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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 6866 Date: Owner: ' Builder Address - Address LOCA ION BILDING No. Street P of Lot Lot — ae__ Block Addition or Sub -Division Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation 9Z !/ - — iWiffift6lanaElevation —6 DESCRIPTION T Used Front Depth Height Z O Sq. Ft Cu. Ft &JnL1_0 Fron Depth Height Sq. Ft Cu. Ft 2-43,20 Type of/Construction Est Cost _ t�rro be Completed In consideration of the issuance to me of a permit to cons i; b g�described above, I agree to do the proposed work in accordance with the description abovg'set forth , , ` pliance with all provistons of ordinances of the city of Fridley. In consideration of the payment of a fee of $axy2.._'� , 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, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall coffiorm 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 revoked at any time upono>�n of any of the provisions of said NOTICE: ibis permit don net eorer the censtrue8on, hntaNden for wbb& phimbins, Be hedk& ewer or wafer. Be sun to see the BOA* hector for separate permits for then item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME BUILDER �4� C- 5 ADDRESS " ADDRESS / /Ldt LOCATION OF BUILDING No. Street ore'r—zzx Part of Lot Lot Block Addition or Subdivisionilg�w--4Z.:� Corner Lot Inside Lot 4-" Setback 3-r Side Yard SEWER ELEVATION /Z' / FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing locations drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth_ Height Sq. Ft. Cu. Ft. --� Front Depth Height Sq. Ft. Cu. Ft Type of Construction Estimated Cost IS6 0 a ®' To be Completed 2% I / 16. 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 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_ 11-14 _6) SIGNATURES (Schedule of Fee Costs can be found on the Reverse Side). 14 City of Fridley Application for Plumbing and C•s Ruing Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $/©•� Future Fixture Opening ................ x 1.20 Y New Fixture Old Opening .............. ep: 8Z $ w Ox x 3.25 w Z F N WATER HTR. GAS ELEC Q�? aS�GO v7 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with * New Fixture, Old Openings I Sewer El Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $/©•� Future Fixture Opening ................ x 1.20 $ F a New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ U New Ground Run Old Bldg. ............ x 3.25 $ oa//-I.— City of Fridley: al 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. Fridley, Minn AZ -->— 19� Owner Kind of Building Used as / To be completed about — Estimated Cost, $ Old New. ding Permit ROUGH GAS FITTING FEES: NO. RATE TOTAL FINAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 42 /., fi / e - Business Phone Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR v Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ X%TEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—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 — ed GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ s Y , GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ h-5 Additional Fixtures ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE � Dept. of Bldgs. Phone SU 4-7470 City of Fridley: I The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and ,correct. Owner Kind of Building Used as To be completed about Estimated Cost, $ Old P Building Permit No. � 0 Permit No. e? C® DESCRIPTION OF WORK HEATING or PQ R PLANTS—Steamm, Hot Water, WarAir=No ry� /-" /-- -- 7 J Trade Nam SizeNo. ,L� ° ' ,Z Capacity Sq. Ft. E.D.R.�U BTU H.P. Total Connected Load �o! . [LL `� Kind of Fu BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed By SUBURSAA1 5419 C - TE SHEET METAL <z 2M Business e+ LIS DR 32, MINA -SOTA HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIL't FY, WWI.- Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— / F1.1 n'/, _ Room I Lenath -'1-4 " Width /4o,Height Sit' ® it 9 FI -1 f' Room I Lenath Width /0 'Height 8' Windows and oors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpane of pane lights of crackle sq. ft. c� D d s / r i ®. rd Net exp, wall Coef.1 Btu Infiltration Btu Glass D Exp. wall / -'11 Net exp. wall , 3 Int. wall I L-1 1 Ceiling Net exp. wall Int. wall Floor y 1 otal Btu. I t: - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area % F1.1 �- Room Length 05 ` Width t? -' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. or pane of pane lights of crack sq. ft. 3 e. i ®. rd Net exp, wall Coef. Btu Infiltration Btu Glass Exp. wall D Net exp. wall / -'11 Int. wall 3 Ceiling I L-1 1 Floor Net exp. wall Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Lenath /3 ' Width/.' r Height re7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. or pane of pane lights of crack sq. ft. Exp. wall s % Net exp, wall Coef. Btu Coef.1 Btu Infiltration2„ D Exp. wall Glass Net exp. wall 3 Exp. wall I L-1 1 Ceiling Net exp. wall Int. wall Floor y Ceiling s - Floor 1 btal Btu. Required so. