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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°51j2i Date: ,- 1 r Owner." w _ Builder Cl Address - - -- _ _ _ Address LOCATI%4,n F UIL G No. Street ,Fart olkLot — - --- _- - 5 Lot Block ______ ._ Addition or Sub -Division - Corner Lot Inside Lot „_ _ _ Setback _ _ -- Sideyard Sewer Elevation_ _ _._ — Foundation Elevation _ DESCRIPTION OF BUILDING Tori,; Us ,. Frontf Depth Height Sq. Ft. Cu. Ft. _� Fro Depth Height Sq. Ft. _ Cu. Ft. Type of Constructiofr Est. To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and m compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to...._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, m all work clone 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 uponviolation f any of the pm of said ordinances. .� d —0 -- NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building hupedter for separate permits for these home. t� 4 �. Owner's Address APPLICATION FOR BUILDING PMWT CITY OF FRIDLEY. MINNESOTA LOCATION OF BUILDING No. Street /�r�•----�w Part of Lot Lot Block Addition or Subdivision Corner Lot __^__„_,,,_Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: ^ Y Type of Cons To be Completed DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. � L Fronts Depth Height Cu. Ft. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the C.#y Ordinances and ruling of the Department of Buildings, and hereby declares thatr 1 the facts and 'representations stated in this application are true and correct. DATE SIGNATURE / (A Schedule of Fee Costs can be found on the ReverspOide.) s City of Fridley, Yffimm BUILDING PERMIT Date: AUGUST 17, 1966 DALE TUKUA Builder SAME 3 -� -7k� N° 8969 Address 5890 WEST MOORE LAKE DRIVE N.E. Address FRIDLEY$ MINNESOTA 55432 LOCATION OF BUILDING No. 5890 Street WEST )MORE LAKE DRIVE Part of Lot Lot 1 _ Block 3 Addition or Sub -Division _DOMY S LMMW MANOR ADITION Corner. Lot _... R Inside Lot _ _ Setback __ - Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ADDITION TO REAR Front 6 Depth 20 Height 12 Sq. Ft. 120 Cu. Ft 12440 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ER&M Est. Cost _ $600.00 To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with aft provisions of ordinances of the city of Fridley. ""% A lt;;� () In consideration of the payment of a fee of $ 4.00^ , permit is hereby granted to DALE TUKUA 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= thereof, shall conform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: M pemdt does not cover the construction, iastallatlen for wiring, plumbing, Sas heating, sewer or water. Be sae to as the Building hMsector for separate pen nib for those hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA r r � J WA • lle r ��• �' + ,R-AIPI� LOCATION OF BUILDING NO, STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION cje CORNER LOT-,ZINSIDE LOT SETBACK 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: Front IM 2�j)-Depth Height Sq. Ft. t° Cu. Ft.� s - Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). iMi" City Of FriCUey, Minn. #120599 BU"ING PERMIT Date: _ March 12,, 1973 Owner: Jerome Boedringhermer Builder _ Desis;�ers_ Address —5a9—Q--west Moore Lake Drive-- Address _A;nl TATA -Qt -Nth-S-tXaet, Bioomizhgton LOCATION OF BUILDING No. --5.89-Q— Street MM_West Moore Lake _Drive ...N.F... Part of Lot Lot --__ Block 3 _ _ Addition or Sub -Division ..._. Donnayt s akeY. yew Ma][1. r Corner Lot Inside Lot _ _ .X._..__.... _ Setback _ ... — Sideyard Sewer Elevation __ — _ _ Foundation Elevation — To be Used as: Replace Kitchen _ Front Front Type of Construction DESCRIPTION OF BUILDING Depth Height Sq. Ft. — Cu. Ft. Depth _ Height Sq. Ft. Cu. Ft. — Est. Cost To be Completed 6 mont-bg SEPERATE PERMITS REQUIRED FOR WIRING; HEATING, PLUMBING AND SIGNS. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. Bobby Wyatt See Application) 1.60 State Surcharge Inconsideration of the payment of a fee of $ 21.00 _ ., permit is hereby granted to— Designers & Remodelers to construct the building or addition as described above. This permit is granted upon Vie 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. ��s —--- �— Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 1 1-,09 c%16 APPLICATION FOR RESIDENTIAL, ALTERATIONY OR ADDITION BUILDING PERMIT CITY Of FRIDLEYs MINKSOTA 1. Nb NAM 0"-=LDER ADDRESS: ADIMS S )F6 T/7� WL� - W'p 4119 -7-t), WHIZ-- r-ORWR LOT Tmarx Lm; SETBACK; SIDEYARD: ................. Apltv=t- *,t."ch to tb-U fv=_Do Certificates of Surv2X of Lot and proposed ImIlAUg 14matlxm dr wa 4m these Certif icates, I)ESCRIPTION OF BUILDING 'To Be um"d As -110ight: Sqv#xe neat; Cubic ftet; Front: —Depth,-, Height; . Square Feet,, Cubic Feet; Tyfa of Construction; Estimated Cost: $ To Be The end eroftned hereby mkeo applicaalm for. a permit for the work herein qp*cjfW,, agreeing zP do all wprk to attict accordance with the City of M41vv OWUmmms ga4 vane 0 tbe Department of BuWings, 4md hereby dpolaref all the facts and representations stated $A this application axe true =4 correct, slrammx: (fee Reeverve SIde For Addif4anal lnfoxv4atiou...) C7 SUBJECT ERM) City of Fridleyr"AAT THE TOP OF THE TWINS B II DINi� ❑[D� Ar Du L V rCR'v1C. may___.__ COMMUNITY DEVELOPMENT DIV.�� r PROTECTIVE INSPECTION SEC. - S Y 1 s � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 4/21/88 JOB ADDRESS 5890 West Moore Lake Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. ] 3 Donnay`s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Swan 5890 West Moore Lake Drive 572-0858 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEERMAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 20` x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plans SEPARATE PE EMITSWIR'NGRE NE ' QUIRE® o TI FOR .. , I'LUM131N RIO AND SIGNS. 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 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 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 $1,350 $,68 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $ 5,88 $30.06 - SIGNATU E FON' ORORAUTHO iZED AGENT (DATE) WHEN PROPERLY V ATED THIS IS YOUR P IT 1 ` IBLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. L R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: qqD VV M "ke Dn ws Legal Description: L®f elock 3 D®an/.4 s 6rkl-Vie'l M'J."d2 Owner Name & Address: ��Ie A SwA-Al ��' �s ���C' Tel. # Contractor: Tel. # Address: 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 �' r Width 10 i Hgt/Ground Sq. Ft. 200 OTHER: Corner Lot [)(] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Approx. Completion Date: MA.� if' Proposed Driveway Width If New Opening Is Desired: DATE: 4 fS 7-"' APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge Estimated Cost: $ 2" 13CO Alt. A Alt B See Back Page for Explanation Ja lc / - Sw,qu Tel. 0 37z-030 CITY USE ONLY $ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ • $.50/$1,000 Valuation $ $ 5.5Q per SAC Unit $ Fee Determined by Engineering �I Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: ns�b 5,0 d-- A y a 911 Due C - shove -,(, S4 Cmc1tf-e lip '' Pis 0• f, 1,3,4,5+7 1S" Zi- (i )Sol i:&�- "D ► I� Deck,', 201 I .,J ax G elm so�f To d �vap- wcB cAtc h (Zt vk 'gyp t a f , c L. pxkScn41 61t w40 C cv--d%c (OCA — D'c K D93ICs,t0 Coo FuTwt.& 4(4- ujdejoo q U fake -CO k i 1 0° R�k'Ct�,�erS f4`' d, int Sti�ubS� C: 17: '' Pis 0• f, 1,3,4,5+7 1S" Zi- (i )Sol i:&�- "D ► I� Deck,', 201 I .,J ax G elm so�f To d �vap- wcB cAtc h (Zt vk 'gyp t a f , c L. pxkScn41 61t w40 C cv--d%c (OCA — D'c K D93ICs,t0 Coo FuTwt.& 4(4- ujdejoo q U fake -CO 0° R�k'Ct�,�erS f4`' d, int Sti�ubS� C: '' Pis 0• f, 1,3,4,5+7 1S" Zi- (i )Sol i:&�- "D ► I� Deck,', 201 I .,J ax G elm so�f To d �vap- wcB cAtc h (Zt vk 'gyp t a f , c L. pxkScn41 61t w40 C cv--d%c (OCA — D'c K D93ICs,t0 Coo FuTwt.& 4(4- ujdejoo q U fake -CO N City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT P :�5 7 2 COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. 1 1 e 1 � � CITY HALL FRIDLEY 55432 %J 612-571-3450 RECEIPT NO. 66� NUMBER 910415 REV DATE 12/10/97 PAGE OF 1 1 APPROVED BY JOB ADDRESS 5890 West Moore Lake Dr NE 1 LEGAL DESCR. LOT NO. 1 BLOCK 3 TRACT OR ADDITION Donnay' s Lakeview Manor SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Swan 5890 West Moore Lake Drive NE 572-0858 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Allstar Construction 3315 N Hwy 100, Mpls., MN 55422 593-5325 3247 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (23 Sq) 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 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. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND WITH WHETANCES GOVERNING I HER SPECIFIED HEREIN OR NOT. THE GRANTING OF AS TYPE OF WORK WILL BE OPERMT VALUATION $1,918 SURTAX $.96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PERMIT FEE $62.25 SAC CHARGE Fire SC $1.92 _ 4ea PLAN CHECK FEE License SC $5.0 TOTAL FEE $70.