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PRE 2010 DOCSCity of Fridley, Mm. -11474 6431 University Ave. N. E.,. Minneapolis, Minn. 55432 BUHDING PERMIT -Date; May 31, 1972 Robert Laugen Homes Inc. Builder Same ,Address _6866 East Fish Lake Road,, Osseo Address Same. No , 5630 Street West Danube Road N.E. __ part of Lot Lot 14 Block 3 Addition or Sub -Division Innsbruck North 1st Addition Corner Lot X Inside Lot Setback — _.3.51 — Sideyard — 471 & 10, OvWek Elevation -- 949.69 952.62 (aanrox. ) Wye Top of Footing • To be Used as: 36 WPI ling Front 411 18-2" Height 28 Sq. Ft. - 2640 . Cu. Ft. 54, 856 B ..arae Front 22' Depth 25' Height 10' Sq. Ft. 550' Cu. Ft. 5.500' Type of Construction Wood F.ramP Est, Cost $34.949 -47 To be Completed _ _&Ug. _ 1. 1972 Stipulations: Project surveyor to provide street elevation & hub for garage slab elevation 18" minimum and 48" maximum above centerline of street. Viewcon to provide fire protection to house. Provide verifying survey before X capping. 960.90 is base for the rest of the elevations. This is elevation on NE corner of house. WATER LOCATION: 10' South of Sewer SEWER LOCATION: 92' North of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do ft proposed work in accordance with the description above set forth and in com ce wi all provisions of ordinances of the city of Fridley. OK 176 rCbg-rgP In con$ideration,of the payment of a fee of $ 102.00 , permit is hereby granted to Robert L u� gen Const. 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 said ordinances. 2e�L�_� Inspector CLARENCE BELISLE {NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NA1�TE : BUILDER : h ®b ADDRESS: ADDRESS: � 4 76. No:. 5-b.30 STREET: Wez4 Jzrr 64Xo- P0,_, LOT: �`I BLACK: -3 ADDITION: rtfa�i A/r2 CORNER LOT: INSIDE LOT: SETBACK: 3-S_ S I DEYARD : `i 7 Zle 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 Ass 1 vec, Front: 4 1 Depth: C a (� Height: `7 Square Feet:- ?,g L40 Cubic Feet :.,4 - Front: a 2 Depth: X 5- Height: J Square Feet; 2 5 0 Cubic Feet: 5--5--70 Type of Construction: Wood Estimated Cost: �0.00 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: It 15 ? SIGNATURE: (See Reverse Side For Additional Information.) Power Plamts cmd Neatk% Copling, V9 ®. Reffigerafto end Air Condblaning System .ems Devices PARTIAL RATE SCHEDULE GRAVITY WAREN AIR: MTN TOTAL Furnace Shell & Duct Work .........:................. $10.00 $ Replacement of Furnace .............................. 6.00 $ Repairs & Alterations—up to $500.00 '.............. .... 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ WMCH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............. $10.00 $ 10 0 0 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace 6.00 . $ Repairs & Alterations—up to $500. ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines --to 400 sq. fL EDR Steams .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ............... :...... 3.00 ' $ Each add. 320 sq. ft. EDR Rot Water .. . ........... 3.00 $ OIL BURNER to 3 gal. per hour .....:... ..... . ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....... :...... '. 8.00 $ 5.00 over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... 1' .00$2.00 X$ p Additional Fixtures .................. x .75 $ Gas Range to 199,000 ........... ]i$ i* 5" $ AM. WEST . SLO- 3 3 -ton 1200 0 CF 18.00 Dept. of Bld9a. Phone SM -MM Lo"= 5630 West Danube Road City of Fridley: The undersigned hereby makes application .for a permit for the work hereir 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 facts and representations stated in this application are true and correct. Fridley, Minn_ July 19 , 19 7 2 1g . owner Robert Laugen Homes Find of Building frame Used as residential To be completed about 8/15/72 Estimated Cost, $ 1, 6 0 5.0 0 Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Sot Wates, Warm Air—No,, . Trade Name WF.STIN HOTTSF. PG IRA'17 Size No C apacity 110,000 Sq. r. ED R- BTU H.P. Total connected Load 8 2, 3 8 0 Kind of . j gas BURNER ! Trade Naa,XESTINGHOUSE FGUB79Uo Capacity, 110 . 