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Exp. wall Net exp, wall Coef. Btu Infiltration Glass D Exp. wall Net exp. wall /Q g-© Int. wall I L-1 1 Ceiling Floor Total Btu. squired sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l -Room I Length /p Width r Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area of pane of Dane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp, wall I Z f4-7 A0 Int. wall Ceiling D Floor Total Btu. /Q g-© Required sq. ft. E.D.R. or sq. ins. WA. Leader area I L-1 1 11 --_.t ; -' W.A.U. -7 1 r rs..l.. o- i Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Are No. of pane of cane lights of crack eq. ft. Coef. Btu Infiltration Glass , Q Exp. wall Net exp. wall /Q g-© Int. wall Ceiling Floor -1 otal Btu. Required sq. ft. E.D.R. or so. ins. WA. Leader area City of Fridley, Minn. N° 8435 BUILDING PERMIT Dates SEPTEMBER 8. 1965 Owner: WAYNE WILLAN guilder ERcn, INC . Address X93 Overton Drive Address 3231 Central Avenue N. E. Fridley 32, Minnesota Minneapolis 21, Minnesota LOCATION OF BUILDING No. 6793 Street OVERTON DRIVE N.E. _ ____ Part of Lot Lot — 2 -- Block 1 Addition or Sub -Division . HMOWLANDS,2MADDITION- Comer DDI I'� ON Corner Lot _ Inside Lot _ _ Setback Sideyard Sewer Elevation __ ___ _ — Foundation Elevation To be Used as: DWELLING DESCRIPTION OF BUILDING Front 42 Depth 26 Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost $1/4, 000.00___ To be Completed REBUILD DWELLING AND GARAGE A STORM DAMAGE In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. , ig described above I agree to do compliance with ail provisions of In consideration of the payment of a fee of $-10 --0 0 1 permit is hereby granted to ERCO, INC. 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, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of acid ordinances ALLEN G. JENSEN Building Inspector NOTICE: Uh permit don not emror the eon ruetim, h ohlidlon for Wfibe, phnabinB, en heatho aver or water. Be sure to we the Bniidino hopeetor for »parch pormih for thea home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 0 ' 116�" BUILDER 2� WNER S NAME ADDRESS � .Z�5 ADDRESS 32— LOCATION OF BUILDING NO, 617 ,-3 STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOTSETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Frontes Depth % Height Sq. Ft. Cu. Ft. Front Depth -Y Seight J Sq. Ft. Cu. Ft. Type of Construction / �— yp Estimated Cost �'�®tea e To be completed_ 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 Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations sta d in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley susdEcr PERMIT® 12976 AT THE TOP OF THE TWINS BUILDING PERMIT i. RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 NUMBER REV. DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 1"" A.,�'J 812-580-3450 910-F15 5/30/75 JOB ADDRESS 6793 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 = 1 I Meadowlands, 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Wayne G. Wellan 6793 Overton Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW XJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 16' x 12' screened porch 9 CHANGE OF USE FROM TO STIPULATIONS FORRI{+;G, RE' 10 Eeti��E pERMI 1`�G MAD�tGNS. p`0MB. EpTJOG, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Redwood & Screen OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 252 2016 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $6OO .5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 SIGNATURE NTRACTORORATOG (DATE) PROP, RLY%IS IS YOUR PERMIT � 73 5-30_.7 Cj1prN d S ATUR Q0 OW IIF 'BUILT (DATE) BLDG INSP DATE _a I� I APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :� �� �' BUILDER: ADDRESS: 679ADDRESS: NO • . ��I STREET LOT: 0� �i Z�' t 0 1 k12- ( BLOCK: ADDITION: Seo' -5 5•A MC CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form.Two Certificate: of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ►� �2 Front: 19 Depth.: Height: Square Feet: 1Z5Z Cubic Feet: 20"6 Front: Depth: Height: Square Feet; Cubic Feet: I /_ Type of Construction: RQV--) W ®A'b Estimated Cost: $ Gbc�"'N= To Be Completed: NJ e. n-75 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: S " ® ' i SIGNAT (See Reverse Side For Additional Inf Nifft �, So CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADD_ (�71:1- Oyer;tpn Dr. KESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $� representations stated in this application