Z� � ��� ✓� ������' , . t� � Sl7ILDING PERMIT !FE 6CHED�LE The Inspectoz ot buildin9s •hall, �etore is�uing permits fos tAe •r�ction ot �ny Ouildinq oz strneture, oz toz any a0dition to any •sistiA� buileiA9 or stsyetnse, oz ior ary alteration oz s�paizs to any •:istinq Dnildinq oz •tzuctuze. vpon •pplieation theseioze. s�quiz� the payaent �y tAe applieant toz such permit ot ite� to tAe •sonat etzeia belov set toztA ar►a in tT�e sannez bezei� p:ovided to-vit: Tar,ii. vu,v�►�aN =1.00 !� i5�0.00 SSO1 !a i2,000 i2,001 !� i2S,000 i25,001 to i50.000 �s i10.00 ll3ninum Fee 515.00 plus surcharge =10.00 tor the iirst t500 plus S1.S0 foz each •dditional i100 oz tzaction thereof, to and ir�cluding i2.000 S32.S0 toz the fizct 52,000 plus 56.00 foz each additional Sl,000 oz traction thereof, tc and ir�cluding i25, 000 :170.Sfl toz the first S25,OOD plus S4.50 ioz eac1� .aaittonai a1,000 or fraction theseof, to ar�a including t5�, 000 i50,001 t�c i1C0,000 :263.00 !os the fizct i50,00� plus each additional 51,000 or fzaction ar�e inciue�r� sloo, o00 =100,001 and vp i4d3.00 ioz the first 5100,000 plus each additional 51.000 oz ir�ction PI�W O�C7C: 25 percvit ot building permit fee S3. 00 ior thezeof , to S2. 50 fcr thezecf DRIVii�tA1 DEPRESSION ES(�t�ii: Conczete Q�zb Stseets d�ly 111teznate 'A': Resn�v�el ar�d zeplaceioent of c.vzb ar�d guttez only , Ozivevay vidth pl-us 6 feet s 513.50 111ternate 'B': Re�oval ar�d zep2sceAes�t of curb ar�d qutter and install a 3 foot vide approsch vith 6 inch depth Dzive+:ay vidth plus 6 teet x i15.7S V£RIFICATION OF FOUhDATION Permita toz constructiar vil� be issuee a �einim�n of 24 houzs i:ao the time of application to allow foz proper zeview of the proposed structuze and of t?►e const� ction site. 11 Certificate of �n+ey of the lot. showing the loeation of the four�eation once it has been oonstructed viil be zequired before proceedir�. vith the fra�oiriQ. ��! � �����HEATING HOUSE HEATING TEST RECORD AIR CONDITIONING AND ELECTRIC, INC. ADDRESS_ �� � �'►l�.tBAI.L �J°�r i1PT. FL�OR CITY ��1� SUBURB OCCUPANT L7�(�9 CK8bP1, � �OWNER Si�M� HEAT LOS3 �{t�l(�l � F�Tf� DATE HTCi. INST. Q-I f�� 9� SOLD BY�7LAfK� irl�AT ONSTALLED BY ��1V.�� f�C�i Electdeal Work By Oas Une By __$ird QCISTI(�(a TYPE OF HEAT GA FA HW STEAM_ SPACE HTR._ UNR HTR. OTHER G1AAS DESIGN CONVERSION MAKE �B {�Y� RAAKE OF BURNER Model �5 n � (� Model Serlal � � 1 �-s � IHa�c. BTU Rat(ng INPUT D MAKE OF FURNACE THERMOSTAT Valve � Limlt �"C' Limit Selting _ Fan Selting _ Pfiot Typa � Pilot Make _ CONTROLS f� Vent Size � IKIND OF LINER /8?�par� g�g � NONE " Draft Hood Regulator i�? � Flltere siz. /� .oL� X � Number � Chlmney Loeation Inslde � Oufside Chimney Consiruetlon � Lf�l-Sc, i� Pilot Model �--- Smoke Bomb °"—' Wiring ��`�s '' Pilo1 Timing __ 3� SG°�� E12Ei,o Draft "�' T�t Tag�_�/ �•� c L W. Cut Ott �"� Door Pressuro °'� Ughting Inat. `�f �� Pressure o� j� a.J� �Aercent CO� t:� Date Tested °-% Z� � �.. 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N � m 2 �; _ m co Q- m � � v � � ° m c° � =c�p �' a W s y �. Q � m °: � a- a `° °' � • v - � � � �v��i'Q N ni > > -a . v vv � �,- -v � 1. �. �� �' „" ►�F �; � � � � � � � � o m Q � n� � � � � m m cu � � � � �, � � � � a ,..,. � 3. � o � � � � � w_ � cu � ? � � � � �`D � , N � �� u c_ W v v � 0 � 'n W Q- � � v ��, � cn � c V � � w z c�p��� o c" v�"'T1. � � � � � N ` 0 �r � m '� w Z V '0 �' m V � Z < 'DO r a O Z 'n � 'Q r � Z a Z � N "RI � � � m ;p m =' � -i � m � N p0 .A � Vv � � CITY OF FRIDLEY 6431 I.TNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (763) 571-1287 -----.._.._..�_. PERM N0.:200401076 � DATE ISSUED: 07/12/2004 I ADDRESS : 572 KIMBALL ST NE I PIN : 033024230014 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMTT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 200.