0 0 0 Sq, FL E.D.R BTU H.P. FAN HEATING SYSTEM See'Fee Schedule HEAT LOSS ATTACHED. VENTILATING SYSTEM $ .50 SURCHGE ALTERATIONS & REPAIRS TOTAL FEE $35.50 ROUGH rINAL le i (REMARKS -OYER) SALESMAN: Don Bell SiNned Business Phone N FRE HEATING v AIRh OND92947 y 8260 Go;t►a � % 55426 St. toi►is Vui�. City ®f Fridley *Arn} Nrn. "W 0.a PLUMBING FIXTURE RATES. NO. RATE TOTAL Number Fixtures ................ x $2.00 $ r- d� Future Fixture Opening ........... x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .............. a ..... x $3.25 $ Water Beater (Up to99,000 BTU) .... x $3.00 $ O New Grund Run Old Bldg. .. o . o ... x $3.25 S Elegy Wats Hestm .............. a $2.00 $ GAS FITTING FEES. NO. IRATE TOTAL Int 3 Fixtures ... • . • • . • ... • . • . • • �_ x $2.00 $ -�2• 0 0 - AddlUonal PIdures ................ x $ .75 $ Ga® Rame to 120,000 BTU ...........: x $5.00 E State Surcharge $ .50 REPAMS fir AL TIO ®r to Cc&_ Description©............®............e................� TOTAL FEE $ city of Ridley: VAN J 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 riling of the Department of Buildings. and hereby declares that all the fact' and representations stated in this applicati are true and correct /._ ifs %A Fridley, I8._ Used as To be completed about Estimated Cost, $ Old—New. Building Permit ROUGH FINAL 53 -84-s-915.51 i PARTIAL }Y b 4 `i RATE SCHEDULE , q M=W IRMWns ................ x WD 8 - macre Mtuge opening .... o .... • . $1.50 s®. - New Fixtuire ®lei Opening ........ si.M 0 csteba Basln ..... o .............. Water Hester ,'Up to 99,009 Erm.... A $3.00 S New Ground Run old Bldg......... a $3.WEketAc S Water .............. a sm : GAS rrmnG FEES: NO RATE TOTAL lot 3 )Mures ............ • • • . • • : ss.®o : wAditlanal Ifthou ... . ...... • e ... = s ?0 : 1 5.00 Gas dans! to 199.000 FM• ... • ... • ... $ $5.00 i • State Surcharge Aida ac AL Ti® as ft Cc&_ f�vg 5.50 .. . B m . b . • . a e B e • •.. o A. • B ... •o. o . 0.. e . e .... . IS TMAL FEF s- To be cow~ ebmt 12 -18! - claw "r -%,rcharge $SCJ 53-84-S-915.51 ® maay" . I v PNB etic. wm PARTIAL RATE SCHEDULE PLUMING nZYMM RAT> e M HAIM TarAL MUMbOf we Ifttwe Oprnbng ... o e ...... Now Fixture Old Opening ......... • 2 ............. ®®®® Catch Basin, ., . A t p.9 Wase Hester 'Up to 99.000 ) • e • s x SLOO New Ground Run Old Bldg......... x 33..5 f �f1etw Heatm. • • . • . . . e . .. . a woo GAS FTMXG ME& NO RATE TGlAL 1st 3 Fixtum ... * ........ • ... a X109 hAd(tleaw rixtuv" . • .... • .... e . • • 3 SM 6 L Ou Rwo to IMM ............ x aSMO-5-00 • state Surcharge $_?nom RElAIDS a ALTERATt w 29 CW&_ .. eeesese.se e.eae• e.. es.oe •oe.e.oewe®o...wee� mLMM s 5.50 • 3 � �9Tnharg® $ 5Q f t,+ = The - hweby mmkea oppMenthon gar a pwmt for the w ;i SWCW, reeing to do 7 mart in drict acce7dance with the My Ordinemm and t i ,c oftheMparbamt of . r s d... L.....;. and hereby declares a x the 1812-1 and Topremmutiew stated In :(. `.`, is .?pk@j`oa MM Uve w4d correct Robert, Laji an Homes amu. 9-y- 7!Z City of Fridley SUBJECT o 16 5 0 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T rp RE 'COMMUNITY DEVELOPMENT DIV. TIVE INSPECTION SEC. r PROTECTIVE � � CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED By 612-571-3450 910-F15. rEV 3/22/82 JOB ADDRESS 5630 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Innsbruck North lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Bureau 5630 West Danube Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Giertsen Company 5147 Winnetka Avenue, New Hope, MN 535-3212 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ .ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct an 18' x 16' Addition to Back of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED 'FOR Wt ,� Z HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 688 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 $5.80 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11,600 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. $92.50 NONE PLAN CHECK FEE TOTALFEE $23.13 $121.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT a, ca �. ® ell Z3 Iltm I n T BLDG INSP SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI e CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OWNER:ee-KC—P.c�t- ADDRESS: 56,30 W, __._,&,jLj��� TEL NO: BUILDER: I�%Z�Tv; �°"1`C ADDRESS: ;�:/-7 _'1 tA/ar/Cg "9` TEL NO:. Construction Location STREET NO: S �,3 STREET: VAo-1 U-SC— IAT: , BLOCK: —13 ADDITION: L/�AI-5;5e Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Q� Front: M Depth: Height: rye, Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: a .� Type of Construction: Estimated Cost: $Q® Zb Be Cbmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Tile 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: � � [ �- � � SIGNATURE: Stipulations: � v ' Ct C GERALD T, COYM RAYMOND A. PRASCH 3DO BRUNSWACK AVE. S. LOT SURVEYS COMPANY 6917 IDAHO AVE. N. GOLDEN VALLEY, M.INN. BROOKLYN PARK, MINN. MINN. REG. NO. 4741 LAND SURVEYORS MINN. REG. NO. 6743 2201W=UD =WES L&WO Or OTATE OF 3ffMMBOTA ummm sy oww"ag or cay or amom"otte - 5747 W. Broadway 633-9922 INVOICE NO. 7 INDUSTRIAL — JUDICIAL Minneapolis, Minnesota 55428 F.9, NO.4 COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING fourbeporml. (:ertffitate SCALE I" ROBERT LAUGEN HOMES INC. 0 Denotes Iron F u se Denotes huU t for excavation only (�S 5' i � = t �� p . �z C. E �T 3 O'P-7 N N S Lot 14, Block 3, INNSBRUCK NORTH AMENDED TOS80W FOUNDATION 6/28/72 We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all buildings and visible encroachments, if any, from or on said land. Signed 2th Surveyed by us thislcf — dy May 72 —19 LOT SURVEYS COMPANY Description: Daly Foundation Mastic is a heavy fibrated bituminous waterproofing compound composed of top quality asphalt and select mineral fibers. For trowel or spray application, Daly Foundation Mastic offers superior vapor barrier efficiency for exterior surfaces below grade. Uses: Daly Foundation Mastic is recommended for foundations or any masonry surfaces where long term waterproofing is needed. May also be used on metal or asphalt surfaces. Application: Apply either by trowel or with heavy duty spraying equipment. Material is too viscous for most spraying equipment. Your Daly representative will be able to advise you on recommended spraying equipment. Apply at the rate of 6 to 7 gallons per 100 sq. ft. (about 1 gal. per 15 sq. ft). Dryfilm coating at this coverage rate will be 1/8 inch. Physical Properties (typical): Viscosity (alum. rod) 284 m.m. % Filler 9.7 T.C.C. Flash 115° F % Solvent 43.7 % Solids 56.3 Base Asphalt M.P. 180° F % Asphalt 46.6 Wt. per Gal. @ 60° F 8.1 Sp. Gr. @ 60° F .970 Compliances: Daly Foundation Mastic complies with Fed. Spec. SS -C-1 53C and ASTM -D-491. Caution: Contains petroleum distillates. Combustible. Keep away from heat and open flame. Use with adequate ventilation. Harmful if swallowed. Shipping Weights: 5 Gal. Pail 45 lbs. 55 Gal. Drum 475 lbs. (See reverse for specifications) Daly Protective Coatings Co., Inc. 124 -137th St. Hammond, Indiana 46327 (219) 932-4438 (312)1721-5116 This information is believed to be accurate and is offered in good faith, but no guarantee is made or liability assumed. MEMBRANE WATERPROOFING SPECIFICATIONS (1) Walls should be sufficiently braced by General Contractor to withstand back -filling pressures. (2) General Contractor should inspect concrete or block walls before application of waterproofing materials. The walls should be solid and no openings or voids