are true and correct. _ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ ben H T 1 du, L OWNER n �:s rc nd4 Gas Range f' $10.00 $ , ' `,� f a BUILDING USED AS L Gas Dryer $10.00 $ Old aS ISD®. ESTIMATED COST PERMIT NO. a/ *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units I Circle One (Steam) (Hot Water) q arm A r Trade Name i Size No. 53 ®A_ Commercial/industrial BTU gO _ HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $.50 Burner Trade Name Size No. TOTAL FEE =P� _ amlC o BTU HP EDR BU' 1E HTC,,. ASC a ELECT. INC. HEATING COMPANY 13562 CFNIRA' AVS MINIMUM FEE FOR ANY HEATIN I COOLINGNENTILATION ANOKA, Mh 65304 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Si dB Tel No. PLUS THE $.50 STATE SURCHARGE .. _ k REINSPECTION FEE $42.00/Hr Approved By 7(-Y, Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE OR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CEMANEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported S. Meets all current Code recd irements for siae and total BTU's connected 6 Has total heating BTU's of Fe ©© o All other BTU's `� 2( or - o TOTAL BTU's l 2 �E ® G v 7. Has a liner been provided for water heater Yes No ( ) Yes ( No ( ) Yes () No �c) Yes No ( ) Yes NNo() Yes (>4 No ( ) 8. Has combustion air been provided for water heater Yes ts,� No ( ) Remarks: r r if/Ll evt,�J714li�� List ALTERATIONS Being Done: HEATING CO: Signed By: Date: B IUME HTr. A/C & ELECT. INC. 13562 CENTRAL AVE. N.E. ANOKA, MN 55304 SUBJECT P NO. City of Fridley 25997 AT THE TOP OF THE TWINS BUILDING PERMIT r -ReeewnO COMMUNITY DEVELOPMENT DIV. •7 r PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 95432 612-571-3450 910-F15 4/28/98 108 ADDRESS 6793 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Hildebrandt 6793 Overton Dr NE 572-9601 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO - Lisa Miles Owner) Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION K REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,834 $.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $59.50 Fire SC $1.83 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $62.25 OF ONTRACCTgR OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDATED THIS IS YYOOUR PERMIT ��SIGNAT )_�% B G INSP BATE E OF OW N ERIE OWNER BUILDER) IDATEI NEW ADDN ALTER ConstructionAddress: Legal Description: Owner Name & Address: 1eNw.s t-,Idjre.K,I t C,1R3 O.jejiur. F-r=AIL Tel. # 5"7 a —9 b 4 1 Contractor: MN LICENSE # CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/GroouLn�dn Ft. OTHER: e r o e'-�\V'A 5 4 ay'e 5 �Sq. 3 "� 9- y Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 5q.56 Fee Schedule on Reverse Side Fire Surcharge $ /, F3 .001 of Permit Valuation (1/10th%) State Surcharge $ , 9 �- $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ 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 [ ] TOTAL $ . STIPULATIONS: suejact PE City of Fridley 28143 AT THE TOP OF THE TWINS BUILDING PERMIT ___ _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r I � PROTECTIVE 0714) NUMBERDATE REV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 10/7/98 10B ADDRESS 6793 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 1 Meadowlands, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis & LIsa Hildebrandt 572-9601 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION Ek REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside house; Replace windows - storm damage 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. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 QE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 4200 $2.10 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $99.75 Fire SC $4.20 PLAN CHECK FEE TOTAL FEE /_7 .0Y5 5 S 2M1ATU OF CON'R OR OR AUT RIZEO AGENT iDATEr N P OPE ALIDATE IS IS PER AIT �V GNATURE0010WNERo6OWNER BUILDER. DATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 2 BUILDING PERMIT APPLICATION J ConstructionAddress: (off/ 3 O ✓er (�.-� fir i ✓� (o Legal Description: Owner Name &Address: ��,,. „5 '��-,� j - Tel. # &I 2-,G Contractor: �-i�-��6 MN LICENSE # Address Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: - I�e�la�e mid, -,� .�► .-��.ys .� �� S� f c�ce Construction Type: Estimated Cost: $ o . �o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ �( DATE: 1 ® APPLICANT: Lk--> 1:6, Tel. #5�7 CITY USE ONLY ZCFee Permit Fee $ Schedule on Reverse Side Fire Surcharge $ . 20 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ 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 [ ] TOTAL $ %C�� • �� STIPULATIONS: SUBJECT! IT NO. City of Fridley epTf 29292 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � `L COMMUNITY DEVELOPMENT DIV. SEC.