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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N? 2 Q 1.3 Date //"'.;-2.b.777� ................... Builder ` ? Owner.. .... .. ...... ....... �.'.. .............. ........................ Address ............. Address ......................................... LOCATION OF BUILDING No. � �...... Street 401-0 ................ Part of Lot ....................... Lot ... 4......... Block .. ', .......... Addition or Sub -Division ..4*00 Corner Lot ............ Inside Lot 1< ....... Setback Sideyard /0.F Af 'ter ................ DESCRIPTION OF BUILDING To be. Used as: .... Front A/ !7 . Depth �,�-- .. Height� d � v .... Sq. Ft. Cu. Ft........ . . ...... Front .14.... Depth .'.?".. Height �r �.... Sq. Ft......... Cu. Ft. ........ Type of Construction/%O"-W....iREst. Co'I A r ........ To be Completed In consideration of the issuance to me of a permit to constructding escrlbe above, I agree to do . the proposed work in accordance with the description above set f in th all provisions of ordinances of the village of Fridley. le 0 .. ........ ..�.iyr'Cd4' :d�•�.... �.-. . . hl consi ration of the payment of a fee of permit is herebyd t ............. . .. to construct the building or ad dition as described jeloyees This permit is granted upon the express condition that the person to whom it is granted and his agents, 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .. .... .. .. Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 80,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ..... - I ........ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING Westinghouse LO -31000c fTTon $ 14.00 T:a FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 14.00 ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 6128 Woody Lane N. E. 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. Fridley, Minn 8-2-66 18 Owner ClaIr Ltabraa,ten Kind of Building Used as Frame Residence Tobe completed about 9-2-66 Estimated Cost, $ 700.00 Old—New. Building Permit No. 1-0/3 Permit No. 3&2:7 DESCRIPTION OF WORK HEATING or POWER PLANTS -steam, Hot Water, Warm Air—No Trade Name, Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. BRED M3 D D7" Signe HEATING By SIM Gorham, Ave o 929-A767 s - L(,5 gL1 Perls, Monneseia 554,1261 .AQW42 2M Business Phone No (REMARKS—OVER) City of Fridley THE TOP OF THE TWINS SUBJECT BUILDING PERMITREC PE �B077' rAT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �4 CITY HALL FRIDLEY 55432 ""' , 612-560-3450 76 9'1vr NUMBER 910-F15 REV. DATE 7-7-75 PAGE OF APPROVED BY JOB ADDRESS 6128 WOODY LANE N.E., FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 MOORE LAXE HILLS SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. E. LiaBraaten 6128 Woody Lane N.E. 55432 788-1480 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. -i-USE OF BUILDING swiming Pool 7 CLASS OF WORK X7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Swimming Pool 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. Swim Pool 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 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 `3000.00 1.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 18.00 ��� /� PLAN CHECK FEEC�e' TOTALFEE 19.50 SI TUREOFCONTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPER Y HIS IS YOUR PERMIT � - B .)NSP ��TE DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) .APPLICATION FOR RESI'DE'NTIAL., ALTERATION, OR ADDITION•BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NME: C } SdGtAA7'EN BUILDER: SAM ADDRESS: Dk 4,19- tf /1�� C ADDRESS : NO: 12- STREET: L,Wj ®SLI) v A iy' 6= LOT: BLOCK: ADDITION: MOd/p� CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD: Applicant attach to this form Two Certificates .-f Survey. of -Lot and.proposed building location .:raven on these Certificates. DESCRIPTION OF BUILDING . To Be Used As: Front: Depth: Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: � D Estimated Cost: $ '300- To Be Completed: 7 19-/75_ _ 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: 7�/ /� S� SIGNATURE: L .