should be present. Also, Gen- eral Contractor should mark grade line to insure full waterproofing coverage. (3) Waterproofing Contractor should remove small amounts of dirt and debris from footing area, and then brush or broom footing area. (4) While spraying, the applicator should face the wall to insure proper viewing of the work area. The mastic should be applied uniformally to a thickness of 1/8". (5) Uniform thickness of the mastic should be applied first at the footing area. After the footing area has been sprayed, the mastic should then be applied along the grade line. The remainder of the wall will then be sprayed. (6) A 6 -mil polyethylene film, clear style, will be set and rubbed into the mastic by hand. The poly should be nailed at the top every 16" to insure holding until backfilling. The poly should run down over the footing area by at least 6". The poly insures greater water and moisture resistance and protects the mastic against abrasion at the time of back filling. (7) To insure protection against wind, once poly is in place Waterproofing Contractor should place dirt block, or any other weight on top of the bottom edge of poly. (8) Prior to back -filling, the General Contractor should inspect all bracing. Care should be taken that the movement of dirt will not damage the now in place waterproofing. (9) The above specifications provide waterproofing for the wall area and in special cases, tiling or other measures must be considered in order to protect against hydrostatic pressures which may run under footing and come up at the floor line. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION M OIYNER_ SITE ADDRESS CONTRACTOR aim DATE ! c0,ePH10NE S-�s -Z� 1 � GS Determine working square footage of each: 1. Total exposed wall area. --.-.- sq. ft. X. 17 T zea --- 2. Total roof /ceiling ----------------- z8 3 sq. ft. X. 05 - /10 Total exposed wall area above floor - 7 a. Total wall window area----------------------------- /1(aq, 19e b. Total door area ----------------------------------- LVIA c. Total sliding glass door area ----------------------- Ai d. Total fireplace wall area ---------------------------!2 e. Total wall framing area (average 10%)--------------- 5Z,,Z7 f. Total net wall area above floor---------------------- -Z�E5.9® g. Total rim joist area------------------------------ ,11 -`517 Total exposed foundation area - N ( P h. Total foundation window area----------------------- 1 i. Total net foundation area above grade-------------- �r Determine "U" value of each wall segment. a. q<9 X "U" b. X "U" C. -- X fluff _ d. X "U" e. :!�?" F1% X llU„ B©% = 4,-70 f. 3 c>`�7 j X l l ull J. ®)-/ = 1 Z 3.7 10 g- 40-6 X flUir o®y - 1, C -r-- h. - i. X "U" = X "U" 3------------------------------------ Total If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. Total exposed roof /ceiling area = M j. Total skylight area--------------------- 16 k. Total roof /ceiling framing area (avg. 105o) 1. Total net insulated roof/ceiling area ----- Determine "U" value for each roof/ceiling segment. j. ?� X �ijJiI <4j - %' Z k. X I I UI I le ® �; — ® 93 1. XIIUII 1103 _ %,29 4 -----------------------------Total if total of #4 is the same as, or less than #2, you have met the intent SBC 6006(c)1 Alternate Building Envelope Design To utilize the total envelope system method, the values established b. the, sum of� items 43 and #4 shall not be greater than the sum of items #1 and #Za 1. f-7 7, 3 Z. - 3. 4) I ted Sezc flow C Figure. #5 up 10% ROOF/CEILD\G: Construction R Value 1. Interior air film 0.61 Z.�4aC'— ®acv 3. _ Z `° [ AlScAe- 64- 4. Exterior air film (still) 0.6i Total 31e `7 6 �k - - _ FULL CEILING: InteHor air ilm 0.61 2. 3. &4C,94° �Fa ' 4. Exterior air film (still) 0.61 n , Total 67-3 [02 3 ¢ , CY tea. Vented Heat.flow up Figure #5 PIr.- x7 AceL f] ov uF -1� \MODIFIED ROOF/CEILING : 11. Inside air film -4!L_ ! 