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HEN PROPERLY VHJATED THIS IS/JYOUR PERMIT `BLD )NSP GATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI 01 NEW ( ► Effective 1/1/9 ADDN [ ► CITY OF FRIDLEY 0 ALTER ( ) SINGLE FAMILY AND DUPLEXES R -i AND R-2 �►� �� BUILDING PERMIT APPLICATION d- ConstructionAddress: p i.✓ �, 2+ oro Legal Description: Owner Name & Address: Am ho s c'-Co"Tel. # 5- 7 2" O "� Contractor: A/SA- r e. I, `6,1, MN LICENSE # 2 �- 7 Address: 3315- Tel. # i 3 ^ 5-32%s- Attach 2%s-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 Wid Hgt/Ground Sq. Ft. OTHER: Construction Type: ©or� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /2—/0 -17 APPLICANT: Tel. # 57 3 ^ i.7 2C;- CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge, License Surcharge ')riveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL '3TIPULATIONS: $ Fee Schedule on Reverse Side $ % .001 of Permit Valuation (i/10th%) $ $.50/$1,000 Valuation $ $950 per SAC Unit $ S-00 $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 [ ) 170,/3 Lilective January 1, 2UU3 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, i (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICI[SS o FAX (763) 571-1287 r �i_ JOB ADDRESS "�� �� d r ltOrq�' RATE SCHEDULE r OWNER Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ 30, $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $2 .00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner'. $ .50 $� 0 ESTIMATED COST PERMIT N0. � v DESCRIPTIO11 OF FURNACE AND OR BURNER No. of Heating✓Un-its�_ Circle One (Steam) (Hot Water) arm Air) Trade Name / i-_ Size No. BTU 60,.601) HP EDR Fuel—Total Connected Load Burner Trade Name BTU HP Size No ED The undersigned hereby makes application for a permit for the work herein specified agreeing to do ali work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Cywens CompanlesIJgl3lo F g30 East Both Street HEATING C Bloomington, MN 55420-1409 854®5S®0 Signed 0 TEL # FAX # Approved By. Rough -In Date Final Date - In t - V FILL.OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED (-QMMQN VFNTrVENT CQNNFCTQR ANn CQMBUSTIC]It AIR VERIEMATIM When reela _ina an Pxishnn f trance, 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 9 No ( ) The venting system is plastic[PVC and meets all current codes and manufacturer termination. Yes (�j No specifications including sizing, length, number of elbows and Appliance #2 Vent Connector Height The undersigned also verifies that the replacement unit is a listed assembly in Type and meets the current codes and manufacturer's specifications. This does ft Length ft Diameter include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes ()4 No ( ) assisted and natural draft appliances. The PArtfing comp ustinn air is sized and installed to meet the current codes and manufacturers specifications. Yes,) No When required to install a now cemhustien air�it will be sized and installed Yes No( } to meet the current codes and manufacturer's specifications. When 3p4ajlinn a nmu ventiLna ny_stam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category] Central Furnace Yes No ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes VQ No ( ) separately as per current codes. Agpleance jyemand si,e/Common \lent and ygnt Connector information Appliance #1 Type -( 1 0 ilk BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input l Fan Assisted or Nat l c Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input � er 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 _ CO:HEATING i.1 01 SuBjECT 70WIT NO. city of Fridley 33936 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � C53437 CITY HALL FRIDLE`1 55432 NUMBER REV DATE PAGE OF APPROVED BY 763-571-3450 910-F15 10/2/03 JOB ADDRESS 5890 West Moore Lake Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Donna `s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Josephine Dittberner 5890 West Moore Lake Drive NE 262-412-9149 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Renovations Inc 1547 Sextant Ave Roseville, 1 651-636-7151 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20213096 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION Q REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside house; Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call lo.; inspec�:ion of wrap before covering or take pictures. Caulk and flash all exterior openings. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 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 $16,500 $8.25 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE cense; SC $5.00 1 $309.00 SIGN AT URE OF COPITRAC TOR OR AUTHORIZED AGENT (DATE, XH PROPERLYY VALIDATED THIS IS YOU PE MIT /Atf S-GNATURE OF OWNER,IF OWNER BUILOERI IDATEINSo 01 NEW [ J CITY OF FRIDLEY Effective 1/1/2003 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 672-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: s -y >G '�I/` C'&z. "y/ w - Legal Description: Owner Name &Address:d �"i/Ofv���'�' Tel. # Contractor. f2)('TEILIU%'�''� r���' i "y C' MN LICENSE / .� Address: f �'7z''%i��.'-viZG�� 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/Ground Sq. Ft. OTHER: Construction Type. Estimated Cost: $ A, C C Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: 16 APPLICANT: 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 Fire Surcharge State Surcharge SAC Charge: . License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ nq - 0 G Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] Ii SUBJECT AiVAMIT NO.'-, City of Fridley 3 3 9 3 8 33938 AT THE TOP OF THE TWINS BUILDING P E R M I T ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L _____ r PROTECTIVE INSPECTION SEC jZ� E E ; �-[ NUMBER pEv DATE PAGE OF APPROVED BY ' 1 "'1 CITY HALL FRIDLEY 55432 IL""'"11.� 763-571-3450 91 0.F15 10/2/03 JOB ADDRESS 5890 West Moore Lake Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Josephine Dittberner 5890 West Moore Lake Dr NE 763-412-9149 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 ❑ NEW ❑ ADDITION Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior alterations to dining room/kitchen 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,500 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- Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 PLAN CHECK FEE TOTAL FEE $102.50 GNAT CD 'aACTD OAAU IZEDAGEN iDATE. EN PROPERLY VALIDATED THIS IS YOQR PERMIT 1ffLDG iNSo OAtE S. ATUAE OF OWNWF4ERBWEDER, iDATE, Ii NEW (I CITY OF FRIDLEY Effective 1/1/2003 ADDN C 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: r L k Legal Description: Owner Name & Address: Tel.# 1 Contractor. =I T- MN LICENSE # -j ��<� �, Tel.# Address, 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: Construction Type: z h Estimated Cost: $ 3 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ _ $ a i ) _ � r o, DATE: 0 — 0 6 ? APPLICANT: Izz KA Tel. # 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 $ .� Fee Schedule on Reverse Side Fire Surcharge $ S .001 of Permit Valuation (1/10th%) State Surcharge $ S $.50/$1,000 Valuation SAC Charge;. $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 [ j �� STIPULATIONS- TOTAL $ o ML s G Z v,t4 .aOL/,J U. i ;t j c,�Pt;4 Ge 4 % Building BUILDING Permit No.': /b13 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 S EP0320 Permit Fee Plan Review CITY OF FRIDLEY Date 190 763-502-4977 FAX $Iq .001 times the total job valuation EFFECTIVE 8-19-09 $ L DATE YOUR E-MAIL ADDRESS $ c SITE ADDRESS ✓ 0 2® U/ Moote %% $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: _E A.# 4J-4ea $ TENANT ADDRESS:: 5,AME- CITY STATE ZIP Fee Determined by Engineering PHONE: (0/a a2V 6065— $ Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME: Zldwoest ROVsldi�so- W44d&6 Xw. SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE #._ 00/&; 7-a EXP DATE 3 O AND CERTIFICATE OF ADDRESS: 5 Ci. CITY adle �geaove STATE ZIP5S64 INSURANCE PHONE 1P® PD FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH `'ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION AMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFINGMOUSE ONLY NUMBER OF SQUARES �� ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ]. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING yT� "l 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review $ $65% See Back Page for Fee Schedule of Building Permit Fee `LIC Fire Surcharge $Iq .001 times the total job valuation Surcharge $ L .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al work which requires review and approval of plans. SIGNATURE OF APPLICANT L.l�i B ,fit _PRINT NAMES /--16e Z- • Akc k DATE!V3 17