(See Reverse Side For Additional Information.)- /"/ 560-3450 City of 7ridley ANOKA COUNTY 6431 UNIVERSITY AVENUE NE July 7, 1975 FRIDLEY, MINNESOTA 55432 Mr. C.E. LiaBraaten 6128 Woody Lane N.E. Fridley, MN 55432 Re: Swimming Pool at 6128 Woody Lane Dear Mr. LiaBraaten: This letter is to reiterate our conversation of July 7, 1975 and to make clear this department requirements for the swimming pool construction at the above address: 1. As discussed, one (1) skimmers approved by the National Sanitation Foundation will be provided. ..2. As discussed, one (1). inlet of approved design for fresh and/or repurified water will be provided. 3.. As discussed, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.P. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 7-8 hours. 5. A fence or other suitable barrier, a minimum of four .(4) feet high,, that affords no extetndl.hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall -be equipped with self-closing and latching devices which are capable of being locked. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbeing installations shall be inspected and approved by the City Inspection Department. 8. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 9. All electrical lines must be 10-20 feet or more away from the pool surface. 10. The pool fill spout must be air gapped or protected by a vacum breaker. Swimming Pool • 6128 Woody -Lane - Page 2 11.. Suitable safety eqiupment to include but -,not limited to a ring buoy and rope that.is 121� times the pool diameter, shepards crook pole, must belprovided and maintained with the pool at all times. Furthermore, these and any other requirments must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 560-3450, ext. 41. Sincerely, STEVEN J. N Enviromental Officer 76 e v APPLICATION FOR RESI'DE'NTIAL., ALTEPATION., OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWER'S NME8A,4A'7r BUILDER:_ Sp m t ADDRESS : Co i aLh - Woo O)f 4,44Slet ADDRESS: STREET: tiu o U Uy __.Z__A Ae d LOT:_ BLOCK: ADDITION: /�%OQ-�� ��1K� Hi c -c s - CORNER LOT: INSIDE LOT: `�^� SETBACK: SIDE -YARD: Applicant attach to this form Tc -7o Certificates -f Survey_. of Lot and.proposed building location .:raven on these Certificates. .DESCRIPTION OF BUILDING To Be Used As Front: Depth: Height: R. Square Feet Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet:. Type of Construction: lly M) A(6 VOL9L Estimated Cost:, $ T000 To Be Completed • 7�1 �" /7 .yam . 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: 7�/ /-7 S� SIGNATURE: .(See reverse Side For Additional Information.)' (� �..,cs;-r/Yc•i a r� %� t� �..s��.n.,� �'°}.,� �% • db,-.� SUBJECT PER City of Fridley® 19243 AT THE TOP OF THE TWINS BUILDING PERMIT r R EIPT N COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 i i CITY HALL FRIDLEY 55432 �.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10 13 87 JOB ADDRESS 6128 Woody Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Moore Lake Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clair Liabraaten 6128 Woody Lane N.E. 571-1480 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American.Remodeling 3700 Annapolis. Lane 553-0020 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 0 ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGEOFUSEFROM 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 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 $6,900 $3 •45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS NY OTHERS ATE OR LOCAL LAW EGULATING CON- $62.50 STRUCTI OR EMFOA CE OF CONSTR PLAN CHECK FEE TOTALFEE �/ Y $65.9.5 SIGNATURE OF CONTRACTOR OR>046RIZED AGENT (DATE) HE PROPERLY V ID TED THIS IS YOUR PERMIT � d� SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP TE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name &Address. `�'g��it% # Contractor: ��.