3. 4. 0.61 5. Outside air film 0.17 Total Note: Use additional sheets if more space needed for details and calculations. ti e t it2 1. Interior air trim 0.68 Inches soft wood 4. Z ' r�uu LT � o -rzi 6. Exterior air film 0.17 Total (0 5s.. ©11 FULL WALL: 1. Interior air film 0.68 2. yz `' s,p po c, k- • 11/-5 3. 4. d� tY LAT« f3l' O L -C 1 �1, 5. gle " ?(, v 9�- fir✓ P 6, 6. Exterior air film 0.17 Total ZZ, 75 r RIM JOIST: (� - • 1. Interior air film 0.68 2. lei 3• OI4.� 6. Exterior air film 0.17 Total Z�.1 - A v r �. r' SUB LEVEL WALL: 1. Interior air film 0.68 - t 2. 3. - -�1.-- 4. 5. 6. Exterior air film 0.17 S 1t SLAB ON GRADE - OPTION t!) SRA Total • c.7 _sir ! J Ar y is 1 1/f;—;: !,l NUTS: IM31cate tyoc, `per "valuc� acptw- Tnd p?accr---cnt of Insulation- . I a a 0 -L-_I Total • c.7 _sir ! J Ar y is 1 1/f;—;: !,l NUTS: IM31cate tyoc, `per "valuc� acptw- Tnd p?accr---cnt of Insulation- . I a a 0 FRAME WALL WINDOWS No. Number Sq. Sq Ft Glass Size Panes Windows Inch Glass 144 = x x x 144 = X X x 144=_ 'r 144 = x X X X x x 144 = x x x 144=_ Total STEEL DOOR x x = WOOD DOOR x x PATIO DOOR Sq ft x x '144 = Glass FOUNDATION WALL WINDOWS No. - Numb er Sq Ft Glass Size Panes Windows Glass i x x X 144 i i x x x 144 = x x -� 144 x = TOTAL STEEL DOOR x x = WOOD DOOR x x = % PATIO DOOR x x 144" 4 1-1 SUBJECT P�Rm City of Fridley 17298 AT THE TOP OF THE TWINS BUILDING PERMIT r R • COMMUNITY DEVELOPMENT DIV. �,; ______ SEC. 6 r � � PROTECTIVE INSPECTION /1/% 0 1 ; i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/19/83 JOB ADDRESS 5630 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Innsbruck lst Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ken Bureau 5630 West Danube Road 574-1876 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Freeberg Company 8624 Pine Hill Road, $loomington 941-7092 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Inside alterations 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND 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 $7000 $3.50 WITH WHETHER PECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT P ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION ANY OT R ST OR LOCAL LAW REGULATING CO.N- $62.50 NONE T UCT R THE P F E OF ONSTRUCTION, PLAN CHECK FEE TOTALFEE $15.63 $81.63 (GNAT OF CONTRA ORORAUTHORIZ ENT IDA WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r OAA BLDG INSP s /� DA SIGNATURE OF OWNER( IF OWNER BUILDER) (DATE) 1-1 CITY OF FRIDLEY . Effective Aug. 1, 1961 APPLICATIO'1 FOR RESIDENTIAL BUILDING PEPJIITS (Nevi, Alterations, Additions, or Repairs) OWNER: &A2 h� ADDRESS: �gy W� TEL NO: : %a —% /1 71� 'BUILDER 121 ADDRESS: TEL 110:®% Construction Location STitEDT NO: ST1tEF.T: LOT: BLOCK: �1 ADDITION: Corner Lot: Inside Lot: , Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CO„STRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic feet: _ ','ype of Construction: Zb Be Cer.pleted: Estimated Cost: If / A G Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVF.R;E SIDE OF SHEET Mie. undersigned hereby makes applicaticn for a permit fcr the murk herein specified, agreeing to co.all work, in strict accordance with the City of rridley Ordinances and rulings of the Deix-irtment. of Buildings, and hereby declares that all the facts and representitiens stated in this application are true and correct. DAM SIGNATUTE : Stipulati ns: c�-- d 's,� 3 67 QDHoTr:t 'Homo MASTER BEDROOM AND BATH REMODELING FOR MR. -AND MRS. KEN BUREAU a - 5i30 WEST DANUBE RD. FRIDLEY, MINNESOTA 55432 574-1876 GENERAL CONSTRUCT16N NOTES , - •( 1 ) Mo BR}VAULTED CEILING - REMOVE DRYWALL CEILING AND INSULATION. SHORE (SUPPORT) 2X6 ROOF RAFTERS WITH A BEAM AND POSTS USING THE SECOND FLOOR FOR SUPPORT. REMOVE BOTTOM CHORD AND WEBS. OINSTALL MICRO -LAM RIDGE BEAM'BELOW 2X61S. OINSTALL 4X4 POSTS AND DISTRIBUTION BEAMS AT EACH END