��� r PROTECTIVE INSPECTION 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/23/99 JOB ADDRESS 6793 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Hildebrandt 6793 Overton Drive NE 572-9601 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION XE] ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install egress window 9 CHANGEOFUSEFROM TO STIPULATIONS Egress window must comply with the State Egress Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $500 $ •50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $21.00 a a a PLAN CHECK FEE TOTAL FEE $22.00 SIGNATURE OFCON 'aACTOQ OR AUTHORIZED AGENT 1 ATEP WHEN PROPERLY IILL��DATED THIS IS YOUR PERMIT - SSG NA TUAE I'," /. OF OW NEA, II OWN EAl 8UIL DE RtDATE, BLDG iNSP gATt NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUELDING PERMIT APPLICATION *' �:Cj y ConstructionAddress: U e k Legal Description: Owner Name & Address: 1� �e� �'?q$ Ojcror, kNr Tel. # 5 -IJ • 9 6� Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: %ra►e s c c A- � '. v AA'0 Construction Type: Driveway Curb Cut Width Needed: Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ -'Zp AA— (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ M3 DATE: APPLICANT: D"&"' o -- Tel. # $--7 a-9 d t CITY USE ONLY Permit Fee $ 02� 4�� Fee Schedule on Reverse Side Fire Surcharge $ , Jr� .001 of Permit Valuation (1/10th%) State Surcharge $ ".5-0 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOTAL $ ez. ZXI) STIPULATIONS: SUBJE&NO. City of Fridley AT THE TOP OF THE TWINS ('�P32578 BUILDING PERMIT r DIV. � 1 - _ _ COMMUNITY DEVELOPMENINSPECTION r 1 � PROTECTIVE INSPECTION SEC. 1 i -.•- A ,'i CITY HALL FRIOLEV 55432 L J` 612-571-3450 RECEIPT NO. WO NUMBER 910-F15 REV OATS 5/ /02 PAGE OF APPROVED BY JOB ADDRESS 6793 Overton Drive NE 1 LEGALLOT DESCR. NO. 2 BLO 1 I TRACTOR ADDITION Meadowlands 2nd Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lisa & Dennis Hildebrandt 6793 Overton Drive NE 763-572-9601 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors Inc 341 79 Way NE, Fridley, MN 55432 763-784-8926 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20098700 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION) R PAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace Windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on allllevels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATIO 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMI VALUATION $8,075 SURTAX $1.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH ' PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON T CTION OR THE PERFORMANCE OF CONSTRUCTION PERMIT FEE $97.25 SAC CHARGE Fire SC $3.07 PLAN CHECK FEE Licen C $5. TOTAL FEE $,Y06.8 /SIGNATURE OF CONTRA OR OR AUTHOFWED AGENT (DATE, HE VA LI T THIS IS YOUR PERMIT PIROY BLEG -NSP61 nATE S,GNATURE Of OWNER01' OWNER BUILDER- iOATE. NEW [ ] CITYF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University A e NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AN DUPLEXES R-1 AND R-2 BUILDING PE7MIT APPLICATION Construction Address Legal Description: Owner Name & Address: J—." 0 P o Tel. # 76 3- Se� Contractor. MN LICENSE # a Address: Tel. # 2,6-T— 28Y A9-? C Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIOII OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type:4"Ll:z �stimated Cost: $ 15,* 7 S Driveway Curb Cut Width Needed: Ft + 6 Ft = F7 x $ t $ DATE: cJ _ �� APPLICANT: r Tel. # f Call (763) 572.3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ �21-29- $ 3-0 $ 1.5-3 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation PlanjReview Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ /DU �� STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS 6793 OVERTON DR NE PIN 133024230041 LEGAL DESC MEADOWLANDS 2ND ADD LOT 2 BLOCK 1 PERMIT TYPE PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PE IT NO.: 2004-01685 DATE ISSUED: 09/28/2004 ti VALUATION : $ 3,000.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL THREE FIXTURES. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS # GAS RANGES 0 # OF NEW FIXTURES VALUE (FOR MINIMUM CALC) 3000 # WATER TRMT APPLIANCES APPLICANT JOHNSON PLUMBING INC 11201 196 LANE NW ELK RIVER, MN 55330 OWNER HILDEBRANDT DENNIS A & LISA D 6793 OVERTON 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 know the same to be true and correct. All provisions of laws and ordinances governing this type of wort 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 o any othe state or local law regulating construction or the pef formanc of construction. Bldg PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GRAS GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL SEPARATE PERMITS WOUI#ED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 3 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 