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PRE 2010 DOCSMMA LO TIO F SUI ®I G No. y Street P f Lot a Lot —.. 3-- Block Z Addition or Sub -Division Corner Lot . Inside Lot _ . Setback 15 _ SideyardId 10� Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING In consideration of the issuance to me of a permit to constru Le75Kg described above, I agree to do work in accordance with the description above set mpliance 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, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, 1Vlinnesota reg location, construction, alterallon, maintenance, repair and moving of buildings within the dty limits anda� permit may be revoked at any u vi of any of the provisions of said ordinances Building Inspector NOTICE: ihb permh don not cover the construction, instandlon for wbb& plumbing, ges heating, saver or water. Be core to we the Building lnqmter for separate permhs for then diems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER.' S NAME BUILDER ADDRESS He( /C G ADDRESS �L •/_r_ ��i✓� \3-� LOCATION'OF BUILDING No. J ^� Street Part of Lot Lot Block z Addition or Subdivisioh4e/re Corner Lot Inside Lot Setback Side Yard6 -de SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF 13UXLDING To be sed as: Front Depth -3a) Height Sq. Ft. %/'moi Cu. Ft. 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- 3 G IGNATURE (Schedule of Fee Costs can be found on the ,Reverse Side). INPPP,pp City of Fridley Application for Plumbing and Gas RMng Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures N I w 72j N Y F� Vzr�) OC Z a� Z O W U' ? U' 0 O • N WATER HTR. GAS ELEG Base �' { 1st ° 2nd 3rd 4th L ® Future Connection Openings New Fixture, Old Openings I —tl_ Connected with Sewer Cesspool ❑❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin .... ....................... x 3.25 Water Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old Bldg. ............ x, - 3.25 Dept. of Bldgs. Phone SU 4-7470 City of Fridley: 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 1 Is , Owner 12 few r � Kind of Building W Y 4 Used as 2) L& Z To be completed about Estimated Cost, $ _ TOTAL Old—New. Building Permit No Permit No. a _ sign %L,4. - P� $ BY $ Business P on No a �- $ ®Q3 $ ROUGH GAS FITTING FEES: NO. RATE TOTAL 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 $� FINAL d2 Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAI RATF SCHFI7m F Dept. of Bldgs. Phone SU 4-7470 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 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 $ STEAM 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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ �� v GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $,/� Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL _&' LJ` -- City of Fridley: 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 Used as s / � r To be completed about _ Estimated, $ - New. Building Permit No. Permit No.,=L,:5-7 6 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam Hot Water, arm Air—No Trade Name T ( Size No CapaciSq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fvel C BURNER — Trade Name Size N Capacity Sq. Ft. E.D.R BTU H.P. $ See Fee Schedule / TOTAL FEE By 42 zM Business Phone No '5? (REMARKS—OVER) City of Fridley SUBJECT P 5 2. AT THE TOP OF THE TWINS BUILDING PERMIT®13 r ` DEVELOPMENT DIV. . INSPECTION �COMMUNITY 31 r PROTECTIVE SEC. 1 i � CITY HALL FRIDLEY 55432 612-560-3450 NUMBER REV. DATE PAGE OF APPROVED BY 910-F15 1 /13/7 JOB ADDRESS X 5988 Woody Lane N.E. 1 LEGAL LOT NO. BLOCK TRA CTOR ADDITION SEE ATTACHED DESCR. 3 1 Mel of and Lakeview SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard G. Olson 5988 Woody Lane N.E. 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. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK finish basement 9 CHANGE OF USE FROM TO STIPULATIONS PERMI'TS REQUIRED SEpERpT AND SIGNS- PO"'NG V jrgING, 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 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 l 000 .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- `1 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �'. ® C)' PLAN CHECK FEE TOTALFEE �q OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PROPERLY VALID TED THIS IS YOUR PERMIT. p���f�,,�SIGNATURE �// // �%) �` / 6 rN -ry G � ✓ r 7� /lJ/Jl a% J' A 6�'�S!/TA'C. /' BLDG INSP DATE SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) X& 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 04JNER ` S NAME :, �,' h" r "J _� 9 j S -gam BUILDER: eJ c ADDRESS : _ - S 4-j ff ? J J,-ff) ,-�J� / „ yj, �j ADDRES S : NO S W R STREET: i, )fin d;-, fi ' It G LOT: 3 BLOCK: / ADDITION: �-n iC.A 17 0 / CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach `o this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Depth: Height: Square Feet: Cubic Feet: .Front: Depth: Square Feet; Type of Construction: To Be Completed: Height: Cubic Feet: Estimated Cost: $_ /'066 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:, l3 / `/ '/ SIGNATURE: ;r (See Reverse Side For Additional Information.) 01 SUBJECT f�TT NO. City of Fridley 14 (0 15614 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT `y COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. (� / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J ` 612-571-3450 910-F15 2/26/80 JOB ADDRESS 5988 Woody Zane N.E. 1 LEGAL LOT NO. OR ADDITION SEE ATTACHED DESCR. 