OF THE RIDGE BEAM. AT -THE EAST END 2- 1 3/4" X 9 1/4" MICROLAMS, AT THE WEST END 1 4X6 X 5' BEAM -ON THE TOP OF THE PARTITION. c4./REMOVE BATH CARPET AND UNDERLAYMENT MATERIAL IF UNSUITABLE. �,_f INSTALL CERAMIC TILE FLOOR AND BASE USING THE THIN -SET METHOD. TILE ALLOWANCE IS $5.00 PER SF REMOVE EXISTING BATH DOOR AND FRAME. RECONSTRUCT NEW OPENING �I FOR POCKET DOOR AND PATCH EXISTING AS REQ'D. 0M BATH SKYLIGHT - REMOVE DRYWALL CEILING AND INSULATION. INSTALL SKYLIGHT IN ROOF AND CONSTRUCT TUNNEL THROUGH CEILING. (ALTERNATE: WIDEN VAULT TO 47" AND TRIM RESULTING EXPOSED TRUSS MENBERS.) C, ADD 8 INCHES OF BLOWN CELLULOSE INSULATION TO EXISTING INSUL ATION IN THE HOUSE ATTIC. INSULATE THE MBR VAULT AND SOFFITS WITH R-30 FIkERGLASS BATTS. MBR SKYLIGHT - INSTALL SKYLIGHT IN ROOF AND CONSTRUCT TUNNEL AS SHOWN. MAINTAIN VENT AIR SPACES AND FLOW. IQ REMODEL AND ADD TO THE EXISTING -M BATH VANITY UNIT. ADD NEW 100 BASE SECTION TO MATCH, REPLACE ENTIRE COUNTER WITH NEW "L" SHAPE PLAS. LAM. AND BACKSPLASH. CUTOUT FOR NEW LAV. l� ! REMOVE MBR CARPET AND STORE IN GARAGE FOR OWNERS USE. CREMOVE WALL PAPER FROM M BATH WALL AND CEILING/SOFFITS. PLUMBING �I PROVIDE AND INSTALL NEW KOHLER FIXTURESIN COLORS TO BE SELECTED BY OWNER. PENNINGTON LAY., WELLWORTH WATER GUARD TOILET. HEATING / VENTILATING -) REINSTALL EXISTING BATH EXHAUST FAN REPOSITION EXISTING AIR GRILLE AND DUCTS TO ALLOW REQUIRED ' WOOD FRAMING TO BE PLACED. INTERFACE WITH BUILT-IN HEADBOARD. REPOSITION EXISTING AIR GRILLE AND DUCT IN FACE OF NEW SOFFIT. ELECTRICAL I RELOCATE ELECT. BOX WITH SWITCHES AND REROUTE WIRING AS REQ D. JO RECONNECT BATH EXHAUST FAN. I Z INSTALL VALENCE LIGHTING FIXTURES AND WIRING. NOTE 3 WAYILD A SWITCH. INSTALL RECESSED 75 WATT DOWNLIGHT OVER DESK.(WALL SWITCH 83 REMOVE THE TWO EXISTING DOWNLIGHTS, MOVE RECEPTACLES AND ADD �- AS REQUIRED AND AS SHOWN. U REAu freeberg designs r 'D Architecture lend planning 9raPlice 8624 Pine HM Road Bloomington Muuwsaaa 53438 (612) 941.7092 a dwi m d keebvg aomaeny VA*I:B . . ....... ... -r e, IY\ A 6 m 4x4% w, l 107 eAeir -' IES (MASTER BATH) - CERAMIC TILE, THIN SET APPLICATION. - VINYL COATED PAPER MATCH OTHER MOOD PAINT, PRIME AND 2 FINISH COATS OF LATEX. ireeberg designs r 'D Architecture lano ia --�3�- 1 - IES (MASTER BATH) - CERAMIC TILE, THIN SET APPLICATION. - VINYL COATED PAPER MATCH OTHER MOOD PAINT, PRIME AND 2 FINISH COATS OF LATEX. ireeberg designs r 'D Architecture lano ia I ...Man' I 4f5l C1Eo-. �� I! I 11 — ��' 'S D tJ_ �" . � -}� _ -li �. V __ SPI _ _'�" �..0 ._ .� _ _ �2"Fat o•• • INTERIOR FINISHES (#ASTER BEDROOM) _ —�� INTERIOR FIN �f FLOOR — REMOVE CARPET, INSTALL CARPET AND PAD. } FLOOR, BASE SELECTION BY OWNER, $25.00/ YD. ALLOW. WALLS BASE, CASINGS — OAK, STAIN AND FINISH TO MATCH OTHER. VANITY WALLS — PAINT, PRIME AND TWO FINISH COATS LATEX. CEILING VAUL CEILING — CODAV TC- - --- 4 f5l .—.. Id I 'a�j" a . 3 rx�mitIcaN �N. 2' IVa x 1�y WLV. L.' A-- _ MI i 0� �,r- 01 _ I i , • i I � T t- Y� Uo [EAU �— — frteberg designs rD GI i�PA1'H VAJ1-,- Architecture lead planning grapWts 1 i 1 I I 111 m, U 1 r f if tUto O A, "0 N. I A I4 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PER 18584 r � `L _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. 1 ` i CITY HALL FRIDLEY 55432 L 612-571-3450 CEIPT NO. NUMBER 910-F15 REV. DATE 8/8/86 PAGE OF APPROVED BY JOB ADDRESS 5630 West Danube Road N.E. 1 LEGAL DESCR. LOT NO. 14 BLOCK 3 TRACTOR ADDITION SEE ATTACHED Innsbruck North lst Addition SHEET 2 PROPERTY OWNER MAILADDRESS Kent Mreau 5630-West Danube Road N.E. ZIP PHONE 574-1876 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO, North Star Services P.O. Box 4099, St. Paul 55104 227-7061 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 ❑ NEW ❑ ADDITION jJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Kitchen Alterations 9 CHANGE OF USE FROM TO