��e�9,e�®��� Tel. # Address:7��-- 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: r ;e�4-10 Estimated Side Yard Cost: $ Setback 00 Approx. Completion Date: h/' /f— -�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: ✓®.� �� APPLICANT: � - Tel. # ,7j -j1 -e16 � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ CITY OF F.RIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE p 1 Job Address RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range - $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application true and correct. t Air Conditioning Call sizes) $ 10.00 $ 1�.� \are ( Fridley, Minn. �"1� \� 1� All Others/Repairs and Alterations OWNER 1% of Value of Appliance or Work KIND OF BUIL�D+I.NNGG COMMERCIAL/INDUSTRIAL USED AS \ �• 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT ` —• ESTIMATED COST \�� ' State Surcharge $ .50 TOTAL FEE $��• OLD - NEW BUILDING PERMIT NO. PERMIT NO. Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Final Insp. Date Approval for Permit �a3-1 MINIMUM FEE FOR ANY HEATING PERMIT IS PLUS $.50 STATE SURCHARGE $15.00 *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Trade Name Size No. Capacity Sq. Ft. EDR BTU Total Connected load Kind of Fuel BURNER - Trade Name Size No. HP Capacity Sq. Ft. EDR BTU HP Company V L C o , Signed By Tel. No. C Fill out back side for stack verification on replacement furnaces City of Fridley SUBJECT P .1 � � 17 91 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT COMMUNITY DEVELOPMENT DIV. t w✓ PROTECTIVE INSPECTION SEC. I o P NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910-F15 4/15/93 JOB ADDRESS 6128 Woody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clair Liabraaten 6128 Woody Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & B Home Improvement 1568 Ballantyne—Lane NE Spring Lake Park 784 0922 7773 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 ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK R.eroof )louse &Gara(je C20 Squares), Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment ;4us.t comply with the State Building Code, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VERNING ICOMPLIEDS TYPE OF WORK WILL BE ORDINANCES CIE PI $1 Q80 $,54 WH WHETHER SPED ED HEREIN OR NOT. THE GRANTING OF APERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOC4L LAW REGULATING CON- $27.00 Fire 8C $1.08 TRUCTION OR THE PERFORMA CE OF N RUCTION. PLAN CHECK FEE TOTAL FEE 1 JAI License SC $5,00 $33,62 SIGNATURE OF CONTRA ,TOR RAu�ZAT iDATEj HEN RO LY VAL DATXD THIS IS YOUR PERMIT BLDG Th DATE SIGNATURE OF OWNEROF OWNER BUiLDERi (DATEi - NEW [ j Effective 1/1/93 ADDN [ j CITY OF FRIDLEY ALTER[ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: + Address: i '� 'w CI,:�� ®4 q 9i a ® C. I ,i- L LI) Tel. # MN LICENSE # 7 7-5 L el. # 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. DECD AREA: Length Width Hat/Ground Sq. Ft. OTHER: e�`��0 t S r Corner Lot [ j Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ l060 .� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $. DATE: �— y APPLICANT: Tel. # CITY USE ONLY Permit Fee $ , �{% Fee Schedule . on Reverse Side Fire Surchairge $ .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,00 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ 5,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ j TOTAL STIPULATIONS: $-3,3,r�- SUBJECT City of Fridley =338 AT THE TOP OF THE TWINS BUILDING PERMITRECEIPT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. N Q. 1 � � NUMBER REVGATE PAGE OF • OVEO BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/15/03 JOB ADDRESS 6128 Woody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 4 2 1 Moore Lake Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clair & Nancy Liabraaten 6128 Woody Lane NE 763-571-1480 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Champion Patio Rooms 7155 West Commerce Cir NE, Fridley, MN 55432 612-623-9500 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20368359 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 17' x 12' Patio Room (three season) 