3 IBLOCKACT 1 Mealoland Lakeview SHEET r 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Olson 5988 Woody Lane N.E. 571-0901 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Finish basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING., HEATING, PLUMBING AND SIGNS, 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 STALLS I 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 $1,000 $.50 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. $7.50 PLAN CHECK FEE TOTALFEE $8.00 WHEN PROPERLY V IDATED THIS IS YOUR PERMIT CONTRACTOR OR AU' ORIZED AGENT (DATE) �SiGNA aTURE OF OW NER OF OWNER BUILDERI iDATE) BLDG INSP DAT 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ) h o.rLad �, - Q lS®'J ADDRESS: X19 � r (, )< d .b 4) iJ- �d TEL NO: STREET NO: STREET: BUILDER:; , ADDRESS: ` TEL NO: Construction Location j;:rIi6%9 LOT: j BLOCK: �ADDITION: A.1h,�� 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 6atUtooM ,,,Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Estimated Cast: $ '10 Type Type of Construction: To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: -(o - �G SIGNATURE: Stipulations: Engineering Sewer Water Parks + Streets �F Maintenance MEMORANDUM TO: William W. Burns, City Manager PW92-092 FROM: John G.- Flora,Public Works Director DATE:. April 3,.1992 SUBJECT:. Water Break On M ri 30, 1992, we became aware of a water break between the homes_ at 5948 and 5988 Woody Lane. The break was just beyond the cul-de-sac where the line runs between the properties and connects to Central Avenue. Our drawings showed the water line to be 5 -feet inside the easement and approximately 15 feet deep. This was of some concern because the home at 5948, owned by Mr. Zylka, was constructed apparently on the easement line and his driveway access extended into the easement. The home had been constructed on 21 concrete blocks because of the filling in of the cul-de-sac, and the driveway was supported with a limestone retaining wall. The leak appeared to be at the closest point to the home. On March 31 we started excavating in the area that we were able to determine as the approximate location of the break, and found that the soil was so saturated it was collapsing, and the soil adjacent -to the Zylka home was settling. Accordingly, we stopped and contacted a contractor to install piling to protect the home and driveway structures, as an emergency action to restore water for the neighborhood. On April 1, Park Construction's large backhoe was retained to install the sheathing and dig the hole. We spent that entire day driving in 13 piles along the driveway and home. On Thursday, April 2, we drove some additional piling and excavated down to the approximate location of the pipe. At that time we found the pipe was closer to the easement line then expected and running behind the sheathing that was installed. It also appeared that some of the sheathing could have been driven through the pipe. The sheath piles were relatively short because of the difficulty in driving them in the clay, the home was a major concern, the driveway retaining wall was cracking and moving, the break was not defined, and the hole was collapsing, so we abandoned the hole. We then moved up to the cul-de-sac to dig down to the pipe and install a valve so that we could restore water service to eight of the nine homes on the street which have been without water since Monday. This was accomplished Thursday night. C'ny mra April 3, 1992 Page 2 As a temporary measure, we installed a surface line from the fire hydrant to 5988, the Peterson home. This they accepted until we could install a new line and reconnect it to the existing line. This should be accomplished next week. As an emergency action to restore full service, we propose to retain a jacking contractor to jack a new water line from the valve that was installed, through the hill, to a location where we can connect to the existing water line downstream of the homes. We will attempt to place the pipe in the center of the 30 -foot easement and locate it 8 -feet below the surface to eliminate the exceptional depth we have in that area. It is hoped that the total project can be completed by Wednesday. In regards to restoration, we propose to mud jack Mr. Zylka's driveway and replace the two sections of concrete sidewalk that were removed. Since there was considerable settlement and movement of the retaining wall, which may be on the easement, I will review whether or not he should replace the retaining wall for the driveway or if we should participate in that cost. Regarding the yard work and disruption of the Peterson property, we will restore the soil and seed it, and possibly provide them some landscaping timbers to replace those which were removed and damaged during the initial exploration. We would propose to complete the soil restoration as soon as possible and delay the driveway and sidewalk work until later this summer when all the soil has settled and recompacted. Of all the water breaks we have had in recent years, this is by far the most difficult because of the improper designation of the water location, the proximity to buildings, and the extensive depth of the line. As a result of these actions and our attempts to restore water service to the residents on Woody Lane cul-de-sac, we request council to pass a motion for emergency expenditures 'from the Water Capital Improvement Utility Fund for these costs. JGF:cz FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450. FAX (612) 571-1287 April 21, 1995 Clark Peterson 5988 Woody Lane N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 5988 Woody Lane Dear Mr. Peterson: The City of Fridley has established a City Code for the purpose of promoting'a pleasant and attractive suburban environment. A recent inspection of the property at 5988 Woody Lane revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue outside storage of several pieces of plywood, lumber/miscellaneous materials located against the south side of the garage. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or shortly after May 1, 1995, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Kurt Schneider Code Enforcement Officer KS:ls CE -95- 81 SUBJECT E City of Fridley 3 0203 AT THE TOP OF THE TWINS BUILDING PERMIT r IPT NO. ______ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. �� r 1 � � NUMBER REV DATE PAGE OF APPROVEO BY CITY HALL FRIDLEY 554$2 612-571-3450 910415 9/13/99 JOB ADDRESS 5988 Woody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Meloland Lakeview SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Magnuson 574-9038 3 CONTRACTOR MAIL ADDRESS ZIP55112 PHONE LICENSE NO Rick's Roofing & Siding Inc. 183 Cleveland Ave SE N= Brighton 651 -63S -6_S95 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 O ALTERATION 99X REPAIR O MOVE O REMOVE 6 DESCRIBE WORK Reroof house and garage 28 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 $2447 $1.22 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 2.45 PLAN CHECK FE TOT/AL.EE Lic C 5.0 2 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATtr HEN P OP AL A HIS IS P MI BLD y � ' INSP �E S,GNATURE OF OWNER OF OWNER BUILDERI IDATEI MAY -26-1999 NLW l 1.. ADDN [ ] ALTER [ ] 14:09 FROM CITY OF FRIDLEY Consttwdon Address: Legal Description: Owner Name & Address Contractor: Address: -6 0-'I' TO 6516336491 Effective 5116199 CI'T'Y OF FRIDLEY SINGLE FAMILY AND DUPLEXES R -l. AND R-2 BUILDING PERMIT APPLICATION MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. P. 02/03 Tel. #1#51 -LP 3.3 (&M DESCR1MON 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: QP KP—, KM Estimated cost: sa L-11 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: CITY USE ONLY Pezxrdt Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 3.as Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.501$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 [] Not Necessary ( ] q IP &#qq SUBJECT City of Fridley 32223 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. `y COMMUNITY DEVELOPMENT DIV. 04 J PROTECTIVE INSPECTION SEC. 572©�� 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 10/5/01 JOB ADDRESS 5988 Woody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Meloland Lakeview SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terese/Jim. Magnuson 5988 Woody Lane NE 763-574-9038 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a 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 [ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace Front Steps 9 CHANGE OF USE FROM TO STIPULATIONS Steps to meet the State Building Code. 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 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 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 $400 $.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. $.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $23.50 Fire SC PLAN CHECK FEE TOTAL FEE $24/40 OF CONTRACTOR AGENT IDATEs ENROPER Y LIDATEO THI IS YOUR PERMIT %jIG�N/AT�URE OORAUTHORiZED 8�psp � T1ATE SGN4TUBE Of OyyNER�i NE 4OERi IDAf NEW [ j Effective 1/1/2001 ADDN (] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: LegalDescription: Contractor: MN LICENSE# Address: Tel. # dg&j2QJ2RV 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: l�Pn��(�P. 'Frby1 �- elviC`.y-Ae Construction Type: t..'6ew- _t -- Estimated Cost: $_ 'o.00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Tel. # l 0 -s 7440 SF CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ X3,5-0 Fee Schedule on Reverse Side Fire Surcharge $ ,1/D .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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 $ �7, .0 STIPULATIONS: SUBJECT R T NO. City of Fridley 33897 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. fl r 'L ______ ': PROTECTIVE INSPECTION SEC. 5111 I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 763-571-3450 910-F15 9/19/03 10B ADDRESS 5988 WOODY LANE NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Meloland Lakeview SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Magnuson 5988 Woody Lane NE 763-574-9038 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO JP Renovations 6581 Lucia Lane NE, Fridley, MN 55432 612-282-9414 20324971 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential T CLASS OF WORK ❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 20' Addition and a 20' x 30' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAHMING SEPARATE PERMITS 1100 diggang ll ¢® REQUIRED FOR: SIC �tiGty IO0ati®ns WIRING HEATING, X54-0002 PLUMBINd AND SIOS REQUIRED I, 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 '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 $ 25,064 $12.53 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 OCAL LAW REGULATING CON- $401.35 Fire SC $25.07 TRUCTIO R THE PE MANCE F ONSTRUCTION PLAN CHECK FEE TOTAL F E e -60 Licens 5.09%$ 3.95 N4 OFCOWRACTORORAUTHORIZED AGENT IDATEI POPE LIGATED IS IS YOUR ERMIT CBLD NS' E SIGNATURE OF OWNER,.F OWNER BUILDER, IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ J 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:`�� �d�� ��� `�`�° IVA' Legal Description: Owner Name & Address: 0AJ - V% Tel. # ?f� 3"" 57V' 9®3� Contractor: _T? i erxo VCJ I X15 MN LICENSE # BC— 903A"1971 Address: d-aS` -� � o c� e AJ S5' Tel. # .. IJ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 1Z 4 , LIVING AREA: Length , Widths Height aQ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width .30` Hgt/Ground V Sq. Ft. 3 7/! �® OTHER:00 - Construction Type: Wood VECk_V-^-�eA Estimated Cost: $ moi DCS• Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE:� � -0 APPLICANT: Tel. #� 9Z3 - 000 Call (763) 572-3604 for Permit Fees if mailing in app �jt-i n, x to 763 71-1287 if using credit card and we will call you for card number. �s CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ LAO0 , Fee Schedule on Reverse Side $ � 0-1 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1275 per SAC Unit $ , € a $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 [ ] 1 MV1111 • S''— ian c a 'aNl ".JNIN.73NIM9 Mgdn9ns ITC/ a.Y fiop - sa/� atu � pa�a�rns sy pua/ p�osta �o u�'��i ` s framy�nanr� a/gis�a /�o/�' uoai� `s6u�p�x�q n� �IG�rr PuD `�/ Pg'q�'"�1° a�oga ayf�► sai�cpunoq at/{� lian.�ns c�o uwDivasaidaw, f�a puo ani o sl siyf /oy/ &! f ia� iigany/ NtvtiVIII `'ate d71ON`d Vi ���. � ?1 � Gam► � ` � i 01 IJ it®, Oj LOAMMS 1' ; . \� T s✓ohaAjns 3 gaaat /ibujIf 6uiraau�6u3 I 9909I�/�O/1S /����W 'ONI 4JNWMNIJN3 'ZCsYWIIv-Vwy 'gin 59s iiouy6iH-S,G89 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING (763) 572-3604 REFRIGERATION AND AIR CONDITIONING S FAX (763) 571-1287 RATE SCHEDULE Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but not replacement) Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work 11©d Commercial/Industrial 1.25% of Value of Appliance or Work TOTAL JOB AD OWNER, BUILDING USED AS ESTIMATED COST `Z PERMIT NO. r G State Surcharge $ .50 TOTAL FEE $� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 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. 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO , 1�� Signed FAX # _ Approved B Rough -in Date pp Y g DATE C(- 40'(-3 TEL # k Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating U its Circle One (Steam) (Hot Wat r arm Air)) $ Trade Name a Size No.6� BTU HP EDR $ Fuel Total Connected Load ®0 f Burner Trade Name Size No. $ BTU HP EDR State Surcharge $ .50 TOTAL FEE $� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 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. 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO , 1�� Signed FAX # _ Approved B Rough -in Date pp Y g DATE C(- 40'(-3 TEL # k Final Date 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 rnMMnN -ENT VENT f!QN Fr.TQR ANn r.QMR1 IRTIBN AIR VERIFIMTIDN When rapiar_*nn an evicting furance, 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(T," The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) Not-) 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 ev e+ing enmist isfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to inatan a now cnmhusbao airs d will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) naw _antro the undersigned hereby verifies that --gsuetmy,�-� y When iostallina . it is'a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA 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. and S've/Gammon Vent and Vent rmnnectnr Yes ()No( ) Infermatian AgrIniianCp Iypg 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 Lengthft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type w HEATING CO: sDate igned By: CITY OF FRIDLEY PERMIT NO.: 2004-01541 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/07/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 5988 WOODY LN NE PIN : 243024210024 LEGAL DESC : MELOLAND LAKEVIEW : LOT 3 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REPLACE METER SOCKET. # INSPECTIONS 1 APPLICANT WIRE RITE ELECTRIC PO BOX 396 CIRCLE PINES, MN 55014 OWNER MAGNUSON JAMES J & TERESE A 5988 WOODY LN 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 the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) ELECTRIC FORM FEE STATE SURCHARGE, ELEC FLAT TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER "THAN DESCRIBED ABOVE. 20.00 1.00 0.50 21.50 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 k'AX: (763) 571-1287 ADDRESS : 5988 WOODY LN NE PIN : 243024210024 LEGAL DESC : MELOLAND LAKEVIEW : LOT 3 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FEE SHORTAGE VALUATION NOTE: PERMIT SHORTAGE ONLY. ENTER FEE AMOUNT 10 APPLICANT WIRE RITE ELECTRIC PO BOX 396 CIRCLE PINES, MN 55014 1 Ud ' MAGNUSON JAMES J & TERESE A 5988 WOODY LN 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 the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date PERMIT NO.: 2004-01674 DATE ISSUED: 09/27/2004 FEE SHORTAGE AMOUNT TOTAL PAID WITH CHECK # 2212 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 10.00 10.00