STIPULATIONS 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 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $900 SURTAX $.50 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $16.00 PLAN CHECK FEE TOTAL FEE $16.50 r � � SIG�URE OF -RAC TOR OR +jU HOgRIZED AGENT (DATE) lP',�-- WHEN PROPERLY BLDG )NSP V ATED THIS IS YOUR PERMIT / QA/E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [�l Building Permit Application Construction Address: 3 V We Legal Description: Tel. # ��VIl�'�6 Owner Name & Address: 0 5 ✓ ���✓ c.e Tel . # _';?o 6 Contractor: / Address: �d -,C dCl tilt/0//U 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/Ground Sq. Ft. OTHER: y ® -rv'cn J�I,� � fie. c Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: fI-S, ° Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: `�✓ APPLICANT: Tel. CITY USE ONLY Permit Fee $ �1Q.Fee Schedule on Reverse Side Plan Check $ — 25% of Building Permit Fee State Surcharge $ 5 $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ ,r Agreement Necessary [ ] Not Necessary [ ] TOTAL 0 STIPULATIONS: �C, 3 /0- 00 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective May 1, 1990 Job Address Department of Buildings City of Fridley Tel. 1571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct I Fridley, Mn. [` o �� . 1996 OWNER KIND OF BUILDING USED AS a RATE SCHEDULE a ®. q u X a PLUMBING FIXTURE RATES: NO. Water TOTAL OLD - NEW BUILDING PERMIT NO. a Mew Fixtures $ 5.00 $ tr -ci 40 $ 3.50 $ V W tr Heater M a $ 1.50 F Signed By .0 C It nOw t No. W Blow Off Basin $ 5.00 $ 0 .1 $ 5.00 $ Rain Mater Leader $ 5.00 $ Hydraulic Valve $ 5.00 ROUGH INSP. Dace Sump or Receiving Tank $ 5.00 U a Water Treating Appliance $ 7.00 $ Q w N W U FINAL INSP. not water Heater O :as le cN GAS Range $ 10.00 $ Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT Back Flow PreVenter Mquared. . . yes ( ) No ( ) Type 5 5.00 lot ALL OTHERS AND/OR REPAIRS.AND ALTERATIONS It of Value of Fixture or Appliance $ !11NIM0M FITC FOR ANY PLUMBING PERMIT IS :15.00 PLUS THE $.50 STATE SURCHARGE 2nd Reinspection Fee $ ($15.00) TOTAL FEE � . $� 3rd 4th —L .9 = L (R) " Future Connection Opening — Connected with Sewer (a) - New Fixture, Old Opening Water Effective May 1, 1990 Job Address Department of Buildings City of Fridley Tel. 1571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct I Fridley, Mn. [` o �� . 1996 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT RATE SCHEDULE ®. Q 6 ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Mew Fixtures $ 5.00 $ , c Future Fixtures $ 3.50 $ Company'17 Old Opening, New Fixture $ 1.50 $ Signed By Beet Dispenser $ 4.00 $Tel. No. Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Mater Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ ROUGH INSP. Dace Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ FINAL INSP. not water Heater $ 5.00 $ Date GAS Range $ 10.00 $ Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT Back Flow PreVenter Mquared. . . yes ( ) No ( ) Type 5 5.00 $ ALL OTHERS AND/OR REPAIRS.AND ALTERATIONS It of Value of Fixture or Appliance $ !11NIM0M FITC FOR ANY PLUMBING PERMIT IS :15.00 PLUS THE $.50 STATE SURCHARGE State Surcharge Reinspection Fee $ ($15.00) TOTAL FEE � . $� SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 'r ' � 6 COMMUNITY DEVELOPMENT DIV r ' ______ v PROTECTIVE INSPECTION SEC ad[Qt NUMBER REVDATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 6/27/95 JOB ADDRESS 5630 West Danube Road NE 1 LEGAL I LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 $2 14 3 I Innsbruck I North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken/Virginia Bureau 5630 West Danube Road NE 574-1876 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO Donnelly Windows 2519 E 25 St, Mpls., MN 55406 722-4200 20031019 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 ❑ NEW ❑ ADDITION l ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace window with a garden window 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $45.00 Fire SC $2.