30.50 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, 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 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range" Gas Dryer** Back Flow Preventer Required Type NO. RATE TOTAL $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 )Yes () No $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance JOB ADDRESS V 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 application are true and correct. DATE: < _ 69 r , 20� OWNER I 1-" fr // /L /Of BUILDING USED AS Srsr�C� L /7` CIO ESTIMATED COST .3 00 0 PERMIT N ®o ( -(0C)-, PLUMBING COMPAN SIGNED BY TEL NO&/ Z— Approved By Rough -in Date Final Date State Surcharge $ .50 � MINIMUM FEE FOR Y PLUMBING/GAS PERMIT IS $15.00 or 5% OF CO: TOTAL FEE $_22_11 OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) ApDliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input 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 Common 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date: CITY OF FRIDLEY PERMIT NO(:2004-01637 \1 6431 UNIVERSITY AVENUE NE --� FRIDLEY, MN 55432 DATE ISSUED: 09/21/2004 572-36U4 VAX: (763) 571-1287 ADDRESS : 6793 OVERTON DR NE PIN : 133024230041 LEGAL DESC : MEADOWLANDS 2ND ADD : LOT 2 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 14,000.00 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. REMODEL BATHROOM - INSTALL WOODBURNING FIREPLACE. STATE LICENSED CONTRACTOR 1 APPLICANT SKYWAY QUALITY HOMES (3005) 8025 GARFIELD ST NE SPRING LAKE PARK, MN 55432 OWNER HILDEBRANDT DENNIS A & LISA D 6793 OVERTON 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 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 a visions y other state or local law regul g co o e rmance of cons ctio��jj Annlicant : Date T�"��0 Bldg Insp. f BUILDING PERMIT FEE 237.25 PLAN CHECK FEE 154.21 FIRE SURCHARGE 14.00 STATE SURCHARGE, VALUE 7.00 LICENSE SURCHARGE 5.00 TOTAL 417.46 PAID WITH CHECK # 5503 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY PU-60 � Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763),!x'9'1-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �- 7 O V T6 -2 L, Legal Description: Owner Name & Address: D Ems. V iS H1 t- jRAA i4 Tel. # 763-57a - F6 ®/ Contractor. ^662illfS MN LICENSE # ®®� Address: f 0a.5' f i '1,A !ST. 5PR lA f-� 4A, 9®i� Tel. #363 - 79Y 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 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: ,Ar-folo0 14- �� Tla�� ®®J4 Estimated Cost: $ 1'K00 0, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ D r ►�hG 1l� !ice r Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 15L4 .a1 $—:100 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 [ TOTAL $ STIPULATIONS: Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No. • ,,KMS 'C21 Received By: Date Rec'd: DATE—JO-W- o?c YOUR E-MAIL ADDRESS k; I f- Qa -�cc„i • nc�' SITE ADDRESS (el'93 Q/2✓f✓elen ✓� THIS APPLICANT IS: )@VWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: ; a.,�l (� `jc�c(o•-�r�d TENANT ADDRESS: (0'115 ✓��/ n �i ^i ✓M CITY le—STATE 1 WP ,,+5=6 PHONE:—7te:5. 43 -7.PL •ai l CONTRACTOR NAME: Eaw W6. STATE LICENSE # EXP DATh SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITIONGARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMINO POOL TYPE OF WORK: 1, NEW DITION ❑ TENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT _ 9011 LENGTH l a' I WIDTH a-' HEIGHT 240 Sq. Ft. NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF WINL BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMrr: I. 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 $ 4aae', oo OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due -7 $ ta.3 . a I $ �D' (00 $ LA 0L) $ z See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation - Minimum S.50 .001 x Permit Valuation (I/10%) $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 Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in 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 pe t 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 ich re Tres review and approv of plans. SIGNATURE OF APPLICANT PRINT NAME L,4!5 =1 ' We -10: a. t-1 DATE g I8.:2Ct75 � �/1 b �E/t//p1T Land Planning 6875-110rroy Oss #L, Land Survey;7y Minneapolis 21, SottsTeshi q ENGINEERING, INC. Oinnm1a Cvil & Municipal Sdflm/4-0" fnpeerin Engineers iF SurveyorsIf —�— . - certificate of surae For r RCO, + l� C. \ j i —1;Avol` 59 c %� 5r -'\Lt V = 3o /hereby cern y that M6 is o fire and correct mpremidafron #�O servey Fife boundorr;es e* obo)t 06Cl4&d ldff, d 01jr 1whon o 'all bWdmys , thereon, and all r1sible ewmehmenfs , Ifmy, rrnrn or onmid /and. As surveyed by me flns l _ °�f A.D. T SU8 UP 8AN E vcwmE2ING , INc. E q eers fr Surreyors