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNING SEPARATE PERMITS REQUIRED FOR: 8ef®re digging call f®ir all utility locations 4�-0002 PI.U�ING� ANDS �REQUIRED" _ 4 E LA 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $20,000 $10.00 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TOIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISION F ANY OT ER STATE OR LOCAL LAW REGULATING CON- $321.25 Fire SC $20.00 STRUCTIO O THE E FORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE %SMIZa SC $5.00 $356.25 S-WTUIrE OF CON' CTOA OR AUTNORIZEO AGENT IDs EI MEN PROPERLY VALIDATED THIS IS Y R �T, at INSP )AVE S�GNATUAE OF OWNER aF OwNER BUILDERI IDATEi NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �� `04-1 r\t, U f - Legal Description: 1 Owner Name & Address: Glady .4 Na,,cg LLQ rra v\ Tel. # Contractor. 1v►v®t -A-10 g"�s MN LICENSE # Z0369359 Address: �l S ° COVAW14Z+re.2, CL , -JL , �r Lr� fey SSk 3z- 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: Bktil c vo &,b t z m 1w Ise u--1, � _ 1 60 �1 d �p®fin d Construction Type: ��cre�e s(o�� w�T Estimated Cost: $ �.�® `' D' way Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ o DATE: APPLICANT: Tel. # V t 4--7 3- �5 0 j Call (763) 572-3604 for Permit Fees if mailing in pplication. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge i ate'. T $ TOTAL $ CITY USE ONLY - 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 [ ] N 0 Existing door Nominal 14'x 12' room shed roof Concrete slab Full perimeter footings min. 4 Remove existing deck and add new concrete slab Add patio room (unheated). Electric to code. (floodlight, ceiling fan) Back of house Add new sidewalk to steps existina stairs Installer note: finished floor to be tile. Keep subfloor 1" below door threshold. Champion Patio Rooms CUSTOMER: 7155 Commerce Circle W Clair & Nancy Liabranten Fridley, MN 55432 6128 Woody Lane NE 612-623-9500 Fridley, MN 55432 763-571-1480 Creation date: 8/8/03 Revised date: By: David Haynes 1 CHAMPION PATIO ROOMS OF MINNEAPOLIS 7155 COMMERCE CIRCLE W FRIDLEY, MN 55432 612-623-9500 SITE PLAN FOR: Champion Job# 3736 Nancy & Clair Liabranten 6128 Woody Lane NE Fridley MN 55432 How phone: 763-571-1480 Work phone: 763-502-2828 — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — I I I I I I I I I 12'x14'room 6128 WOODY LANE NE Not to Scale ©Champion Patio Rooms of Minnesota - 2003 :ustomer: Liabranton WALL City: .Job Number: Order Date: 162 - Minneapolis 138 08/07/03 0.625+0.5+59.5+5.0625+71.5+6.5625 =143.75" WALL 6.5625 + 51.5 + 5.0625 + 43.5 + 5.0625 + 51.5 + 6.5625 = 169.75" : WALL 6.5625+71.5+5.0625+59.5+0.5+0.625 =143.75" CHAMPION PATIO ROOMS OF MINNEAPOLIS 7155 COMMERCE CIRCLE W FRIDLEY, MN 55432 612-623-9500 PHOTOS FOR: Champion Job# 3736 Nancy & Clair Liabranten 6128 Woody Lane NE Fridley MN 55432 Home phone: 763-571-1480 Work phone763-502-2828 Owner to demo. Install new slab. lZev�ove ti,r\� root We'll demo concrete stoop. Add concrete walk to bottom of steps. Only real access to back via neighbor on left. ©Champion Patio Rooms of Minnesota - 2003 5555. - 5555... ... .. • -,- NEW [ j ADDN [j ALTER [ ] From: 7633158908` y ,Pale: 3/4 Date: 11/13/2006 3:42:41 PM ..,:763 589 0 ,_... Construction Address: (0l Legal Description: � /6"), 5" �' CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE, Fridley, MN 55432 (763) 572-36 Bldg I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION i, I" / _ Owner Name & Address: r ��?�r/��¢ r-�,.o Tel. # 7a.3. s-7/. IW45 Contractor eco: icr MN LICENSE # 2Z`�47 Address: &S-0 Tei. # 76_?. X315-- V44=� 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:_ f;-5 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S = $ DATE: 11 /3 e�- APPLICANT: Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - 03 'Vel _ a 4 sb $�.33 X3 Fee Schedule on Reverse Side $ `f .001 of Permit Valuation (1/10th%) $ I.2 3 $.501$1,000 Valuation $ $1200 per SAC Unit $ S --Z— $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 [ J $ q I •C1 4 STIPULATIONS:—