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $53.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ;+I WHEN PROPER VALI ATED THIS IS YOUR PERMIT BL INSP 1 C. pAT� SIGNATURE OF OWNER pF OWNER BUILDERI (DATE) aTITA ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application ConstrnctionAddress: 6&30 W, 1Wt o Q, Legal Description: Owner Name& Address: Contractor: Don � Address: ®Z LIVING AREA: GARAGE AREA: DECK AREA: OTHER: W4 (Vd� Effective 1/i/94 *.;'14�q Tel. # Y7 Lf - f 3 17& MN LICENSE # 0031 Tei. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. L'/e�n_ g�th Width Hgt/Ground Sq. Ft. a Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ � /�U _&-a Estimated Cost: $ 9060,00 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft == Ft x $ DATE: 6i APPLICANT: _ Tel. # 1-122-4 20D STIPULATIONS: ®, r CITY USE ONLY Permit Fee $�_ Fee Schedule on Reverse Side Fire Surcharge $ J, 00 ..001 of Permit Valuation (1 / 10th %) State Surcharge $ j, rb $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ S,6,0 $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 $ , G� STIPULATIONS: ®, r SUBJECT - - P, City of Fridley 30126 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT N/O� . COMMUNITY DEVELOPMENT DIV. SEC r I PROTECTIVE INSPECTION NUMBERREv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 8/26/99 JOB ADDRESS 5630 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Innsbruck North 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Bureau 574-1876 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban ExteAri.ors 9701 Penn Ave S Ste 107 -Bloomingtom 55431 881-8232 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 ❑ NEW ❑ ADDITION ❑ ALTERATION (Ex REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 32 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State 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 ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 BE COMPLIED r WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2797 $1.40 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 $83.25 Fire SC $2.80 PLAN CHECK FFEF TWOTA Lice e 5. 2.45 �IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi HE fPR VALIDAT THIS IS T BLD .NSP MPM GATE S-GNATURE OF OWNER..F OWNER BUiLDERi (DATE, NEW [ ] Effective 5/10/99 VQq Q6 ADDN [ ] CITY OF FRIDLEY b ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 3 (A) , a►.� Legal Description: QCT, �;a'6 Owner Name & Address: K . La , v�'� . � Q > ,s Tel. # ��' -/ W- � G Contractor: 1,W , MN LICENSE # of 9 Address: 9 )0 L ���� ��, � 6 Tel. # 9 S d - 9 ,Q 3 @ Attachto this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF INIPRGVEMErm1T 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: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: F2:�,, r11,�,Z ,�'� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/1offi✓ ) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential ,Contractors), Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary r ] Not Necessary [ ] `b� (5 -I-) t!"� s t>%.Aly� /3 W, GORALOT.COYNE 3DD BRONSWICK AVL. S. GOLDEN VALLEY, MINN. MINN. REG. NO. 4741 fNOUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING AYMOND A. PRA LOT SWVM COMPANY R$017 1 DAHQ AVE. NSC.H BROOKLYN PARK, MINN. LAM SURVEYOM MINN. REG. NO. 043 3801"WMW VMXR JAWS Or WA" Or XUNSBWWA wouloom sir oma was or any or unnmAvot= 5747 W. Broadway 533-9922 INVOICE NO. 35 T� d� Minneapolis, Minnesota 55428 F.B, NO. SCALE I" o Denotes Iron 'HIS JOB COPY SI -!ALL 6E 10 Denotes hul.-- set for AVAILABLE ON THE JOB 110. excavation only SITE FOR THE FRAtAING AND FINIAL INSPECTIW-41S tj r5 p 37.0 11- f) Cj , c 9 Lot 14, Block 3, INNSBRUCK NORTH AMENDED TO HOW FOUNDATION 6/28/72