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENI1�iGS) a # GAS WATER HEATERS # GAS RANGES VALUE (FOR 1�IINIMUM CALC) APPLICANT H P PIPEWORKS 3670 DODD RD STE 100 EAGAN, MN 55123- (651)365-1340 C�1`:/�I �I C7 ' OSBORNE DONALD E & MARY 572 KIlVIBALL ST NE I FRIDLEY, MN 55432 1 # GAS DRYERS 0 # OF NEW FIXTURES 200 # WATER TRMT APPLIANCES AGREEMENT AND SWORN 5TATEMENT This pemut 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 worl� 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 co ction or the performance of construction. AUU��C�IIt_ � Date . Bldg Insp- -� ���`��� Date ` ITi a PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENING5) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS • GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 9176 SEPARATE PERNIITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.50 35.50 Building Inspections 763-572-3604 DATE � � f SITE ADDRESS _ THIS APPLICANT IS: ., r� BUILDING RESIDENTIAL APPLICATION CITY OF FR.IDLEY a YOUR E-MAIL ADDRESS 0 ❑ OWNER @�ONTRACTOR PROPERTY UWNER/ NAME: dD a wa (�Q (3� �j�v v� -�. TENANT ADDRESS: .�7:L ICs-u... �c�. Vl S°'� � CITY PHONE: 7tS �—% 8 6"� �j 7 7 CONTRACTOR NA�: �. e ' ' ' SUBMIT A COPY OF STATE LICENSE �� YOUR STATE LICENSE ADDRESS:� WITH APPLICATION pHONE 6 " %C�I � PROPERTY TYPE � SINGLE FAMILY/M 0 TWO FAMII,Y/NEW PERNIIT TYPE � �DITTON ❑ BASEMENT FWISH O DECK TYPE OF WORK: 0 � ❑ MAII�REN,4NCFlRR DESCRIBE WORK BEING DONE: Q S�ZE OF IlVIPROVEMENT RooFnvG � NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other . • wnvnows IN EXISTING OPENINGS DYe.s OPdo OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPEAiWG CHANGES 8c TYPE OF WII�iDOM TO BE INSTALLED ��ct v� v P's •3 �`% E3Q' DATE �ROOF ❑ SIDING ❑ SWIIJlNIWG POOL �l 18,HOUSE 8c GARAGE ❑ ATTACF�D GARAGE O DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia L�ATION OF WIN�WS � �W � ��V6 SIZE STOItIFS ❑ wwnows ❑ DRAIN TILE O OTt�R � / ' � �- � - - -. : � �� � . - ► _ � i�'�i� STATE��LIP S� 2 o�SSTA7'&!�IP •�� i 9dIDTH HEIGHT BASEN�N'T RIIvIODELING SUBIvIlT: 1. Facisting Fi�r Plan 2. Proposed floor plan 3. List of struct�ral members to be used F�. FOR NEW CONSIRUCI70N IIdCLUDING DECKS, ADDITIONS. & PORCI�S SLBMIT: 1. Site Plan/Survey showing the existing swch�res � PmPo� ProJ� 2. Two sets of construc6on 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 $ ay O O OCCiJPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Char� � . S See Back Page for Fee Schedule $ 65% of Building Permit Fee $ ,5- � .001 times the total job va(uation $ �'� l,7 .0005 x Permit Valuation Minimum $.50 $ s. i9� $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering -$— Agreement ne�essary ( ) Non Necessary ( ) --$ _ , Make c6ecks aavable to: Citv 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 pemut but only an application for a it 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 whic es review approval of plans. � SIGNATURE OF APPLICANT PRINT NAME �� I�/�I� DATE �/`� / u� a ��f% , l�`�G �`- . � ����"'/ ��/VV .� -� ._ Page 2- Builda.ng Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structvre, or for an.y ad.diiion to an.y existing building or structure, or for any alteration .oi repair to any existing building or structure, upon applica.tion therefore, require the payment by the applicant for such permit of fees to the aznount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a�_�um of 24 hours from the time of applicaxion to allow for proper review of proposed strueture and of the construction site. A Cer[i�.caxe of Survey of t�e lot, showing the loca.tion of the existing foundation will be required before proceedi.ng with the framing. New Houses Onlv � City of Fridley Building Inspections Department 6431 Un�iversity Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977